Health Care

Caring for Caregivers

How my father's illness helped me appreciate home-care workers

(iStock/© FredFroese)
(Flickr/Emily Michelle) F or three years, I’ve watched my father succumb to Alzheimer’s. Once a doctor and an active community leader, today he has become quiet, less engaging, and prefers to stay home. He lacks a curiosity to explore new things, and often seems to be lost in his own thoughts. He can no longer go out on his own, even to run small errands, because he gets easily confused about where he is and what he is supposed to be doing. The changes in my father’s abilities have placed a lot of pressure on my mother to manage the household by herself—keeping the house clean, cooking meals, running errands like going to the post office and buying groceries, picking up their prescription medications, and keeping up with doctor’s appointments. My siblings and I have begun managing their finances and legal matters. But I worry about my ability to meet their needs given that I work full time and have a four-year-old daughter. In the near future, we, like millions of other families...

Here's a Bargain Republicans and Democrats Could Make on Obamacare

Shake on it - for America. (Flickr/ClaraDon)
Since Congress just passed a budget and we are therefore at the dawn of a new era of bipartisan comity and compromise, I'd like to propose a trade, one that will allow both Democrats and Republicans to gain something significant without giving much up. The topic is the Affordable Care Act, and the trade is this: What if Republicans agree to pass a technical fix to address what it essentially a typo in the ACA, one that threatens to take insurance from millions of middle-class Americans, and in exchange, Democrats agree to repeal the ACA's employer mandate? Everybody would win. Let's start with the employer mandate. Republicans hate it, because it infringes on the prerogatives of business owners, whom Republicans tend to believe are the most virtuous among us. There is certainly a cost of the mandate, in that some employers who hadn't offered insurance before will now have to do so. Raise their expenses, and there will be some effect on employment as they don't hire as many workers...

Progressives Just Lost a Fight On the Budget. So Why Are They So Happy?

(AP Photo/Evan Vucci)
O ver the weekend, the "Cromnibus" budget was passed by a coalition that included the GOP leadership and the Obama White House. Neither conservative Republicans nor liberal Democrats were happy with what was in it. So why is it that the conservatives are feeling bitter and betrayed, while the liberals seem positively elated, despite the fact that they both lost? We don't need to work too hard to understand the conservatives' reaction. The budget doesn't stop President Barack Obama's executive actions on immigration, and Republican leaders decided not to force another government shutdown in a vain attempt to do so. As usual, the conservatives are convinced that John Boehner and Mitch McConnell are wimps who do nothing more than bide their time between capitulations. But what explains the liberal reaction? For the first time in this presidency, liberal Democrats feel as though something like a coherent bloc, outside of and sometimes in opposition to the White House, is beginning to form...

The Cycle of Republican Radicalization

Yesterday, the Washington Post reported on a Quinnipiac poll from a week ago showing a striking change in public opinion on immigration. The question was whether undocumented immigrants should be deported or should be able to get on a path to citizenship. Clear majorities of the public have long favored a path to citizenship (especially if you provide details of what that path would entail, which this poll didn't). But that has changed, because Republicans have changed. As the Post described the Quinnipiac results, "Although [Republicans] supported citizenship over deportation 43 to 38 percent in November 2013, today they support deportation/involuntary departure over citizenship, 54 to 27 percent." That's an enormous shift, and it provides an object lesson in a dynamic that has repeated itself many times during the Obama presidency. We've talked a lot about how the GOP in Congress has moved steadily to the right in recent years, but we haven't paid as much attention to the movement...

To Save the Right to Choose Nationwide, Reproductive Justice Advocates Need a Southern Strategy

A new amendment to Tennessee's Constitution lays a framework for ending abortion rights. If allowed to stand, women and girls in poor communities will suffer the most. 

(AP Photo/Mark Humphrey)
(AP Photo/Mark Humphrey) Signs outside a polling place support different opinions on an amendment to the Tennessee Constitution on Tuesday, November 4, 2014, in Nashville, Tennessee. The amendment would expand the power of legislators to pass more abortion regulations. T his past Election Day, the people of Tennessee awoke to a state in which the right to an abortion is no longer secure. Amendment 1 to the state constitution could mean that politicians soon vote to take away the right within the state. The passage of Amendment 1 gives politicians far-reaching power to restrict many forms of birth control and abortion. Most ominously, if Roe v. Wade were ever overturned, the passage of Amendment 1 lays the groundwork to eliminate all abortion access in Tennessee. In the run-up to the election, anti-choice politicians in the state masked their strategy to eliminate abortion access by framing their position as an issue of free speech, saying the voters had been silenced by a decision by...

Conservatives Should Explain Exactly What Jonathan Gruber Tricked Us All Into Believing

As we've all watched Republicans quiver with delight over the comments of MIT economist Jonathan Gruber about the Affordable Care Act, I've wondered what they really think about this little controversy. By which I mean, do they believe that "Former adviser to White House says politically intemperate things" is just a handy bludgeon with which to beat Barack Obama about the head and shoulders, or do they really think that Gruber's words are some kind of magical key that, now found, will enable them to destroy the ACA? I lean toward the former, mostly because their analysis of what exactly Gruber said has been so general (the law was sold on lies!). Though a lot of attention has been paid to Gruber referring to the "stupidity" of the voters, that's only of substantive concern if he was revealing some specific way in which the administration deceived the public. And when he said that, he was trying to say that the public didn't grasp that some people would be paying into the system but...

Republicans May Finally Get Their Wish to Watch the Affordable Care Act Destroyed

(AP Photo/J. Scott Applewhite)
SEIU O n Friday, the Supreme Court agreed to hear the case of King v. Burwell , perhaps the last gasp in the Republican attempt to use the courts to destroy the Affordable Care Act. The reaction to this news among liberals was, to put it mildly, shock and dismay. Simply put, the lawsuit is a joke, and the fact that any judge, let alone a justice of the Supreme Court (not to mention five of them) would do anything but laugh it out of court is a testament to just how shamelessly partisan Republican judges have become. At least four justices have to consent to hear a case, so it's possible that there will still be five votes to turn back this stink bomb of a case. That will probably depend on the good will of John Roberts, something I wouldn't exactly want to stake my life on. But lives are indeed at stake. There are a couple of optimistic scenarios for how this could all turn out, and I'll explain why I suspect they're wrong. But in case you haven't been following, this case rests on...

Progressive Midterm Victories You Didn't Hear About -- And Some That Could Still Happen

Across the nation, voters passed measures against fracking and abortion restrictions, and for the minimum wage, paid sick leave, public safety and gun reform. 

(AP Photo/Tony Gutierrez)
(AP Photo/Tony Gutierrez) Topher Jones, from left, of Denton, Texas, Edward Hartmann, of Dallas and Angie Holliday of Denton, Texas, hold a campaign sign supporting a ban outside city hall, Tuesday, July 15, 2014, in Denton, Texas. A North Texas city became the first in the state to ban hydraulic fracturing when voters passed a ballot measure on November 4, 2014. T uesday’s Republican wave of election victories did not reflect public opinion or the public mood. Instead it was the result of the GOP’s triumph in changing the rules of democracy to favor big business and conservative interest groups, including the triumphs of corporate money and voter suppression. But while Democrat candidates were going down to defeat, liberals and progressive won some impressive but little-publicized victories on important issues—including minimum wage hikes—especially in red and purple states, suggesting that voters are not as conservative as the pundits are pontificating. One of the most significant...

The Next Attempt By Republicans to Mislead On the Affordable Care Act

Mitch McConnell is deeply concerned about these women. (Flickr/Swampler)
If you were paying close attention, you would have heard a new phrase being repeated by Republicans, particularly Mitch McConnell, over the last few days: "restore the 40-hour workweek." You may have said, "Wait, is the workweek not 40 hours anymore?" If you had no idea what McConnell is talking about—and I'm pretty sure he's hoping very few people do—it sounds like he's advocating some kind of pro-worker initiative. And indeed, that's how he and John Boehner put it in their op-ed in today's Wall Street Journal , saying that one of the top items on their agenda is to "restore the traditional 40-hour definition of full-time employment, removing an arbitrary and destructive government barrier to more hours and better pay created by the Affordable Care Act of 2010." Now we're getting closer. The government, with that damn Obamacare, is cutting your hours and pay! As Boehner put it , we have to "restore the 40-hour workweek for American workers that was undone by Obamacare." Since we're...

Watch Party Dispatch: Undaunted By Grim Outcomes, Pro-Choicers Gather to Plot the Future

They had hoped for a better night, but they're already thinking ahead to 2016.

(Kristen Doerer)
Kristen Doerer Young pro-choice Democratic activists gather at Local 16, a Washington, D.C., bar, to watch election results of the midterms on November 4, 2014. W alking into the Local 16 bar on U Street in Northwest DC, I was surprised to hear the buzz of an energized crowd. I was, after all, walking into a Women’s Informational Network, also known as WIN, Election Day watch party. The stormy forecast for Democratic candidates and the recent attacks on abortion rights doesn’t necessarily lend hope to WIN, a political and social network of young, pro-choice, Democratic women. Local 16, a popular weekend destination for young professionals, is a dimly lit bar. Red walls and warm orange lights resembling rustic chandeliers lent a cozy quality to the room. An overwhelmed bartender moved quickly behind the counter, taking happy hour orders. CNN played on two different screens, the sounds of which were drowned out by the hum of a crowded bar. With happy hour extended to 10:00 p.m., the WIN...

Anti-Choice 'Personhood' Measures Fail in North Dakota and Colorado

But in Tennessee, an anti-abortion amendment to the state constitution could go to the U.S. Supreme Court.

(AP Photo/James MacPherson, File)
(AP Photo/James MacPherson, File) On November 4, 2014, North Dakotans voted down a fetal personhood measure. In this March 25, 2013, file photo Kris Kitko, left, leads chants of protest at an abortion-rights rally at the state Capitol in Bismarck. T he 2014 midterm elections proved to be a routing for Democrats; they lost the Senate, gave up seats in the House, and even deep-blue Maryland elected a Republican governor. But despite the Republican wave, there were ballot measures whose results Democrats could celebrate. Throughout the nation, liberal initiatives fared way better than the candidates who support them—including gun control, minimum wage hikes, marijuana legalization and abortion rights. For the third time Colorado citizens voted on a personhood amendment but, unfortunately for anti-choicers, persistence won’t do the trick. Amendment 67 in Colorado would have amended the state constitution to define “person” and “child” in the Colorado criminal code and the Colorado...

GOP's Neo-Confederate Theocrat Wins Council Seat in One of Richest U.S. Counties

Voters were looking for something new when they elected Michael Peroutka to run as a Republican for a seat on Maryland's Anne Arundel County Council. What they got was something very old—like ante bellum kind of old.

(AP Photo/Kevin Rivoli)
(AP Photo/Kevin Rivoli) Michael A. Peroutka, the one-time presidential candidate of the theocratic Constitution Party, in a debate between third-party presidential hopefuls at Cornell University in Ithaca, New York, Wednesday, October 6, 2004. UPDATE, November 5, 2014 --The subject of this article, Michael Anthony Peroutka, running as a Republican, won a seat on the Anne Arundel County Council in the November 4 election, beating his opponent, by nearly 1,900 votes, according to the Baltimore Sun . The Baltimore Sun O n November 4, 2011, standing on a small stage with Bible verses splashed on the background behind him, Michael Peroutka told a small audience attending his lecture that “when you see and hear folks describe the earth as millions of years old, you know that they are either willfully anti-American, or they are ignorant of their own heritage and history. What I am saying is that the promotion of evolution is an act of disloyalty to America.” Three years later, on November 4...

Red State, Blue State: Polarization and the American Situation

The country is stuck but it is not stationary. Some things are changing—just not at the federal level.

(Map: Angr/Wikimedia Commons; Flag: AP Photo/David J. Phillip)
(AP Photo/David J. Phillip) A racing fan waves an American flag as they wait for the Formula One U.S. Grand Prix auto race at the Circuit of the Americas, Sunday, November 2, 2014, in Austin, Texas. This article appears under the title "The American Situation" in the Fall 2014 issue of The American Prospect magazine. A merica, it seems, is stuck—unable to make significant progress on critical issues such as climate change, rising economic inequality, and immigration. To explain that inaction, people often point to political polarization. Democrats and Republicans, liberals and conservatives, are now so sharply opposed to each other that they are unable to find common ground. But while the country is stuck, it is not stationary. Some things are changing; it’s just not at the federal level that the changes are emerging. Polarization leads to stalemate only under certain circumstances—when the two sides in a conflict are closely balanced, and political institutions and procedures (such...

They're All Randians Now

Evidence of the GOP's moral hardening.
In public opinion, the battle over the Affordable Care Act has come to a stalemate. Depending on how you ask the question, a majority of the public disapproves of the law, but a majority also doesn't agree with Republicans that it should be repealed. On the simple approval question, poll results look just about the same as they did five years ago, which is remarkable given all the fighting over it and everything that has happened, good and bad, in its implementation. But there's something remarkable in this new article in the New England Journal of Medicine that we really need to take notice of, because it represents a significant shift in how some Americans think about health care: Over the past decade, there has been a cultural shift in Americans' attitudes about the principle of universal health care coverage, one of the main rationales for the ACA. In 2007, during the presidential primary season, public support for the view that the federal government has a responsibility to make...

Wisconsin Referendums Designed to Rebuke Walker Will Appear on Election Day Ballots

While these ballot measures—calling for an increase in the minimum wage and for the state to accept federal funding to expand its Medicaid program—are non-binding, organizers hope that the results will reveal a clear preference of the electorate for both.

(AP Photo/Kamil Krzaczynski, File)
(AP Photo/Kamil Krzaczynski, File) Wisconsin Governor Scott Walker addresses the Republican National Committee summer meetings in Chicago on August 8, 2014. S ince his election to the Wisconsin governor’s mansion, Scott Walker, together with the Republican-led state legislature, has set out to undo some of the state’s progressive hallmarks, especially its hallowed place in labor history as a trailblazer in collective bargaining for public workers. Having pushed through a loudly contested bill in 2011 that all but ended that practice, Walker and the legislature have gone on to oppose raising the minimum wage and to reject the expansion of Medicaid available to the states, almost wholly with federal funding, under the Affordable Care Act. But this election day, as Walker's name appears on the ballot for a second term, county leaders and activists are using referendums to pressure the state to do both, in the hope of amplifying dissenting voices. While these referendums—calling for an...

Pages