The Senescent Man

Here is the complete tally on the final vote last night in favor of establishing socialized medicine in this country. 

RI’s Langevin and Kennedy, of course, both voted with the slim majority.

Below are some other interesting cuts of the voting data.

The first is from Red Elephant who tracked the Democrats that have the most to lose (and we hope so) for supporting Obamacare.  The number next to their names is the percent of the vote McCain received in their Congressional District in 2008.  The list is also color coded to denote Freshman, 1+ Term and 3+ Term incumbents and includes McCain’s performance in 2008 in that congressional district.

MS-04 Taylor         67
TX-17 Edwards      67
OK-02 Boren         66
TN-04 Davis          64
AL-02 Bright          63
ID-01 Minnick        62
MS-01 Childers      62
TN-06 Gordon       62
AL-05 Griffith         61
LA-03 Melancon    61
MO-04 Skelton      61
AR-01 Berry          59
VA-09 Boucher      59
AR-04 Ross           58
MD-01 Kratovil     58
UT-02 Matheson    57
WV-01 Mollohan   57
GA-08 Marshall     56
TN-08 Tanner        56
WV-03 Rahall        56
KY-06 Chandler   55
PA-04 Altmire        55
AR-02 Snyder        54
AZ-01 Kirkpatrick 54
FL-02 Boyd           54
PA-10 Carney        54
ND-AL Pomeroy    53
SC-05 Spratt          53
AZ-05 Mitchell       52
AZ-08 Giffords       52
NC-07 McIntyre   52
NC-11 Shuler         52
OH-18 Space         52
FL-24 Kosmas       51
IN-08 Ellsworth      51
NY-13 McMahon  51
NY-29 Massa        51
PA-17 Holden        51
VA-05 Perriello      51
CO-03 Salazar       50
CO-04 Markey      50
IN-09 Hill               50
MN-07 Peterson    50
NM-02 Teague      50
OH-06 Wilson       50
OH-16 Boccieri     50
PA-12 Murtha       50

And this is from the Weekly Standard: The thirty-nine Democrats voted against it:

1. Rep. John Adler (NJ)

2. Rep. Jason Altmire (PA)

3. Rep. Brian Baird (WA)

4. Rep. John Barrow (GA)

5. Rep. John Boccieri (OH)

6. Rep. Dan Boren (OK)

7. Rep. Rick Boucher (VA)

8. Rep. Allen Boyd (FL)

9. Rep. Bobby Bright (AL)

10. Rep. Ben Chandler (KT)

11. Rep. Travis Childers (MS)

12. Rep. Artur Davis (AL)

13. Rep. Lincoln Davis (TN)

14. Rep. Chet Edwards (TX)

15. Rep. Bart Gordon (TN)

16. Rep. Parker Griffith (AL)

17. Rep. Stephanie Herseth Sandlin (SD)

18. Rep. Tim Holden (PA)

19. Rep. Larry Kissell (NC)

20. Rep. Suzanne Kosmas (FL)

21. Rep. Frank Kratovil (MD)

22. Rep. Dennis Kucinich (OH)

23. Rep. Jim Marshall (GA)

24. Rep. Betsy Markey (CO)

25. Rep. Eric Massa (NY)

26. Rep. Jim Matheson(UT)

27. Rep. Mike McIntyre (NC)

28. Rep. Michael McMahon (NY)

29. Rep. Charlie Melancon (LA)

30. Rep. Walt Minnick (ID)

31. Rep. Scott Murphy (NY)

32. Rep. Glenn Nye (VA)

33. Rep. Collin Peterson (MN)

34. Rep. Mike Ross (AR)

35. Rep. Heath Shuler (NC)

36. Rep. Ike Skelton (MO)

37. Rep. John Tanner (TN)

38. Rep. Gene Taylor (MS)

39. Rep. Harry Teague (NM)

So, for Obamacare to become the law of the land, first the Senate needs to pass a bill, and Harry Reid can't afford to lose a single Democrat if the Republicans stick together. And then the House and Senate would need to reconcile the two bills in conference committee and each vote on the conference report before it goes to Obama's desk. This fight isn't over.

Labels: 2012 Election, Age of Obama, health care, health care reform, Rhode Island

To all my friends: Tell Rep. Langevin and Kennedy what’s really in the Pelosi Health Care Bill.  They may vote on it as early as today, Saturday, November 7.  Or over this weekend.

Tell them, if they haven’t the four ream bill, just read this excerpted from the WSJ…

Here are some important passages in the 2,000 page legislation.

By BETSY MCCAUGHEY

The health bill that House Speaker Nancy Pelosi is bringing to a vote (H.R. 3962) is 1,990 pages. Here are some of the details you need to know.

What the government will require you to do:

• Sec. 202 (p. 91-92) of the bill requires you to enroll in a "qualified plan." If you get your insurance at work, your employer will have a "grace period" to switch you to a "qualified plan," meaning a plan designed by the Secretary of Health and Human Services. If you buy your own insurance, there's no grace period. You'll have to enroll in a qualified plan as soon as any term in your contract changes, such as the co-pay, deductible or benefit.

• Sec. 224 (p. 118) provides that 18 months after the bill becomes law, the Secretary of Health and Human Services will decide what a "qualified plan" covers and how much you'll be legally required to pay for it. That's like a banker telling you to sign the loan agreement now, then filling in the interest rate and repayment terms 18 months later.

Associated Press

Protestors wave signs in front of the Capitol on Thursday.

On Nov. 2, the Congressional Budget Office estimated what the plans will likely cost. An individual earning $44,000 before taxes who purchases his own insurance will have to pay a $5,300 premium and an estimated $2,000 in out-of-pocket expenses, for a total of $7,300 a year, which is 17% of his pre-tax income. A family earning $102,100 a year before taxes will have to pay a $15,000 premium plus an estimated $5,300 out-of-pocket, for a $20,300 total, or 20% of its pre-tax income. Individuals and families earning less than these amounts will be eligible for subsidies paid directly to their insurer.

• Sec. 303 (pp. 167-168) makes it clear that, although the "qualified plan" is not yet designed, it will be of the "one size fits all" variety. The bill claims to offer choice—basic, enhanced and premium levels—but the benefits are the same. Only the co-pays and deductibles differ. You will have to enroll in the same plan, whether the government is paying for it or you and your employer are footing the bill.

• Sec. 59b (pp. 297-299) says that when you file your taxes, you must include proof that you are in a qualified plan. If not, you will be fined thousands of dollars. Illegal immigrants are exempt from this requirement.

• Sec. 412 (p. 272) says that employers must provide a "qualified plan" for their employees and pay 72.5% of the cost, and a smaller share of family coverage, or incur an 8% payroll tax. Small businesses, with payrolls from $500,000 to $750,000, are fined less.

Eviscerating Medicare:

In addition to reducing future Medicare funding by an estimated $500 billion, the bill fundamentally changes how Medicare pays doctors and hospitals, permitting the government to dictate treatment decisions.

• Sec. 1302 (pp. 672-692) moves Medicare from a fee-for-service payment system, in which patients choose which doctors to see and doctors are paid for each service they provide, toward what's called a "medical home."

The medical home is this decade's version of HMO-restrictions on care. A primary-care provider manages access to costly specialists and diagnostic tests for a flat monthly fee. The bill specifies that patients may have to settle for a nurse practitioner rather than a physician as the primary-care provider. Medical homes begin with demonstration projects, but the HHS secretary is authorized to "disseminate this approach rapidly on a national basis."

A December 2008 Congressional Budget Office report noted that "medical homes" were likely to resemble the unpopular gatekeepers of 20 years ago if cost control was a priority.

• Sec. 1114 (pp. 391-393) replaces physicians with physician assistants in overseeing care for hospice patients.

• Secs. 1158-1160 (pp. 499-520) initiates programs to reduce payments for patient care to what it costs in the lowest cost regions of the country. This will reduce payments for care (and by implication the standard of care) for hospital patients in higher cost areas such as New York and Florida.

• Sec. 1161 (pp. 520-545) cuts payments to Medicare Advantage plans (used by 20% of seniors). Advantage plans have warned this will result in reductions in optional benefits such as vision and dental care.

• Sec. 1402 (p. 756) says that the results of comparative effectiveness research conducted by the government will be delivered to doctors electronically to guide their use of "medical items and services."

Questionable Priorities:

While the bill will slash Medicare funding, it will also direct billions of dollars to numerous inner-city social work and diversity programs with vague standards of accountability.

• Sec. 399V (p. 1422) provides for grants to community "entities" with no required qualifications except having "documented community activity and experience with community healthcare workers" to "educate, guide, and provide experiential learning opportunities" aimed at drug abuse, poor nutrition, smoking and obesity. "Each community health worker program receiving funds under the grant will provide services in the cultural context most appropriate for the individual served by the program."

These programs will "enhance the capacity of individuals to utilize health services and health related social services under Federal, State and local programs by assisting individuals in establishing eligibility . . . and in receiving services and other benefits" including transportation and translation services.

• Sec. 222 (p. 617) provides reimbursement for culturally and linguistically appropriate services. This program will train health-care workers to inform Medicare beneficiaries of their "right" to have an interpreter at all times and with no co-pays for language services.

• Secs. 2521 and 2533 (pp. 1379 and 1437) establishes racial and ethnic preferences in awarding grants for training nurses and creating secondary-school health science programs. For example, grants for nursing schools should "give preference to programs that provide for improving the diversity of new nurse graduates to reflect changes in the demographics of the patient population." And secondary-school grants should go to schools "graduating students from disadvantaged backgrounds including racial and ethnic minorities."

• Sec. 305 (p. 189) Provides for automatic Medicaid enrollment of newborns who do not otherwise have insurance.

For the text of the bill with page numbers, see www.defendyourhealthcare.us.

Ms. McCaughey is chairman of the Committee to Reduce Infection Deaths and a former Lt. Governor of New York state.

I usually discover that the Projo is off its rocker.  But here is an op ed piece that appeared in today’s printed version of the Projo that I agree with.  As a conservative, Glenn Beck concerns me when starts heading for deep waters.  Dreher is with the Dallas Morning News, affiliated with the Projo:

YOU CAN SAY THIS for Glenn Beck: He’s charismatic, he was right on ACORN and Van Jones, and he’s correct to point out that the government in Washington doesn’t work for the common good. The affable Beck articulates the legitimate anger and frustration that millions of Americans feel when faced by the fact that the country is in a hot mess of trouble.

But here’s the thing: Beck is a white Jeremiah Wright, a crazy-pants conspiracy theorist whose world-view is rooted in the paranoid teachings of a far-right Mormon political guru named W. Cleon Skousen. Before signing up as a recruit in Beck’s army, conservative Becketeers had better think long and hard about where their affable leader is taking them.

A few weeks back, the red-hot Fox News Channel phenom spent nine minutes on the air leading a seminar on public artwork in New York City. By the time he was finished, Beck had illuminated a propaganda conspiracy linking communists, fascists, the Soviet Union, the Rockefeller family and the United Nations. This is the sort of weirdo rant you expect to encounter on fringey Web sites. You don’t expect to see it on national television.

But that’s a big part of Beck’s shtick. He’s always carrying on about sinister Obamaite conspiracies threatening to overthrow the constitutional order. On the Fox & Friends morning show, Beck declared: “The Manchurian Candidate couldn’t destroy us faster than Barack Obama. If you were planning a sleeper to come in and become president of the United States, this is how he would do it.”

How is it that a man can call the American president a traitorous subversive and not be laughed, or booed, off the national stage? He’s a happy-go-lucky Howard Beale (from the movie Network). Paddy Chayefsky, you should have lived to see this moment.

Beck’s paranoia doesn’t come from nowhere. His man Skousen was a fanatical Mormon reactionary so far to the right that the Latter-day Saints Church finally felt compelled to distance itself from his teaching.

Beck, an enthusiastic Mormon convert, pushes Skousen’s 1981 book, The 5,000 Year Leap, a tendentious pseudo-history of the U.S. that interprets the founding in religious terms. Texas Gov. Rick Perry recommended it at the recent Values Voter Summit in Washington. And if the pious nationalism of that book were all you knew about Skousen, you would be hard-pressed to see what the big deal was.

But Skousen wrote many less anodyne books about politics — and held views far darker than revealed in the hokey but harmless Leap. In a 1976 lecture, the audio of which is available on the pro-Skousen Web site AwakeAndArise.org, Skousen rails like an Old Testament prophet, quoting Mormon scriptures and detailing how Satan is working with “secret combinations” — a Mormon theological term — within political parties, churches, labor unions and the wealthy elite, especially the Rockefeller family, to bring about the “One World Order.”

Skousen, like his follower Beck, is obsessed with the idea that these secret combinations are conniving to overthrow the U.S. Constitution. Though it is not part of official LDS doctrine, some Mormons believe in an apocalyptic prophecy attributed to church founder Joseph Smith, who supposedly taught that the Constitution would one dark day be hanging by a thread and that Mormon elders would rescue it.

The pudgy, sweet-natured Beck offers a more palatable form of this paranoia — but all his fruit and sugar can’t hide the Skousenite firewater. How ironic that conservative Christians who unjustly dunned conventional Mitt Romney because of his LDS faith are uncritically backing the squirrelly Beck, who looks like he’s casting himself as hero of a prophetic Mormon melodrama.

There are conservatives who know perfectly well that Beck is an unhinged buffoon who traffics in crude, ridiculous ideas. But unlike the hapless GOP, he’s popular and effective in the political war against Obama. So these conservative cynics adopt a “no enemies to the right” approach to Beck, even though he’s mainstreaming the ooga-booga worldview of a crank prophet who believed, with the John Birch Society, that Eisenhower was a closet commie.

This is foolish. Not every enemy of Obama is a friend to conservatism. In 1962, in a time when conservatives needed all the help they could get, William F. Buckley nevertheless published in National Review a lengthy denunciation of paranoid Bircher Robert Welch. How long, Buckley asked, can the right tolerate his malicious gibberish without losing credibility? National Review eventually sidelined the Birchers for good over their “psychosis of conspiracy,” thus doing the right an enormous service by making conservatism more credible with the American mainstream.

Today, poor Bill is in the grave, Glenn Beck’s ratings are soaring, and most conservatives don’t see what the problem is. One way or another, they will.

Rod Dreher is a columnist for The Dallas Morning News ( rdreher@dallasnews.com).

Labels: Counter Culture

This month (September) marks the fifth anniversary of The Senescent Man Blog.  We initiated this blog on or about the 3rd anniversary of the September 11 attacks.  We have now moved to a new blogger address (and a new wordpress address) to stay up with the times – the new blogger format more efficiently connects to twitter and other networking tools, and the software is much easier to work with than the old.  The new wordpress address (which we will run in parallel with the same postings for awhile) offer other features.  We’re going to test drive both for awhile until we feel we’ve homed in on the better new format.

The new blogger address for the Senescent Man is (rightfully): http://senescentman.blogspot.com; and the new wordpress address is http://senescentman.wordpress.com.  Try both of them on for size.  Let us know what you think.

We are hopeful that you and others that have been most loyal to us will continue to follow, and that we’ll add many others.

The health care debate rages. I've tried to stay out of it, believing something bad is going to come of it no matter whether I state my opinion or not, but now think I will weigh in with a couple of posts.

I watched President Obama's speech...when was it? A couple of Wednesdays ago, maybe? You know the one, where Representative Joe Wilson shouted "you liar" when Obama said no illegal aliens would be covered. I sat there fairly calm during it, and don't think I once shouted at the television. Though I did give the president some long-distance advice he didn't immediately take.

The thing that struck me most was that Obama said we could pay for most of the increased cost--just under a trillion dollars--with 1) increased efficiencies, 2) eliminating unnecessary treatments, and 3) ending Medicare/Medicaid fraud. Leaving the first two for a moment, who can argue with ending M/M fraud? That would be a good thing, right? I'm all for it. But...

...WE DON'T NEED ANY REFORM TO DO IT! DO IT NOW!!!

President Obama, do you know how stupid what you said sounds? If you know there is fraud in M/M, why haven't you appointed someone to root it out and end it? Why haven't you made this a priority? Why haven't you used it as a knife in the back of the departing Bush administration to show what a bunch of idiots they were? And if M/M fraud is such a problem that you can't be bothered to do anything about it, why in God's name should we trust your administration--or any administration--with an even bigger hand in health care? Good grief, Mr. President, think about your words.

How much fraud is there in M/M? I'd like to see it quantified in terms of percent of all dollars paid to physicians and care-givers, and in terms of actual dollars per year. I'd like to see some evidence as to why you think this is the correct number to base savings from ended fraud on? How long has this been going on? What are the specific steps that you propose to end the fraud? Who in your administration is handling this? To whom are they accountable? What savings do you expect in year 1, year 2, etc. from the increased fraud prevention efforts that you can implement immediately, without needing to go to Congress?

The answer, of course, is nothing. Obama is not doing anything special about rooting out fraud in M/M. If he were, he would already have been singing about it from the rooftops. He would have been chiding Bush, Cheney, etc. and making political points.

Mr. Obama, prove that the amount of fraud in M/M is enough to make a significant debt in that universal health care proposal of yours by ending fraud right now. Show us the savings. Maybe then I'll have a little trust in you, that you can do what you promise in regards to health care. Do it for the rest of this term. Then let's talk about health care reform.

Labels: health care, health care reform

I don't know Kanye West. I may have heard the name from time to time, but couldn't have told you if he was a band leader, a famous doctor, or a czar in the Obama administration. That's how far removed I am from popular culture. But of course I've heard the news and seen the sound bite of interest.

I conclude that Kanye West is a racist. Taylor Swift--who I also didn't know, so far am I removed from popular culture--a lilly white woman, was getting that award. Good on her. West, the black man, took the mic from her and began praising a music video done by Beyonce, a black woman, and I think West was saying or implying that Beyonce's music video was much better than Swift's video and that Beyonce, the black woman, should have received the award rather than Swift, the white woman. Do y'all think I've got that correct?

Obviously, West's action was that of a racist. He was incensed that the black woman didn't win, and so couldn't allow the white woman to have her 15 seconds of fame. I believe West's apologies are insincere, and he is a racist at heart and needs to be censured by the organization that was giving out the awards. So far am I removed from popular culture, I don't even know what organization that is.

Labels: racism

This month marks the fifth anniversary of The Senescent Man Blog.  We began the blog around the third anniversary of the September 11 attacks.  We have moved to a new blogger address to stay up with the times – the new blogger format will more efficiently connect to twitter and other networking tools, and the software is much easier to work with than the old. 

The new address for the Senescent Man blog is (rightfully): http://senescentman.blogspot.com

We are hopeful that you and others that have been most loyal to us will continue to follow, and that we’ll add many others.