Congressional Budget Office Scores House Health Bill with an “F”

Oakland    The Congressional Budget Office finished its nonpartisan, objective evaluation of the costs and impacts of their recently passed bill to replace the Affordable Care Act, and channeling Gertrude Stein found that there was “no there, there,” at least if any of us were looking for health insurance, especially when we have health problems.

Begin with the fact that they estimate that 23 million Americans will lose health insurance. I say “begin,” because there is no way to get an accurate view on how high that number could rise. The Republican bill, as written, gives states the ability to ask for waivers from an anti-healthcare Department of Human Services, which would rubber stamp the ability of states to eviscerate care for the individuals with preexisting conditions, women’s health needs, and allow skinnier and skinnier requirements from the plans, thereby eliminating the minimum health provisions of Obamacare for everyone on the program. Analysts report that the CBO usually consults with states in making its estimates, so the 23 million may include some, but this number would likely swell in the red states with “red” now not referring to the color of a map on election night, but instead standing for the blood draining out of these states’ dying people.

Furthermore in the CBO score, they reject the argument that Republicans have made that such miserly benefits will bring happy days with lower premiums and therefore more participation. The CBO flatly argues that the Republican House plan will end up with higher prices, especially because of the Medicaid cuts, and will collapse insurance markets because of the reduction of subsidies. Young people will get cheaper insurance though that will only be good news in the flower of youth, because if, and when, faced with any healthcare needs, young people will be as screwed as everyone else.

The CBO also totally dismissed the Republicans’ argument that “risk pools” would cover take care of Americans with preexisting conditions. If you read between the lines the CBO believes they will pretty much die as soon as they run out of money, and it won’t take long. The “risk pools” are inadequately funded in their view, and they have never worked. The dustbin of history is calling, but the House Republicans are determined to sell the scam. At least they are if they can keep their tempers when asked to defend their votes in favor of this trash, which wasn’t the case for the Montana Republican Congressional candidate facing a tough contest, who decided to body slam a British reporter for the nerve of asking him about his vote.

Some Senate Republicans might notice that one of the groups being slammed the hardest is older people. The New York Times analysis noted that “The cost of insurance for a 64-year-old earning about $27,000 would increase to more than $13,000, from $1,700 under the Affordable Care Act, even for states that pared back insurance rules.” Bad news, these folks actually vote and even with diminishing basic math skills, all of them will figure out that their bill would be almost half of their income.

There are some winners though, but in the Republican plan that’s the folks with the fatter wallets, especially if they are neither old nor poor. The Times reports, that “The bill makes big cuts to taxes on payroll and investment income for those earning more than $200,000, and provides more subsidies to buy insurance for people earning between about $50,000 and $150,000.”

There is no irony here, though their could be. Fewer subsidies for the poor, but more for wealthier families? How can anyone rationalize that? There’s a clue to their thinking though. Perhaps they are channeling HUD Secretary Ben Carson, and want us all to believe that health insurance is like poverty, “just a state of mind.”

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Loose Cannon Goes Off Again, Blows Up Part of White House

James B. Comey, the former F.B.I. director, during a Senate Intelligence Committee hearing this month. Credit Gabriella Demczuk for The New York Times

Detroit  What’s that famous Hunter Thompson line? Something like, “when the going gets weird, the weird turn profession,” I think. But, there I was, like much of the rest of America, with a 3 AM wake-up for a 515 AM flight, but unable to not read one article on-line after another in the Times, Wash Post, and Journal about the latest meltdown of government, as we have come to know it in good times and even bad, as we watch with our mouths open, the devaluation of the United States to the level of a banana republic except with bombs and one of the largest armies in the world. OMG!

In one day, still reeling from the political obtuseness and self-delusion that Democrats and the country would applaud his firing of FBI Director James Comey in the middle of the FBI’s investigation of his own political campaign, which has been a story spinning around in one version or another so much we’re all dizzy, we find out that President Trump in his braggadocio has blurted out secret intelligence about ISIS. Boom, the loose cannon fires at the White House!

And, he doesn’t blurt this out to the White House custodial staff or in the White House kitchen where the chef is frying him up a big, fat burger to go. Oh, no, he does this foolish chest thumping to the Russian Foreign Secretary and the Russia’s US Ambassador in the Oval Office in an oval office meeting where he had even barred any photos from US-based media, but did allow the Russian foreign office to broadcast video and pictures far and wide. Why, was he meeting with them now, well, as he curiously explained, he was doing it at the bidding of Russian president Putin. Let’s hope Putin at least said “pretty please.” Of course this intel was given to us by a Mid-Eastern ally, that turned out to be Israel, and we hadn’t bothered to tell them we no longer could be trusted to keep secrets, and it involved ISIS, and it just goes down hill from there. Boom, another cannonball hits the West Wing!

And, of course President Trump also intimates that he may be taping conversations and phone calls, and it turns out, and according to Trump Organization sources, that has been his m.o. for years and standard operating procedure in his business. But, oh no, of course Comey had done a contemporaneous memorandum and shared it with other senior FBI staff after his early February meeting with Trump, on what he saw as an effort by Trump to try to persuade him to terminate the FBI investigation of former General and ex-NSA chief Mike Flynn and his extralegal contacts with the Russians before and after the election. Whoops, someone opened a big can of whip-ass there! The President must have confused Comey and the FBI with some small-time contractor desperate for work on one of his old Atlantic City casino dream machines. And, the bombs were bursting in air, but our flag is still standing…hopefully.

But, what else would we have expected? Bizarrely, I’m minding my own business and reading The Economist as a diversion flying between Houston and Detroit and there’s a small box on one page distilling some points from an audience they were given with the President. Trump is talking about the economy and his so-called plans. He mentions that he wants to “prime the pump,” and then goes off of a riff about how much he likes that expression, asks whether the reporters have heard it before, and then in his profound ignorance he takes credit for coining the expression, “priming the pump.” Why not, it’s only been in common use since 1932. Who’s to know? Who’s to care? Another bomb. Not even funny, just a huge dud.

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