Health Care

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...

No Love for Obama as Election Day Approaches

Official White House photo by Pete Souza
Official White House Photo by Pete Souza I f Republicans win a significant victory in next Tuesday's election—and it now looks like they will indeed take the Senate—get ready for a whole lot of Obama-bashing, not only from the press and Republicans, but from liberals, as well. Some will go so far as to declare his presidency over, and I suspect more than a few genuine leftists will heap scorn on their liberal friends for their naïve embrace of a politician promising (as politicians always do) to change Washington. We can see one variant of this critique, the Jimmy Carter comparison, in a piece by Thomas Frank , based on an interview he conducted with historian Rick Perlstein: The moral of this story is not directed at Democratic politicians; it is meant for us, the liberal rank and file. We still "yearn to believe," as Perlstein says. There is something about the Carter/Obama personality that appeals to us in a deep, unspoken way, and that has led Democrats to fall for a whole string...

We Know College Feminists Care About Sexual Assault. But What About Abortion?

For many students attending schools in East and West Coast states, the legislative efforts to restrict abortion access commonly found in red states can seem quite distant from their own daily gender struggles.

(Cori Austin, NARAL Pro-Choice Missouri)
I n the past three years, more abortion restrictions have been enacted in the United States than in the entire previous decade . At the same time, 85 colleges and universities are now under federal investigation for their handling of sexual violence. While these two issues are not divergent, campus feminists have devoted much of their energy to challenging their universities’ failure to adequately handle sexual assault cases—often at the expense of abortion rights advocacy. But the growing threats to reproductive justice— like the Texas law that could shut down most of the state’s abortion clinics, and looming ballot measures in Colorado, Tennessee, and North Dakota that could result in women losing their legal right to terminate a pregnancy—have catalyzed the ongoing efforts of national pro-choice organizations to invest in student leaders. Campus activist priorities and national women’s rights goals might finally be aligning—sort of. For many students attending schools in East and...

Have Republicans Found a Way to Insure Poor People and Still Hate Barack Obama?

Flickr/David Mason
At the risk of being overly optimistic, I think we may have reached a tipping point on Medicaid expansion, where it will soon become completely acceptable for Republican states to accept it, insure their poor citizens, and reap the economic and social benefits despite the taint of Obamacare. I'm not saying there won't be holdouts, because there will be. But something is changing. I'll explain why in a moment, but first, the quick background. (Skip this paragraph if you know all this.) When the Supreme Court decided in 2012 that states could opt out of the expansion of Medicaid included in the Affordable Care Act, some health-care wonks said we shouldn't worry. The expansion was so generous—with the federal government picking up 100 percent of the cost at first, then ratcheting down to 90 percent of the cost over a few years—that it would be insane for any state to turn the money down. In fact, the most conservative states had the most to gain, since their Medicaid eligibility levels...

John Kasich Successfully Begins Two-Year Ritual of Self-Flagellation

Does the fact that it was 1985 excuse this Bieber-plus-mullet? Only the voters can decide. (Wikimedia Commons)
At Holy Cross-Immaculata church in Cincinnati, there's a Good Friday tradition called " Praying the Steps ," in which parishioners slowly climb the 85 steps up to the church, saying a prayer on each step. It may take a while to get to the top, but that's the entire point of the exercise—the time and effort it takes is a symbol of one's devotion. Keep that in mind for a moment as we talk about that state's governor, John Kasich, and his complicated feelings about the Affordable Care Act. Yesterday, Governor Kasich went through a ritual that has grown no less absurd for being so familiar. It goes like this: 1) Republican politician accidentally acknowledges that the ACA is the law and repeal efforts are futile (or even that it actually helps people); 2) Conservatives do a collective spit-take; 3) Politician issues apology/clarification, making clear his unshakeable belief that the ACA was vomited out of the very fires of hell and of course he wants to repeal it; 4) Conservatives say, "...

On Ebola, Like Terrorism, We Don't Actually Have to Be Right 100 Percent of the Time

I'm done (for the moment, anyway) writing entire posts trying to remind/convince people that the chances of you dying from Ebola are incredibly small. But that doesn't mean there isn't more to say about the often idiotic reactions people are having to a disease that has infected a grand total of two Americans on U.S. soil. This struck me this morning : Rep. Tim Murphy, who chaired a hearing last week questioning the Obama administration's response to the Ebola virus, argued again on Sunday for restricting travel from West African countries where the disease is threatening to spill over into the rest of the continent. "This is like dealing with terrorism," the Republican congressman from Pennsylvania said on "Fox News Sunday." "We have to be right 100 percent of the time, and Ebola only has to get in once." Representative Murphy is both exactly right and spectacularly wrong. He's wrong because Ebola doesn't only have to get in once. It already got in! And most Americans remain weirdly...

Did Austerity Abet the Ebola Crisis?

A conversation with Terry O'Sullivan, an expert in the dynamics of catastrophic disease outbreaks, on the high human cost of cutbacks to public-health funding.

(AP Photo/Brynn Anderson)
(AP Photo/Brynn Anderson) Licensed clinician Hala Fawal practices drawing blood from a patient using a dummy on Monday, October 6, 2014, in Anniston, Alabama. The Centers for Disease Control and Prevention (CDC) has developed an introductory training course for licensed clinicians. According to the CDC, the course is to ensure that clinicians intending to provide medical care to patients with Ebola have sufficient knowledge of the disease. T erry O'Sullivan is a professor of political science at the University of Akron. His research focuses on "the risk and dynamics of catastrophic infectious diseases threats from naturally occurring infectious disease outbreaks such as influenza and SARS, and from biological terrorism." In this special podcast (transcript below) from Politics and Reality Radio , O'Sullivan makes two important points in his conversation with host Joshua Holland: First, Ebola poses a minimal threat to a country like the United States, with a functional health-care...

Fear of Lawsuits Is Not Why We Spend So Much On Health Care

Let's get you in there, shall we? (Flickr/Joe Shlabotnik)
You surely know that a good part of the reason our health care system is so expensive is the scourge of "defensive medicine," where doctors order test after test just so that if the patient doesn't get the outcome they want, it'll be harder for them to sue on the grounds that one more MRI or CAT scan would have made all the difference. Making it difficult for people to sue, then, should bring down the cost of health care, right? Actually, no : There's been a long-running theory that one reason medical costs are bloated is that doctors are scared of medical malpractice suits, so they order expensive and unnecessary tests to protect themselves from liability. But in three states over the past decade that enacted laws to put stricter limits on medical malpractice lawsuits, there hasn't been much of an impact in the volume or cost of emergency room care, a new Rand Corporation study shows. The finding suggests that doctors "are less motivated by legal risk than they themselves believe,"...

Some Things More Likely to Kill You Than Ebola

With the Ebola virus having now infected fully .0000006 percent of the American population, it's obviously time to panic, because you're probably going to die from it. But while you're panicking over Ebola, are there other things you should be fearing simultaneously, to really take your terror into the stratosphere? Why yes there are. And I've decided to make a chart, so you'll know just what to be afraid of. These data are drawn from statistics put out by the Centers for Disease Control ; 2011 is the most recent year for which the numbers are available. From the 113 different causes of death they list, I've chosen a few, then added one extra one down at the bottom: There are things that don't appear in this particular set of data; for instance, medical errors kill as many as 440,000 Americans every year. And some of those diseases are the result of other factors; for instance, the CDC says that smoking is responsible for 480,000 deaths in America each year. But you get the idea. Of...

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