Steven Pearlstein In WonkBlog In The WashPost: When It Comes To Governing, The GOP Is NQRFPT — By A Long Shot! — The President & Party Of Irresponsibility Can’t Duck Responsibility For The Mess THEY Have Created!

NQRFPT = Not Quite Ready For Prime Time 

https://www.washingtonpost.com/news/wonk/wp/2017/07/20/pearlstein-on-gop-health-care-debacle/?utm_term=.d51013b98429

Pearlstein writes:

“The inability of a Republican Congress and a Republican president to repeal Obamacare, or even just dial it back, is yet the latest demonstration that Republicans simply aren’t ready to govern.

The facile explanation for this is the unresolved division, within the party, between its radical tea party populist wing and its more moderate, business-friendly establishment wing. But the bigger issue is that the party’s elected politicians are unwilling to make the trade-offs that are the essence of what governing is about.

On health care, for example, they promised to lower premiums but refused to embrace any of the three approaches that could accomplish that: increase co-payments and deductibles; squeeze the incomes of doctors, hospitals and drug companies; or finance more of the country’s health care through higher taxes.

. . . .

As a group, they have demonstrated a breathtaking lack of policy knowledge and sophistication, a stubborn disregard for intellectual honesty, lousy political instincts and a broken moral compass. Their leaders have forgotten what it means to lead, if they ever knew, while their backbenchers don’t have a clue of what it takes to be constructive followers. If there were a bankruptcy code for politics, it’s safe to say the Republicans would be in Chapter 11.

This complete abdication of governing responsibility was confirmed Tuesday when the party’s nominal leader, President Trump, announced to the country, “I think we are probably in that position where we will just let Obamacare fail. … I can tell you the Republicans are not going to own it.”

Even Sen. Shelly Caputo, the reliably party-line toting Republican from West Virginia, was moved to distance herself from that cynical win-at-any-cost strategy. “I did not come to Washington to hurt people,” she said.

“It’s almost an embarrassment being an American citizen traveling around the world … listening to the stupid s‑‑‑ we have to deal with in this country,” Jamie Dimon, the chairman of JPMorgan Chase, said in an unguarded moment last week. Dimon was quick to add, reflexively, that it wasn’t a Republican or a Democratic issue, but he knows better than that. Republicans were handed a golden opportunity to govern and they have blown it. This one is on them.”

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At the link, read Pearlstein’s complete op-ed which contains many great examples of how the GOP fails to “do the right thing” over and over. And, he only touches on the “gonzoness,” moral vapidness, and complete disregard for sound government and prudent expenditure of public funds demonstrated by Trump’s immigration policies.

PWS

07-21-17

 

BREAKING: Senate GOP Implodes On Healthcare — Trump Reaches New Heights Of Incompetence & Irresponsibility By Tweeting Call For Complete Repeal Without A Plan For Replacement!

http://www.huffingtonpost.com/entry/trump-health-care-bill-response_us_596d719ee4b010d7767345ff?s69&ncid=inblnkushpmg00000009

Nick Visser reports for HuffPost:

“President Donald Trump called on congressional Republicans to craft an outright repeal of Obamacare late Monday, an hour after the GOP’s controversial Senate health care bill appeared dead once again after losing two more Republican votes.

“Republicans should just REPEAL failing Obamacare now & work on a new Healthcare Plan that will start from a clean slate,” the president tweeted, adding that “Dems will join in!”

The “clean repeal” option is unpopular in both parties, and it’s unclear how much support the president’s proposal will garner in Congress. It would take 60 votes in the Senate for an outright repeal of the Affordable Care Act, and Republicans only hold a 52-seat majority.

Trump’s response came after Sens. Jerry Moran (R-Kan.) and Mike Lee (R-Utah) announced Monday evening that they planned to vote no on a “motion to proceed” for the Senate’s legislation ― a step needed to begin debate on the bill.”

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Duh, after being treated with total disrespect and contempt by the President and the GOP for 6 months, why is it that Democrats would suddenly jump at the chance to pull the Administration’s chestnuts out of the fire?

On the other hand, a nuanced “fix” of Obamacare probably would have had enough votes to pass both Houses with bipartisan support from all or most Democrats and enough Republicans. But, that wouldn’t have allowed the GOP and Trump to have claimed “victory” on an Obamacare repeal. Talk about a President and a party who have long ago abandoned the best interests of America!

And, just think about all the time and taxpayer money the GOP has wasted over the past few years passing boneheaded, cosmetic “Obamacare repeals.” Obviously, the folks who voted for such nonsense were posturing rather than legislating.

PWS

07-18-17

DHS MISTREATS KIDS: U.S. District Judge Dolly Gee Finds That DHS Has Blown Off Her Prior Orders & Continues To Mistreat Children In Detention!

http://immigrationimpact.com/2017/06/28/government-continues-ignore-rights-children-detention-court-finds/

Karolina Walters writes in Immigration Impact:

“Despite being among some of the most vulnerable, children seeking asylum in the United States often fare the worst. Upon entering the United States, children are often detained for extended periods in violation of a long-standing agreement known as the Flores settlement.

The Flores agreement essentially acts as a contract between the government and children held in immigration custody. On Tuesday, a federal district court judge ruled once again that the government is failing to meet its obligations to children held in immigration custody.

The court found a number of violations, including holding children too long in detention, in substandard conditions, and in non-licensed facilities. In addition, the court ruled that the government is required to look at each child’s case individually to determine whether release from custody is appropriate—the government may not rely on any blanket standard to avoid the responsibility of assessing each case individually.

The Flores agreement is a nationwide settlement reached in 1997. In this settlement, the government agreed that children taken into immigration custody would be placed in the “least restrictive setting appropriate to [their] age and special needs” and would be released “without unnecessary delay,” preferably to a parent. The settlement also requires that if a child is not released to a parent, adult relative, or an appropriate guardian, children must be placed in non-secure facilities licensed for the care of dependent children within five days of apprehension.

Two years ago, the Center for Human Rights and Constitutional Law (CHRCL), on behalf of immigrant children, brought suit to enforce the Flores settlement. In July and August of 2015, U.S. District Court Judge Dolly M. Gee said the government must apply the settlement to all minors, including those detained with family members. Tuesday’s order from Judge Gee outlines the particular ways in which the government is in breach of the Flores settlement and how the court seeks to ensure compliance going forward.”

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Read the complete article at the link.

While AG Jeff Sessions is out whipping up xenophobic frenzy and promoting the need for an “American Gulag” to support his “Gonzo Apocalypto” immigration enforcement agenda, he ignores his real legal and constitutional duties: Get General Kelly and the rest of the folks over at DHS to obey the law and stop mistreating kids!

That someone like Sessions with such totally warped values and lack of any sense of justice or decency should be in charge of our supposedly due process providing U.S. Immigration Court system is a continuing travesty of justice.

PWS

06-29-17

 

THE HUMAN COST OF GOP TAX CUTS FOR THE RICH: 28,600 People Annually Could Could Needlessly Die, Says The Annals Of Internal Medicine — And, They Won’t All Be Democrats!

https://www.buzzfeed.com/danvergano/senate-healthcare-bill-might-mean-28600-more-deaths-a-year?utm_term=.bl8NwB9xV#.erwRnXJ9d

Dan Vergano reports on BuzzFeed:

“About 28,600 more people could die every year in the US, if a proposed Senate health care bill becomes law, suggests a review of medical studies released on Monday.

“Being uninsured can be lethal,” review author Steffie Woolhandler of City University of New York told BuzzFeed News.

Congress is in the middle of efforts to pass a Republican health care plan. The House has already passed its own version of health care legislation, while the Senate released its own draft Senate bill last week and unveiled an updated version earlier today. The Congressional Budget Office released an analysis late Monday finding the Senate bill would save $321 billion over the next decade at a cost of 22 million more uninsured people than under Obamacare by 2026.

“A little negotiation, but it’s going to be very good,” President Trump said of the bill on Thursday, when it was first unveiled.

Whether removing all those people from medical coverage, and cutting their access to preventive care for diseases such as diabetes, high blood pressure or cancer, would actually lead to more deaths has emerged as a point of contention in debate over repealing Obamacare, which has enrolled about 20 million people in health insurance and Medicaid plans since 2010.

In reality, people without health insurance face odds ranging from 3% to 29% higher of dying prematurely compared to someone who has health insurance, concludes the Annals Of Internal Medicine review. Taking the midpoint of those odds as a benchmark, Woolhandler suggested that about 1,300 people a year die prematurely every year in the US for every one million people who lose health insurance.

Obamacare, which added about 20 million people to the ranks of the insured, likely preserved lives at that same rate, she said.

. . . . .

Worth noting, the American College of Physicians, which publishes the journal that released the review, has opposed Republican efforts to repeal Obamacare, joining the American Medical Association and the National Association of Medicaid Directors, among medical groups criticizing the Senate’s draft bill. Woolhandler and Himmelstein served as unpaid advisors to Sen. Bernie Sanders’ presidential campaign and founded a doctor’s organization that advocates for universal health care.”

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Meanwhile, back at the ranch, the CBO predicts that an additional 22 million individuals would lose coverage under the GOP’s Senate Bill:

“Senate Republicans’ bill to erase major parts of the Affordable Care Act would cause an estimated 22 million more Americans to be uninsured in the coming decade — roughly a million fewer than similar legislation recently passed by the House, according to the Congressional Budget Office.

The forecast issued Monday by Congress’s nonpartisan budget scorekeepers also estimates that the Senate measure, drafted in secret mainly by Majority Leader Mitch McConnell and aides, would reduce federal spending by $321 billion by 2026 — compared with $119 billion for the House’s version.

The CBO’s analysis has been awaited as a crucial piece of evidence as McConnell (Ky.) and other Republican leaders try to hurry a vote on the bill this week. But they are navigating an expanding minefield of resistance from their own party’s moderate and conservative wings, while Democrats are united against it.

The additional deficit savings gives those leaders plenty of room to add more spending to win votes from skeptical moderate Republicans like Sens. Dean Heller (Nev.), Rob Portman (Ohio) and Bill Cassidy (La.), who want more money and a dedicated fund to help treat opioid abuse. Senate budget rules require that the final legislation save at least $133 billion, more than was saved in the House bill, giving senators $188 billion to make the bill more palatable.

Any extra spending risks alienating conservatives, however, and could threaten a delicate balance McConnell must strike to win votes from at least 50 of the 52 Senate Republicans. And some moderates have said they will decide whether they can support the Better Care Reconciliation Act based on how it will affect Americans who have gained coverage under the ACA during the past few years.”

Read the entire report by Amy Goldstein and Kelsey Snell in the Washington Post here:

https://www.washingtonpost.com/national/health-science/imminent-cbo-report-could-prove-pivotal-for-senate-republicans-health-care-bill/2017/06/26/cb8d61e2-59f7-11e7-a9f6-7c3296387341_story.html?hpid=hp_rhp-top-table-main_cbosenate-12pm:homepage/story&utm_term=.9f84cd94af4c

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When the Grim Reaper shows up, a GOP party card and a Trump “Make America Great” hat won’t do any good. You’ll have to go so that Trump, McConnell, Ryan, and their “fat cat” buddies can live “higher on the hog.”

PWS

06-26-17

 

 

 

 

“TRUMP(Hell no, we don’t)CARE” Likely Would Destroy Health Insurance Market, According To Experts — Trump GOP’s “War On America & Americans” Shifts Into High Gear!

https://www.washingtonpost.com/news/wonk/wp/2017/06/23/republicans-say-the-health-insurance-market-is-in-a-death-spiral-their-bill-could-make-it-really-happen/?hpid=hp_regional-hp-cards_rhp-card-business%3Ahomepage%2Fcard&utm_term=.e61d8234b1ca

Kim Soffen writes in the Wonkblog columns in the Washington Post:

“Senate Republican leaders unveiled their health-care bill Thursday morning, after weeks of crafting it behind closed doors. The bill keeps some popular parts of the Affordable Care Act, such as the provision preventing insurance companies from charging people more or denying them coverage based on pre-existing conditions, and eliminates some unpopular parts, such as the individual mandate which requires people to buy insurance or pay a penalty.

[What the Senate bill changes about Obamacare]

But those two provisions, taken together, are likely to send the individual marketplace into a “death spiral,” ending with only the sickest people insured, sky-high premiums, and insurers exiting the individual market, according to experts across the political spectrum. The bill has a $112 billion market stabilization fund to prevent this, but experts doubt it, or a similar measure in the House bill, would be enough.

Here’s how a death spiral would happen. People shopping for insurance in the individual market all sit on a spectrum from healthy to sick.”

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Lots of “neat” graphics with the full article. Clink the link and see the GOP’s plan to “deconstruct” American healthcare in action.

Sobering thought: Millions of Americans voted to destroy their own healthcare and endanger their own lives and those of family members who can’t vote. Unfortunately, their lack of prudence and sound judgment is likely to take the rest of us into the abyss with them. The “silver lining:” Guys like the Koch Bros, Tom Price, Wilber Ross, et. al. will pay lower taxes. (I didn’t include Trump in this list because there is no hard evidence that he currently pays, or ever again will pay,  income taxes.)

PWS

06-24-17

What Are The Five Most Cruel Provisions Of The Senate GOP’s “Trumpcare” Bill? — The GOP Tried To Bury Them, But The LA Times Exposed Them For You!

http://www.latimes.com/business/hiltzik/la-fi-hiltzik-senate-hidden-20170623-story.html

Michael Hiltzik reports for the LA Times:

“The Affordable Care Act repeal bill unveiled Thursday by Senate Republicanshas aptly drawn universal scorn from healthcare experts, hospital and physician groups and advocates for patients and the needy. That’s because the bill is a poorly-disguised massive tax cut for the wealthy, paid for by cutting Medicaid — which serves the middle class and the poor — to the bone.

Yet some of the measure’s most egregious, harshest provisions are well-disguised. They’re hidden deep in its underbrush or in the maze of legislative verbiage. We’ve ferreted out some of them and present them here in all their malevolent glory. In this effort we’ve built on ace detective work by Adrianna McIntyre, Nicholas Bagley of the University of Michigan, David Anderson of Duke University and balloon-juice.com, Andy Slavitt, the former head of Medicare and Medicaid in the Obama administration, and

Some of these provisions match those in the House Republicans’ repeal bill passed May 4, and some are even harsher — more “mean,” to use a term President Trump himself applied to the House bill. That bill, according to the Congressional Budget Office, would cost some 23 million Americans their health coverage by 2026. The Senate bill wouldn’t do much better, and might do worse.”

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Wow, how can members of the “national community” support doing in not only themselves (in many cases) but millions of their fellow citizens? I admit to “not getting it.”

I think it’s likely to pass. Why? Because if you forget the Dem & media “spin,” N/W/S “historic unpopularity,” Trump is still the most popular “active” politician in the US today. The Dems have failed to make any inroads whatsoever into the “Trump base.” And, the GOP is scared that failure to line up behind the Trump agenda will lead to their being punished by “the base.” So, in simple terms, the 60% of Americans who question or oppose the Trump Agenda are being “led around by the nose” by the 35-40% who love him (why is a total mystery). Trump is benefitting from the “leadership void” in American politics, particularly on the Democrats’ side.

PWS

06-23-17

 

NEW GAME IN TOWN: “GRAND THEFT GOP” — Party Plans Biggest Heist In US History — To Be Carried Out In Broad Daylight — GOP Voters Expected To Provide Getaway Car!

https://www.washingtonpost.com/opinions/senate-republicans-ready-themselves-for-a-massive-theft-from-the-poor/2017/06/22/902a1a96-5777-11e7-a204-ad706461fa4f_story.html?hpid=hp_no-name_opinion-card-b:homepage/story&utm_term=.6918f77c4db1

Eugene Robinson writes in a Washington Post op-ed:

“The “health-care bill” that Republicans are trying to pass in the Senate, like the one approved by the GOP majority in the House, isn’t really about health care at all. It’s the first step in a massive redistribution of wealth from struggling wage-earners to the rich — a theft of historic proportions.

Is the Senate version less “mean” than the House bill, to use President Trump’s description of that earlier effort? Not really. Does the new bill have the “heart” that Trump demanded? No, it doesn’t. The devil is not in the details, it’s in the big picture.

Fundamentally, what Republicans in both chambers want to do is cut nearly $1 trillion over the next decade from the Medicaid program, which serves almost 70 million people. Medicaid provides health care not just for the indigent and disabled but also for the working poor — low-wage employees who cannot afford health insurance, even the plans offered through their jobs.

Additionally, about 20 percent of Medicaid spending goes to provide nursing home care, including for middle-class seniors whose savings have been exhausted — a situation almost any of us might confront. Roughly two-thirds of those in nursing homes have their care paid by Medicaid.

 

Why would Republicans want to slash this vital program so severely? You will hear a lot of self-righteous huffing and puffing about the need for entitlement reform, but the GOP’s intention is not to use the savings to pay down the national debt. Instead, slashing Medicaid spending creates fiscal headroom for what is euphemistically being called “tax reform” — a soon-to-come package of huge tax cuts favoring the wealthy.

That’s the basic equation in both the House and Senate bills: Medicaid for tax cuts. Both bills start with various of the taxes imposed by the Affordable Care Act, but those are mere appetizers. The main course is intended to be big cuts in individual and corporate tax rates that would benefit the rich.

There is no other point to this whole exercise. All the “Obamacare is in a death spiral” talk is Republican wishful thinking, aided and abetted by active sabotage.”

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Undoubtedly, many of those who would die or suffer needlessly as a result of the GOPs “Reverse Robin Hood” operation would be Democrats and non-voters (like children). But, many in the GOP base also fall within the group of poor and “lower middle class” folks who would be sentenced to death or suffering by the GOP. Killing off your own voters, with their support, is an interesting new twist in modern GOP politics. But, obviously Trump, McConnell, Ryan, and their Fat Cat handlers are confident in the gullibility and inability of many in their base to discern either their own or the general public’s best interests. Difficult to comprehend.

PWS

06-23-17

 

BREAKING: GOP SENATORS ANNOUNCE PLAN TO TRASH HEALTH CARE FOR 10S OF MILLIONS OF AMERICANS, FUND MORE TAX BREAKS FOR RICH CRONIES! — Why? — Because They CAN!

http://www.slate.com/articles/news_and_politics/politics/2017/06/why_the_gop_would_pass_an_objectively_bad_health_care_bill.html

 writes in Slate:

“It is difficult to overstate the sheer unpopularity of the American Health Care Act, the Republican Party’s plan to “repeal and replace” the Affordable Care Act. And it’s not hard to understand why the bill is so unpopular. What’s mystifying is why Republicans insist on passing it, acting as if there won’t be political consequences for a plan that promises pain for tens of millions of Americans.

Jamelle BouieJAMELLE BOUIE

Jamelle Bouie is Slates chief political correspondent.

At Obamacare’s least popular moment, in the fall of 2014, 56 percent of Americans held a negative view of the law, versus 37 percent who approved. Compare that with the Republican version of the AHCA that passed the House of Representatives in early May. In a recent survey from CBS News, 59 percent of Americans disapprove of the GOP proposal, versus 32 percent who approve. A Roper Center analysis shows the proposal with just 29 percent support, making it the most unpopular piece of legislation Congress has considered in decades. And its unpopularity isn’t just a function of blue states like California, New York, and Illinois—there is no state in the union where a majority of voters support the bill.

If the AHCA ends up improving outcomes for Americans—if it delivers affordable health insurance or protects families from medical bankruptcy—it might recover some popularity in the implementation, as was true with the Affordable Care Act, which now has majority support. But we know from the Congressional Budget Office’s evaluation of the House bill that it would increase the number of uninsured by an estimated 23 million people; there are no signs the Senate version will be any less damaging. What’s more, the AHCA may upend the employer health market as well; its deregulatory measures could result in lifetime limits and substantially higher out-of-pocket costs for people who receive insurance through work. The universe of people potentially left worse off by the Republican bill is close to a cross-section of the American public: salaried employees, ordinary workers who rely on the Obamacare exchanges, and the millions of low-income people, children, elderly, and disabled Americans who rely on Medicaid.

Under most circumstances, this would be the ballgame. As a general matter, lawmakers don’t pass hugely unpopular legislation that might harm constituents in such a direct way. It’s easy to say that, for House and Senate Republicans, their “constituents” are those wealthy Americans who receive huge tax cuts under the bill. Still, it’s also true that winning donors isn’t the same as winning elections. Politicians don’t need to value the public interest to reject a bill like the AHCA; a survival instinct should be enough.

Which gets to what’s mystifying about the present situation. If the health care bill becomes law, there’s every indication the Republican Party will suffer for passing it. It is already responsible for a substantial and so-far enduring decline in the president’s approval rating, and it is fueling grass-roots opposition to the already-unpopular Trump administration. If Republicans face an increasingly difficult environment for the 2018 general election, it is at least in part because of the AHCA. And yet, Republicans are intent on passing the bill. Senate Majority Leader Mitch McConnell has cannily adopted an unprecedentedlysecretive process meant to insulate the proposal from criticism and expedite its passage. There have been no hearings and no debate. The plan, as it exists, is for a one-week period of public input before Congress votes.

It’s likely that Republicans know the bill is unpopular and are doing everything they can to keep the public from seeing its contents before passing it. As we saw with the Affordable Care Act, the longer the process, the greater the odds for a major backlash. But this presupposes a pressing need to pass the American Health Care Act, which isn’t the case, outside of a “need” to slash Medicaid, thus paving the way for large-scale, permanent tax cuts. The Republican health care bill doesn’t solve any urgent problem in the health care market, nor does it represent any coherent vision for the health care system; it is a hodgepodge of cuts and compromises, designed to pass a GOP Congress more than anything. It is policy without any actual policy. At most, it exists to fulfill a promise to “repeal Obamacare” and cut taxes.

Perhaps that’s enough to explain the zeal to pass the bill. Republicans made a promise, and there are forces within the party—from hyperideological lawmakers and conservative activists to right-wing media and Republican base voters—pushing them toward this conclusion. When coupled with the broad Republican hostility to downward redistribution and the similarly broad commitment to tax cuts, it makes sense that the GOP would continue to pursue this bill despite the likely consequences.

But ultimately it’s not clear the party believes it would face those consequences. The 2018 House map still favors Republicans, and the party is defending far fewer Senate seats than Democrats. Aggressively gerrymandered districts provide another layer of defense, as does voter suppression, and the avalanche of spending from outside groups. Americans might be hurt and outraged by the effects of the AHCA, but those barriers blunt the electoral impact.

The grounds for political combat seem to have changed as well. If recent special elections are any indication—where GOP candidates refused to comment on signature GOP policies—extreme polarization means Republicans can mobilize supporters without being forced to talk about or account for their actual actions. Identity, for many voters, matters more than their pocketbooks. Republicans simply need to signal their disdain—even hatred—for their opponents, political or otherwise. Why worry about the consequences of your policies when you can preclude defeat by changing the ground rules of elections, spending vast sums, and stoking cultural resentment?

It seems, then, that we have an answer for Republicans insist on moving forward with the American Health Care Act. Because they can. And who is going to stop them?”

Here’s some analysis of the GOP Senate Bill from the Washington Post:

“The Senate proposal largely mirrors the House measure with significant differences, according to a discussion draft circulating Wednesday among aides and lobbyists. While the House legislation would peg federal insurance subsidies to age, the Senate bill would link them to income, as the ACA does.

The Senate measure would cut off expanded Medicaid funding for states more gradually than the House bill but would enact deeper long-term cuts to the health-care program for low-income Americans. It also would eliminate House language aimed at prohibiting federally subsidized health plans from covering abortions, a provision that may run afoul of complex Senate budget rules.

But McConnell faces the prospect of an open revolt from key conservative and moderate GOP senators, whose concerns he has struggled to balance in recent weeks. Republicans familiar with the effort said Senate leaders have more work to do to secure the 50 votes needed to pass the measure, with Vice President Pence set to cast the tiebreaking vote, from the pool of 52 GOP senators. No Democrats are expected to support the bill.

According to two Republicans in close contact with Senate GOP leadership granted anonymity to describe private conversations, McConnell is threatening to bring the bill to a vote next week even if he doesn’t have the votes to pass it. But some believe that message is aimed at trying to pressure Republicans to support the bill, rather than an absolute commitment. A McConnell spokeswoman declined to comment.

Republican aides stressed that their plan is likely to undergo more changes to secure the votes needed for passage, but there were major concerns Wednesday from senators on opposite ends of the GOP spectrum.

“My main concern is I promised voters that I would repeal — vote to repeal Obamacare. And everything I hear sounds like Obamacare-lite,” said Sen. Rand Paul (R-Ky.).

Sen. Shelley Moore Capito (R-W.Va.), whose state expanded Medicaid and has been pushing for a more gradual unwinding of that initiative than many conservatives prefer, said she is waiting to scrutinize what is released but has not seen anything yet that would make her drop her concerns with the proposal.

“Up to this point, I don’t have any new news — tomorrow we will see it definitively — that would cause me to change that sentiment,” she said.

Like the House bill, the Senate measure is expected to make big changes to Medicaid, the program that insures about 74 million elderly and lower-income Americans and was expanded in most states under the ACA. In effect, the revisions would reduce federal spending on the program.

The Senate measure would transform Medicaid from an open-ended entitlement to one in which federal funding would be distributed to states on a per capita basis. The Senate measure would also seek to phase out the program’s expansion — although at a more gradual rate than the House version.

Yet the Senate bill would go further than the House version in its approach to cutting Medicaid funding in the future. In 2025, the measure would tie federal spending on the program to an even slower growth index than the one used in the House bill. That move could prompt states to reduce the size of their Medicaid programs.”

Here’s a link to the complete Post article: https://www.washingtonpost.com/powerpost/senate-gop-leaders-set-to-unveil-health-care-bill/2017/06/22/56dbe35c-5734-11e7-a204-ad706461fa4f_story.html?hpid=hp_rhp-top-table-main_healthcare835am%3Ahomepage%2Fstory&utm_term=.31690d0232b7

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As long as folks stubbornly keep voting for their own demise, that is, against their own best interests, Trump and the GOP are going to take them to the cleaners every time. The GOP Congressional leadership has “bought into” the Trump “Time Square” theory:   “There’s absolutely nothing that we could do that would make these folks vote against us. And, we’re going to take full advantage of them by sticking it to them just like they were Democrats or minorities (or both).”

I suppose if it works, why not line your pockets (and those of your buddies) to the full extent possible at the expense of the People until the party ends (which it might never do — and, if it does, the GOP will be laughing all the way to the bank)?

PWS

06-22-17

THE HUMAN TOLL OF IMMIGRATION DETENTION: Mother Attempts Suicide After 6 Months In Texas “Family Detention Centers!”

http://www.huffingtonpost.com/entry/mother-family-detention-suicide-attempt_us_59271267e4b062f96a34da5c?45b

Roque Planas reports in HuffPost:

“AUSTIN, Texas ― A woman locked at a family immigrant detention center tried to take her own life this month in what legal advocates described as a desperate effort to free her two kids.

Samira Hakimi, an Afghan national, has spent the last six months detained with her two young children despite a federal ruling that dictates they should have been released within three weeks. The case reinforces the longstanding concerns of immigrant rights groups that say asylum-seeking families should not be forced into prolonged detention.

“They told us you will only be a couple of days in there,” Hakimi told HuffPost. “I never thought that I would be detained here for such a long time. That I’m detained here because I’m from Afghanistan and that’s all. But I’m human.”

In Afghanistan, the Hakimi family had established a high school and multi-branch private university that used Western curricula, taught in both English and Dari and offered more than half its scholarships to women, according to lawyers representing Hakimi and her husband.

Since 2013, the Taliban repeatedly threatened the family for its work. To avoid the danger of commuting, the family moved onto the university campus and contracted private security guards that year.

It wasn’t enough for them to feel safe. “We could not go outside,” Hakimi said. “My children could not go to school. We thought they might be kidnapped. This was always in our minds…. They have their lives to live. They should live happy and free from every small thing, going to school and enjoying their lives.”

Last year, they fled Afghanistan with Hakimi’s brother-in-law and his pregnant wife, who were facing similar threats.

In December, the two families crossed into the United States from Mexico through a legal port of entry, where they all asked for asylum. The men were separated and sent to all-male immigrant detention centers, where they remain. Hakimi and her kids, as well as her sister-in-law and her newborn baby, were sent to the South Texas Family Detention Center in the town of Dilley and later transferred to the Karnes County Residential Center outside San Antonio.

Hakimi passed her “credible fear” interview ― the first step toward applying for asylum. It’s common practice for Immigration and Customs Enforcement to free people who pass these interviews so they can pursue their cases in immigration court, but ICE declined to release her and her children. The agency did not respond to a request for comment explaining why it refuses to release them. Hakimi’s sister-in-law is also still at Karnes with her 10-month-old baby.
DREW ANTHONY SMITH VIA GETTY IMAGES
The Karnes County Residential Center houses mothers who enter the United States with their children. Most of them seek asylum or other forms of humanitarian exemption from deportation.
Hakimi told HuffPost she had suffered from bouts of clinical depression before being detained. Advocates with RAICES, a nonprofit that provides legal services to detained families, say she had attempted suicide in the past and told medical workers at Karnes that her condition had worsened as her case appeared to stall. Neither medicine nor therapy would alleviate the problem, she argued. Her depression stemmed from remaining locked up in the detention center with her children.

As the months dragged on, she lost hope. “Here, no one talks to us,” Hakimi said. “They don’t give us the reason why I’m detained in here. I never thought that I would be detained here for such a long time.”

Her son came to her one day asking her why other families were allowed to leave but not them. “That was really triggering her,” Amy Fisher, RAICES’s policy director, told HuffPost. “She was crying and really depressed. And she went into this thought process, when she was really low, thinking, ‘Well, if I’m no longer here, maybe my children can be free.’” Kids cannot be held without their parents or guardians in family detention.

After she made an effort to take her own life, she woke up in the medical unit of the detention center and was taken to a nearby hospital, where two members of the detention center staff sat with her continuously.

“I told them, ‘I’m just crying for my children, please,’” she said in a recording with one of her legal providers. “I’m not sick. But they gave me medicine. And they told me take this every four hours, but I didn’t take it anymore.”

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Read the full story at the link.

Don’t think that a few (or even many) attempted suicides or preventable deaths in immigration detention are going to change the Administration’s plans to establish an “American Gulag.” After all, what better “deterrent” than death to put a dent in migration.

No, the only thing that might get in the way is if Democrats start winning elections and wielding some political power in Washington. (Not that Democrats have been particularly enlightened when it comes to immigration detention, either. After all, Dilley, Karnes, Berks County, and other “family residential prisons” were Obama initiatives. But, that’s another story.)

But, as I just pointed out in an earlier blog, Dems appear lost in the political wilderness with no path out.

PWS

05-26-16

 

POLITICS: David Leonhardt In The NYT: Don’t Get Distracted From GOP’s Dishonesty & Cruelty!

“David Leonhardt
Op-Ed Columnist
The Congressional Budget Office’s analysis of the House health care bill is a devastating indictment.
The report, released yesterday, showed that millions of Americans would lose health insurance and the quality of insurance for millions more would deteriorate. The savings from that carnage — to borrow a favorite word of President Trump’s — would pay for tax cuts for the wealthy.
And yet the immediate reaction to the C.B.O. report also shows why you should be worried that the Senate will nonetheless decide to pass a version of the House bill.
Here’s what I mean: Much of this initial reaction has missed the point. It has focused on the modest differences between the new C.B.O. report, which analyzed the final House bill, and a C.B.O. analysis from March of an earlier version of the bill. Among the differences, the final bill would deprive an estimated 23 million people of insurance, compared with the 24 million in the March analysis.
Don’t be distracted by these small differences.
Distraction is a tactic of the politicians who are trying to take away health insurance from people. These politicians can’t sell their proposals on the merits. That’s why both the House and, thus far, the Senate have refused to hold any hearings. They know that virtually every expert across the ideological spectrum — including groups representing doctors, nurses, hospitals, patients and senior citizens — opposes the bill.
Unable to win a debate on its merits, Republican leaders need to change the subject. They can’t let their proposals be judged on whether they improve the American health care system, because they don’t. They need to create a lower standard by which the plan will be judged.
The House did so in the frantic week that it passed its bill by pointing to a last-minute amendment that made a superficial improvement. House members then claimed they had fixed their bill.
Senate leaders are showing signs of following the same path — and the C.B.O. report gives them a chance to start down it. The report will encourage top Republicans to claim that their bill is already getting better and that the Senate will keep improving it in coming months.
In truth, the bill is fatally flawed. Its objective is to reduce federal spending on health insurance for the middle class, poor, sick, elderly and disabled in order to cut taxes for the wealthy. Maybe the final version, once the Senate has made its tweaks, will take insurance from 23 million people, or maybe 15 million people. But any law based on the House bill is guaranteed to worsen the health care system.
That’s the overwhelming message of the C.B.O. report.
The saddest part of this situation is that our health care system, including Obamacare, very much needs improvement. And there are solid bipartisan ideas out there, including some that would increase states’ flexibility or lower consumer expenses. The Senate has members from both parties with the savvy and the policy chops — like Lamar Alexander and Patty Murray — to turn those ideas into a bill.
Is it too much to hope that they cast aside the distractions from the House’s failed plan and start fresh?
The full Opinion report from The Times follows, including Abbe Gluck on the G.O.P.’s sabotage of Obamacare.”

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Read more in today’s NYT.

PWS

05-25-17

 

GOP’S WAR ON AMERICA EXPOSED — 23 Million Would Lose Health Coverage To Provide Tax Breaks To Fat Cat Cronies!

https://www.nytimes.com/2017/05/24/us/politics/cbo-congressional-budget-office-health-care.html?hp&action=click&pgtype=Homepage&clickSource=story-heading&module=first-column-region®ion=top-news&WT.nav=top-news

Robert Pear reports in the NYT:

“WASHINGTON — A bill to dismantle the Affordable Care Act that narrowly passed the House this month would leave 14 million more people uninsured next year than under President Barack Obama’s health law — and 23 million more in 2026, the Congressional Budget Office said Wednesday. Some of the nation’s sickest would pay much more for health care.

Under the House bill, the number of uninsured would be slightly lower, but deficits would be somewhat higher, than the budget office estimated before Republican leaders made a series of changes to win enough votes for passage. Beneath the headline-grabbing numbers, those legislative tweaks would bring huge changes to the American health care system.

In many states, insurance costs could soar for consumers who are sick or have pre-existing conditions, while premiums would fall for the healthy, the new estimate concludes.

The forecast by the nonpartisan Congressional Budget Office, Capitol Hill’s official scorekeeper, is another potential blow to efforts to undo Mr. Obama’s signature domestic achievement. Republican senators have said they will make substantial changes to the measure passed by the House, but even Senator Mitch McConnell of Kentucky, the majority leader, sounds uncertain about his chances of finding a majority to repeal and replace the health law.”

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Read Robert’s complete article at the link. Decades ago, when we were both young, Robert covered the “immigration beat” for the NYT. In the days before Administrations of both parties went to war with the press, he used to call me on a regular basis to get the “official INS position” on various controversies, particularly those involving legal issues.

PWS

05-24-16

POLITICS: GOP Senate’s “Stealth Plan” To Strip Health Care From Millions While Enriching Fat Cats Exposed!

https://www.nytimes.com/2017/05/23/opinion/health-care-bill-senate.html?emc=edit_ty_20170523&nl=opinion-today&nlid=79213886&te=1&_r=0

David Leonhardt writes in a NY Times op-ed:

“While the rest of the country has been transfixed by Trumpian chaos, members of the Senate have spent the last two weeks talking about taking health insurance from millions of Americans.

There is an alarmingly large chance that they’ll decide to do so. But if they do, they will almost certainly rely on a political sleight of hand to disguise their bill’s damage. Understanding that sleight of hand — and calling attention to it — offers the best hope for defeating the bill.

The effort to take health insurance from the middle class and poor and funnel the savings into tax cuts for the rich is a little like mold. It grows best in the dark.

That’s why Republican leaders in the House handled their bill as they did. They did not hold a single hearing, because they knew that attention would have been devastating.

Just imagine a hearing featuring the leaders of these groups, every one of which opposes the House bill: the American Medical Association, American Nurses Association, American Hospital Association, American Academy of Pediatrics, American Cancer Society, American Heart Association, American Diabetes Association, American Lung Association, March of Dimes and AARP.
The House also passed its final bill without waiting for the Congressional Budget Office to estimate how many Americans would lose insurance. The C.B.O. will release that analysis tomorrow afternoon. There is no precedent, outside of wartime, for passing a bill this important in such haste.

After the House did, many observers assumed the bill was too flawed to have much chance in the Senate. Republican senators, aware of the bill’s unpopularity, were careful to say publicly that they would start fresh. But the early signs suggest that Mitch McConnell and his Republican caucus are actually mimicking the House approach.

Think of it as the Upton strategy, and I’ll explain the name in a minute.”

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Yet, the voters keep putting these guys in office. Unless you are part of the tiny percentage of over-privileged, rich elite in America, you’re voting against not only our country’s best interests, but your own!

Amazingly, however, the Democrats have failed to come up with an effective strategy to capitalize on this. And, to date, I’m not sure I’ve heard any compelling arguments as to how and why Democrats will do better in the next election.

Yeah, Trump and his cohorts have problems galore. But, highlighting/relying on that was Hillary’s primary strategy in 2016. And, it failed! Big time! What positive plan do Democrats have for making America better for everyone (including most Trump supporters)?

PWS

05-23-17

 

DEATH WATCH: Average 1/MO Dies In ICE Custody — And It’s Only Just Beginning, As Another ICE Detainee Dies, This Time In Atlanta!

http://www.cnn.com/2017/05/17/us/ice-atlanta-detainee-dies/index.html

Catherine E. Shoichet reports for CNN:

“Atlanta (CNN) A man in Immigration and Customs Enforcement custody has died after being hospitalized for shortness of breath, officials said Wednesday.

Atulkumar Babubhai Patel was pronounced dead at Atlanta’s Grady Memorial Hospital on Tuesday afternoon.
The 58-year-old Indian national’s death is the second death of a detainee in ICE custody this week — and the second this week in the state of Georgia.
Officials said complications from congestive heart failure were ruled the preliminary cause of death.
Patel arrived at the Atlanta airport on May 10 on a flight from Quito, Ecuador. Authorities denied him entry into the United States because he did not have the necessary immigration documents, ICE said.
He was transferred to ICE custody in the Atlanta City Detention Center on Thursday, according to the agency. An initial medical screening at the time determined he had high blood pressure and diabetes. Two days later, Patel was transported to the hospital after a nurse checking his blood sugar noticed he had shortness of breath, ICE said. He died on Tuesday afternoon.
In its statement announcing Patel’s death, officials said fatalities in ICE custody are “exceedingly rare.”
“ICE is firmly committed to the health and welfare of all those in its custody and is undertaking a comprehensive agency-wide review of this incident, as it does in all such cases,” ICE said.

Second death this week

Patel is the eighth person to die in ICE custody this fiscal year, which began in October.
Authorities are also investigating the death of another immigrant detainee in Georgia. Jean Jimenez-Joseph, 27, was found unresponsive in his cell on Monday with a sheet around his neck. The preliminary cause of death was self-inflicted strangulation.
He’d been in solitary confinement for more than two weeks at the Stewart Detention Center in Lumpkin, Georgia.
The recent deaths have drawn sharp criticism from immigrant rights activists, who have long decried conditions in immigration detention centers and called on the government to close such facilities.
US President Donald Trump has called for increasing detention as part of his crackdown on illegal immigration. And Congress recently upped its funding for immigrant detention, approving a spending bill that pays for an average of more than 39,000 detention beds per day.
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“Exceedingly rare?”  Like in two deaths in one week in ICE custody in Georgia? In addition to ruined lives, the Trump/Sessions/Kelly vision for an “American Gulag” is certain to cause more preventable deaths in DHS custody, in light of the well-documented substandard conditions in such facilities, particularly those run by private contractors and local jailers. I guess each member of the “Triumvirate of Death”  is well enough off so a few million in civil judgments wouldn’t be a problem.  But, the taxpayers are likely to be shelling out megabucks for some tort claims.
PWS
05-17-17

DEADLY CARE: Trump Immigration Detention Policies Could Be Life-Threatening For Vulnerable Migrants!

http://www.businessinsider.com/immigrant-detention-centers-condition-2017-5

Business Insider republished a recent report from Christie Thompson of The Marshall Project:
“Even as the Trump administration prepares to loosen oversight over immigrant detention facilities, medical care already can be so substandard that cancer is treated with ibuprofen, schizophrenia with Benadryl and serious mental illness with solitary confinement, two new reports found.

Human Rights Watch, along with the nonprofit Community Initiatives for Visiting Immigrants in Confinement, asked outside medical experts to review 18 deaths in immigration facilities between May 2012 and June 2015 — and found alleged medical neglect contributed to the early deaths of seven detainees, according to their joint report released Monday. The nonprofit organizations also interviewed 90 current and former detainees for the report.

Their findings come on the heels of a survey of 83 detainees about conditions in two for-profit detention centers in Georgia, released last week by a separate group of nonprofit organizations. The detainees claimed, among other grievances, that their requests for medical care were often ignored and even landed some in segregation.

A spokeswoman for Immigration and Customs Enforcement said the agency will review the Human Rights Watch and CIVIC report to determine if any changes needed to be made.

“ICE is committed to ensuring the welfare of all those in the agency’s custody, including providing access to necessary and appropriate medical care,” said spokeswoman Jennifer Elzea, who added that all detainees had access to licensed mental health providers. “At no time during detention will a detainee be denied emergent care.”

ICE spokesman Bryan Cox in Georgia said both centers there — Stewart and Irwin — were in compliance with ICE’s detention standards and subject to regular inspections. “The Department of Homeland Security Office of the Inspector General and ICE’s Office of Professional Responsibility investigate all allegations of abuse,” he wrote in an email.

Immigrants can be held in ICE-funded facilities or in local jails that are paid contract fees. As it ramps up enforcement against undocumented immigrants, the Trump administration has been hunting for more jailers to hold detainees — and perhaps lowering the bar to find them. The New York Times reported last month that the Department of Homeland Security was planning to loosen requirements for county jails that hold immigrant detainees. Three of the deaths identified by Human Rights Watch happened in a local facility.

The Department of Homeland Security has also closed the Office of Detention Policy and Planning, which was tasked with leading ICE’s effort to reform its detention facilities. Elzea, the ICE spokeswoman, noted that oversight is still provided by on-site detention service managers, as well as several other offices within the agency.

Advocates fear conditions will worsen. “The records revealed ICE’s failure to monitor and correct problems even when they themselves identified them,” said Grace Meng of Human Rights Watch, one of the authors of the report. In three deaths at Eloy Detention Center in Arizona, for example, staffers delayed calling 911 because they weren’t sure who was allowed to make the call under the facility’s protocol, Meng said.

“I’m even more concerned now that we have an administration that wants to cram more people into these broken detention centers,” Meng said.

Human Rights Watch and CIVIC detailed the suicide of another woman who was repeatedly held in solitary confinement without mental health treatment. “The medical staff kept doing the same thing, expecting a different outcome. That she finally killed herself should not have come as a surprise,” wrote one of the doctors reviewing ICE’s records.

In both reports, multiple immigrants reported seriously inadequate mental health care; one detainee in Georgia told advocates that the mentally ill were locked in a segregation cell in handcuffs and a helmet.

Immigrants and their families have few outlets for relief. Immigrants told Human Rights Watch that the grievance forms are written only in English and Spanish and that grievances, once filed, often disappeared without any response. “I have no idea if there are mental health services here, nor do I know how to file a grievance,” an immigrant at Stewart Detention Center told Georgia advocates.

Others alleged they were punished, even put in solitary confinement, for complaining. Few detainees have access to an attorney, which means filing a lawsuit is generally beyond their reach.

“By not properly tracking and investigating each complaint, our government sends a message that medical neglect of immigrants will be tolerated,” said Christina Fialho, co-executive director of CIVIC.

Read the original article on The Marshall Project. Copyright 2017. Follow The Marshall Project on Twitter.”

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I think that migrants are likely to die or be seriously harmed by poor conditions in DHS detention. Taxpayers then will be on the hook for some big damage awards. Additionally, in light of the available information, including internal reuports on poor conditions in detention, I believe that some high-ranking officials at DHS and DOJ could be subject to “Bivens suits” for knowingly and intentionally violating the constitutional rights of civil detainees.

PWS

05-13-17

 

Two New Tools To Help You Understand/Practice Immigration Law: 1) USCIS “StatPack” & 2) Travel Ban Litigation Guide!

Nolan “Eagle Eyes” Rappaport kindly alerted me to this comprehensive source of USCIS immigration and citizenship data:

https://www.uscis.gov/tools/reports-studies/immigration-forms-data

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Additionally, Dan “Mr. Blog” Kowalski over at Lexis was kind enough to send me this like to a nationwide “Travel Ban” Litigation Database from “Lawfare,”  helpfully organized by Circuit:

https://urldefense.proofpoint.com/v2/url?u=https-3A__lawfareblog.com_litigation-2Ddocuments-2Dresources-2Drelated-2Dtrump-2Dexecutive-2Dorder-2Dimmigration&d=DQIFAg&c=euGZstcaTDllvimEN8b7jXrwqOf-v5A_CdpgnVfiiMM&r=CeRQeXwCO1XABbcnui0VccohOAIcGihPTU6SjunQmI&m=8DFHNqD9Wh7TH2g60EeuBylX7190m96Q_YTMDTMs5P0&s=evpzDZD-Isv1nTFviIW1D-wNdPdmyJyu9fl1qEQXgf8&e=

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Check both of these out! Thanks again to Nolan and Dan for their tireless efforts to promote an informed approach to immigration law and policy!

PWS

05-07-17