Only in very serious minds can these conceptions of the US government co-exist:
1. The US government is so hopelessly inefficient and incompetent, that any attempt to deliver government-provided health insurance (or the option thereof) to the uninsured (and some/all of the already-insured) is an unprecedented fool’s pipe dream of a fantasy of a boondoggle with no chance for any positive outcome. Also, socialism.
And at a price tag of $1.2 trillion dollars over ten years, there is no way we can afford to chase such fantastical chimera.
AND
2. The US government is so remarkably efficient and competent that it can transform (wholesale) Iraqi and Afghan societies (at the same time) and remake those societies into US-friendly, Western-conceived models of good governance, free market economics and liberal democracy all through multi-decade armed occupations. These goals are easily attainable for a government so adept at devising and delivering effective political, economic, social service and governance measures, and resounding victory is almost certain, as long as we don’t lose our nerve and do something foolish like withdraw.
And at a price tag of $3-4 trillion dollars over the past 8 years, the continuation of these policies at that burn rate for the next 25-50 years would be a bargain.
http://thepoorman.net/2009/11/09/the-very-serious-paradox/
Showing posts with label health care reform. Show all posts
Showing posts with label health care reform. Show all posts
Saturday, November 14, 2009
Thursday, November 12, 2009
Turn About Is Fair Play
An Immoderate Proposal
by digby
I have a moral objection to paying for any kind of erectile dysfunction medicine in the new health reform bill and I think men who want to use it should just pay for it out of pocket. After all, [as a woman] I won't ever need such a pill. And anyway, it's no biggie. Just because most of them can get it under their insurance today doesn't mean they shouldn't have it stripped from their coverage in the future because of my moral objections. (I don't think there's even been a Supreme Court ruling making wood a constitutional right. I might be wrong about that.)
Many of the men who are prescribed this medication are on Medicare, so I think it should be stripped out of that coverage as well. And unlike the payments for abortion, which actually lower overall medical costs (pregnancy obviously costs much, much more) banning tax dollars from covering any kind of Viagra would result in a substantial savings.
It’s an astonishing example of pricing power, given that Viagra is in direct competition with Eli Lilly’s Cialis and Bayer’s Levitra. The heat from Cialis is particularly severe: Cialis sales in the U.S. were up 16 percent to $149.4 million in Q2; Pfizer’s Viagra was up only 4 percent at $207 million.
I don't want my tax dollars touching even one milimeter of that overly engorged expense.
I realize that many people disagree with my moral objections to men getting erections which God clearly doesn't want them to get, but my principles on this are more important to me than theirs are to them. So too bad. If you want a boner, pay for it yourself.
digby 11/11/2009 02:00:00 PM [lightly edited by a. littlebird ptolemey]
by digby
I have a moral objection to paying for any kind of erectile dysfunction medicine in the new health reform bill and I think men who want to use it should just pay for it out of pocket. After all, [as a woman] I won't ever need such a pill. And anyway, it's no biggie. Just because most of them can get it under their insurance today doesn't mean they shouldn't have it stripped from their coverage in the future because of my moral objections. (I don't think there's even been a Supreme Court ruling making wood a constitutional right. I might be wrong about that.)
Many of the men who are prescribed this medication are on Medicare, so I think it should be stripped out of that coverage as well. And unlike the payments for abortion, which actually lower overall medical costs (pregnancy obviously costs much, much more) banning tax dollars from covering any kind of Viagra would result in a substantial savings.
The price of Pfizer’s Viagra has doubled since it was launched, according to a list of wholesale acquisition costs paid by pharmacies, obtained by BNET. In May 1999, a 100-count bottle of the blue diamonds cost $700. Today, that same bottle costs $1,457.61, a 108 percent increase.The blog of online pharmacy AccessRx notes that Pfizer has also been extracting more frequent price rises in addition to higher price rises:
… we’re not sure if you’ve been tracking price increases recently, but Pfizer began to raise the cost of Viagra twice a year instead of once a year in 2007. Including the last six price increases since Jan. 1, 2007, the price of Viagra has gone up 45.5%.The WAC list indicates that while Pfizer was initially content to take price increases of 3 percent per year, in 2003 it doubled that increase. In January 2009, Pfizer bumped it up to 11 percent. Then in August it took another 5 percent.
It’s an astonishing example of pricing power, given that Viagra is in direct competition with Eli Lilly’s Cialis and Bayer’s Levitra. The heat from Cialis is particularly severe: Cialis sales in the U.S. were up 16 percent to $149.4 million in Q2; Pfizer’s Viagra was up only 4 percent at $207 million.
I don't want my tax dollars touching even one milimeter of that overly engorged expense.
I realize that many people disagree with my moral objections to men getting erections which God clearly doesn't want them to get, but my principles on this are more important to me than theirs are to them. So too bad. If you want a boner, pay for it yourself.
digby 11/11/2009 02:00:00 PM [lightly edited by a. littlebird ptolemey]
Sunday, August 16, 2009
Duh Crazy Keeps On Comin'
In America, Crazy Is a Preexisting Condition
Birthers, Town Hall Hecklers and the Return of Right-Wing Rage
By Rick Perlstein
Washington Post, Sunday, August 16, 2009
In Pennsylvania last week, a citizen, burly, crew-cut and trembling with rage, went nose to nose with his baffled senator: "One day God's going to stand before you, and he's going to judge you and the rest of your damned cronies up on the Hill. And then you will get your just deserts." He was accusing Arlen Specter of being too kind to President Obama's proposals to make it easier for people to get health insurance.
In Michigan, meanwhile, the indelible image was of the father who wheeled his handicapped adult son up to Rep. John Dingell and bellowed that "under the Obama health-care plan, which you support, this man would be given no care whatsoever." He pressed his case further on Fox News.
In New Hampshire, outside a building where Obama spoke, cameras trained on the pistol strapped to the leg of libertarian William Kostric. He then explained on CNN why the "tree of liberty must be refreshed from time to time by the blood of tyrants and patriots."
It was interesting to hear a BBC reporter on the radio trying to make sense of it all. He quoted a spokesman for the conservative Americans for Tax Reform: "Either this is a genuine grass-roots response, or there's some secret evil conspirator living in a mountain somewhere orchestrating all this that I've never met." The spokesman was arguing, of course, that it was spontaneous, yet he also proudly owned up to how his group has helped the orchestration, through sample letters to the editor and "a little bit of an ability to put one-pagers together."
The BBC also quoted liberal Illinois Sen. Dick Durbin's explanation: "They want to get a little clip on YouTube of an effort to disrupt a town meeting and to send the congressman running for his car. This is an organized effort . . . you can trace it back to the health insurance industry."
So the birthers, the anti-tax tea-partiers, the town hall hecklers -- these are "either" the genuine grass roots or evil conspirators staging scenes for YouTube? The quiver on the lips of the man pushing the wheelchair, the crazed risk of carrying a pistol around a president -- too heartfelt to be an act. The lockstep strangeness of the mad lies on the protesters' signs -- too uniform to be spontaneous. They are both. If you don't understand that any moment of genuine political change always produces both, you can't understand America, where the crazy tree blooms in every moment of liberal ascendancy, and where elites exploit the crazy for their own narrow interests.
In the early 1950s, Republicans referred to the presidencies of Franklin Roosevelt and Harry Truman as "20 years of treason" and accused the men who led the fight against fascism of deliberately surrendering the free world to communism. Mainline Protestants published a new translation of the Bible in the 1950s that properly rendered the Greek as connoting a more ambiguous theological status for the Virgin Mary; right-wingers attributed that to, yes, the hand of Soviet agents. And Vice President Richard Nixon claimed that the new Republicans arriving in the White House "found in the files a blueprint for socializing America."
When John F. Kennedy entered the White House, his proposals to anchor America's nuclear defense in intercontinental ballistic missiles -- instead of long-range bombers -- and form closer ties with Eastern Bloc outliers such as Yugoslavia were taken as evidence that the young president was secretly disarming the United States. Thousands of delegates from 90 cities packed a National Indignation Convention in Dallas, a 1961 version of today's tea parties; a keynote speaker turned to the master of ceremonies after his introduction and remarked as the audience roared: "Tom Anderson here has turned moderate! All he wants to do is impeach [Supreme Court Chief Justice Earl] Warren. I'm for hanging him!"
Before the "black helicopters" of the 1990s, there were right-wingers claiming access to secret documents from the 1920s proving that the entire concept of a "civil rights movement" had been hatched in the Soviet Union; when the landmark 1964 Civil Rights Act was introduced, one frequently read in the South that it would "enslave" whites. And back before there were Bolsheviks to blame, paranoids didn't lack for subversives -- anti-Catholic conspiracy theorists even had their own powerful political party in the 1840s and '50s.
The instigation is always the familiar litany: expansion of the commonweal to empower new communities, accommodation to internationalism, the heightened influence of cosmopolitans and the persecution complex of conservatives who can't stand losing an argument. My personal favorite? The federal government expanded mental health services in the Kennedy era, and one bill provided for a new facility in Alaska. One of the most widely listened-to right-wing radio programs in the country, hosted by a former FBI agent, had millions of Americans believing it was being built to intern political dissidents, just like in the Soviet Union.
So, crazier then, or crazier now? Actually, the similarities across decades are uncanny. When Adlai Stevenson spoke at a 1963 United Nations Day observance in Dallas, the Indignation forces thronged the hall, sweating and furious, shrieking down the speaker for the television cameras. Then, when Stevenson was walked to his limousine, a grimacing and wild-eyed lady thwacked him with a picket sign. Stevenson was baffled. "What's the matter, madam?" he asked. "What can I do for you?" The woman responded with self-righteous fury: "Well, if you don't know I can't help you."
The various elements -- the liberal earnestly confused when rational dialogue won't hold sway; the anti-liberal rage at a world self-evidently out of joint; and, most of all, their mutual incomprehension -- sound as fresh as yesterday's news. (Internment camps for conservatives? That's the latest theory of tea party favorite Michael Savage.)
The orchestration of incivility happens, too, and it is evil. Liberal power of all sorts induces an organic and crazy-making panic in a considerable number of Americans, while people with no particular susceptibility to existential terror -- powerful elites -- find reason to stoke and exploit that fear. And even the most ideologically fair-minded national media will always be agents of cosmopolitanism: something provincials fear as an outside elite intent on forcing different values down their throats.
That provides an opening for vultures such as Richard Nixon, who, the Watergate investigation discovered, had his aides make sure that seed blossomed for his own purposes. "To the Editor . . . Who in the hell elected these people to stand up and read off their insults to the President of the United States?" read one proposed "grass-roots" letter manufactured by the White House. "When will you people realize that he was elected President and he is entitled to the respect of that office no matter what you people think of him?" went another.
Liberals are right to be vigilant about manufactured outrage, and particularly about how the mainstream media can too easily become that outrage's entry into the political debate. For the tactic represented by those fake Nixon letters was a long-term success. Conservatives have become adept at playing the media for suckers, getting inside the heads of editors and reporters, haunting them with the thought that maybe they are out-of-touch cosmopolitans and that their duty as tribunes of the people's voices means they should treat Obama's creation of "death panels" as just another justiciable political claim. If 1963 were 2009, the woman who assaulted Adlai Stevenson would be getting time on cable news to explain herself. That, not the paranoia itself, makes our present moment uniquely disturbing.
It used to be different. You never heard the late Walter Cronkite taking time on the evening news to "debunk" claims that a proposed mental health clinic in Alaska is actually a dumping ground for right-wing critics of the president's program, or giving the people who made those claims time to explain themselves on the air. The media didn't adjudicate the ever-present underbrush of American paranoia as a set of "conservative claims" to weigh, horse-race-style, against liberal claims. Back then, a more confident media unequivocally labeled the civic outrage represented by such discourse as "extremist" -- out of bounds.
The tree of crazy is an ever-present aspect of America's flora. Only now, it's being watered by misguided he-said-she-said reporting and taking over the forest. Latest word is that the enlightened and mild provision in the draft legislation to help elderly people who want living wills -- the one hysterics turned into the "death panel" canard -- is losing favor, according to the Wall Street Journal, because of "complaints over the provision."
Good thing our leaders weren't so cowardly in 1964, or we would never have passed a civil rights bill -- because of complaints over the provisions in it that would enslave whites.
Birthers, Town Hall Hecklers and the Return of Right-Wing Rage
By Rick Perlstein
Washington Post, Sunday, August 16, 2009
In Pennsylvania last week, a citizen, burly, crew-cut and trembling with rage, went nose to nose with his baffled senator: "One day God's going to stand before you, and he's going to judge you and the rest of your damned cronies up on the Hill. And then you will get your just deserts." He was accusing Arlen Specter of being too kind to President Obama's proposals to make it easier for people to get health insurance.
In Michigan, meanwhile, the indelible image was of the father who wheeled his handicapped adult son up to Rep. John Dingell and bellowed that "under the Obama health-care plan, which you support, this man would be given no care whatsoever." He pressed his case further on Fox News.
In New Hampshire, outside a building where Obama spoke, cameras trained on the pistol strapped to the leg of libertarian William Kostric. He then explained on CNN why the "tree of liberty must be refreshed from time to time by the blood of tyrants and patriots."
It was interesting to hear a BBC reporter on the radio trying to make sense of it all. He quoted a spokesman for the conservative Americans for Tax Reform: "Either this is a genuine grass-roots response, or there's some secret evil conspirator living in a mountain somewhere orchestrating all this that I've never met." The spokesman was arguing, of course, that it was spontaneous, yet he also proudly owned up to how his group has helped the orchestration, through sample letters to the editor and "a little bit of an ability to put one-pagers together."
The BBC also quoted liberal Illinois Sen. Dick Durbin's explanation: "They want to get a little clip on YouTube of an effort to disrupt a town meeting and to send the congressman running for his car. This is an organized effort . . . you can trace it back to the health insurance industry."
So the birthers, the anti-tax tea-partiers, the town hall hecklers -- these are "either" the genuine grass roots or evil conspirators staging scenes for YouTube? The quiver on the lips of the man pushing the wheelchair, the crazed risk of carrying a pistol around a president -- too heartfelt to be an act. The lockstep strangeness of the mad lies on the protesters' signs -- too uniform to be spontaneous. They are both. If you don't understand that any moment of genuine political change always produces both, you can't understand America, where the crazy tree blooms in every moment of liberal ascendancy, and where elites exploit the crazy for their own narrow interests.
In the early 1950s, Republicans referred to the presidencies of Franklin Roosevelt and Harry Truman as "20 years of treason" and accused the men who led the fight against fascism of deliberately surrendering the free world to communism. Mainline Protestants published a new translation of the Bible in the 1950s that properly rendered the Greek as connoting a more ambiguous theological status for the Virgin Mary; right-wingers attributed that to, yes, the hand of Soviet agents. And Vice President Richard Nixon claimed that the new Republicans arriving in the White House "found in the files a blueprint for socializing America."
When John F. Kennedy entered the White House, his proposals to anchor America's nuclear defense in intercontinental ballistic missiles -- instead of long-range bombers -- and form closer ties with Eastern Bloc outliers such as Yugoslavia were taken as evidence that the young president was secretly disarming the United States. Thousands of delegates from 90 cities packed a National Indignation Convention in Dallas, a 1961 version of today's tea parties; a keynote speaker turned to the master of ceremonies after his introduction and remarked as the audience roared: "Tom Anderson here has turned moderate! All he wants to do is impeach [Supreme Court Chief Justice Earl] Warren. I'm for hanging him!"
Before the "black helicopters" of the 1990s, there were right-wingers claiming access to secret documents from the 1920s proving that the entire concept of a "civil rights movement" had been hatched in the Soviet Union; when the landmark 1964 Civil Rights Act was introduced, one frequently read in the South that it would "enslave" whites. And back before there were Bolsheviks to blame, paranoids didn't lack for subversives -- anti-Catholic conspiracy theorists even had their own powerful political party in the 1840s and '50s.
The instigation is always the familiar litany: expansion of the commonweal to empower new communities, accommodation to internationalism, the heightened influence of cosmopolitans and the persecution complex of conservatives who can't stand losing an argument. My personal favorite? The federal government expanded mental health services in the Kennedy era, and one bill provided for a new facility in Alaska. One of the most widely listened-to right-wing radio programs in the country, hosted by a former FBI agent, had millions of Americans believing it was being built to intern political dissidents, just like in the Soviet Union.
So, crazier then, or crazier now? Actually, the similarities across decades are uncanny. When Adlai Stevenson spoke at a 1963 United Nations Day observance in Dallas, the Indignation forces thronged the hall, sweating and furious, shrieking down the speaker for the television cameras. Then, when Stevenson was walked to his limousine, a grimacing and wild-eyed lady thwacked him with a picket sign. Stevenson was baffled. "What's the matter, madam?" he asked. "What can I do for you?" The woman responded with self-righteous fury: "Well, if you don't know I can't help you."
The various elements -- the liberal earnestly confused when rational dialogue won't hold sway; the anti-liberal rage at a world self-evidently out of joint; and, most of all, their mutual incomprehension -- sound as fresh as yesterday's news. (Internment camps for conservatives? That's the latest theory of tea party favorite Michael Savage.)
The orchestration of incivility happens, too, and it is evil. Liberal power of all sorts induces an organic and crazy-making panic in a considerable number of Americans, while people with no particular susceptibility to existential terror -- powerful elites -- find reason to stoke and exploit that fear. And even the most ideologically fair-minded national media will always be agents of cosmopolitanism: something provincials fear as an outside elite intent on forcing different values down their throats.
That provides an opening for vultures such as Richard Nixon, who, the Watergate investigation discovered, had his aides make sure that seed blossomed for his own purposes. "To the Editor . . . Who in the hell elected these people to stand up and read off their insults to the President of the United States?" read one proposed "grass-roots" letter manufactured by the White House. "When will you people realize that he was elected President and he is entitled to the respect of that office no matter what you people think of him?" went another.
Liberals are right to be vigilant about manufactured outrage, and particularly about how the mainstream media can too easily become that outrage's entry into the political debate. For the tactic represented by those fake Nixon letters was a long-term success. Conservatives have become adept at playing the media for suckers, getting inside the heads of editors and reporters, haunting them with the thought that maybe they are out-of-touch cosmopolitans and that their duty as tribunes of the people's voices means they should treat Obama's creation of "death panels" as just another justiciable political claim. If 1963 were 2009, the woman who assaulted Adlai Stevenson would be getting time on cable news to explain herself. That, not the paranoia itself, makes our present moment uniquely disturbing.
It used to be different. You never heard the late Walter Cronkite taking time on the evening news to "debunk" claims that a proposed mental health clinic in Alaska is actually a dumping ground for right-wing critics of the president's program, or giving the people who made those claims time to explain themselves on the air. The media didn't adjudicate the ever-present underbrush of American paranoia as a set of "conservative claims" to weigh, horse-race-style, against liberal claims. Back then, a more confident media unequivocally labeled the civic outrage represented by such discourse as "extremist" -- out of bounds.
The tree of crazy is an ever-present aspect of America's flora. Only now, it's being watered by misguided he-said-she-said reporting and taking over the forest. Latest word is that the enlightened and mild provision in the draft legislation to help elderly people who want living wills -- the one hysterics turned into the "death panel" canard -- is losing favor, according to the Wall Street Journal, because of "complaints over the provision."
Good thing our leaders weren't so cowardly in 1964, or we would never have passed a civil rights bill -- because of complaints over the provisions in it that would enslave whites.
Saturday, August 1, 2009
A Vote Against Govt-Run Healthcare
NY Congressman Anthony Weiner gives his Republican colleagues a chance to vote against government-run health care...
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