MICA ROSENBERG @ REUTERS: Migrants In Trump’s New American Gulag Risk Dying Distant From Hospitals — U.S. Judges Dither As Human Rights Abuses Mount & U.S. Justice System Crumbles Under COVID 19 & Trump’s Continuing Human Rights Abuses! ☠️☠️☠️☠️☠️🆘🆘🆘🆘🆘

Mica Rosenberg
Mica Rosenberg
National Immigration Reporter, Reuters

Mica writes:

I wanted to share our latest reporting, which found about a third of the 43,000 immigrants in detention as of March 2 were housed at facilities that have only one hospital – or none – with intensive-care beds within 25 miles, according to an analysis of data from the American Hospital Directory and U.S. Immigration and Customs Enforcement (ICE). The seven sites with no such hospitals nearby held a total of about 5,000 detainees, according to the analysis, which examined centers that averaged 100 or more detainees. (ICE has said there are fewer detainees being held currently – around 35,600 – but did not provide a facility-by-facility breakdown of their whereabouts)

https://www.reuters.com/article/us-health-coronavirus-usa-detention-insi-idUSKBN21L1E4

 

We focused on Louisiana where the number of immigrant detainees has quadrupled under Trump to nearly 7,000 as of March 2 data. Many of the detention centers in the state are in tiny, rural towns. The Catahoula Correctional Center for example houses more than 500 detainees. It is just outside of Harrisonburg, LA, population 330.

Nurses, doctors and hospital administrators at the small hospitals closest to the detention centers – and even at larger facilities farther away – said they would be overwhelmed if there is an outbreak inside one of the facilities.

Public health experts said an outbreak in a population of 1,500 detainees could require between 150 and 175 intensive-care admissions.

 

We previously have reported on how lawyers are seeking parole for vulnerable immigrant detainees and how the city of Matamoros in Mexico, where thousands of migrants are stuck in limbo in tent camps, is unprepared for an outbreak.

 

Please read and share and contact me with additional tips for us to follow!

………………………………………………….

Mica Rosenberg

Reuters News

National Immigration Reporter

www.reuters.com

**************************

The whole idea of locating immigration prisons “in the middle of nowhere” intentionally to hamper representation, coerce, punish, and deter detainees from asserting legal rights, and limit accountability and public oversight has been a grotesque denial of due process from the “git go.” Congress and the Article III Courts should have intervened long ago to put a stop to this nonsense before it became life-threatening on an even larger scale.

Even more preposterous is that the DOJ and EOIR have located so-called “courts” (that aren’t really courts in any sense of the term, and which no longer provide any semblance of due process and fundamental fairness) within the Gulag. It’s more like the Spanish Inquisition than it is 21st Century American Justice. Except the tragedy is that this is what passes for justice in 21st Century America! What has happened to our country and our souls? Sadly, it’s actually possible that those appearing before the Spanish Inquisition were treated better than we treat asylum seekers under the Trump regime.

Even worse, the “perpetrators” of this disgraceful mockery of the law and human dignity have to date gotten away Scot-Free. Our justice system at all levels has failed migrants seeking fair and humane treatment under our laws. (Apparently, threatening the lives, rights, and safety of non-criminal so-called “civil detainees” isn’t a problem for either Congress or the Article IIIs. We already know that Trump considers our Constitution to be a joke, and that he therefore runs over it with regularity, contempt, and impunity, while Roberts and his Supremes’ majority express disinterest in holding the Trump regime accountable for even the most boldly egregious abuses. No wonder his open contempt for the Article IIIs has only grown over the past three years.)

Thanks, Mica, for your courageous reporting and continuing to tell the story of those whose lives are being endangered by a “maliciously incompetent” White Nationalist regime and feckless Federal Courts, many of whom have forgotten the meaning of their oaths of office and their obligations to their fellow human beings.

Read all of Mica’s stories in their entirety at the above links. Or, better yet, contact Mica directly@Reuters with your own “horror stories” from inside Trump’s judicially-enabled New American Gulag.

Due Process Forever! The Trump Regime & The Complicit Congress & Federal Courts That Enable Its Abuses, Never!

Vote Like Your Life Depends On It This November! Because, It Does!

PWS

04-04-20

QUEST FOR DUE PROCESS CONTINUES IN THE TIME OF PLAGUE: Round Table Files Amicus For Court Closings, Comment Blasting EOIR’s Proposed Fee Rip-Off!

Hon. Ilyce Shugall
Hon. Ilyce Shugall
U.S. Immigraton Judge (Retired)
Director, Immigrant Legal Defense Program, Justice & Diversity Center of the Bar Assn. of San Francisco.
Knjightess
Knightess of the Round Table

Round Table leader Judge Ilyce Shugall led the charge on both of these efforts!

Here’s the Amicus Brief on court closings we filed in LAS AMERICAS IMMIGRANT ADVOCACY CENTER v. TRUMP in the U.S. District Court for the District of Oregon in Portland:

0041-Brief of Amici

And here’s the official comment we filed opposing the EOIR’s outrageous proposal to raise fees  for intentionally diminished services — a transparent attempt to limit access to justice for the most vulnerable and to discourage appeals in a system rife with largely available, often life-threatening mistakes and errors!

EOIR fee schedule reg comments_Round Table_FINAL

***************************

My “Inbox” here at Courtside has been pulsating with palpable outrage, anger, and unrestrained grief from my Round Table colleagues about the callous disregard by EOIR for the health, safety, and humanity of both the public and its own employees, many of them our friends and former colleagues. What better evidence could there be of the need for an independent Immigration Court, run by competent professionals, committed to due process, best practices, and service to the public than the awful mess happening at EOIR right now?

During this time of true national emergency, the Round Table remains committed to lending our collective voices and group expertise to as many organizations out there courageously fighting on the “front lines” as we can. Together, we represent literally centuries of experience on the immigration benches, the “retail level” of our justice system. We are sharing widely with judges, journalists, public officials, and others our insights into what’s wrong with today’s Immigration Courts and how to restore and enhance due process, the rule of law, common sense, and basic human values to a system that actively scorns and undermines all of the foregoing.

I am honored to be a member of the Round Table and deeply appreciative of the fearless leadership and endless energy of folks like Ilyce, Judge Jeffrey Chase, Judge Sue Roy, Judge Charles Honeyman, Judge Carol King, Judge John Gossart, Judge Lory Rosenberg, and many others for our daily efforts to literally save our nation and our justice system from the disastrous policies, legal ignorance, “malicious incompetence,” and disregard for human lives being inflicted by DOJ, EOIR, and DHS on our nation every day.

Due Process Forever! Malicious Incompetence Never!

PWS

04-01-20

UPDATE:

U.S. District Judge Karin J. Immergut on Wednesday denied a motion for an emergency 28-day restraining order that would have barred the nation’s immigration courts from requiring any participant or lawyer to appear in person for a hearing during the coronavirus pandemic.”  https://www.oregonlive.com/coronavirus/2020/04/federal-judge-declines-to-direct-us-immigration-courts-how-to-operate-during-coronavirus.html

Our “Round Table Brief” is mentioned in the article. Unfortunately, in this case it didn’t get the plaintiffs “over the top.”

The Judge seems to have applied the old “good enough for government work” standard to EOIR’s efforts. In other words “show me the dead bodies.” Assuming that the the Surgeon General and other health exports are right, the worst is yet to come. That doesn’t bode well for anyone caught up in the EOIR system. Also seems inconsistent with the “radical mitigation strategy” that government has been preaching.

PWS

04-01-20

VOTE ‘EM OUT: Selfish GOP Politicos Spent Years Dismantling The Already-Inadequate U.S. Safety Net & Distributing The Spoils To Their Fat Cat Buddies Through Unnecessary Tax Cuts (a/k/a “Welfare For The Rich”) & Misdirection Of Money To Wasteful Spending — Now They Need It To Save Their Sorry Political Butts — But, Don’t Expect A Long Term Change Of Heart From A Party Of Selfish Elites & Their Wannabe Enablers!

Willie Nelson
Willie Nelson
Country Music “Hall of Famer” & American Icon

“Vote ‘Em Out”

By Willie Nelson

If you don’t like who’s in there, vote ’em out
That’s what Election Day is all about
The biggest gun we’ve got
Is called “the ballot box”
So if you don’t like who’s in there, vote ’em out

Vote ’em out (vote ’em out)
Vote ’em out (vote ’em out)
And when they’re gone we’ll sing and dance and shout
Bring some new ones in
And we’ll start that show again
And if you don’t like who’s in there, vote ’em out

If it’s a bunch of clowns you voted in
Election Day is comin’ ’round again
If you don’t like it now
If it’s more than you’ll allow
If you don’t like who’s in there, vote ’em out

Listen to Willie here:

https://www.azlyrics.com/lyrics/willienelson/voteemout.html

 

Tracy Jan
Tracy Jan
Economics & Race Reporter
Washington Post

https://www.washingtonpost.com/business/2020/03/25/trillion-dollar-stimulus-checks/

Tracy Jan reports for the WashPost:

Conservatives gutted the social safety net. Now, in a crisis, they’re embracing it.

By Tracy Jan

March 25 at 10:00 AM ET

Throughout his term, President Trump has chipped away at the social safety net, proposing budgets that gutted housing assistance, food stamps and health insurance for the poorest Americans. When Congress rejected those cuts, the Trump administration enacted rules to make it harder to access federal benefits, such as requiring recipients to work.

Now, with businesses shuttered, workers laid off, and scores more worrying about buying groceries, being evicted and getting sick, the swelling need for federal assistance has forced even conservative lawmakers to embrace government protections in a series of sweeping stimulus bills.

Under the $2 trillion stimulus deal reached in the Senate early Wednesday, Republicans are proposing sending direct cash payments of $1,200 to individual Americans, an idea that, on the surface, echoes former Democratic presidential candidate Andrew Yang’s universal basic income platform. They want to bolster the unemployment insurance system after many GOP-led states spent years enacting restrictive criteria and reducing benefits.

“Anybody who is a moderate-wage worker who just experienced an economic lockdown in their state is in distress. Most people don’t have savings,” said Robert Rector, a research fellow at the Heritage Foundation, a conservative think tank that guides much of the Trump administration’s policymaking.

[Facing eviction as millions shelter in place]

Rector, an architect of the 1996 federal welfare overhaul that instituted work requirements under President Bill Clinton, generally opposes safety net measures that do not promote work and marriage. But he would like to see more-generous benefits for individuals and cities in crisis in response to the coronavirus — for a finite period of time.

“Quite frankly, I’m willing to spend more money right now,” he said. “It’s a very different thing in an emergency.”

[[Sign up for our Coronavirus Updates newsletter to track the outbreak. All stories linked in the newsletter are free to access.]]

The $100-billion-plus Families First coronavirus response package Trump signed last week dramatically expands paid sick leave and family medical leave for tens of millions of workers, provisions aimed at blunting the economic impact of the pandemic.

The United States lags behind other developed countries when it comes to providing universal health care as well as paid leave for sick workers and those who have to care for family members.

“Here we had this ‘strong economy’ and all of a sudden the bubble has burst, and policymakers are scrambling to put into place basic protections other societies have,” said Rebecca Vallas, a senior fellow at the left-leaning Center for American Progress.

[As layoffs skyrocket, the holes in America’s safety net are becoming apparent]

*********************

Read Tracy’s full article at the link.

We recently went through a period of sustained economic growth and high employment that started under Obama and continued under Trump, until now. A wise nation might have used increased tax revenues to shore up the safety net, repair infrastructure, reduce spending on futile wars and defense overruns, invest for the future, and/or reduce deficit. Instead, the GOP frittered away the opportunity by mindless Government shutdowns and unnecessary tax cuts that lined the pockets of the already well-off while doing little to help the long term situation of the average American family. Indeed companies were encouraged to cut benefits to workers to pay out more to shareholders and to their executives, without much regard to the competence or value to the company of the latter.

Now, the embarrassing inadequacies and gaps of our safety net are being exposed every day. Even the GOP has turned, albeit somewhat reluctantly, to throwing several trillion into the breach, as long as it all doesn’t all go to those who need it most. Natural disasters have become the “new normal.” But, under Trump and his kakistocracy, America has consistently been underprepared to meet them. 

That the hardest hit Americans get a substantial chunk of this emergency funding is a tribute to Pelosi, Schumer, and the Dems. Left to their own devices, Trump, Mitch, and the GOP would have basically mailed a modest check (or checks) to most Americans (other than the poorest) and funneled the rest into the pockets of their businesses buddies and state cronies with little oversight or accountability. Can you imagine the Grifter-in-Chief and his toadies being allowed to divvy up the loot, in secret, no less?

This emergency is unusual in nature. But, emergencies come and emergencies go. Presidents come and they (thankfully) go. What doesn’t go away is the need for a strong well-developed safety net that covers basic health care, unemployment, income assistance, and retirement benefits for all Americans, not just the wealthy. History has shown that’s not likely to happen as long as the GOP grifters remain in power.

We have a chance to save America and put ourselves on a better course for the future. Vote Trump and his GOP out in November. Your future and that of future generations will depend on it.

PWS

03-25-20

WITH A BLITHERING IDIOT CALLING THE SHOTS AND THE RIGHT-WING’S VILEST OF THE DUMB EGGING HIM ON, AMERICA CAREENS TOWARD A HEALTH CATASTROPHE WITH NO COHERENT PLAN! — Tuning Trump Out & Could Be Our Only Hope!

Sanjana Karanth
Sanjana Karanth
Politics Reporter
HuffPost

https://www.huffpost.com/entry/trump-claims-more-death-with-economy-shutdown-than-coronavirus_n_5e7950cfc5b63c3b6495df4c

Sanjana Karanth reports for HuffPost:

President Donald Trump’s insistence on downplaying the coronavirus risks reached dangerous levels Monday as he scoffed at medical advice and threatened to open up the economy despite skyrocketing case numbers.

At the White House’s daily coronavirus briefing, the president focused on wanting to reopen businesses very soon despite global guidance to essentially shut down societies and encourage people to stay home.

“It’s bad, and obviously the numbers are going to increase with time, and they’re going to start to decrease, and we’re going to be opening our country up for business because our country was meant to be open,” Trump said, despite the rising COVID-19 death toll.

The U.S. saw confirmed cases rise to more than 41,000 on Monday, with nearly 600 deaths, according to the Johns Hopkins medical school’s coronavirus resource center. World Health Organization Director Tedros Adhanom Ghebreyesus said Monday that the pandemic is actually accelerating ― stressing that it took 67 days from the first reported case to reach the first 100,000 cases, 11 days for the second 100,000 cases and just four days for the third 100,000 cases.

. . . .

**************

Yeah, that corrupt GOP vote to acquit could turn out to seal the fate of millions of Americans. With no plan, no brains, and no coherent strategy, you just have to hope you and those you love won’t be among Trump’s victims. 

The markets should love chaos and death. But the problem is in Italy other places, they can’t even have funerals. So even “death stocks” might not be a good investment.

Wow! Talk about “malicious incompetence.” Trump is certainly leading the charge!

PWS

 

03-23-20

STUFFED AGAIN: Trump’s Attempt To Use Health Insurance As A Way To Cut Legal Immigration Temporarily Stopped By U.S. District Judge In Oregon – Administration That Works Tirelessly To Increase Number Of Uninsured Or Underinsured Americans Saw Bogus Health Insurance Requirement For Immigrants As Device To Circumvent Statute & Unlawfully Slash Legal Immigration!

 

http://enewspaper.latimes.com/infinity/article_share.aspx?guid=0e59f13d-9a82-4908-9249-75e7fe5b281d

 

The AP reports:

 

PORTLAND, Ore. — A federal judge on Saturday put on hold a Trump administration rule requiring that immigrants prove they will have health insurance or can pay for medical care before they can receive visas.

U.S. District Judge Michael Simon granted a preliminary injunction that prevents the rule from going into effect Sunday. It’s not clear when he will rule on the merits of the case.

Seven U.S. citizens and a nonprofit organization filed the federal lawsuit Wednesday contending the rule would block nearly two-thirds of all prospective immigrants coming to the U.S. legally.

The lawsuit also said the rule would greatly reduce or eliminate the number of immigrants who enter the United States with family-sponsored visas. “We’re very grateful that the court recognized the need to block the healthcare ban immediately,” said Justice Action Center senior litigator Esther Sung, who argued at Saturday’s hearing on behalf of the plaintiffs. “The ban would separate families and cut two-thirds of green-card-based immigration starting tonight, were the ban not stopped.”

The proclamation signed by President Trump in early October applies to people seeking visas from abroad — not those in the U.S. already. It does not affect lawful permanent residents. It does not apply to asylum seekers, refugees or children.

The proclamation says immigrants will be barred from entering the country unless they will be covered by health insurance within 30 days of entering or have enough financial resources to pay for any medical costs.

The rule is the Trump administration’s latest effort to limit immigrant access to public programs while trying to move the country away from a family-based immigration system to a merit-based system.

The White House said in a statement at the time the proclamation was issued that too many noncitizens were taking advantage of the country’s “generous public health programs” and that immigrants contribute to the problem of “uncompensated healthcare costs.”

Under the government’s visa rule, the required insurance can be bought individually or provided by an employer and it can be short-term coverage or catastrophic.

Medicaid doesn’t count, and an immigrant can’t get a visa if using the Affordable Care Act’s subsidies, which the federal government pays for. According to the Migration Policy Institute, a nonpartisan immigration think tank, 57% of U.S. immigrants had private health insurance in 2017, compared with 69% of U.S.-born, and 30% had public health insurance coverage, compared with 36% of native-born.

The uninsured rate for immigrants dropped from 32% to 20% from 2013 to 2017, since the implementation of the Affordable Care Act, according to Migration Policy.

About 1.1 million people obtain green cards each year.

“Countless thousands across the country can breathe a sigh of relief today because the court recognized the urgent and irreparable harm that would have been inflicted” without the hold, said Jesse Bless, director of federal litigation at the American Immigration Lawyers Assn.

Earlier this year, the administration made sweeping changes to regulations that would deny green cards to immigrants who use some forms of public assistance, but the courts have blocked that measure.

 

*****************************************

Trump continues to abuse the legal system and the Federal Courts with impunity to carry out his White Nationalist agenda. Unless and until the Circuits and the Supremes stand up to Trump’s racist-inspired lawlessness in clear and authoritative terms, the abuse will continue.

Appellate judicial wimpiness breeds contempt!

 

PWS

 

11-04-19

 

 

CATHERINE RAMPELL @ WASHPOST: “Twofer” — Trump Combines Assault On Healthcare With Attack On Legal Immigrants!

Catherine Rampell
Catherine Rampell
Opinion Columnist
Washington Post

https://www.washingtonpost.com/opinions/trump-found-a-way-to-simultaneously-sabotage-our-health-care-and-immigration-systems/2019/10/07/6fb734dc-e943-11e9-9306-47cb0324fd44_story.html

President Trump sabotaged the health-care system. Separately, he’s sabotaged the immigration system.

And now, in a presidential twofer, on Friday night the administration found a way to sabotage both simultaneously.

Unable to repeal Obamacare, the Trump administration has worked to make it less functional and more expensive. It has done this by zeroing out the individual mandate, expanding the availability of cheap but worthless junk insurance and curtailing the annual open-enrollment period, among other actions.

The cumulative effect of these policies has been to reduce the share of people who have (real, non-junk) insurance; those still motivated to seek comprehensive insurance tend to be sicker and more expensive to cover. The predictable result? Premiums hundreds of dollars higher than they would otherwise be, according to estimates from health-care analyst Charles Gaba.

 

And, unsurprisingly, those who don’t qualify for the subsidies that shield enrollees from these price hikes are dropping out of the individual market altogether because they can’t afford the insurance.

But no worries. For years, administration officials and fellow Republican lawmakers have argued this is merely an expansion of a fundamental American freedom — the freedom to go uninsured.

Simultaneously, of course, the administration has also been undermining our legal immigration system. Emphasis on “legal” here: For all of Trump’s vitriol for undocumented immigrants, he’s also been targeting people who are trying to come to this country lawfully.

Among the creative, non-legislative ways the administration has sabotaged the legal immigration system: huge and arbitrary delays in visa and citizenship application processing; cruel and inhumane treatment of families seeking asylum; reductions in the refugee admissions cap to its lowest level on record; and, of course, the travel ban placed on several majority-Muslim countries.

And then there are all of the policies intended to penalize legal immigrants whom the Trump administration claims are a financial burden.

To be clear: Immigrants are in fact a net fiscal boon to the United States, according to a  report from the National Academies of Sciences, Engineering and Medicine, and their children are “among the strongest economic and fiscal contributors in the U.S. population.” But Trump and his aides are convinced that immigrants are, and will forever be, a drain on society.

Or, as Trump’s acting U.S. Citizenship and Immigration Services director Ken Cuccinelli  put it: “Give me your tired and your poor who can stand on their own two feet.”

Cuccinelli was talking about a new administration rule — currently being challenged in eight lawsuits — that makes it harder for immigrants to receive green cards if they have ever used or might someday need safety-net benefits such as food stamps or Medicaid. But it’s actually one of several policies the administration has devised to drive down immigration numbers under the guise of fiscal prudence.

The latest such development was rolled out Friday night. This new policy, issued via presidential proclamation, bars issuance of visas to immigrants unless they can prove they will obtain health insurance within 30 days of their arrival in the United States, or otherwise demonstrate that they can pay medical expenses out of pocket.

That’s right, the Trump administration has brought back the individual mandate, but for immigrants only — the GOP’s supposed commitment to “freedom” notwithstanding. The Migration Policy Institute estimates the change could end up excluding about two-thirds of future immigrants.

The new policy is vague about how would-be immigrants would even be able to prove they meet the new requirement. Maybe they’d need to somehow buy insurance before they leave their home countries, while still waiting in that interminable visa queue; maybe not.

What’s more, if they get subsidized insurance through the individual exchanges, Trump’s proclamation says it won’t count. This is yet another way the administration is sabotaging Obamacare, which explicitly allows immigrants to purchase subsidized exchange insurance. It also places low- and moderate-income immigrants in an impossible position, since they’re now stuck buying insurance at the sticker prices that the Trump administration has helped jack up through its earlier rounds of Obamacare sabotage.

Under the proclamation, immigrants could instead buy junk insurance. But, as the administration also surely knows, these Trumpcare plans cover almost nothing. So forcing immigrants to buy such policies seems unlikely to shield taxpayers (or hospitals) from immigrants’ emergency medical costs — which is allegedly the goal here.

Of course there is also a fundamental tension between arguing that uninsured immigrants impose huge costs on the country but uninsured native-born Americans don’t cost anyone anything. But no one said consistency was this administration’s strong suit — aside from its consistent desire to find new ways to destroy as many institutions as possible.

********************

Yup! Catherine nails the GOP’s disingenuous approach to almost everything. But, perhaps there are unifying principles of the GOP: hate, dehumanization, cruelty, selfishness, intolerance, intellectual dishonesty, and short-sightedness.

Of course the requirements of the new “policy” are “vague.” That’s because the intent is not to have immigrants get insurance coverage before they come. The real intent is to keep them from coming at all even though they meet all of the legal requirements. It’s just another aspect of the Trump GOP’s racist, extralegal assault on all migrants, legal and undocumented. The next time you hear one of his GOP or bureaucratic sycophants disingenuously claim that they are “in favor of legal immigration, just not unlawful migration” call out “BS” at the top of your voice!

Catherine’s column “connecting the dots” supports my own observation that the Trump GOP’s attack on migrants is just a “placeholder” for attacks on the majority of Americans who don’t fit the GOP’s toxic White Nationalist agenda.

PWS

10-09-19

TRUMPSTERS’ WHITE NATIONALIST IMMIGRATION POLICIES HURT SENIORS: No, There Was No Legal Requirement To Terminate TPS — It Was Just A Combination Of Disingenuousness, Stupidity, Racism, & Plain Cruelty!

https://www.washingtonpost.com/national/health-science/as-trump-targets-immigrants-elderly-and-others-brace-to-lose-caregivers/2018/03/24/72d5a0d0-2d3e-11e8-8ad6-fbc50284fce8_story.html

Melissa Bailey reports for Kaiser Health News in the Washing gton Post:

BOSTON — The two women have been together since 2011, a 96-year-old originally from Italy and a Haitian immigrant who has helped her remain in her home — giving her showers, changing her clothes, taking her to her favorite parks and discount grocery stores.

“Hello, bella,” Nirva greets Isolina Dicenso, using the Italian word for “beautiful.”

“Hi, baby,” Dicenso replies.

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But changes to federal immigration policy are putting both at risk. Haitian caregivers like Nirva, who got temporary permission to stay in the United States after the 2010 earthquake destroyed much of their homeland, now face a July 22, 2019 deadline for returning. If they and tens of thousands of other immigrants with similar jobs and tenuous legal status are forced to leave the country, Americans living with disabilities, serious illness or, like Dicenso, the frailties of old age could find themselves with few options besides nursing homes.

And many of those facilities could themselves be caught short of staff, at a time when more of the country’s aging baby boom generation could need care.

The situation reflects the crosscurrents that often roil immigration debates, with a central question being how many Americans are willing to fill the arduous, low-pay positions that immigrants often work. The expected fallout offers a glimpse into how such policy changes under President Trump will affect older Americans nationwide, especially those in large cities.

Some 59,000 Haitians live in the United States under temporary protected status (TPS), a humanitarian program that has given them permission to live and work in this country since the earthquake. Many are nursing assistants, home health aides and personal care attendants — the trio of jobs that often defines direct-care workers.

The Trump administration decided last November to curtail that protection, saying the island no longer faced the same adverse conditions and giving the immigrants until mid-2019 to leave or face deportation. In Boston, the city with the nation’s third-highest Haitian population, the action has prompted panic from TPS holders and pleas from health-care agencies that rely on their labor.

The decision “will have a devastating impact on the ability of skilled nursing facilities to provide quality care to frail and disabled residents,” Tara Gregorio, president of the Massachusetts Senior Care Association, warned in a letter published late last year in the Boston Globe. Nursing facilities in the state, which already are grappling with a shortage of several thousand workers, employ about 4,300 Haitians, according to Gregorio.

Nationwide, 1 in 4 direct-care workers are immigrants, said Robert Espinoza, vice president of policy at the New York-based Paraprofessional Healthcare Institute.

It’s not clear how many of those workers rely on the TPS program, but the Institute calculates that there are 34,600 who are non-U.S. citizens from Haiti, Nicaragua (for which TPS will end in January), El Salvador (in September 2019) and Honduras (in July, unless the Trump administration decides to renew protected status for individuals from this country). TPS decisions cannot legally take economic considerations into account, a Department of Homeland Security official said.

In addition, another 11,000 workers come from countries affected by Trump’s travel ban, primarily from Somalia and Iran, and about 69,800 are non-U.S. citizens from Mexico, according to the Institute.

Even immigrants with secure legal status may be affected when family members are deported, Espinoza noted: Under Trump, noncriminal immigration arrests have doubled. The “totality of the anti-immigrant climate” threatens the stability of the workforce — and “the ability of older people and people with disabilities to access home health care,” he said.

The Federation for American Immigration Reform, which supports more restrictive immigration policies, disputes such dire scenarios. Since three-quarters of direct-care workers are U.S. citizens, spokesman David Ray argues, then “these are clearly not ‘jobs that Americans won’t do.’ ” He does the math this way: The country has 6.7 million unemployed people, and if the health-care industry can’t find enough workers to replace those who lose TPS and other protected statuses, “then it needs to take a hard look at its recruiting practices and compensation packages.”

Yet nursing homes in Massachusetts are already losing immigrant workers who have left the country in fear, because of the White House’s immigration proposals and public remarks , according to Gregorio. Nationally, thousands of Haitians have fled to Canada.

“What people don’t seem to understand is that people from other countries really are the backbone of long-term care,” said Sister Jacquelyn McCarthy, chief executive of Bethany Health Care Center in Framingham, Mass., which runs a nursing home with 170 patients. She has eight Haitian and Salvadoran workers with TPS, mostly certified nursing assistants, who show up reliably for 4:30 a.m. shifts and never call out sick, she said. She already has six CNA vacancies and can’t afford to lose more, she said.

“There aren’t people to replace them if they should all be deported,” McCarthy said.

Nirva, who asked that she be identified only by her first name, works 70 hours a week taking care of senior citizens, sick and disabled patients. She started working as a CNA shortly after she arrived in Boston in March 2010 with her two sons.

She said she chose this work because of her harrowing experience in the earthquake, which destroyed her home and killed hundreds of thousands, including her cousin and nephew. After the disaster, she walked 15 miles with her sister, a nurse, to a Red Cross station to try to help survivors. When she got there, she recounted, the guards wouldn’t let her in because she wasn’t a nurse.

“So, when I came here — I feel, people’s life is very important,” she said. But at first, caring for elderly patients was difficult. “At the beginning, it was very tough for me,” she acknowledged, especially “when I have to clean their incontinence. . . . Some of them, they have dementia, they are fighting. They insult you. You have to be very compassionate to do this job.”

Nirva, 46, works with a soft voice, a bubbling laugh and disarming modesty. She says her faith in God — and a need to pay the bills to support her sons, now in high school and college — help her get through each week.

She started caring for Dicenso in her Boston home as the older woman recovered from surgery in 2011. With support from Nirva, another in-home aide and her daughter, Dicenso has been able to continue living alone. She now sees Nirva once a week for walks, lunch outings and shopping runs. The two have grown close, bonding in part over their Catholic faith. At home, Dicenso proudly displays a bedspread that Nirva gave her, emblazoned with the word LOVE.

Nirva also fills three shifts a week at a chiropractor’s office as a medical assistant. Five nights a week, she does an overnight shift at a Boston rehabilitation center.

The Trump administration’s immigration restrictions may exacerbate a serious shortage of direct-care workers, warns Paul Osterman, a professor at the Massachusetts Institute of Technology’s Sloan School of Management. He forecasts a national shortfall of 151,000 workers by 2030 and of 355,000 workers by 2040. If immigrants lose their work permits, the gap would widen further.

“People aren’t going to be able to have quality care,” he said. “They’re not going to be able to stay at home.”

Angelina Di Pietro, Dicenso’s daughter, worries about who could help her mother if Nirva can’t. “There’s not a lot of people in this country who would take care of the elderly,” she said. “Taking care of the elderly is a hard job.”

“Nirva, pray to God they let you stay,” said Dicenso, sitting in her living-room armchair after a long walk and ravioli lunch. “What would I do without you?”

Kaiser Health News (KHN) is a nonprofit news service covering health issues. It is an editorially independent program of the Kaiser Family Foundation that is not affiliated with Kaiser Permanente.

**************************

Restrictionist myths:

  • Health care workers are unskilled;
  • At virtually 100% employment, there are other American workers to take these jobs;
  • There wasn’t a rational basis for continuing Haitian TPS;
  • There is a legal prohibition on taking humanitarian factors and US interests into account in making discretionary, unreviewable TPS determinations;
  • That legal requirements are a factor in the actions of  the Trump Administration (the most lawless and dishonest Administration in US history).

What will happen when xenophobes like David Ray of FAIR need help in their old age? Will they will get the benefit of the qualified, compassionate care that they would deny the rest of us? Or, will they be cared for by “anybody off the street” as they propose for others?

PWS

03-24-18

 

THE LIARS ON THE HILL: Spurred By Trump’s Example, GOP Legislators and Politicos In Washington Have Taken Outright Lying And Knowingly Spreading False Narratives To A New Level

Dave Leonhardt writes in “Opinion Today” at the NYT:

“First, health care: Here’s a giveway about how bad the new Senate health care bill is: Bill Cassidy, one of its authors, keeps trying to sell it by telling untruths.
“The relatively new phenomenon of just ‘up is down’ lying about your bill’s impacts is jarring,” says Loren Adler of the USC-Brookings-Schaeffer Initiative on Health Policy.
Most egregiously, Cassidy is claiming that the bill would not ultimately deprive sick people of health insurance. That’s false, as NPR calmly explained when Cassidy said otherwise.
In fact, the bill — known as Graham-Cassidy — would free states to remove insurance protections for people with pre-existing conditions. Without those protections, insurers could price such people out of the market.

If you get cancer (or even have a family history of it) or your child is born with a birth defect — among many, many other health issues — you could find yourself unable to buy insurance. Without insurance, you could be denied crucial treatments. In a tangible way, Graham-Cassidy would harm millions of Americans.
Aviva Aron-Dine and Sarah Kliff have both written good explainers on this issue. As Kliff notes, “There is literally no analysis” to support Cassidy’s claim that the bill would expand the number of insured.
Jimmy Kimmel, the country’s most unexpected health wonk, has urged Cassidy to stop “jamming this horrible bill down our throats.”

Insurers came out against the bill yesterday, joining doctors, hospitals, AARP, patient advocates, multiple governors and others.
Meanwhile, Republican leaders are trying to win the vote of Lisa Murkowski — one of three Republican senators who voted against a previous Obamacare repeal bill, in July — by funneling money to Alaska.
In the least surprising development of all, President Trump is now repeating Cassidy’s falsehoods.
The last word on health care this morning goes to Nicholas Bagley of the University of Michigan. “Graham-Cassidy is a brazen effort to block any level of government, state or federal, from achieving near-universal coverage,” he writes. “That’s what the debate is about. Everything else is just noise.”

Read Leonhardt’s entire piece with working links to his sources and citations at this link:

https://www.nytimes.com/newsletters/2017/09/21/opinion-today?nlid=79213886

 

And Leonhardt is by no means the only one blowing the whistle on the GOP’s latest War on America. Among many others, the Washington Post’s “Fact Checker” awarded Senator Cassidy “Three Pinocchios” for his false claims about coverage:

“Regular readers of The Fact Checker know that the burden of proof falls on the person making the claim. Cassidy has provided little evidence to support his claim of more coverage, except that innovation would flourish and help bring down costs and expand coverage. That’s certainly possible, but it would be more plausible if his proposal did not slash funding to such an extent.

Kimmel’s claim that 30 million fewer Americans will have insurance may be a high-end estimate. But already, in 2019, CBO calculations suggest at least 15 million fewer Americans would have insurance once the individual and employer mandates are repealed. Much of that decline might be by choice, but Cassidy insists the gap will be filled and then exceeded in 10 years. Unlike Cassidy, no prominent health-care analyst is willing to venture a guess on coverage levels — but the consensus is that his funding formula makes his claim all but impossible to achieve.

Given the lack of coverage estimates by the CBO or other health-care experts, Cassidy’s claim does not quite rise to Four Pinocchios. But it certainly merits a Three.

Three Pinocchios”

Here’s a link to the complete analysis by the Post’s Glenn Kessler:

https://www.washingtonpost.com/news/fact-checker/wp/2017/09/21/sen-cassidys-rebuttal-to-jimmy-kimmel-more-people-will-have-coverage/

Wow! Three Pinocchios is getting into Trump, Sessions, Miller territory!

PWS

09-21-17

🤥 🤥🤥

 

 

 

GOP’S WAR ON AMERICA REVS UP — NEW HEALTH CARE PROPOSAL IS THE WORST EVER! — LESS CARE, MORE UNINSURED!

https://www.washingtonpost.com/news/powerpost/wp/2017/09/18/the-new-gop-health-care-measure-goes-further-than-the-failed-one/?hpid=hp_rhp-top-table-main_pp-healthcare-457pm%3Ahomepage%2Fstory&utm_term=.04f181cc6baa

Paige Winfield Cunningham reports for the Washington Post:

“Sen. Bill Cassidy (R-La.) is pushing a health-care bill that could get a Senate vote in the next two weeks.
A dealbreaker in July may not be a dealbreaker in September.

The latest Obamacare overhaul bill gaining steam on Capitol Hill slashes health-care spending more deeply and would likely cover fewer people than a July bill that failed precisely because of such concerns. What’s different now is the sense of urgency senators are bringing to their effort to roll back the Affordable Care Act, with only a dozen days remaining before the legislative vehicle they’re using expires.

The political prospects for the bill, offered by Sens. Bill Cassidy (R-La.) and Lindsey O. Graham (R-S.C.), seemed to be improving by the hour Monday. A key Republican governor, Arizona’s Doug Ducey, signaled support for the legislation, and some moderate senators whose votes are crucial have either signed onto the bill or at least haven’t ruled it out yet. Ducey opposed the Senate leadership’s Better Care Reconciliation Act — which was defeated in July — and his opposition heavily influenced the decision by Sen. John McCain (R-Ariz.) not to back that measure.

 

Worries over steep Medicaid cuts and how many people could potentially lose protections or their health coverage altogether drove the GOP effort into a ditch at the end of July, when BCRA failed by seven votes.

It’s hard to see how the Cassidy-Graham plan resolves those concerns. In many cases, it could make them even more acute. The Congressional Budget Office has said it will release a “preliminary assessment” of the measure next week, which will provide some information on its effects on the budget. But the CBO said it would be “at least several weeks” before it can estimate whether people would lose insurance and whether premiums would spike.

The measure would actually cut federal health-care spending even more than BCRA, and aim the cuts more directly at states that expanded Medicaid under the Affordable Care Act. It was the governors and senators from those states who were most deeply worried about Medicaid cuts to begin with.”

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The GOP is a threat to the health, safety, and welfare of most Americans. When will voters wake up and vote these clowns out of office before they do irreparable damage to America?

PWS

09-19-17

BREAKING: GOP’s WAR ON AMERICANS’ HEALTH CARE DEFEATED, AGAIN — SENS COLLINS, MURKOWSKI, McCAIN STAND TALL FOR AMERICA — MISOGYNIST GOP, CHURLISH PREZ HURL INSULTS, THREATS! — Also Give Dems Credit For Hanging Together To Save Lives, At Least For Now!

https://www.washingtonpost.com/powerpost/senate-gop-leaders-work-to-round-up-votes-for-modest-health-care-overhaul/2017/07/27/ac08fc40-72b7-11e7-8839-ec48ec4cae25_story.html?hpid=hp_rhp-top-table-main_healthcare-140a%3Ahomepage%2Fstory&utm_term=.60f100ad6021

https://www.washingtonpost.com/powerpost/female-senators-are-increasingly-on-receiving-end-of-insults-from-male-officials/2017/07/27/6b0b6078-72d7-11e7-9eac-d56bd5568db8_story.html?hpid=hp_rhp-top-table-main_gopmen-817pm%3Ahomepage%2Fstory&utm_term=.7aab9ead18ac

Excerpts from two reports from the Washington Post:

“Senate Republicans suffered a dramatic failure early Friday in their bid to advance a scaled-back plan to overhaul the Affordable Care Act, throwing into question whether they can actually repeal the 2010 health law.

Their latest effort to redraw the ACA failed after Sen. John McCain’s decision to side with two other Republicans against President Trump and GOP leaders. The Arizona Republican, diagnosed with brain cancer last week, returned to Washington on Tuesday and delivered a stirring address calling for a bipartisan approach to overhauling the ACA, while criticizing the process that produced the current legislation.

It was a speech that laid the groundwork for Friday’s dramatic vote.

The vote was 49 to 51 — all 48 members of the Democratic caucus joined with McCain and Sens. Susan Collins (R-Maine) and Lisa Murkowski (R-Alaska) to block the legislation.”

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“Republican female senators whose disapproval of the GOP health-care effort has at times endangered its progress are facing an increasingly pointed backlash from men in their party, including a handful of comments that invoked physical retaliation.

In the past week, Sen. Susan Collins (Maine) has been challenged by a male lawmaker to a duel. She and Sen. Lisa Murkowski (Alaska) were told that they and others deserve a physical reprimand for their decisions not to support Republican health-care proposals. Murkowski, who voted with Collins against starting the health-care debate this week, was specifically called out by President Trump on Twitter and told by a Cabinet official that Alaska could suffer for her choice, according to a colleague.

The language of retribution increasingly adopted by Republican men reflects Trump’s influence and underscores the challenges GOP women can face when opposing the consensus of their party, which remains dominated by men, outside experts said. A videotape of Trump surfaced during the campaign revealing him bragging in vulgar terms about groping women, and some believed that opened the gates for further insults and degrading behavior toward women.

“Masculine dominance in the Republican Party is not only in numbers but in culture,” said Kelly Dittmar, a scholar at the Center for American Women and Politics at Rutgers University and the author of “Navigating Gendered Terrain: Stereotypes and Strategy in Political Campaigns.”

“When the person who is supposed to be the leader of the party shows it’s okay to use those sorts of attacks, whether they are specifically gendered or not, that is something that catches on at other levels,” Dittmar said. “We see it in the [elected officials] who feel it’s okay to say things like this.”

****************************************************

Gee, are there only three adults in the “romper room” that passes for the Senate GOP? According to NBC’s Chuck Todd on Today, at least a dozen GOP Senators were “secretly relieved” that McCain vetoed the bill. What happened to their backbones? Whatever happened to governing for the good of the country, rather than trying to make good on boneheaded campaign promises? How much taxpayer money has the GOP wasted with its endless bogus votes to repeal Obamacare and the ongoing legislative circus they have been staging? Probably enough to pay for health care in all the rural counties in America.

Oh, and the threats to let Obamacare tank (that’s the latest version of Trump(we don’t)care)? Those hurt most would be the poor and struggling folks out there in Trumpland. Interesting that Democrats were willing to stand up for them, even though the folks in Trumpland were not willing to stand up for the rest of us Americans. Yeah, and no amount of Kris Kobach, Mike Pence obfuscation and outright lying can change the fact that the majority of Americans voted against the Trump Circus in the first place.

I’ve read lots of articles about how the rest of us need to be kind, compassionate, and understanding of the needs and situations of those who voted for Trump. Generally, I agree with that. It’s one country, and we should take care of everyone, including those who have differing ideas and those who can’t take care of themselves. But, as the GOP would say, at some point there has to be at least a little sense of personal responsibility. Don’t the folks who irresponsibly voted for a supremely (and obviously) unqualified individual to occupy the highest office in the land, and compounded the problem by putting a party that can’t (and never really has been) able to govern in power, bear any accountability for the disaster that has followed?

And one more thing. Could we please have a moratorium on articles about the “legislative genius” of Mitch McConnell?

PWS

07-28-17

 

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.”

**********************************************

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.”

*******************************************

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

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.”

******************************************************

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

************************************************

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.”

*************************************************

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.”

*******************************************************************

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