Friday, December 20, 2024

3 TALES OF PRESIDENT MUSK: Trump slips into "Yes Man VP" role as Elon takes the wheel

Oh, you thought that old, demented, doddering fool Trump was going to be president?

Elon Musk isn't even president yet, but will be soon, and he is going to shut the government down because those woke Republicans in the house want to pay for disaster recovery and for the bills they have passed, as paltry as they may be.

Just remember people this is Elon's money they are proposing to spend on anything but his companies. We simply can't have that. Not while Elon is president. 

Oh, you thought that old, demented doddering fool Trump was going to be president?

Bernie Sanders Blasts ‘President Elon Musk’ for Derailing Spending Deal

Bernie Sanders Blasts ‘President Elon Musk’ for Derailing Spending Deal  
Sen. Bernie Sanders. (photo: Getty)  
 
Juliann Ventura / The Hill

Sen. Bernie Sanders (I-Vt.) took aim at tech mogul Elon Musk for saying any lawmaker supporting the newly unveiled end-of-the-year continuing resolution funding deal should be voted out of office.

“Democrats and Republicans spent months negotiating a bipartisan agreement to fund our government. The richest man on Earth, President Elon Musk, doesn’t like it. Will Republicans kiss the ring?” Sanders wrote in a post on the social platform X on Wednesday.

“Billionaires must not be allowed to run our government,” the prominent progressive senator added.

Musk made posts Wednesday calling for lawmakers who support the continuing resolution to be voted out of office. Sanders previously called out billionaires who have embraced President-elect Trump in support of their agendas.

“Any member of the House or Senate who votes for this outrageous spending bill deserves to be voted out in 2 years!” Musk wrote in a post Wednesday.

“Please call your elected representatives right away to tell them how you feel!” he added in a separate post. “They are trying to get this passed today while no one is paying attention.”

Capitol Hill leaders are scrambling to pass a stopgap funding bill, called a continuing resolution (CR), to avoid a government shutdown Friday.

The bipartisan deal unveiled Tuesday night would push the funding deadline to March 14, giving the incoming Republican majorities in both chambers of Congress more time to discuss funding with Trump.

Musk, who is set to co-lead Trump’s newly formed “Department of Government Efficiency” (DOGE) alongside Vivek Ramaswamy, had come out against the deal early Wednesday morning in another post, saying it “should not pass.”

Similarly, Ramaswamy also urged lawmakers to vote against the deal Wednesday if they are “serious about government efficiency,” arguing it is “full of excessive spending, special interest giveaways and pork barrel politics”

“The legislation will end up hurting many of the people it purports to help. Debt-fueled spending sprees may ‘feel good’ today, but it’s like showering cocaine on an addict: it’s not compassion, it’s cruelty,” Ramaswamy wrote on X.

Trump and Vice President-elect JD Vance also called for Republicans to approve a clean stopgap funding bill paired with a hike to the debt ceiling Wednesday, saying the previous government-funding measure negotiated by Speaker Mike Johnson (R-La.) should be torpedoed.

Trump said any Republican lawmaker who backs a CR without including an increase to the debt limit should face a primary challenge.

Now we know how to interpret this photo: Musk is swooping in for the kill.
 
The REAL reason President Musk tanked the budget deal

at 6:28:58a MST

REPUBLISHED BY:

Blue Country Gazette Blog

Rim Country Gazette Blog

This is short. I was reading this New York Times piece this morning (I know, I know) about the year-end budget deal and everything that was in it.

www.nytimes.com/…

This part jumped out:

Criminalizing the publication of “nonconsensual intimate visual depictions,” including deepfake pornography, and requiring social media platforms to have procedures in place to remove the content after being notified by a victim.

The real reason Elon Musk went ballistic over this bill was this provision.

It makes revenge porn, including deepfakes, illegal.

Musk does not want the incels on his shitty social media platform getting into trouble for posting revenge porn, and he does not want to have to do anything to remove their garbage from his site.

NOTE: The new bill that the GOP just rolled out and passed with Democratic support does NOT include this new law.

And J.D. Vance?  He's back in Appalachia where he first acquired a taste for cats.

The presidential portrait - a work in progress.

 

Thursday, December 19, 2024

Where the Hell Are the Democratic Warriors Ready to Take the Fight to Trump’s Fascism?

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"A few brave governors have committed to resisting Trump, but congressional Democrats have been mostly silent."

Monday morning MSNBC and CNN (and, presumably, Fox, etc.) gave Trump roughly 40 minutes of live television time to rant and lie, threaten an Iowa newspaper and pollster, propose privatizing our Post Office, and muse about ending schoolchildren’s vaccine mandates for polio.

Everybody watching cable TV probably saw it; it was later the topic of numerous newscasts and newspaper articles that are still echoing across the news space.

Around the same time, President Joe Biden spoke at the inauguration of the Francis Perkins National Monument to FDR’s famous Labor Secretary and principal author of the New Deal. He truthfully pointed out that his one four-year administration had helped create 16 million new jobs, more than any single presidential term in history (and more than the jobs created by the Bush Sr., Bush Jr., and Trump administrations combined).

The cable networks chose to completely ignore Biden’s speech. As did the rest of the nation’s media. So, I get it, there’s a strong media bias in favor of Trump (“What new outrageous thing will he say? OMG! Click bait!!!”) and generally against Democrats.

That doesn’t mean, though, that elected Democrats should run and hide. Americans across the country are terrified, particularly in Red states where women are bleeding out, while the morbidly rich and religious fanatics are licking their chops.

So, where are the Democrats? What happened to “When we fight, we win!” ???

Even when the media would rather ignore you, political theater still works. Standing up to bullies still works. And fighting back becomes even more imperative.

Where the hell, for example, is Kamala Harris?

She told us that Trump was a “fascist,” suggesting he was dedicated to destroying our country:

“Donald Trump has said he would terminate the Constitution of the United States.”

That sounds like a five-alarm fire. So, where has she been since the election? Did Trump’s fascism just go away? His threat to terminate our Constitution was just a joke? Where the hell is she?

For that matter, where the hell are any of the leaders in the Democratic Party? It seems that Nancy Pelosi has been spending her time trying to rig backroom deals to screw Alexandria Ocasio-Cortez in favor of 74-year-old cancer victim Gerry Connelly. (The hotlink in that sentence points to NBC News; I’m no longer linking to — or watching — ABC “News” or using any of Disney’s products.)

The headline at KamalaHarris.com says, “OUR FIGHT CONTINUES,” and the text below it asks for donations “to hold the Trump administration accountable.” Really? How is she going to do that from wherever she and Tim Walz are hiding?

Is it that Trump has succeeded in cowing Democrats as fast as he has our largest corporations and their billionaire owners? Two top MSNBC hosts made a pathetic pilgrimage to Mar-a-Lago. A few Democratic members of Congress have even said they “look forward” to working with Trump and his Muskrat buddy. Is this some sort of sick joke?

Remember the night of President Obama’s first inauguration? At the same time Louise and I were dancing with Barack and Michelle at Union Station, Republican leaders were gathered at the Caucus Room Restaurant in DC to organize a “massive resistance” campaign against our nation’s first Black president.

In attendance were House members Eric Cantor, Jeb Hensarling, Pete Hoekstra, Dan Lungren, Kevin McCarthy, Paul Ryan and Pete Sessions, along with Senators Tom Coburn, Bob Corker, Jim DeMint, John Ensign and Jon Kyl. Newt Gingrich and Frank Luntz, who organized the dinner, rounded out the group.

As I wrote for Truthout back in the day:

Over juicy steaks and fancy cocktails in a private room in the back of the restaurant, the Republican bigwigs promised each other that they would filibuster and obstruct any and all legislation supported by President Obama.

Congressman Pete Sessions, who was at the four-hour long dinner, even promised to use “Taliban-like” tactics to achieve those goals.

Kevin McCarthy, now the Majority Whip, said that they’d obstruct every single piece of legislation. That includes things the Republicans used to support.

The Caucus Room conspiracy had three major objectives.

The first was to use obstruction — knowing the corporate media would call it “gridlock” as if the Democrats were responsible, too — to prevent President Obama from having any legislative success.

The second was to sabotage any legislative victories that the president did manage to win — like Obamacare — and convince US citizens that they were actually failures.

And the third was to blame all the economic damage caused by Republicans on BOTH parties and then come out in the next election and say that Republicans are the party that will make things right in Washington as if the state of the economy was the Democrats’ fault.

After the meeting, Kevin McCarthy famously said of their commitment to obstruction:

“If you act like you’re the minority, you’re going to stay in the minority. We’ve gotta challenge them on every single bill and challenge them on every single campaign.”

And, sure enough, they did. And continue to do so to this day. And the voters rewarded them, “shellacking” Obama’s Democrats in the next election.

Where are the Democrats today with that kind of spine? Where is our resolve to fight, rather than enable, fascists? What happened to our principles and commitment to democracy?

As one of the Party’s newest up-and-comers, 24-year-old Parkland survivor and gun activist David Hogg, pointed out, the Democratic Party has become far too reliant on self-interested consultants:

“Throughout the campaign, there were multiple times where I brought up publicly my concerns about young voters, and I was shut down by consultants and messaged by them saying, ‘You don’t know what you are talking about. This is not an issue. This is dumb of you to say,’ and a whole lot of other things that I can’t tell you on TV…

“We need to build a party that tells people what it needs to hear and not what its consultants are paid just to say…”

While a few brave governors have spoken out, committing themselves to resist Trump’s mass deportation plans, congressional Democrats have been largely silent. For a brief moment in time, it looked like Democratic governors JB Pritzker, Gavin Newsom, Lujan Grisham, and a few others might rally Democrats nationwide to roar back at the incoming Trumpistas.

And then the Party went silent.

Democrats from previous eras had no problem taking on Republicans. LBJ ate their lunch, legislatively. FDR called them out repeatedly, referring to them and their morbidly rich backers as “economic royalists”:

“There was no place among this royalty for our many thousands of small business men and merchants who sought to make a worthy use of the American system of initiative and profit. They were no more free than the worker or the farmer. …

“It was natural and perhaps human that the privileged princes of these new economic dynasties, thirsting for power, reached out for control over Government itself. They created a new despotism and wrapped it in the robes of legal sanction. In its service new mercenaries sought to regiment the people, their labor, and their property. And as a result the average man once more confronts the problem that faced the Minute Man. …

“These economic royalists complain that we seek to overthrow the institutions of America. What they really complain of is that we seek to take away their power. Our allegiance to American institutions requires the overthrow of this kind of power!”

Republicans called FDR a tyrant and a communist, and he laughed at them. They said he’d destroy America, and he steamrolled them. They whined and complained as he called out the fat cats and ridiculed that generation’s GOP, rendering them impotent.

When one wealthy man famously said he’d have to leave the country because of FDR’s high taxes, Roosevelt told a crowd, “And I will miss him very much” to gales of laughter. He named names. He was arrogant. He fought hard on behalf of the average person until, literally, the day he died.

Where is this generation’s FDR? Where are the Democratic Party’s heroes? Where are our spokespeople? Where is their outrage?

Or do Democrats expect Trump to magically morph into Mitt Romney on January 20th? The five-alarm fire is out? Disaster averted? WTF?

Kamala Harris lost the election. She lost by a whisker, but she lost.

And if she and other leaders and would-be leaders of the Democratic Party don’t step up now to challenge Trump and the fascist crew he’s assembling, don’t offer a contrasting vision for the future of our country today, don’t challenge Trump’s outrageous policies and bizarre appointees every single day, they’re going to lose us our democracy as well.

It’s time to grow a damn spine.

  

Kamala: You almost beat the fascist.  You can't just walk away from the fray.  We need you now more than ever.

Wednesday, December 18, 2024

The right strategy for the Dems: decimate the Republican's credibility

Lest we forget what we are dealing with here.

Say it now and keep saying it: Republicans are incompetent and corrupt and selfish

(For the flaggers, no this is not a call to actual violence, it is an allegorical use of the term indicating that we must fight them with words and rhetoric, not violence, okay?)

I am watching with great fear the incredible amount of capitulation to King Donald, before he is even crowned.  

I see even too much in the Dems: Joe with the invite to the WH, for a smile and make nice with the man who tried to destroy our nation.  We have Bernie openly announcing he is perfectly willing to work with Trump on some issues.  

Way to normalize him guys.  Its like we don’t believe our own rhetoric, that Trump is an existential threat to our democracy.  It seems almost everyone is just willing to turn the page and pretend this is a normal period with a normal president. 

John Stoehr has a great article at Raw Story ( It’s time to decimate the Republicans’ standing with the public — and the press , paywall).  Here are some key bits:

Whenever the Democrats are in power, the Republicans manufacture a make believe crisis – for instance, “open borders.” They do this for the purpose of pushing the Democrats out. Once they are back, the Republicans trigger a real crisis – for instance, the covid pandemic. At that point, the Democrats say to voters, “look at this mess!” They vow to clean it up. Once the Democrats are in power again, the Republicans begin scheming for ways to manufacture another make believe crisis.

Instead of leading public opinion, the Democrats outsource that risk and responsibility to an amoral Washington press corps that they can only hope will communicate,accurately and in good faith, all the harms done by the Republicans. Then and only then do the Democrats offer solutions to the public. They never say “ I told you so” when they have every right to say it. And because they don’t say it, the Democrats expose themselves to the idea that the crisis wasn’t caused by bad people making bad choices for bad reasons.

And finally, the plan (and hope I am okay with fair use.  If not for the paywall I would have copied less).

The Democrats, starting with the ones in the Senate, have a chance to break this cycle. Instead of following public opinion, they can lead it by voting unanimously against every one of Trump’s cabinet picks after declaring, in one form or another during confirmation hearings, that:

  • the Trump administration will be the worst of our lifetimes;
  • it will trigger another harmful, lasting crisis, as it did last time;
  • all Trump’s campaign promises are going to be exposed as lies;
  • and this is what happens when democracy empowers grifters who care about themselves more than the American people.
  • In doing this, the Democrats can create power where they currently have little. Make the allegations now – repeatedly, aggressively and, if need be, with righteous fury. Dismiss questions about whether this is bad behavior. The press corps never asks the Republicans why they blame the Democrats for everything. Have faith that something bad is going to happen, because something bad has always happened whenever the Republicans have power. When the bad thing does indeed happen, point to it as proof of the allegations that have been made the entire time, elevating the Democrats over the Republicans. Then, when the time is right, declare loudly and proudly that the Republicans were wrong. They’re incompetent and corrupt and selfish. They don’t care about the people. We know because look at this mess!
  • In other words, I told you so.

How could such a presidency possibly go wrong?

Tuesday, December 17, 2024

'Psychotic': Trump posts furious attack on judge who refused to accept immunity bid

"Trump cannot claim presidential immunity to overturn verdict for concealing hush money payment to Stormy Daniels"
 
Story by Travis Gettys
Raw Story
December 17, 2024 

Donald Trump lashed out at the judge overseeing his criminal case after the president-elect's latest attempt to have his conviction quashed was fully rejected.

New York justice Juan Merchan issued a ruling Monday that Trump cannot claim presidential immunity to overturn a jury's guilty verdict on 34 counts of falsifying business records to conceal a $130,000 hush money payment to adult film star Stormy Daniels.

The president-elect reacted furiously the following day on Truth Social.

Want more breaking political news? Click for the latest headlines at Raw Story.

"BREAKING: In a completely illegal, psychotic order, the deeply conflicted, corrupt, biased, and incompetent Acting Justice Juan Merchan has completely disrespected the United States Supreme Court, and its Historic Decision on Immunity," Trump posted. "But even without Immunity, this illegitimate case is nothing but a Rigged Hoax."

The judge has not yet decided whether the trial's outcome should be set aside due to Trump's inauguration next month, but the former president and his legal team say the verdict should be dismissed after the U.S. Supreme Court ruled in a separate case that presidents have immunity for official acts they undertake while in office.

"Merchan, who is a radical partisan, wrote an opinion that is knowingly unlawful, goes against our Constitution, and, if allowed to stand, would be the end of the Presidency as we know it," Trump posted. "Merchan has so little respect for the Constitution that he is keeping in place an illegal gag order on me, your President and President-Elect, just so I cannot expose his and his family’s disqualifying and illegal conflicts."

Also on Monday, the Supreme Court once again rejected a request to lift the gag order imposed by Merchan that prohibits Trump from commenting publicly on witnesses, prosecutors, jurors, or court staffers and their family members. The judge himself is not covered under that order.

“The application for stay addressed to Justice [Clarence] Thomas and referred to the Court is denied,” the order stated, with no further comment.



Monday, December 16, 2024

Rage Against the System

 

Rage Against the System  
Dan Rather. (photo: Stewart Volland/Vulture)
Murder, money, and Americans who are mad as hell
Dan Rather / Steady  
Reader Supprted News

Over the course of my career in journalism, I have certainly seen news stories take surprising turns. But the murder of a health insurance executive on the streets of New York is something different. The killing by a coward, ambushing from behind, collectively shocked and disgusted many of us. As it should have.

But what has suddenly grabbed much of the country by the lapels is the support shown not for the victim, but for the man accused of committing the crime. With that support, we are witnessing an undercurrent of anger, even rage, come to the surface. It is directed squarely at an American business model that is, according to many policyholders, screwing us over every single day.

Violence cannot and should not be condoned, especially cold-blooded murder. It should be condemned, and the person who did it made to pay the maximum penalty under law. Period. Full stop. Beyond that, we as a nation, as a society, as a people are forced to recognize this: The lack of sympathy for murdered UnitedHealthcare CEO Brian Thompson and the glorification of his alleged killer has opened a window into the frustrated psyche of the American health insurance consumer. It is a window that we ignore at our peril.

If you haven’t been following this closely, here’s the quick backstory: On the morning of Wednesday, December 4, Thompson was shot in the back and killed in midtown Manhattan on his way to an investor meeting. The shooter inscribed the words “delay,” “deny,” and “depose” on the shell casings found at the scene.

Some of those words appear in the title of Jay Feinman’s book about the health insurance industry, “Delay, Deny, Defend: Why Insurance Companies Don’t Pay Claims and What You Can Do About It.” The killer’s etched words have become a rallying cry for many Americans who are hurting — physically, emotionally, and financially — under the current system. In these days after the murder, you can buy online merchandise like mugs and sweatshirts adorned with “delay, deny, depose.”

The man now charged with Thompson’s murder is 26-year-old Luigi Mangione, an Ivy League graduate who allegedly dropped a backpack full of Monopoly money in Central Park as he fled the scene on a rented electric bike, according to police. He was able to escape the city on a bus. Authorities arrested him on Monday at a McDonald’s in Altoona, Pennsylvania, after a patron recognized him.

In the ensuing five days, Mangione was vaunted as a modern-day folk hero and a 21st century Robin Hood.

What gives? Americans are good-hearted people. With that having been said, we are now witnessing a groundswell that knows no boundaries. It is red and blue, men and women, coast to coast — folks who have collectively had it with corporate health care.

Much of the online reaction to Thompson’s murder was morbid glee. The UnitedHealthcare Facebook page had to be taken down after a post about the CEO’s death received more than 36,000 laughing reactions, according to The New Yorker.

Things weren’t better on X, where 6 of 10 posts about the crime were in support of the shooter. “Thoughts and deductibles to the family. Unfortunately my condolences are out-of-network,” one person posted. “My only question is did the CEO of UnitedHealthcare die quickly or over several months waiting to find out if his insurance would cover his treatment for the fatal gunshot wound?” posted another.

Author Joyce Carol Oates put it well with her social media post. The outpouring of negativity “is better described as cries from the heart of a deeply wounded & betrayed country; hundreds of thousands of Americans shamelessly exploited by health-care insurers reacting to a single act of violence against just one of their multimillionaire executives,” she wrote.

The phenomenon of a person operating outside of the law to deliver justice in what is perceived as an unjust world has been called social banditry. “When people lose faith in the state’s ability to address their concerns and grievances, they sometimes look to outlaws who offer themselves as an alternative,” Joshua Zeitz wrote in Politico Magazine.

In the eyes of many, Luigi Mangione has become that alternative.

This unnerving reaction to Thompson’s murder and murderer was born of unbridled frustration with a failing system. The American health insurance “system” is a misnomer. It implies that it was intentionally designed. In truth, coverage in the United States entails a messy patchwork of private insurance companies covering 65% of those insured and government-funded insurance (Medicare and Medicaid) covering the other 35%.

Senator Bernie Sanders is a proponent of health care for all provided by the federal government. What we have “is a system not designed to provide health care to all people in a cost-effective way,” Sanders said of the current setup. “It is a system designed to make huge profits for the insurance companies, the drug companies, and many other industries within the system.”

Most of those private insurance companies are publicly traded entities whose primary goal is to make money. And boy, do they.

Last year, UnitedHealthcare, the largest private insurance company in the country, made $16 billion in profit. To boost profits even further a company must reduce costs. The easiest way for insurance companies to do so is to deny coverage. UnitedHealthcare, which has one of the highest denial rates in the industry, turns down about a third of all claims.

Shockingly to me, many health insurance companies — UnitedHealthcare among them — outsource the decision-making of approving or denying coverage to third parties that use AI-generated algorithms to make life-and-death judgements. According to reporting by ProPublica, this hidden cottage industry works by a “denials for dollars” model. The more they deny, the more they get paid.

It is no wonder people are infuriated and some are praising a self-styled vigilante who claimed he was trying to do something about it.

A 2023 Gallup poll found that just 31% of Americans trust the U.S. health csare system. One in 4 report delaying or foregoing medical treatment because of cost. While the Affordable Care Act has improved things, adding 45 million people to the insurance rolls, an estimated 23% of these are still underinsured, meaning they don’t have enough coverage.

Wouldn’t it be great if we had politicians who had the guts to do something about this mess? Health care lobbyists have spent more than $150 million to keep Congress in line.

And now we have Donald Trump and his bevy of billionaires, including the world’s richest man, looking to cut costs. Elon Musk says he may consider Social Security and Medicare as possible places to find savings.

The system can be fixed, but it would take elected officials willing to have the government do more, not less, at least when it comes to health care. Anybody think that sounds like Trump, et al.
On top of it all this guy is reintroducing polio.  Not to mention an inevitable new pandemic without a vaccine. 

Sunday, December 15, 2024

Blame Insurers for Exorbitant Health Care Costs

 Blame Health Insurers for Exorbitant Health Care Costs  

It is totally fair for people to identify private insurers as the key bad actor in our current health care system. (photo: Getty)

Since shooting of UnitedHealthcare’s CEO,  pundits have claimed main cause of exorbitant health care costs is overcharging by providers.  Not so: insurers are to blame.

Matt Bruenig / Jacobin

Last week, an individual gunned down UnitedHealthcare CEO Bryan Thompson in the streets of Manhattan. The gunman wrote “deny,” “defend,” and “depose” on the bullets he shot, suggesting that this killing was motivated by a dislike of UnitedHealthcare’s business practices, which are also the business practices of the private health insurance industry as a whole.

At the same time as that was going on, the American Society of Anesthesiologists, a lobbyist organization, criticized Blue Cross Blue Shield (BCBS) for declaring that it would curtail reimbursements for anesthesia care that goes beyond a certain level. This criticism generated a backlash that resulted in BCBS backing down from the policy.

The combination of these two events has jolted the US health care system back into the discourse in a way not seen since 2020, including many tweets and articles from prominent pundits like Matt Yglesias, Dylan Matthews, Noah Smith, and Eric Levitz. The quick consensus among these pundits is that dislike of the private insurers is overblown and that the main problem lies with providers and their overcharging ways. This conclusion relies upon several factual misunderstandings and very questionable analysis that I aim to correct below.

The Scourge of Administrative Costs

From a system design perspective, the main problem with our private health insurance system is that it is extremely wasteful. All health care systems require administration, which costs money, but a private multipayer system requires massively more than other approaches, especially the single-payer system favored by the American left.

To get your head around why this is, think for a second about what happens to every $100 you give to a private insurance company. According to the most exhaustive study on this question in the United States — the Congressional Budget Office single-payer study from 2020 — the first thing that happens is that $16 of those dollars are taken by the insurance company. From there, the insurer gives the remaining $84 to a hospital to reimburse them for services. That hospital then takes another $15.96 (19 percent of its revenue) for administration, meaning that only $68.04 of the original $100 actually goes to providing care.

In a single-payer system, the path of that $100 looks a lot different. Rather than take $16 for insurance administration, the public insurer would only take $1.60. And rather than take $15.96 of the remaining money for hospital administration, the hospital would only take $11.80 (12 percent of its revenue), meaning that $86.60 of the original $100 actually goes to providing care.

Put differently, private insurers currently have administrative costs that are 1,000 percent what they would be under single-payer, while hospitals currently have administrative costs that are 158 percent what they would be under single-payer. The excess administrative expenses of both the payers and the providers are because of the multipayer private health insurance system that we have.

When you add it all up, excess administrative expenses — defined as administrative expenses we have under the current system that we would not have under single-payer — are equal to 1.8 percent of GDP, or $528 billion per year.

Large numbers like that can be hard to understand, so I’ve prepared this chart below that compares the cost of excess health care administration to various other spending items.

In some ways, this chart is misleading because the spending on the other bars actually does something, whether funding important production or providing important income support. Excess health care administration does neither of those things. It’s just a total waste.

You know how often Republicans gesture vaguely toward the idea that the federal workforce is a do-nothing waste? While this claim doesn’t apply to the federal workforce, it is actually true of excess health care administration, which costs the country nearly twice what the entire federal workforce costs.

Imagine setting up an economic sector slightly larger in size than the entire public college sector but, rather than producing educational services for over 13 million students, it produced nothing except frustration and annoyance. That’s the extent and nature of excess health care administration in the United States. It’s totally insane, and waiving it off as a triviality is really misguided.

Provider Rates

One funny aspect of the recent discourse blip about provider payment rates is how at odds it is with the way things went the last time there was a public debate about the US health care system. During that period, ahead of the 2020 election, I was constantly having to fight with people and organizations who insisted that it would not be possible to cut provider payments as low as some single-payer proposals suggested. The argument from opponents was that doing so would result in some kind of mass exodus from and then collapse of the health care sector. Now these rate cuts are being assumed as doable in order to argue that the ire directed at insurers is misdirected.

Beyond being funny in light of these recent discourse developments, this prior debate underscores an important point when it comes to discussing this policy topic, which is that how much you could save from provider payment cuts depends on how much you choose to cut them, with that amount bounded at the lower end by some squishy sense that, if the cuts go too far, then too few people will want to work in the medical sector.

Unlike with administrative bloat, which involves a literal wasting of labor and capital resources on something that has no value at all, the savings from provider payment rates are just a redistribution of rents from people who are actually doing important, productive work. Figuring out where legitimate compensation ends and rent begins is a much trickier task than figuring out how much work you could simply eliminate from needless health care administration.

With that said, there is no doubt that, even after wringing out half a trillion dollars in administrative waste, there is still a lot of room to cut provider payment rates from their current level. In the CBO single-payer report, the authors model two provider payment rate scenarios: a higher-payment-rate (HPR) scenario that assumes little to no cuts from the current weighted-average provider payment rates and a lower-payment-rate (LPR) scenario that assumes cuts that are around 10 percent below the current weighted-average provider payment rate.

In the LPR scenario, provider payment rates for hospitals would be cut by 50 percent relative to current private insurance rates, while physician and prescription drug rates would be cut by 31 and 38 percent, respectively. In this LPR scenario, the CBO finds that (I, II) the savings from provider payment rate cuts (after deducting the share of those cuts that go to reduced administrative expenses) would actually be considerably less than the savings from administrative efficiency, i.e., the savings from the elimination of the private multipayer health insurance model.

Of course, if you decide to cut provider payment rates even lower than the LPR scenario, then you can achieve savings from provider payment rate cuts that exceed the savings from eliminating administrative waste. As noted already above, it really just depends on how far you choose to turn the dial bounded only by the need to maintain the desired level of medical services supply.

In the analysis so far, I have implicitly indulged this framing that we should attribute the blame for administrative waste on insurers while attributing the blame for provider rents on providers. But the provider rents are also, in some sense, caused by the private health insurance system. Medicaid and Medicare are able to negotiate much lower rates than private insurance, just as the public health insurer under a single-payer system would be able to. It is only within the private insurance segment of the system that providers have been able to jack up rates to such an extreme extent.

This is not to absolve drug companies and providers for taking advantage of the private insurance system (and the patent system) to line their pockets with rents. That is bad too. But keeping these rents in check is literally what we pay the insurance companies to do. That’s literally their job! It’s the job they are paid hundreds of billions of dollars a year to do, and they either cannot do it or refuse to do it all while using the money we are all forced to give them to resist any efforts to have the government do it.

The failure of insurers in this regard is not just incompetence either. There is good reason to believe it’s malicious. Commentators often think that insurers want to bring down provider rates because they imagine that, if insurers can bring them down, then they could book more profit. But under the medical-loss-ratio (MLR) rules, insurers’ administrative expenses (which includes their profits) are capped as a percentage of how much they pay to providers. So the higher the provider rates are, the more profits insurers can actually book. Individual insurance companies have to balance this dynamic with their ability to attract customers with lower premiums, but the private health insurance sector as a whole actually benefits when provider rates are high.

Conclusion

Given all of this, I think it is totally fair for people to identify private insurers as the key bad actor in our current system. They are directly responsible for over half a trillion dollars of administrative waste and (at the very least) indirectly responsible for the provider rents that are bleeding Americans dry. The quicker we nationalize health insurance, the better.

BERNIE'S MESSAGE ALL ALONG: "The quicker we nationalize health insurance, the better."


Saturday, December 14, 2024

Don Jr. applauds spurned fiancee’s Greece gig, but Kimberly is not having it

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Donald Trump Jr. and his fiancee Kimberly Guilfoyle at the Republican National Convention, July 15, 2024, in Milwaukee, Wisconsin.

Donald Trump Jr. is pretending he and fiancée Kimberly Guilfoyle are hunky-dory amid cheating rumors and breakup drama.

As readers might recall, photos of Don Jr. canoodling with socialite Bettina Anderson surfaced Tuesday morning. The candid snapshots showed the couple holding hands after an intimate birthday dinner, with his fiancée nowhere in sight. 

Soon after headlines about Junior’s extracurricular dating activity began to pile up, his equally unfaithful felon-elect father swooped in and nominated former Fox News personality Guilfoyle as U.S. ambassador to Greece.

Ignoring the drama—and potentially celebrating his ex’s sendoff—Don Jr. cheered Guilfoyle on in a tweet Tuesday night.

“I am so proud of Kimberly. She loves America and she always has wanted to serve the country as an Ambassador,” he posted on X. “She will be an amazing leader for America First.”

While Guilfoyle has retweeted other praise from senators like Marsha Blackburn and former Fox News colleague Geraldo Rivera, she noticeably didn’t interact with Junior’s remarks.

This silence, in particular, says a lot.

Cheating rumors first surfaced in August, with one source telling a tabloid that Guilfoyle was “blindsided” by Don Jr.’s “intimate” date with Anderson but that she was willingly turning a “blind eye.” The onetime MAGA power couple put on a united front in the wake of those rumors, but Guilfoyle was noticeably absent from the celebratory Trump family photo on election night.

Neither Guilfoyle nor Don Jr. has addressed the rumors of infidelity or the apparent split. A source told Daily Mail that the two were allegedly “waiting until after the Inauguration” to confirm the news.

However, this clumsy handling of what sure looks like an act of infidelity has some of the MAGA faithful up in arms. 

“Such deep dishonor of Kimberly! You should have handled the break up much more smoothly and graciously,” one user wrote on X, referring to Don Jr. as a “sleazy cheat” before saying that he has “lost a huge amount of favor among MAGA.”

While some supporters are disappointed, Fox News talking heads praised their former colleague while conveniently ignoring disturbing allegations against her. 

Daily Kos pointed out that the news channel’s latest article celebrating Guilfoyle’s win failed to mention the sexual harassment lawsuit she faced while at the network. Ultimately, Fox settled the case with the accuser and Guilfoyle made her exit.

As for Don Jr.’s new flame, Anderson doesn’t have any known sexual harassment lawsuits to her name. According to her Instagram bio, the “it girl” is a self-described “stay at home mom” without the chores, the husband, or the children. In layman’s terms, that means she’s an affluent Palm Beach blonde whose pastime is photo ops with the elite. 

Junior's drama and his father's meddling are just two of many scandals plaguing the incoming administration. 

From failed attorney general nominee Matt Gaetz's sex scandals to defense secretary pick Pete Hegseth's alcoholic womanizing to Elon Musk and Vivek Ramaswamy's internal DOGE drama ... Donald Trump’s administration is ready for its own reality show that could rival the "Real Housewives." 

Looking back on Trump’s first term as president, there was no shortage of backbiting and intrigue back then, either.  Adult film star Stormy Daniels and her affair with Trump dominated the conversation, and Rex Tillerson’s mid-poop firing perplexed even the most jaded among us. 

While it's easy to laugh off all the drama unfolding before Trump is even sworn in this time, it also serves as a bleak reminder of exactly who was voted into office—and all the baggage he will drag into the White House.

DISPOSABLE GIRLFRIENDS: Don Jr's latest squeeze is filthy rich socialite Bettina Anderson shown here in all her filthy rich splendor.  The good news: this one should be a few decibels softer than bigmouth Guilfoyle.

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