What are we voting for?

So, much of the focus has rightfully been on countering the most divisive US President this Independent voter has witnessed. He has bullied, denigrated, lied and made himself the center of attention on far too many issues.

Yet, let’s look at this record he touts as his reason to give him free rein. His followers say he has done what he promised. To me, therein lie the problems.

While the economy is going well, the economic growth has lasted 9 1/2 years, the second longest in US history. We have also had over 8 years of job growth. The tax law and deregulation have helped make it a little better, but we are doing so on borrowed time with increasing debt and less governance.

We have announced the pull out of the Paris Cilmate Change accord and are an outlier in the world. The President lied to people about climate change being a hoax and has added insult by damaging our environment through enabling industrial polluters. He is borrowing time the world does not have.

The ill-conceived tariffs are bad enough, but bullying and lying to our allies far exceed the damage tariffs will do. We are harming our relationships, which are a key strength of America. We are also less trustworthy. As Trump’s former economic advisor said after telling him he lied to the Australian PM, Trump is a “professional liar.”

We have focused on immigration as a major problem, but it has been sold on fear and is not as big a problem as advertised. We have made immigrants the bogeymen and have lost sight of the impact of domestic terrorists already here. Yes, we should fix immigration, but three promising bills before this President were waylaid for political reasons.

We have allowed a President to build off Republican leadership efforts to sabatoge the Affordable Care Act making premiums higher than they otherwise would be. His party has screwed Americans to win a political argument. And, now the GOP has the unmitigated gall to say they want to protect pre-existing conditions.

We have put in place two very conservative justices, but the President forced the Senate to move away from a super majority to a simple majority. This has made it easier to get a less moderate Justice on the court. I want well-tempered jurisprudence, not partisanship. The most recent Justice lied to the Senate.

We have allowed a President to make money off the Presidency, which he has been sued over. The trial is permitted to move ahead. We have not criticized a President enough for denigrating rhe media. Trump is on record  as lying more than any other politician. Our democracy is at stake because of these two issues. He is President, not King.

Finally, civil rights are under attack with this President. His hate speech and bullying have greased the skids for white supremacists. The President is a racist and misogynist.

This is his record. And, I have not even discussed the Russian issue. I would give him kudos on discussions with North Korea and some deregulation. The tax cut helped some, but went too far and is hurting our debt. And, we have done little to better govern guns or invest in our infrastructure.

That is what I think as an Independent voter, who left the GOP over ten years ago. We need to better govern this President. He certainly is not up to the task.

 

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Media – focus more on the problems needing solving and less on who wins

The main stream media is doing a better job on focusing on the issues, but they still have a bias toward conflict. Who wins and loses based on the airing of an issue or problem is covered way too much for my taste. The end result is problems and their many causes do not get addressed or are oversimplified, so they go unsolved.

The dilemma is we citizens lose. The focus must be on the issues rather than who benefits from whatever hits a news cycle. Substance matters more than image. Here are a few examples to digest.

We have a poverty problem in the US. It is not just a declining middle class. Too many are living beneath paycheck to paycheck or are one paycheck away from being in trouble. The United Nations just released a report that confirms the US has a poverty problem citing numerous examples and numbers. Instead of asking lawmakers what are we doing about it, the media focused on the Trump administration admonishing the UN for the report. The problem exists whether or not it makes Trump look bad, as it took decades to decline to this point. Addressing poverty is more important.

We have a significant and growing debt problem that has been made worse by the Tax law passed in December. The economy was already doing pretty good with a long growth period. Yet, rather than address our debt, we borrowed more from our future. This malfeasance must be highlighted. Yet, most of the focus is on the economy doing well and its impact on the midterm election. Note the economy would have done well without the tax change, but we have a day of reckoning coming that will require more revenue and less spending. What are we going to do about it now, especially with a good economy?

The Affordable Care Act has needed improvements and stabilization for some time. The American public favors this as do lawmakers from both parties. Yet, the media focuses too much on the political  impact of an ACA that could be doing better. Not only has the party in power not helped the ACA, they have sabotaged it making premiums go up even more. As I see it, the President and GOP own the ACA. Letting premiums go up hurts Americans. If the ACA fails, our poverty problem will get even worse and the economy will suffer.

Issues like immigration, climate change, water shortages, tariffs, exiting international agreements, eg, all need to be focused on. We need to drill down on what makes sense in a data driven and reasonable manner. Attempting to resolve issues based on optics of winning or losing won’t solve anything. And, that is what our President and legislators seem to be more interested in.

So, media please start asking our leaders what they plan on doing about these problems and asking them to explain why certain measures don’t seem to be helpful.  And, leaders stop worrying about keeping your job and start doing your job.

A few select statements

A counterpoint response to my comment that the President needs to tell the truth more than he does not, might be “all politicians lie.” Yes, they do, but he laps the field at a 69% rate of untruthfulness per Politifacts.  But, he also makes decisions off his supporting lies.

One that gives me concern is “You can win a trade war.” History has shown this not to be true and we will soon be finding out as Canada just added their retributive tariffs to those of the EU and China. By the way, the lone constant in these three tariffs is the US. The impact is already showing up in economic decisions by companies,

Today he said “the tax cut is the reason for our economic miracle.” That is a stretch in that we are completing 108 consecutive months of economic growth today, which is the second longest in US history. He has only been President for a little more than 17 months and the tax cut has only been in effect for 6 months. As for the long term, I am worried about the tax cut increasing our huge and increasing debt. To be frank, the tax cut will help some short term, but hurt us in the long run.

Yesterday, he noted again “Russia said they did not meddle in our election,” to me implying his tacit support. But, the US intelligence asserts with high confidence that not only Russia did, but the Trump campaign benefited from it. Plus, they said the Russians are still influencing opinion and sowing seeds of discord. The question we must ask is why? Why say this? Why let it go on? Why is Congress not more assertive to get to the bottom of this? Why do you people believe him when he calls the investigation a witch hunt?

Finally, the Affordable Care Act is in need of stabilization and select improvements. Instead, it has been sabotaged at the expense of Americans, once by Congress in 2015 and just last summer by the President. When he defunded payments to insurers for copays and deductibles for families making less than 2 1/2 x poverty limit, he said “it would only impact insurer profits.” That is simply untrue. The CBO noted that the impact would increase the debt by $10 Billion. Why? As insurers raise premiums as a result of picking up this unfunded tab, the premium subsidies would climb by $10 Billion. That means it effects taxpayers by that amount.

The sad truth is there are numerous instances where lies and oversimplified problems and solutions have caused policy decisions. It is hard enough to solve problems when we use facts. It is nigh impossible when we don’t. The truth matters.

 

 

 

 

 

The President almost did something good, then…

People need to know that our President is not big into details, nor does he care to be. He is not very conversant on healthcare or the Affordable Care Act, for example. Yet, he almost slipped up and accomplished something good. Alas, he changed his position within 24 hours.

Just last week, he signed two executive orders to help healthcare in the US. Neither order would be very helpful and both will cause premiums to go up under the ACA. In fact, he said if we eliminate the subsidies for deductibles, co-pays and co-insurance on people making less than 2 1/2 the poverty level it would just hurt the insurer’s profits. That simply is not true, as our deficit would go up by $20 Billion per annum and people without subsidies would see premium increases.

But, while this was going on, Senator Chuck Schumer kept telling him about the bipartisan effort of Senators Lamar Alexander and Patty Murray that would stabilize and improve the ACA. Their efforts would restore the subsidies that Trump wanted to do away with. Insurers were pricing 2018 premiums higher sans these subsidies,

Trump encouraged Alexander while Schumer did the same with Murray. The President actually did the right thing, as Alexander and Murray were going about their business in the right way with hearings and committe meetings. This is how legislation should be done, which has been lost on our two Congress chamber leaders.

When Alexander/ Murray announced they reached agreement, the President was supportive. Alexander actually thanked the President for his role in making it happen. Yet, just after Alexander called to thank him, Trump changed his mind and now does not support it. Less than 24 hours had elapsed.

Of course, his support may change and Alexander/ Murray are not done yet, but Trump had a chance to take credit for helping Americans. This could have been a helpful major piece of legislation, which is missing from his tenure. Alas, he realized he would be helping the ACA and he had to destroy it. That is what he promised to his base. While imperfect, the ACA is not broken, but it does need improvements. If it eventually fails, it is on this President and Congress’ shoulders.

My former party does not know much about healthcare

The Graham-Cassidy Bill seems to be on its last legs, but these bills are like Jason – just when you think you kill the serial killer, he remains alive. This latest effort may be the worst bill by my former party, which I left in 2006. It is apparent to me that Republican leaders don’t know much about healthcare and don’t care to know or take the time to know. That includes the man in the White House who just wants to sign something that negates something Obama did. “Who knew healthcare could be so complicated?” he asked earlier in the year. The answer “Everyone, but you.”

Every bill either put forth by the Senate this year or passed by the House has been scored poorly by the Congressional Budget Office (CBO), has been not appreciated in polls and has been denigrated by medical and hospital associations. Not involving women, Democrats, experts and due process in the planning revealed a haphazard approach to legislation.The Graham-Cassidy Bill is the worst of the bunch as it places the burden, and eventually all of the financing, on the states. In a nutshell, the bill says we cannot figure this out, so we are punting it to you.

In addition to the tens of millions of Americans negatively affected by these bills, if passed, the authors make a concerted effort to kick people in poverty and near-poverty in the teeth. Since we have a poverty problem in America, these bills are especially cold-hearted. And, Graham-Cassidy gives states the right to do away with pre-existing conditions, which was incorrectly refuted by Cassidy after being called on the carpet by Jimmy Kimmel. Seeing protestors in wheel chairs at the Senate was telling.

Further, I have shared with Senators, Congressional Representatives and the White House, these bills would be dilutive to the economy. Standard & Poor said yesterday in their global report the Graham-Cassidy would harm the American economy by $240 Billion through 2027 and cause 580,000 job losses. In a nutshell, when people in need no longer have insurance, the trade-off becomes between food/ rent and medicine. So, less is spent in the market place which dilutes the economy.

Yet, let me emphasize one thing that has been raised by more than a few state Medicaid Directors and Governors. Building a new healthcare delivery system will take longer than the time given. In my view, it will take longer than even these folks are thinking about. In business and government, leaders tend to vastly underestimate the complexity to set-up administration of things. As President Obama found out, setting up healthcare exchanges was hard and initially failed to deliver.

This is an important observation about the Affordable Care Act. It is in place. It is not in a death spiral and it is not broken. From the lens of fewer uninsured, it has been successful. Yet, it needs improvements, but first it needs to be stabilized. Part of the reason for the latter is the GOP’s efforts to hamstring its success by defunding subsidies for adverse selection to insurers. Coupled with slow funding of other subsidies, nineteen states who did not expand Medicaid and general naysaying, the law has not been given full opportunity to be successful.

So, this retired benefits actuary, consultant and manager recommends the ACA be stabilized under some version of the bipartisan Alexander/ Murray Bill. Then all members of Congress can spend more detailed and thoughtful time in deciding how healthcare can be delivered going forward. My recommendation is they improve the ACA.

Lyin’ Eyes

The Eagles sang about infidelity in their popular song “You can’t hide your lyin’ eyes. And, your smile is a thin disguise.” I mention these lyrics because of the lack of fidelity to the truth exhibited by various politicians.

The comedian Jimmy Kimmel is being vilified by conservative news sources regarding his calling on the carpet Senator Tom Cassidy about his misrepresentation of what is included in the Graham-Cassidy Obamacare replacement bill. Based on fact checkers, Kimmel knows what is in Cassidy’s bill more than Cassidy does.

This would not be the first time politicians have lied about Obamacare. Obama oversold it saying you could keep your plan, which was at odds with most insurance changes. Yet, the lion share of the lying has been by Republicans. This law is imperfect and needs improvements, but it is not in a death spiral or is broken as portrayed by the GOP. The GOP has also not been forthcoming about their multiple attempts to hamstring the law at the expense of Americans increasing their premiums even more.

But, no US politician can lay a hand on the  greatest liar on record. This man has been measured by Politifacts as telling the complete truth only 5% of the time. When partial truthtelling or more is included, the rate increases to 31%. Saying it differently, this man lies 69% of the time, which is consistent with his rate of lying on the campaign trail. This man, of course, is the White House incumbent.

What I have noticed over the years, when politicians lie, the people who are most harmed are US citizens. The reasons and broadcast success rates for the Vietnam War were packed with lies. The sad truth is the percentages of those who died or were injured were much higher for African-Americans and poorer Americans. They bore the brunt of the lies.

Scrolling forward, when Trump and other politicians lie, people tend to die at higher rates. If the ACA is replaced as planned in GOP bills, more folks will be uninsured and  be at risk. By pretending climate change is not a threat or that governing environmental issues are less important than business leaders’ companies, people will die.

I recognize politicians have always lied, but never before at this rate or with such impunity. Our leaders dishonor the flag when they lie so much. And, they hurt our standing in the world. Right now, other world leaders do not trust Trump. They have good reason.

 

 

 

 

The President and Congress own Obamacare

I have written often about the imperfect Affordable Care Act and ways to improve it. I have written often about the Republicans role in sabatoging the ACA making premiums even higher by not funding promised payments to insurers for adverse selection as well as naysaying the law and not expanding Medicaid in 19 states.

This sabatoge continues under this President who says the ACA is in a death spiral. It is hurting in many areas, but stabilizing in others. He said he wants to let it implode and then fix it.

Mr. President, that is not good enough. You are threatening to cease further promised payments to insurance companies which will harm people. You see, what you and Congress fail to realize is you own Obamacare. If it fails, it is on your watch. And, to be frank the significant majority of Americans and the press do not recognize the role you played in hamstringing the imperfect law.

My strong advice is to do what is necessary thinking of its patients and users. Those Americans out there deserve your best efforts to help them. Watching the ACA fail after you greased the skids is extremely poor form and uncaring. It is that simple. Fix the ACA. That is what is done to laws that need it to help people.