Tom Homan Gripes That 'Troubling't Be Pardoned
7 hours ago
Oh! a private buffoon is a light-hearted loon, If you listen to popular rumour; From the morn to the night he's so joyous and bright, And he bubbles with wit and good humour! He's so quaint and so terse, both in prose and in verse; Yet though people forgive his transgression, There are one or two rules that all family fools Must observe, if they love their profession. [Yeomen of the Guard, Gilbert & Sullivan]
… Already long ago, from when we sold our vote to no man, the People have abdicated our duties; for the People who once upon a time handed out military command, high civil office, legions — everything, now restrains itself and anxiously hopes for just two things: bread and circuses.
(Juvenal, Satire 10.77–81)
Conservatives mull future after ELCA lifts gay banThe article goes on to explain:
The change to gay clergy policy passed with the support of 68 percent of about 1,000 delegates at the ELCA's national assembly. It makes the group, with about 4.7 million members in the U.S., one of the largest U.S. Christian denominations yet to take a more gay-friendly stance.I assume that the vote to accept gay clergy means that, heretofore, ELCA had been okay with gay communicants. I don't know this - it's just a reasonable inference.
St. Timothy's is a warm and welcoming congregation that is open to you.is honest.
Everyone is welcome and neededI apologize for my cowardice in not determining this sooner.
There are no traffic lights.Look on the bright side: we can cut the budget for police by at least half!
There are no stop-signs.
That person in the car ahead - he doesn't have a driver's license!
... Then again, nobody else on the road does, either!
(in fact, he's only 13 years old! - hey, it's a family matter, between him & his parents!)
There's someone driving straight for you in your lane.
Well - no: it's not your lane. There are no lanes.
Anyone can drive anywhere he wants to, in any direction.
You want to drive on the sidewalk? No problem!
Someone just passed you doing 90 in a 30 mph zone!
No, wait: there are no speed zones.
Sorry 'bout that.
That fella comin' head-on for you seems to be weaving a lot?
Is he drunk? Maybe.
Who cares - he's a strong, rugged, patriotic American individualist - no stinkin' government's gonna tell him he can't down a fifth and then take the wheel!
Speed limits? - SOCIALISM!!!Yeah - Government is NEVER the solution!
Stop lights? - SOCIALISM!!!
Lanes? - SOCIALISM!!!
Driver's licenses? - SOCIALISM!!!
(the worst kind: a government-issued ID!!!)
DUI laws? -SOCIALISM!!!
"Socialism! - Bad, EVIL!!!"at every turn on the road to progress.
Child-labor laws? - Socialism!What's wrong with socialism?
The Pure Food and Drug Act? - Socialism!
Labor Unions? - Socialism!
Workplace safety and OSHA? - Socialism!
Social Security? - Socialism!
Medicare? - Socialism!
We the People of the United States, in order to...The general welfare. Not the welfare of Big Argriculture, or Big Finance, or Big Pharma, or Big Health - the GENERAL welfare!promote the general Welfare... do ordain and establish this Constitution for the United States of America.
The Congress shall have power to lay and collect taxes, duties, imposts and excises, to pay the debts and provide for the common defense and general welfare of the United States...If access to affordable, timely, high-quality healthcare doesn't count as "the general welfare", what does???
Keller's Farm StoresThere are also a number of local Farmers' Markets around.local, family-owned businessLa Montanita Co-op
2912 Eubank NE (Eubank & Candelaria
6100H Coors Blvd (Montano Plaza)3500 Central SE (Nob Hill)
2400 Rio Grande Blvd NW
"I'll get Osama bin Laden, my friends. I'll get him. I know how to get him.At the time he was hesitant to say just exactly how he would get bin Laden, stating that
I'll get him no matter what and I know how to do it."
[emphasis added]
"I'm not going to telegraph my punches..."Okay - so now that he's not the president, has Senator McCain shared with President Obama his secret for getting bin Laden?
"Let’s not Rumsfeld Afghanistan. Let’s don’t do this thing on the cheap. Let’s have enough combat power and engagement across the board to make sure we’re successful. And quite frankly, we all have got a lot of ground to make up."Yep - even senior Republican senators now admit that W & Rummy screwed up Afghanistan - and warn against continuing to "Rumsfeld" Afghanistan.
[Senator Lindsey Graham (R-SC) -member, Senate Foreign Relations Committee - on Face the Nation, 9 Aug 2009]
"Finally, I believe it is important that reform includes a real competition between public and private insurance plans. The only way to do this is to make sure there is at least one plan whose focus is providing care - not simply making a profit. Such a plan could take many forms, ranging from a federal cooperative patterned on rural electric companies to a nonprofit insurance plan."A recently published article in The Huffington Post (Compromise Co-Op Proposal Won't Lower Costs, Government Study Showed) suggests that the GAO has in the past concluded that a Government-sponsored cooperative of private insurance companies comes up well short of the goal of reducing the cost of health insurance.
[emphasis added]
1) generally share my political viewsMost of 'em regard letter-writing and emailing as futile, foolish gestures. Can't say I can argue with 'em, BUT - writing letters & sending emails makes me feel better... and I can't help but believe that if more of us wrote letters, we just might get heard.
BUT
2) are generally disdainful of my ineffectual attempts at influence
Monday, August 17, 2009I'm betting that the LIE will be repeated endlessly by the folks on Fox, while the truth will be conveniently forgotten.
Rep. Roy Blunt (R-MO) just makes things up about health care
by Joe Sudbay (DC) on 8/17/2009 12:51:00 PM
It's so easy to be a Republican in the health care debate. All you have to do is lie. But, sometimes you'll get caught in the lies, like GOP Congressman/GOP Senate candidate Roy Blunt did:As chairman of the House Republican Health Care Solutions Group, Rep. Roy Blunt, R-Springfield, knows a thing or two about health care. But some of what he knows just isn’t true.Republicans are just pulling fake numbers and other falsehoods out of thin air. That's what they do. They lie. But, unfortunately, not everyone one fact checks. So, it seems to be working.
“I’m 59,” Mr. Blunt said last week during a meeting with Post-Dispatch reporters and editors. “In either Canada or Great Britain, if I broke my hip, I couldn’t get it replaced.”
We fact-checked that. At least 63 percent of hip replacements performed in Canada last year and two-thirds of those done in England were on patients age 65 or older. More than 1,200 in Canada were done on people older than 85.
“I didn’t just pull that number out of thin air,” Mr. Blunt said in a subsequent interview. It came, he said, from testimony before the House Subcommittee on Health by “some people who are supposed to be experts on Canadian health care.”
All BS From The BeginningNot exactly sure what to do. My only semi-constructive idea is to scream louder & more frequently - tho' for me 'screaming' is metaphorical: I write letters & send emails.
You all know by now that it appears any type of health insurance that was going to compete against the big boys is off the table at the White House.
No use going on even a little bit except to say-from the very beginning this was never fucking ever going to happen. It just was not going to be allowed.
The powerful have more or less complete control over our elected officials in DC. Our vote means squat. We are so screwed!
The picture at the top spends another day in respect for this lovely young lady and her message that is ever so very true but is for naught.
Income inequality at all-time highNeither one of these is getting the attention it deserves.
Wall Street back on bonus binge
Although it seems to me there a lot of heat and not much light around this issue [healthcare reform], which leads me to b elieve it's mostly a distraction, to focus on things NOT including the continued wholesale looting of the treasury by bernanke and Goldman Sachs...Yep - does seem that way.
OBAMA ADMIN READY TO ABANDON PUBLIC HEALTH CARE OPTIONIf the final bill does NOT include public option, then I'll urge my Congressman and Senators to vote AGAINST it!
Saddam has operational ties with al Qaeda.My favorite from this era:
Iraq has WMD.
President Bush pledged anew Friday that Osama bin Laden will be taken "dead or alive" ...W pledged! - Guess we know what W's word is worth!!!
Obama's "death panels".Why do they lie... all the time... about everything???
We have serious problems to solve, and we need serious people to solve them. And whatever your particular problem is, I promise you Bob Rumson is not the least bit interested in solving it. He is interested in two things, and two things only: making you afraid of it, and telling you who's to blame for it. That, ladies and gentlemen, is how you win elections.That about sums up the Republican world-view: make us afraid & tell us who to blame.
Private Buffoon here.Yeah - I'm pissed!
Tonight we’re gonna talk about health coverage.
Limbaugh, Beck, and the other right-wing talking heads would have you believe that universal health coverage is the first step on the way to totalitarianism – give the Government a say in health coverage and next thing you know we’ll be euthanizing Grandma and killing your kids… well, only the ones who don’t get A’s in the “All Praise Our Glorious Leader” class that will soon be required from 1st thru 12th grades in every public school in America.
Let’s start with a few facts.
I know – facts aren’t a good place to start if you’re on the radio, but let’s give it a try.
Pay attention.
The United States of America is a member of a group called the Organization for Economic Co-operation and Development – OECD for short. This group consists of 30 developed countries…
committed to democracy and the market economy from around the world to:Support sustainable economic growthBoost employmentIt includes Australia, Austria, Denmark, Belgium, Finland, France, Germany, Japan, Korea, Mexico, the U.K., and New Zealand, just to name a few.
Raise living standards
Maintain financial stability
Assist other countries' economic development
Contribute to growth in world trade
Not exactly a bunch of third-world, developing countries under totalitarian despots.
Among these countries, the U.S. is the ONLY country without some form of universal health coverage. The only one.
Not every country has the same system. England – the U.K. – has truly ‘socialized’ medicine: doctors are government employees. Everyone can go to the doctor for whatever medical problems they have. The Government foots the bill and employs the doctors.
Canada has a ‘single payer’ system. Doctors are independent agents – just like in the U.S…. BUT – the Canadian government is the sole insurer. You go to the doctor of your choice, pay a nominal co-pay, and the doctor – he or she – submits the insurance paper-work to a single insurer: the Canadian government.
Other countries do other things… BUT – they all guarantee affordable, high-quality, timely health care to all their citizens…
… Well – all except the U.S.!!!
A comparison of U.S. healthcare to other OECD countries is enlightening.
I’m not making this stuff up – the numbers are from the Congressional Research Service:A Report onHow ‘bout we talk healthcare spending?
U.S. Health Care Spending:
Comparison with Other OECD Countries
Prepared for Congress in September 2007.
The United States spends more money on health care than any other country in the Organization for Economic Cooperation and Development (OECD). The OECD consists of 30 democracies, most of which are considered the most economically advanced countries in the world. According to OECD data, the United States spent $6,102 per capita on health care in 2004 — more than double the OECD average and 19.9% more than Luxembourg, the second-highest spending country. In 2004, 15.3% of the U.S. economy was devoted to health care, compared with 8.9% in the average OECD country and 11.6% in second-placed Switzerland.
We spend more than DOUBLE the average of OECD countries on healthcare.
So, we have better health than everybody else, right?
Wrong!What does the United States get for the money it spends? Said slightly differently, does the United States get corresponding value from the money it spends on health care? … among OECD countries in 2004, the United States had shorter-than-average life expectancy and higher-than-average mortality rates. …The report quantifies these findings.
… research comparing the quality of care has not found the United States to be superior overall. Nor does the U.S. population have substantially better access to health care resources, even putting aside the issue of the uninsured. Although the United States does not have long wait times for non-emergency surgeries, unlike some OECD countries, Americans found it more difficult to make same-day doctor’s appointments when sick and had the most difficulty getting care on nights and weekends. They were also most likely to delay or forgo treatment because of cost.Life Expectancy. The average life expectancy for a person in the United States is 77 ½ years — slightly below the OECD average, and 4½ years less than toprated Japan. Life expectancy is nearly 2½ years longer in Canada than in the United States. The United States is ranked 22nd out of 30 countries on life expectancy at birth …That’s right – of the 30 OECD countries – all except the U.S. with some form of universal health coverage, and all paying LESS than the U.S. for healthcare – the U.S. ranks 18th in mortality – in the bottom half!
Mortality Rates. The United States has a higher rate of deaths from natural causes than 17 OECD countries.Infant Mortality Rates. The United States has the third-highest infant mortality rate in the OECD, after Turkey and Mexico!Hey – we beat out TURKEY and MEXICO on infant mortality!!!
30 countries in the OECD.
The U.S. ranks 28th in infant mortality!
These are the facts. Not MY facts, but FACTS reported by the Congressional Research Service, for members of Congress.
We spend more on healthcare than any other country in the world, no matter how you measure it.
We spend more per capita on healthcare than any other country in the world.
We spend more as a percent of GDP than any other country in the world.
BUT: We are in the bottom half when it comes to basic health outcomes: life-expectancy, mortality rates, infant mortality… and we’re better than only TURKEY and MEXICO when it comes to infant mortality!!!
Sarah Palin worries about Government-sponsored healthcare killing her kids?
She should worry about private insurance killing her kids!!!
Congressional Republicans and conservative talking heads would have you believe that so-called ‘socialized’ medicine would result in healthcare rationing, Grandma being euthanized, and the rest of us subject to arbitrary decisions of government bureaucrats.
Guess what?
We all are ALREADY subject to the not-so-arbitrary decisions of healthcare bureaucrats! They’re called INSURANCE COMPANIES.
Private insurance companies devote tons of money every year to DENYING claims! – I don’t know how much insurance companies spend DENYING claims – if I had the numbers I’d tell you – but my bet is around 20 cents of every premium dollar goes to pay for BUREAUCRATS whose only job is to DENY YOUR CLAIM!
A recent government report, “Coverage Denied: How the Current Health Insurance System Leaves Millions Behind”, explains how this works: - this is a lengthy quotation from the report -A pre-existing condition is a medical condition that existed before someone applies for or enrolls in a new health insurance policy. It can be something as prevalent as heart disease – which affects one in three adults – or something as life-changing as cancer, which affects 11 million Americans.Okay – I’m done reading from the report.
But a pre-existing condition does not have to be a serious disease like cancer or heart disease. Even relatively minor conditions like hay fever, asthma, or previous sports injuries can trigger high premiums or denials of coverage.
…
In 45 states across the country, insurance companies can discriminate against people based on their pre-existing conditions when they try to purchase health insurance directly from insurance companies in the individual insurance market. Insurers can deny them coverage, charge higher premiums, and/or refuse to cover that particular medical condition.
A recent national survey estimated that 12.6 million non-elderly adult – 36 percent of those who tried to purchase health insurance directly from an insurance company in the individual insurance market – were in fact discriminated against because of a pre-existing condition in the previous three years
In another survey, one in 10 people with cancer said they could not obtain health coverage, and six percent said they lost their coverage, because of being diagnosed with the disease.
It is still legal in nine states for insurers to reject applicants who are survivors of domestic violence, citing the history of domestic violence as a pre-existing condition.
Even when offering coverage, insurers can exclude whole categories of illnesses related to a pre-existing condition. For example, someone with a pre-existing condition of hay fever could have any respiratory system disease – such as bronchitis or pneumonia – excluded from coverage.
This isn’t my opinion. This is a Government Report!
Even if the pre-existing condition has NOTHING to do with your current ailment – say, you had hay-fever and now have prostate cancer – and EVEN IF you DID NOT KNOW about the pre-existing condition, your insurance company can STILL deny coverage!
You wanna talk about ‘rationed care’???
Sure – let’s talk about ‘rationed care’… UNDER THE CURRENT PRIVATE SYSTEM!!!
Now – I can understand why private health insurance companies want to maintain the status quo: they’re making a mint off of you! – you pay premiums, they get to decide if they’ll pay up when you file a claim.
Maybe they will.
Maybe they won’t.
If they don’t, you’re screwed!
You don’t have a pre-existing condition?
Sorry – you’re still screwed!
A recent Harvard University study found that 62% of personal bankruptcies resulted in part from medical costs and some 78% of those people who filed for bankruptcy had health insurance, in most cases private coverage.
The fine print in insurance contracts frequently precludes the very coverage you THINK you’re paying for!
As I stated earlier – I can understand why private health insurance companies want to maintain the status quo. They’re making a mint off you & me!!!
BUT: why are YOU - presumably sane, ordinary citizens - opposed to reforming this predatory, expensive, non-productive system?
Well… as best I can tell, there is no REASON! – there’s just a lot of corporate-sponsored, ideological fear-mongering going on… and these poor slobs – you, my listeners – are drinking the Kool-Aid!
“Drinking the Kool-Aid” is a metaphor deriving from the Jonestown mass suicide of 1978. Hundreds of perfectly sane, perfectly healthy individuals somehow were convinced by Jim Jones to commit suicide by drinking cyanide-laced Kool-Aid. These folks were no different than you and me – honest, hard-working, conscientious citizens who fell under the mesmerizing spell of a charlatan
You – my fellow citizens – have come under a similar spell, of another charlatan.
Not a charismatic individual, but a charlatan nonetheless – Big Insurance and Big Health.
These are the folks you need to fear, not the government!
Just like the residents of Jonestown, you are being convinced, against your better, rational judgment, to “drink the Kool-Aid” – in this case, to oppose what every other developed country in the world has already adopted! – with less cost and better outcomes than the broken system we have inherited – a government-sponsored program to assure affordable, timely access to high-quality health care!
Just as Jim Jones’s followers committed suicide by “drinking the Kool-Aid”, so are YOU being asked to commit financial suicide by “drinking the Kool-Aid” of Big Insurance and Big Health.
Why?
Why have you bought into the irrational propaganda?
Again: Every other developed country in the world has some form of national health insurance, guaranteeing their citizens access to affordable, timely, high-quality health care. Not the U.S.
You folks on Medicare: you’re already GETTING U.S. Government-sponsored access to affordable, timely, high-quality medical care.
Do you hate it??? – No, I didn’t think so!
Has anyone threatened to take it away… well, except for the right-wing, who thinks Medicare is an evil Socialist conspiracy?
There’s NOTHING in the current health-coverage reform bill that threatens Medicare! NOTHING!!! – you’ll still get your United States Government-subsidized health insurance, aka MEDICARE!
There are two (2! – count ‘em!) things on the table:1. Regulation of private insurance companies so they can’t deny the rest of us coverage based on so-called ‘pre-existing’ conditions.You’re happy with Medicare – why can’t we have something similar???
2. Offer the rest of us – those of us under retirement age – a program similar to Medicare.
“Rationed care”???
You’re getting it now – with private insurance companies!!!
When Sarah Palin and Senator Grassley talk about “death panels”, they’re lying to you - to put it bluntly.
This should not be too surprising – conservatives lie to you all the time.
(More on this in another installment!)
That’s what the word means – “conservative” – “conserve the status quo.”
Keep things just the way they are.
(Note: I’m okay using the word “conservative” to describe the folks who are lying to you. BUT – I would prefer to use the term “conservative Republicans” – I choose not to use this term because I really do NOT want to alienate any self-identified Republicans among my listening audience.)
A couple of observations.
When the idea of Medicare was first proposed in the late ‘50s, early ‘60s of the last century, who rose up to oppose it?
Conservatives.
Conservative Republicans, to be exact.
If Medicare were enacted, all sorts of horrible things would result!!!
You wouldn’t be able to choose your own doctor.
Medical care would be rationed.
The United States would descend into a godless Communist hell.
(For what it’s worth, Saint Reagan – the patron saint of conservative Republicans – was one of the mouthpieces for this propaganda.
Guess what? – he was wrong!)
Under LBJ, Medicare was created!!! – Yes – a “socialized medicine” program was created under an ultra-liberal Democratic President!
Know what else?
Medicare is one of the most popular, most successful Government programs in history!
Sort of takes you back to 1935 when Social Security was made law.
Social Security is close to the most popular, the most successful social insurance programs ever enacted.
Guess who did it?
Liberal Democrats under a liberal Democratic President – FDR!
Guess who hated it? – conservative Republicans.
Even as recently as 2005, President George W. Bush and his Congressional Republican enablers tried to kill Social Security!
These are the folks you think will lead you into the Promised Land???
Again, when Sarah Palin and Senator Charles Grassley talk about “Death Squads”, they’re lying to you.
They just want you to be afraid.
Afraid of everything, all the time.
They don’t care about you – they just want you to be afraid.
I suppose I ought to dispose of the “Nazi” scare tactics at some point.
How ‘bout now?
Let’s start with obvious.
Yes, “Nazi” is a shortened form of National Socialism. – BUT – words aren’t reality.
Somehow, at the mere mention of “Socialism” we’re all now supposed to run to our caves and cow… shuddering at the word!
Glenn Beck looks forward to Nazi eugenics based on “end-of-life” planning.
That’s a good place to start.
Here’s the exact wording of HR 3200, section 1233 – and, yes, I’m going to read it in full:SEC. 1233. ADVANCE CARE PLANNING CONSULTATION.Okay – pay attention! – here’s the definition of “Advance Care Planning”!
(a) Medicare-
(1) IN GENERAL- Section 1861 of the Social Security Act (42 U.S.C. 1395x) is amended--
(A) in subsection (s)(2)--
(i) by striking `and' at the end of subparagraph (DD);
(ii) by adding `and' at the end of subparagraph (EE); and
(iii) by adding at the end the following new subparagraph:
`(FF) advance care planning consultation (as defined in subsection (hhh)(1));'; and
(B) by adding at the end the following new subsection:`Advance Care Planning Consultation(note: i tried to indent this bit appropriately but gave up!)
`(hhh)(1) Subject to paragraphs (3) and (4), the term `advance care planning consultation' means a consultation between the individual and a practitioner described in paragraph (2) regarding advance care planning, if, subject to paragraph (3), the individual involved has not had such a consultation within the last 5 years. Such consultation shall include the following:
`(A) An explanation by the practitioner of advance care planning, including key questions and considerations, important steps, and suggested people to talk to.
`(B) An explanation by the practitioner of advance directives, including living wills and durable powers of attorney, and their uses.
`(C) An explanation by the practitioner of the role and responsibilities of a health care proxy.
`(D) The provision by the practitioner of a list of national and State-specific resources to assist consumers and their families with advance care planning, including the national toll-free hotline, the advance care planning clearinghouses, and State legal service organizations (including those funded through the Older Americans Act of 1965).
`(E) An explanation by the practitioner of the continuum of end-of-life services and supports available, including palliative care and hospice, and benefits for such services and supports that are available under this title.
`(F)(i) Subject to clause (ii), an explanation of orders regarding life sustaining treatment or similar orders, which shall include—
`(I) the reasons why the development of such an order is beneficial to the individual and the individual's family and the reasons why such an order should be updated periodically as the health of the individual changes;
`(II) the information needed for an individual or legal surrogate to make informed decisions regarding the completion of such an order; and
`(III) the identification of resources that an individual may use to determine the requirements of the State in which such individual resides so that the treatment wishes of that individual will be carried out if the individual is unable to communicate those wishes, including requirements regarding the designation of a surrogate decisionmaker (also known as a health care proxy).
`(ii) The Secretary shall limit the requirement for explanations under clause (i) to consultations furnished in a State—
`(I) in which all legal barriers have been addressed for enabling orders for life sustaining treatment to constitute a set of medical orders respected across all care settings; and
`(II) that has in effect a program for orders for life sustaining treatment described in clause (iii).
`(iii) A program for orders for life sustaining treatment for a States described in this clause is a program that—
`(I) ensures such orders are standardized and uniquely identifiable throughout the State;
`(II) distributes or makes accessible such orders to physicians and other health professionals that (acting within the scope of the professional's authority under State law) may sign orders for life sustaining treatment;
`(III) provides training for health care professionals across the continuum of care about the goals and use of orders for life sustaining treatment; and
`(IV) is guided by a coalition of stakeholders includes representatives from emergency medical services, emergency department physicians or nurses, state long-term care association, state medical association, state surveyors, agency responsible for senior services, state department of health, state hospital association, home health association, state bar association, and state hospice association.
`(2) A practitioner described in this paragraph is—
`(A) a physician (as defined in subsection (r)(1)); and
`(B) a nurse practitioner or physician's assistant who has the authority under State law to sign orders for life sustaining treatments.
`(3)(A) An initial preventive physical examination under subsection (WW), including any related discussion during such examination, shall not be considered an advance care planning consultation for purposes of applying the 5-year limitation under paragraph (1).
`(B) An advance care planning consultation with respect to an individual may be conducted more frequently than provided under paragraph (1) if there is a significant change in the health condition of the individual, including diagnosis of a chronic, progressive, life-limiting disease, a life-threatening or terminal diagnosis or life-threatening injury, or upon admission to a skilled nursing facility, a long-term care facility (as defined by the Secretary), or a hospice program.
`(4) A consultation under this subsection may include the formulation of an order regarding life sustaining treatment or a similar order.
`(5)(A) For purposes of this section, the term `order regarding life sustaining treatment' means, with respect to an individual, an actionable medical order relating to the treatment of that individual that—
`(i) is signed and dated by a physician (as defined in subsection (r)(1)) or another health care professional (as specified by the Secretary and who is acting within the scope of the professional's authority under State law in signing such an order, including a nurse practitioner or physician assistant) and is in a form that permits it to stay with the individual and be followed by health care professionals and providers across the continuum of care;
`(ii) effectively communicates the individual's preferences regarding life sustaining treatment, including an indication of the treatment and care desired by the individual;
`(iii) is uniquely identifiable and standardized within a given locality, region, or State (as identified by the Secretary); and
`(iv) may incorporate any advance directive (as defined in section 1866(f)(3)) if executed by the individual.
`(B) The level of treatment indicated under subparagraph (A)(ii) may range from an indication for full treatment to an indication to limit some or all or specified interventions. Such indicated levels of treatment may include indications respecting, among other items—
`(i) the intensity of medical intervention if the patient is pulse less, apneic, or has serious cardiac or pulmonary problems;
`(ii) the individual's desire regarding transfer to a hospital or remaining at the current care setting;
`(iii) the use of antibiotics; and
`(iv) the use of artificially administered nutrition and hydration.'.
(2) PAYMENT- Section 1848(j)(3) of such Act (42 U.S.C. 1395w-4(j)(3)) is amended by inserting `(2)(FF),' after `(2)(EE),'.
(3) FREQUENCY LIMITATION- Section 1862(a) of such Act (42 U.S.C. 1395y(a)) is amended—
(A) in paragraph (1)—
(i) in subparagraph (N), by striking `and' at the end;
(ii) in subparagraph (O) by striking the semicolon at the end and inserting `, and'; and
(iii) by adding at the end the following new subparagraph:
`(P) in the case of advance care planning consultations (as defined in section 1861(hhh)(1)), which are performed more frequently than is covered under such section;'; and
(B) in paragraph (7), by striking `or (K)' and inserting `(K), or (P)'.
(4) EFFECTIVE DATE- The amendments made by this subsection shall apply to consultations furnished on or after January 1, 2011.
(b) Expansion of Physician Quality Reporting Initiative for End of Life Care-
(1) Physician'S QUALITY REPORTING INITIATIVE- Section 1848(k)
(2) of the Social Security Act (42 U.S.C. 1395w-4(k)(2)) is amended by adding at the end the following new paragraphs:
`(3) Physician'S QUALITY REPORTING INITIATIVE-
`(A) IN GENERAL- For purposes of reporting data on quality measures for covered professional services furnished during 2011 and any subsequent year, to the extent that measures are available, the Secretary shall include quality measures on end of life care and advanced care planning that have been adopted or endorsed by a consensus-based organization, if appropriate. Such measures shall measure both the creation of and adherence to orders for life-sustaining treatment.
`(B) PROPOSED SET OF MEASURES- The Secretary shall publish in the Federal Register proposed quality measures on end of life care and advanced care planning that the Secretary determines are described in subparagraph (A) and would be appropriate for eligible professionals to use to submit data to the Secretary. The Secretary shall provide for a period of public comment on such set of measures before finalizing such proposed measures.'.
(c) Inclusion of Information in Medicare & You Handbook-
(1) MEDICARE & YOU HANDBOOK-
(A) IN GENERAL- Not later than 1 year after the date of the enactment of this Act, the Secretary of Health and Human Services shall update the online version of the Medicare & You Handbook to include the following:
(i) An explanation of advance care planning and advance directives, including--
(I) living wills;
(II) durable power of attorney;
(III) orders of life-sustaining treatment; and
(IV) health care proxies.
(ii) A description of Federal and State resources available to assist individuals and their families with advance care planning and advance directives, including—
(I) available State legal service organizations to assist individuals with advance care planning, including those organizations that receive funding pursuant to the Older Americans Act of 1965 (42 U.S.C. 93001 et seq.);
(II) website links or addresses for State-specific advance directive forms; and
(III) any additional information, as determined by the Secretary.
(B) UPDATE OF PAPER AND SUBSEQUENT VERSIONS- The Secretary shall include the information described in subparagraph (A) in all paper and electronic versions of the Medicare & You Handbook that are published on or after the date that is 1 year after the date of the enactment of this Act.
Okay – so what does all this legalistic jargon mean?
It means – if you don’t want to be the next nationally televised Terry Schiavo, you can decide for yourself, now, today, what to do if you’re deemed to be in a “permanently vegetative state” – and not have your husband or wife or parents agonize over what you may or may not have wanted…
… AND: you’ll be reimbursed for the Doctor’s time helping you to make this decision.
Does it mandate “Death Panels”???
NO!
Does it REQUIRE that you plan ahead???
NO!
BUT: conservative Republicans – and the Health Insurance Industry – would really like it if you could be convinced that this simple promise that you’ll be covered for end-of-life decisions meant that YOU’LL BE PUT TO DEATH!
That’s what THEY want you to believe.
That’s NOT what the legislations says!
As it so happens, I agree with Sarah Palin that a system that required a“death panel” … to decide, based on a subjective judgment of their “level of productivity in society,” whether they are worthy of health care. Such a system is downright evil.You know what, Sarah?
Such a system would be downright evil.
You know what else?
NOTHING like that is being proposed!
You’re just saying this stuff to SCARE US!!!
It’s what conservatives do – you’re just like the rest of ‘em:
You want us to be SCARED – all the time, of everything!
So – next time one of your conservative Republican friends wants to SCARE THE BEJEESUS out of you with tales of euthanasia and Nazis –
LAUGH OUT LOUD!!!
It’s about time we joined the crowd, adopted some form of universal health coverage, and maybe actually got the “health” we’re paying for!!!
We’re long overdue for reform.
We voted for Democrats because we were sick of Republicans!
It’s time to STOP BEING AFRAID, ALL THE TIME, OF EVERYTHING!!!
Write your Congressman and Senators today!
Tell ‘em that you don’t want to drink the Kool-Aid!!
Tell ‘em that you’re sick and tired of being ruled by Big Corporations!!!
Tell ‘em that you believe in the Preamble to the U.S. Constitution:“… to promote the general welfare”Not the welfare of big business and the heartless plutocrats who now rule our country, but the GENERAL welfare – YOUR welfare!!!
The war on drugs needs a timeout... not that anything'll change...
[Christian Science Monitor, 11 Aug 09]
GEICO Pulls Its Ads from Glenn Beck ShowBut he'll be wrong (what a surprise!).
Congress shall make no law... abridging the freedom of speech, or of the pressThe Amendment - the first of our Bill of Rights - prohibits the government from restricting our speech.
Glenn Beck jokes about putting poison in Nancy Pelosi's wineYesterday it was:
Dobbs on Howard Dean: "[H]e's a bloodsucking leftist -- I mean, you gotta put a stake through his heart to stop this guy"Ah, yes - reasoned discourse, intelligent discussion. Just kill 'em all!!!
The NAFTA Highway euthanized my Grandma.(This is only one tiny example of "Why I don't make a living in country-western music"!)
Hussein Obama’s a-comin’ after me!
Sharia law was good enough for Hitler –
But my AK-47 will keep me free!
Pelosi wears a brooch shaped like a swastika –
Glenn Beck showed me the photo on TV!
Yes – the NAFTA Highway euthanized my Grandma.
But my AK-47’ll keep me free!
I think I’m a-comin’ down with the swine flu -
My wetback yardman passed it on to me!
I’ve asked, and he says he doesn’t have his green-card –
(Claims he was born in Cayce, Kentuck-ee.)
Hussein Obama’s mullah got me fatwahed.
(He used to be a colonel in the KGB!)
Yes – the NAFTA Highway euthanized my Grandma.
But my AK-47’ll keep me free!
The NAFTA Highway Euthanized My GrandmaIf I get any further I'll let you know.
Do you like Social Security?Of course, I'm not in charge of the DNC's advertising.
- So do we! We're the Democrats who brought you Social Security in 1935 under FDR... over the strenuous objections of Senate & House Republicans!Oh - and for what it's worth:Social Security is run by the United States Government!George Bush and Congressional Republicans wanted to kill Social Security in 2005!
Do you like Medicare?
- So do we! We're the Democrats who brought you Medicare in 1965 under LBJ... over the strenuous objections of the Senate and House Republicans!Oh - and, for what it's worth:Today, Senate and House Republicans are again up in arms against Democrats for suggesting that it is the right of every American citizen to have access to affordable, high-quality, timely healthcare.Medicare is a social insurance program administered by the United States government
You like Social Security and Medicare.
You'll like the Democratic Health Care bill!
"People such as scientist Stephen Hawking wouldn't have a chance in the U.K., where the National Health Service would say the life of this brilliant man, because of his physical handicaps, is essentially worthless."Uh... Stephen Hawking DOES live in the U.K. - he holds Newton's old chair at Cambridge (Lucasian Professor of Mathematics)!
[How House Bill Runs Over Grandma, INVESTOR'S BUSINESS DAILY | Posted Friday, July 31, 2009]
Born: 8 January 1942; Oxford, England.Tell me again how the U.K. healthcare system would've killed him???
After Stephen was born, the family moved back to London, where his father headed the division of parasitology at the National Institute for Medical Research.
...
In 1950, Hawking and his family moved to St Albans in Hertfordshire where he attended St Albans School from 1950 to 1953. ...
He enrolled at University College, Oxford with the intent of studying mathematics... After receiving his B.A. degree at Oxford University in 1962, he stayed to study astronomy.
He left Oxford for Trinity Hall, Cambridge, where he engaged in the study of theoretical astronomy and cosmology...
...
After gaining his Ph.D., Stephen became first a Research Fellow, and later on a Professorial Fellow at Gonville and Caius College.
Hawking was elected as one of the youngest Fellows of the Royal Society in 1974, was created a Commander of the Order of the British Empire in 1982, and became a Companion of Honour in 1989.
[Wikepedia entry, Stephen Hawking]
Mrs. Palin:I'm not sure why I'm offering sound political advice to Palin, but it was fun to write the letter.
If you intend to be taken seriously on the national political stage, you might want to start by taking yourself seriously.
Your recent, now well-publicized Facebook posting regarding the various healthcare bills now under debate in Congress is a case in point:The America I know and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama’s “death panel” so his bureaucrats can decide, based on a subjective judgment of their “level of productivity in society,” whether they are worthy of health care. Such a system is downright evil.You're right! - Such a system would be downright evil!!!
Can you identify the sections/paragraphs of ANY version of the current health-care bill in Congress that implies the creation of a “death panel”, or that individual end-of-life decisions will be determined by ANYONE other than the individual and his/her family based on “level of productivity in society”?
No, you can’t. You can’t because THERE ARE NO SUCH PROVISIONS!
Please, if you must speak on issues of national policy, speak with knowledge!
Otherwise, though your ill-informed rantings may appeal to 20% of the electorate, 20% has never won an election.
Sincerely,
1140 W Parks Hwy
Wasilla, AK 99654
[Congressman (R-VA)] Cantor said that instead of focusing on issues such as Israeli settlement activity in the West Bank, Obama should concentrate on “the primary issue of import … and that is the existential threat that Iran poses not only to the state of Israel but to the United States.”Congressman Cantor believes Iran poses an existential threat to the United States.
[Cantor-led GOP delegation to Israel undermines U.S. policy on settlements. ; emphasis added]
Dear Congressman Cantor:
You were recently quoted as saying that President Obama should not focus on settlements, but on:“... the primary issue of import [regarding Israel and the MidEast]… and that is the existential threat that Iran poses not only to the state of Israel but to the United States.”Do you really believe that Iran poses an “existential threat” to America?
Do you really believe that the USA is a weak country – so weak that Iran could be a true “existential threat” to it?
If so, you don’t believe in the same America as I do.
Iran may be an annoying fly, buzzing around my face – but an “existential threat”???
Me? I’ll do my best to let the world – and your constituents – know what a poor opinion you have of my country!
Sincerely,
If two female Iranian "journalists"--there are such, of course--were apprehended entering the US through Mexico, where they were ginning up resentment toward the USA...If we as a county want to continue to assert our moral superiority, it's time for more than a little self-examination, confession, and penance.
I don't think it would be an exaggeration to imagine they'd have been sliced, diced, and incarcerated faster than you could shake a stick at. And no visiting Islamic potentate could have EVER arranged for their release.
WASHINGTON – On at least a dozen recent flights by U.S. jetliners, malfunctioning equipment made it impossible for pilots to know how fast they were flying,federal investigators have discovered.Good thing I'm not planning to fly anywhere anytime soon!
[AP Enterprise: Airspeed systems failed on US jets, By JOAN LOWY, Associated Press Writer, 7 Aug 2009]
"Puritanism is the haunting fear that someone, somewhere, may be happy."Mencken also noted that:
[H.L. Mencken]
The Puritan's utter lack of aesthetic sense, his distrust of all romantic emotion, his unmatchable intolerance of opposition, his unbreakable belief in his own bleak and narrow views, his savage cruelty of attack, his lust for relentless and barbarous persecution-- these things have put an almost unbearable burden up on the exchange of ideas in the United States."
[A Book of Prefaces, H.L. Mencken, 1917]
anti-abortion, anti-contraception (sex for pleasure is bad!)Pointless aside: I'm reminded of an anecdote - source now long-forgotten - regarding St. Paul:
anti-welfare (lest the undeserving poor benefit!)
anti-drugs (way too cheap a good time!... and you shouldn't be getting high at any price!)
He would've recommended married couples give up sex for Lent,Among the arguments against universal health-coverage is that illegal aliens would benefit. Again, conservatives would prefer to deny benefits to 99.99% of the population, just to ensure that the "undeserving" .01% don't get a free ride!
... but feared folks would then look forward to Easter for the wrong reason!
The doctor begins to lose freedom. . . . First you decide that the doctor can have so many patients. They are equally divided among the various doctors by the government. But then doctors aren’t equally divided geographically. So a doctor decides he wants to practice in one town and the government has to say to him, you can't live in that town. They already have enough doctors. You have to go someplace else. And from here it's only a short step to dictating where he will go. . . . All of us can see what happens once you establish the precedent that the government can determine a man's working place and his working methods, determine his employment. From here it's a short step to all the rest of socialism, to determining his pay. And pretty soon your son won't decide, when he's in school, where he will go or what he will do for a living. He will wait for the government to tell him where he will go to work and what he will do.This is St. Reagan in 1961, opposing Congressional passage of Medicare.
...
And if you don't do this [write your Representative opposing Medicare] and if I don't do it, one of these days you and I are going to spend our sunset years telling our children, and our children's children, what it once was like in America when men were free.
The Far Right's First 100 Days: Getting More Extreme by the DayThe article (which runs to five [5] pages) goes on to note that:
By Sara Robinson, Campaign for America's Future. Posted May 6, 2009
Sometime back in February, about three weeks into Barack Obama's administration, everybody on the left suddenly noticed that there was something different going on with the conservatives.
The outrageous screeds and paranoid delusions sounded pretty much as they always had -- but there was a new fury behind them, a strident urgency that hadn't been there before, and a very audible shift of the gears in right-wing behavior and rhetoric.
...
The far right wing has been laying the groundwork for violent action for decades. Long before they turn dangerous, political and religious groups take their first steps down that road by adopting a worldview that justifies eventual violent action.
The particulars of the narrative vary, but the basic themes are always the same:
First: Their story is apocalyptic, insisting that the end of the world as we've known it is near.
Second: It divides the world into a Good-versus-Evil/Us-versus-Them dualism that encourages the group to interpret even small personal, social or political events as major battles in a Great Cosmic Struggle -- a habit of mind that leads the group to demonize anyone who disagrees with them.
...
Third: This split allows for a major retreat from consensus reality and the mainstream culture.
...
Fourth: Insiders feel like they're a persecuted, prophetic elite who are being opposed by wicked, tyrannical forces.
...
Fifth: Communities following this logic will also advocate the elimination of their enemies by any means necessary in order to purify the world for their ideology.
There's been a quantum leap in the sheer down-the-rabbit-hole surreality of their beliefs about the world.Since this was written, the so-called "Birthers" have become prominent (at least as measured by the amount of attention paid them by cable news channels), and the rhetoric being generated by anti-health-insurance reform folks is simply loony:
"Maybe we need a netroots lobbying firm."The article goes on to note:
[We Already Know We Can Win Elections. Now How Do We Keep The Democrats' Attention After They Win?, Susie Madrak Friday Aug 07, 2009, C&L]
"According to the candidates, they don't owe us a damned thing. (We're not alone in getting this kind of treatment, by the way. Women's and LGBT PACs are also invisible - once the candidates have won with the help of their all-important early money.)Yes - the assumption that the 'netroots' candidates would feel some obligation to pursue 'transformational' policies was naive.
We, on the other hand, thought we were supporting transformational candidates, people who would at least give us equal standing with the voters back home, and feel free to ignore the corporate lobbyists, knowing we had their backs. It hasn't worked that way."
"It comes perilously close to negotiating with terrorists," Bolton told AFP when asked about Bill Clinton's trip to secure the release of journalists Laura Ling and Euna Lee."I'm pretty sure Bolton would have preferred we launch a nuclear attack on Pyongyang.
Just say NO!I'd take these "Just say NO!" video clips & segue into brief litany:
The U.S. faces its worst economic crisis since the Great Depression.The Republican Party has NO ideas. Republicans are the party of "NO!"
Every Republican Congressman said "NO" to the economic stimulus package.
Every day, Americans are losing their homes and going into bankruptcy as a result of crippling medical bills.
Republican Senators are poised to vote "NO" on health insurance reform.
Judge Sotomayor is the most experienced nominee to the Supreme Court in more than a quarter century. She was named to the Federal Appeals Court by Republican President George H.W. Bush. She will be the first Hispanic Supreme Court Justice.
Again, Republican Senators are poised to vote "NO" on her confirmation.