Tag Archives: healthcare

09.19.17
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The Roll of the Dice: What Egalitarian Hunter-Gatherers Know About Luck (And We’ve Forgotten)

 

Image result for hunter gatherer

This picture might be overly bucolic, but there is no Fox News

 

In this week’s New Yorker, John Lanchester has a really interesting, humbling, and depressing read about how civilization turned out to be really bad for people in general. It made us unhealthier, more stressed, and, though he didn’t say it, downright meaner.

He says outright that the Neolithic Revolution is the worst thing that’s ever happened to humans, and that if we had slowed our roll a few hundred thou after harnessing fire, we’d be much happier.

That isn’t to say we’d be stupid. As Lanchester points out, there were literally thousands of years after the dawn of agriculture but before the rise of city-states. This was a time where there was art and some religion, mythologies, and knowledge about how the world worked. People, it seemed, didn’t resist collecting into civilization because they didn’t know how, but because it didn’t seem to make sense.

The whole article is really interesting, and points to some fascinating-sounding scholarship, but this might have been my favorite part.

The study of hunter-gatherers, who live for the day and do not accumulate surpluses, shows that humanity can live more or less as Keynes suggests. (Affluence without abundance- ed) It’s just that we’re choosing not to. A key to that lost or forsworn ability, Suzman suggests, lies in the ferocious egalitarianism of hunter-gatherers. For example, the most valuable thing a hunter can do is come back with meat. Unlike gathered plants, whose proceeds are “not subject to any strict conventions on sharing,” hunted meat is very carefully distributed according to protocol, and the people who eat the meat that is given to them go to great trouble to be rude about it. This ritual is called “insulting the meat,” and it is designed to make sure the hunter doesn’t get above himself and start thinking that he’s better than anyone else. “When a young man kills much meat,” a Bushman told the anthropologist Richard B. Lee, “he comes to think of himself as a chief or a big man, and he thinks of the rest of us as his servants or inferiors. . . . We can’t accept this.” The insults are designed to “cool his heart and make him gentle.” For these hunter-gatherers, Suzman writes, “the sum of individual self-interest and the jealousy that policed it was a fiercely egalitarian society where profitable exchange, hierarchy, and significant material inequality were not tolerated.”

This egalitarian impulse, Suzman suggests, is central to the hunter-gatherer’s ability to live a life that is, on its own terms, affluent, but without abundance, without excess, and without competitive acquisition.

What really strikes me about this is how hunter-gatherer societies embrace and understand the role of luck in life. Think about it. You could be an amazing hunter, but if something else spooked the animals, they’re off and running before you unleash and arrow. You could throw a spear perfectly, but if the gazelle zigs left instead of right, it falls clattering to the earth, pointedly and pointlessly.

So much in life is about luck, chance, and circumstance. You could stumble into some sweet hunting grounds or be born rich. You could watch the prey you’ve been stalking get freaked by a bird and run off, or you could grow up in the shadow of industry that’s poisoning your water and putting lead in your brain, limiting opportunities in life.

Things happen. As we’ve grown as a species, we’ve invented new ways to heighten the role of luck, the roll of the dice. Capitalism exacerbates this, with all its talk of meritocracy. Racism, prejudice, and borders make it stronger. Where you are born and to whom you are born make more a difference than who you are.

Hell, luck can extend to the random sequencing of a genetic code, a little glitch that makes you sicker or weaker or less able to rise up. That’s luck.

Paul Newman, in talking about his camp for sick children, had one of my favorite quotes about luck in life.

Image result for paul newman eyes

No! You’re not allowed to be this handsome and wise!

 

“I wanted, I think, to acknowledge Luck: the chance of it, the benevolence of it in my life, and the brutality of it in the lives of others; made especially savage for children because they may not be allowed the good fortune of a lifetime to correct it.”

And we’ve set up a society that refuses to recognize that. We’ve set up a society where the national myths are that you deserve your fate, and that there are many people who deserve to suffer. If they are suffering, ipso facto, they must deserve it. And they should suffer more, so that the luckier, who never consider their fortune anything just the justifications of virtue, can have more.

You may have recognized this as a summation of the Republican platform. It’s made crystal clear in their multiple attempts to repeal the ACA (and how goddamn happy Paul Ryan was when he thought he did).

Because that’s what repeal really is. It is saying that if you work three jobs, none of which have health care, you don’t deserve it. If you have a pre-existing condition, that’s too bad. If you live in a state with a Republican governor, too bad. If your cancer becomes metatastic and you can’t afford care, well, them’s the breaks.

That comes from the inability to understand that life is about luck. It’s about the driver looking up just in time to slam on her brakes before she t-bones you. Another second, another half-second, and you face a lifetime of therapy and mounting bills. There’s no virtue there. That’s only chance. The same as if you had entered the intersection a half-second earlier and were in her way.

Our system shouldn’t be about ignoring luck. It shouldn’t imagine that the person who happens to have the most meat at any given moment is the bravest, the best, and the most worthy. Our adherence to that superstition puts us far behind hunter-gatherer socieites. We’re less wise, less moral, and less knowledgeable about the world. We’re just less.

(h/t to Allison, Dee, and Bill Breeding for the breakfast conversation about this piece that made me think about luck and who we are. Always my favorite people to talk to.)

09.13.17
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The One Flaw With Bernie’s “Medicare for All” Bill: The Finger Thing Means The Taxes!

fvcfifs

I support universal healthcare, though I don’t know anything about it. This makes me like most people! And while I think Bernie’s plan is a good one, like him, I also know it has no chance at success. For now. But I love that he keeps moving the conversation to the left, making it more and more normal. Why are we the only developed country where not dying in the streets because you’re poor is considered a privilege, and something to be earned?

Well, there are a lot of answers to that. But part of it, I think, can be found in this poll from The Guardian.

Since Sanders launched his presidential campaign in May 2015, public support for universal healthcare has climbed. Where 46% of the public supported such a system in 2008 and 2009, a recent Kaiser poll found 53% now support the idea.

But that same survey found that when respondents were told that a universal healthcare plan might give the government “too much control,” or that it might increases taxes, opposition spiked from 43% to 62% and 60% respectively – perhaps a sign of the major political and policy fights that lie ahead.

As always, The Simpsons summed it up beautifully in this one-minute clip.

“The finger thing means the taxes” might be my most-quoted line ever.

05.04.17
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Sociopaths Celebrate Human Immiseration: The Healthcare Repeal in Three Images

We did it, boys! 

What I can’t get over is how happy they are with themselves. With their cheering and backslapping, the popping open of Bud Lights, and the sense of a job well done. These are people who are thrilled with today’s work of rushing through a terrible bill that will take healthcare away from tens of millions of people, leading to more sickness, bankruptcy, and death. They honestly could not be more pleased.

Part of it, of course, is because their ideology makes them want to hurt everyone who isn’t rich so the wealthy can become even more so, even if it is, for them, just a rounding error. Putting a cool couple of million in the pockets of billionaires is worth destroying the lives of poor, regardless of race.

But of course, the main reason they are so happy, is because they think this sticks it to Obama, their literal bete noire. They want to tear him down, destroy his legacy, and trample the progress that he represented (not to mention, for ideological reasons, the progress he actually achieved). He was an aberration to their sense of what the country should be (run by, and to the benefit of, white men). They want to make him a distasteful footnote.

Image result for rose garden trump ryan ahca

We did it, Paul. Me and you. Linked together forever. 

And that’s why Trump is so important. He’s a useful idiot, to be sure, one whose mental sickness is perfectly aligned with the GOP. He hates Obama, because Obama is the opposite of Trump in every single way. Obama is the living example of merit, of intelligence, of class and dignity. He is the best of us, and Trump is the worst. He’s a man who earned nothing his coddled life. The GOP might find him obnoxious, but more than being someone who will help them save the rich, he’s a living rebuke to Obama.

That’s why this quote is so telling.

“I don’t know if you remember what [then-Vice President Joe] Biden whispered in the President’s ear back when he was signing [the Affordable Care Act],” Rep. Bill Flores (R-TX) asked reporters, referring to Biden’s “this is a big f-cking deal” hot mic moment.

“This is a bigger deal than that,” Flores said before Thursday’s vote.

Now, obviously, in a real sense there is no way today’s vote is a bigger deal. Already, their bill is mooted. The Senate is going to write their own, and then they are going to parlay and compromise and the House lunatics will cry traitor and Ted Cruz will grandstand and Lindsay Graham will say some thing, and maybe there will be a bill that can pass both houses, but mabe not. In a real sense, for the GOP, this isn’t something to celebrate. They’ve barely started, despite what our idiot President claims when he says “It’s dead. It’s essentially dead.”

But look at that closer. Joe Biden said something was a big fucking deal when we came closer to having full coverage than ever before, when we expanded health care. Biden said it was a big fucking deal because we came closer to the day when people could live without fear that a bit of bad luck, a sickness, or an accident at work, an open pothole, someone’s foot slipping off their brake and ramming into you because you happened to be at that intersection at that one second instead of any of the other seconds of your life, could ruin that life. Could send someone spiraling into bankruptcy and a lifetime of pain. Biden, bless him, was excited to help people get away from that. He was excited because the richest country in the world was trying to use that wealth to help each other, to unite in a common bond.

Flores thinks it is a much bigger fucking deal to get rid of that. That’s what gets him excited.

Image result for rose garden trump ryan ahca

God damn them

Look at this picture. Look at these monsters. Trump is excited because he has a “win”, regardless of what that means, and in his tiny self-obsessed mind thinks he stuck it to Obama. He thinks this means history will remember him above Obama, as a real victor. He doesn’t comprehend what he is doing to people, because people don’t exist.  This gloating, preening, self-satisfied manchild gave the sea of mayonnaise he’s facing exactly what they want. A chance to destroy the common good and the bonds that unite us as a self-governing nation.

Paul Ryan is so smugly happy about this. He’s oozing joy, with his insincere sincerity about being able to do this with Donald Trump. Louis Gohmert can barely believe his good fortune to be here at this moment. The rest of them just as excited. They’re craning their neck to hoot and holler in unison, hoping that Trump sees just how happy they are to be there with them. How happy they are to please him.

They are so eager to give him a win. To celebrate unearned wealth and undeserved fortune, and the luck they have to be born who they are in this country, to have a chance to rise up and serve the rich, and to trample on the bones of the unlucky. This image is the perfect symbol of why our country–vast and unruly and diverse, a nation that pins its hopes on luck and fears that the chasm is opening up underneath us–is doomed. The pettiest can pass something almost nobody wants. Complacency about progress is foolhardy. It can be smashed underfoot by the trampling hatred of the minority.

Obamacare might not be dead, but GOP decency had its final burial today. They made clear that they are content being the fetchservant of plutocracy, and are eager to make the rest of us suffer and die. Anyone who thinks differently isn’t looking at the same pictures.

05.04.17
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High Risk Pools: Not Solving a Self-Created Problem

 

Image result for shark in pool

High-risk pools are never good

 

I am far from an expert on (or even super knowledgeable about) health care, so I’m not exactly speaking ex cathedra here, but this to me seems like the perfect example of idiotic and deeply cruel Republican non-governance.

WASHINGTON — House Republican leaders planned to hold a showdown vote Thursday on their bill to repeal and replace large portions of the Affordable Care Act after adding $8 billion to the measure to help cover insurance costs for people with pre-existing conditions…

Democrats and health care groups tried to slow that momentum. The liberal health advocacy group Families USA said another $8 billion would do little to improve the “high-risk pools” that could be set up by states to provide coverage to people with pre-existing medical conditions who could not find affordable insurance in the open market.

The American Medical Association and 10 organizations representing patients, including the American Heart Association and the advocacy arm of the American Cancer Society, reiterated their opposition to the House Republican bill on Wednesday, as did the retirees’ lobby AARP…

Mr. Upton and Sean Spicer, the White House press secretary, said they believed that the money in the bill would be adequate. “It’s our understanding that the $8 billion over the five years will more than cover those that might be impacted and, as a consequence, keeps our pledge for those that, in fact, would be otherwise denied because of pre-existing illnesses,” Mr. Upton said at the White House.

So, essentially, millions of Americans are counting on the math skills of Sean Spicer.

Continue reading →

03.27.17
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Monday Quick Hits: Robots, Water, and Keystone

 

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“So I says to Mabel, I says…”

 

Did everyone have a good weekend? I had a great weekend. Lots of family, and lots of toast to Trump’s and Ryan’s failure to devastate the lives of millions of people. But this victory is, I think, just a pause. The battle will be to pressure Republicans, who seem to be a bit nervous about ruining the lives of their constituents, to make positive changes to the ACA, rather than repeal it.

Admittedly, they’re in a bind. The Times reported some anecdotes about people in GOP districts shocked that their reps would even think about such a thing, and might not vote Republican again. But then, there are also lots of GOP voters who, having been told that Obamacare was basically the forward thrust of creeping Bolshevism, are mad that it wasn’t repealed. So they are caught in a dilemma, namely: how do we do the things we’ve been saying we were going to do now that people have learned exactly what it is?

So now the question for Democrats is: how much should they work with Republicans? They are, thankfully, not eager to make some kind of “grand bargain” in order to help out the Republicans. The goal should be to fix Obamacare, working where you can to lower costs and make sure that insurance companies stay in. The talk of the “death spiral”, always exaggerated, is made possible by the threat of repeal. With that out of the way, for now at least, it could be possible to woo nervous Republicans to fix the bill at the margins, essentially working around Paul Ryan. That’s why the continued pressure from the outside is the only way to heighten their fear, and maybe force their hand to do the right and sensible thing and fix Obamacare.

Or, you could be like the President, who seems eager to watch the whole thing spiral out of control.

The “do not worry” is an especially nice touch.  He’s got a plan!

-Re/Code had a little story today about how PwC estimates, offhand, that the US could lose 40% of its jobs over the next 15 years thanks to automation. While there would of course be jobs created by automation (engineer, repair, etc) most of these will be high-skill jobs for people with advanced education. This is more than an unemployment trend; even if PwC’s numbers aren’t strictly accurate, this is economic devastation. This is something that can fundamentally alter society.

Massive unemployment of that sort needs to be ameliorated with something like a Universal Basic Income, or, failing that, an effort to create new work around infrastructure, tourism, or more. But there needs to be a collective effort grouped around the ideas that 1) the common good actually exists; and 2) that self-government is a good thing.

This isn’t something private markets can fix alone; indeed, it is the private market that will be at fault. There needs to be collective action to help the less educated and more vulnerable people in the new economy–the same ones who have been hurt for decades by market forces. That many of these are your stereotypical Trump voters (though they will be joined by millions of white collar types as well) represents an opportunity to convince them that the government is not the enemy, and that, in fact, this kind of intervention is the heart of the American experiment.

Of course, we’re debating whether or not it is ok if people just, you know, die because they don’t have employer-based insurance, so consensus on this seems a long way off.

-But we do have an answer on Keystone! That answer, of course, is “yes”. Trump signed off on Keystone on Friday, saying in a signing ceremony that:

It’s a great day for American jobs and a historic moment for North American and energy independence.  This announcement is part of a new era of American energy policy that will lower costs for American families — and very significantly — reduce our dependence on foreign oil, and create thousands of jobs right here in America.

It’s important to note, in the interest of being strictly accurate, that none of this is true. And it is just weird to talk about reducing “our dependence on foreign oil” right before you introduce the President of TransCanada, above and beyond the fact that this isn’t how the oil markets work. The sludge pumped over the largest underground aquifer isn’t going to be shuttled to your car. It goes into the global markets. I honestly don’t know if Trump understands this. I also wonder how he would reconcile the “lower costs” with the fact that, while Keystone was blocked, gas prices plummeted.

It is also good to note that this isn’t a done deal. As the TransCanada President reminded the United States President, they face resistance and lawsuits in Nebraska, where people don’t want a Canadian pipeline bringing dangerous material across their lands and into their water. That led to this exchange.

Trump: So we put a lot of people to work, a lot of great workers to work, and they did appreciate it.  And they appreciated it, Russ, very much at the polls, as you probably noticed.  And so we’re very happy about it.

So the bottom line — Keystone finished.  They’re going to start construction when?

MR. GIRLING:  Well, we’ve got some work to do in Nebraska to get our permits there —

THE PRESIDENT:  Nebraska.

MR. GIRLING:  — so we’re looking forward to working through that local —

THE PRESIDENT:  I’ll call Nebraska.  (Laughter.)  You know why?  Nebraska has a great governor.  They have a great governor.

MR. GIRLING:  We’ve been working there for some time, and I do believe that we’ll get through that process.  But obviously have to engage with local landowners, communities.  So we’ll be reaching out to those over the coming months to get the other necessary permits that we need, and then we’d look forward to start construction.

THE PRESIDENT:  Okay.  I’m sure Nebraska will be good.  Peter is a fantastic governor who’s done a great job, and I’ll call him today.

Remember that the head of an oil company is talking about working with local communities and landowners, and the President of the US is saying he’ll call the governor to get it done. That’s a true populist man of the people right there.

03.24.17
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Trump Healthcare Ultimatum Is Equal Parts Stupid and Cruel; or: The Quintessence of Trumpism

 

Donald Trump sits in a truck, pretends to be big man.

Tough guy.

I’ve never read The Art of the Deal. With all due respect to his ghostwriter on the project, who turned out to be a real standup dude, there are maybe five books in the entire universe I’d enjoy reading less. The self-aggrandizing money-worship of an overfed huckster in celebration of our gaudiest decade? The vast majority of cereal boxes have more insight on the human condition, and probably more wit.

That said, from having had to pay attention to this man for decades, I know a little about how he operates, and it is from false machismo, the not-tough toughguyness of rich men in suits with lawyers. His main plank is to be willing to walk away, so that the other guy, nervous about sunk cost, gives away the store.

The other plank is that the deal is the thing, no matter how terrible it turns out to be, so long as there is short term gain. Both of these are on display with what the President is offering the Republican Party right now.

WASHINGTON — President Trump issued an ultimatum on Thursday to recalcitrant Republicans to fall in line behind a broad health insurance overhaul or see their opportunity to repeal the Affordable Care Act vanish, demanding a Friday vote on a bill that appeared to lack a majority to pass.

A couple of things. First of all, that shouldn’t, strictly, be true. There is nothing that says “one and done” with health care. It might make it more difficult to pass later on, but in theory, they could try to come up with a better bill. But this is Trump’s dumbbell toughshow on full display. You pass this bill, or else, hoping that will clarify their minds. It shows that he has no idea how government works, and thinks his shtick can pass for actual knowledge or skill (to be fair, it has his entire life, which says a lot about our culture).

And it might work! The Republicans might be terrified of this failure, and hope that they can make a widely despised piece of legislation come to life, or at least have the Senate somehow fix it. So this might come to pass (Politico still says too close to call), and if it does, might ghostwalk through the Senate, though there are a lot of institutional and electoral obstacles to doing so.

But let’s look at what we have. In the last few days, Trump and Ryan have given away the store to the far, far, far right members of the House Freedom Caucus, making their already unfathomably cruel and reckless bill even worse. It’ll cost more, and insure fewer people. The latest horror was stripping away the 10 essentials that health care should cover, on the extremely Republican idea that if you aren’t going to get pregnant, your money shouldn’t cover other people’s pregnancies.

(It could be pointed out that that’s how all insurance works, but at least they are ideologically consistent: no help for anyone, and pull the ladder up after you.)

So, basically, because Trump only wants to make deals, and has his whole phony image based on being great at negotiating and closing, is going to make life worse for nearly everyone, including the people who voted for him, so that he can get this quick little victory and show off how good he is at twisting arms. It’s stupid and cruel, which is really the essence of the man.

Please don’t take this as any sympathy for Paul Ryan or the Republicans. This is their fault, and not just because they acquiesced to Trump. They’ve spent seven years salivating over the idea of kicking people off insurance rolls, gutting Medicare, block-granting Medicaid, and most of all, shoveling money upward. They couldn’t wait! They rushed this through to maximize pain, and were suddenly stunned when it turned out that people didn’t equate dying in poverty with freedom.

So maybe this is their last shot. Maybe they recognize that the whole edifice of Republican governance is crumbling. It’s crumbling because of Trump, of course, his Russian connections, his inability to do anything that isn’t directly tied to his ego, and the fact that the sleaze with which he’s lived his life is an inescapable part of his administration.

But it is also crumbling because a party who thinks that self-government is Communism and that there is no such thing as the common good can’t govern when their plans are brought to light. For eight years, the cruelest and most Randian elements of the right wing had been percolating, able to tear at Obama, but still hidden by his shadow. Their guttersniping worked while they weren’t in charge, but now that their plans have seen the light of day, much of the country is reacting in horror. They can’t govern because they don’t believe in it, and that comes from their one core belief: you’re on your own, sucker.

So yes, they want to push through this bill while they still can. It’s cruel and insane, and it comes from their ideology, and it comes from the man who thinks that any deal is good so long as he isn’t holding the bag. It’s Trumpism, which is really just a flamboyant way of saying it’s the modern GOP.

03.23.17
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Overtime Regulations and Health Care: GOP Demonstrates the Measure of Human Existence

 

Image result for industrial revolution workers conditions

Pictured: GOP Nostalgia

 

In the daily brief of the New York Times, there’s a link-filled sentence that gives away the entire universe.

Party leaders worked into the night on Wednesday to secure the support of rank-and-file members, who our writer says face a dilemma: Vote for a bill that could harm their constituents, or undermine President Trump’s agenda.

While admitting that the Morning Brief writer may have put their thumb on the scale a little bit, it’s also impossible to deny that this is their real choice: go against Trump and mainstream GOP wishes, or hurt their constituents by throwing them into poverty and turmoil in order to pass a massive tax cut. That is to say, more bluntly: President Trump’s agenda will hurt their constituents (and, of course, his constituents, but the entire career of Donald Trump has been to leave other people holding the bag, so who is really surprised?).

And, meanwhile, while the Gorsuch hearings and Comey testimony have understandably taken up much of the oxygen, the hearing for new Labor Secretary Alexander Acosta has been kicking off. Elizabeth Warren, as is her habit, got things off by saying the exact right thing.

“I’ll be honest, I’m glad it’s not his first choice, Andrew Puzder, who is sitting here today. That said, the test for secretary of Labor is not, ‘Are you better than Andrew Puzder?’ The test is, ‘Will you stand up for American workers?’ ” she added.

The thing is, that’s not really what the GOP believes should be the role of labor secretary, since they don’t at all respect labor, except as a way to garner votes. They truly believe that unions should be destroyed (something Judge Gorsuch seems to agree with), and while Donald Trump makes protectionist noise, it is clear he is against minimum wages and encourages states to compete with each other in a race to the bottom. While that might, in a way, be pro-make-stuff-in-America, it is very far from being pro-worker.

Indeed, the driving philosophy is that workers exist to make money for the bosses. That’s always been the main philosophy behind capitalism, and it has only been tempered by the progressive movement (which inarguably saved capitalism from itself). We saw this again when Barack Obama moved to change overtime rules, saying that people who make a certain percentage above the poverty line should be compensated for working overtime.

Think about that. The rule is literally saying that you should be paid for the hours you work. For years, businesses, especially low-wage ones that hire younger people, minorities, and other vulnerable populations, have skirted overtime rules by “promoting” low-wage workers to “management” positions, which are often exempt from overtime. Because, you know, if you have this high-paying responsibility, you should be willing to work the extra hours.

Of course, the management positions didn’t come with any actual extra money. They only came with the overtime exemption. That’s because, as per current guidelines, the overtime rules only protect workers making less than $23,660 per year. Think about that. If you make $24,000 a year, and I’m guessing most of my readers make considerably more, you are considered too well off to make money for working overtime.

The Obama update moved that to a far more reasonable $47,476, and that set of screams from the right, that they are killing small businesses, overregulating, sticking the bearish claw of big government into the sweet honeycombs of mom and pop businesses like Arby’s, etc. Because, as always, the priority for the right is to maximize profit by grinding down workers. By converting them into capital while paying the absolute least and investing the bare minimum into the community.

Anyway, Acosta, to his credit, seemed to realize that pegging the overtime rules to 2004 standards was absurd, and sugessted that it could be raised along with inflation, which would put it around $33,000. That’s better, but still seems pretty low. But still, even that modest hedge is greatly qualified by his appeal to a worker-hating down-the-line Republican.

In addition to the overtime increase, unions scored major victories when the Obama administration issued one rule limiting workplace exposure to silica, a cancer-causing substance, and a second rule requiring investment advisers to act in the best interests of their clients.

The Labor nominee indicated he would follow Trump’s direction on the three rules, which means the agency could go through the rulemaking process again to repeal them.

Which means: none of these are going to go through. The Trump administration, fulfilling Heritage Foundation fantasies, has been working hand-in-glove with Congress to destroy worker safety regulations on federal and state levels. What makes you think they are going to protect overtime rules?

The fiduciary rule, where investment advisors have to work in the best interests of their clients, and not themselves, is another obvious tell. (Imagine if, say, medicine had the same lack of standards. “It’s his right to just practice an appendectomy if he wants!”) Profit for the very few isn’t the main goal: it’s the only belief.

I’m going to finish this with another little story I think is telling, which I came across doing research for another article for my day job.

Tim Cook, was asked at the annual shareholder meeting by the NCPPR, the conservative finance group, to disclose the costs of Apple’s energy sustainability programs, and make a commitment to doing only those things that were profitable.

Mr. Cook replied –with an uncharacteristic display of emotion–that a return on investment (ROI) was not the primary consideration on such issues. “When we work on making our devices accessible by the blind,” he said, “I don’t consider the bloody ROI.”

Now, obviously, I’m not praising Apple in an article talking about worker rights and such. But think of the mentality of the NCPPR: they literally are offended by the idea that a company could do anything that wouldn’t immediately increase “shareholder profit”, which includes such squish nonsense as protecting the environment.

The whole goal, the whole mentality, is that of a shareholder/boss dominion. Workers, and indeed the entire earth, is means toward profit. They are mere tools. That’s all they are, and that’s all they ever should be. That’s why I think the health care plan still has a chance at passing. If they can make it cruel enough, and it looks like they’re trying to do so, they can get the Freedom Caucus, for whom other people’s life and liberty are the cheap prices to be paid for the pursuit of profit.

 

03.20.17
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GOP’s Healthcare Blues Show Foot-Shooting Danger of Right Wing Propaganda

 

There might be symbolism here, but I’m not sure…

 

Even since Donald Trump won the electoral college, partly on the basis of the “white working class” and their economic anxieties, there have been a few types of articles written. The first was the most prevalent: centrist reporters asking why the media has forgotten the white working class, and how no one talks about them. There were approximately 58 million stories about these hidden folks.

Then, since the inauguration, those stories were overtaken by articles about how a lot of Trump voters are recognizing that they might have been sold a bill of goods, and that their health care is being taken away, and that everything they were promised about their lives getting better is a lie.

The third are thinkpieces where we on the left ask whether we should react to this with scorn, anger, pity, sympathy, or some combination.

The Times yesterday had a classic example of the 2nd type, talking about the “GOP Health Care Tightrope in the Midwest”.

DEFIANCE, Ohio — James Waltimire, a police officer on unpaid medical leave, has been going to the hospital in this small city twice a week for physical therapy after leg surgery, all of it paid for by Medicaid.

Mr. Waltimire, 54, was able to sign up for the government health insurance program last year because Ohio expanded it to cover more than 700,000 low-income adults under the Affordable Care Act. He voted for President Trump — in part because of Mr. Trump’s support for law enforcement — but is now worried about the Republican plan to effectively end the Medicaid expansion through legislation to repeal the health care law.

“Originally the president said he wasn’t going to do nothing to Medicaid,” Mr. Waltimire said the other day after a rehab session. “Now they say he wants to take $880 billion out of Medicaid. That’s going to affect a lot of people who can’t afford to get insurance.”

You read this, and your first instinct is to say, well…yeah. What the hell did you think? After all, Donald Trump is a Republican, and Republicans want to gut Medicaid. They want to take away your health insurance. That’s how it always is. How the hell did you not know this?

Then, of course, you are taken again with how breathtaking a liar Donald Trump is. He did say, over and over, that no one was gonna touch Medicaid, ok, and everyone would have health care and no one would pay for it. It was amazing, his sheer and unrelenting dishonesty, and you might feel bad for how a low-information voter might hear that and think it is possible. Because, after all, we’ve never had a politician lie like this before. There was not even an attempt to pay observance to the truth.

But then, on the other hand, you remember that it was Donald Trump. He’s been a public sleazebag for 40 years. If you’re a 54-yr-old and it somehow escaped your attention that he’s a crooked liar, that’s on you.

And then, of course, you see the heart of it: he was sucked into the lie because of “Mr. Trump’s support for law enforcement”, a piece of culture war bullshit that is barely coded racism. Because this wasn’t a race between Donald Trump and, I don’t know, Leonard Peltier or something. It’s not like Hillary didn’t support law enforcement. But she also believed that Black Lives Mattered.

That’s what his “support” came down to. The right wing decided that BLM, or really anyone who wanted to hold police accountable for murder or other violent abuses of power, were the enemy of society. This was very wrapped up in race, and in the idea that cops should be able to do whatever they wanted to the “right” people, you know the ones who deserve it. Trump made it very clear where he stood in this.

His outlandish and wildly unrealistic fairy tale lies were believed because people thought he was on their side. It’s not because he talked about jobs. Hillary talked way more about jobs, in a way more detailed manner. Part of the problem was the press clearly wasn’t interested in policy, just emails, so none of that got through. But another problem is that what Trump as saying got through loud and clear, because he got in the door speaking the right language.

Race and economics are incredibly interlinked in this country. It does a disservice to the truth to pretend they aren’t for fear of liberal condescension. Trump’s dishonest messages, the ones that will hurt the people who voted for him, got through because of the ones he, and the modern GOP, are deadly honest about.