Archives for category: Health

John Ogozalek teaches in rural upstate New York.

He writes:

Let’s hope we dodge this bullet as a nation.

But it sounds like the COVID-19 pandemic is starting to go sideways.

What if schools close for weeks -if not months?

What will teachers do during this time off? (Assuming we’re not taking care of family in our own homes.)

And, let’s face it, the idea of teaching online just isn’t going to last long if at all for many K-12 schools. Seriously.

Here’s the thing…

Teachers represent an already organized, very locally based force -across the entire nation.

Instead of waiting for the federal government’s response to get organized (which under Trump’s leadership seems like a disaster in the making as valuable time slips by) perhaps our unions and school districts can get moving on this challenge right now.

Hopefully, we won’t be needed. But why not get ready to help?

I do not want to sit around my house if school is closed.

Could I volunteer with a local doctor? Check on shut ins?

At the minimum, schools can have meetings right now to make sure teachers and staff have accurate contact information including alternate means to communicate in case the internet is stressed. What happens to families who are lacking child care? And, those kids who rely on school lunch?

We can start to organize and at least offer our volunteer assistance to the government. A sort of “Teacher Force” at the ready for those of us who can lend a hand.

By moving forward without fear and working together maybe we can create a model for other groups? And, most importantly, offer some help to the children in our communities.

You have contact with people in charge of things in this country, especially union leaders.

I think this idea might get off the ground pretty quickly if an organization like NYSUT, for example, gets local presidents on it. Of course, we’d include administrators and anyone else in the school who wants to pitch in. We’d need a thoughtful template to respond effectively…a plan informed by public health experts. A package of possible options that local schools can consider and perhaps choose from.

Just an idea, Diane. Maybe the higher ups somewhere are already thinking in this direction?

If not, maybe we should….

 

 

John Cassidy of The New Yorker describes the most important broken promise in the Trump budget proposal. We should all fall to our knees and thank whatever deity we choose that the Democrats won control of the House of Representatives last fall. It is doubtful that even his own party would want to own these budget proposals, which slash the social safety net that so many millions of Americans depend upon. This budget enhances the Trump administration’s well-established reverse Robin Hood approach, robbing from the middle class and the poor while giving to the rich and corporations.

 

I’ve noted before that Donald Trump lives by a famous dictum from Joseph Goebbels, the Nazi propagandist: “When one lies, one should lie big, and stick to it.” (Goebbels attributed this tactic to the English.) And the President has outdone himself with his Administration’s new budget proposal for the 2020 fiscal year, which is entitled “A Budget for a Better America: Promises Kept. Taxpayers First.”

“Promises kept” has a particularly nice ring to it. Almost as nice as what Trump said on that fateful day, June 16, 2015, when he descended the escalator at Trump Tower. “Save Medicare, Medicaid, and Social Security without cuts,” he declared. “Have to do it.” Throughout the Republican primary campaign, Trump repeated this pledge many times and also accused his G.O.P. opponents of wanting to slash the three big entitlement programs. In the general-election campaign, he stuck to the same mantra. A few days before Election Day, he suggested that Hillary Clinton wanted to “destroy” Medicare, the public health-care system for the elderly, which she had vowed to expand, and claimed that he alone would “protect” it.

So how does the “Budget for a Better America” treat Medicare and the other programs that Trump vowed to safeguard at all costs? By calling for even larger cuts to them than the White House proposed this time last year, when it formally abandoned Trump’s campaign pledges. The budget for the 2019 fiscal year called for five hundred and fifty billion dollars in cuts to Medicare over ten years. With the budget deficit skyrocketing as a consequence of the Trump-G.O.P. tax bill, the 2020 budget would reduce spending on Medicare by eight hundred and forty-five billion dollars over the next decade. Even in Washington, that’s a lot of money.

The cuts to Medicare would be imposed as the budget allots billions of dollars a year in extra spending to the Pentagon and another $8.6 billion for Trump’s wall along the southern border. The economies would be achieved largely by reducing payments to doctors, hospitals, and other health-care providers, which could affect benefits and drive some providers to leave the program. Rather than spelling this out, the document adopts the language of Newspeak: “The Budget proposes to reduce wasteful spending and incentivize efficiency and quality of healthcare in Medicare, extending the solvency of the program for America’s seniors consistent with the President’s promise to protect Medicare.”

The budget treats Medicaid, the federal health program for poor people and children, in even more draconian fashion. Reflecting a long-standing priority of the Republican Party, the budget would convert Medicaid into a decentralized system administered by the states and financed by federal block grants. By indexing these grants to the consumer price inflation, which rises more slowly than inflation in the health-care sector, the budget would substantially reduce the federal-spending commitment going forward. In addition, it would eliminate funding that the Affordable Care Act provided for individual states to expand Medicaid to more recipients—funding that more than thirty states have taken advantage of in recent years.

Even for an ardently conservative administration like this one, you might think that would be enough cuts to health-care spending. No. The budget also proposes to eliminate some federal subsidies that the A.C.A. provided for the purchase of private insurance plans by people who aren’t quite poor enough to qualify for Medicaid. “The budget overall would cut funding for Medicaid and ACA subsidies by $777 billion over ten years, compared to current law,” Hannah Katch, an analyst at the Center on Budget and Policy Priorities, a liberal think tank, noted.

President Franklin Delano Roosevelt delivered his State of the Union address on January 11, 1944.

Seventy-five years ago today.

He included what was then called the “Economic Bill of Rights.”

It’s good to remember a time long ago when we had a national leader with a vision of a just and fair society, a vision that we remain very far from achieving. It’s good to remember a time when we had a national leader who was intelligent and articulate, surrounded by others who cared deeply about social and economic progress. It’s good to remember a time long ago when America meant something other than rampant individualism, greed, me-first, me-only, competition, and gun violence. It’s good to remember when America was motivated by ideals of the common good and the just and decent society. That was the America of my childhood. I miss it. I hope it can be recaptured.

FDR said:

It is our duty now to begin to lay the plans and determine the strategy for the winning of a lasting peace and the establishment of an American standard of living higher than ever before known. We cannot be content, no matter how high that general standard of living may be, if some fraction of our people—whether it be one-third or one-fifth or one-tenth—is ill-fed, ill-clothed, ill-housed, and insecure.

This Republic had its beginning, and grew to its present strength, under the protection of certain inalienable political rights—among them the right of free speech, free press, free worship, trial by jury, freedom from unreasonable searches and seizures. They were our rights to life and liberty.

As our nation has grown in size and stature, however—as our industrial economy expanded—these political rights proved inadequate to assure us equality in the pursuit of happiness.

We have come to a clear realization of the fact that true individual freedom cannot exist without economic security and independence. “Necessitous men are not free men.”[3] People who are hungry and out of a job are the stuff of which dictatorships are made.

In our day these economic truths have become accepted as self-evident. We have accepted, so to speak, a second Bill of Rights under which a new basis of security and prosperity can be established for all—regardless of station, race, or creed.

Among these are:

The right to a useful and remunerative job in the industries or shops or farms or mines of the nation;

The right to earn enough to provide adequate food and clothing and recreation;

The right of every farmer to raise and sell his products at a return which will give him and his family a decent living;

The right of every businessman, large and small, to trade in an atmosphere of freedom from unfair competition and domination by monopolies at home or abroad;

The right of every family to a decent home;

The right to adequate medical care and the opportunity to achieve and enjoy good health;

The right to adequate protection from the economic fears of old age, sickness, accident, and unemployment;

The right to a good education.

All of these rights spell security. And after this war is won we must be prepared to move forward, in the implementation of these rights, to new goals of human happiness and well-being.

America’s own rightful place in the world depends in large part upon how fully these and similar rights have been carried into practice for all our citizens. For unless there is security here at home there cannot be lasting peace in the world.

 

The Schott Foundation for Public Education is one of the small number of foundations that unabashedly supports public educations and understands its importance in a democratic society. Under the leadership of its dynamic president, John Jackson, it seeks not to privatize schools but to make them much, much better places for children to learn and grow to their full potential.

Schott recently developed a new measurement, which it calls “the loving cities index.” 

The brilliance of this measure is that it quantifies not test scores or other measures that can be corrupted and gamed, but measures the environment and those who hold the levers of power.

“As racism and hate continue to dominate the national dialogue, the Schott Foundation for Public Education released the Loving Cities Index, a multi-state report that aims to reverse historical local policies and practices rooted in racism and bias and replace them with policies that create local loving systems from birth and promote an opportunity to learn and thrive.

“By providing this new framework, the Loving Cities Index helps cities evaluate how well they are doing at providing all children – regardless of race, gender or zip code – with the supports and opportunities they need to learn and succeed. Noting that after decades of education reform, parental income remains the top predictor of student outcomes, the report challenges the notion that school-based reforms alone can provide students a fair and substantive opportunity to learn.

“The report also highlights a large and growing body of research showing a clear connection between economic and racial inequality and opportunity gaps in areas like housing, health care and community involvement. These issues lie outside of the traditional education realm, but are intimately linked to high school and college attainment.”

John McCain announced that he cannot vote for the Graham-Cassidy healthcare bill. Unless Lisa Murkowski of Alaska and Susan Collins of Maine change their votes, this bill is dead.

CNN reports:

Sen. John McCain announced Friday in a statement that he cannot “in good conscience” vote for the GOP’s latest plan to overhaul Obamacare, likely ending Republicans’ latest effort to repeal and replace the Affordable Care Act.

“I cannot in good conscience vote for the Graham-Cassidy proposal,” the Arizona Republican said in a statement. “I believe we could do better working together, Republicans and Democrats, and have not yet really tried. Nor could I support it without knowing how much it will cost, how it will (affect) insurance premiums, and how many people will be helped or hurt by it. Without a full CBO score, which won’t be available by the end of the month, we won’t have reliable answers to any of those questions.”

McCain’s “no” vote makes it very likely Republicans won’t be able to repeal and replace Obamacare before September 30, as Sen. Rand Paul of Kentucky said he would not back the effort and Sen. Susan Collins of Maine is also expected to vote “no” on the proposal.

Republicans need at least 50 votes to pass the measure under the process of reconciliation.

McCain was one of three most-watched members on the fence and considered a key vote on the bill. Without his support, Republicans would need to get Sen. Lisa Murkowski, a Republican from Alaska, as well as Collins to sign on. It’s unlikely considering the fact that Collins said Friday afternoon that she was leaning against the bill and had key concerns that the legislation did not do enough to protect individuals with pre-existing conditions.

Eugene Robinson of the Washington Post warns that the Graham-Cassidy plan to repeal and replace the Affordable Care Act is the worst GOPplan yet.

“The GOP’s efforts to repeal and replace the Affordable Care Act have undergone a process of devolution, with each new bill worse than the last.

“The measure that the Senate plans to vote on next week essentially takes away most of the protections, benefits and funding of the ACA, but leaves in place most of the taxes.


“That’s supposed to be good politics? Seriously?
In his desperate haste, Majority Leader Mitch McConnell (R-Ky.) has decided not to wait for the nonpartisan Congressional Budget Office to analyze the bill before bringing it to the Senate floor. The CBO estimated that July’s Better Care Reconciliation Act, which would have repealed the ACA with a vague promise to replace it later, would have caused 32 million people to lose health insurance coverage. Some outside experts fear the impact of this new bill could be even worse.


“I should acknowledge that the measure — sponsored by Sens. Bill Cassidy (R-La.), Lindsey O. Graham (R-S.C.), Dean Heller (R-Nev.) and Ron Johnson (R-Wis.) — would do one popular thing: Eliminate the requirement that individuals purchase health insurance or pay a fine.

“But the list of things that people surely won’t like is staggering.


“Perhaps chief among them is that the bill eliminates the ACA’s guarantee of affordable health insurance for people with preexisting medical conditions such as diabetes, heart disease or cancer. State officials would be able to let insurers charge whatever they wanted to the infirm and the elderly — and also could let insurers reinstitute lifetime caps on coverage.



“In practice, this means that the old and the sick could be priced out of the insurance market. And it means that those who are insured but have expensive ailments could see their coverage expire after a certain dollar amount had been paid in benefits.

“3
At first glance, this looks like a gigantic gift to the insurance industry. But the powerful lobbying group America’s Health Insurance Plans came out strongly against the bill Wednesday, saying it “would have real consequences on consumers and patients by further destabilizing the individual market.” The Blue Cross Blue Shield Association opposes the measure as well, saying it would “increase uncertainty in the marketplace, making coverage more expensive and jeopardizing Americans’ choice of health plans.

”
The American Medical Association, the American Hospital Association and AARP adamantly oppose the new Senate bill as well. In fact, it is hard to find anyone who knows anything about health insurance who likes this monstrous creation.

“
And I haven’t even mentioned the worst thing about the bill: It revokes the ACA’s expansion of the Medicaid program, which provided health coverage for millions of the working poor, and turns Medicaid into an underfunded block-grant program to be administered by the states. GOP rhetoric about federalism and local control is smoke designed to obscure the real goal, which is to dramatically slash the federal contribution toward Medicaid.


“In the short term, billions of health-care dollars would effectively be transferred from states that participated in Medicaid expansion, such as California, to states that did not, such as Texas. In the long term, however, all states would suffer from inadequate federal funding of Medicaid, which is the primary payer for about two-thirds of nursing-home residents nationwide.”

Talk show host Jimmy Kimmel has a personal stake in the health care debate. His newborn son had a heart condition that required expensive surgery. He began asking Washington insiders whether they thought it was fair that his son would live because his parents can afford to pay for the necessary surgery, while other babies would die because their parents lacked the means or the insurance to save their child. This became known as “the Kimmel Test.”

Kimmel said last night that the new GOP heath care bill did not pass the test and is, in fact, disastrous.

This is the best single analysis I have seen about the proposal. I hope you will read it.