If you thought the Trumpcare bill in Congress was bad, well, Republicans are now trying to make Trumpcare, which is the proposed legal vehicle for repealing and replacing the Affordable Care Act (ACA) that provided millions of Americans with health insurance, a lot worse in order to appease members of the House Freedom Caucus, a group of far-right Republicans in the U.S. House of Representatives.
The Republicans have, since Monday, made two major amendments to the original Trumpcare bill.
The first is the so-called “manager’s amendment”. What the manager’s amendment, if enacted, would end the popular and effective Medicaid expansion a lot sooner than the original bill would have, allows states to raid federal Medicaid funds and use them for purposes other than Medicaid, and makes the Medicaid funding cuts from the original bill a lot more severe, giving state governments, particularly those controlled by Republicans, an opportunity to deprive large numbers of people of health insurance. ThinkProgress, a left-leaning website, gave a more detailed description of the manager’s amendment here.
The second is the Meadows Amendment, named after U.S. Representative and House Freedom Caucus member Mark Meadows (R-NC). Among other things, the Meadows Amendment would allow private-sector health insurers to:
deny health insurance to those with pre-existing medical conditions
force women to pay more money for the same exact health insurance that men receive
enact annual and/or lifetime limits on health care coverage
force people to pay money out-of-pocket for vital preventative care, such as mammograms and vaccinations
It’s not hard to understand why most Americans don’t like Trumpcare.
It has become inherently clear that the Republican majorities in both houses of Congress have zero concept of how insurance is supposed to work. Broadly speaking, insurance is a method of protecting one’s self from financial loss, and insurance can be an individual policy (such as a car insurance policy through a private-sector entity like State Farm, GEICO, or one of their competitors), a group policy (such as group health insurance plans provided by employers through a private-sector health insurance firm to the employers’ employees), or a government policy (such as the federal Old Age, Survivors, and Disability Insurance program commonly called Social Security). Likewise, health insurance is a method of protecting one’s self from financial loss associated with medical expenses, and can be an individual policy, a group policy, or a government policy. In order for insurance policies to be financially sustainable, those who do not need the benefits of the insurance policy in question must, by buying into the policy (which can be by paying premiums, taxes, and/or other means), effectively subsidize those who do need the benefits of the insurance policy in question.
The problem is, Republicans, who want to repeal most of the Affordable Care Act (ACA), don’t understand how a financially-sustainable health insurance policy works.
At a recent press conference, U.S. House Speaker Paul Ryan of Wisconsin bizarrely claimed that health insurance doesn’t work if healthy people have to effectively subsidize people people who are ill and/or injured:
…He even lost the suit coat and broke out the PowerPoint on Thursday. It was like watching something on cable access late at night, or a flop-sweaty rookie substitute teacher, and it was hilarious—except for the parts where people will lose their health insurance and die, of course. And this is what he said and, peace be unto Dave Barry, I am not making it up, either:
Paul Ryan said that insurance cannot work if healthy people have to pay more to subsidize the sick.
As if Ryan wasn’t far enough out of touch with reality, the person who legally represents me and several hundred thousand other people in downstate Illinois in the U.S. House of Representatives, John Shimkus, made the sexist motivation behind repealing the ACA publicly known in committee:
But Republican Rep. John Shimkus of Illinois took the cake on Thursday night when he questioned why men aren’t exempt from paying into insurance plans that cover prenatal care. “What about men having to purchase prenatal care?” the congressman said. “Is that not correct? And should they?”
Let me ask a similar question: Why should women have to purchase health insurance for prostrate cancer treatments? Clearly, men never need prenatal care, and women never need prostate cancer treatments. However, if only women had to pay for health insurance covering prenatal care, such a system, regardless of whether the public sector or the private sector were to administer it, would be financially unsustainable. The same problem would be the result if only men had to pay for health insurance covering prostate cancer treatments. This is because a large percentage of women will need prenatal care for at least several months of their lives, so it would be only women who never get pregnant effectively subsidizing those who get pregnant any number of times in their lives. Health insurance covering gender-specific health illnesses/procedures can only be financially sustainable if both men and women pay into a health plan covering prenatal care, prostate cancer treatments, etc..
While I’d never run for public office myself, John Shimkus may legally represent all people in the 15th Congressional District of Illinois, but a significant minority of voters in the 15th district, including me, understand that Shimkus doesn’t understand how health insurance works.
With recent opinion polls in Iowa and New Hampshire showing that Bernie has a decent chance of winning both of the first two states to vote for the Democratic presidential nomination, Hillary Clinton is now sounding the alarm about…single-payer health care:
"If that is the kind of revolution he is talking about, I am worried folks," Clinton says on Bernie Sanders' single-payer healthcare plan.
The fact that Hillary views universal health care as something that she’s worried about is a clear indication that A) she is opposed to universal health care and B) she’s afraid that Bernie may win the Democratic nomination. Universal health care isn’t something to be worried about, it’s something that we should fight for. The vast majority of American seniors who are 65 years of age or older are already part of a single-payer health care system called Medicare, and it’s a very popular government program. If paid for and administrated properly, Medicare For All would be excellent at reducing health care costs in America.
Democratic presidential candidate Bernie Sanders laid out his progressive vision for America’s future in front of a roaring capacity crowd at the Veterans Memorial Coliseum (also called the Alliant Energy Center) in Madison, Wisconsin last night.
Here’s a couple of photos of the crowd at the event:
Crowd filing into Bernie Sanders rally in Madison, Wisconsin prior to Bernie’s appearance (photo courtesy of the Wisconsin Defender Twitter account)Massive crowd at Veterans Memorial Coliseum in Madison, Wisconsin during Bernie Sanders speech. Sanders is standing at the podium on the stage at the bottom left of the picture. (photo courtesy of Doug Cvetkovich)
I’m going to share a video of Bernie’s speech from the YouTube channel Bernie2016.tv (which is not directly affiliated with the Sanders campaign), but I want to make two notes before I do so: First, I’ve set the video to start playing at around the 42:20 mark, which is about 20 seconds or so before Nichols takes the stage to introduce Sanders. Second, several technical glitches occur during the video, most notably the first part of Nichols’s introduction not having any audio at all and an audio echoing issue occurring in at least one segment of Sanders’s speech.
Here’s the video of Bernie’s speech:
Bernie did a masterful job outlining a progressive vision for America. In his speech, Bernie called for reducing income inequality in America, rebuilding our nation’s infrastructure, expanding workers’ rights, protecting women’s reproductive rights, getting big money out of politics, ensuring that women are paid the same as men for the same amount and type of work, reforming the criminal justice system, opposing free trade deals, providing high-quality education to Americans without burdening them with student debt, raising the minimum wage, and enacting many other progressive policies. Bernie energized a large crowd in Wisconsin’s second-largest city, and I think he can win the general election for president.
According to arena officials and Sanders campaign staffers, the attendance was 9,600, although I’ve seen reports on social media that so many people tried to show up at the 10,231-seat arena, some people had to be turned away from the event because the venue couldn’t handle any more people than the stated capacity. Sanders was introduced at the event by John Nichols, a progressive political author and columnist for The Nation magazine. Nichols mentioned during his introduction of Sanders that Ed Garvey, the 1998 Democratic gubernatorial nominee in Wisconsin and the founder of the annual Fighting Bob Fest progressive gathering, Wisconsin State Senator Fred Risser (D-Madison), and Wisconsin State Representatives Terese Berceau and Melissa Sargent (both D-Madison), were present at the event. Of those four, Sargent livetweeted Sanders’s speech, in which Sanders talked about issues like money in politics, climate change, education, higher education, workers’ rights, reproductive rights, income inequality, poverty, criminal justice reform, the minimum wage, equal pay for equal work, breaking up “too big to fail” banks, and international trade. Here’s every one of Sargent’s tweets about Sanders’s speech in Madison:
When you deny workers the right to join together in collective bargaining that's extremism @SenSanders
Note that there is an apparent typo in one of Sargent’s tweets (the one she sent at 8:05 P.M. about Sanders talking about how climate change affects our future; Sargent likely meant to type “We must leave this planet in a condition that is habitable for our children”); other than that, Sargent did an absolutely fantastic job paraphrasing Sanders’s speech and livetweeting the key points that Sanders made. Please also note that Sargent has, to my knowledge, not formally endorsed a presidential candidate.
It is perfectly fitting that Bernie Sanders laid out his progressive vision for America in the hometown of Wisconsin progressive legend Fighting Bob La Follette.
The U.S. Supreme Court (SCOTUS), which has a 5-4 conservative majority on most cases before it, has taken up a case that could effectively kill the Affordable Care Act (ACA), which has provided me and millions of other Americans with health insurance, in most of the country.
The case involves four words in the law regarding federal subsides that help people like me afford health insurance off of the ACA exchanges:
The Supreme Court, moving back into the abiding controversy over the Affordable Care Act, agreed early Friday afternoon to decide how far the federal government can extend its program of subsidies to buyers of health insurance. At issue is whether the program of tax credits applies only in the consumer marketplaces set up by sixteen states, and not at federally operated sites in thirty-four states.
Rather than waiting until Monday to announce its action, which would be the usual mode at this time in the Court year, the Justices released the order granting review of King v. Burwell not long after finishing their closed-door private Conference.
By adding the case to its decision docket at this point, without waiting for further action in lower federal courts, as the Obama administration had asked, the Court ensured that it would rule on the case during the current Term. If it decides to limit the subsidies to the state-run “exchanges,” it is widely understood that that outcome would crash the ACA’s carefully balanced economic arrangements.
[…]
Since the health care exchanges have been in operation, nearly five million individuals have received federal subsidies to help them afford health insurance on an exchange run by the federal government. The average subsidy had been about $4,700 per person. The fate of those subsidies apparently will now depend upon how the Court interprets four words in the Affordable Care Act. In setting up the subsidy scheme, Congress said it would apply to exchanges “established by the State.”
(emphasis mine)
Should SCOTUS, using a narrow interpretation of the law, declare that those who receive health insurance off of the federal health care exchange, established by the ACA in states that don’t have their own health care exchanges, are ineligible for federal subsidies, this would render the ACA effectively dead in, at worst, the 37 states that have either a federal-run marketplace, a federal-supported marketplace, or a state-federal partnership marketplace, leaving millions of Americans in those states unable to afford health insurance and legally forced to repay any federal subsidies that they’ve received to pay for health insurance off of the ACA exchanges. More than likely, there are at least four justices (if I were to guess, it would be the four conservative associate justices, Antonin Scalia, Clarence Thomas, Samuel Alito, and Anthony Kennedy) who would vote to strike down health insurance subsidies for those who receive health insurance off of the federal exchanges and effectively take away health insurance from millions of Americans, since it takes at least four justices deciding to hear a case for SCOTUS to hear that case and those were the four justices who sided against the ACA in a 2012 constitutional challenge to the law.
Should SCOTUS, using a broad interpretation of the law, declare that federal health care exchanges established by the ACA in states that do have their own health care exchanges are eligible for federal subsidies, this would preserve the ACA in all states and allow millions of Americans to keep their health insurance. More than likely, there are at least four justices (if I were to guess, it would be the four liberal associate justices, Ruth Bader Ginsburg, Sonia Sotomayor, Elena Kagan, and Stephen Breyer) who would vote to preserve health insurance subsidies for those who receive health insurance off of the federal health care exchange.
If I were to guess, the swing vote on whether or not to save the ACA would be…you guessed it, conservative Chief Justice John Roberts, who was the swing vote on the 2012 constitutional challenge to the ACA.
With the possibility of Republicans winning control of both houses of Congress for the first time since the first two years of George W. Bush’s second term in the White House looming over the November 4 elections, I want to remind everybody how frightening Republicans winning control of the U.S. Senate and retaining control of the U.S. House is.
Should Republicans win control of the Senate and retain control of the House, Republicans will probably pass a sweeping, Wisconsin-style far-right agenda, including legislation like:
Passing a nationwide right-to-work-for-less bill, allowing workers to benefit from collective bargaining agreements without paying union dues for collective bargaining (if not completely banning labor unions altogether)
Passing restrictions on abortion, contraception, and other women’s health procedures, up to and including attempting to propose a federal constitutional amendment banning abortion, contraception, and many other women’s health procedures
Repealing the federal Voting Rights Act, making it easier for states to implement voter suppression schemes
Repealing the federal Civil Rights Act of 1964, allowing many forms of racial discrimination
Eliminating Pell grants and other programs that help people pay for college, making it harder for young people to go to college
Completely repealing the Affordable Care Act, taking away health insurance from millions of Americans who were recently uninsured
Eliminating regulations on banks and other financial institutions, making it easier for them to engage in risky practices that were the primary cause of the Great Recession
Allowing mining and drilling in National Parks and other federally-protected lands, destroying the value of our country’s natural wonders and hurting the tourism industry
Handing out tax cuts and other tax breaks to wealthy people, corporations, and other special interests, resulting in a bigger federal budget deficit and national debt (if not implementing a full-blown regressive taxation scheme by completely repealing the federal income tax and replacing it with a federal sales tax, shifting the tax burden to poor, working-class, and middle-class Americans)
Completely repealing Social Security, Medicare, Medicaid, and other social safety net programs, leaving millions of seniors without a source of income and leaving millions of Americans without health insurance
Eliminating all federal campaign finance restrictions, making it even easier for wealthy people, corporations, and other special interests to buy federal elections and have an even bigger undue influence over federal politicians
Repealing the federal minimum wage, putting millions of working Americans into poverty and driving millions more into even deeper poverty
Eliminate the Environmental Protection Agency and federal environmental regulations, allowing corporations to pollute the air we breathe and the water we drink
Repealing federal laws mandating equal pay for equal work, allowing employers to discriminate against women by paying men more than women
Sadly, that’s just the tip of the iceberg when it comes to the right-wing legislation that a fully Republican-controlled Congress could pass. Don’t think for one second that people like Pat Toomey, Mark Kirk, Kelly Ayotte, and Susan Collins would oppose some or most of the far-right agenda just because they represent states/constituencies that usually vote for Democratic presidential candidates. The Ted Cruz-types in the Republican Party are going to demand that they pass as much far-right legislation as possible, and the so-called “moderates” in the GOP would go along with them every time and rubber stamp everything they do.
Should Republicans win control of the Senate, they will be hell bent on turning America into a third-world country. The only thing that would stop them from doing is President Barack Obama, who would likely veto nearly everything the Republicans pass. If you don’t want Republicans passing a destructive far-right agenda, go vote against the Republican bastards on November 4.
The Michigan Republican Party recently sent out a mailer, on behalf of Republican Michigan House candidate Brandt Iden (61st House District), criticizing the Affordable Care Act (ACA), a federal law providing millions of previously uninsured Americans with health insurance. The Michigan GOP’s mailer asked people to call a phone number, which they claim is that of John Fisher, the Democratic challenger to Brandt, in order to complain about a law that has helped millions of Americans.
This is one of the worst examples of gutter politics that I’ve ever seen. I find it disgusting that Michigan Republicans would harass and intimidate an elderly woman, who is in hospice care due to heart problems, by having the far-right extremists who compromise the Michigan GOP’s base of support call her. This proves that Republicans have no respect whatsoever for the elderly and the ill.
The Progressive Midwesterner 