David Waldman aka KagroX wrote an excellent post at Daily Kos last night about just how potentially big a net the theory underlying this bill could cast. Very wide, wide enough to get a whale.
Again I quote him.
" Take the rape provisions out, and you're left with a bill that paves the way for using the tax code to select every American's health care options for them, direct from Washington."
Here's his piece "H.R. 3 hides even bigger dangers than redefinition of rape"
The bill lays the groundwork for the radical right to target every social and economic advance that they don't like. And they don't like much. They are redefining the purpose of the tax code. Taxes are meant to raise money and to apportion fairly the burdens and benefits of government. Taxes have been used to promote innovation like the R&D credit. Or not like the oil depletion allowance or agricultural subsidies. The tax code has been used to allow religious groups to sustain their mission - to worship and to make the world a better place.
The tax code as we can see from the church/synagogue/mosque friendly provisions have long served social goals as well. But that can now be used to go after social goods.
In H.R. 3, Republicans revive the mid-90s "Istook amendment" theory of the fungibility of money to include under their definition of "taxpayer funding for abortion" all tax deductions, credits or other benefits for the cost of health insurance, when that insurance includes under its plan coverage for abortion.
So if a company provides health care benefits for its employees, and the plan they pay for includes coverage for abortion, the company becomes ineligible for the normal federal tax deductions and credits that are the usual reward for providing benefits. That's a gigantic tax increase. If you pay for your own coverage directly, no deductions, credits, etc. for you, either, if the plan you select offers abortion coverage. Whether you or someone on your plan ever gets one or not. All deductions associated with your health care costs are disallowed.
That, apparently, will impact approximately 87 percent of private insurance plans on the market today.
That would be a huge tax increase. So they would be using a tax increase to bring about one social change they have long pursued. But they can do the same in many other areas. What are some of them?
Basically everyone but more after the fold from me and I quote David first.
With millions of Americans out of work, House Republicans are focusing in on real priorities: decimating private abortion coverage and crippling public funding for abortion, as Jessica Arons reports in RH Reality Check.
In AlterNet, Amanda Marcotte notes that the No Taxpayer Funding for Abortion Act, or H.R. 3, also redefines rape as "forcible rape" in order to determine whether a patient is eligible for a Medicaid-funded abortion. Under the Hyde Amendment, government-funded insurance programs can only cover abortions in cases of rape and incest, or to save the life of the mother. Note that the term "forcible rape" is legally meaningless. Supporters of the bill just want to go on the record as saying that a poor 13-year-old girl pregnant by a 30-year-old should be forced to give birth.
Feminist blogger Sady Doyle has launched a twitter campaign against the bill under the hashtag #dearjohn, a reference to Speaker John Boehner (R-OH). Tweet to let him know how you feel about a bill that discriminates against 70% of rape victims because their rapes weren't violent enough for @johnboehner, append the hashtag #dearjohn.
Everybody chill out
A federal judge in Florida ruled the entire Affordable Care Act unconstitutional on Monday. However, as political scientist and court watcher Scott Lemieux explains at TAPPED, the ruling is not necessarily a death blow to health care reform:
[T]his ruling is less important than the controversy it will generate might suggest. Many cornerstone programs of the New Deal were held unconstitutional by lower courts before being upheld by the Supreme Court. This ruling tells us nothing we didn't already know: There is a faction of conservative judges who believe the individual mandate is unconstitutional. Unless this view has the support of five members of the Supreme Court -- which I still consider very unlikely -- it won't matter; Vinson's reasoning would have a much greater impact if adopted by the Court, but for this reason it is even less likely to be adopted by higher courts.
In a follow-up post, Lemieux explains the shaky legal reasoning behind Judge Robert Vinson's decision. The judge asserts bizarrely that being uninsured has no effect on interstate commerce. That premise is objectively false. Health insurers operate across state lines and the size and composition of their risk pools directly affects their business.
Given the glaring factual inaccuracies, Judge Vinson's decision may be overturned by a higher court before it gets to the Supreme Court.
Scamming Medicare
Terry J. Allen of In These Times win's the headline of the week award for an article entitled "Urology's Golden Revenue Stream." She reports that increasing numbers of urologists are investing millions on machines to irradiate prostate cancer in the office. The doctors can bill Medicare up to $40,000 per treatment, but they have to use the machines a lot to recoup the initial investment. So what does this mean for patients? Allen explains:
Rather than accessing centralized equipment and sharing costs, physicians are concentrating their own profits by buying expensive in-practice technologies that pay off only if regularly used. One result is overtreatment, which is driving up health care costs, exposing patients to unnecessary radiation and surgeries, and is frequently no better than cheaper approaches.
One third of Medicare patients with prostate cancer undergo the expensive IMRT therapy, as the procedure is known. In 2008, Medicare shelled out over a billion dollars on a treatment that has not shown to be any better for patients than less expensive therapies.
Obstetric fistula in the developing world
Reproductive Health Reality Check is running a special series on the human rights implications of obstetric fistula. Fistula is a devastating complication of unrelieved obstructed labor in which the baby's head gets stuck in the birth canal and presses against the soft tissues of the pelvis. If labor goes on long enough, the pressure will starve the pelvic tissues of blood, and they will die, creating a hole between the vagina and the bladder, and/or between the vagina and the rectum. Fistula patients face lifelong incontinence, chronic pain, and social ostracism.
The condition is virtually unknown in the developed world, where women with obstructed labor have access to cesarean delivery. However, an estimated 2 million women, primarily in sub-Saharan Africa and Asia, have untreated fistulas with an estimated 50,000 to 100,000 new cases occurring each year. Without reconstructive surgery, these women will be incontinent for life.
Sarah Omega, a fistula survivor from Kenya, tells her story. Omega sustained a fistula when she delivered her first child at the age of 19. She suffered for 12 years before she finally obtained the surgery she needed. As Agnes Odhiambo explains in another installment in the series, fistula is a symptom of a dysfunctional health care system. Women suffer needlessly because they can't get access to quality health care.
The most likely victims of fistula are the most vulnerable members of their respective communities. Early childbearing increases a woman's risk of fistula. Pregnant rape victims may face even greater barriers to a safe delivery, thanks to the social stigma that accrues to victims of sexual violence in many societies. (Not to mention any names, House Republicans...)
Preventing and repairing obstetric fistula is a major human rights issue. The U.S. should make this effort a high priority for foreign aid.
This post features links to the best independent, progressive reporting about health care by members of The Media Consortium. It is free to reprint. Visit the Pulse for a complete list of articles on health care reform, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Audit, The Mulch, and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.
I am going to do a series of posts on this subject as there is a lot of ground to cover. I am going to quote Jessica Arons of The Center for American Progress first to just give you a taste of how far reaching and dangerous this bill is. Then we need to go back over history to see how we got to these terrible straits.
The number of HR #3 tells you a lot. This bill is very important to the Republican majority in the House, the Republican party. This bill unites all the elements of the right. There is no squabbling amongst them all on how important it is to restrict the rights of women to make decisions about their lives so they can be free and equal participants in our democracy. On that they all are singing on key.
What's more, H.R. 3 would redefine the concept of government funding far beyond the current common understanding. It does not simply prohibit the use of federal funds to directly pay for abortion. Instead, it would insert itself into every crevice of government activity and prohibit even private and nonfederal government funds from being spent on any activity related to the provision of abortion any time federal money is involved in funding or subsidizing other, nonabortion-related activities.
Taken to its logical conclusion, this line of thinking would prohibit roads built with federal funds from passing by abortion clinics, drugs developed by the National Institutes of Health or approved by the Food and Drug Administration from being used at abortion clinics, or medical students with government loans from receiving abortion training-all because such uses could be viewed as "subsidizing" abortion with federal dollars.
Taken to its logical conclusion and of course, restraint is not what the radical right is noted for this bill theory could affect a large swathe of what we have always considered here in America to be private actions and private decisions.
They are not just doing this bill for show or to make a point. They will do what they need to do to make this bill pass. The House has a large Republican majority. Everyone one of them will vote for the bill, plus there are 10 anti choice Democratic sponsors. I have long said they will blitzkrieg this bill through the House. Then they will look for ways to scale the walls of the Democratically controlled Senate. Just like yesterday Mitch McConnell attached the repeal of the Affordable Care Act to the FAA authorization bill, there are many, many ways to bring this bill to the floor, even if the the Majority Leader would not on his own bring the bill to the floor.
According to Robin Marty of Care2.org, today's young whippersnappers are snorting bath salts and plant food to get their kicks. I knew I was getting old when I had to check the media to find out about the latest youth drug menace.
But, before you go and blow your allowance at the Body Shop or the garden center, keep in mind that "bath salt" and "plant food" are just euphemisms that web-based head shops use to sell these amphetamine-like drugs , according to a 2010 report by the UK Council on the Misuse of Drugs. The active ingredients of this legal high are mephedrone and methylenedioxypyrovalerone (MDPV).
Despite what the media would have you believe, these designer drugs are not ingredients in common household products. You cannot get high on actual bath salts or plant food. Sorry. Gardeners, if you bought exotic imported "plant food" online, and it arrived in an impossibly tiny packet, don't feed it to your plants.
Anti-choice black op linked to James O'Keefe
At least a dozen Planned Parenthood clinics across the country have recently been visited by a mysterious, self-proclaimed "sex trafficker" who was apparently part of a ruse to entrap clinic employees. Planned Parenthood reported these visits to the FBI.
In each case, the man reportedly asked to speak privately with a clinic worker, whereupon he asked for health advice regarding the underage, undocumented girls he was supposedly trying to traffic.
[Prominent anti-choice blogger] Jill Stanek and other anti-choice operatives, including Lila Rose of Live Action Films are effectively claiming responsibility for sending pseudo "sex traffickers" into [Planned Parenthood] clinics, and also warn of "explosive evidence," of which they of course present.....none. They appear to have no credible response to exposure of their efforts to perpetrate a hoax on Planned Parenthood.
As Jacobson points out, sex trafficking is a very real problem. And a sex trafficking hoax diverts time and resources that the authorities who could be hunting down real traffickers. She adds:
Victims of sex trafficking, after all, also need sexual health services because they are effectively being raped regularly and are more likely to contract sexually transmitted infections and experience unintended pregnancies. Does this help them get treatment?
Lila Rose of Live Action Films is a former associate of right wing hoaxster James O'Keefe, who orchestrated a sting operation against the social justice group ACORN. O'Keefe was sentenced last year to three years' probation for scamming his way into the offices of Sen. Mary Landrieu (D-LA) in January, 2010.
Sex, lies, and the classroom
To mark the anniversary of Roe v. Wade, the National Radio Project presents a discussion of sex ed in American schools, federal funding for sex ed, and advocacy by interest groups and parents. Guests include Phyllida Burlingame of the ACLU and Gabriela Valle of California Latinas for Reproductive Justice.
Hot coffee!
Remember the woman who sued McDonald's after she spilled a hot cup of coffee in her lap? Corporate interests made Stella Liebeck into a national joke, even though she won her suit. Hot Coffee is a new documentary that tells the story behind the one-liners. Amy Goodman of Democracy Now! interviews Ms. Liebeck's daughter and son-in-law.
McDonald's corporate manuals dictated that coffee be served at 187 degrees, in flimsy styrofoam cups. A home coffee maker usually keeps the brew between 142 to 162 degrees, and most people pour their Joe into something sturdier than a styrofoam cup. If you spill that coffee on yourself, you have 25 seconds to get it off before you suffer a 3rd degree burn. Whereas if you spill 187-degree coffee on yourself, you've got between 2 and 7 seconds.
Companies are expected to produce products that are safe for their intended use. McDonald's was serving coffee to go, through drive-through windows, with cream and sugar in the bag. By implication, it should be safe to add cream and sugar to hot coffee in a car. In the pre-cup-holder era, millions of Americans were probably steadying their coffees between their legs to add cream and sugar every day. A responsible restaurant would not dispense superheated liquids in flimsy to-go cups. Indeed, McDonalds' own records showed that 700 people had been scalded this way.
In 1992, the plaintiff was a passenger in a parked car, attempting to add cream and sugar to her coffee while steadying the cup between her knees. When she opened the lid, the cup collapsed inward, dousing her with scalding coffee. The 79-year-old woman sustained 3rd degree burns over 16% of her body. She needed skin grafts to repair the damage. Initially she only sued to recoup part of the cost of the skin grafts. But the judge who heard the case was so outraged by McDonald's disregard for customer safety that he urged the jury to award punitive damages.
Another theme of Hot Coffee is how medical malpractice caps are forcing taxpayers to cover the medical costs of people who are injured by negligent health care providers.
This post features links to the best independent, progressive reporting about health care by members of The Media Consortium. It is free to reprint. Visit the Pulse for a complete list of articles on health care reform, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Audit, The Mulch, and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.
This week, House Republicans will hold a vote to repeal the Affordable Care Act. The bill is expected to pass the House, where the GOP holds a majority, but stall in the Democratic-controlled Senate. In the meantime, the symbolic vote is giving both Republicans and Democrats a pretext to publicly rehash their views on the legislation.
At AlterNet, Faiz Shakir and colleagues point out that repealing health care reform would cost the federal government an additional $320 billion over the next decade, according to the non-partisan Congressional Budget Office. The authors also note that despite Republican campaign promises to "repeal and replace" the law, their bill contains no replacement plan. Health care reform protects Americans with preexisting conditions from some forms discrimination by insurers. At least half of all Americans under the age of 65 could be construed as having a preexisting condition. No wonder only 1 in 4 Americans support repeal, according to an Associated Press-GfK poll released on Monday.
Perhaps that explains, as Paul Waldman reports at TAPPED, why the White House is vigorously defending health care reform. The Obama administration is making full use of the aforementioned statistics from The Department Health and Human Services on the percentage of Americans who have preexisting conditions:
As the House prepares to vote on the "Repeal the Puppy-Strangling Job-Vivisecting O-Commie-Care Act," or whatever they're now calling it, the White House and its allies actually seem to have their act together when it comes to fighting this war for public opinion. The latest is an analysis from the Department of Health and Human Services on just how many people have pre-existing conditions, and thus will be protected from denials of health insurance when the Affordable Care Act goes fully into effect in 2014
Republicans are fuming that Democrats are "politicizing" a policy debate by bringing up the uncomfortable fact that, if the GOP's repeal plan became law, millions of people could lose their health insurance. As Waldman points out, the high incidence of preexisting conditions is an argument for a universal mandate. It's impossible to insure people with known health problems at an affordable cost unless they share the risk with healthier policy-holders. Hence the need for a mandate.
Anti-choice at the end of life
In The Nation, Ann Neumann explains how anti-choice leaders fought to re-eliminate free end-of-life counseling for seniors under Medicare. The provision was taken out of the health care reform bill but briefly reinstated by Department of Health and Social Services before being rescinded again by HHS amid false allegations by anti-choice groups, including The Family Research Council, that the government was promulgating euthanasia for the elderly.
As seen on TV
The Kansas-based anti-choice group Operation Rescue is lashing out at the Iowa Board of Medicine for dismissing their complaint against Dr. Linda Haskell, Lynda Waddington reports in The Iowa Independent. Dr. Haskell attracted the ire of anti-choicers for using telemedicine to help doctors provide abortion care. The board investigated Operation Rescue's allegations, which it cannot discuss or even acknowledge, but found no basis for sanctions against Haskell. Iowa medical authorities said they were still deliberating about the rules for telemedicine in general.
Salon retracts RFK vaccine story
Online news magazine Salon.com has retracted a 2005 article by Robert Kennedy, Jr. alleging a link between childhood vaccines and autism, Kristina Chew reports at Care2. The article leaned heavily on now discredited research by Dr. Andrew Wakefield. His research had been discredited for some time, but only recently did an investigative journalist reveal that Wakefield skewed his data as part of an elaborate scam to profit from a lawsuit against vaccine makers.
This post features links to the best independent, progressive reporting about health care by members of The Media Consortium. It is free to reprint. Visit the Pulse for a complete list of articles on health care reform, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Audit, The Mulch, and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.
It is tragic that it took the attempted assassination of Rep. Gabrielle Giffords and the murder and wounding of 18 others to bring home to most of us the horror of years of rightwing violence, threats of violence, and public murder fantasies.
While the actual views of alleged shooter Jared Loughner are hazy, and whether far rightwing influences on his thinking played any role in his motives for the shooting remains to be seen, we find ourselves nevertheless talking about the climate of hate and violence, as well as the actual violence itself that has been building for a very long time.
Many examples of the uses of violent imagery and open suggestion of violence have been discussed in the past few days, but I have not seen any reference to, let alone discussion of Ann Coulter's repeated (sometimes winking) justification -- before two national Religious Right political conferences, in her syndicated column, and on Fox News -- of the assassination of abortion providers.
Rep. Gabrielle Giffords (D-AZ) was shot in the head at a constituent outreach event in a supermarket parking lot in Tucson on Saturday. In all, the gunman shot 18 people, killing 6, including a federal judge and a 9-year-old girl.
Jamelle Bouie of TAPPED urges President Obama to take up the issue of mental health care in his upcoming speech on the mass shooting. Several people who knew the alleged shooter came forward with stories of bizarre behavior and run-ins with campus police at his community college. College administrators ordered him to seek treatment before he returned to school, but he does not appear to have done so.
H. Clarke Romans of the National Alliance on Mental Illness of Southern Arizona explained to Amy Goodman of Democracy Now! that mental health services in Arizona have been devastated by budget cuts.
In 2008 the state eliminated support services for all non-Medicaid behavioral health patients and stopped covering most brand-name psychiatric drugs. At least 28,000 Arizonans were affected. Arizonans with mental illnesses can expect even more cuts in the future as the state slashes spending in an attempt to address its budget shortfall.
In AlterNet, Adele Stan, argues that, while we don't yet know the gunman's motives, the right wing's intensifying campaign of anti-government hysteria and violent rhetoric may have emboldened an already disturbed person:
Had the vitriolic rhetoric that today shapes Arizona's political landscape (and, indeed, our national landscape) never come to call, Loughner may have found a different reason to go on a killing spree. But that vitriol does exist as a powerful prompt to the paranoid, and those who publicly deem war on the federal government a patriot's duty should today be doing some soul-searching.
The pro-choice movement in the United States is at a critical crossroads. A new reproductive justice movement is emerging from the hardships endured by women in this country, one that will challenge the heated, sometimes violent suppression of women's dignity and human rights.
This year, more legislation to limit women's access to abortion and to legally separate fetuses from the pregnant women who sustain them was introduced in state legislatures than ever before - over 350 bills. Less commonly known is the fact that these laws also undermine the rights and health of pregnant women who wish to continue their pregnancies. According to Amnesty International, the United States spends more than any other country on health care, yet women here have a higher risk of dying due to pregnancy-related complications than women in 40 other countries.
Poverty, geography, religion, politics all play a dominant role in determining who can and cannot get birth control, maternal health care and abortion services in the United States. Maternal care and abortion rights are intertwined--more than 60% of women who have abortions are already mothers. Despite this, a woman's human rights--her right to make medical decisions, right to religious freedom, right to personal dignity are all increasingly taking a back seat to efforts to re-criminalize abortion. It's harder to end a pregnancy than it was 20 years ago due to the barriers women must overcome and the fact that reproductive health clinics continue to close.
In states across the U.S., especially the Midwest and South, where women are earning less and less, the cost of an abortion is often out of reach. Add hours of travel, unpaid time off from work, childcare, and the obstacles to getting an abortion become significant. These same obstacles keep many women from getting the prenatal and postnatal care they deserve.
These states are also home to some of the most restrictive and punitive laws curtailing women's access to reproductive health care, and also claim some of the highest teen pregnancy and child poverty rates in the country. The Washington Post recently reported a rise in teen pregnancy rates, despite the $1.5 billion spent on abstinence-only programs
over the past decade.
Anti-abortion and anti-government activism is heated, high-profile, and often violent. This violence culminated in May 2009, when Dr. George Tiller was assassinated in Wichita, Kansas. His murder seems to have emboldened the anti-choice, anti-woman movement, while the women of these regions suffer the most.
This continuing campaign against women is unacceptable and un-American.
While state legislators push bills to penalize women who continue their pregnancies to term in spite of a drug problem, they do nothing to advocate for family and medical leave nor do they work to stop hospitals from banning women who have had previous cesarean surgery from delivering at their hospitals unless they agree to have another such surgery - whether they need it or not. The Federal outlook is no better. The new Congress is gearing up to host an unprecedented number of bills that go against women's dignity and
human rights. Unequivocally, we have more legislators who allow their opposition to abortion to trump the worth of women.
Following Roe in 1973, the U.S. saw an extraordinary improvement in public health and women's health with the legalization of abortion - but all this progress, access to maternity care and abortion care, is under increasing attack. This trend must be reversed and the rights of women must be respected. Doing so will result in more favorable health outcomes for women and their children.
What is emerging in 2010 is not our mothers' reproductive rights movement. This is a reproductive justice movement that addresses abortion care, maternity care, birthing rights and sex education in a holistic manner - each element part of a greater whole. This is a movement that recognizes that a woman's decision regarding pregnancy, no matter its outcome, is a moral and personal one.
The simple truth is that the same women who have abortions are already mothers or will most likely become mothers. It is imperative that we value these women, these mothers and ensure that they have full access to all of the maternal and reproductive health care services they need. America should do nothing less for the sake of women and their families.
A proposed program to cover counseling sessions for seniors on end-of-life care has risen from the ashes of health care reform and found a new life in Medicare regulations, Jason Hancock of the American Independent reports.
In August, former Alaska governor Sarah Palin started a rumor via her Facebook page that the the Obama administration was backing "death panels" that would vote on whether the elderly and infirm had a right to live. In reality, the goal was to have Medicare reimburse doctors for teaching patients how to set up their own advance directives that reflect their wishes on end-of-life care.
Patients can use their advance directives to stipulate their wishes for treatment in the event that they are too sick to make decisions for themselves. They can also use those directives to demand the most aggressive lifesaving interventions.
Waste not, want not
Though end-of-life counseling was ultimately gutted from the Affordable Care Act (ACA), the legislation will eventually ensure health coverage for 32 million more Americans. However, Joanne Kenen in The American Prospect argues it will do comparatively less to curb the high costs of health care. The architects of the ACA had an opportunity to include serious cost-containment measures like a robust public health insurance option to compete with private insurers, but they declined to do so.
Kenen argues that the government should more aggressively target waste within the health care delivery system, especially Medicare and Medicaid. Unchecked and rising health care costs through Medicare and Medicaid are a significantly greater driver of the deficit than Social Security or discretionary spending:
"The waste is enormous," says Harvard health care economist David Cutler. "You can easily convince yourself that there is 40 to 50 percent to be saved." Squeezing out every single bit of that inefficient or unnecessary care may not be realistic. But it also isn't necessary; eliminating even a small fraction of the current waste each year over the next decade would make a huge difference, he added. Health care would finally start acting like "a normal industry." Productivity would grow, in the one area of the economy where it has not, and with productivity gains, prices could be expected to fall.
The new end-of-life counseling program will help reduce waste in the system, not by pressuring people to forgo treatments they want, but by giving them the tools to refuse treatments they don't want.
Teen births down, but why?
The teen birth rate has dropped again, according to the latest CDC statistics. Births to women under the age of 20 declined by 6% in 2009 compared to 2008. One hypothesis is that the reduction is an unexpected consequence of the recession, an argument we pointed to in last week's edition of the Pulse. John Tomasic of the Colorado Independent is skeptical of the recession hypothesis. He writes:
Emily Bridges, director of public information services at Advocates for Youth, agrees with other observers in pointing out that teens aren't likely to include national economics as a significant factor in pondering whether or not to have unprotected sex. Peer pressure, badly mixed booze, general awkwardness, for example, are much more likely than the jobless recovery to play on the minds of horny high schoolers.
Some states with weak economies actually saw a rise in teen birth rates, Tomasic notes. However, this year's sharp downturn in teen births parallels a drop in fertility for U.S. women of all ages, which seems best explained by economic uncertainty.
It's true that prospective teen moms are less likely to have jobs in the first place, and so a bad job market might be less likely to sway their decisions. However, young women who aren't working are unlikely to have significant resources of their own to draw on, which means that they are heavily dependent upon others for support. If their families and partners are already struggling to make ends meet, then the prospect of another mouth to feed may seem even less appealing than usual.
Abortion is the elephant in the room in this discussion. The CDC numbers only count live births. Logically, fewer live births must be the result of fewer conceptions and/or more terminations. Some skeptics doubt that economic factors have much to do with teens' decisions about contraception. However, it seems plausible that decisions about abortion would be heavily influenced by the economic health of the whole extended family.
Last year's decrease was notably sharp, but teen birth rates have been declining steadily for the last 20 years. The Guttmacher Institute, a New York-based non-profit that specializes in research on reproductive choice and health, suggests that successive generations of teens are simply getting savvier about contraception. Births to mothers between the ages of 15 and 17 are down 48% from 1991 levels, and births to mothers ages 18 to 19 are down 30%.
Stupid drug dealer tricks
Martha Rosenberg of AlterNet describes 15 classic dirty tricks deployed by Big Pharma to push drugs. These include phony grassroots patient groups organized by the drug companies to lobby for approval of dubious remedies. Another favorite money-making strategy is to overcharge Medicare and Medicaid. Pharmaceutical companies have paid nearly $15 billion in wrongdoing settlements related to Medicare and Medicaid chicanery over the last five years.
This post features links to the best independent, progressive reporting about health care by members of The Media Consortium. It is free to reprint. Visit the Pulse for a complete list of articles on health care reform, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Audit, The Mulch, and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.
It's a Christmas-week miracle! The Senate, in a vote that astonished everyone, brought the Food Safety and Modernization Act back from the dead on Monday, as Siddhartha Mahanta reports in Mother Jones. The bill, which will enact tougher consumer protections against E. coli and other deadly contaminants in staples like eggs and peanut butter, died in the Senate last week when the omnibus spending bill it had been folded into kicked the bucket.
At Grist, Tom Philpott explains the initial demise, and the basis for the ultimate resurrection of the bill. The House passed the bill on Tuesday, having already passed it twice before.
President Obama is expected to sign the bill into law, which will usher in the first major overhaul of the country's food safety system in more than 70 years. Food poisoning strikes 48 million Americans (1 in 6), lands 128,000 in the hospital, and kills 3,000 ever year, according to CDC figures released last week. Now that's something to talk about with your relatives around the holiday dinner table.
Wisconsin clinic backs off 2nd trimester abortion care
A clinic in Wisconsin has reneged on its commitment to provide second trimester abortion care, as Judy Shackelford reports in The Progressive. Shackelford is outraged that the Madison Surgery Center walked back on its promise to patients. She knows first hand how important later term abortion access can be.
Shackelford found herself in need of a second trimester abortion when she developed a blood clot in her arm during her second, much-wanted pregnancy. She decided to terminate rather than risk leaving her 7-year-old son motherless. It was hard enough to find an abortion provider when she needed one, but if she needed the procedure today, she would have nowhere to turn.
Teen birth rate at record low
The birth rate for women ages 15-19 fell to 39.1 per 1000 between 2008 and 2009, the National Center for Health Statistics announced Tuesday. Many commentators, including Goddessjaz of feministing attribute the drop to the recession. The economy seems to be an important factor because birth rates dropped in all age groups, not just among teens.
Predictably, proponents of abstinence-only-until-hetero-marriage are trying to take credit for the falling birth rate. It's not clear why they think ab-only is finally starting to work after years ofunrelenting failure. Perhaps it was Bristol Palin's electrifying performance on "Dancing With the Stars"?
Get the government out of my Medicare
We've become accustomed to the ironic spectacle of senior citizens on Medicare-funded scooters decrying the "government takeover of health care." Medicare is wildly popular, even among those who decry "socialized medicine." When the Affordable Care Act is finally implemented, it won't feel like a government program, either. Paul Waldman of The American Prospect wonders if this "private sector" feel will undermine support for the program:
The Republican officials challenging the ACA in court have characterized its individual insurance mandate as an act of tyranny ranking somewhere between the Stalinist purges and Mao's Cultural Revolution. But in the "government takeover" of health care (recently declared the 2010 "Lie of the Year" by the fact-checking site PolitiFact), Americans will continue to visit their private doctors to receive care paid for by their private insurance companies. The irony is that if the ACA actually were a "government takeover," people would end up feeling much better about government's involvement in health care. But since it maintains the private system, conservatives can continue to decry government health care safe in the knowledge that most people under 65 won't know what they're missing, or in another sense, what they're getting.
If people don't realize that they're benefiting from government programs, they are less likely to support those programs. In an attempt to deflect Republican criticism, the Democrats assiduously scrubbed as much of the aura of government off of health reform as they could. This could prove to be a disastrously short-sighted strategy. If health reform works, the government won't get the credit, but rest assured that if it fails, it will take the full measure of blame.
Funding for community health centers at risk
One of the lesser-known provisions of the Affordable Care Act was to expand the capacity of community health centers (CHCs) from 20 million to 40 million patients by 2015. This extra capacity will be key for absorbing the millions of previously uninsured Americans who are slated to get health insurance under the ACA.
CHCs have been praised by Democrats and Republicans as an affordable way to provide quality health care. However, state budget crises are threatening to derail the plan, as Dan Peterson reports for Change.org. States must contribute to the program in order to qualify for federal funding. However, state funding for CHCs has plummeted by 42% since 2007. So far this year, 23 states have cut funding for CHCs and eight have slashed their budgets by 20% or more.
This post features links to the best independent, progressive reporting about health care by members of The Media Consortium. It is free to reprint. Visit the Pulse for a complete list of articles on health care reform, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Audit, The Mulch, and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.
Dr. Kenneth Katz recently published an article in the New England Journal of Medicine titled "Health Hazards of 'Don't Ask, Don't Tell." This week, he penned an op/ed for RH Reality Check about his experiences treating U.S. military at an STD clinic in San Diego. Dr. Katz sees the Pentagon's "Don't Ask Don't Tell" rule for LGB members of the military as a huge roadblock to good medical care. He's pretty confident that his military patients feel safe divulging their sexual histories to a civilian doctor like himself. But when those troops go overseas, they are cared for by military doctors. Technically, doctor-patient communication is exempt from DADT, but many patients don't realize that they can tell their military doctors about gay sex without fear of reprisals (at least in theory). Dr. Katz's patients have told him that they won't go for recommended follow-up STD screening after they ship out because they're afraid to be honest with their doctors. He worries about how many troops are suffering from treatable infections in war zones because they aren't allowed to serve openly.
Food stamp use skyrockets, swordfish sales unaccountably flat
Monica Potts of TAPPED points to the alarming statistic that in the last month alone an additional 500,000 Americans went on food stamps. She notes that the right wing website Daily Calleris alarmed not by the fact that fellow citizens can't afford food, but rather that there's no gruel-only foodstamp program available:
Meanwhile, the conservative news site The Daily Calleris shocked, shocked, to learn that you can use food stamps to buy all manner of food. The government, apparently, doesn't restrict you from purchasing an $18-per-pound swordfish steak from Whole Foods. But that kind of discovery, like almost everything else in the "debate" over food stamp use, is the sort of ridiculous one that comes from a person who's never been hungry.
The Hyde Amendment
In Campus Progress, Jessica Arons and Madina Agénor call for the repeal of the Hyde Amendment for being an assault on the reproductive rights of poor women and women of color. The Supreme Court declared abortion to be a constitutional right in 1973, yet nearly 40 years later, the Hyde Amendment still prohibits nearly all federal funding for abortions. In practice, the women most affected by the Hyde Amendment are those who depend on government health care programs like Medicaid and the Indian Health Service:
Former U.S. Rep. Henry Hyde (R-IL), the law's sponsor, admitted during debate of his proposal that he was targeting poor women because they were the only ones vulnerable enough for him to reach. "I certainly would like to prevent, if I could legally, anybody having an abortion, a rich woman, a middle-class woman, or a poor woman," he said. "Unfortunately, the only vehicle available is the ... Medicaid bill."
Meanwhile, ultra-conservative Rep. Michele Bachmann (R-MN) is calling on Congress to de-fund the reproductive health provider Planned Parenthood, Andy Birkey reports in the Minnesota Independent. In an interview with a conservative news site, Bachmann doubled down on that idea, suggesting that all of health care reform be de-funded because it funds abortions. This is not true. The aforementioned Hyde Amendment guarantees as much. Furthermore, even though health reform never would have funded abortions, President Obama signed an eleventh-hour executive order guaranteeing that health care reform would not fund abortions.
Brooklyn bees gorge on maraschino cherry run-off
Home beekeeping is the hottest new trend for health-conscious locavores. New York City recently changed the law to accommodate beekeepers in the five boroughs. Just because you live in an industrial neighborhood in Brooklyn is no reason to miss out on this sweet action, right? Well, actually, there is a catch. That nice honey at the farmers' market tastes like lavender because that's what those rural bees ate. What do bees in Red Hook, Brooklyn eat? Run-off from a maraschino cherry factory. The overindulgent bees "look like vampires" according to one local keeper and their honey runs bright red. Maraschino honey sounds like a delicious mash-up of high and low culture. Unfortunately, Sarah Goodyear reports in Grist that the end product doesn't taste nearly as good as it looks. Arthur Mondella, the owner of Dell's Maraschino Cherries, wants to do right by the beekeepers. He initially suggested putting out vats of different colored syrup to "help" the bees make rainbow honey. His proposal was not well-received by the crunchy set. Instead, he has agreed to work with the beekeepers to keep the bees out of the vats next year.
New York City Mayor Michael Bloomberg is asking the USDA to approve a pilot program that would prevent his city's residents from buying sugar-sweetened soda with food stamps. Some have called the proposal paternalistic. However, at In These Times, Terry J. Allen argues that Bloomberg's proposal makes sense.
Allen notes that New Yorkers may spend up to $135 million in food stamp benefits on sodas. Nationwide, the food stamp program funnels about $4 billion into the pockets of soda manufacturers. Sugary carbonated drinks are artificially profitable for Big Pop because they are sweetened with high-fructose corn syrup, a heavily subsidized by-product of our broken agricultural system.
There are already restrictions on what you can buy with food stamps. Nobody thinks it's patronizing that alcohol is off-limits, even though alcoholic beverage are a potential source of calories. A little discussed benefit of ending the soda subsidy within the food stamp program would be the incentive it gives to small storekeepers in poor neighborhoods to devote less floor and refrigerator space to carbonated drinks and more room to real food. Many low income New Yorkers struggle to buy healthy food in their neighborhoods. Soda subsidies only make the "food desert" problem worse.
Impatient to die
Prisoners on Death Row in Texas spend 23 hours a day in solitary confinement. The death house in Texas is one of the most restrictive in the nation. Conditions are so bad that many inmates are actively looking forward to their execution day to put an end to the crushing isolation, Dave Mann reports in the Texas Observer. There is a growing consensus among psychiatrists that solitary confinement is a form of torture. Some experts, and many inmates, believe that solitary confinement is literally driving Texas death row inmates insane.
Daniel Lopez is in a hurry to die: "I don't see no point in waiting 20 years for them to finally decide to execute me." That's the first thing he tells me when I sit down to interview him. We are seated in the Polunsky Unit's visiting room. Lopez is encased in a small booth. We are separated by thick, soundproof glass and talk through phones. [...] [Lopez] says he has no desire to remain on death row. He says he's looking forward to execution day. He doesn't want to live much longer in his small cell. "I don't think that's a life for somebody," he says.
Health reform and the courts
Suzy Khimm of Mother Jones takes a closer look a the legal challenges to health care reform. Republicans in Virginia have been given the green light to challenge the constitutionality of the individual mandate in court. In October, a U.S. District judge in Detroit refused to issue a preliminary injunction to stop the implementation of health care reform in Michigan. On Monday, a U.S. District judge in Lynchburg, VA, dismissed Liberty University's anti-health reform lawsuit. Another Virginia judge says he will rule on a similar suit by the State Attorney General by the end of the year.
The current crop of politically motivated lawsuits challenging the individual mandate are legally tenuous at best. Aziz Huq wrote in The Nation: "Among constitutional scholars, the puzzle is not how the federal government can defend the new law, but why anyone thinks a constitutional challenge is even worth making."
As Columbia law professor Gillian Metzger explained to Chris Hayes of The Nation earlier this year, the constitutionality of the individual mandate is basically a "no-brainer." The way the Affordable Care Act is written, everyone who doesn't have health insurance from some provider has two options: Buy subsidized health insurance or pay a tax. The federal government obviously has the right to collect taxes. The case is expected to go all the way to the Supreme Court, but it seems unlikely to prevail. The real fear is that a lower court will paralyze the implementation of health care reform while the decision is pending.
Crisis pregnancy center bill
Shakthi Jothianandan of Ms. Magazine has the latest on proposed legislation that would force so-called crisis pregnancy centers (CPCs) in New York City to disclose that they are not real reproductive health clinics. The New York City Council held a hearing on the proposed legislation in mid-November, which brought together officials from the Department of Mental Health and Hygiene, Planned Parenthood, Concerned Clergy for Choice and staff from CPCs around the city. The representatives for the CPCs claimed that the bill violates their free speech rights, but the head of the New York Civil Liberties Union testified that requiring organizations to disclose that they are not real health care facilities and don't provide a full range of services does not infringe on any First Amendment right.
CeCe Heil, senior counsel with the Christian anti-abortion group American Center for Law and Justice, claimed the legislation was unnecessary because women are already smart enough to know that "abortion alternatives" means "alternatives to abortion." Many of the CPCs have "life" in their name, which should signal to potential clients that they do not provide abortion or abortion referrals. But if it's really so obvious that CPCs are just anti-choice ministries posing as reproductive health clinics, why oppose a law that simply requires all facilities to disclose the obvious?
Boehner meets with anti-choice extremist
Future Speaker of the House Rep. John Boehner (R-OH) met with anti-abortion extremist Randall Terry, as Miriam Perez of Feministing reports. Terry is the founder of the radical anti-choice group Operation Rescue, which has a long record of advocating violence against abortion providers. After Dr. George Tiller, one of the country's last high-profile late-term abortion providers, was assassinated, Terry called Tiller a "mass murderer" who "horrifically, reaped what he sowed."
This post features links to the best independent, progressive reporting about health care by members of The Media Consortium. It is free to reprint. Visit the Pulse for a complete list of articles on health care reform, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Audit, The Mulch, and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.
As some Americans obsess over whether to brine or deep-fry their Thanksgiving turkeys, others are going hungry. Seth Freed Wessler reports for ColorLines that 50 million Americans went hungry in 2009, according to the latest figures from the U.S. Department of Agriculture.
Astonishingly, more than 36% of female-headed households suffered from food insecurity last year, in spite of a massive expansion of federal food stamp benefits as part of the economic stimulus. Forty-two million families received food stamps last year, 10 million more than the year before. Congress gutted the food stamp program this summer. If something isn't done, families of four will lose $59 a month in food stamp benefits at the end of 2014. At the time of the cuts, House Democrats promised to restore food stamp benefits during the lame duck session of Congress, but Freed notes there's been little sign recently that they plan to follow through on the promise.
Making Crisis Pregnancy Centers come clean
The New York City Council is preparing to vote on the legislation to force so-called "crisis pregnancy centers" (CPCs) to disclose that they are not health care facilities and that they do not provide birth control or abortions. CPCs are anti-choice ministries that deliberately mimic abortion clinics in order to trick women who might be seeking abortions. It's all a ruse to bombard these women with false information about abortion under the guise of health care. As we discussed last week in the Pulse, CPCs also serve as incubators for more extreme forms of anti-choice activism, from clinic obstruction to violence.
In RH Reality Check, Dr. Lynette Leighton explains why she supports New York City's proposed bill to require so-called "crisis pregnancy centers" to disclose that they aren't real clinics staffed by health care providers:
As a family physician, I provide comprehensive health care for all of my patients, including safe abortions for women who decide to end a pregnancy. I've cared for many women who came to me in crisis when they learned they were pregnant. The last thing my patients need is to be misled by anti-abortion organizations masquerading as health clinics. I'm strongly in favor of the New York City bill requiring crisis pregnancy centers to disclose that they do not provide abortions or contraception, or offer referrals for these services.
New York CPCs are claiming that the requirement to disclose violates their freedom of speech, Robin Marty notes in RH Reality Check. In other words, they are claiming a First Amendment right to bait and switch. The executive director of the New York Civil Liberties Union (NYCLU) is scheduled to testify before the City Council that the free speech claim is baseless.
See you in court!
In other reproductive rights news, the Center for Reproductive Rights took the FDA to court on Tuesday over access to the morning after pill. The FDA has been ignoring a court order to make emergency contraception available over the counter to women of all ages, and the Center is going to court to spur the agency to comply, Vanessa Valenti reports for Feministing.
Look at this smokin' hipster
Tobacco giant R.J. Reynolds is courting hipsters with a new "Williamsburg" cigarette, Brie Cadman reports for Change.org. "[Smoking Camels is] about last call, a sloppy kiss goodbye and a solo saunter to a rock show in an abandoned building... It's where a tree grows," according to the online ad copy. Mmm, kissing smokers.
It's all part of an online marketing campaign in which users are invited to guess where brand mascot Joe Camel will show up next week. Interestingly, the contest's name is "Break Free Adventure," a twist on the Camel brand's "Break Free" tagline. Odd that they'd pick a slogan usually associated with quitting smoking, rather than feeding the addiction. Those hipsters sure love irony.
Blowing the whistle on health insurers
On Democracy Now!, health insurance executive turned whistleblower Wendell Potter predicts that the Republicans will back off their grandiose campaign promises to repeal health care reform and instead try to dismantle the bill's provisions that protect consumers. Potter notes that health insurers are major Republican donors, and that parts of the law are very good for insurers, notably the mandate forcing everyone to buy health insurance.
Apparently, some true believers haven't gotten the memo. Steve Benen of the Washington Monthly notes that some Republican members of Congress are still gunning to shut down the government over health care reform and other spending.
This post features links to the best independent, progressive reporting about health care by members of The Media Consortium. It is free to reprint. Visit the Pulse for a complete list of articles on health care reform, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Audit, The Mulch, and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.
Republicans don't have the votes to repeal health care reform, but they are determined to use their newly-won control of the House to fight it every step of the way. Marilyn Werber Serafini gives Truthout readers a sneak-peek at the GOP playbook to attack healthcare reform in 2011.
Who are some of the top contenders in this coming battle? Rep. Joe Barton (R-TX) is a leading candidate to chair of the House Energy and Commerce Committee. Barton is vowing, if elected chairman, to use the oversight powers of the committee to hold a flurry of hearings on alleged misconduct in the crafting of the Affordable Care Act. Barton plans to show that budget experts "covered up" the true projected costs of health care reform. In Barton's world, the fact that there's no evidence to support this allegation is all the more reason to investigate.
Other key players include James Gelfand, the director of health policy at the U.S. Chamber of Commerce, who has already compiled a wishlist of 31 investigations that he wants the newly Republican-controlled House to undertake. The Chamber spent millions to elect Republicans this cycle. Barton's hearings will have to compete for political oxygen with those of Rep. Darrel Issa (R-CA), the chair apparent of the Investigations Committee, who is promising to gum up the works of government with at least to seven hearings a week for 40 weeks, a projected rate nearly triple that of his predecessor Rep. Henry Waxman (D-Ca).
Health care freedom's just another word for nothing left to lose
If they can't undo health reform in the corridors of Washington, conservatives are looking to the states and the federal courts. In The Nation, Nicholas Kusnetz reports on how a coalition of hard right groups are organizing against health care reform at the state level.
A group known as the American Legislative Exchange Council (ALEC) is at the forefront of the drive to pass so-called "health care freedom acts" in the states to preemptively outlaw federal health reform before it can be implemented. ALEC claims to have filed or pre-filed bills in 38 states and passed 6 so far. Few expect these laws to stand up in court, if challenged, but they are part of ALEC's long term strategy to fight health reform itself in the federal courts. A Virginia judge recently ruled that an ALEC-sponsored "freedom" law gave the state standing to challenge federal reform.
Kusnetz shows the close ties between ALEC officials and Americans for Prosperity, the Cato Institute, and other Koch-Industries-funded conservative activist groups that are campaigning against health care reform in various capacities.
What about Medicare?
At the Washington Monthly, Steve Benen notes that many Republicans, including Senator-Elect Rand Paul (R-KY) successfully campaigned on a platform of repealing health care reform to save Medicare. Benen explains that repealing the Affordable Care Act would actually put Medicare in worse financial straights than staying the course. The Republican rhetoric of defending Medicare and railing against socialized medicine is a flagrant self-contradiction. It's not hard to see which of these two projects they are more committed to.
As Brie Cadman points out at Change.org, the self-proclaimed "Young Guns" of the Republican Party are keen to privatize Medicare all together.
Government cheese: Corporate welfare edition
The USDA is scheming to make you eat more cheese. Tom Philpott of Grist explains how it works. Big Dairy produces more milk than Americans care to drink. Plus, consumers are increasingly demanding reduced-fat milk. That leaves a lot of milk left over to make cheese, but Americans aren't eating enough cheese to make a dent in the national milk fat surplus.
Unsold milk fat could become a toxic asset on the books of Big Dairy. So, the USDA created a non-profit corporation called Dairy Management (DM) to convince fast food companies to spike their products with millions of tons more cheese every year. With the help of DM, Domino's Pizza created a line of "Legend" pizzas with 40% more cheese. Who can forget the epic 2002 "Summer of Cheese" when DM teamed up with Pizza Hut to boost cheese consumption by an astonishing 102 million pounds? The average American now eats 33 pounds of cheese per year, three times as much as in 1970.
Officially, the USDA is supposed to help Americans eat better and support the agriculture industry. Cheese can be part of a healthy diet, but not in ever-increasing quantities. In practice, supporting the profits of Big Agra should not take precedence over preventing obesity or reducing the incidence of heart disease, high blood pressure, and diabetes.
CPCs: Incubators for anti-choice violence
In Ms. Magazine, Kathryn Joyce explores the shadowy world of "crisis pregnancy centers," anti-choice ministries that pose as full-service reproductive health clinics, but offer no real health services. CPCs have a business model built on deceit. They seek to prevent abortions by tricking women seeking comprehensive reproductive health care, which might include abortion.
Activism rooted in such deceit and contempt for women's autonomy can flare into violence. Joyce reveals that CPCs also serve as incubators for radical anti-choice activism. Radical groups like Operation Rescue encourage their supporters to volunteer. Scott Roeder, the assassin of Dr. George Tiller, got his start accosting women on the street outside abortion clinics as a volunteer "sidewalk counselor" for a crisis pregnancy center.
Just the presence of a CPC near an abortion clinic is correlated with increased violence against the clinic, as Joyce reports:
A recent survey by the Feminist Majority Foundation of women's reproductive-health clinics nationwide found 32.7 percent of clinics located near a CPC experienced one or more incidents of severe violence, compared to only 11.3 percent of clinics not near a CPC. (Severe violence includes clinic blockades and invasions, bombings, arson, bombing and arson threats, death threats, chemical attacks, stalking, physical violence and gunfire.)
Doctors on the front line see the overlap between CPCs and more virulent forms of anti-choice activism every day. "[CPCs and violent anti-choice activists] have two different spheres," OB-GYN Dr. LeRoy Carhart, one of the nation's last remaining specialists in late-term abortions, told Joyce. "The underlying theory of both is never let the truth stand in the way of getting your point across. If you distort facts to women, there is no difference."
Flip Benham's slap on the wrist
One of the activists Joyce interviews in her piece is Rev. "Flip" Benham, director of Operation Save America/Operation Rescue. Robin Marty of RH Reality Check reports that Benham was found guilty of stalking an abortion provider and posting "Wanted" posters with the doctor's picture on them, accusing him of being a baby killer. Benham was sentenced to 24 months probation.
In his defense, Benham claimed that this was a harmless gesture that never killed anyone. In fact, "wanted" posters for abortion doctors are a time-honored intimidation tactic that has been used repeatedly before the murders of abortion providers. Benham is deliberately cultivating a climate of fear and rage is conducive to violence.
This post features links to the best independent, progressive reporting about health care by members of The Media Consortium. It is free to reprint. Visit the Pulse for a complete list of articles on health care reform, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Audit, The Mulch, and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.
The Republicans gained ground in last night's midterm elections, recapturing the House and gaining seats in the Senate. The future House Majority Leader John Boehner (R-OH) wasted no time in affirming that the GOP will try to repeal health care reform.
A full-scale repeal is unlikely in the next two years because the Democrats have retained control of the White House and the Senate. However, Republicans are already making noises about shutting down the government to force the issue. The House controls the nation's purse strings, which confers significant leverage if the majority is willing to bring the government to a screeching halt to make a point.
Don't assume they'll blink. The GOP shut down government in 1995, albeit to its own political detriment. Rep. Steve King (R-IA) and his allies have sworn a "blood oath" to shut down the government, regardless of the consequences. The Republicans may actually succeed in modifying minor aspects of the Affordable Care Act, such as the controversial 1099 reporting requirement for small business.
The most significant threat to the implementation of health care reform may be at the state level. Republicans picked up several governorships, and the Affordable Care Act requires the cooperation of states to set up their own insurance exchanges. Hostile governors could seriously impede things.
Mixed results for radical, anti-choice senate candidates
As a group, the eight ultra-radical, anti-choice Republican Senate candidates had mixed results last night. Three wins, two sure losses, and three likely losses that haven't been definitively called. Voters didn't seem thrilled about electing senators who oppose a woman's right to abortion, even in cases of rape and incest.
Two cruised to victory: Rand Paul easily defeated Democrat Jack Conway in Kentucky. Paul is one of the most extreme the of a radical cohort. As Amie Newman reported in RH Reality Check, Paul doesn't even believe in a woman's right to abort to save her own life. In Florida, anti-choice standard bearer Marco Rubio defeated Independent Charlie Christ.
Another radical anti-choicer, Pat Toomey, who favors jailing abortion providers, narrowly edged out Joe Sestak in Pennsylvania.
Two were soundly defeated. Evangelical code-talker Sharron Angle lost to Sen. Harry Reid (D-NV), and anti-masturbation crusader Christine O'Donnell lost to Chris Coons in Delaware.
The last three radical anti-choice senate candidates were down, but not, out as of this morning. Democrat Sen. Michael Bennett leads Republican Ken Buck by just 15,000 votes out of over 1.5 million ballots cast, according to TPMDC. Planned Parenthood launched an 11th hour offensive against Buck because of his retrograde stances on abortion, sexual assault, and other women's issues, as Joseph Boven reports for the Colorado Independent.
This morning, Tea Party Republican Joe Miller was trailing behind incumbent Sen. Lisa Murkowski (R-AK), who challenged him as an Independent, but no winner had been declared. In Washington State, Democrat Sen. Patti Murray maintains a 1% lead over radical anti-choicer Republican Dino Rossi.
Are fertilized eggs people in Colorado?
Coloradans won a decisive victory for reproductive rights last night. Fertilized eggs are still not people in Colorado, as Jodi Jacobson reports for RH Reality Check.
Amendment 62, which would have conferred full person status from the moment of conception, thereby outlawing abortion and in vitro fertilization. It also called into question the legality of many forms of birth control, including an array of medical procedures for pregnant women that might harm their fetuses. The proposed amendment was resoundingly defeated: 72% against to 28% in favor. This is the second time Colorado voters have rejected an egg-as-person amendment.
Blue Dogs and anti-choice Dems feel the pain
Last night was brutal for corporatist Democrats who fought the more progressive options for health care reform and Democrats who put their anti-choice ideology ahead passing health care. In AlterNet, Sarah Seltzer reports only 12 of the 34 Democrats who voted against health care reform hung on to their seats. The Blue Dog caucus was halved overnight from 56 to 24. Nick Baumann of Mother Jones speculated that the midterms would mark the end of the Stupak bloc, the coalition of anti-choice Democrats whose last-minute brinksmanship could have derailed health care reform.
Did foot-dragging on health care hurt Democrats?
Jamelle Bouie suggests at TAPPED that Democrats shot themselves in the foot by passing a health care reform bill that won't provide tangible benefits to most people for years. The exchanges that are supposed to provide affordable insurance for millions of Americans won't be up and running until 2014.
In Summer 2009, Former DNC chair Howard Dean predicted that the Democrats would be penalized at the polls if they failed to deliver tangible benefits from health care reform before the midterm elections. That's why Dean suggested expanding the public health insurance programs we already have, rather than creating insurance exchanges from scratch.
Sink, sunk by Scott
Andy Kroll of Mother Jones profiles Rick Scott, the billionaire health clinic mogul, corporate fraudster, and enemy of health care reform who spent over $50 million of his own money to eke out a very narrow victory over Democrat Alex Sink in the Florida governor's race.
Apparently, many Floridians were willing to overlook the fact that Scott had to pay a $1.7 billion fine for defrauding Medicare, the largest fine of its kind in history. Scott also spent $5 million of his own money to found Conservatives for Patients' Rights, one of the leading independent groups opposing health care reform.
Pot isn't legalized in California
California defeated Proposition 19, which would have legalized marijuana for personal use. David Borden of DRCnet, a pro-legalization group, writes in AlterNet that the fight over Prop 19 brought legalization into the political mainstream, even if the measure didn't prevail at the polls. The initiative won the backing of the California NAACP, SEIU California, the National Black Police Association, and the National Latino Officers Association and other established groups.
So, what's next for health care reform? The question everyone is asking is whether John Boehner will cave to the extremists in his own party and attempt a full-scale government shutdown, or whether the Republicans will content themselves with extracting piecemeal modifications of the health care law.
This post features links to the best independent, progressive reporting about health care by members of The Media Consortium. It is free to reprint. Visit the Pulse for a complete list of articles on health care reform, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Audit, The Mulch, and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.
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