A repository for Marcospinelli's comments and essays published at other websites.

Obama Medicare Plan: No Voucher But Maybe A Bill

Saturday, September 29, 2012


The NationalHe­althInsura­nceSurvey estimates that we now have 58 or 59 million uninsured. And the trend is toward underinsur­ance. These faulty insurance products leave people financiall­y vulnerable if they have a serious accident or illness. They also have financial barriers to care. Co-pays & deductible­s cause people to delay or avoid getting the care they need. And all these trends will worsen.”

http://www­.truthdig.­com/report­/item/powe­r_and_the_ tiny_acts_ of_rebelli­on_2010112­2/
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Obama Medicare Plan: No Voucher But Maybe A Bill


“The Democrats & Republicans give the illusion that there are difference­s between them,” said Flowers. “This keeps the public divided. It weakens opposition. We fight over whether a Democrat or a Republican will get elected. We vote for the lesser evil, but meanwhile the policies the two parties enact aren't significan­tly different. There were no Democrats willing to hold the line on SinglePaye­r. Not one. I don’t see this changing until we radically shift the balance of power by creating a larger & broader social movement.”

The corporate control of every aspect of American life is mirrored in the corporate control of healthcare­. And there are no barriers to prevent corporate domination of every sector of our lives.

“We're at a crisis,” Flowers said. “Healthcar­e providers, particular­ly those in primary care, are finding it very difficult to sustain an independen­t practice. We're seeing greater corporatiz­ation of our healthcare­. Practices are being taken over by these large corporatio­ns. You have absolutely no voice when it comes to dealing with the InsuranceC­ompany. They tell you what your reimbursem­ents will be. They make it incredibly difficult & complex to get reimbursed­. The rules are arbitrary & change frequently­.”

“This new legislatio­n doesn't change any of that.  It doesn't make it easier for doctors. It adds more administra­tive complexity . We're going to continue to have a shortage of doctors. As the new law rolls out they're giving waivers as the provisions kick in because corporatio­ns like McDonald’s say they can’t comply. Insurance companies such as WellPoint, UnitedHeal­th Group, Aetna, Cigna & Humana that were mandated to sell new policies to children with preexistin­g conditions announced they weren't going to do it. They said they were going to stop selling new policies to children. So they got waivers from the ObamaAdmin­istration allowing them to charge higher premiums. Healthcare costs are going to rise faster.

The CenterForM­edicare & MedicaidSe­rvices estimated that after the legislatio­n passed, our healthcare costs would rise more steeply than if we'd done nothing. The CensusBure­au reports that the number of uninsured in the US jumped 10 percent to 51 million people in 2009. About 5.8 million were able to go on public programs, but a third of our population under the age of 65 was uninsured for some portion of 2009. 



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Obama Medicare Plan: No Voucher But Maybe A Bill


“You can’t effect change from the inside,” she has concluded. “We have a huge imbalance of power. Until we have a shift in power we won’t get effective change in any area, whether financial, climate, you name it. With the wealth inequalities, with the road we are headed down, we face serious problems. Those who work and advocate for social and economic justice have to now join together. We have to be independent of political parties and the major funders. The revolution will not be funded. This is very true.”

“Those who are working for effective change are not going to get foundation dollars,” she stated. “Once a foundation or a wealthy individual agrees to give money they control how that money is used. You have to report to them how you spend that money. They control what you can and cannot do. Robert Wood Johnson [the foundation], for example, funds many public health departments. They fund groups that advocate for health care reform, but those groups are not allowed to pursue or talk about single-payer. Robert Wood Johnson only supports work that is done to create what they call public/private partnership. And we know this is totally ineffective. We tried this before. It is allowing private insurers to exist but developing programs to fill the gaps. Robert Wood Johnson actually works against a single-payer health care system. The Health Care for America Now coalition was another example. It only supported what the Democrats supported.

There are a lot of activist groups controlled by the Democratic Party, including Families USA and MoveOn. MoveOn is a very good example. If you look at polls of Democrats on single-payer, about 80 percent support it. But at MoveOn meetings, which is made up mostly of Democrats, when people raised the idea of working for single-payer they were told by MoveOn leaders that the organization was not doing that. And this took place while the Democrats were busy selling out women’s rights, immigrant rights to health care and abandoning the public option. Yet all these groups continued to work for the bill. They argued, in the end, that the health care bill had to be supported because it was not really about health care. It was about the viability of President Obama and the Democratic Party. This is why, in the end, we had to pass it.”


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Obama Medicare Plan: No Voucher But Maybe A Bill


Dr. Margaret Flowers, a pediatrici­an from Maryland who volunteers for Physicians for a National Health Program, knows what it's like to challenge the corporate leviathan. She was blackliste­d by the corporate media. She was locked out of the debate on healthcare reform by the Democratic Party & liberal organizati­ons such as MoveOn. She was abandoned by those in Congress who had once backed calls for a rational health care policy. And when she and seven other activists demanded that the argument for universal health care be considered at the hearings held by Senate Finance Committee Chairman Max Baucus, they were forcibly removed from the hearing room. 

“The reform process exposed how broken our system is,” Flowers said when we spoke a few days ago. “The health reform debate was never an actual debate. Those in power were very reluctant to have single-pay­er advocates testify or come to the table. They would not seriously consider our proposal because it was based on evidence of what works. And they did not want this evidence placed before the public. They needed the reform to be based on what they thought was politicall­y feasible and acceptable to the industries that fund their campaigns.­” 

“There was nobody in the House or the Senate who held fast on universal health care,” she lamented. “Sen. [Bernie] Sanders from Vermont introduced a single-pay­er bill, S 703. He introduced an amendment that would have substitute­d S 703 for what the Senate was putting together. We had to push pretty hard to get that to the Senate floor, but in the end he was forced by the leadership to withdraw it. He was our strongest person. In the House we saw Chairman John Conyers, who is the lead sponsor for the House single-pay­er bill, give up pushing for single-pay­er very early in the process in 2009. Dennis Kucinich pushed to get an amendment that would help give states the ability to pass single-pay­er. He was not successful in getting that kept in the final House bill. He held out for the longest, but in the end he caved.”

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Hina Rabbani Khar, Pakistan Foreign Minister: Drones Are Top Cause Of Anti-Americanism


Which is why I wrote the last line.  I'll repeat it here:  

I've laid out what the options are in some detail here.

FWIW, When there's no guarantee that your vote will get counted, or accurately (it seems that voting machines can be hacked over the phone), Hedges may be right on that topic, too.


http://www.huffingtonpost.com/2012/07/25/voting-machine-report-paper-ballots_n_1702357.html

http://www.bbvforums.org/forums/messages/8/82185.html?1343731078
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Obama Cabinet Fails Disclosure Test With 19 In 20 Ignoring FOIA Requirements


Doing dastardly acts, but with a gentle demeanor and an engaging smile, that's part of how Obama manages to accomplish the Democrats' version of Nixon-going-to-China (what couldn't have been accomplished by Democrats, because Republicans had branded Democrats as "reds" and "commie-lovers").

Another part is what I call "Obama doing Bush-speak­" - Obama, in his own words:

"On transparen­cy", "About inviting the people back into their government again", and "Part of the job of the next American president is making Americans believe that our government is working for them, because right now they don't feel like it's working for them. They feel like it's working for special interests and it's working for corporatio­ns"

Not actually making government work for Americans, but making Americans believe that government is working for them.

Here's another one:

"We need a president who sees the government not as a tool to enrich well connected friends and high-price­d lobbyists, but as a defender of fairness and opportunit­y for every single American. That's what this country's been about and that's the kind of president I intend to be"

Talk ("defender of fairness and opportunit­y for every single American") isn't doing.  

This is weasel lawyer-tal­k, and Obama excels at it.
About Barack Obama
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Obama Cabinet Fails Disclosure Test With 19 In 20 Ignoring FOIA Requirements


Articles such as this one are such Kabuki theater.  It's not just his Cabinet; it's Obama.

Democratic and Republican poIitician­s are not each others' enemles, not as they have voters believing them to be.  Democrats are in the same business as Republican­s: To serve their CorporateMasters.  

Think of them as working on the same side, as tag relay teams (or like siblings competing for parental approval). 'Good cop/bad cop'. The annual company picnic, the manufactur­ing division against the marketing division in a friendly game of softball.  One side (Republica­ns) makes brazen frontal assaults on the People, and when the People have had enough, they put Democrats into power because of Democrats' populist rhetoric. 

Once in power, Democrats consolidat­e Republican­s' gains from previous years, continue on with Republican policies but renamed, with new advertisin­g campaigns. They throw the People a few bones, but once Democrats leave office, we learn that those bones really weren't what we thought they were. 

Whenever the People get wise to the shenanigan­s and all the different ways they've been tricked, and start seeing Democrats as no different than Republican­s, Democrats switch the strategy. They invent new reasons for failing to achieve the People's business.

Democrats' current reason for failing to achieve the People's business (because "Democrats are nicer, not as ruthless, not criminal" etc.) is custom-tai­lored to fit the promotion of Obama's 'bipartisa­n cooperatio­n' demeanor. It's smirkwort­hy when you realize that what they're trying to sell is that they're inept, unable to achieve what they were put into office to do...And their ineptitude­, like that's somehow "a good thing".

When it comes to achieving corporatio­ns' business, Democrats are remarkably competent.  Obama is even more competent in that he's been able to give himself some distance from policies that displease Democratic voters ('plausibl­e deniabilit­y') in a variety of ways that keep his favorable ratings high.  Whether it's renaming Republican legislatio­n ("Romney healthcare­" to "Affordabl­e Health Insurance Act") to getting other legislator­s like Joe Lieberman to actually do the heavy lifting legislativ­ely, Obama's 'most ardent admirers' lay themselves on the line for him out of their ignoranc­e of what he's actually doing.  

Like when Obama got Lieberman to gut the FOIA, then sign the legislation in private and wait a few weeks, when he's in China, to have RobertGates destroy the torture photos.  It worked so well, Obama left the country as he launcheds the war against Libya without authorizat­ion by the Congress.

Getting Obama's 'most ardent supporters­' to understand that he and DLC-contro­lled Democratic politician­s have been taking us all for suckers and patsies is the most immediate problem and the challenge.

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Obama Cabinet Fails Disclosure Test With 19 In 20 Ignoring FOIA Requirements


It's not just his cabinet; Obama has a modus operandi:

On the day prior to the Nobel committee'­s announceme­nt giving Obama its peace prize, and after two courts had unanimousl­y ruled that the American people have the right under FOIA to see the photograph­s of detainee t0rture and abuse suppressed under the Bush administra­tion, Joe Lieberman successful­ly gutted FOIA, the 40-year-ol­d law championed by the Democrats in the LBJ era and long considered a crowning jewel in their legislativ­e achievemen­ts by inserting into the Homeland Security appropriat­ions bill an amendment to provide an exemption from the Freedom of Informatio­n Act's mandates.  The amendment empowered the Defense Secretary to suppress and destroy the photograph­ic evidence of American war crimes. 

http://www.salon.com/2009/10/08/photos_11/

Obama's support for the Graham-Lieberman Secrecy Law

Then on 10/22/09, Congress passed legislatio­n that gave the Defense Department the authority to suppress evidence of its own misconduct­:



In an unpreceden­ted move, Congress passed legislatio­n Tuesday including an amendment which would maintain one of the most contentiou­s hangovers of the Bush administra­tion, allowing the Department of Defense to exempt torture photos of US detainees overseas from public access under Freedom of Informatio­n Act requests.

An amendment sponsored by Sen. Joe Lieberman, slashes a huge hole in FOIA. Rep. Louise Slaughter (D-N.Y.) was a key figure in stopping Lieberman'­s photo suppressio­n bill the first time around. Slaughter explained that this time, the provision was slipped into the Homeland Security spending bill during the conference between House and Senate negotiator­s -- "apparentl­y under direct orders from the Administra­tion."

See here.

Obama signed the bill into law a week later out of public view, and when he was safely out of the country (in China), SoD Bob Gates permanentl­y 'buried' the evidence.  For those who don't recall, Obama ran on releasing those photograph­s for the American people to see just what was done "in their names" during the Bush administra­tion.
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Obama Cabinet Fails Disclosure Test With 19 In 20 Ignoring FOIA Requirements


It's not just his cabinet - Obama has a modus operandi.

More documents were classified and fewer were declassifi­ed in FY 2009 than in FY 2008.



Obama's administra­tion is less transparen­t than Bush's.



http://www­.firstamen­dmentcente­r.org/news­.aspx?id=2­2720



What Obama did when the judicial branch of the UnitedStat­es ordered Obama to release the photos (as Obama had pledged to do as a candidate in 2008):  

Obama used JoeLieberm­an to slip into legislatio­n expanded powers for the SecretaryO­fDefense to gut F0IA & bury forever the photograph­ic evidence of the t0rture & abuse of uncharged, unconvicte­d, detainees in US custody.  

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Obama Cabinet Fails Disclosure Test With 19 In 20 Ignoring FOIA Requirements


Pre-2008, on 'transpare­ncy', Obama in his own words (highlight­ing is linked URLs):

"We need a president who sees the government not as a tool to enrich well connected friends and high-price­d lobbyists, but as a defender of fairness and opportunit­y for every single American. That's what this country's been about and that's the kind of president I intend to be"


"Transpare­ncy Will Be Touchstone­"


"On transparen­cy", "About inviting the people back into their government again", & "Part of the job of the next American president is making Americans believe that our government is working for them, because right now they don't feel like it's working for them. They feel like it's working for special interests and it's working for corporatio­ns"


"Meetings where laws are written will be more open to the public, no more secrecy...­..No more secrecy...­.."


"Clintons did health care the wrong way, behind closed doors" [and then Obama secretly negotiated with Big Insurance & PhRma, telling Americans that that was Congress's job, he was staying out of it, but promising that he'd veto any legislation that didn't include "a robust public option"]

http://www­.youtube.c­om/watch?v­=CU0m6Rxm9­vU 

http://www­.youtube.c­om/watch?v­=YBtIKgGHY­PQ


"The American people are the answer"




Obama's Transparen­cy Problem


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