The art of exaggeration

The following are paraphrases of actual quotes from a person known to exaggerate and even prevaricate. A famous comedian from the same area as this person noted three years ago that this was “schtick” used to improve your image.

  • I am the least racist person in the world,
  • I am a stable genius.
  • I know more about taxes than anyone in the history of taxes.
  • They love me in England.
  • My gut is smarter than an expert’s brain.
  • No one has treated Black people better than me.
  • African-American people love the job I’m doing.

These are just top of mind from a longer list of exaggerations. Often, these are said following scrutiny that he has brought om himself.

This last point is important as I have said repeatedly this person is his own worst enemy. Through exaggeration and prevarication, he is the biggest purveyor of fake news by far. Even when the news is good, he must make it better or the “best.” Things he must change are “disasters.”

Yet, exaggerating and lying is bad enough, in and of themselves, but become  far more serious when policy is set off one of the two. Here are some real examples that should concern us all.

  • He said eliminating the subsidy to insurers under the Affordable Care Act to repay them for co-pays/ deductibles they absorbed for people making less than 2 1/2 times the poverty limit would only effect their profits – this is not true, as the CBO said it would increase the US deficit by $10 billion per annum and increased premiums for all members.
  • He said the illegal immigrants were taking all the jobs and are the reason for the malaise in certain areas – this is a gross exaggeration, as the primary reason for job loss is technology gains and CEOs chasing cheaper profits by offshoring manufacturing plants.
  • He said to reporters in front of the Pakistan PM, the India PM asked him to mediate the conflict in Kashmir – this is not true and statement was made by the India PM within an hour to state “no such request was made” as well as the White House staff going silent on the issue. India is an ally and experts noted this was a slap in their face as Kashmir is hyper-sensitive.
  • He said it is OK to have trade issues with China as we are raking in tariffs from them in our treasury, a statement he has repeated multiple times, including yesterday – while tariffs are being collected, this is a lie that China is paying them; US importers are paying the tariffs and passing much of the cost to US consumers.

I could go on as there are many examples to choose – he promised a better and cheaper healthcare program than the ACA in the election, but it has yet to materialize, and he is advertising it again for 2020. What is it Mr. President?

Politicians, business people and marketers tend to exaggerate and even lie to sell their message. Yet, the people who track lying say the incumbent has lapped the field. By the way, a key message from the Mueller report is the president is not very truthful and his staff knows it. And, Mueller testified that Trump was “generally” untruthful in his responses to his questions.

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Dog whistle racism

My wife suggested that when I use the term dog whistle racism it may not resonate with everyone. In short, it means implying racism without resorting to actual racist words.

“Send her back” is a prime example as countless minority groups of all colors have been told to go back where you came from. Defenders of the president have said he did not say racist remarks, but they did not hear the dog whistle. His remarks were directed at four women of color with non-WASP like names.

Variations of this are “we don’t need your kind around here” or the more innocent version of “where are you from?” It also applies to athletics where black and brown athletes are not defined as “heady athletes” as white athletes are. Even a famous sportscaster said a black quarterback could not be successful because they had to read and react to complex coverages implying blacks could not do so. Times have indeed changed.

Alabama Governor George Wallace was not the forerunner of racism in politics, but he was the face of white supremacy as he stood in the doorway trying to deny entry to young black students. He used dog whistle racism as well as the old fashioned racist rhetoric when he ran for president following the various civil rights movements.

He did not win, but Richard Nixon did using a southern strategy that reeked of dog whistle racism. His purpose was to take advantage of what LBJ feared. LBJ predicted the Democrats would lose the south following his push for the civil and voting rights laws. Ironically, these laws were passed with the help of several Republicans, but that did not matter. Nixon and his strategist Lee Atwater made sure of that.

Scrolling forward, Senator Jesse Helms routinely used dog whistle racism to get elected. But, one of his tougher races was against Harvey Gantt, the first black mayor of Charlotte and first black student at Clemson University. Helms ran commercials that implied racism, one in particular focusing on a pair of black hands as a negative message was spoken.

Dog whistle racism uses code words to imply inferiority or difference. Trump’s attacking four elected women of color denouncing their right to criticize our country is flat wrong. His using more code words to attack Congressman Elijah Cummings also is racist with references to rat infested areas. It should be noted the president had to settle two court cases over discriminatiory rental practices.

Dog whistle or not, we cannot condone and must condemn the president for his racist and xenophobic remarks. Racism is a part of our history, but it represents the worst of our nature. We must guard against it, especially when it comes out of the president’s mouth. We need to hold up our better angels.

Credit risk appraiser Moody’s buys a firm that assesses climate change risk

Even for those not very familiar with Moody’s, this headline speaks volumes about the impact of the risk of climate change on our country and planet. In a July 24, 2019 article in The New York Times by Christopher Flavelle called “Moody’s Buys Climate Data Firm, Signaling New Scrutiny of Climate Risks,” the company that measures credit risks for bond investors in companies, cities, counties, states and countries, has added to its expertise. Per Flavelle’s article

“Moody’s Corporation has purchased a controlling stake in a firm that measures the physical risks of climate change, the latest indication that global warming can threaten the creditworthiness of governments and companies around the world.

The rating agency bought a majority share in Four Twenty Seven, a California-based company that measures a range of hazards, including extreme rainfall, hurricanes, heat stress and sea level rise, and tracks their impact on 2,000 companies and 196 countries. In the US, the data covers 761 cities and more than 3,000 counties.

‘We are taking these risks very seriously,’ said Myriam Durand, global head of assessments at Moody’s Investor Service, who said the purchase would allow its credit analysts to be more precise in their review of climate-related risks. ‘You can’t mitigate what you don’t understand.’

Sudden shocks such as floods, wildfires, or storms can hurt businesses and send residents fleeing, taking away the tax revenue that government s use to pay debts. And, longer term threats – such as rising seas or higher temperatures – can make those places less desirable to live in, hurting property values and, in turn, the amount raised by taxes.”

To illustrate this risk, the same day I read a reprint of this article in The Charlotte Observer, the local paper ran a story on the town of Fair Bluff, NC which has been flooded twice in that past four years due to Hurricanes Matthew and Florence which lingered over their area. Sitting near the Lumber River, the citizens of Fair Bluff saw the river rise well beyond flood range. The previous flood of this magnitude occurred 90 years before. Sadly, the population and business is declining due to rebuilding costs. As a result, so is the tax revenue to provide services.

There is a huge financial impact of climate change on the lives and business of people and communities. Rebuilding a town that may continue to be in harms way adds to the risk and some people are choosing to relocate. And, It is not just small towns. Houston has had two major floods over the past five years, as well. Houston has felt on a larger scale what Fair Bluff has felt. Not only do the rains of the Hurricane sit over them, the rivers upstate overfill and flow toward the sea. This causes extra flooding.

So, Moody’s is improving their ability to assess repayment risk to bondholders. A city that has rebuilt or prepared poorly is at greater risk of flight of people, businesses and tax dollars. What should also be alarming to American citizens is while Moody’s is taking forward thinking action, the US government is stripping climate change reports from their websites and demoting, transferring or running off Ph.Ds who are expert in measuring and addressing climate change. In short, we are throwing away a technical advantage that could help the US and the world.

Repeating what Ms. Durand said above, “You can’t mitigate what you don’t understand.”  So, please ask all politicians what they plan to do about climate change including the US president. And, a question for those who still buy the hoax stuff, why is Moody’s spending all of that money on a hoax?

 

India calls out Trump lie

A story that got very little press occurred this week regarding India and Pakistan. It was overshadowed by the Mueller testimony, budget bill and the presidential seal issue, but it was a major faux pas and harmed relations with India, an important ally.

In a HuffPost article by Mary Papenfuss called “India Calls Out Trump Lie That He Was Asked To Mediate Kashmir Conflict,” she spells out what happened.

“President Donald Trump spun a tale in front of reporters Monday that he was personally asked by India’s prime minister, Narendra Modi, to mediate the Kashmir conflict with Pakistan.Trump raised the issue during a meeting with Pakistan’s prime minister, Imran Khan, in the White House while reporters listened.

‘No such request has been made’ by Prime Minister Narendra Modi to the U.S. president, said a spokesman for India’s government, despite what Trump claimed.” It should be noted, the White House would not confirm what Trump said, even before the India PM’s denial.

I caught the tail end of an interview with a US based expert on India on NPR Thursday. He said this was a “damn lie” by Trump as it could not have been close to being accurate. Kashmir is a hotly debated area between the two countries of India and Pakistan for decades. The conflict almost turned into a war only in the past few months. So, it is a powederkeg issue and Trump should have known better than to state such an untruth.

The expert (whose name I did not catch) added that Modi is a nationalist, so he would not seek outside help from a US president or anyone to resolve an issue like this. The fact the White House would not confirm it and India denied it within one hour is very telling.

Quite simply, this is as good a microcosm as any of the modus operandi of Donald J. Trump. It is also indicative of why he is so dangerous to our country and planet. It has been written by multiple sources that he does not take the time to study issues. His briefings have to be made extremely short because of his short attention span and disdain for history and being lectured. He has touted he does not need to know the details, as he has such an incredible gut instinct.

The truth is it does matter. Facts matter. History matters. Knowing what not to say matters. A few well-researched blogging friends and I chat often about Trump’s inability to tell the truth most of the time. We debate on whether he is purposefully lying or is it he lies so often, he does not know where the truth stops and the lies begin. I think it is more the latter, but I also think he lies to distract and defend.

But, think about this particular issue with India. If you were the India prime minister, how would this make you view dealing with the US president? Would the word “untrustworthy” come to mind? So, considering the president’s modus operandi, do you think other world leaders would think of this word? I do, as start out from the basis of not believing a word he says. The odds are in my favor.

My rights are more important than yours

As a 60 year old white man, I have come to several conclusions living in America. Where we are supposed to have equal rights, what that really means is “my rights are more important than yours.” The examples are many and seem to be more at the forefront in a spin-doctored to disinformation news cycle. The other thing I have learned is democracy is hard work – you have to work at it to keep it flourishing. That is why it so easy to harm it.

One of the best examples can be gleaned from the letters to the editors in the newspapers or the comments on various blogs. The comments/ letters I am speaking of occur when a celebrity, athlete or entity espouses a political opinion that differs from yours. The comment ranges from they should stick to their art or sport and not use their popularity as a platform to espouse political views. Or, it might read, I want to watch a ball game and not be told what I must do politically.

It is OK for these people to wear eight corporate sponsor logos to sell you things, but they should not tell you what they believe. Yet, what is not being said, is it is OK for me to use my platforms or read that of others because they agree with my belief construct. In other words, my right to espouse an opinion supersedes yours. So, how dare Colin Kaepernick kneel during the national anthem or Megan Rapinoe say what she thinks. That is unpatriotic. Call me crazy, but siding with a Russian president’s opinions over that of your own intelligence people sounds pretty unpatriotic to me.

Another good example is the Religious rights activity. These laws grant the right to discriminate because it violates a religious belief. The subtlety of this being different from protecting one’s rights against discrimination is not heeded. But, it also causes a very slippery slope of the same folks being discriminated against by other religions or groups. This could be a LGBT owner not selling to someone with hate speech on their T-shirt, a Muslim owner not selling to an evangelical as they do not like their extremist views, a Jewish owner not selling to non-Kosher buyers.

Back in the late 1960s, three black athletes – Jim Brown, the star NFL running back and actor, Bill Russell, the star NBA basketball player and Muhammad Ali all spoke out against poverty and oppression of opportunity of black Americans. They did so knowingly and convincingly. What disappoints many is that Michael Jordan and Tiger Woods do not use their popularity to speak out against similar issues that still fester.To their credit, Lebron James and Stephen Curry are speaking out. Kaepernick actually hurt his career in so doing.

It is more than OK for people to speak out. That is the way it works. I recall when the US invaded Iraq, the country singing group The Dixie Chicks were vilified for speaking out against this. They were hailed unpatriotic by people supporting the Bush administration. Yet, history proved them right to question such a move. What is more unpatriotic – invading a country under false pretenses where over 4,000 American and additional numbers of allied soldiers die or speaking out against such an invasion?

Call me crazy, but if we are going to send Americans and our allies to die, we better have done our homework and exhausted all other options. It should be informational that a UK report found Prime Minister Tony Blair and President George W. Bush at fault for not being forthcoming to the British people. As Forrest Gump would say, “That is all I am going to say about that.”

 

Around the world on the small screen

My wife and I enjoy watching TV shows that tend to have more dialogue and plot, so we spend a lot of time watching shows produced outside of the US. This is not to say there are not good shows produced here as we watch several. But when these foreign shows are aired on PBS, they are sans commercials and can be focused on. You may not care for these or have not given them a try, so here is a taste of a few.

800 Words – is an Australian produced show about a unique coastal town in New Zealand called Weld, a made up name. In short, a columnist father moves his two teen children from Sydney after his wife dies suddenly, to a town called Weld he visited as a child. The town is replete with unique people and he captures this on a column he writes online called “800 Words.” It is not unlike “Northern Exposure” made in the US a few years ago.

A Place to Call Home – is another Australia based series which follows the travails of one family whose widowed head of household falls for a Jewish woman. The show is set in the 1950s, so there are lingering biases toward some Italian descendents as well as recurring prejudice toward this woman. There is enough machinations going on to keep people interested, with a power hungry women trying to upset everything and the head of household’s mother who has the best part to play.

Two other Australian shows which we have enjoyed are Doctor Blake Mysteries and Miss Fisher’s Murder Mysteries. The former is about a forensic doctor who had been in special forces during the second world war, while the latter is about an avant garde woman in the 1920s who is a clever mystery solver. It also has one of the best theme songs around.

From the UK, we have several we watch and none are Downtown Abbey, which we have seen a few of, but caught on too late.

Endeavour – is a police detective series set in the late 1960s and 70s. It focuses on the camaraderie of an older and younger detective team (Inspectors Thursday and Morse), but there is a close knit team that abets their efforts. The shows are 90 minutes long, so require a little more investment of time.

Call the Midwife  it started out tracing the diaries of a midwife in England from the late 1950s over four years, but has continued well beyond into the 1960s. The issues, the attire, the lower middle class and poverty are all well researched and presented. They covered the Thalidomide babies who were born with severe deformities, abortion, unwed mothers, rape, disease, and environmental toxins.

Other shows we enjoy are Father Brown, about a crime solving Catholic priest and Grantchester, about the friendship of a Church of England vicar and police officer who solve crimes together. Both are set in different time periods which add to the nostalgia. We also watch Midsomer Murders and Doc Martin. 

A limited series show from the UK is called “Unforgotten,” is about a team that digs into old cases when a body is discovered years later. It is very somber, but well done, as the detectives have their own problems as they explore those of others.

Finally, a Canadian show is of interet called “Burden of Proof.” It features the relationship between a very capable, but disillusioned attorney who left her father’s firm and a small town attorney who continues to surprise her with his capabilities and due diligence.

Let me know what you think. Do you like these? Do you have others you prefer?

Medical errors are a problem – here are some thoughts on how to reduce them

Earlier this week, a US health news piece entitled “In a review of 337,000 patient cases, this was the no 1 most common preventative medical error” by Meera Jagannathan was made available on msn.com. This article echoes the findings of two pieces I have referenced previously, the first, a book called “Internal Bleeding: the truth behind American medicine’s terrible epidemic of medical mistakes,” written in 2004 by two internists Dr. Robert Wachter and Dr. Kaveh Shojania. The second was the Leapfrog Study which looked at deaths caused by medical errors toward the turn of the century. A link to the recent article is below.

The article reveals the results of four medical studies that analyzed medical death rates from 2000 – 2008. Of the just over 251,000 medical deaths, 9.5% of the deaths could be attributed to medical error. In other words, 1 out of 10 deaths could have been avoided as they resulted from a medical error.

The article focuses on nine things that should be done to reduce medical mistakes. I will just list them, but please click on the article link below.

  1. Make sure you fully understand the procedure and why it is necessary.
  2. Brief the doctors on your allergies, health conditions and medicines.
  3. Don’t assume every provider has access to your records.
  4. Bring a friend or family member if the patient is not good with asking questions about what is happening.
  5. Keep close track of your medicines and results.
  6. Make sure the doctors and nurses wash their hands.
  7. Research wisely.
  8. Don’t be afraid to speak.
  9.  Ask providers what they are doing to prevent  mistakes.

The Leapfrog study noted three things to reduce deaths due to medical errors.

  1. Have complex surgeries performed in centers of excellence where they have done multiple hundreds or thousands of the procedure.
  2. While dated, poor handwriting of prescriptions or instructions caused mistakes. Most hospitals now have electronic orders, but be sure you understand what is being asked or prescribed.
  3. Make sure there are doctors on site and not just residents in intensive care units.

I wrote earlier about the book “Internal Bleeding,” so I provided a link below. Reviewing that summary and comparing to the above, here are a few more thoughts from that post as well as a few others thrown in.

  • write a summary of your and your family medical history
  • write down what your symptoms are – people see the white coat and forget.
  • if you are not sick or injured, the hospital is the last place you should be; some hospitals incent ER doctors to admit patients; ask questions about this.
  • know your environment; if you have bladder or some other cancer it may be environmental not familial. Bladder cancer is a bellweather environmental caused cancer.
  • ask for other pain medications beside opioids; they should be only used for severe pain and for short durations.
  • introduce yourself to all providers; make sure they know who you are.
  • Complete the prescription regimen and don’t stop when you are feeling better.

Medical professionals do not want medical errors either. So, help them help you. And, if you have trouble advocating for yourself, take a trusted person with you.

https://www.msn.com/en-us/health/health-news/in-a-review-of-337000-patient-cases-this-was-the-no-1-most-common-preventable-medical-error/ar-AAEGPVF?ocid=spartandhp

https://musingsofanoldfart.wordpress.com/2012/07/28/internal-bleeding-be-your-own-health-care-advocate/

Endangering people to win politically is not leadership

One of the sad and scary truths with a president who lies, demeans, denigrates and bullies his critics is his more strident followers believe his rhetoric. A consequence of this stirring up of emotions is it places people who are critical of the president in danger of bodily harm or death.

Let me state this plainly. That is not leadership. It is promoting criminal behavior. It is not becoming of a president or any other legislator or person, for that matter. And, it should not be tolerated regardless of who does it.

Three items of late come to mind. The president stirred up his audience beforehand, but after stretching the truth and taking statements out of context, he had his followers chanting “send her back” in response to his demonizing four elected representatives. And, do not believe a word the president said when he tried to weasel out of responsibility the next day. He knows precisely what he is doing – using racism to divide America to get elected. That is beyond poor form.

It does not stop there. A law enforcement officer in Louisiana said this weekend what Representative Omar needs is a bullet. Really? And, you are in law enforcement. These four Congresswomen are already receiving death threats before the president’s recent racist comments. And, take this to the bank – if there is an attempt to harm any of them, the president will again weasel out of any responsibility.

Finally, we seem to be headed down a path to autocracy. That is scary for our democracy. So, pay attention to what happened in Hong Kong yesterday. Pro-Beijing gangs beat and harmed about 45 pro-democracy demonstrators in a transit center. The police were not used as that would look worse. So, as done on the mainland, gangs of thugs beat dissenters.

Could this happen here? Easily. Has it happened here. Yes, but not on a government sanctioned basis. But, with this “wind-up-the-extremists” president, it only needs Trump to do what he does well  – use lies and half-truths to rile people up.

Finally, to be fair, we do not need Antifa extremists promoting violence either. We do not need people treating others they disagree with like they would not want to be treated. Civil discourse is critical. When people use violence it diminishes their argument and cedes the higher ground. And, legislators please condemn violence, racism, lying and bullying, no matter who does it and that includes the president.

Let me close with the fact multiple global leaders have condemned the US president’s racist remarks – including, but not limited to New Zealand, UK, Ireland, Scotland, EU and Canada. That ireveals Trump’s comments as not exemplary behavior.

A plea for progressive Democrat voters

The following plea is made by an Independent voter who has been a member of both parties. I am fiscally conservative and socially progressive. I am an advocate for the disenfranchised, environment and debt education. What all this means is I believe in helping people climb ladders, equal opportunity and rights, protecting our environment, but recognizing we have to pay for things.

My plea for progressive Democrat voters is as follows: If someone

  • cares about our global reputation and trade,
  • cares about good healthcare options,
  • cares about fighting climate change,
  • cares about protecting the environment and bee pollinators,
  • cares about our growing debt problem made worse by this president,
  • cares about civil rights and liberties for all,
  • cares about common decency,
  • cares about data-driven analysis, and
  • knows that our economy has been growing for over 120 months, only 30 of which have been under this president,

then please vote for Donald Trump’s opponent.

But. you must vote and not phone it in. Trump won in 2016 because he got people who were not crazy about Hillary to stay home or vote for Jill Flynn.

As for the Democrats – beating Trump truly is the major consideration. He is a clear and present danger to our democracy, our planet and even his own party. Please do not nominate a candidate that will not appeal to moderate Dems and Independents. Trump should not win this election if Dems do this. He can win if he continues to resonate with his race baiting and fear mongering of perceived evils of socialism and Dems nominate a George McGovern or Walter Mondale like candidate (please research how they did in the general election).

I am writing this to any progressive readers. We cannot be stupid about this election. Trump is beatable, but he can also win. Watergate was all about making sure Nixon ran against McGovern and not Edmund Muskie and getting dirt on McGovern once they got Muskie to drop out of the race (please research Nixon’s dirty tricks and Muskie’s tears of anger). Trump is more corrupt than Nixon, per conservative writer George Will – I agree. He will do everything in his power to lie, cheat and bully. Take that to the bank.

Finally, a note to all Democrat candidates – get every fact you can correct. Trump uses facts and truth as commodities – sparingly and only when they help him. But, even then he is prone to embellish his own role in good news. Fact-checkers have reported all candidates fudge the truth, but they also show no one comes close to Trump’s rate of lying. Do not be like that. Argue facts, diplomatically and forcefully. And, if anyone or group promotes violence in reaction to the hateful rhetoric, be quick to condemn it. Violence has no place in political discourse.

Please stabilize the Affordable Care Act NOW to help Americans

A February, 2017 Morning Consult Poll noted that 35% did not know the Affordable Care Act (ACA) and Obamacare are the same thing. I want you to think of this poll when you see how Americans feel about the ACA. Today, just under half of American approve of the ACA, but that is in part due to the above and the fact more progressive Democrats want a Medicare-for-All replacement.

I wrote the following post a few months back as I am of the opinion Democrats and Republicans need to stabilize the ACA now and explore a few changes on a measured basis. As I wrote this, I call politics on the carpet for causing some of this mess, but everyone needs to check their egos and zero-sum games and fix the problems which are fixable. They also need to drop the BS lawsuits that are asking to rule the ACA unconstitutional again, when the group making the request changed a feature to further this mission. That is like ripping an engine off the plane and blaming the engineer while it is flying.

So for what it is worth, here are my suggestions. I am an Independent voter and retired, but my career included being an actuary, benefits consultant and benefits manager for a Fortune 500 company. I have shared with Senators and Congressional representatives a few thoughts on stabilizing the ACA, something Democrats campaigned on last fall and won in the midterms after the disastrous attempts of the Republicans to clean the slate that fortunately failed.

Medicare-for-All deserves debate, but will require a more elongated and data-driven discussion. We need to have Congress take steps to stabilize the ACA now. To do otherwise, is a disservice to Americans.

Here are my thoughts.
– the GOP sabotaged the ACA in two specific steps which increased premiums even more. They defunded 89% of the risk corridors (for initial adverse selection) driving some insurers out of the market. The other is Trump reneged on reimbursing insurers for copays/ deductibles for people making less than 2 1/2 times the poverty level. My suggestion is to pay insurers what we promised in writing and invite those who left back into the exchanges.*

– I suggest the lowering of the eligibility age for Medicare to age 62 (the age when retirees can first draw Social Security). This could be viewed as a pilot for Medicare-for- All. This action would lower the Medicare premium rate for all and lower the ACA exchange premiums due to the age of those leaving the ACA and joining Medicare. In other words, both the average age of Medicare and the exchanges would be lower, so the actuarial cost per person is less in both.

– Actively encourage the expansion of Medicaid in the remaining states – this will help the economies, healthcare providers and people in those markets. There are now 36 states who have done so. GOP Ohio Governor John Kasich calls Medicaid expansion a “no brainer.” North Carolina is debating this issue, but it needs to move forward with the number of rural hospitals that have closed thus far in the state.

– Finally, where only one option exists in a rural county, offer a Medicare option, again as a pilot. People should have choices.

There are other changes that would help, but this needs a data-driven analysis and not whatever the GOP did in 2017, which was a horrible approach to legislation that resulted in horrible legislation. Had any of the GOP legislation passed to kill the ACA, the GOP would have lost even more seats and we would be talking about a recession coming our way.
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* Please feel free to Google these topics: “Marco Rubio and risk corridors” and Donald “Trump and ACA subsidy decision”. The former caused insurance premiums to increase more than they otherwise would have and some insurance companies left the exchanges with the US government owing them money. The risk corridors were designed to tie insurers over until the initial adverse selection flushed out of the system.

The latter was frustrating because the subsidy helped people in need. Trump untruthfully claimed it will only affect insurer profits, but the carriers committed to the customers to do this under contract. The CBO said this action raised the deficit by $10 billion, since premium subsidies went up to pay for the increased premiums. In my home state of NC, BCBS said before the Trump decision premiums were NOT going to increase. After the decision, the premiums increased 8%.

Saying this in a more succinct way, the GOP screwed American people to win a political argument. Sadly, that is the truth, but very few people know of this. This also is an exemplar of the President’s lying affecting hard-working people. Lying is one thing, but setting policy off lying is another matter altogether.

Note, the ACA is imperfect and complex. Obama was not truthful when he said you could keep your doctor – no new network should make that universal claim. But, it still has not been fully implemented in all the states with those who did not expand Medicaid. But, people need to be fully aware of the sabotaging of the ACA undertaken by the GOP, which I find interesting, as the ACA is largely based on a GOP idea. That is politics for you – you did it, so I must be against it.