HomeLatest ThreadsGreatest ThreadsForums & GroupsMy SubscriptionsMy Posts
DU Home » Latest Threads » McCamy Taylor » Journal
Page: « Prev 1 ... 3 4 5 6 7 8 9 10 11 12 13 ... 36 Next »

McCamy Taylor

Profile Information

Member since: Tue Nov 9, 2004, 07:05 PM
Number of posts: 16,969

About Me

Here is my fiction website: http://home.earthlink.net/~mccamytaylor/ My political cartoon site: http://www.grandtheftelectionohio.com/

Journal Archives

Thank You Steve Bannon For Showing Us Your True Fascist Colors

The Department of Homeland Security wanted to exempt foreign nationals who held green cards and work Visas. These folks---doctors, tech, scientists, teachers---had already been vetted. They held important jobs in this country. They were part of the work force. They were part of the American dream, which encourages foreigners with necessary skills to leave their own countries and come to the US to make our work force stronger. For centuries, the United States has been luring the best and brightest from the Old World to the New World with the promise of freedom of religion, freedom of speech and economic opportunity.

Steve Bannon wants to stop all that. He wants to turn us into a third rate country where skill and productivity and hard work are less important than the penis between a man's legs and his lack of melanin skin pigment. He wants a country that is so starved for talent, that someone with a pitiful talent like his looks like a genius.

Had the executive order exempted those holding work visas or permanent residents, Trump could have claimed it was about national security. But Steven Bannon had to stick his rosacea stained white nose where it did not belong and make it about fascism---racial and ethnic purity. His America would rather do without health care, without safe skies, without hard working taxpayers----if those doctors, IT folks and hard workers have brown skin or worship Allah rather than Jehovah.

I did a little research into my own family tree recently and discovered that many of my ancestors---in particular the "McCamys"---were not the poor, huddled, starving of Europe. They were dissenters, Presbyterians in the case of the McCamys, who could not practice their religion in the UK, where only the Church of England was allowed. Or Huguenots, who had no religious freedom in France. They were heretics, criminals, "terrorists" according to their kings---and they came to the New World bringing with them education and skills, and they got to work in a land where they would not be taxed unfairly or denied jobs due to their faith. A lot of Steve Bannon's followers had ancestors like mine--ancestors who would be rolling in their graves if they could see their descendants sitting on their butts in front of the TV, watching Fox News and whining about their lack of "white privilege".

Steven Bannon's followers have been duped. They think that the reason that they are not doctors or engineers or military officers is because someone with a different skin color or religion "stole" those jobs from them. And so, when Bannon penned an executive order that kept at least one doctor from coming back to the U.S. to serve the sick, they cheered. Never mind that the sick folks she was supposed to serve might have included one of their own family members. Never mind if one of their neighbors will die from lack of care. They would rather be dead. Steven Bannon told them so.

And that is what is so terrible about fascism. Its goal is not racial and ethnic purity. Fascism is a tool of the rich used to push the people down and keep them down. Deny them health care and education and hope, feed them anger and fear and despair, so that they remain weak and poor and submissive to their "betters"---folks like Bannon who plans to lord it up in his new, frightened, dumbed down America. Fascist leaders do not admire or respect their followers. The Steve Bannons of the country are secretly laughing at Trump's base, even as they whisper into their ears "You could have been something, if not for that (expletive racial slur) who stole your birthright from you."

Watch out America. Our Goebbels won't look like this.




That's the German version of Steve Bannon. Our fascist propagandist will look like this, an ordinary Joe who beats his wives and does not get to the gym as often as he should. A regular guy except for his ambition. A Richard Nixon in Bubba clothes:








Posted by McCamy Taylor | Sun Jan 29, 2017, 01:28 PM (5 replies)

In His First Seven Days, Trump Has....

1. Driven his approval rating down by eight points---a feat that is even more impressive when you recall that he started with the lowest approval rating of any newly elected president in recent history. I am not sure I have ever seen a rockier “honeymoon.”

http://fortune.com/2017/01/24/donald-trump-approval-ratings/

2. Given the mainstream press (the NYT) the balls to call him out on his “lies” rather than using familiar euphemisms such as “misstated.”

Trump Repeats Lie About Popular Vote in Meeting With Lawmakers


Good thing, too. An emasculated press is not good for anything except “keeping its mouth shut.”

https://www.nytimes.com/2017/01/23/us/politics/donald-trump-congress-democrats.html

Speaking of "keeping its mouth shut", Trump (via spokesman Bannon)

3. Told the press to "keep its mouth shut", a bit odd coming from a man whose number one job is to uphold and defend the Constitution----the Constitution whose first Amendment has something in it about freedom of speech and freedom of the press. Is there some new kind of ultra orthodox Federalist that I have not heard about? A group that only wants to the Constitution but wants to dump all the amendments as being against the Founders' wishes at the moment in time when they wrote the Constitution? If so, we should hook them up with the NRA, those staunch defenders of the second amendment.

http://thehill.com/blogs/blog-briefing-room/news/316360-bannon-media-should-keep-its-mouth-shut

4. Declared his administration (again via a surrogate) to be in possession of "alternative facts,"

https://www.washingtonpost.com/news/the-fix/wp/2017/01/22/kellyanne-conway-says-donald-trumps-team-has-alternate-facts-which-pretty-much-says-it-all/?utm_term=.c10e5b4cb9bf

which in turn has

5. Driven sales of George Orwell's 1984 up to first place on Amazon!

http://time.com/money/4648774/trump-1984-dystopian-novel-sales-brave-new-world/

6. Given the mainstream press (the WaPo) the balls to question his sanity. Or maybe, in the case of the WaPo, I should say “gave them the tits” seeing as this what former Nixon Attorney General John Mitchell threatened to put in a wringer, precipitating the Watergate investigation.

Maybe Trump isn’t ‘lying’


https://www.washingtonpost.com/blogs/right-turn/wp/2017/01/25/maybe-trump-isnt-lying/?hpid=hp_no-name_opinion-card-e%3Ahomepage%2Fstory&utm_term=.efc6e51f16ad#comments

7. Generated the largest single day protest march the nation has ever seen. I put this in bold, because it takes a lot to get Americans off their butts and out into the streets. Bonus points for global protests in places as remote as Antarctica. And check out this headline!

Women's March against Donald Trump is the largest day of protests in US history, say political scientists
1 in every 100 Americans marches to protest new President's inauguration, with no arrests reported.



http://www.independent.co.uk/news/world/americas/womens-march-anti-donald-trump-womens-rights-largest-protest-demonstration-us-history-political-a7541081.html

8. Threatened to impose martial law in Chicago. Hmmm. Could this be connected to the fact that 500,000 Chicagoans marched against him?

https://www.nytimes.com/2017/01/25/us/trump-threatens-federal-intervention-in-chicago-citing-carnage.html

9. Threatened to withhold “federal funds” from sanctuary cities.

http://www.salon.com/2017/01/25/president-trump-signs-executive-order-threatening-to-withhold-federal-funds-from-so-called-sanctuary-cities/

Recall that these cities are the source of much of the nation’s tax revenue. Meaning that when Trumps says he will not pay for LA’s ports or New York’s airports or Chicago’s highways or Boston’s public health, he is threatening to kill the goose that lays the golden eggs that keep the red states afloat. Plus, big port cities rely upon federal funds to keep us all safe from terrorists. Meaning that to Trump, shipping a maid back to El Salvador is more important than keeping our children from being blown up by ISIS.

10. Declared that water boarding is not torture.

http://thehill.com/policy/national-security/316435-trump-waterboarding-isnt-torture

11. Tweeted 52 times!

http://trumptwitterarchive.com/#/archive




Posted by McCamy Taylor | Sat Jan 28, 2017, 05:38 PM (2 replies)

Draft Dodger Trump's Latest Attack on Veterans---the Federal Hiring Freeze

Trump got out of the draft by claiming to be disabled due to heel spurs. Meanwhile, a lot of Americans who were not born with silver spoons in their mouths were forced to serve in the Vietnam War. Many died. Many others were left with permanent medical problems for which they receive care at the VA--Veterans Administration. Now, Trump wants to take away their health care. And, he wants to make it harder for them to find jobs, too. And he has found an easy way to do it----freeze all federal hiring.

http://www.militarytimes.com/articles/trump-hiring-freeze-dod-va-veterans

Veterans looking for work could be among the largest groups affected by the change, since they currently make up about one-third of the federal workforce, according to agency reports. More than 623,000 veterans are currently working in civilian federal posts, of the 2 million-person federal work force.

Veterans-hiring preferences and familiarity with VA and military issues make many of the posts attractive to former servicemembers.

And the federal government is among the biggest employers of disabled veterans, as well. About 15 percent of veterans working at VA and nearly 18 percent of veterans at the Defense Department are disabled.


Did you catch that? The "swamp" is staffed by veterans---men and women who served their country in the military and now serve it as federal employees. And disabled veterans---those who have paid an enormous price for their country---will now find their job options even more restricted. That means more homeless veterans, more unemployed veterans.

To rub salt in the wound, the hiring freeze include the Veterans Administration. That's right. The folks who serve veterans. Remember how Trump said he would fix the long waits at the VA? He was lying. He is making it impossible for the VA to fill vacancies---and due to retirement, there will also be openings for doctors, nurses, therapists, social workers, pharmacists, technicians and all the other who care for our disabled veterans.

The VA is the largest health care provider in the country and the second largest in the world, after Great Britain's National Health. To freeze hiring is to put the health and safety of veterans at risk. It is almost as if Trump wants veterans to have to wait so long for care that they die....

Traitor, molester and now foe of veterans---is this really an American president?



Posted by McCamy Taylor | Tue Jan 24, 2017, 09:38 PM (17 replies)

GOP Atrocities: What Are They Doing While Trump Distracts us with his Media War Circus?

So, what is the GOP getting up to while Trump provides a media circus distraction? They are making mortgage's more expensive for middle class home buyers, they are gutting consumer safety rules, they are taking away your health insurance ---and even if you do not use ACA, you may lose your local doctor or hospital if the number of uninsured in your area suddenly rises. Anything I have missed? We really need to keep a running tally/list of everything that they are doing to make life more miserable for Americans.
Posted by McCamy Taylor | Sun Jan 22, 2017, 02:16 PM (22 replies)

The New Newspeak: When Trump and Co. Lie, It is "Alternative Facts."

Hold on to your heads, gentle readers. Otherwise, they might explode and you'll find yourself cleaning bits of brain matter out of the carpet.

Yesterday, Trump and his spokespeople "falsely stated" or "misrepresented" (traditional Newspeak for a presidential falsehood aka "lie" when the rest of us do it) facts about the number of people who showed up for the inauguration, the weather, his relationship with the intelligence community. "With False Claims, Trump Attacks Media on Turnout and Intelligence Rift" writes the New York Times, showing that it is still a gentile newspaper that would never accuse the POTUS of "lying". "On his first full day in office, Trump visited the CIA for a stream-of-consciousness airing of grievances — including against journalists — that included the false claim that the crowd for his swearing-in stretched from the Capitol down the Mall to the Washington Monument," reports the Washington Post. "Sean Spicer didn’t take questions at a news conference — or tell the whole truth" declares a headline further down the WaPo's front page.

All very proper. The mainstream media may criticize the president, but it never, ever accuses him or his surrogates of telling a lie. The POTUS may "claim falsely," he can "misstate". There are rules which govern these things----

Not so fast, says Trump advisor Kellyanne Conway (from the MSNBC web age):

Kellyanne Conway, counselor to President Donald Trump, said the White House press secretary gave "alternative facts" when he inaccurately described the inauguration crowd as "the largest ever" during his first appearance before the press this weekend. White House Press Secretary Sean Spicer gathered the press to deliver a five-minute statement Saturday in which he issued multiple falsehoods, declaring erroneously the number of people who used the D.C. metro on Friday, that there was a change in security measures this year and that "this was the largest audience to ever witness an inauguration, period, both in person and around the globe."


Did you get that? The amended edition of the official "Newspeak" manual will be in the mail as soon as Trump and Co. get through with dismantling the federal government and rewriting the Constitution. But in the meantime, never ever accuse Trump of "falsely stating". When the POTUS lies, he does so because the "facts" in the alternative reality in which he lives are different from the "facts" in our world. Where does Trump live? In the pages of George Orwell's 1984.

Next up from Trumpland: the New New Math or why one Trump supporter equals ten Obama supporters.





Posted by McCamy Taylor | Sun Jan 22, 2017, 01:28 PM (4 replies)

Healthcare Smoke and Mirrors: Good Prez, Bad Congress

Do not be fooled. When Congress promises to take away everyone's healthcare, they are pandering to their base. Their base wants everyone except themselves to lose their healthcare.

Do not be fooled. When Trump promises healthcare for everyone, he is pandering to his base. His (business) base wants to continue to be able to make a profit from the U.S. Medical Industrial Complex--currently valued at 15% of the GNP! It can't do that if no one has insurance.

Here is how this one will play out. Congress will proudly announced that they have killed Obamacare. Their base will be delighted at how quickly the new Congress has attacked Obama's legacy---and then will ask "What about my health insurance?"

Trump will quickly step in with a veto. "Not so fast!" he'll say (much to the relief of the loyal base that wants to keep its own health insurance while everyone else does without). "Congress, do your job! I promised everyone insurance!"

What happens next? This involves some tea leaf reading, but I will take a stab at it:

1. Tax Credits for Insurance Premiums---because the GOP can call this a tax cut and stick it on their total of taxes cut! Those who are currently getting money to help pay premiums will instead be given a tax credit--which is great for those who make enough money to pay a lot of taxes, but not so good as your income goes down.

2. Medicaid will expand in all 50 states---because red states love federal handouts, they just did not want to accept one to which they had attached the named Obama. They will be more than happy to accept money to which they attach the name "Trump." Some extremely minor and inconsequential tweaking of the federal/state ratios of spending will suddenly make the Medicaid expansion palatable to GOP state legislators.

3. Private insurers will be able to deny you a policy or charge you higher rates for pre-existing conditions. This allows the GOP to get rid of the individual mandate. It will also make insurance companies extremely happy. What's that you say? Trump has promised that no one will be denied insurance due to pre-existing conditions? See number 4.

4. The return of high risk insurance pools. Eeks! Scary. Anyone who ever spent $25k a year paying for high risk insurance with a $10k per person deductible for two family members with (mild)asthma and (controlled)diabetes knows how horrible high risk insurance is. And how un-affordable. Meaning that many people who really ought to be insured go naked instead---and hospitals are forced to write off their care. So, how can Trump keep his promise to health care providers that they will not be stuck with unpaid bills for care rendered to patients with health conditions? Here is where the GOP is gonna have to get creative. See number 5.

5. First some background. We have two parallel health care systems in the U.S. One (the private) is for people who are not sick and do not need health care. The other (government funded) is for people who are sick and need health care in order to survive. The second exists to keep people from dying on the streets in front of little Trixie which might scar little Trixie for life. Trump has promised he won't let people die in the streets in front of little Trixie and even the most hard hearted Republican does not think that little Trixie should see something like that. It might make her start asking uncomfortable questions. How do we keep people from dying on the streets? Anyone who applied for and was denied a private insurance policy due to pre-existing conditions will be offered a bare bones Medicare Part A that will cover inpatient services including surgery but which will provide no outpatient coverage at all. This will have hospital administrators and surgeons singing Trump's praises---and will allow people to die of their preventable diseases in the hospital rather than on the streets.

So, in summary, look for a switch from government subsidies to tax credits, Medicaid expansion in all 50 states (because Walmart can not do business if its minimum wage employees are too sick to work), the return of "pre-existing conditions", the return of "high risk insurance pools" for those who actually want to treat their re-existing conditions and Medicare Part A Lite for those who would rather just die with dignity in a hospital from their pre-exiting conditions than spend half their disposable income paying for insurance.

If this all goes through, as I expect it will, look for our rate of preventable disease to climb, total health care spending in this country to climb, and life expectancy to decline under Trump and the GOP. Because the GOP does not care about the health of U.S. citizens. They care about the financial health of the insurance and provider industries. And if anyone complains "Where is the preventive care?" Trumps self styled outlaw base will shout back "Preventive health care is for pussies!"
Posted by McCamy Taylor | Mon Jan 16, 2017, 02:15 PM (3 replies)

Heroin Industry's Future Looks Rosy Under Trump!

One industry is especially enthusiastic about President Select Donald Trump's plan to "Make America Great Again!"

In recent years, the heroin industry has had to deal with a glut of high quality, low priced product in the U.S. combined with unfair competition from legal pharmaceuticals---opiate pain medications prescribed by doctors. But all that is about to end. Under Trump, millions of Americans will lose their access to health care as they lose their ACA insurance. Fortunately for them, the heroin market will be there to satisfy their need for relatively cheap, effective pain relief that Congress can not take away with a stroke of the pen. And when the VA is privatized and the veterans, many of whom suffer from chronic pain and mental illness related to their military service are forced to seek care in the private sector, they will discover that there are few non VA associated doctors who are willing to treat chronic pain in those who also have mental illness. So, the veterans will become regular customers of the heroin industry. Last but not least, there are GOP plans afoot to stop Medicaid payments for opiate pain medication. Meaning that people who live in medical poverty due to debilitating chronic illness will also be forced to look to their local drug dealer for relief.

And Trump's foreign master, Vladimir Putin has big plans for Afghanistan, source of much of the world's opium. Putin is said to be courting the Taliban, who grow the poppies that keep the heroin industry going.

Afghan and American officials are increasingly worried that any deepening of ties between Russia and Taliban militants fighting to topple the government in Kabul could complicate an already precarious security situation.

Russian officials have denied they provide aid to the insurgents, who are contesting large swathes of territory and inflicting heavy casualties, and say their limited contacts are aimed at bringing the Taliban to the negotiating table.

(snip)

But a series of recent meetings they say has taken place in Moscow and Tajikistan has made Afghan intelligence and defense officials nervous about more direct support including weapons or funding.


http://www.newsweek.com/putin-russia-taliban-afghanistan-obama-trump-united-states-oil-529461

The Russia mob (that controls Putin who controls Trump) has good reason to want closer ties with the Taliban. Heroin is big business in Russia.

Russian mafia groups sit on the other side of the organizational spectrum from Yakuza. Their structure, according to Frederico Varese, a professor of criminology at the University of Oxford and an expert on international organized crime, is highly decentralized. The group is composed of 10 separate quasi-autonomous "brigades" that operate more or less independently of each other. The group does pool its resources, however, and the money is overseen by a 12-person council that "meets regularly in different parts of the world, often disguising their meetings as festive occasions," Varesi says.
It's estimated that the group claims upwards of 9,000 members, and that it's bread and butter is the drug trade and human trafficking. Russian organized crime in general is heavily involved in the heroin trade that originates in Afghanistan: it's estimated that Russia consumes about 12% of the world's heroin, while it contains just 0.5% of the world's population.


http://fortune.com/2014/09/14/biggest-organized-crime-groups-in-the-world/

With the ruble currently weak, Russians are struggling to pay for their much needed heroin. However, once Trump and Putin have raised oil prices and stabilized Russia's oil dependent economy, Russian addicts will find it easier to make their payments. And supply side does not work if the folks who buy your product can not afford it.

Across the ocean, the border wall between Mexico and the United States should allow Trump/Putin/ the Russian Mob to limit how much heroin gets across the border. This will help them control prices for their product in the U.S, which should see a huge increase in demand for the reasons I describe above.

Our new Attorney General Jeff Sessions can be counted upon to do his part. He has indicated that he wants to prosecute those who use medical marijuana in states that have made it legal. These sitting ducks (many of them are literally sitting in wheelchairs) will take up all the DEA's time, giving the heroin industry some much needed breathing space in which to grow. Plus, all those folks who have been treating their pain with legal weed will also join the ranks of potential heroin addicts.

Sessions has not shared his plans on marijuana enforcement, but if he chooses, he will be able to act decisively and quickly—more so perhaps than with any other of his top agenda items such as re-doubling efforts to combat illegal immigration and relaxing oversight of local police forces and federal civil rights laws. With little more than the stroke of his own pen, the new attorney general will be able to arrest growers, retailers and users, defying the will of more than half the nation’s voters, including those in his own state where legislators approved the use of CBD. Aggressive enforcement could cause chaos in a $6.7 billion industry that is already attracting major investment from Wall Street hedge funds and expected to hit $21.8 billion by 2020.


http://www.politico.com/magazine/story/2016/12/jeff-sessions-coming-war-on-legal-marijuana-214501

Economic factors also affect people's drug use. If folks are desperate with no hope for the future they are more likely to turn to alcohol and drugs. So, take away their Social Security and Medicare. Tell them they will have to work in their grueling, dead end low wage jobs until they drop dead. Many of them will look for solace in a bottle or from a syringe.

If your heroin franchise has not been as profitable and you had hoped, don't close up shop yet. Heroin's fortunes are about to rise again as Trump makes America Great (for Drug Dealers) Again!



Posted by McCamy Taylor | Sat Jan 14, 2017, 09:57 PM (2 replies)

Here is How John Lewis ACTS (While Trump Was Evading National Service)

It takes a lot to make me mad. But never underestimate the ability of our President select to cross the line in search of attention.

Congressman John Lewis should spend more time on fixing and helping his district, which is in horrible shape and falling apart (not to mention crime infested) rather than falsely complaining about the election results. All talk, talk, talk - no action or results. Sad!
Trump

Here is how real leaders like Rep. John Lewis act to defend the Constitution and preserve our liberty.




In 1965, at the height of the modern civil rights movement, activists organized a march for voting rights, from Selma, Alabama, to Montgomery, the state capital. On March 7, some 600 people assembled at a downtown church, knelt briefly in prayer, and began walking silently, two-by-two through the city streets.

With Hosea Williams of the Southern Christian Leadership Conference (SCLC) leading the demonstration, and John Lewis, Chairman of the Student Nonviolent Coordinating Committee (SNCC), at his side, the marchers were stopped as they were leaving Selma, at the end of the Edmund Pettus Bridge, by some 150 Alabama state troopers, sheriff ’s deputies, and possemen, who ordered the demonstrators to disperse.

One minute and five seconds after a two-minute warning was announced, the troops advanced, wielding clubs, bullwhips, and tear gas. John Lewis, who suffered a skull fracture, was one of fifty-eight people treated for injuries at the local hospital. The day is remembered in history as “Bloody Sunday.” Less than one week later, Lewis recounted the attack on the marchers during a Federal hearing at which the demonstrators sought protection for a full-scale march to Montgomery. A transcript of his testimony is presented in the following pages.


https://www.archives.gov/exhibits/eyewitness/html.php?section=2

How did Donald Trump act to serve his country in the 1960s? He received a series of draft deferments while in college--no shame in that---and then he got himself classified as unable to serve because of bone spurs in his heels.

https://www.nytimes.com/2016/08/02/us/politics/donald-trump-draft-record.html

One man, Rep. Lewis is a political leader because he stood up for what he believed in and risked his life to defend his fellow citizens. The other, President Select Trump is a political leader because he took money from Russia and now he has to pay them back. I know why Donald Trump wants to do away with the Veterans Administration. When he sees all those men and women who risked their lives and sacrificed their health to defend their country, he is probably reminded of what a silver spoon in mouth loser he really is--and man so consumed by greed and fear and vanity that he will put his country at risk for personal gain. Any one of the men and women who gather at the VA in the mornings to see their doctors or just to share coffee with fellow veterans would make a better president than Trump. And Rep. John Lewis would make a helluva better president than Trump.

No one should be president of the United States because he wants the power that comes with that office. The number one requirement for that office should be a fierce desire to serve the country and its people.



Like anybody, I would like to live a long life. Longevity has its place. But I'm not concerned about that now. I just want to do God's will. And He's allowed me to go up to the mountain. And I've looked over. And I've seen the Promised Land. I may not get there with you. But I want you to know tonight, that we, as a people, will get to the promised land!


Rep. John Lewis has been to the mountaintop. Trump wants to strip mine the mountaintop.







Posted by McCamy Taylor | Sat Jan 14, 2017, 01:05 PM (2 replies)

President Obama, Please appoint a Special Prosecutor to Investigate Trump and Russia.

How can we have Watergate 2017 without a Saturday Night Massacre? Make it someone impeccable. A jurist without a political affiliation. Someone Trump will be afraid to fire----but will end up having to fire anyway. Someone so clean he squeaks---and that goes double for his family---can't have Russia blackmailing him (or her).

Any suggestions for the perfect Archibald Cox 2017?
Posted by McCamy Taylor | Tue Jan 10, 2017, 10:44 PM (3 replies)

Take a Walk--and Try Not to Die---on the Supply Side of Health Care

For years, the right has been harping on the idea of improving the supply side of health care in America. How do we achieve that?

Current health care laws and regulations discourage or prohibit cost-cutting, quality-improving innovation. Markets must reward innovators who provide services that consumers value, and these innovators must not face arbitrary punishment for taking reasonable risks.


http://www.nationalreview.com/corner/363410/obamacare-driven-supply-side-problems-veronique-de-rugy

In other words, if folks want snake oil, then the FDA should allow the market to supply snake oil and insurers should cover snake oil—and snake oil suppliers should not have to worry about pesky lawsuits. If folks want legal amphetamines and legal downers and legal euphoric agents, then the market should be free to provide them. If the market wants thicker hair and longer lasting erections, then that is where we should focus our health care spending.

What? You thought Idiocracy was a cautionary tale? A dystopian future? Silly health care consumer. It was a How to Manual for Supply Side Success.

“Reasonable risk.” What exactly is a reasonable risk? Depends upon whom you ask. The erectile dysfunction market supports the slaughter of African rhinos in its never ending quest for a longer lasting erection. Therefore, the erectile dysfunction market is likely to say that no risk is too great to get what it wants. That’s because consumers value a long lasting erection.

The diet market will go to any lengths to fit into a size zero. As a chronic dieter once said “I wouldn’t mind getting cancer if it meant I could die thin.” The diet market will accept any risk to get what it wants. Because consumers value being able to count each rib without actually having to live in a famine stricken country.

What do American consumers value? They want youth and beauty---and therefore a lot of people in Hollywood are on Human Growth Hormone and they periodically have to shave their Abe Lincoln chins. They want to live forever---but they also want to drink to excess, eat to excess, consume a combination of legal and illegal drugs to excess, brandish firearms without a clue about how to use a gun safely. And therefore, they want replacement hearts, lungs, hips, knees, ankles, livers for when the ones nature gave them crap out.

One supply side health care advocate insisted that health care costs would go down if the health care industry would only model itself after iPhone. To which I feel compelled to ask---is designed obsolescence something you are looking for when you get your hip replaced? Do you choose your new heart knowing that it does not quite fulfill all your needs but that’s ok, because next year surgeons will have the 2.0 version available?

If supply side health care was all about giving consumers what they need, it would be sensible health care. But too often, people---health care consumers---want something they do not need. And too often, health care providers want to make consumers want something they really do not need---because it makes the providers more money in the short run.

What makes health care supply side providers lots of money in the short run? Surgery. Patent medication. More surgery. More patent medications.

What does not make health care supply side providers lots of money in the short run? Diet counseling. Exercise counseling. As we gradually wean ourselves from our addiction to alcohol, we are killing ourselves with obesity. But there is no money in preventing obesity---and lots of money in treating it. Surgery and patent medications. And artificial hips and knees with the promise that if the person suffering from obesity can just get out there and exercise again, the pounds will melt away magically---never mind that the artificial hip is even less reliable than the natural one that got shot to hell from decades of carrying too much weight.

If your back hurts, you can easily find a surgeon who will take you to the operating room for a procedure that is just as likely to leave you will something called “Failed back syndrome” as fix you. What? You don’t believe me? Here’s the ICD 10 code for Post laminectomy syndrome. M96.1

Welcome to the Supply Side of Health Care. Enjoy your stay. If you are lucky, maybe you will still be able to walk once you get everything that the industry tells you that you want.

What is the alternative? A cradle to grave single payer program that emphasizes disease prevention . How does Western Europe achieve longer life expectancy and better outcomes at half the cost to consumers? A cradle to grave single payer program that emphasizes disease prevention. But disease prevention does not allow an investment banker to buy the patent on a crucial medication and mark the price up a 1000 times. Disease prevention reduces the market for that marked up drug. Disease prevention does not fill operating rooms. It does not sell artificial joints. It does not allow a medical school graduate to quickly pay off his loans and amass a fortune so that he can retire early---not the way that joint-replacement surgery does.

And speaking of joint replacement surgery, who has Trump selected to guide health care in this country for the next four years? A fierce advocate of supply side.

Mr. Price, an orthopedic surgeon who represents many of the northern suburbs of Atlanta, speaks with the self-assurance of a doctor about to perform another joint-replacement procedure. He knows the task and will proceed with brisk efficiency.


http://www.nytimes.com/2016/11/28/us/politics/tom-price-secretary-health-and-human-services.html

For those who have not (yet) priced a knee or hip replacement, they can set you or your insurer back $20 K to $60k depending upon where you have the surgery done.

That is 5 to 15 times the total annual per capita health care spending of Canada. Meaning if you just snagged a new knee , congratulations! You have just used up 15 years worth of health care! You truly are a successful consumer in the world of supply side health care. Now, don’t forget the other knee and both hips. There is no reason you should not use up 60 years worth of health care! Stimulate the economy! Make America great again for your orthopedic surgeon and your local specialty hospital and the company that makes your artificial joints. But if the new knee fails, buyer beware---supply side health care only works if you are willing to assume all the risks associated with your risky surgery. That means, do not go crying to a plaintiffs attorney if your knee breaks leaving you in a wheelchair----

And that is why health care cannot be compared to iPhones. If your iPhone is not the latest model, you can survive—no matter what your teenagers may claim. But if your heart or liver or knee is not working, you will suffer. Suffer horribly, in pain, perhaps in to the point of death. Your family will lose its provider and will plunge into poverty. Health is not optional. It is not a consumer choice. It is essential to life, like air and water---two other things which supply side providers will no doubt try to sell us in the future, for a profit.

Take a walk on the supply side? Dude, once the supply side is through with you, you will be lucky if you can crawl.



Posted by McCamy Taylor | Fri Jan 6, 2017, 07:39 PM (0 replies)
Go to Page: « Prev 1 ... 3 4 5 6 7 8 9 10 11 12 13 ... 36 Next »