American Elephants


The Debate Is Not Over Until The People Say So! by The Elephant's Child

The debate over ObamaCare, the president declared, is over, and he won! ObamaCare is here to stay, and the debate is over. He claimed a grand total of 8 million subscribers, diagnosed Republicans as fear-mongering, spiteful, obstinate, petulant and obstructive., and added that he “would much prefer a constructive conversation with the Republicans about how we get some stuff done.”  Which is a bit of an odd position to take since for the most part, ObamaCare hasn’t even really taken effect yet.

A new Fox News poll says that sixty-one percent of respondents in the poll released Thursday said Obama lies at least some of the time on important issues. Only 15 percent believe the president is completely truthful. Only 31 percent of Democrats said the president is always truthful. It seemed a useful poll in this context.

For the first time in the history of our country, one political party has forced the American people to buy a product devised by that party for their own benefit, that the American people have shown no indication that they wanted. The Democrats defied public opinion, rammed ObamaCare into law using the Cornhusker Kickback, Gator Aid, the Louisiana Purchase and all sorts of unseemly gimmicks to force unwilling Democrats to vote to pass it.

It funnels unprecedented amounts of power and money to Washington D.C. and out of the pockets of everyday Americans. It incentivises employers to refrain from hiring people and to cut hours for millions of their employees. It bans millions of people’s health insurance policies because they don’t conform to the rules designed in the backrooms of Congress. Obama crows over insurance policies, but doctors are so disgusted with the program that they are leaving medicine in droves. Since July 4, 2009, according to Real Clear Politics, 458 polls have been taken on ObamaCare. Twenty have shown Americans liking it, five have shown ties, and 433 (95%) have shown them disliking it. The five most recent polls have shown Americans opposing ObamaCare by double digits. And it hasn’t really started yet!

The president proclaims the debate is over and ObamaCare is here to stay.

Charles Blahous, the director of spending and budget initiative at the Mercatus Center at George Mason University, and a public trustee for Social Security and Medicare, said :

It is quite possible that the ACA is shaping up as the greatest act of fiscal irresponsibility ever committed by federal legislators. Nothing immediately comes to mind as comparable to it. Certainly no tax legislation is, because tax rates rise and fall frequently, such that one Congress’s tax cut can be (and often is) undone by a later tax increase. The same is true for legislation affecting appropriated spending programs. But the ACA is a commitment to permanently subsidize comprehensive health insurance for millions who could not otherwise afford it, which the federal government has no viable plan to finance. Moreover, experience shows that it is very difficult to scale back such spending once large numbers of Americans have been made dependent on it.

This is an expansion of spending commitments that is comparable to enacting Social Security, Medicare or Medicaid. Our biggest financial problems today come from Medicare, Medicaid and Social Security costs rising well beyond original projections. Nobody planned on the Baby Boom generation. The Congressional  Budget Office now estimates that the gross costs of the ACA’s coverage expansion will be $92 billion in FY2015, or about 0.5% of our total GDP of roughly $18 trillion. This far exceeds  the initial costs associated with the entirety of Social Security and Medicaid and is comparable to the startup costs for all original parts of Medicare combined. Only five years after enactment, the ACA will absorb more of our total economic output than Social Security did fully sixteen years after it was enacted. And government programs always, always,  cost more than the estimates.

The ACA was enacted when legislators knew, or should have known, that they were living in a fiscal environment in which such extravagance was unaffordable. Deficits and Debt are far higher today than when other major entitlement programs were created. Baby Boomers are just beginning to turn 65, and their numbers swell exponentially until 2029. The sheer irresponsibility is breathtaking.

The ACA’s “CLASS” long-term care provisions were originally projected to generate $37 billion in net premiums through 2015. CLASS was suspended due to its long-term financial unworkability. That money is not coming in.

The employer/individual mandate penalties were expected to have brought in $12 billion through 2015, $101 billion over the first ten years. Obama has delayed enforcement repeatedly, and they haven’t brought in much of anything. Some ACA advocates are suggesting ditching those mandates altogether, though they were essential to the financing scheme.

The ACA was supposed to be financed in part by cuts to Medicare Advantage, the extremely popular program for seniors. This is typical of government programs. Establish the program, get everybody signed up, then start taking funding out of it to support something else. That was supposed to be $31 billion through FY2015, $128 billion over the first ten years. The White House recently announced that planned cuts will not go into effect after all —probably not till after the election.

We still have the “cost-saving” decisions of the Independent Payment Advisory Board— the 15 unelected bureaucrats who will decide what Medicare will pay for, and what it won’t. The ObamaCare people have always pointed out that most of the costs of health care come in the final years of seniors’ lives, and old people just don’t need such expensive treatment when they have so little time left.  And they are sure that they can reduce costs by just paying providers less—which means good luck finding a doctor.

The great goal of getting those who can’t afford insurance signed up for Medicaid is confronted by recent studies showing that people who do without insurance actually do better than those who are insured by Medicaid.

Charles Blahouse concludes:

When new enrollment figures were released last week, the national discussion focused on whether the ACA is fulfilling its coverage expansion goals. The largely unwritten and more important story, however, is that the ACA is rapidly becoming a colossal fiscal disaster as enrollment proceeds heedless of the concurrent collapse of the law’s financing structure.



When Democrat Policies Fail, They Switch to Race-Baiting. by The Elephant's Child

It’s not just the EEOC. Obama’s new credit watchdog agency The Consumer Financial Protection Bureau (CFPB), is criminalizing debt collections by arguing they have a “disparate impact” on black Americans.

CFPB chief Robert Cordray says he’s coming up with new rules to crack down on creditors and third-party debt collectors who “hound” black borrowers more frequently than white ones.  “We will not tolerate companies harassing consumers in the debt collection market,” Cordray warned. He promised black church leaders that he would seek “economic justice” for blacks who have fallen into debt and come under the thumb of bill collectors and other “financial predators..”

The agency solicited more than 30,000 complaints that allegedly prove that creditors are abusing debtors. But they just took borrowers’ word that they don’t owe what they owe. A recent federal study shows more than 96% of such complaints are “frivolous.”

The Federal Trade Commission’s 2013 study found that only 3.2% of consumer debt is legitimately disputed. In the meantime, the agency is helping deadbeats to get out of paying their debts by posting samples of letter they can send to creditors to tell them to bug off.

Redistributing wealth by letting debtors and deadbeats off the hook for their debts is not helpful for the economy, for blacks, or for the national polity.

The biracial Barack Obama presented himself in 2008 as the presidential candidate who would show us the way to national unity. No more red America and no blue America. He was going to fix it. Seemed like a good idea at the time, but like everything else, he didn’t mean it. Now Democratic control of the Senate is threatened, and it’s time to revert to the tried and true tactic of race-baiting.  Only politicians act as if the whole world is centered on race, class and sex. Class envy and racial demagoguery.

When Democrat policies fall, Democrats fall back on race as the issue. They have such a miserable history with race, but it does get annoying when they try to claim that Republicans —Republicans! are segregationists. Excuse me. Despite Democratic myth-making, Lincoln was a Republican. The slave holders in the South were Democrats, the KKK was a Democratic organization. The Dixiecrats were Democrats. Bull Connor was a Democrat. The Republicans were abolitionists. The Republican Party was founded as a party of abolition, and has remained so.



How the Bureaucracy Proves Racial Bias by The Elephant's Child

One of the big stories about the Obama administration is how often federal courts are overturning executive overreach. But last week’s slapdown of the Equal Employment Opportunity Commission by the Sixth Circuit Court of Appeals was something special.

The EEOC had sued Kaplan, the for-profit education company, for  using the same kind of background check that the EEOC itself uses. The EEOC has made a practice of suing private companies because it claims that credit and criminal background checks discriminate against minorities. In 2012 the agency issued “guidance” to get companies to take special care before using checks for criminal records, but stopped short for checking credit records.

The EEOC sued Kaplan for using credit checks, which the EEOC said had no business necessity and resulted in a “disparate impact” on blacks. A federal judge rejected the case, but the EEOC was so convinced of their virtue that it appealed. Mistake.

Judge Kethledge eviscerated the EEOC, writing that Kaplan had good reason to conduct credit checks on “applicants for positions that provide access to students’ financial-loan information because employees had “stolen payments” and “engaged in self-dealing.” As far as disparate racial impact was concerned, the Judge noted that the credit-check process is racially blind, the company does not report the applicant’s race with her other information.

The EEOC’s methodology left something to be desired. Raters were to look at drivers’ license pictures of applicants and if 4 out of 5 raters agreed on the race of the person, the applicant was classified by that race — and that was how you determined discrimination. As Judge Kethledge put it in closing”

We need not belabor the issue further. The EEOC brought this case on the basis of a homemade methodology, crafted by a witness with no particular expertise to craft it, administered by persons with no particular expertise to administer it, tested by no one, and accepted only by the witness himself.

And thus the bureaucracy grinds on, altering and illuminating the affairs of man. Isn’t it somewhat racist to assume that blacks would have more trouble with credit and criminal background checks, and thus checking such records is racist?



Attempting to Regulate Our Way Out of Recession by The Elephant's Child

Capitol Building

President Obama has liked to emphasize the depth and general awfulness of what he calls “the Great Recession”— a term that pleases him because it associates his recession with Franklin Roosevelt’s Great Depression. Roosevelt cheerfully tried to tackle the Great Depression with constant experimentation. Obama has confronted his recession with regulation without end, in the unfortunate delusion that more control would fix things.

Washington set a new record in 2013 by issuing final rules taking up 26,417 pages in the Federal Register. The rules came from various agencies, but Obama remains at the helm and leadership matters. By sheer numbers, President Obama stands at the pinnacle for numbers of rules. The federal Register contained 3,659 “final” rules (which mean you have to obey them), and 2,594 proposed rules on their way to join the others.

Neither politicians nor the media regard this effort to control as anything out of the ordinary, nor important. Yet if you wonder why the recovery has been so far below average —there it is. The bulk of this year’s regulation comes from ObamaCare—a 2,700 page law that has metastasized into a 7 foot tall stack of documents, and Dodd-Frank. Things don’t get done because nobody has the authority to make them happen.

I wrote about the pressing need to protect and update our electrical grid, vital and essential to all life in America, but there is no active plan to rebuild the grid, because the government cannot make the decisions needed to approve it. The average length of environmental review for highway projects, according to a study by the Regional Plan Association, is over eight years. Eight years!

The results and costs of the legal system are not just monetary, everything is too complicated. There are rules in the workplace, rights in the classroom, and government is bogged down in bureaucracy. Responsible people do not feel free to make sensible decisions. We are pushed around by lawsuits, and unable to move for fear of punishment for barely understood regulation.

The point of regulation is to try to make things run smoothly, make sure things work in a crowded society, but rules have consequences, and not always those intended. We now have a court system where even referendums voted on by the public have been taken over by the court system in which judges now feel free to decide these matters. The objections to “judicial activism” are richly deserved, and now even judges are mistrusted.

Consider the case of a fictional Pasquale’s Pizza chain. The typical restaurant has their pizza menu on a large lighted sign behind the counter where you place your order. The federal government has decided that nutritional values for each ingredient must be listed on the menu. Impossible on the customary lighted sign. What to do? How much will it cost? The profit margin is already slim. Pizza chains have dozens of ingredients, and changing featured recipes to entice customers. ObamaCare requires a restaurant to provide health insurance for full-time workers. The cost of policies has gone up sharply. Cut back all employees to 30 hours? Female employees and male employees must work the same number of hours for the same wage.

The requirement for ethanol in gasoline has raised the cost of pizza ingredients. It has also raised the cost of transporting supplies. Requiring a portion of power to come from wind and solar has raised the cost of electricity. Fuel-efficiency regulations have raised the cost of trucking. And all that is before regulations and taxes at the local, state and national levels.

You end up with schools that make fools of themselves over zero-tolerance regulations that do nothing to prevent violence, school lunches that kids won’t eat. You have armed federal agents raiding the Gibson Guitar Company and confiscating their guitars and their materials ostensibly because the wood used for guitar frets violated and environmental law. The wood was legally imported, meeting all the standards of the country of origin, but the costs to Gibson were huge. You not only cannot fight city hall, but you must surrender even though you are in the right, just to avoid further financial damage. There is case after case of people subjected to an armed SWAT raid, accused of violating a regulation they’ve never heard of, and ruined financially.

What business is going to take a big risk, invest a lot of money in a new venture, expanding, hiring new workers in such a climate? There is risk in everything we do. Trying to legislate risk out of our lives just leaves us with rules that keep people hunkered down, trying to avoid bureaucratic attention. In this climate, politicians cannot even get the big things done, let alone attempting to undo the web of regulation that is crippling society.



The Standoff At the Bundy Ranch Ends— For Now. by The Elephant's Child

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The Standoff at the O.K. Corral Bundy Ranch is standing off. The overarmed and overaggressive Bureau of Land Management has announced that because of the risk of violence, it is withdrawing its forces, some 200 armed agents, including snipers and guard dogs. The county sheriff negotiated the settlement.

It’s not at all clear what this was all about. The family settled in the area in the late 1800s and has ranched in the area ever since. The federal government has allowed Nevada ranchers to graze their cattle on tracts of adjacent public lands for generations. The federal government later created the Bureau of Land Management (BLM) to administer and “protect” the vast “federal lands”* including the land the Bundy family’s livelihood is and was dependent upon.

*These lands are frequently called “federal land.” This is inaccurate. They are public lands, owned by the people, and the government supposedly “manages” them for the American people. I don’t think anyone has challenged this frequently used terminology in court, but they should.

I don’t know about you, but I have a real objection to all these armed forces, SWAT teams, and snipers attached to agencies of the government. The Coast Guard, Border Patrol (we read that they were reduced to firing beanbags), and ICE,need to be armed, but this is really going too far. The federal agency did quite a few dumb things. It tasered Cliven Bundy’s son Ammon, rounded up a bunch of the Bundy cattle, and then fenced off a “First Amendment Area” in the middle of nowhere to demonstrate the protection of an “endangered” desert tortoise.

The federal government told the Bundy family that a tortoise existed on the land and therefore the land’s usage for cattle would have to decrease — attacking the Bundy family livelihood, which has led to a 20-year legal battle.The legal battle would seem to have gone against the Bundy family, but the Bundy family can in fact claim to have enjoyed generations of grazing rights on public land — with an arrangement originating in the 1870s when ranchers were offered those rights an enticement for settling the West.

I have no knowledge of the legal aspects of the case, and I suspect that you can’t fight city hall or the federal government. I am deeply suspicious of any claim of “endangered species,” because those so designated usually aren’t actually endangered, and are only used as a tool to accomplish some other purpose. I don’t believe that the Endangered Species Act has ever “saved” a species. The problem is often a simple increase in the number of predators.

Breitbart has done a fine job of outlining the case, the rumors, the law, and the problems involved. I would suggest that the American people are troubled by our imperialistic government and the increased militarization of so many federal agencies who have no business with SWAT teams and armed attacks on ordinary citizens. The Bureau of Land Management brought the angry resistance on themselves, with overreaction.



Kathleen Sebelius Resigns: by The Elephant's Child

Sebelius in trouble

Health and Human Services Secretary Kathleen Sebelius has resigned. It was noticeable when President Obama gave his “mission accomplished” speech in the  Rose Garden, surrounded by everybody else, and Sebelius was unacknowledged in the speech.

Officials said Ms Sebelius made the decision to resign and was not forced out. I’m somewhat sympathetic. She had an impossible task, trying to make a silk purse out of a sow’s ear. Administration aides have worried that the dreadful problems at HealthCare.gov might result in lasting damage to the president’s legacy. You think? She had an impossible task, nobody can make can make ObamaCare work.

The secretary told the president that the March 31 deadline for sign ups and rising enrollment numbers provided an opportunity for change, and that he would be best served by someone who was not the target of so much political ire, according to Dennis McDonough.” She does hope—all of us hope—that we can get beyond the partisan sniping.”

Nominated to replace her is Sylvia Mathews Burwell, currently head of Obama’s OMB and someone who Obama believes will bring “an intense focus and management acumen to the department.”

Ezra Klein, newly self-described as an advocate of “explanatory journalism” said “Kathleen Sebelius is resigning because ObamaCare has won. President Obama wouldn’t let Sebelius leave unless he was confident ObamaCare was safe.” That’s why he gave her a big hug in the Rose Garden and thanked her profusely for her long five years of service.

 



The Shame of Brandeis University by The Elephant's Child

Brandeis University invited Ayaan Hirsi Ali, the Somali-born activist to speak at their upcoming graduation ceremonies and receive an honorary degree. Well deserved. She has focused on the brutal treatment of women and girls rampant in Islamic societies like the one in which she was raised. Her efforts to call attention to them as a legislator in the Netherlands led to fear for her life and her eventual flight to the United States.

Since they thought her brave advocacy deserved the recognition of an honorary degree, it was somewhat startling that the controversial aspect of her views was new and surprising information that led to Brandeis President Fred Lawrence to claim that he had to withdraw the degree because of information he had only lately discovered. Ayaan Hirsi Ali was not surprised that she came under attack from the Council on Islamic Relations.  Such attacks are not new.

One might think that she had given $1,000 some six years ago to the campaign to recognize marriage as a contract between a man and a woman, as it has been for several thousand years. At Rutgers University, faculty and students objected to Condoleezza Rice’s selection as graduation speaker, based on her association with the Iraq War, but so far Rutgers seems to have more character than Brandeis.

Ayaan Hirsi Ali said:

 I assumed that Brandeis intended to honor me for my work as a defender of the rights of women against abuses that are often religious in origin. For over a decade, I have spoken out against such practices as female genital mutilation, so-called “honor killings,” and applications of Sharia Law that justify such forms of domestic abuse as wife-beating or child-beating. Part of my work has been to question the role of Islam in legitimizing such abhorrent practices. So I was not surprised when my usual critics, notably the Council of American-Islamic Relations (CAIR), protested against my being honored in this way.

Our academic institutions are in bad shape. They are bastions of political correctness, conformed speech, and Leftist theology. Free speech is neither understood nor observed. You must conform. Dissent is not allowed. In such an atmosphere, it’s no wonder that graduates are having trouble finding jobs. Critical thinking, though much celebrated, doesn’t often happen. Is one to believe that Brandeis University favors genital mutilation and prepubescent little girls married off to old men, and honor killings?

Here’s Ayaan Hirsi Ali giving an earlier speech, in 2013 in Australia. We fear our activists because they might prove to be controversial. Someone might object. But then we might still be burning dissenters at the stake.

 



The IRS Scandal: Day 335 — Heating Up! by The Elephant's Child

The IRS scandal is heating up again. Darrell Issa’s committee has released emails that show Democratic staffers from the House’s Government Oversight and Reform Committee communicating with the IRS about True the Vote, an anti-voter fraud organization that the Democrats wanted to suppress. It appears that Elijah Cummings, the ranking Democrat on the committee, to whom these staffers reported, may have lied during a committee hearing when he denied that his staffers had put the IRS on the trail of True the Vote.

The emails show the Democrats calling True the Vote to the IRS’s attention and requesting records about that organization. Lois Lerner was anxious to provide for them. The staffers do consistently refer to “publicly available” information, so there is no evidence that the IRS shared confidential taxpayer information with the Democrats.

House Republicans are closing in on Lois Lerner. The Department of Justice under Eric Holder has failed to do anything about the IRS scandal, or any other scandal involving the Obama administration. It is clear that Lois Lerner has broken the law. The House is threatening to hold her in contempt. If Eric Holder refuses to act, they can, if necessary, arrest and imprison her.

There is no evidence that the IRS pursued any progressive group at any time. Documents show that Ms. Lerner actively corresponded with liberal campaign-finance groups Democracy 21 and the Campaign Legal Center which had asked the IRS to investigate if conservative groups including Crossroads GPS were violating their tax-exempt status. After personally meeting with those groups, Ms. Lerner contacted the director of the Exempt Organizations Examinations Unit in Dallas to ask why Crossroads had not been audited. “You should know that we are working on a denial of the application,: Ms. Lerner wrote in an email.

The Ways and Means Committee disclosed that in January 2013, Ms. Lerner asked her staff to examine five conservative groups that the website ProPublica had called “controversial dark money groups,” including Americans for Responsible Leadership, Freedom Path, Rightchange.com, America is Not Stupid, and A Better America. Four of those groups eventually got the full IRS super-scrutiny treatment and three were audited.

It is particularly interesting that the groups that had to undergo extra examination from the IRS were those who wanted to prevent voter fraud, and those who expected to donate to Republican candidates. Democrats have been aggressive in trying to block any attempt to require photo ID to assure voters are who they say they are and entitled to vote. Kinda’ makes you thing that Democrats depend heavily on voter fraud to win elections, doesn’t it?



What is this “Social Justice” Thing? by The Elephant's Child

Everybody, or at least all Liberals, seem to talk about “Social Justice” all the time, but what do they mean by that? What is social justice?

We have a Constitution that has served us well for 228 years, and in all that time has been amended only 27 times. We have laws and courts that, for the most part, administer the law fairly, and when it isn’t fair, we try to fix it. Leave it to the Left to come up with a whole new kind of “justice” that will better serve their feelings. Now they are trying to expand social justice to environmental justice and economic justice. Make everybody absolutely equal except for us important people in the progressive aristocracy, who will administer the justice. It is of course, hogwash.

Jonah Goldberg explains the hidden agenda behind the words, and it is not either noble nor caring, and turns out to be something that is clearly — not just at all.



EPA Subjects Human Victims to Lethal Pollutants, Doesn’t Warn of Risks! by The Elephant's Child

McCarthy testifies before a Senate Environment and Public Works Committee hearing on her nomination to be administrator of the Environmental Protection Agency

The Environmental Protection Agency has for years been basing their actions on the need to protect human beings from dangerous air pollutants and fine particulate matter (PM). The findings of the Office of Inspector General’s March 31 report say the EPA has followed all laws and regulations concerning human studies research.

While the IG’s report absolves the agency of breaking rules, it notes that the EPA did in fact expose human test subjects to concentrated airborne particles or diesel exhaust emissions in five studies done in 2012 and 2011. And it didn’t bother to plainly inform the subjects of the dangers the agency emphasizes in the proposals for their actions. When the EPA tells Congress about a proposed action, they can tell you exactly how many kids will die from asthma, and how many old folks will die from heart attacks. That’s how they get their way. What congressman could risk refusing to save dying kids?

The agency has said that fine particulate matter can cause premature death, a risk for older individuals with cardiovascular disease. A 2003 EPA document says even short-term exposure to PM can result in heart attacks and arrhythmias for people with heart disease. Long-term exposure can result in reduced lung function and even death. A 2006 review by the EPA reiterates that short-term PM exposure can cause “mortality and morbidity.”

“Particulate matter causes premature death. It doesn’t make you sick. It’s directly causal to dying sooner than you should,” former EPA administrator Lisa Jackson told Congress on September 22, 2011. “If we could reduce particulate matter to healthy levels it would have the same impact as find ing a cure for cancer in our county.”

So why has the EPA been subjecting unknowing human guinea pigs to high levels of carcinogens and potentially lethal pollutants in order to justify tough new air quality standards?  The EPA has been carrying out these unethical human experiments in which subjects are made to inhale freshly pumped-in diesel truck exhaust fumes — without advising them of the risk to their health — which the EPA claims may be mortal. Junk Science.com, October 5, 2012:

EPA has admitted to a federal court that it asks human guinea pigs to sacrifice their lives for regulatory purposes — at $12 per hour.

  • Failure to provide/obtain written consent. The Common Rule, as codified in federal regulation 40 CFR 26.117, specifically requires that written informed consent be obtained when risk of serious injury or death is involved in an experiment. As the consent form provided by EPA makes no mention of the risk of death, written consent acknowledging that they are willing sacrifice themselves for EPA regulatory purposes is not obtained.

EPA administrator Gina McCarthy sounds much like her boss. She doesn’t know anything about that, all studies are of the highest quality, etc. etc. etc.

Steven Milloy, founder and proprietor of JunkScience.com, which attempts to inject real science into phony government claims, has impeccable credentials. He writes that the “EPA air pollution scare is debunked by the best data set ever assembled on particulate matter and deaths.” In a subsequent column he explains just what the rules are on different kinds of studies.

Every time the EPA introduces a new policy that results in another power grab, the need for the power grab is couched in terms of how many kids are going to die from asthma, although doctors don’t even know what causes asthma. I find that suspicious. Yet with all the dead kids off there in the not distant future, the EPA is involving kids in their experiments without informing them or their parents of what the EPA believes to be their expected demise. They are deliberately exposing kids with asthma to what they regard as dangerous levels of toxic pollutants— which they then try to cover up. How do they get volunteers? Breitbart dug up some examples.

I am convinced that the EPA is an organization of environmental zealots solely interested in their own power. I have been writing about them for years, and I think the agency should be shut down and permanently shuttered. They exist only because of the bogus environmental scares fostered by the U.N.’s IPCC for political reasons, not scientific ones.

If fine particulate matter is not dangerous to human health, the EPA needs to stop using it to justify its power grabs. If it is dangerous the EPA has no business conducting tests on human subjects. And not to fully inform the poor guinea pigs of the dangers of the tests is beyond despicable.



“Mission Accomplished” says Obama. Now What? by The Elephant's Child

I had a routine doctor’s appointment last week. As she interacted with the new computer system rather than me, my doctor said “I should have gone to secretarial school instead.”

So after “Obama’s ‘Mission Accomplished’ moment—his triumphal Rose Garden speech claiming ObamaCare is now here to stay—where are we? No one believes Obama’s lofty claims for the numbers of enrolled people, and the number who have actually paid their premiums (the only point at which the numbers are real) are numbers that will have to come from the insurance companies.

The underlying signs of the health of this dreadful medical law are something quite different. Kaiser Health News published the following:

Janis Finer, 57, a popular primary care physician in Tulsa, Okla., gave up her busy practice two years ago to care full time for hospitalized patients. The lure? Regular shifts, every other week off and a 10 percent increase in pay.

Lawrence Gassner, a Phoenix internist, was seeing four patients an hour. Then he pared back his practice to those who agreed to pay a premium for unhurried visits and round the clock access to him.  “I always felt rushed,” said the 56-year-old. “I always felt I was cutting my patients off.”

Tim Devitt, a family physician in rural Wisconsin, took calls on nights and weekends, delivered babies and visited his patients in the hospital. The stress took a toll, though: He retired six years ago, at 62.

Physician stress has always been a normal fact of life, but anecdotal stories suggest a significant increase in the level of discontent, especially among primary care doctors who play the central role in coordinating patient care. Just as millions of Americans are obtaining health insurance through ObamaCare because of the threats of fines, or because their insurance policies were cancelled— often because the benefits they chose did not match the government’s one-size-fits-all standard.

A 2012 Urban Institute study of 500 primary-care doctors found that 30 percent of those age 35 to 49 planned to leave their practices within five years. The rate jumped to 52 percent for those over 50. A RAND study for the American Medical Association found that nearly half of physicians called their jobs “extremely stressful” and more than one-quarter said they were “burning out.” Unhappy doctors make for unhappy patients, and unhappy patients result in unhappy doctors.

Janice Finer, who left primary care to work with hospital patients, didn’t want to have to deal with insurers, hiring staff, and the business of a practice —sold her practice to a hospital. But hospital administrators dictated the pace. She was required to see 22 to 28 patients a day. At one point, she said, she was scheduled to see patients every 11 minutes. But meeting patients’ needs is not just busy work, but it doesn’t generate revenue.

President Obama contributed billions to help defray providers’ costs of going digital. The goal was a national system that would provide the government with statistics for further control. Not happening. Every hospital may have a different system, and none of them talk to each other. Digital records mean entering numbers and words in lots of repetitive boxes, but the old kind of personal, nuanced information that was in a doctor’s note, aren’t included. “Many physicians told us “I used to be a doctor, now I’m a clerk.” Anyone who uses a computer can recognize the potential for error. Typos are a way of life. Some doctors have started using ‘scribes’ —laptop carrying assistants who fill in the blanks and take notes— which adds another level of cost.

The association of American Medical Colleges estimates that the U.S. will be short about 45,000 primary care doctors in 2020 when 260,000 are projected to be practicing. Doctors used to encourage their kids to go into medicine. They’re not doing that anymore.

President Obama in his “Mission Accomplished” speech stressed the objective of the Democrats who drummed up this mess: “We are making sure that we are not the only advanced county on earth that doesn’t make sure everybody has basic health care.” Tinkering and improving are expected to lead to single-payer health care which is the their ultimate goal.

Nationalizing health care inevitably leads to conflicting problems.Government programs always cost more than was estimated — way more. The government’s sole incentive quickly becomes a demand to reduce costs.

The incentive for hospitals and clinics is the need to get adequately paid for their services. Those incentives lead to a reduction in innovation unless it is proved to reduce costs— so fewer medical inventions, fewer new drugs.

And pressure on doctors and personnel is to do more in less time with fewer and cheaper materials.  The incentive is also for doctors to leave the profession or for doctors to become government employees. What is inevitable is a lot of burned-out doctors who become more cynical and less caring. Ezekiel Emmanuel, who was one of the advisers for ObamaCare, has advocated disposing of the Hippocratic Oath.

The problem for patients becomes getting an appointment, getting use of expensive diagnostic equipment, and facing long waits for seeing a doctor and seeing a specialist and just getting the needed care. A frequent look at British newspapers’ accounts of the latest NHS scandal is proof of where it all leads.

If health care is free or low-cost at the point of service, the incentive is to overuse medical care which is what got us here in the first place. When someone else is paying the bill, there is no incentive for thrift,  which drives up costs and the vicious cycle repeats and  grows slowly worse, and harder to change.  Incentives matter.

 

 



Oh Harry Reid, Harry Reid, For Shame! by The Elephant's Child

Harry Reid glum

Poor Harry Reid is caught between a rock and a hard place, and he’s not up to defending his position. It’s difficult, he’s majority leader of the Senate, and he has to defend the disastrous ObamaCare policy. Really frightening stories are emerging, about cancer patients who are suddenly denied the doctors and the care that was giving them the hope that they might live, and all Harry can think of is to call them all liars. Callous and insensitive doesn’t begin to describe it.

Now he has dissed a fellow senator, a medical doctor who is himself battling cancer, because he pointed out ObamaCare’s disastrous impact on cancer treatment. Senator Tom Coburn (R-OK) noted that the majority of cancer centers in this country aren’t covered under ObamaCare.

“Dr. Coburn is very good at getting into the weeds and trying to find something that he thinks makes sense. But I think we need to look at the overall context of this bill.”

When cancer patient Julie Boonstra appeared in a TV ad telling how Obamacare had jeopardized her treatment with rising and unpredictable premiums and co-pays. Reid took to the Senate Floor: “There’s plenty of horror stories being told. All of them are untrue.”

He also coldly dismissed Edie Sundby, a stage four cancer patient, who was told that the plan that had paid out $1.2 million and helped her to survive, was substandard, and would be cancelled because it didn’t fit the one-size-fits-all ObamaCare standard.

Coburn said that under ObamaCare, out of “Nineteen of the cancer centers in this country, only five are covered under ObamaCare.” Coburn said the cut-rate payments of the Affordable Care Act provides for those treatments. “You know, it’s a market,” Coburn said,”and what they’ve done is they’ve priced it where these cancer centers, a lot of them aren’t going to participate because they don’t get paid [enough] to cover the costs.”

During the government shutdown, House Republicans wanted to pass a stand-alone bill to fund the National Institute of Health so children with cancer could continue to participate in clinical trials. Reid called that move “reckless and irresponsible” by those obsessed with this ObamaCare.” A reporter asked “If you can help one child who has cancer, why wouldn’t you do it?”

Reid said “Why would we want to do that? I have 1,100 people at Nellis Air Force base that are sitting home. [because of the shutdown] They have a few problems of their own.”

I understand that for Senate Democrats, ObamaCare is about power, and more control of the American people. But for the rest of us it is about the American people getting the care that they have been promised, that the rest of us are paying for.




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