Archives for category: Health

Jonathan V. Last posted two videos of President Biden speaking. One took place in April 2023, when he spoke in his ancestral hometown of Ballina in County Mayo, Ireland. He received an ecstatic welcome from the locals. Biden’s voice was strong and clear. He was vigorous and joyful. He was not senile then, he’s not senile now. But he has aged.

Last wrote:

I’ll always remember Joe Biden in Ballina. 

It was nighttime. America’s last great Irish pol was visiting the county of his forebears. A bunch of local Irish notables gave boring remarks in front of an ancient stone church. There was a minute of restless silence. Then the music hit. 

Suddenly the Dropkick Murphys are blaring from the speakers. Lasers and lights cut through the evening mist.

And Joe Biden strides out in a black longcoat like a damn WWE star to the single biggest pop I’ve seen in politics.

Absolute legend.

That was 15 months ago. Only 15 months ago.

The President Biden we saw last night was a different man. We can all see the physical changes. But where the Biden in Ballina was exuberant, sharing a once-in-a-lifetime moment of pure joy, the Biden of last night was doing something different and infinitely more important. He was teaching his country a lesson.

It was, on the surface, a valedictory speech with boilerplate about what his administration accomplished. But under the hood, the important stuff wasn’t so much a valediction as a homily. He was talking directly to Americans not about the job he’d done, but about our jobs going forward.

Two sections are worth clipping and saving.


The first was the part where Biden explained why he stepped aside:

When you elected me to this office, I promised to always level with you, to tell you the truth. And the truth, the sacred cause of this country, is larger than any one of us. Those of us who [cherish] that cause cherish it so much. The cause of American democracy itself. We must unite to protect it.

In recent weeks, it has become clear to me that I need to unite my party in this critical endeavor. I believe my record as president, my leadership in the world, my vision for America’s future, all merited a second term. But nothing, nothing can come in the way of saving our democracy. That includes personal ambition.

So I’ve decided the best way forward is to pass the torch to a new generation. It’s the best way to unite our nation. I know there was a time and a place for long years of experience in public life. There’s also a time and a place for new voices, fresh voices, yes, younger voices. And that time and place is now.

I submit to you that no other president in our lifetimes would have believed that he was replaceable. None of those guys could have even countenanced the idea that the country might be better served if he passed the torch.

Biden’s humility in this act is so unique that we risk overlooking it and failing to appreciate how singular and extraordinary it is.

Edward Strickler Jr. reviews Project 2025 to see what another Trump administration offers rural Americans. The short answer: Nothing.

Edward Strickler Jr. writes:

Project 2025 has been so much in the news lately that former President Donald Trump had to respond to the right-wing policy proposals, which the Heritage Foundation put together in hopes of implementation under another Trump presidency.

“I know nothing about Project 2025. I have no idea who is behind it,” Trump said. “I disagree with some of the things they’re saying and some of the things they’re saying are absolutely ridiculous and abysmal. Anything they do, I wish them luck, but I have nothing to do with them.”

In a familiar rhetorical pattern, Trump says two contradictory things at the same time: Parts of Project 2025 are “absolutely ridiculous and abysmal” and “anything they do I wish them luck.”

Well, there is a third contradictory thing: “I know nothing about it.” 

But anyone reading through the nearly 1,000 pages of Project 2025 might easily be two-minded, or three-minded, about it.  It is vast and dense.

Nevertheless, there is a predominant theme threaded throughout: Federal government must be downsized, decentralized, and disempowered as much as possible, as rapidly as possible, just as soon as conservatives gain control the federal government.  And embedded within this theme is a prominent second thread: that the enemy – variously named “that institutionalized cadre of progressive political commissars,” “LGBT advocates,” “the pursuit of racial parity,” “racial and gender ideologies,” etc. — must be vanquished. 

You may see different patterns, but this is what I discerned.  Readers should look for themselves.  Find the chapter(s) that matter to you.  You may choose from sections titled “Taking the Reins of Government,” “The Common Defense,” “The General Welfare,” “The Economy,” and “Independent Regulatory Agencies,” with each major federal government agency discussed.  I spent a couple days reading through the 1,000 pages to glean what is being proposed to support healthy rural populations and thriving rural communities.  Not very much.

In fact, the entire subsection “Rural Health” (Chapter 14, Department of Health and Human Services, at p. 449) is shorter than the subsection on “Wild Horses and Burros” (Chapter 16, Department of the Interior, at p. 528). Empathy for the four-footed ungulates is conveyed by discussion of their “iconic presence” described as “not a new issue … not just a western issue- it is an American issue.”  We two-footed humans rate similar patriotic rhetoric – “seeking space for one’s family and cultivating the land are valued goals that are deeply rooted in America’s fabric” – but the paltry few policy proposals – less than one page out of nearly 1,000 – are insulting. 

For example, to increase the supply of health care providers by reducing regulatory burdens on “volunteers wishing to provide temporary, charitable services across state lines,” and to encourage “less expensive alternatives to hospitals and telehealth independent of expensive air ambulances,”  Challenge me if I am wrong, but these proposals explicitly, in writing, advise that rural communities can, at best, expect “second class,” maybe just “third class,” treatment from Project 2025 Conservative elites.  But at least Project 2025 doesn’t advise “humane disposal” for sick rural folks as it does for the horses and burros.

Open the link to learn more about the GOP’s indifference to rural voters.

A reader named Quickwrit summed up why “Medicare Advantage” is inferior to Medicare. Medicare is a federal program. Medicare Advantage is run for profit by private insurance companies. They make a profit by denying services.

Quickwrit writes:

WARNING TO ALL RETIREES!!! So-called “Medicare Advantage” plans TAKE YOU OUT OF FEDERAL MEDICARE and put you into A PRIVATE INSURANCE PLAN!!! So-called “Advantage” plans are aimed at privatizing all of federal Medicare for the profit of private insurance companies. Read pages 61 and 62 of your “Medicare & Me” booklet where it tells you that Medicare Advantage plans are PRIVATE insurance plans and that “each Medicare Advantage plan can charge different out-of-pocket costs and have different rules for how you get your [medical] services.” In so-called “Medicare Advantage” plans you lose your freedom to choose your own doctors and you get hit with all sorts of out-of-pocket costs and copays. And you must use the “Advantage” plan’s so-called “Preferred Provider Organization” (PPO) doctors, specialists, and hospitals. The only “advantage” in a “Medicare Advantage” plan is for the private insurance company’s profits. More and more healthcare providers are dumping so-called “Medicare Advantage” plans and preferring Medicare Supplement (“Medigap”) plans. https://www.usatoday.com/story/news/health/2023/10/27/hospitals-terminate-medicare-advantage-contracts-over-payments/71301991007/

Quickwrit also wrote:

$600 BILLION MEDICARE ADVANTAGE FRAUD THREATENS THE CONTINUED EXISTENCE OF ORIGINAL MEDICARE

A new study published in the respected JAMA Internal Medicine reveals that privatized Medicare Advantage plans have defrauded U.S. taxpayers of at least $600 BILLION in recent years and calls for the abolition of the program before the ongoing fraud kills original Medicare.

“Medicare Advantage plans have, in effect, stolen hundreds of billions from taxpayers,” points out

Dr. Adam Gaffney, professor of medicine at Harvard Medical School and the lead author of the new study, said in a statement that “Medicare Advantage is a bad deal for taxpayers.”

“Money that could be used to eliminate all copayments or shore up Medicare’s Trust Fund is instead lining insurers’ pockets,” said Gaffney. “And the private insurers keep Medicare Advantage enrollees from getting needed care by erecting bureaucratic hurdles like prior authorizations and payment denials.”

Citing data from the nonpartisan Medicare Payment Advisory Commission, the report shows that Medicare Advantage (MA) plans have overcharged the federal government to the tune of $612 billion since 2007 — $82 billion last year alone.

PRIVATE MEDICARE ADVANTAGE INSURANCE COMPANIES ARE BANKRUPTING FEDERAL MEDICARE — which is the purpose for which the Medicare Advantage program was set up in the first place, so that nonprofit government insurance would die and private for-profit insurance companies could go back to business-as-usual.

Gaffney says that the time has come to abolish Medicare Advantage plans in order to save government Medicare.

Today, seniors feel trapped in so-called “Advantage” plans: https://www.npr.org/sections/health-shots/2024/01/03/1222561870/older-americans-say-they-feel-trapped-in-medicare-advantage-plans

The United Federation of Teachers worked closely with NYC Mayor Eric Adams to persuade municipal union workers to give up Medicare and accept enrollment in a for-profit Medicare Advantage plan.

Many municipal retirees opposed the changeover. Unhappy retired municipal workers formed an organization which they called the NYC Organization of Public Service Retirees. They concluded that the quality of their healthcare would decline if they accepted enrollment in a Medicare Advantage plan. MA might not accept their preferred doctors, and they would run the risk of being denied permission for treatment that their own doctor recommended. The retirees fought the city and their unions to block the switch to MA. They won in the state courts, and they won control of the retirees’ sector of the UFT.

Following the retirees’ victory in the courts and in the union elections, Michael Mulgrew announced that he would no longer support MA. Now the retirees are asking for the active help of the UFT.

Arthur Goldstein, retired high school teacher, wrote the following open letter to Michael Mulgrew, president of the UFT.

He wrote:

Dear President Mulgrew:

As you know, we’ve been fighting for years to preserve our health care. The recent Retired Teacher Chapter election showed a healthy majority of our members want to continue with our current premium and co-pay free Medicare/Medigap plan. We were all encouraged that you dropped your support of the Medicare Advantage plan into which the city wishes to place us.

That said, we are still in trouble. As you know, Mayor Adams is fighting for the MA program, and appealing our recent victories to the NY State Court of Appeals. As you are no doubt aware, they are the highest court in the state and have the power to overturn our thus-far unbroken string of victories. 

There are two ways we can prevail. One would be to win in court. Since UFT now opposes this plan, we need an Amicus brief from UFT. That’s quite important. If you oppose this plan, you need to demonstrate this to the court, and show that UFT is a force to be reckoned with. Mayor Eric Adams is, in fact, our contractual adversary, and we need to treat him as such.

This, of course, is not our only court battle. Mayor Adams also wants us to pay co-pays with our Medigap plan. That is unprecedented, and co-pays have a way of increasing endlessly. We need to halt this now. 

I heard you say at a meeting that co-pays were intended only as a temporary stopgap measure. Given your statements about how the city is interested only in saving money at our expense, I think it’s fair to assume we can no longer trust the city to make any such measures temporary. Therefore, UFT needs to file an Amicus brief in our battle against additional expenses for retirees on fixed incomes. As you know, many of our retired brothers and sisters in DC37 are just getting by as is.

In 2016, MLC effectively suppressed the HIP rate, via so-called HIP/HMO Preferred. This resulted in additional costs for 40% of enrolled city employees. Obviously, it’s an error to tie this to the base rate, because I’m sure you want our members, and all city workers, compensated at the highest rate possible. This needs to be corrected, and we need your support to do so. I’m sure you don’t want retired UFT paraprofessionals paying co-pays, higher deductibles, and/or premiums. We will need UFT support in the upcoming Campion case so as to preclude this.

Our other avenue of protection is via the legislature. As you know, there are bills, set to be reintroduced, both in the city and state protecting Medicare and Medigap for retirees. Union support could make the key difference, particularly in the state. I’m told the state bill would have passed but for “union opposition.” I don’t know who in the union opposes this, but the recent RTC election shows our retirees overwhelmingly support it. In fact, I’d argue the overwhelming majority of city retirees do as well.

This brings me to my final point. Since unions, for whatever reason, have not been in the habit of protecting our current health care, the group NYC Retirees was formed. This group, entirely on donations, has been protecting us in court for years. The recent election demonstrates that UFT retirees support the goals of this group.

Therefore, it’s high time the UFT, perhaps through COPE, made a sizable donation. This is clearly the will of our chapter, and it’s time we honored that will with something more than words. 

Sincerely

Arthur Goldstein, Vice Chair RTC

Dr. Paul Offit is an authority on vaccines and infectious diseases. Please read this post from his blog Beyond the Noise.

He writes:

On July 16, 2024, Brandy Zadrozny, an investigative reporter and journalist for NBC News, posted a video on X of a conversation between RFK Jr. and Donald Trump. “Whoops,” writes Zadrozny. “Seems like RFK Jr.’s son posted and has since deleted a video of a call between RFK Jr. and Trump.” When he realized that his son had posted the video, RFK Jr. was mortified. “When President Trump called me,” he wrote. “I was taping with an in-house videographer. I should have ordered the videographer to stop recording immediately. I am mortified that this was posted. I apologize to the president.”

Trump was talking to RFK Jr. about vaccines.  “Something is wrong with the whole system,” said Trump. “Remember, I said you need small doses. Small doses. [Children receive] 38 different vaccines and it looks like it’s meant for a horse, not a 10 pound or 20-pound baby. And then you see the baby starting to change radically. And I’ve seen it too many times.”

None of this was new. Trump had repeated what he had said during a presidential debate on September 17, 2015. “Autism has become an epidemic that has gotten totally out of control,” he said, suggesting that high concentrations of vaccines given all at once was causing the problem. “Just the other day, two years old, two- and one-half years old, a child, a beautiful child went to have the vaccine and came back and a week later got a tremendous fever, got very, very sick and is now autistic.” Trump said that he wanted vaccines to be given in “smaller doses over longer periods of time.” Donald Trump, a reality TV star, real estate developer, and politician is asking us to believe that his knowledge of phase 1 dose-ranging studies is greater than the scientists and physicians who evaluate those studies.

Alison Singer, the president and co-founder of the Autism Science Foundation and the mother of a child with autism, responded to that immediately. “Donald Trump is a part of a fringe movement that…[has] dangerously perpetuated the false link between vaccines and autism,” she said. “The facts are clear. Vaccines do not cause autism. Some people may not like the facts, but they don’t get to change them, even if they are running for president of the United States.”

The most worrisome part of the conversation between RFK Jr. and Donald Trump occurred at the end, when Trump said, “I would love for you to do something. And I think it would be good for you. [Because] we are going to win. We’re going to win.” Was Trump implying that RFK Jr. might have a place in his administration. If so, the public should be aware that no one has propagated more false information about vaccines and vaccine safety than RFK Jr. When asked on a recent podcast with Lex Fridman to name a vaccine that he thought was valuable, he couldn’t think of one. If RFK Jr. is given a place in the Trump administration, we can be sure that his vaccine disinformation, conspiracy theories, and false beliefs will be center stage, putting the health of children and this nation at risk.

Imagine RFK Jr. as head of the Centers for Disease Control. The Federal Drug Administration. Good grief!

How naive some citizens of Arkansas were! They thought they could get a referendum on the state ballot to change the state’s draconian abortion ban which allows no exceptions for rape, incest or the life of the woman.

They gathered enough signatures to qualify for the ballot but the Secretary of State, no doubt acting with Governor Sarah Huckabee Sansers’ support, found reasons to throw the referendum proposal out. No democracy for Arkansas!

Axios reported:

Arkansas Secretary of State John Thurston on Wednesday rejected petitions for a proposed amendment to make abortion legal in the state again under certain circumstances.

Why it matters: The proposed amendment would allow abortion through the first 18 weeks of pregnancy, and also in cases of rape, incest, fatal fetal anomaly or to save the pregnant person’s life.

State of play: In a letter to Arkansans for Limited Government, which is spearheading the effort, Thurston said the group failed to submit a statement identifying all paid canvassers by name.

  • He said it also didn’t provide a statement confirming it had provided each canvasser with proper documentation and training about the state’s law before they started gathering signatures.

“By contrast, other sponsors of initiative petitions complied with this requirement. Therefore I must reject your submission,” Thurston wrote.

Between the lines: “Even if your failure to comply with [the law] did not require me to reject your submission outright, it would certainly mean that signatures gathered by paid canvassers in your submission could not be counted for any reason,” the letter reads.

  • Thurston claims 14,143 of the 101,525 submitted signatures were collected by paid canvassers.
  • The remaining 87,382 signatures collected by volunteers fall short of the required 90,704 for a proposed constitutional amendment.

What they’re saying: “At multiple junctures — including on July 5 inside of the Capitol Building — we discussed signature submission requirements with the Secretary of State’s staff,” Arkansans for Limited Government (AFLG) said in a statement emailed late Wednesday.

  • The secretary of state’s office supplied the organization with all paperwork to submit the petitions, AFLG said, adding that the group had no reason to suspect it was incomplete.

AFLG says it supplied a list of paid canvassers to the state, and that’s known because it was obtained through a Freedom of Information Act request to the Secretary of State’s office and “released by our opposition in an attempt to intimidate our supporters.”

  • More than 101,000 Arkansans participated in this heroic act of direct democracy and stood up to loudly proclaim their support for access to healthcare. They deserve better than a state government that seeks to silence them.”

The other side: “Today the far left pro-abortion crowd in Arkansas showed they are both immoral and incompetent,” Gov. Sarah Huckabee Sanders posted on X.

What we’re watching: It’s unclear what legal recourse Arkansans for Limited Government can take; however its statement concluded: “We will fight this ridiculous disqualification attempt with everything we have. We will not back down.”

Politico recounts a story in the new issue of Vanity Fair about Robert F. Kennedy Jr. and what makes him tick:

WOWZA — Vanity Fair’s Joe Hagan is out with a buzzy profile of ROBERT F. KENNEDY JR. through the lens of his close friends and family, who describe the presidential candidate as a man whose life story is “marked by personal trauma and addiction to drugs, sex, and, perhaps most perniciously of all, public adulation.”

In some of the more alarming stories, Hogan’s report includes …

  • An on-the-record allegation of sexual assault from ELIZA COONEY, who was a young woman Kennedy had hired in the late 1990s to work as a babysitter and personal assistant.
  • A photo of Kennedy posing with the cooked remains of a dog while traveling in Korea. “The photo was taken in 2010, according to the digital file’s metadata — the same year he was diagnosed with a dead tapeworm in his brain.”
  • Allegations that he sent friends sexually explicit photos of women that may not have been taken consensually. 

Writes Hogan: “Theories about Kennedy’s reckless behaviors abound. Long before it was reported, members of the family knew about the brain worm … But more often his family points to Kennedy’s 14 years as a heroin user.”

In the first post today, I wrote that people in Arkansas were trying to collect enough signatures to get a state referendum on abortion. They did it! Under the malign leadership of Governor Sarah Huckabee Sanders and a Republican legislature, the state government passed a highly restrictive abortion law.

The Arkansas Times writes:

They did it. They did it on a shoestring budget, with no organizational support from national groups. Just Arkansas women with clipboards, hustling.

With 100,000 signatures in hand and more still being counted, backers of the Arkansas Abortion Amendment say they’ve got the numbers they need to put reproductive rights on the November ballot. And so far 53 counties reached the qualifying minimum, more than the state’s required 50.

Arkansans for Limited Government, the group behind the Arkansas Abortion Amendment, will turn in petitions at the Arkansas Capitol today.

They’ll be bringing roughly 10,000 more than the 90,704 required to get on the ballot, although the number will certainly change as employees with the Arkansas Secretary of State’s office cull duplicates and weed out names of people who aren’t registered voters. There’s a cushion built into the calendar that gives volunteers another 30 days to collect more signatures to make up for any that are nixed by the state.

It’s easy to feel gloomy about politics in a red state that only seems to get redder. But today there is genuine cause to celebrate. It is only a first step in the process of restoring reproductive rights. But what a step! This is how you claw your state back from the tsk-tsking forced birthers who would gladly stand by while rape victims, pregnant children and women carrying non-viable pregnancies suffer unspeakably.

And they did it without glamorous celebrity endorsements or the financial muscle of major national groups. This effort was driven by smart and tireless Arkansas women who weren’t dissuaded by naysayers or the failure of national groups like Planned Parenthood or the American Civil Liberties Union to send them any cash.

On Friday morning Lauren Cowles, executive director of Arkansans for Limited Government, told supporters to celebrate a little bit, but be ready to work a lot between now and November:

We are grateful for and inspired by Arkansans, across all 75 counties, who signed the petition to put this amendment before voters in November. We believe that healthcare is personal and private. Bodily autonomy and the sanctity of the doctor-patient relationship are values that transcend party politics, economics, and religion. Healthcare decisions, including decisions about reproductive health, should be made between patients and their healthcare team. 

Right now, Arkansas is the most dangerous place in the country to be pregnant. Not only does Arkansas have the highest maternal mortality rate in the nation, nearly half of Arkansas counties are maternity healthcare deserts, meaning they have no obstetric providers or options for delivery care. Arkansas deserves better than that.

This campaign is made up of Arkansas women and mothers, Arkansas healthcare professionals, and Arkansas faith leaders. We are grateful for their support. I want to recognize our 800+ courageous volunteers. Despite frequent harassment and intimidation, they worked tirelessly for months to ensure that we could reach interested signers in every corner of the state. Their relentless efforts, unwavering dedication, and unyielding passion inspires hope for a better Arkansas.

We are proud of our fellow Arkansans for rejecting the state’s extreme abortion ban and taking the first, important step towards protecting pregnant women now and in the future. We celebrate our accomplishments today, but on Monday we get back to work because women’s lives are at stake. The hardest job is ahead of us, and we will not fail. 

The Arkansas Times warns that anti-abortion groups will pull every trick in the book to smear and derail the referendum. Great thing about referenda is that they allow voters to speak out on issues where politicians don’t listen. That’s why every state referendum on school vouchers has failed.

The Steward Corporation, which owns 31 hospitals, declared bankruptcy a few weeks ago. In addition to the hospitals it owns in Texas, it also has eight hospitals in Massachusetts.

I have a personal interest in these events because one of the Steward holdings is St. Joseph’s, where I was born. It is the oldest hospital in Houston. At the time of my birth, St. Joseph’s was a Catholic hospital, staffed in large part by nuns wearing habits.

In recent years, the hospital has been owned by a series of private equity firms, who envisioned ways of making a profit while delivering high-quality healthcare.

In Massachusetts, state leaders were outraged by Steward’s bankruptcy and lambasted the private equity firms:

Steward’s troubles in Massachusetts have drawn the ire of political figures including U.S. Sens. Elizabeth Warren and Edward Markey, who have said the company’s previous private equity owners “sold (Steward) for parts” and “walked away with hundreds of millions of dollars.” 

Massachusetts Gov. Maura Healey said Monday that the state had been preparing for a possible bankruptcy filing. Despite the filing, she said, Steward hospitals will remain open and patients should keep their appointments.

“This situation stems from and is rooted in greed, mismanagement and lack of transparency on the part of Steward leadership in Dallas, Texas,” Healey said Monday. “It’s a situation that should never have happened and we’ll be working together to take steps to make sure this never happens again.”

No such outrage in Texas, where state leaders worship at the shrine of the market.

Julian Gill of The Houston Chronicle wrote about the failure of Steward.

St. Joseph Medical Center is poised to be sold after its Dallas-based owner, Steward Health Care, this week filed for Chapter 11 bankruptcy, according to court documents. 

On Tuesday, the day after filing for Chapter 11 protections, Steward said in court documents that it plans to sell all of its hospital properties, which include St. Joseph and 30 other hospitals throughout the U.S. According to court documents, the company is “exploring a reorganization around a smaller footprint of hospitals.” 

Representatives for St. Joseph and Steward could not immediately be reached for comment.

Upon announcing the bankruptcy Monday, Steward said day-to-day operations are expected to continue without interruption during the bankruptcy proceedings…

St. Joseph is Houston’s only downtown hospital and the oldest general hospital in the city. The hospital has more than 700 beds, officials previously told the Chronicle, and many of its patients are covered by Medicaid and Medicare. In addition to St. Joseph, the bankruptcy affects hospitals in Odessa, Big Spring, Port Arthur, and Texarkana

St. Joseph has changed hands multiple times over the last two decades. In 2006, the hospital was sold to North Carolina-based Hospital Partners of America, Inc., after the previous owners, Christus Health, said it couldn’t afford to modernize the hospital’s aging buildings, according to earlier reports in the Chronicle. Hospital Partners initially invested heavily in the hospital but declared bankruptcy about two years later.

In 2011, a Tennessee-based company, Iasis Healthcare, acquired a majority interest in the hospital as part of the bankruptcy process. Iasis merged with Steward in 2017. 

Scott Maxwell is a regular columnist for Tthe Orlando Sentinel. In this article, he discusses the meanest, most heartless, most inhumane law passed by the legislature. How about letting workers have a water and heat break in Florida’s hot, humid climate? Employers don’t want workers to take time off. They prefer to let them struggle under a fiery sun, even if they collapse.

Maxwell writes:

I’ve written a lot of pieces about a lot of cruddy bills in Florida.

But I can’t recall one that generated more universal disgust among readers than the one lawmakers passed a few months ago banning cities and counties from making sure outdoor workers get shade and water on blistering hot days.

Miami-Dade was discussing local regulations that would guarantee roofers, farmworkers and others who toil in Florida’s blistering sun basic things like water breaks, shade and first-aid treatment for heat stroke — the kind of precautions most people with a conscience would provide for their dog.

Yet Florida’s big business lobby didn’t want to be forced to provide any of that. So they got their puppets in the Legislature to pass a law making it illegal for any local government to pass heat-safety regulations. Yes, their target was water and shade.

I described it as “The most shameful law Florida passed this year.” And readers overwhelmingly agreed. The disgust came from Republicans, Democrats and independents all around the state.

“This is so wrong in so many ways,” said reader Ingrid, who noted that, as a homeowner, she offers shade, water, seating and bathrooms to workers painting the outside of her house. “It is the American and right thing to do…”

And multiple conservative and independent readers said this was the kind of bill that made them think the pendulum of one-party power has swung too far. “So often, I no longer support Democratic legislators because I feel they are too far left,” Bruce said. “After reading this, I must vote for them anyway because others are too far to the right.”

But a question I also received over and over was: Why?

Why would lawmakers — most of whom have families and many of whom claim to be people of faith — support a bill that denies guaranteed access to things so fundamental as water and shade?

Well, here’s the remarkable reality: They normally wouldn’t. In fact, they didn’t.

Just two years ago, Republican legislators joined Democrats to unanimously pass a bill out of committee that would’ve guaranteed similar heat-safety protections to workers across the entire state.

At the time, GOP legislators described the heat protections as simply humane. One said it was “heartwarming” to see everyone agree on such a basic concept. The bill’s sponsor, Miami Republican Senator Ana Maria Rodriguez said: “It’s really about health and wellness and making sure people are protected.”

But then, as the Seeking Rents website that tracks the way money influences public policy in Florida recently revealed, the state’s homebuilding and business lobby got involved. And the bill died.

Then this year, the business lobby put the push on steroids. The Florida Chamber of Commerce not only wanted to make sure that no state laws guaranteed workers heat-safety protections; they wanted lawmakers to pass a law that banned counties from doing the same.

The chamber even warned lawmakers that if they didn’t do as instructed, the politicians’ scores would be docked in the business group’s annual “How They Voted” report card. The chamber told lawmakers that their votes on this one issue would be counted twice.

That is how badly the chamber — which is funded by companies like Disney, Publix, U.S. Sugar and Florida Power & Light — wanted to make sure no companies in this state would be subject to local heat-safety regulations.

We’ve all watched ugly politics transpire in Tallahassee. But this was uglier than usual. Veteran Tallahassee journalist Bill Cotterell — who has covered Florida politics for more than half a century — wrote that this was an example of how “the pay-to-play system goes beyond regular back-scratching and turns into cruelty.”

Mark Wilson, the president of the chamber, disagrees. He says readers who are outraged and observers like me and Cotterell don’t understand the issue.

He says the reaction is union-generated “hysteria,” that the chamber is “working to make Florida the safest state in the nation,” that the U.S. division of Occupational Health and Safety Measures already requires companies to protect their workers and that most companies want to do so anyway.

You probably don’t need me to tell you how silly that last argument sounds. If all companies were already doing all these things, they wouldn’t have been so frantically lobbying against them. House Bill 433 bans counties from requiring employers to provide things like “water consumption,” “cooling measures” and “appropriate first-aid measures.”

OSHA does not regulate these things the same way.  Instead, it has something called a “general duty clause” that broadly says employers shall provide a work environment “free from recognized hazards that are causing or are likely to cause death or serious physical harm to his employees.” Its website explicitly says: “OSHA does not have a specific regulation regarding heat stress.”

And while Wilson said OSHA is working on more specific heat-safety provisions, the simple fact is they don’t exist now.

The reality is that businesses in Florida have gotten so used to having their way, they don’t want anyone telling them what to do — even when it has to do with worker safety. And this state has a political majority willing do whatever they’re told, so that they can continue getting endorsements and campaign donations. Even it means opposing basic safety measures they previously supported.

That’s something for you to remember the next time you see a campaign mailer telling you that some politician has an “A-plus” business rating. This is the kind of thing they had to support to earn it.

smaxwell@orlandosentinel.com