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Gov. Rick Scott May Personally Benefit From New Law That Hands Medicaid Program Over To Private Companies

Florida Gov. Rick Scott (R) signed “a landmark Medicaid overhaul” yesterday that will put “hundreds of thousands of low-income and elderly Floridians into managed-care plans.” The proposal “gives managed care companies more control over the program that’s paid for with federal and state money,” a shift the state GOP claims will “hold down spiraling costs in the $20 billion program.” However, as TP Health editor Igor Volsky pointed out, a five-county pilot program in Florida already revealed that such a plan produces “widespread complaints and little evidence of savings.” Under managed care, states “have to ensure that private payers aren’t looking out for short term profits by denying treatments or reducing reimbursement rates” and — given what occurred during the pilot program — the results “are already less than promising.”

But Scott may have another reason to push a dubious bill into law. As Mother Jones reported, one of the private managed-care companies that stand to gain from the new law is Solantic, “a chain of urgent-care clinics aimed at providing emergency services to walk-in customers. Solantic was founded in 2001 — by none other than Rick Scott:

The Florida governor founded Solantic in 2001, only a few years after he resigned as the CEO of hospital giant Columbia/HCA amid a massive Medicare fraud scandal. In January, according to the Palm Beach Post, he transferred his $62 million stake in Solantic to his wife, Ann Scott, a homemaker involved in various charitable organizations.[…]

“This is a conflict of interest that raises a serious ethical issue,” says Marc Rodwin, a medical ethics professor at Suffolk University Law School in Boston. “The public should be thinking and worrying about this.”

Scott’s office dismissed the conflict of interest concern as “incorrect and baseless.” However, Scott’s history of fraud with entitlement programs (in that case Medicare) should certainly raise a red flag here. And it is not as if Scott is completely clean when it comes to the mix between professional office and personal interest.

Incidentally, Scott also just signed a bill that will require anyone applying for welfare benefits to pay for a drug test to qualify for benefits. They will only recoup that fee if they pass. One company that provides such drug tests? Solantic.

 

By: Tanya Somander, Think Progress, June 3, 2011

June 3, 2011 Posted by | Capitalism, Class Warfare, Conservatives, Consumers, Corporations, Elections, GOP, Gov Rick Scott, Governors, Health Care, Health Care Costs, Ideologues, Ideology, Lawmakers, Medicaid, Medicare, Medicare Fraud, Politics, Public, Public Health, Republicans, Right Wing, Seniors, Solantic, State Legislatures, States | , , , , , , , , , , , , , | Leave a comment

GOP Has 2012 Trouble: Attacking Medicare And Social Security Could Be Death Of Republicans’ 2012 Hopes

Recent weeks have finally defined the race for the 2012 Republican presidential nomination. The field has finally achieved a greater level of clarity as many candidates have opted out, running the absurd-to-formidable gamut from Donald Trump to Mitch Daniels. A smaller number have opted in, running the has-been to may-never-be gamut from Newt Gingrich to Tim Pawlenty, not to mention former Massachusetts Gov. Mitt Romney, who officially entered the race yesterday.

A former Minnesota governor, Pawlenty officially joined the wannabe ranks last week with a speech aimed at defining himself as a fearless teller of hard truths (previously he had perhaps best been known for lacking any definition at all). This is smart on several levels. He quickly moved to fill the void left by Daniels, the governor of Indiana, whom many in the party had yearned for as a tough-minded fiscal hawk. And in part it is a strong bid for the mantel of not-Romney, the alternative to the former Massachusetts governor and current GOP front-runner. Romney is a laughably transparent flip-flopper, so Pawlenty’s new truth-teller frame could make him an ideal foil.

Politicians love to position themselves as tellers of hard truths, brave enough to boldly level with the voters. And the current tempestuous political climate, with its roiling discontent with politics as usual, especially lends itself to such a pose. Pawlenty is merely the latest candidate to seize this meme.

But his candidacy runs squarely afoul of Robert’s 13th rule of politics: People like the idea of hard truths and hard-truth tellers much more than they like the reality of them. You can ask straight shooters like Walter Mondale (“Mr. Reagan will raise taxes, and so will I. He won’t tell you. I just did.”), Paul “I’m not Santa Claus” Tsongas, and John “Straight Talk” McCain. Winning the presidency requires an aspirational element at odds with the doom-and-gloom that comes with those self-consciously trying to speak hard truths.

So kudos to Pawlenty for standing up to big ethanol in little Iowa. But while some may take off their hats to him for traveling to Florida in order to call for overhauls (read: cuts) of Social Security and Medicare, it might be merely to scratch one’s head. As Hot Air blogger Allahpundit quipped after Pawlenty’s Florida performance, “Alternate headline: ‘Pawlenty now unelectable in not one but two early primary states.’ ”

Maybe this is actually deep strategy. Many conservatives and Tea Partyers in particular seem intent these days on—as Ronald Reagan used to complain of some of his more gung-ho supporters—going “off the cliff with all flags flying.” Perhaps this is a clever way for Pawlenty to appeal to that “I’d rather lose being right” instinct.

An additional problem for would-be hard-truth tellers is that in the telling, these so-called truths often become vehicles for an even harder ideology. The attempt to conflate serious problems with ideologically inflexible and partisan solutions can create political tensions and open deadly political rifts. See the political abyss House Budget Committee Chairman Paul Ryan has marched his colleagues into over his plan to repeal and replace Medicare.

With the future insolubility of Medicare as a starting point, Ryan and the GOP have embarked on an emphatically ideological course. They hailed themselves as seriously facing a tough issue, and they spin the plan as an attempt to save the program, but all it would save would be the name “Medicare.” A guarantee of healthcare would be replaced with a voucher of diminishing value. If it fails to cover seniors’ costs . . . tough luck. The view was perhaps best summed up by Georgia GOP Rep. Rob Woodall, who chastised a constituent at a town hall meeting last month when she asked how, after Ryan’s reforms eliminated the guarantee of Medicare, she could expect to get medical coverage since she worked for a company that doesn’t offer it in their retirement package. “Hear yourself, ma’am,” he said. “You want the government to take care of you, because your employer decided not to take care of you. My question is, ‘When do I decide I’m going to take care of me?’ ”

Woodall, like many conservatives, fails to grasp why programs like Medicare were created. They were a response to a market failure—specifically an inability of senior citizens to get or pay for healthcare. But in Woodall’s world there are apparently no market failures; if seniors can’t get healthcare it’s because they simply won’t take responsibility for themselves. Of course in 1964, 44 percent of senior citizens had no health coverage, and the cost of medical bills had driven more than one third of them below the poverty line. If only they had had the moral fiber to take care of themselves!

Safe in a heavily conservative district, Woodall can spout such nonsense. But roughly 60 House Republicans represent districts Barack Obama won in 2008 and virtually all voted for the Ryancare overhaul. In this case, the gap between hard truths and hard ideology may be big enough to swallow a House majority.

Just ask the pollsters employed by the House GOP, who warned that the bill was a ticking time bomb, Politico reported last week. Or ask Jane Corwin, that bomb’s first casualty. She is the Republican who lost May’s special election in a GOP-leaning New York district in which the Ryan plan was the defining issue. Or ask Sens. Olympia Snowe, Susan Collins, Lisa Murkowski, and Scott Brown, four of the five Senate Republicans who fled the plan last week (the fifth, Rand Paul, opposed it as not being conservative enough).

Or ask Gingrich, the former House speaker who drew party-wide opprobrium when he dismissed the Ryan plan as being so much “right-wing social engineering.” Pity poor Newt: He was just trying to tell a hard truth.

 

By: Robert Schlesinger, U. S. News and World Report, June 3, 2011

June 3, 2011 Posted by | Conservatives, Consumers, Elections, GOP, Health Care, Ideologues, Ideology, Medicaid, Medicare, Politics, Republicans, Right Wing, Senate, Seniors, Tea Party, Voters | , , , , , , , , , , , , , , , , , , , | Leave a comment

Dr. Oz’s Shameless Play For Ratings Discourages Life Saving Procedure While Demeaning True Cancer Survivors

The cardinal rule of practicing medicine is that old adage, “First do no harm.”

Unfortunately, Dr. Mehmet Oz, the TV physician who was given his big break by Oprah Winfrey, apparently missed that day in medical school.

In this week’s Time Magazine, Oz manages to scare people away from getting important colonoscopy procedures while trivializing anyone who has ever faced a truly life threatening bout with cancer or some other potentially life-ending disease – and all in the service of delivering a few rating points.

The piece is entitled, “What I Learned From My Cancer Scare.”

Sounds like a real page-turner, yes?

It’s not.

It’s not because, by any reasonable person’s definition let alone what we might expect from a licensed physician, Dr. Oz didn’t have a cancer scare- unless you consider a cancer scare to include being told that you could possibly develop cancer in 10 to 15 years if you don’t have a simple, routine and painless procedure that people all over the world experience every day which, in virtually every instance, completely resolves the problem.

Indeed, Dr. Oz’s terrifying cancer crisis was something more akin to a child skinning his knee and being told that if his mommy doesn’t put a little iodine and a band-aid on the boo-boo, the open wound just might possibly fall prey to a flesh eating bacteria that will take the poor child’s life.

In his Time Magazine story, the doctor recounts his harrowing ‘brush with death’. We learn of the shock the Oz experienced on learning he had a pre-cancerous polyp – the same kind that one of every four men who has a colonoscopy routinely discovers and one that simply requires being quickly snipped from the colon.

Oz goes on to describe the extraordinary difficulty of sharing this heartbreaking news with his wife and the pain of informing his children that not only was their dad facing this life-threatening crisis (that wasn’t) but that his situation meant that they would be more likely to face this problem in their own lives. Tragically, his children would have to begin getting their own colonscopies at 40 years of age rather than the more typically recommended age of 50.

Oh, the humanity!

Oz goes on to express his angst over the question that filled his psyche, “How could this happen to me?”

The story is dramatic, heart rendering, poignant… and absolute hogwash. What the good doctor experienced was, by his own admission, something completely and utterly routine.

Here is how one of the nation’s top colorectal specialists described what afflicted Dr. Oz–

… this was a tiny adenoma, the same as anybody else. Adenomas are frequently found on colonoscopy with a minimum rate of 15% for women and 25% for men. Adenomas are the type of polyp that could turn cancerous over time (10-15 years) and that is why we remove them.”

That sums it up rather nicely.

The reason a colonoscopy is recommended for those over 50 is because, with age, we are more likely to have these pre-cancerous polyps in our colons just as we are more likely to find pre-cancerous growths on our skin. These polyps, if allowed to continue growing may become cancerous in 10 to 15 years, are routinely snipped out of the colon just as pre-cancerous skin growths are removed before the growth can become something dangerous.

As a result, anyone with any knowledge of this medical procedure knows that having a polyp removed during a colonoscopy is nothing to lose a moment’s sleep over and a great advertisement for why colonoscopy is a worthwhile procedure for us all.

Remarkably, Oz discusses how people avoid getting this procedure because they are afraid to face up to the result. He’s right. It is no secret that human psychology is such that we tend to think that if we don’t know a problem is there, we can pretend there is no problem at all. We avoid the test to avoid any bad news.

That kind of thinking is exactly what gets people in trouble-particularly when any such problem can easily be brought to a successful conclusion simply by having the colonoscopy procedure.

Yet, after pointing out this problem, Oz goes on to scare the you-know-what out of anyone who falls into this category by making his own story far more dramatic than the reality.

It’s really very simple.

If you’re 50 years old – or 40 if there is a family history – get the colonoscopy. Any polyps you have will be removed and you will leave the physician’s office comfortable in the knowledge that you have nipped any future problem in the bud. Repeat the procedure every five years so that any polyps that may have gotten going during the interim can be removed. The result is that your colon will remain happy, healthy and cancer free.

So, why was Oz so freaked out?

Beats me.

In describing Dr. Oz’s polyp, the physician who performed his procedure, CBS medical correspondent, Dr. John LaPook, said,

Statistically, most small polyps like his don’t become cancer. But almost all colon cancers begin as benign polyps that gradually become malignant over about 10-15 years.

Indeed, Oz was just another of these statistics-nothing particularly threatening or dramatic – except, of course, when Oz tells the story.

So, either Dr. Oz’s psyche is so sensitive that a routine matter easily resolved is enough to send his world reeling – despite allegedly having the medical knowledge to know that this was nothing much to sweat – or he knows a great ratings grabber when he sees one. I’ll leave it to the reader to reach a conclusion as to what might be the driving force behind Oz’s tale of terror.

I can, however, tell you how the Colorectal Cancer Coalition reacted to Oz’s histrionics when he first made a fuss over his experience on his TV show last September-

Did Dr. Oz scare you today?

The chances of your colonoscopy resulting in the made-for-TV near-death experience that Dr. Mehmet Oz detailed in a six-part video series on his show and website are highly unlikely. See, Dr. Oz didn’t have a near-death experience, and his colonoscopy story is very common. So can we cut it out with the hysterics, Dr. Oz? You’re scaring people.

Yes, there was a 10 percent chance it could have become cancerous over time, which is why it was removed. The rest of his overblown, overdone, overly-dramatic story, including his heartbreaking anecdote of having to tell his children (sob!) are for the mere benefit of getting people to watch his show.

Unfortunately, a side effect of Dr. Oz’s histrionics is that he’s taken a common condition and turned it into a death-defying act that will scare the living daylights out of anyone who may be approaching the screening age – or who may have already passed it. (If you’re like Dr. Oz and putting off that colonoscopy you naughty kid, go get screened!)

But the damage doesn’t end there.

Like many others before me and since, I happen to be someone who has had to tell my wife and children that I had been diagnosed with a cancer that could mean the end of my life in a rather short period of time. Not a pre-cancerous growth. Not “I might have a problem in 10 years and, oh, they can resolve the problem by just snipping something out in a fifteen minute procedure.”

No, it was looking like I was in some very immediate and serious trouble.

Of course, relaying this bit of information to your family is not a particularly pleasant experience and I’m one of the lucky ones who, after 6 months of chemotherapy (not a fifteen minute painless procedure), is still here to tell the story.

Imagine, if you will, how I -and the millions of others who have faced this difficult experience – might feel when Dr. Oz makes such a fuss about telling his wife that he might have gotten cancer in ten years if he hadn’t had the procedure that virtually insured that this wouldn’t happen?

It’s wrong on so many levels.

Yes, Oz is a television performer and, as such, must be concerned with his ratings if he wants to keep the big bucks flowing.

However, he is still a doctor and that comes with some responsibility- responsibility that Dr. Oz has sadly ignored. For this he should be very ashamed.

As for Time Magazine, would it have killed them to actually look into the reality of Oz’s non-crisis before putting this on their cover?

By: Rick Ungar, The Policy Page, June 2, 2011

June 3, 2011 Posted by | Consumers, Education, Health Care, Media, Public Health | , , , , , , , , , , , , , | 1 Comment

The Limits Of Free-Market Capitalism

Until a few years ago, my spiritual devotions were  limited to the free market and the music of Patsy Cline. I’m sorry to say it’s  just me and Patsy now.

Karl Marx may have been wrong where it really mattered—communism, to paraphrase Churchill, is government “of the duds, by the duds,  and for the duds”—but he was spot on about the pitfalls of capitalism,  particularly when it came to the entrenchment of social classes, the fetish of  consumption, the frequency of recession, and the concentration of industry. Yet,  like trained seals, we continue to leap through the flaming rings of a system  that is contemptuous of the public good while rewarding those who feed off  “free” markets and the politicians who rig them. Nearly three years after the  global economy almost collapsed under the weight of a corrupt and inbred  financial order, Washington is still mired between the false choice of the  state or private enterprise as the proper steward of the general welfare.

It should be clear to anyone who has lost a cell phone  signal in our nation’s capital or been denied health coverage because of a  pre-existing ailment that capitalism’s endgame is not freedom of choice and  efficiency, but oligarchy. Many of America’s top industries—agriculture,  airlines, media, medical care, banking, defense, auto production,  telecommunications—are controlled by a handful of corporations who fix prices  like cartels. As Marx predicted, the natural inclination of players in a  market-driven economy is not to compete but to collude.

Reporting in Asia and the Middle East for many years, I  prayed to the same kitchen gods of untrammeled commerce that now bewitch the  Republican Party faithful and the neoliberals who inhabit the Obama White House. In Asia more than a decade ago, I covered the liquidation of state  assets as prescribed by the International Monetary Fund, perhaps the  largest-ever transfer of wealth from public to private hands, as if it were a  new religion that would transform economies from the Korean peninsula to the  Indian subcontinent. Laissez-faireism, I wrote, would liberate consumers and  domesticate once overweening state-owned enterprises.

In fact, privatization merely shifted economic control  from corrupt apparatchiks to their allies in business, a transaction lubricated  with kick-backs and sweetheart deals. That’s what happened in the Middle East,  and it became the spore that engendered the Arab uprising.

The corruption of capitalism in America is all the more  appalling for its legality. With the economy still struggling to recover from a  housing crisis fomented largely by Wall Street’s craving for mortgage-backed  securities, prosecution of those responsible has been confined to a single lawsuit filed by the Securities Exchange Commission against a  lone financier. The system is still lousy with loopholes, and the Republican  Party, which demographically as well as ideologically is becoming a gated  community for white, southern males, is calling for more deregulation, not  less.

Which brings us to the central failure of American  capitalism: the excoriation of the state.

So deep is the mythology of the free market that we  ignore the consequences of starving our schools, libraries, public media, and  roads and railways. We expect our teachers to assume the burdens of parenthood  and then blame them for failing education. We lament our dependence on foreign  oil and the aviation cartels, but we refuse to underwrite a passenger-rail  equivalent of the interstate highway system. We disparage the coarse  reductionism of corporate-owned news outlets while neglecting public  broadcasting, an isolated archipelago of smart, responsible journalism.

Our hostility to the public sector—fountainhead of  the Hoover Dam, Mount Rushmore, the Golden Gate Bridge, the Los Angeles  Coliseum, our national parks, and countless other public utilities and services  in addition to the federal highway system—is inversely proportional to our  reverence for private consumption. As the economist John Kenneth Galbraith wrote in his 1958 book The Affluent Society, “Vacuum cleaners to ensure clean houses are  praiseworthy and essential in our standard of living. Street cleaners to ensure  clean streets are an unfortunate expense. Partly as a result, our houses are  generally clean and our streets are generally filthy.” Galbraith also noted the  uniquely American conceit of sanctioning debt when households and private  investors hold it but condemning it when  governments do.

Should the feds nationalize banks and appropriate soy  fields? Certainly not. At its essence, there is probably no more efficient way  of establishing the price of a particular good or service than market  economics. Not all transactions are so simple, however, and there are some  services—healthcare, for example, or transportation—that often fare better  more as public goods than as private commodities. In order to save American capitalism,  we must appreciate its limits even as we struggle to harness its power.

By: Stephen Glain, U. S. News and World Report, June 2, 2011

June 3, 2011 Posted by | Businesses, Capitalism, Conservatives, Consumers, Corporations, Democracy, Democrats, Economic Recovery, Economy, Financial Institutions, GOP, Government, Health Care, Ideologues, Ideology, Politics, Republicans, Wall Street | , , , , , , , , , , , , | Leave a comment

Is The Tea Party Killing The Republican Party?

Conservatives are between a rock and a hard place. The Tea Party is in and the GOP is out. Tea Party is a brand that is popular with conservative voters but doesn’t have a national financial base. The Republican Party has a national finance infrastructure but it has been obliterated ideologically by the Tea Party. The emergence of the Tea Party keeps Karl Rove and other D.C. Republicans awake at night. But I’m not losing any sleep because of Karl Rove’s nightmares.

It wouldn’t be the first time in American history that an upstart has killed a party. In the 1840s and 1850s the Whigs gave way to the Republican Party. The old party wouldn’t or couldn’t take a strong antislavery position while Republicans did. The Republicans blossomed as the party of a strong national government while Democrats remained in the GOP’s dust as the party of rebellion and states’ rights. Timing is everything in politics and Democrats continued to fight for state power, right after a war that established the dominance of national power over states’ rights.

Or the opposite may happen. Populism gained favor in the 1890s because of its strong stance against corporate and government corruption but Democrats saved themselves and absorbed the populists by dropping its corporate coziness and becoming a peoples’ party.

And even though the great populist Democrat William Jennings Bryan lost the presidential elections in 1896, 1900 and 1908, the Great Commoner transformed a states’ rights party into a national force that produced the platform for presidential victories by Woodrow Wilson in 1912 and 1916 and by FDR in 1932, 1936, 1940, 1944, and by Harry Truman in 1948.

In the 2010 primary elections, the Tea Party prevailed in just about every race against an establishment Republican congressional candidate. The GOP’s tendency to eat its own young prevented them from winning the Senate in 2010 and may stop win from winning the presidency and the U.S. Senate in 2012.

My guess is the Democratic leader of the Senate offers a daily prayer to the Tea Party. If the Republicans had not nominated Sharron Angle, a Tea Party favorite to oppose him, he would not be a U.S. senator. If the Tea Party hadn’t nominated extremists in Senate campaigns, he wouldn’t be the majority leader if he had been re-elected.

Last year, the GOP nominated Tea Party extremists and consequently lost Senate races in in three states where the party should have won. The candidates were Christine O’Donnell in Delaware, Angle in Nevada and Ken Buck in Colorado. In this cycle, the Tea party is going after moderately conservative GOP senators, Dick Lugar of Indiana and Olympia Snowe in Maine. The Tea Party might very well win both primaries and hand over solid Republican seats to new Democratic senators and allow them to take the Senate back from Republicans.

But I’m not losing any sleep over that either.

By: Brad Brannon, U. S. News and World Report, June 2, 2011

June 3, 2011 Posted by | Congress, Conservatives, Democracy, Democrats, Elections, GOP, Government, Ideologues, Ideology, Politics, Populism, Republicans, Senate, States, Tea Party, Voters | , , , , , | Leave a comment

   

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