Sen Udall oks metaphorical health care

The only medicine our senators want their constituents to take is the hard-to-swallow metaphorical variety. Senator Mark Udall’s monthly email explains his part in the Senate health care holdup. Two things: Udall and ten fellow freshmen set a roadblock to improve the HCR bill with cost containment, approved, Udall adds proudly, by industry experts. Next, he’s crossed the aisle to join a bipartisan fiscal task force to limit congressional spending with an eye to reducing the federal deficit. That ol’ deficit doesn’t come up when the issues are war, tax cuts for the rich, or “bailouts” for banks and industry. Apparently health care is the last straw we cannot afford. That’s the: “It will be hard to swallow, but it is medicine we need to take.”
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Udall’s amendment package to “improve” the health care bill is endorsed “by many of the nation’s leading business, consumer, policy, and health provider organizations, such as the Brookings Institution, AARP and Business Roundtable, a group of leading American CEOs.”

The 11 Democrat freshmen signing on are Sens. Mark Begich (AK), Michael Bennet (CO), Roland Burris (IL), Kay Hagan (NC), Ted Kaufman (DE), Paul Kirk (MA), Jeff Merkley (OR), Jeanne Shaheen (NH), Mark Udall (CO), Tom Udall (NM) and Mark Warner (VA).

The bipartisan task force will include eight Democrats and eight Republicans, which I’m inclined to believe will target privatization of whatever is left of the US treasury.

I didn’t mention the third subject of Senator Udall’s email: To combat the bark beetle infestation of Colorado forests, Udall has crossed the aisle again, this time to conservative Idaho Senator Jim Risch, to introduced the National Forest Insect and Disease Emergency Act of 2009 to give the US Forestry service “additional tools and resources.” By “resources” they probably mean roads into protected roadless areas, and “tools” is not even a metaphor for saws.

For the record, here’s the gobbledegook proffered as improvements to the current health care reform proposal:

A summary of the specific amendments follows.

Working More Closely with the Private Sector on Cost Containment

These amendments transform payment systems and improving quality to require the public and private sectors to move forward together on the shared goals of cost containment, improved quality, and delivery system reform.

  • CMS Innovation Center: We give the new Innovation Center explicit authority to work with private plans to align Medicare, Medicaid and private sector strategies for improving care.
  • Independent Medicare Advisory Board: We broaden the scope of the new Independent Medicare Advisory Board to look at total health system spending and make nonbinding, system-wide recommendations.
  • Quality and Value in Private Insurance: We require the Secretary to consult with relevant stakeholders to develop a methodology for measuring health plan value, which would include the cost, quality of care, efficiency, and actuarial value of plans. Developing the tools to assess health plan value will help consumers and employers make better apples-to-apples comparisons when they shop for health insurance and get the best value for their health care dollar.

Stepping-up the Commitment to Reduce Regulatory Barriers and Fight Fraud

These amendments require the U.S. Secretary of Health and Human Services (HHS) to aggressively pursue streamlined regulations and anti-fraud initiatives to ensure that all sectors of the health care system work together to improve value.

  • Administrative Simplification: We require HHS to develop standards that will allow efficient electronic exchange and streamlining of information among patients, providers and insurers.
  • Health Care Fraud Enforcement: We direct HHS to better utilize technology to prevent health care fraud.
  • Eliminating Legal Barriers to Care Improvement: In tandem with this package, the freshman Senators will be requesting that the U.S. Government Accountability Office study current laws and regulations to identify barriers to implementing innovative delivery system reforms. We also will request that the U.S. Department of Justice and the Federal Trade Commission work together to provide clearer guidance to providers who wish to enter into innovative collaborative arrangements that promote patient-centered, high quality care.

Aggressively Moving Toward Delivery System Reform

These amendments allow HHS to experiment with promising new models to further lower costs, increase quality and improve patient health.

  • Value-Based Purchasing: We require Medicare to implement pay-for-performance for more providers sooner, adding hospices, ambulatory surgical centers, psychiatric hospitals and others.
  • Broader Payment Innovation: We allow a broader, more flexible transition to new payment models for Accountable Care Organizations (ACO).
  • Medicare System Upgrades: We require HHS to modernize data systems so that valuable Medicare data can be shared in a reliable, complete, and timely manner.
  • Good Quality Everywhere: We promote greater access to tele-health services, strengthen the provider workforce and the availability of high-quality hospital services to bolster health care access for Americans in underserved and rural regions.

Armed UAS drones need no defending

Predator Unmanned Attack VehicleI was curious about the etymology of the term “drone” applied to military (& DHS) Unmanned Aerial Surveillance aircraft, these days, mostly Armed. Obviously Armed UAS are not named after the stingless unproductive bees whose task it is to impregnate the queen, nor lazy idlers, nor clueless computer sales techies, nor thankless menial worker drones. Anyone who’s been around Radio Controlled model planes knows drones are named for the sound they make, a steady drone as they labor across the sky. While military aerial surveillance predates the Wright Brothers, and RC model airplanes have been around for half that time, it took the advent of asymmetric warfare to open the window to military drones. Their constant buzz offering the most intractable reason.

By “asymmetric” I do not mean the US intelligence code for off-textbook warfare, for counter-insurgency methods outside von Clausewitz etiquette. I mean the inherency they obscure, war between foes lopsided.

Look at a drone’s design. It’s more Gossamer Condor than military aircraft. Obviously an unmanned vehicle comprises fewer mechanical systems because it doesn’t need to propel, nor sustain, a crew of human beings. It might need less armature for the same reason, except of course, today’s drones are of high value in their own right. So why no armament?

Why too, no powerful jet engines or swept wings for aeronautic superiority? This drone looks about as robust as a paper glider. Laymen can distinguish bombers from jet fighters, as they can trucks from a race cars. I’d say the military drone resembles more a stick insect than its accidental namesake the bee. Do Armed UASs have no need for evasive maneuver capability?

I’ll ask another obvious question, why do drones carry no customary insignia designating to whose side it belongs? In particular this element would be of primary importance when encountered by other aircraft.

But a drone doesn’t encounter enemy aircraft, nor allied aircraft who might confuse it for belonging to an adversary, because drones operate where aerial supremacy is already absolute. The key to a drone’s military usefulness is that there is no opponent to shoot it down.

An Armed UAS can drone all it wants, taking its sweet time laying siege to defenseless objectives and other targets of opportunity. The US Predator or Reaper models can glide when they want to surveil in silence, although otherwise their motors project their presence with the deliberate imposition of a school hall monitor. It is more efficient to deter the placing of IEDs than to try to catch insurgents in the act.

Meanwhile all civilians are terrorized by the sound, associating it with sudden, unpredictable and often unjustified destruction and death.

The WWII German Stuka dive bomber had inverted gull wings which were thought to produce a horrifying wail as the notorious aircraft attacked city populations, Guernica among them. In fact the sound was produced by a siren the Nazis called Jericho’s Trumpet, mounted purposefully to spread fear on the ground. Like modern drones, the Stuka were not designed to fend off attackers from the sky.

Before the fighter planes of WWI, artillery spotters would rise in balloons to survey the enemy trenches. From these tethered balloons, artillery strikes could be directed with increasing accuracy. These remote eyes in the sky were the rudiments of aerial surveillance, the precursors to today’s Armed UAS. The balloons were manned obviously, and they weren’t armed, but the spotters they held aloft were despised much as drones are today. When WWI biplanes eventually came along to pick off the balloonists like sitting ducks, the soldiers in the trenches were jubilant.

When the Soviets invaded Afghanistan, the Taliban had been fortified by the US military. We’d helped the Taliban destabilize the region, to force Russia’s hand in rushing to restore order to its southern neighbor. We wanted to draw the Russian troops in before we assisted the Afghan insurgency with the real weapons it needed to combat their invaders’ superior fire power. When Bin Laden’s Mujihadeen and the Taliban got US Stinger Missiles, the Russians could no longer deploy their helicopter gunships with impunity and the end drew near.

Eventually whoever drew the US into its war on Islam, is going to start distributing the means to take the US out. It might be Stinger Missiles or a modern equivalent. Eventually someone will develop sympathy for the victimized Muslims of Pakistan, Afghanistan, Iraq and Gaza (add Somalia, Sudan, Yemen, etc) and help them flick the killer drones from the sky.

Would attacking the drones provide retribution enough, knowing that the real operators are safe in virtual cockpit command centers located safely within US homeland borders. Would it be sufficient to keep clearing the skies of drones, or will our victims have to weed US drones from the roots?

Will the drones prove as easily replaceable as GIs? The American Public keeps count of its lost soldiers, but in no way has this stanched the flow of fresh reinforcements. We do not count expended ordnance, or expensive equipment fallen casualty. Would such tallies discourage the war mongers or encourage weapons industry stockholders?

The American public has shown itself mostly contemptuous of the economic-draft soldiers who man today’s volunteer army, the deaths accumulate, but working poor are expendable. What about those who joined the military to clean up their act? We don’t want those back. After years of war, the public is already seeing too much PTSD, without contemplating bringing all of it home.

Perhaps instead Americans will react to a casualty list of aeronautic losses, maybe for reasons of pure economics. How many helicopters and jets we are losing adds to the federal deficit. But the losses of big equipment might offer the same decision making information we glean from the higher value chess pieces. Rooks and knights represent offensive capability. Hopes for victory or a draw hinge on which of those you have left. No one capitulates based on a count of their pawns. The cumulative tallies will reflect which way the tide is going. Military drones may be worth zero lives, but their destruction will signal an insurgence indomitable.

Credit crunch is a symptom of US economic malaise, not the cause of it

Texas A and MTaxpayers gifting the rich with $7,000,000,000 will not stop the coming capitalist depression at all, because it simply does not address the root causes of anything. We have been told that this crisis is merely the fault of toxic debts piling up from an American ‘housing bubble’, which happened due the crookedness of a few bad apples. Yes, its true, they add a few more details to this sob story but that is essentially all there is to the story line, with none of the American corporate ‘leadership’ class taking any personal or political responsibility at all. That is not too surprising about these moralizing immoralists at all. It is par for their course.

But the root cause of the capitalist downturn is about much more than a credit crunch cause or a real estate mortgages beginning the collapse. It is actually about the deficit military spending that corporate America has led us into with their stupid and asinine wars against shadows of their own making. Despite the destruction caused on that fateful day termed ‘9/11’, it could have been nothing more than a temporary and unfortunate side show for our country, but instead it was seized on by the military, policing, and corporate communities to justify skyrocketing their budgets, incomes, and profits. They went on a borrowing spree using foreign credit!

They did not buy anything of real value or substance though, and they progressively bankrupted the bulk of Americans by doing their borrowing, all the time while waving Old Glory and talking of American pride and national security, which they were busy undermining. ‘USA, USA, USA’ became the cry of the dunces they had marching behind them. They tortured not only Pentagon held POWs, but the American soul itself. The big guys total control over political life is what got us down into the pit.

Now, the only economic ‘security’ left for Americans is in the seeming ability to drag others down economically with us. Since we were such fat consumers here in the land of milk and honey, many depended on supplying us. However that market is about to collapse. Add to that that the whole world is left holding much of the valueless paper that our ruling class force fed to them at guns length. And, of course, we still have the biggest arsenal around. That almost makes our Federal Government just like any insane neighbor with an insanely huge gun collection, but barely living while dependent on food stamps to eat some fast food Chinese once and a while. Sarah and Dick to go hunting with perhaps?

Look around? The American auto industry just asked and got close to $30 billion in ‘bailout’ loot, too. It’s about to sink. And the biggest economic sink of them all is about to sink in the days ahead, also. Quite simply, our military is not sustainable. That is the cause of our economic malaise, not the housing market getting squeezed. All industry and finance got dragged down together in mass, and not just car sales and real estate.

The idiots of our country continue to want to wave the flag. They continue wanting to pump borrowed money into fighting unnecessary foreign wars like it is all some sort of crazed football game being played on the pro level! They like that corporate logo of Old Glory just as they do not mind all the corporate advertising hanging all over the place at the stadiums they hang out at weekends. They like the political and corporate cheerleaders, same as they like the young coed types with bonbons. at their games. This is their None Entiendo game done ever so Grande. Beep, beep, beep beep… Fireworks display!

The root cause of the economic downturn is deficit spending and deficit thinking by our neighbors, especially so in our White Conservative Christian neighborhoods, church on every other block. To sum it up, throwing $700,000,000,000 of tax money at the failed businesses solves nothing. It’s like throwing more weight on that old football bonfire.

Remember that collapse of the Texas A&M bonfire pileup several years ago? That’s the type of thinking America has on board at present. The economic bonfire stack is merely being set for collapse with this stupid bailout that they will eventually put through, because our nation is too dumb to have stopped it when we could. That picture of the Aggie bonfire before it collapsed is just like the Federal deficit debt pileup that is due to come crashing down on all of us. They constructed it out of vainglory.

George Will’s vocabulary outshines him

George Will Hitler bowtieCOLORADO SPRINGS- Some people look smaller in person than they do on TV. Many of us only know George Will from newsprint, but in person he’s an organ grinder’s monkey, amusingly agile, if a little threatening, but basically smallish and tethered to somebody asking for money.

Maybe it was my perspective from the steep audience seating in the South Theater of CC’s new Cornerstone Arts Center. Maybe it was looking down at George as he walked in circles between folksy baseball anecdotes, over-simplified economics and patronizing criticism of the American culture of entitlement.

I wanted to ask how a gentleman of his obvious acuity got any pleasure from addressing audiences like they were idiots. People who applauded him, by the way, and laughed at the slightest old joke. “Half of all students are of below average intelligence.” Hahahahaha. “I’m glad you got that one.” Hahahahaha.

I remember a professor I had in an advanced math class who used to berate us undergrads for the time he had to waste with us. Tonight’s audience was filled to overflow with Colorado Springs’ better-heeled hayseeds, but George Will seemed perfectly at home.

Will’s “reflections on the 2008 election” consisted of the usual horse race stats about which states have to be won by whom in order to satisfy the probabilities of precedent. “History is consistent after all,” he was attributing this adage to someone I think, “right up until the moment it isn’t.” Hahahaha. Numbers and groups of states, etc. The next president may again win the necessary electoral votes and loose the popular vote.

As a gesture to the college age portion of tonight’s audience, Will offered that all the statistical stars were lining up for a Democratic win in November, but to his contemporaries in the theater Will later confided that he didn’t consider Obama ready to lead. He also opined that Sarah Palin would provide a refreshing change to Washington DC.

Thankfully the Pulitzer Prize rewardee soon wrapped up his election year remarks and got back on the horse he undoubtedly had been commissioned to ride. Scold Americans for their entitlement mentality and convince them to privatize Social Security. There followed a Libertarian mocking of all social responsibility, and an incredible stretching of credulity seeing the absence of ready rebuttal.

Take for example, Big Pharma. George Will applauds Big Pharma and the obscene profits they reap. Those profits are only appropriate, he says, considering the tremendous costs the pharmaceuticals bear with R&D and the circumnavigation of regulations. Really George? Profit is the product of income minus expense. You want to count the expenses twice? One might compare profit against expense in the light of risk, but wouldn’t that be to beg the definition of “obscene” profits, considering none have reported obscene losses?

Will chastised the growth of the Agricultural Department citing the narrowing ratio of Ag employees to American Farmers, without referencing the precipitous rise of Big Agra and the eclipse of family farms.

Of course, entitlement programs were the chief evil, while no mention was made to corporate entitlements or bailouts or subsidized banking or the federal deficit, EXCEPT where Americans will obviously have to borrow from the next generations to finance Medicare and Social Security.

While George Will admonished Americans for wanting more from their government, he expressed not a single curiosity for how every other developed nation is able to care for their sick, their poor, and their elderly. In fact, Will compared West Germany to East Germany as an example of Capitalism’s proven superiority to Socialism, without observing that modern Germany’s social system is not the heartless one he advocates for here.

Will got lots of applause, and fielded no challenging questions. A last answer, defined for me, the nature of his limited mindset. Will was asked if a sales tax mightn’t be a more equitable substitute for the income tax. Never mind it being regressive, the suggestion certainly pleased the crowd. George Will explained that a sales tax would have to be in excess of 20% to provide the same monies. This would be unfeasible, Will pronounced. But he didn’t say it was because neither the poor, nor the working class, nor the middle class could afford a 20% rise in the cost of living. No, Will described how buying a $500,000 home would mean an additional $100,000 in tax. Unthinkable he said. And he accuses Obama of being elitist. Hahahahaha.