Archives for category: Health

I don’t know how Thom Hartmann does it. He puts out one brilliantly researched article after another, connecting the dots and explaining why our country and our democracy are in trouble. The Democrats want to build a sturdy safety net; the Republicans want everyone to fend for himself or herself. If you are rich, the Republican formula works; if you are not, you are in trouble. It’s amazing that so many who rely on government programs give their vote to a party pledged to kill those programs.

He writes:

In the 1930s, after FDR rolled out programs to aid the homeless and unemployed across the country, America enjoyed a longer life expectancy — and more healthy years within that life expectancy — than any other wealthy nation.

While some of that was due to the public health crisis echoing across Europe in the wake of World War I, it was largely because FDR’s Democrats in charge of the country were building schools and hospitals like there was no tomorrow. 

Republican President Eisenhower followed in that tradition through the 1950s, and in the 1960s LBJ rolled out Medicare and Medicaid. As a result, we continued to have the world’s best lifespans and quality-of-life.

Then came Reagan’s austerity and neoliberalism campaigns in 1981 and America began to become unraveled.

A new study published by the National Academy of Sciences in the journal PNAS Nexus looked at “excess deaths” (they called them “missing Americans”) in our country versus others around the world. The researchers from Boston University School of Public Health, the University of Pennsylvania, and the Harvard Medical School and TH Chan School of Public Health found:

“The United States had lower mortality rates than peer countries in the 1930s–1950s and similar mortality in the 1960s and 1970s. Beginning in the 1980s, however, the United States began experiencing a steady increase in the number of missing Americans, reaching 622,534 in 2019 alone.”

The excess deaths, it turns out, are almost all entirely the result of Republican policies, both at the federal and state level. 

The researchers found:

“Stagnant minimum wages and losses of collective bargaining protections have contributed to widening economic inequality. A scant safety net for working-age adults and the absence of universal healthcare have privatized risk, tying health more closely to personal wealth and employment.

“Additionally, lax regulation of opioids, firearms, environmental pollutants, unhealthy foods, and workplace safety has contributed to elevated US mortality, particularly among lower-educated and lower-income people.

And it’s worse in Red states:

“Increasingly divergent policies at the state level have resulted in widening health gaps across US states. In those geographic areas of the United States where excess mortality has increased the most, voters have turned towards policy-makers who have further undermined population health, e.g. through refusal to expand Medicaid or to implement firearm regulations.”

While not coming right out and saying that people live longer in Blue states than Red states, that’s largely what the study found. And it’s not a small effect:

“In 2021, there were 26.4 million years of life lost due to excess US mortality relative to peer nations…”

While President Eisenhower ran for re-election in 1956 by bragging about how on his watch millions more Americans had gotten good union jobs or signed up for Social Security, by 1981, when Reagan took office, the 1978 efforts of five corrupt Republicans on the Supreme Court to legalize political bribery were beginning to seriously take hold.

That’s when everything changed. Since 1981, millions of Americans have died unnecessarily because of neoliberal austerity policies: their lives were sacrificed on the altars of increased corporate profits and lower taxes for billionaires.

— Reagan told us that the “union bosses” were just out for themselves and the best thing American workers could do was to rely on their employers’ good will. He also claimed that the minimum wage actually hurt low-wage workers because, he said, it prevented employers from hiring more people.

Both were lies, as history has vividly shown, and both contributed to our epidemic of early and unnecessary deaths, as Red state minimum wages are still as low as $7.25/hour and Red “Right to Work for Less” states make it nearly impossible to unionize.

“Stagnant minimum wages and losses of collective bargaining protections have contributed to widening economic inequality” that leads to early deaths, reported the researchers.

— The Republican backlash to Obamacare extending Medicaid to everybody in the country wasn’t limited to their lawsuit before the Supreme Court that ended up letting Red states opt out of coverage, or to the Astroturf “Tea Party” movement funded by rightwing billionaires.

— To this day, more than a decade later, there are still a dozen Red states that have taken the five Republican justices up on their offer and refuse to expand the program. Those Republican-controlled states have also thrown hundreds of bureaucratic roadblocks to people getting any kind of state services, from food stamps to unemployment insurance to housing assistance.

“A scant safety net for working-age adults and the absence of universal healthcare have privatized risk, tying health more closely to personal wealth and employment” that leads to early deaths, reported the researchers.

— A collaborative research project between the University of Texas and the University of Toronto published in The Journal of the American Medical Association found that the Red state preference for deregulation and a lack of oversight: 

“…explained 9.2% of an enrollee’s odds of receiving prolonged opioids… The correlation between a county’s Republican presidential vote and the adjusted rate of … prolonged opioid use was 0.42 (P<.001). In the 693 counties with adjusted rates of opioid prescription significantly higher than the mean county rate, the mean Republican presidential vote was 59.96%, vs 38.67% in the 638 counties with significantly lower rates.”

— Cancer alley is alive and well in Texas and Louisiana thanks to Republican governments’ in those states refusal to enforce environmental regulations that would keep carcinogens out of the air and water.

— A child living in Mississippi is ten times more likely to die from gunshot than a child in Massachusetts because Republicans in Mississippi refuse to adopt rational, constitutional gun control regulations like Massachusetts has had for decades.

— Obesity and the diabetes, heart disease, and strokes associated with it are vastly more prevalent and thus deadly in Red states than Blue states because so many more people are living in poverty in Red states and junk food is cheaper than healthy food.

— Twenty-nine states, encompassing virtually all the nation’s Red states, have no state-level workplace safety agencies; those only exist in 21 mostly Blue states. As a result, Red Wyoming has 10.4 workplace deaths per 100,000 workers while Blue Rhode Island only has 1.0 deaths per 100,000 workers.

“Additionally, lax regulation of opioids, firearms, environmental pollutants, unhealthy foods, and workplace safety has contributed to elevated US mortality, particularly among lower-educated and lower-income people” wrote the researchers about unnecessary/early deaths in America.

When The Washington Post looked into the differences between Red and Blue states, what they found was shocking. 

For example, noted the authors:

“Ohio sticks out — for all the wrong reasons. Roughly 1 in 5 Ohioans will die before they turn 65, according to Montez’s analysis using the state’s 2019 death rates. The state, whose legislature has been increasingly dominated by Republicans, has plummeted nationally when it comes to life expectancy rates, moving from middle of the pack to the bottom fifth of states during the last 50 years, The Post found. Ohioans have a similar life expectancy to residents of Slovakia and Ecuador, relatively poor countries.”

While it would be easy and glib to say that Republican politicians want the citizens of their states to die young, the simple truth is that they don’t care: their priority, instead, is the profitability of the companies in their states and keeping the taxes on their oligarchs low.

Author Mark Jacob noted on Xitter: 

“Voting for Republicans is like eating poison.”

In fact, eating poison is a choice. Most people trapped in Red states, though, don’t have the means or ability to move to a Blue state because they’ve been denied a good education, are saddled with medical debt, and/or haven’t made enough at their work to afford the transition.

Blue states, for their part, are fighting back on behalf of their citizens. As Bernie’s poverty advisor Nikhil Goyal wrote for The New York Times:

Fourteen [Blue] states have adopted a state-level child tax credit, with many featuring a fully refundable provision so that families with little to no income can benefit. This year, New Mexico has expanded free preschool seats and made child care free for families earning up to four times the federal poverty rate — roughly $120,000 for a family of four.

“In the upcoming fiscal year, Minnesota will pour more than $250 million of additional funding into early childhood education to reduce the costs of child care and create thousands of new preschool slots. This includes $10 million to supplement funding of the federal Head Start program, which serves children up to the age of 5 and should be bolstered by states.

“Today, nine [Blue] states have universal free school breakfast and lunch on the books. Just last month, the governor of Illinois, J.B. Pritzker, established a $20 million initiative that will help fund grocery stores in food deserts.”

But every action draws a reaction, as Isaac Newton was quick to point out. Republicans are now trying to do to Blue states — to all of America — the same damage they’ve done to Red states over the past 40 years.

In the eleven months since Republicans have taken control of the US House of Representatives, child poverty in America has doubled. This is because Republicans in the House refused to renew programs Democrats put in place providing health care, food assistance, housing support, the child tax credit, and subsidized child care: all have now expired.

In the past 40 days, 3.2 million children lost access to healthcare, 70,000 childcare and preschool programs have closed, and the child tax credit has expired. So have the Supplemental Nutrition Assistance Program’s emergency allotments. As of yesterday, 10,046,000 Americans have been kicked off Medicaid, nearly all in Red states.

And it’s all intentional.

Republicans will proudly tell you it’s necessary to keep taxes low on their billionaire donors, and to prevent poor people from becoming “lazy.” Speaker MAGA Mark Johnson will tell you that it’s the Christian way, just like trashing queer people and forcing 10-year-old rape victims to carry their pregnancies to term.

Welcome to the 2023 GOP and their plans to “deconstruct the administrative state” and drag America back to the 19th century.

Mark Jacob was right about the poison part. But instead of Republican voters eating it, their politicians are determined to force it down the throats of all of us, our children, and our grandchildren.

Meredith Lee Hill of Politico reports that House Republicans are itching to cut the food stamp program, but running into opposition from Democrats and farm-state Republicans.

Mike Johnson‘s new role as House speaker heightens the chances of a major political clash next year over one of the nation’s largest welfare programs and the government’s preeminent aid package for farmers and rural America.

The fallout is likely to reverberate in countless congressional races, not to mention President Joe Biden’s attempts to win back rural votersin the 2024 presidential race.

Johnson, more so than previous Speaker Kevin McCarthy, is a proponent of more hardline GOP efforts to overhaul the Supplemental Nutrition Assistance Program, the country’s largest anti-hunger program that serves 41 million low-income Americans. As a senior member of the conservative-leaning Republican Study Committee, Johnson backed proposals to roll back food aid expansions under Biden and block states from exempting some work requirements for SNAP, formerly known as food stamps. In 2018, Johnson referred to SNAP as “our nation’s most broken and bloated welfare program.”

Now, the RSC, Freedom Caucus hardliners and other Republicans are pressing to include similar measures in the next farm bill. Such a move would upend the fragile bipartisan coalition needed to pass the legislation — a blow to House Republicans who represent the majority of rural and farm districts, including Johnson, as well as more centrist GOP members who will be fighting for their political lives in 2024.

Open the link to read more.

Didn’t Jesus say something about feeding the hungry and clothing the needy? Why do these people rattle on about Christianity but ignore the words of its leader?

Nancy Flanagan thought, as I did, that most parents would be happy to send their children to school when the pandemic ended (note: it’s not really ended). But neither of us anticipated what really happened.

This is an excerpt from a longerpiece. You should read it all.

Flanagan writes:

Here are eight pandemic-driven outcomes impacting the functioning of public schools, as the health crisis fades.

1. Vaccination rates, already worrisomely dropping, now have hit their lowest point since 2011, in spite of laws requiring vaccinations for schoolchildren. You have to ask yourself why parents are not eagerly seeking a vaccination that undoubtedly saved countless lives and reduced hospitalizations: Health officials attributed a variety of factors to this drop in vaccinations, including families being less likely to interact with their family doctor during the pandemic and a “spill-over” effect from misinformation around the COVID-19 vaccine. 

2. Book banning, an issue that schools have perennially wrestled with, especially in conservative communities, has now spread to public libraries.  ALA President Emily Drabinski explained that while “attacks on libraries right now are shaped and framed as attacks on books” these efforts are really “attacks on people and attacks on children.” In retaliation for advocating against book bans, some conservative states — including MontanaMissouri and Texas — have announced they are “severing ties with the ALA.”

3. The four-day workweek and remote work elbowed their way into traditional M-F/face to face classrooms at the same time they were conceived as the solution to keeping a workplace open during a pandemic. For schools in rural areas where transportation eats up budgets, fewer schooldays and more Zoom classes can keep public schools aliveHybrid work arrangements have killed the return-to-office hype. Employees equate a mix of working in the office and working from home to an 8 percent raise. They don’t have to deal with the daily hassle and costs of a commute. Remote work saves companies money. It cuts overhead, boosts productivity and is profitable. And what is profitable in a capitalist economy sticks. Remote work also has major benefits for society, including improving the climate by cutting billions of miles of weekly commuting and supporting families by liberating parents’ time.

4. Higher education also seems to be undergoing a metamorphosis, as high school graduates and returning-to-school adults have reassessed the value of a college degree: In a study conducted by the U.S. Census Bureau, the majority of adults who had household members enrolled in college for the fall 2021 term said that their school plans changed.

32% said their classes would occur in different formats.

16% canceled all plans to attend.

12% took fewer classes.

It goes without saying that what impacts our colleges and universities will trickle down to K-12 public schools.

5. Shifts in the need for labor and workforce development have impacted the need for teachers, and what teachers are willing to work for, especially in long-term careers in education. Perhaps Sean Fain, leader of the UAW best expressed this: “Our fight is not just for ourselves but for every worker who is being undervalued, for every retiree who’s given their all and feels forgotten, and for every future worker who deserves a fair chance at a prosperous life. We are all fed up of living in a world that values profits over people. We’re all fed up with seeing the rich get richer while the rest of us continue to just scrape by. We’re all fed up with corporate greed. And together, we’re going to fight to change it.”

6. The incessant media drumbeat of “learning loss” has persuaded people that test scores are more reliable than our own observations about what students are learning, how they’re progressing. From a brilliant article in Rethinking Schools: Shifting blame away from the for-profit healthcare system and the government’s response to the coronavirus is part of what makes the learning loss narrative so valuable to politicians who have no interest in challenging existing patterns of wealth and power. It is a narrative meant to distract the public and discipline teachers. Here’s the recipe: 1. Establish that closing schools hurt students using a narrow measure like test scores; 2. Blame closure of schools on teacher unions rather than a deadly pandemic; 3. Demand schools and teachers help students “regain academic ground lost during the pandemic” — and fast; 4. Use post-return-to-normal test scores to argue that teachers and schools are “failing”; 5. Implement “teacher-proof” (top-down, standardized, even scripted) curriculum or, more insidiously, argue for policies that will mean an end to public schools altogether. 

7.  School leaders and the education community, used to hard-trimming back budgets year after year, have now witnessed unprecedented levels of greed and corruption in corporate and political circles, taking tax dollars away from struggling schools.  From Heather Cox Richardson’s August 24th newsletter:  The Department of Justice is bringing federal criminal charges against 371 defendants for offenses related to more than $836 million in alleged COVID-19 fraud, most of it related to the two largest Small Business Administration pandemic programs: the Paycheck Protection Program and Economic Injury Disaster Loans. It’s hard not to wonder how many library books, STEM kits and teachers that $836 million could have bought, as we all rebound from disaster.

8. A mishandled pandemic will likely be followed by political unrest—or, at least, uncertainty. In Ottawa County, Michigan, always a solidly red, conservative county, the 2022 election overturned a more moderate governing board and put in place a collection of people who were angry—furious, in fact– about what happened during the pandemic. Here’s a well-written, balanced story on the impact this political shift is having on people in Ottawa County—a young woman who delivers food to families who need it, a local health department administrator, and other essential programs:

Florida is not a healthy place for children, thanks to Governor Ron DeSantis. In his zeal to show that he favors parents’ rights more than anyone else. Children in Florida used to be checked for vision, hearing, and other health issues as a matter of course, but no longer. Before they may be screened, a parent must provide written authorization.

Leslie Postal and Caroline Catherman write in The Orlando Sentinel:

Florida’s public schools historically have checked thousands of students a year for vision, hearing and growth problems, hoping to catch early health issues that can impede academic achievement.

But the number of students in Orange and Seminole public schools screened last year plummeted after Florida passed a new law that requires parents to give written permission for their children to take part in school-based health screenings, data from the state and the school districts show.

Orange County Public Schools, for example, screened nearly 55,000 students for vision problems during the 2021-22 school year but fewer than 14,000 students during the 2022-23 school year, a drop of nearly 75%.

Seminole County Public Schools screened about 7,100 students for vision problems last school year down from nearly 18,000 the prior year…

Florida’s Parental Rights in Education law — dubbed “don’t say gay” by critics because it limits instruction about sexual orientation or gender identity — was first adopted in 2021 and then expanded in 2022 and 2023.

It requires parents to provide written consent for medical procedures, including school health screenings and clinic treatments such as ice packs and bandages. It also means schools must request written parent permission for students to be called nicknames, attend school pep rallies or join after-school clubs.

DeSantis is a danger to public health.

At present, about half of all retirees are enrolled in a Medicare Advantage plan. MA takes the place of Medicare. In this article, Thom Hartmann explains why Medicare Advantage is a very bad deal. In New York City, the city administration and the municipal unions (!) are trying to push 250,000 retirees into a Medicare Advantage plan instead of Medicare. The retirees have formed an organization and have fought back in court. The city says that switching to MA will save $600 million a year. The retirees won the last round in court. To learn more, go to the website of the New York City Organization of Public Service Employees. (NYCRetirees.org).

He writes:

President George W. Bush and Republicans (and a handful of on-the-take Democrats) in Congress created the Medicare Advantage scam in 2003 as a way of routing hundreds of billions of taxpayer dollars into the pockets of for-profit insurance companies.


Those companies, and their executives, then recycle some of that profit back into politicians’ pockets via the Citizens United legalized bribery loophole created by five corrupt Republicans on the Supreme Court.


Just the overcharges happening right now in that scam are costing Americans over $140 billion a year: more than the entire budget for the Medicare Part B or Part D programs. These ripoffs — that our federal government seems to have no interest in stopping — are draining the Medicare trust fund while ensnaring gullible seniors in private insurance programs where they’re often denied life-saving care.


Real Medicare pays bills when they’re presented. Medicare Advantage insurance companies, on the other hand, get a fixed dollar amount every year for each of the people enrolled in their programs, regardless of how much they spent on each customer.


As a result, Medicare Advantage programs make the greatest profits for their CEOs and shareholders when they actively refuse to pay for care, something that happens frequently. It’s a safe bet that nearly 100 percent of the people who sign up for Advantage programs don’t know this and don’t have any idea how badly screwed they could be if they get seriously ill.


Not only that, when people do figure out they’ve been duped and try to get back on real Medicare, the same insurance companies often punish them by refusing to write Medigap plans (that fill in the 20% hole in real Medicare). They can’t do that when you first sign up when you turn 65, but if you “leave” real Medicare for privatized Medicare Advantage, it can be damn hard to get back on it.


The doctors’ group Physicians for a National Health Program (PNHP) just published a shocking report on the extent of the Medicare Advantage ripoffs — both to individual customers and to Medicare itself — that every American should know about.


The report, titled Our Payments, Their Profits, opens with this shocking exposé:

“By our estimate, and based on 2022 spending, Medicare Advantage overcharges taxpayers by a minimum of 22% or $88 billion per year, and potentially by up to 35% or $140 billion. By comparison, Part B premiums in 2022 totaled approximately $131 billion, and overall federal spending on Part D drug benefits cost approximately $126 billion. Either of these — or other crucial aspects of Medicare and Medicaid — could be funded entirely by eliminating overcharges in the Medicare Advantage program.

“Medicare Advantage, also known as MA or Medicare Part C, is a privately administered insurance program that uses a capitated payment structure, as opposed to the fee-for-service (FFS) structure of Traditional Medicare or TM. Instead of paying directly for the health care of beneficiaries, the federal government gives a lump sum of money to a third party (generally a commercial insurer) to ‘manage’ patient care.”

With real Medicare and a Medigap plan, you talk with your physician or hospital and decide on your treatment, they bill Medicare, and you never see or hear about the bill. There is nobody between you and your physician or hospital and Medicare only goes after the payment they’ve made if they sniff out a fraud.

With Medicare Advantage, on the other hand, your insurance company gets a lump-sum payment from Medicare every year and keeps the difference between what they get and what they pay out. They then insert themselves between you and your doctor or hospital to avoid paying for whatever they can.

Whatever you decide on regarding treatment, many Advantage insurance company will regularly second-guess and do everything they can to intimidate you into paying yourself out-of-pocket. Often, they simply refuse payment and wait for you to file a complaint against them; for people seriously ill the cumbersome “appeals” process is often more than they can handle.

As a result, hospitals and doctor groups across the nation are beginning to refuse to take Medicare Advantage patients. California-based Scripps Health, for example, cares for around 30,000 people on Medicare Advantage and recently notified all of them that Scripps will no longer offer medical services to them unless they pay out-of-pocket or revert back to real Medicare.

They made this decision because over $75 million worth of services and procedures their physicians had recommended to their patients were turned down by Medicare Advantage insurance companies. In many cases, Scripps had already provided the care and is now stuck with the bills that the Advantage companies refuse to pay.

Scripps CEO Chris Van Gorder told MedPage Today:

“We are a patient care organization and not a patient denial organization and, in many ways, the model of managed care has always been about denying or delaying care – at least economically. That is why denials, [prior] authorizations and administrative processes have become a very big issue for physicians and hospitals…”

Similarly, the Mayo Clinic has warned its customers in Florida and Arizona that they won’t accept Medicare Advantage any more, either. Increasing numbers of physician groups and hospitals are simply over being ripped off by Advantage insurance companies.

Not only is the Medicare Advantage scam a screw job for healthcare providers and people who are on the programs and are unfortunate enough to get sick, it’s also preventing Americans from getting expanded benefits from real Medicare.

As the PNHP report notes, for real Medicare to provide comprehensive vision, dental, and hearing benefits to all Medicare recipients would cost the system around $84 billion a year, according to the Congressional Budget Office.

Instead, though, the Medicare system is burdened with at least that amount of money in over-payments to Medicare Advantage providers — over-payments that have no health benefit whatsoever and merely inflate the companies’ profits.

A hundred billion dollars in excess profits can be put to a lot of uses, and the health insurance industry is quite good at it. The former CEO of UnitedHealth, “Dollar” Bill McGuire, for example, made off with over $1.5 billion dollars for his efforts.

And, because five corrupt Republicans on the Supreme Court legalized political bribery with their Citizens United decision, some of these companies allocate millions every year (a mere drop in the bucket) to pay off loyal members of Congress and to dangle high-paying future jobs to high-level employees of CMS who have the power to keep the gravy train going and thwart prosecutions.

As PNHP noted:

“Medicare Advantage is just another example of the endless greed of the insurance industry poisoning American health care, siphoning money from vulnerable patients while delaying and denying necessary and often life-saving treatment. While there is obvious reason to fix these issues in MA and to expand Traditional Medicare for the sake of all beneficiaries, the deep structural problems with our health care system will only be fixed when we achieve improved Medicare for All.”

We’re on the edge of the open enrollment period for Medicare, and the Advantage scammers will be carpet-bombing America with advertisements over the next few months. Representatives Pocan, Khanna, and Shakowsky have introduced the “Save Medicare Act” that would ban Advantage companies from using the word Medicare in their advertising.

They made a video about it that’s well worth sharing with friends and family:

As Shakowsky, Khanna, and Pocan note, “Only Medicare is Medicare.” Don’t be fooled by the Medicare Advantage scam.

And now that you know, pass it on and save somebody else’s health!

Readers of this blog are well aware that Florida Governor DeSantis is running for the Republican nomination as an extremist on key issues like his opposition to abortion, to COVID vaccines, and to gays.

His views don’t seem to be helping his campaign. He keeps falling further behind Trump. It just goes to show that no one can run to Trump’s right.

The Miami Herald editorial board has had enough. They published a scathing editorial lambasting DeSantis for his appeals to ignorance and bigotry. In Florida, people are free to ignore science and “free” to get sick. Free to be ignorant and free to be a bigot.

Florida’s extremism has come home to roost. The Sunshine State has the distinction of championing misinformation on COVID-19 vaccines and intolerance on book bans.

Just as Gov. Ron DeSantis’ administration recommended people under age 65 do not get the new COVID-19 vaccine boosters, the state led the country in coronavirus hospitalizations.

During the week ending Sept. 9, Florida’s hospitalization rate reached 10.65 per 100,000 residents, Politico reported. That’s a small number compared to the peak of the pandemic, but emblematic of how Floridians have paid the price for the ignorance DeSantis has labeled “freedom.”

While his hand-picked surgeon general didn’t rule out vaccinations for those most vulnerable to the virus, people ages 65 and up, he left enough room for anti-vax fears to set in. He recommended they consult with their healthcare providers, including about“potential concerns” he’s raised about the shots that have saved nearly 20 million lives worldwide, according to a study published last year.

DeSantis’ hope is that his approach to the pandemic — ignoring and ridiculing mainstream public health recommendations — will help his presidential campaign resurface in the polls. But, as Politico reported last week, the pandemic, once a driving issue among Republicans, doesn’t appear to be top of mind for voters anymore.

When blue states were shutting down businesses, mandating masks and closing schools, DeSantis could draw a clear contrasting line. But now that most of the country has moved on from strict restrictions, all DeSantis has left is his dangerous rhetoric against vaccines. If elected president, he told ABC News he wouldn’t support further federal funding for immunizations.

Florida is no beacon of freedom as the governor is selling it to the rest of the nation. We have become the poster child for what happens when ideas leave the fringes of political discourse and are instituted as public policy.

Florida also is No. 1 — and by far — in taking books off school shelves.

Of 3,362 instances of book bans in public schools in the United States, 40% took place in the Sunshine State, according to a tally by PEN America, a nonprofit that advocates for freedom of expression. Most book removals in the country were classified as “banned pending investigation,” meaning a book has been removed during review, the Herald reported.

Thanks to Florida’s expanded law known as “Don’t say gay,” any resident can object to instructional or library materials and get them removed until a school district conducts an investigation. The law also prohibits instruction on sexual orientation and gender identity and has driven groups to request banning books dealing with LGBTQ issues.

DeSantis has also signed laws to restrict how teachers speak about race and racism. His appointees, in their takeover of New College of Florida in Sarasota, voted to eliminated a major deemed too “woke,” gender studies.

This is Florida, where knowledge is restricted and free thinking is admonished. But you’re free to spew as much dangerous information to the public — the crazier and more conspiratorial, the better.

This time, it doesn’t feel good to be No. 1.

Please don’t make America like Florida!

Jamelle Bouie is an amazing columnist for the New York Times. if you sign up for his extended column, you get fascinating insights, plus a list of what he’s reading now and even a recipe. This column caught my eye because I was thinking about writing a post about how some counties in Texas are criminalizing travel on roads that lead to the airport or out of state if the traveler intends to get an abortion. They are planning to suspend freedom to travel in order to block abortions. But then I saw that Jamelle Bouie wrote about the same subject, noting that it extended beyond Texas, and drew a parallel with slavery, where different states had different laws regulating human bondage.

Bouie wrote:

One of the ironies of the American slave system was that it depended for its survival on a federal structure that left it vulnerable and unstable.

Within the federal union, the slave-dependent states had access to a national market in which they could sell the products of slave labor to merchants and manufacturers throughout the country. They could also buy and sell enslaved people, as part of a lucrative internal trade in human beings. Entitled to representation under the supreme charter of the federal union, slave owners could accumulate political power that they could deploy to defend and extend their interests. They could use their considerable influence to shape foreign and domestic policy.

And because the states had considerable latitude over their internal affairs, the leaders of slave-dependent states could shape their communities to their own satisfaction, especially with regard to slavery. They could, without any objection from the federal government, declare all Black people within their borders to be presumptively enslaved — and that is, in fact, what they did.

But the federal union wasn’t perfect for slaveholders. There were problems. Complications. Free-state leaders also had considerable latitude over their internal affairs. They could, for example, declare enslaved Black people free once they entered. And while leaders in many free states were unhappy about the extent of their free Black populations — in 1807, as the historian Kate Masur tells us in “Until Justice Be Done: America’s First Civil Rights Movement, From the Revolution to Reconstruction,” Ohio lawmakers passed a law requiring free Black migrants to register with the county clerk and have at least two white property owners vouch for their ability to support themselves — they ultimately could not stop the significant growth of free Black communities within their borders, whose members could (and would) agitate against slavery.

The upshot of all of this was that, until the Supreme Court’s decision in Dred Scott v. Sandford settled the matter in favor of slaveholders, the status of an enslaved Black person outside a slave state was uncertain. It was unclear whether property in man extended beyond the borders of states where it was authorized by law.

It was also unclear whether a slave state’s authority over an enslaved Black person persisted beyond its borders. And on those occasions when a free Black person was within the reach of slave-state law — as was true when free Black sailors arrived in Southern ports — it was unclear if they were subject primarily to the laws of their home states or the laws of the slave states. South Carolina assumed the latter, for example, when it passed a law in 1822 requiring that all “free Negroes or persons of color” arriving in the state by water be placed in jail until their scheduled departure.

One would have to conclude, surveying the legal landscape of slavery before Dred Scott, that federalism could not handle a question as fundamental as human bondage. The tensions, contradictions and conflicts between states were simply too great. As Abraham Lincoln would eventually conclude, “A house divided against itself cannot stand. I believe this government cannot endure, permanently half slave and half free. I do not expect the Union to be dissolved — I do not expect the house to fall — but I do expect it will cease to be divided. It will become all one thing or all the other.”

I want you to keep all this in mind while you read about the latest developments in state and local laws regarding abortion. On Monday, Steve Marshall, Alabama’s Republican attorney general, announced in a court filing that the state has the right to prosecute people who make travel arrangements for women to have out-of-state abortions. Those arrangements, he argued, amount to a “criminal conspiracy.”

“The conspiracy is what is being punished, even if the final conduct never occurs,” Marshall’s filing states. “That conduct is Alabama-based and is within Alabama’s power to prohibit.”

In Texas, anti-abortion activists and lawmakers are using local ordinances to try to make it illegal to transport anyone to get an abortion on roads within city or county limits. Abortion opponents behind one such measure “are targeting regions along interstates and in areas with airports,” Caroline Kitchener reports in The Washington Post, “with the goal of blocking off the main arteries out of Texas and keeping pregnant women hemmed within the confines of their anti-abortion state.”

Alabama and Texas join Idaho in targeting the right to travel. And they aren’t alone; lawmakers in other states, like Missouri, have also contemplated measures that would limit the ability of women to leave their states to obtain an abortion or even hold them criminally liable for abortion services received out of state.

The reason to compare these proposed limits on travel within and between states to antebellum efforts to limit the movement of free or enslaved Black people is that both demonstrate the limits of federalism when it comes to fundamental questions of bodily autonomy.

It is not tenable to vary the extent of bodily rights from state to state, border to border. It raises legal and political questions that have to be settled in one direction or another. Are women who are residents of anti-abortion states free to travel to states where abortion is legal to obtain the procedure? Do anti-abortion states have the right to hold residents criminally liable for abortions that occur elsewhere? Should women leaving anti-abortion states be considered presumptively pregnant and subject to criminal investigation, lest they obtain the procedure?

Laws of this sort may not be on the immediate horizon, but the questions are still legitimate. By ending the constitutional guarantee of bodily autonomy, the Supreme Court has fully unsettled the rights of countless Americans in ways that must be resolved. Once again, a house divided against itself cannot stand.

Florida Governor Ron DeSantis told a story during the GOP debate about a baby who survived multiple attempts to abort her, presumably to justify his near-total ban on abortions (after six weeks). But the Miami Herald reported the true story, which is very different from DeSantis’ version. The event occurred long before abortion was legal, and the person who tried to abort the baby with a coat hanger was the baby’s father.

The story was reported by Julie K. Brown with the aid of Sarah Blaskey, investigative reporters for the Miami Herald and was based on statements previously recorded by Penny Hopper, contemporaneous newspaper articles, public records and an interview with a family member who asked not to be identified. The DeSantis campaign did not respond to a request for comment.

At Wednesday’s Republican candidates debate, during a discussion of late-term abortion, Gov. Ron DeSantis told a horrific but puzzling story.

“I know a lady in Florida named Penny,” the GOP presidential candidate said. “She survived multiple abortion attempts. She was left discarded in a pan. Fortunately, her grandmother saved her and brought her to another hospital.”

Critics of the governor flocked to social media to suggest the “Penny” story was made up or wildly embellished. Supporters countered that liberals were triggered by an ugly truth.

Penny is real and her last name is Hopper. But DeSantis failed to note key details from her remarkable story: The person who tried to end Penny’s life in the womb was not a doctor or even an illegal abortion provider — it was her father. And his effort to abort his daughter with a coat hanger took place almost two decades before the Supreme Court’s seismic Roe v. Wade decision, which established a woman’s right to an abortion…

Miriam “Penny” Hopper’s story begins in 1955, in a hospital in Wauchula, a small farming town in Central Florida. News reports at the time described her as a miracle baby, born weighing 1 pound, 11 ounces. She was so tiny that the nurses initially had to feed her with a dropper.

Her now-deceased father, Charles Wesley Browder Sr., was a U.S. Army sergeant during World War II who served on the front lines in Europe when he was just 20. His family said he was a “scout” who performed advance reconnaissance missions before being wounded, captured and tortured by the Germans. Military records show he was discharged with honors in 1945 and was awarded four Bronze Stars in addition to a Purple Heart, a Good-Conduct Medal and the World War II Victory Medal.

Charles married Glenda Marie Pierce, and they settled in Wauchula, Florida, about 75 miles from Tampa.

In 1953, birth records show, Hopper’s parents had a son, Charles Browder Jr., who was born at Walker Memorial Hospital in nearby Avon Park. At the time of the 1950 census, Glenda worked as a receptionist in a doctor’s office, and Charles was a salesman. Hopper’s mother soon became pregnant with her second child, also a boy. In a video posted on YouTube several years ago by a group called “Florida Right to Life,” Hopper said that she learned later that her father had used the coat hanger to abort her mother’s second child. It is one of at least two videos on the Internet relating her story, although the videos differ on some details.

When her mother became pregnant a third time with her, Penny Browder said her father returned to the same method in an attempt to end the pregnancy, later explaining to his daughter that he was earning only $125 a week, which he felt wasn’t enough to support a larger family.

Browder’s mother developed complications during the coat-hanger procedure. The couple rushed to a nearby medical facility in the middle of the night, with her mother very ill and bleeding. In the video interviews, Hopper said her parents were met at the clinic by a doctor in his pajamas. He examined her mother — and concluded that the fetus had no heartbeat. He advised the couple to abort the baby, telling them the child would likely be stillborn.

“If it lives, it will be a burden on you your whole life,” the doctor allegedly said. He used saline and injected her mother with a drug, then left, instructing the nurse to “discard the baby dead or alive,” Hopper said in a video interview, a segment that was to be incorporated into a TV commercial by the anti-abortion group “Faces of Choice.” It can be found on YouTube.

When the baby arrived shortly after 3 a.m., the nurse wrapped her in a towel and placed her in a pan, Penny Hopper said one video. In the other, Hopper said her mother told her the baby was placed in a basket.

The following day, Glenda’s mother and aunt came to check on her at the clinic, where she was recuperating. They found the baby outside on a back porch, unwrapped her, and discovered she was alive, Hopper said.

“My grandmother was so upset she called the local police,” she said.

A news clipping incorporated into a video segment said the baby was transported from the medical facility in Wauchula to what was then Morrell Regional Hospital in Lakeland. The news clipping, which isn’t labeled, seems to partially contradict Hopper’s story, as it states that the doctors at the Wauchula facility “put forth greater efforts to keep the 1 pound, 11 ounce baby alive.” The story said the child was on the “brink of death” when she was transported to Lakeland, with a police escort that crashed on the way to the hospital.

The Tampa Tribune from Nov. 29, 1955, reported on the crash, saying the baby had been born premature that morning. The infant was placed in an incubator, where she remained for four months. Hopper, however, said that while she was in the hospital her father tried to disconnect her from the incubator because he was upset at how much the care was costing. The hospital summoned the police to restrain him, Hopper said in one of the interviews.

“He basically couldn’t stand the thought I was alive,” Hopper said.

In March 1956, she was finally strong enough to go home with her parents…

Anti-abortion groups use Penny Hopper’s story to demonstrate why abortion should be banned.

Pro-abortion groups use it to demonstrate why abortion should be safe and legal. Coat-hanger abortions will resume, and they endanger the life of the mother.

Read more at: https://www.miamiherald.com/news/politics-government/article278586634.html#storylink=cpy

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The Republicans continue their war against abortion, even though the majority in every state want to keep it legal. Few if any women realize they are pregnant at the six-week mark.

The South Carolina Supreme Court on Wednesday upheld the state’s new near-total ban on abortion by a 4-1 vote, reversing a decision it had made in January that struck down a similar ban and declared that the State Constitution’s protections for privacy included a right to abortion.

The court’s decision was not unexpected, because the makeup of the bench had changed, and Republicans in the State Legislature had passed a new abortion law in the hopes that it would find a friendlier audience with the new court. The decision in January was written by the court’s only female justice; she retired and South Carolina now has the nation’s only all-male high court.

The decision repeated what the justices said in January about a right to privacy in the State Constitution, but said the Legislature had addressed the concerns in the first law and “balanced” the interests of pregnant women with those of the fetus.

“To be sure, the 2023 Act infringes on a woman’s right of privacy and bodily autonomy,” Justice John Kittredge wrote for the majority.

But, he added, “We think it is important to reiterate: we are constrained by the express language in the South Carolina Constitution that prohibits only ‘unreasonable invasions of privacy.’

“The legislature has made a policy determination that, at a certain point in the pregnancy, a woman’s interest in autonomy and privacy does not outweigh the interest of the unborn child to live…”

Until now, South Carolina had allowed abortion until 22 weeks, which had increasingly made the state a haven for women seeking abortions as other Southern states banned the procedure.

Republicans said their next step would be a total ban on abortions.

The likely result: Wealthy and middle-income women who want an abortion will go to a state where it is legal. Poor women won’t be able to afford to make the trip. There will be more children born to poor mothers. In South Carolina, there is fervor to support the unborn but not the born.

The Republican debates, starting tonight, will attack President Biden relentlessly. Thom Hartmann has compiled a list of Biden’s accomplishments to counter the lies and exaggerations of Republican contenders for the nomination.

He writes:

The first Republican debate of the 2024 election cycle is tonight, and while all the drama seems focused on whether or not anybody beyond Chris Christie will take a serious swing at Trump, odds are most of the evening’s time will be devoted to trashing President Joe Biden.

So, to help keep you sane through all the lies and BS — and the fog you may be in by the end of the debate if your drinking game involved the word “woke” — here’s a quick summary* of the things that Biden has accomplished (with a little help from Democrats in Congress) in his first two-and-a-half years in office.

First of all, Joe Biden has restored trust, confidence, and faith in the honesty, credibility, and integrity of America. He doesn’t suck up to dictators like Trump did, and doesn’t lie to Americans or our allies. He’s restored independence to the Department of Justice and funding and support to regulatory agencies like the EPA.

Over united Republican opposition, the Biden administration has succeeded in lowering most Americans’ cost of living. The Inflation Reduction Act has reduced inflation to a full point lower than it was when Reagan was running his “Morning in America” ads in 1984 (unemployment is several points lower, too!).

Because of that law, for the first time, Medicare is able to negotiate the price of certain high-cost drugs: a month’s supply of insulin for seniors is capped at $35, Medicare beneficiaries pay $0 out of pocket for recommended adult vaccines, and seniors’ out of pocket expenses at the pharmacy will be capped at $2,000 a year.

America has just completed the strongest two years of job growth in the history of our country. Nearly 11 million jobs have been created since President Biden took office — including 750,000 manufacturing jobs. The unemployment rate is at a 50-year low, and a record number of small businesses have started since Biden took office. Black Americans and Hispanic Americans have near record low unemployment rates and people with disabilities are experiencing record low unemployment.

We’re experiencing a boom in manufacturing and the construction of manufacturing facilities like we haven’t seen since before the Reagan Revolution began offshoring American factories and jobs. Companies have invested more than $300 billion in good jobs, many of them unionized, as America’s technical capabilities sharpen along with this job growth.

Biden has expanded services available to our veterans (after Trump cut them), including 31 new clinical sites and a comprehensive program to help the estimated 5 million veterans who, like President Biden’s son Beau, have been exposed to toxic chemicals as a result of their service to our country.

President Biden brought together Democrats and Republicans to pass the Bipartisan Safer Communities Act, the first major piece of gun safety legislation in three decades. The law will save lives by:

— requiring young people ages 18 to 21 to undergo enhanced background checks; 
narrowing the “boyfriend loophole” to keep guns out of the hands of convicted dating partners;
— funding crisis interventions, including extreme risk protection orders (“red flag”) laws; 
— making significant investments to address the mental health crisis in America, including in our schools; 
— clarifying who needs to register as a federally licensed gun dealer and run background checks before selling a single weapon; 
— and making gun trafficking and straw purchases distinct federal crimes.

Over ten years ago, President Biden announced his support for marriage equality, becoming the highest-ranking U.S. government official to do so. Building on his longstanding support and generations of civil rights advocacy, President Biden signed historic bipartisan legislation protecting marriage for same-sex and interracial couples.

And the President took historic steps to advance full equality for LGBTQI+ Americans, including reversing the discriminatory ban on transgender servicemembers in the military, strengthening non-discrimination protections in health care, housing, education, and employment, and ensuring that transgender Americans can access government support and services.

Biden has put a more diverse group of people on the federal judiciary than any president in history. Sixty-six percent of his nominees have been women and 65 percent were people of color, including the Supreme Court’s first Black woman justice, Ketanji Brown Jackson.

After Putin declared war on democracy and launched a terrorist invasion of Ukraine, targeting civilians and using rape as a weapon of war, President Biden has brought the world together to stand up to a fascist autocracy and defend Europe’s largest democracy.

Following Trump’s humiliating groveling before Putin and attacks on NATO, the European Union, and our democratic allies around the world, President Biden has rebuilt the American alliances that have, in some cases, stood for over two centuries. Sweden and Finland have joined NATO, and China appears to be re-thinking their belligerent attitude toward Taiwan after last week’s meeting and agreements between the leaders of the US, South Korea, and Japan.

After Trump unilaterally closed all but one of our air bases in Afghanistan to maliciously make his successor’s job more difficult, the Biden administration ended the war in Afghanistan that George W. Bush and Dick Cheney had lied us into. He’s also decapitated the leadership of ISIS and El Qaeda.

Ever since six Republicans on the Supreme Court gutted American women’s right to abortion (and multiple Republicans are now trying to ban birth control), President Biden has stood up for women’s healthcare rights. He’s signed several Executive Orders to protect access to reproductive healthcare (including for our military). When 19 Republican state attorneys general demanded the healthcare records of women who’ve sought abortions in more than thirty states, Biden signed an Executive Order strengthening patient privacy.

The Biden administration rolled out a plan to cut as much as $20,000 from the debt carried by America’s student borrowers (student debt of these proportions, the direct result of the Reagan Revolution, does not exist in any other nation on Earth). When a Republican lawsuit before the Supreme Court blocked his efforts, he announced a plan to provide millions of borrowers with more affordable monthly student loan payments through changes to income-driven repayment plans.

While Red states still put people in prison for years for possessing a single marijuana cigarette, President Biden pardoned allAmericans who’ve ever been convicted of a federal pot offense. He’s more recently initiated a multi-agency review of the drug’s Schedule 1 status, with an eye to decriminalizing it nationwide.

After centuries of police violence against Black people and other minorities, Biden signed a landmark executive order on safe, effective, and accountable policing that mandated federal reforms such as banning chokeholds, restricting no-knock entries, creating a national police accountability database, and restricting the transfer of military equipment to local police departments.

Through over a hundred executive actions and the Inflation Reduction Act, President Biden has finally put America on course to cut our emissions in half by 2030 and to get to net-zero by 2050. He also protected more lands and waters in his first year than any President since John F. Kennedy.

While Republicans continue to strip people off Red state Medicaid rolls in their pursuit of cruelty, Biden expanded the Affordable Care Act. Millions can now find healthcare for $10 a month or less, and most Americans will see an Obamacare saving of an average of $800 a year.

Since he took office, there has been a combined 50 percent increase in enrollment in states that use HealthCare.gov and the nation’s uninsured rate is historically low at 8 percent. Over 16 million Americans signed up for quality, affordable health coverage, the highest number ever produced in an Obamacare open enrollment period.

Perhaps the most important accomplishment of President Biden has been re-aligning the Democratic Party with its progressive base. Biden worked hand-in-hand with Senate Budget Committee Chair Bernie Sanders to put forward a sweeping progressive agenda involving an investment of over $5 trillion in America and American working people.

Although united opposition from Republicans and a handful of sellout Democrats (including Manchin, Sinema, and the “corporate problem solvers”) forced him to cut the program back, it is still revolutionary given the past 40 years of bipartisan embrace of neoliberalism. 

Reversing the anti-organized-labor trend started by Reagan that continued through the Bush, Clinton, Bush, Obama, and Trump administrations, President Biden has aggressively promoted unions and unionization as essential to the future of working people in America.

President Biden also worked with and helped Nancy Pelosi pass through the House the For The People Act, which would have rolled back much of Citizens United and ended most Republican voter suppression by asserting Americans’ absolute right to vote. Had he not been betrayed by Manchin and Sinema, it would now be law.

The Congressional Progressive Caucus (founded by Bernie) has gone from the handful of members (fewer than 10) it was when I did fundraisers for them more than a decade ago to being one of the strongest and largest in Congress (104 members right now). While this isn’t Biden’s doing and much credit goes to its members, Biden is the first Democratic president since LBJ to fully embrace progressives in Congress and fast-track their legislation. 

Biden has also:

— Set new policies to reduce super pollutants like HFCs and methane to protect communities and reduce emissions fueling climate change
— Advanced cutting-edge research on cancer and other diseases through the ARPA-H initiative
— Signed legislation to put more cops on the beat and invest in community policing
— Signed the Electoral Count Act, which takes long overdue steps to protect the integrity of our elections
— Lowered the cost of hearing aids by making them available over the counter
— Created more manufacturing jobs in 2022 than in any single year in nearly 30 years
— Signed an Executive Order to encourage competition across industries
— Took action to lower energy costs for families
— Lowered seniors’ health care expenses, including by capping out of pocket expenses on prescription drugs for seniors at $2,000 per year, ensuring that people enrolled in Medicare will not pay more than $35 for a month’s supply of insulin, and recipients will receive free vaccines
— Accelerated adoption of electric vehicles by reducing costs for families, jumpstarted the first national EV charging network, and made historic investments into EV batteries and materials
— Rejoined the Paris Agreement on day one to reassert the United States’ global leadership to combat the climate crisis
— Jumpstarted the American offshore wind industry and convened the nation’s first federal-state offshore wind partnership
— Set new policies to reduce super pollutants like HFCs and methane to protect communities and reduce emissions fueling climate change
— Lowered the deficit with the single largest annual reduction in American history
— Secured commitments from 20 leading internet providers to increase speeds and cut prices
— Signed legislation to reauthorize and strengthen the Violence Against Women Act
— Awarded the most ever federal contracting dollars to small businesses and disadvantaged small businesses
— Reignited the Cancer Moonshot with the goal of cutting the cancer death rate by at least half over the next 25 years
— Appointed a record number of women and people of color to serve in his Administration
— Hosted the first White House Conference on Hunger, Nutrition, and Health in over 50 years and released a National Strategy to end hunger and reduce diet-related diseases and disparities by 2030
— Awarded more than $1 billion to initiate cleanup and clear the backlog of 49 previously unfunded Superfund sites, over $250 million to clean up hundreds of contaminated brownfield sites, and $725 million for abandoned mine lands
— Restored protections for Bears Ears, Grand Staircase-Escalante, and Northeast Canyons and Seamounts National Monuments and designated Camp Hale-Continental Divide National Monument to conserve our lands and waters, honor our nation’s veterans, protect Tribal cultural resources, and support jobs and America’s outdoor recreation economy
— Signed an Executive Order on Improving Public Safety and Criminal Justice for Native Americans and Addressing the Crisis of Missing and Murdered Indigenous People
— Invested historic funding for Tribal governments and Native communities, and
— Mailed over 740 million free COVID-19 tests directly to tens of millions of Americans

Below are a set of handy memes you can copy and paste into social media if any of these accomplishments resonate with you or you want to back up claims you’re making online. Just right-click and choose to save, copy, or download them: they’re copyright free. 

Here’s to a fascinating (and, no doubt, infuriating) debate!

OPEN THE LINK TO SEE HARTMANN’S MEMES.