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Showing posts with label Medicaid. Show all posts
Showing posts with label Medicaid. Show all posts

Tuesday, July 26, 2011

Mr. Obama’s scare tactics to get Democrats to vote for his Republican Wall Street plan

Mr. Obama’s scare tactics to get Democrats to vote for his Republican Wall Street plan
Michael Hudson
   You know that the debt kerfuffle is as staged as melodramatically as a World Wrestling Federation exhibition when Mr. Obama makes the blatantly empty threat that if Congress does not “tackle the tough challenges of entitlement and tax reform,” there won’t be money to pay Social Security checks next month. In his debt speech last night (July 25), he threatened that if “we default, we would not have enough money to pay all of our bills – bills that include monthly Social Security checks, veterans’ benefits, and the government contracts we’ve signed with thousands of businesses.”
            This is not remotely true. But it has become the scare theme for over a week now, ever since the President used almost the same words in his interview with CBS Evening News anchor Scott Pelley.
            Of course the government will have enough money to pay the monthly Social Security checks. The Social Security administration has its own savings – in Treasury bills. I realize that lawyers (such as Mr. Obama and indeed most American presidents) rarely understand economics. But this is a legal issue. Mr. Obama certainly must know that Social Security is solvent, with liquid securities to pay for many decades to come. Yet Mr. Obama has put Social Security at the very top of his hit list!
            The most reasonable explanation for his empty threat is that he is trying to panic the elderly into hoping that somehow the budget deal he seems to have up his sleeve can save them. The reality, of course, is that they are being led to economic slaughter. (And not a word of correction reminding the President of financial reality from Rubinomics Treasury Secretary Geithner, neoliberal Fed Chairman Bernanke or anyone else in the Wall Street Democrat administration, formerly known as the Democratic Leadership Council.)
            It is a con. Mr. Obama has come to bury Social Security, Medicare and Medicaid, not to save but them. This was clear from the outset of his administration when he appointed his Deficit Reduction Commission, headed by avowed enemies of Social Security Republican Senator Alan Simpson of Wyoming, and President Clinton’s Rubinomics chief of staff Erskine Bowles. Mr. Obama’s more recent choice of Republicans and Blue Dog Democrats be delegated by Congress to rewrite the tax code on a bipartisan manner – so that it cannot be challenged – is a ploy to pass a tax “reform” that democratically elected representatives never could be expected to do.
            The devil is always in the details. And Wall Street lobbyists always have such details tucked away in their briefcases to put in the hands of their favored congressmen and dedicated senators. And in this case they have the President, who has taken their advice as to whom to appoint as his cabinet to act as factotums to capture the government on their behalf and create “socialism for the rich.”
            There is no such thing, of course. When governments are run by the rich, it is called oligarchy. Plato’s dialogues made clear that rather than viewing societies as democracies or oligarchies, it was best to view them in motion. Democracies tended to polarize economically (mainly between creditors and debtors) into oligarchies. These in turn tended to make themselves into hereditary aristocracies. In time, leading families would fight among themselves, and one group (such as Kleisthenes in Athens in 507 BC) would “take the people into his party” and create a democracy. And so the eternal political triangle would go on.
            This is what is happening today. Instead of enjoying what the Progressive Era anticipated – an evolution into socialism, with government providing basic infrastructure and other needs on a subsidized basis – we are seeing a lapse back into neo-feudalism. The difference, of course, is that this time around society is not controlled by military grabbers of the land. Finance today achieves what military force did in times past. Instead of being tied to the land as under feudalism, families today may live wherever they want – as long as they take on a lifetime of debt to pay the mortgage on whatever home they buy.
            And instead of society paying land rent and tribute to conquerors, we pay the bankers. Just as access to the land was a precondition for families to feed themselves under feudalism, one needs access to credit, to water, medical care, pensions or Social Security and other basic needs today – and must pay interest, fees and monopoly rent to the neo-feudal oligarchy that is now making its deft move from the United States to Ireland and Greece.
            The U.S. Government has spent $13 trillion in financial bailouts since Lehman Bros. failed in September 2008. But Mr. Obama warns that thirty years from now, the Social Security fund may run a $1 trillion deficit. It is to ward it off that he urges dismantling the plans for such payments now.
            It seems that the $13 trillion used up all the money the government really has. The banks and Wall Street firms have taken the money and run. There is not enough to pay for Social Security, Medicare or other social spending that the Blue Dog Democrats and Republicans now plan to cut.
            Not right away. The plan will be to “paper over” the current crisis by delegating the plans to a “Deficit Reduction Commission #2,” appointed from Congressional members.
            Finally, we have “Change we can believe in.” Real change is always surprising, after all.

The faux crisis
            Usually a crisis is needed to create a vacuum into which these toxic details are fed. Wall Street does not like real crises, of course – except to make quick computer-driven speculative gains on the usual fibrillation of today’s zigzagging markets. But when it comes to serious money, the illusion of a crisis is preferred, staged melodramatically to wring the greatest degree of emotion out of the audience much like a good film editor edits a montage sequence. Will the speeding train run over the girl strapped to the tracks? Will she escape in time?
            The train is debt; the girl is supposed to be the American economy. But she turns out to be Wall Street in disguise. The exercise turns out to be a not-so-divine comedy. Mr. Obama offers a plan that looks very Republican. But the Republicans say no. There is an illusion of a real fight. They say Obama is socialist.
            Democrats express shock at the giveaway being threatened. Many say, “Where is the real Obama?” But it seems that the real Obama turns out to be a Republican Wall Street imposter in Democratic clothing. That is what the Democratic Leadership Committee basically is: Wall Street Democrats.
            This is not as much of an oxymoron as it may sound. There is a reason why today’s post-Clinton Democrats are the natural party to undo what FDR and earlier Democrats stood for. A Democratic Senate never would stand for such giveaways to Wall Street and double-cross of their urban constituency if a Republican president would propose what Mr. Obama is putting before them.
            Here’s what the next Republican presidential candidate can say: “You know that whatever we Republicans want, Mr. Obama will support us. If you don’t want a Republican policy, they you should vote for me for president. Because a Democratic Congress will oppose a Republican policy if we propose it. But if Mr. Obama proposes it, congress will be de-toothed, and cannot resist.”
            It’s the same story in Britain, where the Labour Party is called upon to finish up the job that the Conservatives start but need New Labour to subdue popular opposition to privatizing the railroads and a Public/Private Partnership financial giveaway for the London tube line. And it’s the same story in France, where a Socialist government is supporting the privatization program dictated by the European Central Bank.

Round up the usual fallacies
            Whenever one finds government officials and the media repeating an economic error as an incessant mantra, there always is a special interest at work. The financial sector in particular seeks to wrong-foot voters into believing that the economy will be plunged into crisis of Wall Street does not get its way – usually by freeing it from taxes and deregulating it.
            Mr. Obama’s first fallacy is that the government budget is like a family budget. But families can’t write IOUs and have the rest of the world treat it as money. Only governments can do that. It is a privilege that the banks would now like to obtain – the ability to create credit freely on their computer keyboards, and charge interest for what is almost free, and what governments can indeed create for free. (That is the State Theory of Money. See the UMKC Economics Blog.)
            “Now, every family knows that a little credit card debt is manageable. But if we stay on the current path, our growing debt could cost us jobs and do serious damage to the economy.”  But economies need government money to grow – and this money is provided by running federal budget deficits. This has been the essence of Keynesian counter-cyclical spending for more than half a century. Until the present, it was Democratic Party policy.
            It’s true that Pres. Clinton ran a budget surplus. The economy survived by the commercial banking system supplying the credit needed to grow – at interest. To force the economy back into this reliance on Wall Street rather than on government, the government needs to stop running budget deficits. The economy will then have a choice: to shrink sharply, or to turn almost all the economic surplus over to banks as economic rent on their credit-creation privilege.
            Mr. Obama also pretends that credit ratings agencies are able to act as mascots for their clients, the large financial underwriters, by making the entire economy pay even higher interest rates on its credit cards and banks. “For the first time in history,” Mr. Obama dissembled, “our country’s Triple A credit rating would be downgraded, leaving investors around the world to wonder whether the United States is still a good bet. Interest rates would skyrocket on credit cards, mortgages, and car loans, which amounts to a huge tax hike on the American people.”
            The reality is that running a budget surplus would increase interest rates, by forcing the economy into captivity to the banking system. The Obama administration is now deep into its Orwellian rhetorical phase.

Why Wall Street needs Obama Democrats to shepherd Rubinomics #2 through Congress
            During Mr. Obama’s speech I could not help feeling that I had heard it all before. And then I remembered. Back in 2008, Treasury Secretary Henry Paulson sought to counter Sheila Bair’s argument that all FDIC-insured depositors would be able to ride out the September crisis, with only the reckless gamblers losing the gains they hoped to make on their free credit. “If the financial system were allowed to collapse,” he warned in his Reagan Library speech, “it is the American people who would pay the price. This never has been just about the banks; it has always been about continued prosperity and opportunity for all Americans.”
            But of course, it is all about the banks! Wall Street knows that to get sufficient Congressional votes to roll back the New Deal, Social Security, Medicare and Medicaid, a Democratic president needs to be in office. A Democratic Congress would block any Republican president trying to make the kind of cuts that Mr. Obama is sponsoring. But Congressional Democratic opposition is paralyzed when President Obama himself – the liberal president par excellence, America’s Tony Blair – acts as cheerleader for cutting back entitlements and other social spending.
            So just as the City of London backed Britain’s Labour Party in taking over when the Conservative Party could not take such radical steps as privatizing the railroads and London tube system, and just as Iceland’s Social Democrats sought to plunge the economy into debt peonage to Britain and Holland, and the Greek Socialist Party is leading the fight for privatization and bank bailouts, so in the United States the Democratic Party is to deliver its constituency – urban labor, especially the racial minorities and the poor who are most injured by Pres. Obama’s austerity plan – to Wall Street.
            So Mr. Obama is doing what any good demagogue does: delivering his constituency to his campaign contributors on Wall Street. Yves Smith has aptly called it Obama’s “Nixon goes to China moment in reverse.”
            The Republicans help by refraining from putting forth a credible alternative presidential candidate. The effect is to give Mr. Obama room to move far to the right wing of the political spectrum. Far enough so that it is his own Democrats who are most intent on scaling back Social Security, not the Republicans.
            This is done most easily under pressure of near panic. This worked after September 1008 with TARP, after all. The Wall Street bailout melodrama should be viewed as a dress rehearsal for today’s debt-ceiling non-crisis.

Friday, July 8, 2011

How to contact US Senators and House members, plus Obama

 You can contact members of the House here, 

and your senators here.

And you can send a message directly

to the White House  here.


Thursday, June 2, 2011

States Harming People Most in Need

By Stephen Lendman

In 1996, the Personal Responsibility and Work Opportunity Reconciliation ("welfare reform") Act (PRWORA) passed. Until then, needy households got welfare payments (since 1935) through Aid to Families with Dependent Children (AFDC), a program protecting states by sharing costs of increased caseloads during hard times.

Thereafter, Temporary Assistance for Needy Families (TANF) set five year time limits, allocating fixed block grants to states to administer at their own discretion, putting needy people at risk during economic downturns when little or no additional federal funding is forthcoming.

TANF also requires recipients to work or be trained to qualify, even during hard times like now when skilled workers can't find jobs, let alone single mothers with young children needing them as caregivers in their most formative years.

During today's dire economic times, budget strapped states are implementing harsh cuts, harming vulnerable residents most, including families with children on TANF.

On May 19, a new Liz Schott/LaDonna Pavetti Center on Budget and Policy Priorities (CBPP) study highlights the problem, titled "Many States Cutting TANF Benefits Harshly Despite High Unemployment and Unprecedented Need."

Deep cuts will affect 700,000 poor families, including 1.3 million children, about one-third of all households on TANF. Moreover, those numbers will rise, perhaps precipitously, as states keep slashing social benefits, hitting vulnerable residents hardest.

Already they're cutting cash payments or ending them entirely, including for "many families with physical or mental health issues or other challenges." As a result, poor ones are getting poorer. In addition, work-related aid, including child care, is being reduced, making it harder for working parents to retain jobs, needing someone home looking after their children.

TANF cuts so far made include:

-- monthly cash benefit cuts in California, Washington, South Carolina, New Mexico, and the District of Columbia; for example, South Carolina pays the equivalent of 14% of poverty wages for a family of three, severely impacting poor families;

-- time limits for receiving benefits have been reduced; for example, California and Arizona (among others) cut theirs, and some states may limit payments to 18 months, down from the federally enacted five year maximum; and

-- TANF-funded supplementary aid is being cut; for example, Michigan is slashing its (partly TANF funded) Earned Income Tax Credit by two-thirds; in addition, other states weakened "make-work-pay" policies by reducing or eliminating them altogether.

Overall, "(s)tates are terminating or reducing benefits for some of the most vulnerable families, most of whom have very poor labor market prospects."

At issue is less federal aid, leaving them no choice but to apportion lower amounts gotten, on the way perhaps to nothing as Capitol Hill debates ways to end social benefits entirely to provide more funds for bankers, war profiteers and other corporate favorites.

In fact, Democrats and Republicans are hammering vulnerable Americans, including those already at or below the poverty line, showing no concern for growing millions in need.

For example, in 1994-1995, AFDC served 75 out of 100 impoverished families with children. In 2008-2009, only 28 of every 100 got aid, the ratio varying by state.  Seven, in fact, help 10 or less families out of 100 impoverished ones when all of them most need it.

In 1996, however, when TANF was established, assurances were given for a TANF Contingency Fund during hard times. That was then. This is now after resources were exhausted in December 2010, and 2011 allocations are too meager to matter. The 2009 Recovery Act included TANF Emergency Fund aid, not renewed after September 2010.

Moreover, Congress "level-funded" TANF from inception, providing no adjustments for inflation or other factors, including extra help during hard times.

As a result, budget-strapped states have cut back severely, reducing matching funds and using federal grants for other purposes.

Nationwide in July 2010, TANF benefits for a family of three averaged less than half the poverty line, and below 30% in over half the states. The median amount paid was $429, 28% of poverty wages. Compared to 1996, TANF benefits declined by over 20% in inflation adjusted dollars.

In 2011, they dropped more given skyrocketing food, energy and other costs, as well as several states implementing more cuts. Effective February 1, Washington reduced benefits by 15% a month, from $562 to $478. South Carolina cut them 20%, from $270 to $216. New Mexico slashed 15%, from $447 to $380.

Effective July 1, California dropped 8%, from $694 to $638 and will impose additional cuts up to 15% for "child-only" cases, those with "no adult in the assistance unit" that, up to now, got aid for 60 months or longer.

Effective April 1, The District of Columbia slashed 20% for families getting aid for 60 months or longer, from $428 to $342. In addition, Mayor Vincent Gray proposed more cuts, up to 40% (including the April one) by October as well as total elimination of benefits by 2013.

Watch for states across the country to propose similar measures as Washington heads for ending social benefits altogether, what Democrats and Republicans plan but won't explain.

A Final Comment

On May 28, New York Times writer Robert Pear headlined, "Administration Opposes Challenges to Medicaid Cuts," saying:

On May 26, "(i)n a friend-of-the court brief (to) the Supreme Court, the Justice Department said that no federal law allowed private individuals to sue states to enforce" mandated Medicaid rates, "sufficient to enlist enough providers" to assure recipients access care "to the same extent as the general population in an area."

Acting Solicitor General Neal Katyal's brief said suits "would not be compatible" with the ability of Health and Human Services officials to assure states comply, despite low payment rates in many areas preventing recipients from accessing care. Nonetheless, he said Medicaid equal access provisions are "broad and nonspecific." Moreover, federal health officials, he argued, are more qualified than judges to decide policy objectives, including cutting costs.

At issue before the Court is Douglas v. Independent Living Center of Southern California (January 2011). Legislators approved payment cuts to providers. They sued in federal court, winning in the US Court of Appeals for the Ninth Circuit on grounds they conflict with Medicaid law, arguing if cutbacks are approved, mandated care can't be provided. The Supreme Court agreed to hear multiple appeals together on the same issue.

Although Medicaid law doesn't explicitly allow lawsuits, Ninth Circuit judges said beneficiaries and providers could sue under the Constitution's Supremacy Clause (Article VI, Clause 2), establishing all its provisions, US treaties, and federal statutes "the supreme law of the land."

As a result, payment reductions violate federal Medicaid law, threatening access to vital healthcare for poor recipients needing federal/state aid to provide it.

California appealed to the Supreme Court, Obama's Justice Department arguing for denial of what federal law mandates. As a result, consumer advocates are outraged. So is Washington and Lee Professor Timothy Jost saying:

"I find it appalling that the solicitor general in a Democratic administration would assert in a Supreme Court brief that businesses can challenge state regulations under the supremacy clause, but that poor recipients of Medicaid cannot challenge state violations of federal law."

In a separate friend-of-the court brief, Michigan and 30 other states argued that "(a)llowing 'supremacy clause lawsuits' to enforce federal Medicaid laws will be a financial catastrophe for" all of them.

Jointly funded, states manage Medicaid for qualified low-income families and children, pregnant women, the elderly, blind and disabled. In total, about 60 million Americans receive it, including one in three children, four in 10 pregnant women, and 70% of nursing home residents.

Since taking office, Obama waged war on working households and America's poor, proposing fiscal austerity for needy millions, including vital healthcare only government can provide them.

Now he's battling them in court to strip more than Congress already denied besides new legislation perhaps to end all social benefits, phased out incrementally by repeated cuts. Obama calls it "shared sacrifice." Working Americans call it cruel, heartless, unfair, and outrageous, especially from a Democrat promising change.

Stephen Lendman lives in Chicago and can be reached at Email address removed. Also visit his blog site at sjlendman.blogspot.com and listen to cutting-edge discussions with distinguished guests on the Progressive Radio News Hour on the Progressive Radio Network Thursdays at 10AM US Central time and Saturdays and Sundays at noon. All programs are archived for easy listening.

http://www.progressiveradionetwork.com/the-progressive-news-hour/ .

Sunday, May 8, 2011

Disabled Wis. protesters arrested outside Paul Ryan's DC office


Washington - A group of Wisconsinites with disabilities vowed Wednesday to keep protesting the Ryan budget after many of them were arrested this week demonstrating in congressional office buildings.

"Representative Ryan is going to be seeing us again sooner or later. . . . We aren't going away," said Jerome Holzbauer, a retired Milwaukee schoolteacher who has cerebral palsy.
Holzbauer was arrested Monday with 90 others from Wisconsin and other states while protesting Ryan's proposal to convert the Medicaid entitlement into block grants to the states. The group had occupied the rotunda of the Cannon House Office Building.
Another story:
UPDATE: At about 6:30 p.m. EST, Capitol police began arresting ADAPT members who refused to leave the rotunda. The organization released a brief statement as the arrests began:

Tonight, Capitol Police have begun arresting ADAPT members from all over the country, who have remained in the Cannon House Office Building since midday. The ADAPTers want Representatives Paul Ryan, John Boehner and Michelle Bachmann to publicly withdraw their support for Medicaid budget cuts and Medicaid state block grants. Without this commitment, ADAPT has decided to make a point that we are willing to do whatever it takes to defend the right of people with disabilities and seniors to live in our homes, not nursing homes and institutions. It is unacceptable for our own government to treat the 60 million Americans who rely on Medicaid like garbage.

[A]about 100 people have been arrested so far, many of them chanting “I’d rather be in jail than in a nursing home!” He said Ryan sent his chief of staff to speak with the protesters but that Speaker of the House John Boehner refused to speak to the organization. Representatives who talked to the group and listened to their demands included: John Lewis (D-Ga.), Danny Davis (D-Ill.), Jan Schakowsky (D-Ill.), and Barney Frank (D-Mass.)

Friday, May 6, 2011

The Real Impact Of Cutting Medicaid -- Just When We Need It Most

Harold Pollack
(This first appeared at Kaiser Health News)
An excellent Chicago Tribune story by Rex Huppke details the impact of cuts to home and community-based services in Illinois. Huppke recounts the story of 81-year-old Lorraine Phifer, who cares for her son William, who has cerebral palsy. Phifer has a wheelchair van, but she can't maneuver him into it by herself anymore. He has also required help with a wheelchair lift to get into and out of bed. Staff from the University of Illinois at Chicago Assistive Technology Unit have come out to the Phifer home and provided valuable help. That unit now faces a 70 percent budget cut.
UIC's intellectual disabilities family clinics, which offer a range of services that are hard to access elsewhere, also face deep cuts. My intellectually disabled brother-in-law occasionally uses these facilities, too. I'm not a disinterested observer.
Few of my fellow policy wonks have occasion to write these last words. Most policy debate occurs at great personal distance from the world of safety-net care. To be sure, every policy debate has its quantitative dimension. Congressional Budget Office projections and actuarial reports matter, because there are real human consequences when the numbers don't add up. When the numbers are all we talk about, though, policy debate bears discomfiting similarity to arguments among armchair warriors maneuvering toy soldiers on a plexiglass board.
Debates about health care for seniors generally acknowledge these elemental realities. Nearly everyone involved has a parent or other relative who receives Medicare. And most expect to rely on Medicare, too, when they grow old. Seniors are a powerful constituency. If they find a proposed policy too unsettling, it probably won't happen.
The tone and the politics change when things turn to Medicaid and related safety-net services. Dozens of states are making painful cuts right now. The disadvantaged people most directly affected are playing conspicuously small parts in the accompanying political process. In Washington and in state capitals, too, few influential stakeholders have any strong personal stake in such matters. Few have sat on either side of the counter in some welfare office, county hospital or public health clinic.
Thus, the New York Times Lizette Alvarez reports that Florida's Republican-dominated legislature is set to scrap traditional Medicaid services and shift Medicaid recipients into state-authorized for-profit HMOs or provider sponsored networks. Florida also seeks permission to deny recipients some benefits now being offered. These changes could occur as quickly as next year. For those immediately affected, this program represents a more radical experiment than any provisions of last year's health reform. Florida legislators are quite explicit that their purpose is to save money: "The Medicaid system is irretrievably broken," State Sen. Joe Negron (R) says.
Florida indeed faces growing Medicaid burdens. These arise because of surging enrollment in a state hammered by recession and the foreclosure crisis, and which has one of the nation's highest rates of uninsurance. Concerns that the state's predicament is driven by lavish benefits and inefficiencies can be put to rest. Florida ranks 43rd in per-recipient Medicaid costs.
Florida's proposed Medicaid changes are based on a dubious pilot project that has disrupted life for thousands of Medicaid recipients. Part of the problem was that for-profit HMOs proved unable or unwilling to serve many disabled or medically complicated recipients. WellCare, one of the largest participating HMOs, exemplified these problems. WellCare encountered legal difficulties over alleged Medicaid fraud and charges of "cherry-picking" the healthiest recipients, as the Miami Herald reported.
Ultimately, low Medicaid reimbursements led WellCare and other HMOs to precipitously exit much of the market, forcing tens of thousands of families to change health plans. A Georgetown research team released a very critical analysis of these operational problems, concluding:
The five-year pilot program has yielded little in the way of concrete evidence of either efficiencies or cost reductions. In fact, the pilot has raised significant questions about the ability of its managed care model to effectively meet the needs of beneficiaries….
Despite this track record, Florida lawmakers seek to expand this program statewide. Whether Medicaid recipients would actual benefit seems beside the point.
Politicians in Washington are following a similarly unpromising path. The CBO estimates that Republicans' proposed plan to block-grant Medicaid would reduce federal program expenditures by 35 percent by 2022 and by 49 percent in 2030 relative to current law. In return, states would have greater flexibility to restructure Medicaid benefits.
How governors would actually use this flexibility is another matter. Medicaid is flexible right now. The Center on Budget and Policy Priorities reports that about 60 percent of state Medicaid spending consists of expenditures to cover people or to reimburse services that are not required under federal law. Given Medicaid's low per-person cost and its relatively restrained projected cost growth, there's little room to comfortably cut. Safety-net services are already shoestring operations. Under-funded and stressed, they have many shortcomings. There is no way to meet the above spending reduction targets without shifting costs and risks onto the states, covering markedly fewer people and services, or further underpaying Medicaid providers.
No one can firmly say how states would respond to the reduced federal support. I fear that's precisely the point. Block grants provide both states and the federal government with useful political cover to cut important benefits. If a particular state eliminates Medicaid home care services or by dropping the working poor from coverage, Congressional Republicans can say: "Don't blame us. That's what this state chose to do." Meanwhile governors can say, with equal justification: "Don't blame us. We're doing the best we can, given limited federal resources."
I wish that Rep. Paul Ryan, R-Wis., architect of the House Republican budget plan, could accompany my wife and her brother to waste hours sitting in a gritty welfare office. I wish he had the responsibility of helping an intellectually disabled person with a nasty toothache, when the state Medicaid program no longer covers dental care.
Ryan's proposals won't become law anytime soon. Still, they exemplify this political moment's misguided mood and priorities. During the worst recession in decades, we are cutting needed services precisely when the need for them has grown.
Despite heated rhetoric about federal debt, this proposed budget does surprisingly little to reduce the deficit. Even if this plan did more, Americans would be wise to reject it. Our policy debate seems predicated on the philosophy that we must sharply shrink government despite the accompanying human costs. That vision is mighty appealing, especially to those who feel comfortable and safe without public help.
President Barack Obama helpfully identified what Republicans left out: our collective obligation to protect one another against misfortunes that could crush any one of us left to face them alone. When I consider the 81-year-old women gutting it out to care for her disabled son, or the aged and disabled people in South Carolina losing their adult day care, hospice or meals on wheels services due to current Medicaid cuts, I can only tell Rep. Ryan: "There are more things in heaven and earth than are dreamt of in your philosophy."

Thursday, May 5, 2011

41 problems with the [MN] Health and Human Services bill

by: The Big E

Wed Apr 27, 2011 at 18:00:00 PM CDT


Republicans think it is important that the wealthy don't pay the same tax percentage as we do.  They believe that the wealthy are magical job creators who create more jobs when they don't pay as much in taxes.  To make sure that the wealthy don't pay their fair share, Republicans are proposing deep cuts in the Health and Human Services budget.
Lucinda Jesson is the Commissioner of the Department of Human Services and today she outlined 41 concerns she has with the bill.  Here are a few of the highlights (or low-lights) of the damage Republicans want to do:
  1. Repeal of the expansion of Medical Assistance to adults without children.
  2. Prevent health care waivers and reforms from being implemented.
  3. Higher costs for enrollees in state health care programs.
  4. Eliminate "optional" services, including therapies, eyeglasses and prosthetics.
  5. Kick 7,600 people off of MinnCare.
  6. Stop complying with the Affordable Care Act.
  7. Eliminate waivers which provide a safety net for 5,800 disabled Minnesotans.
  8. Cuts to General Assistance.
  9. Eliminates tribal child welfare grants.
  10. Slashes grants for adults with mental illness.
  11. Slashes children's mental health grants.
  12. No funding for Minnesota sex offender program growth.
Here is the letter concerning the disputed numbers.
Here is the letter from Commissioner Jesson spelling out the 41 major concerns the department has with the HHS bill
The Big E :: 41 problems with the Health and Human Services bill

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Tuesday, April 26, 2011

Austerity Psychosis Gripts Washington DC: Webster Tarpley

http://dandelionsalad.wordpress.com/2011/04/24/webster-tarpley-austerity-psychosis-grips-washington-d-c/

with Webster Tarpley
Bonnie Faulkner
Guns and Butter
April 20, 2011
Obama’s budget speech at George Washington University on April 13th, 2011; the Fiscal 2011 Budget Resolution causes a revolt in Washington, D.C.; the Independent Payment Advisory Board as a death panel; House Budget Committee Chairman Paul Ryan’s genocidal Budget Resolution for the year 2012; Medicare and Medicaid under bipartisan attack; PIMCO sells the US short; and speculators drive up the price of oil.


Guns and Butter
The link will take you there

April 20, 2011
see
What You Need To Know To Save Your Ass – Part 2 by Mark A. Goldman
Who Really Benefits from the “American Dream”? by Marie Owens
Stripmining America-Unpatriotically by Ralph Nader
What You Need to Know to Save Your Ass by Mark A. Goldman
Inflation Hits Money and Lies by Joel S. Hirschhorn
The Economy Sucks and or Collapse 2

http://vodpod.com/dandelionsalad/tag/economy
Obama Delivers Republican Arguments