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“Punishing Those With Uteruses More Severely”: The States Sending Pregnant Addicts to Jail, Not Rehab

In response to a nationwide heroin epidemic, some Cincinnati hospitals are starting a new program to test all mothers or their infants for opiates, not just those deemed to be at risk based on their background.

The program is intended to help physicians identify newborns who could suffer from Neonatal Abstinence Syndrome (NAS), a group of symptoms related to drug withdrawal including excessive crying, irritability, diarrhea, and seizures. Mothers who test positive will be referred to treatment while their newborns receive extended care.

It’s a bold approach to a growing problem but it may only be effective in a state like Ohio, which, unlike many states, does not punish pregnant women who suffer from drug addictions. Women already bear the brunt of the heroin epidemic and they may face additional criminal and civil consequences if they become pregnant while using drugs.

According to the Centers for Disease Control and Prevention (CDC), heroin use has more than doubled among adults ages 18 to 25 in the last decade, and heroin-related overdose deaths have nearly quadrupled between 2002 and 2013. Among women, heroin use has increased by a staggering 100 percent from 0.8 to 1.6 users per 1,000 people, as compared to a 50 percent increase among men across the same time period.

Over roughly the same time period, the prevalence of NAS has increased from 1.2 to 3.39 per 1,000 hospital births, becoming a pressing public health problem in neonatal ICUs.

In light of the spike in heroin use, the CDC recommends that states increase access to treatment for drug addiction. But some states seem to believe that the best way to help NAS newborns is by threatening their mothers with jail time instead of providing treatment and social support.

In 2014, a Tennessee law went into effect allowing pregnant women who take narcotics while pregnant to be charged with aggravated assault, which could result in a 15-year prison sentence. In so doing, the state earned the dubious honor of becoming the first to pass a specific law that would punish drug-addicted pregnant women.

Weeks after it went into effect, a 26-year-old mother who admitted to using meth before childbirth became the first woman to be charged under it.

“Hopefully it will send a signal to other women who are pregnant and have a drug problem to seek help. That’s what we want them to do,” a county sheriff told the local ABC affiliate.

But critics including the American Civil Liberties Union (ACLU) and The American Congress of Obstetricians and Gynecologists (ACOG) say that such measures do not encourage women to seek help but rather discourage them from seeking prenatal care. Some medical experts even believe that legal prohibitions on pregnancy during drug use may increase abortions among women who would feel pressure to terminate their pregnancies in order to avoid prosecution.

And if Tennessee lawmakers are truly concerned about the welfare of drug-addicted pregnant women, perhaps they should consider funding a specific program to help them recover.

As it turns out, the states that punish drug-addicted pregnant women and the states that prioritize their welfare have a disappointingly narrow intersection. According to the Guttmacher Institute (PDF), 19 states have created or funded targeted drug treatment programs for pregnant women. Tennessee does not number among them. Nor do 10 of the 18 states where it is considered child abuse, although five of them do give pregnant women priority access in general programs.

Of the 15 states that require mandatory reporting to the state when substance abuse is suspected, only six have created or funded treatment programs for pregnant women.

Including Tennessee, a handful of states have gone beyond state reporting requirements and standard definitions of child abuse.

In 2013, the Alabama Supreme Court upheld the conviction of two mothers who had used drugs while pregnant and ruled that drug use during pregnancy constituted chemical endangerment of a child because “the plain meaning of the word ‘child’ in the chemical endangerment statute includes unborn children.”

With this ruling, Alabama joined the South Carolina Supreme Court, which ruled in 1997 that a viable fetus was a “person” and that “maternal acts endangering or likely to endanger the life, comfort, or health of a viable fetus” could be considered criminal child abuse.

Neither Alabama nor South Carolina has funded specific substance abuse treatment programs for pregnant women.

Reuters reports that five other states have tried to pass legislation similar to Tennessee’s new law. In March, for example, North Carolina legislators pushed for a law that would classify drug use while pregnant as assault, a class 2 misdemeanor in the state.

But women who use drugs while pregnant have also been charged under the “fetal harm” and “fetal homicide” laws that are already found in a majority of states. Last year, a chronically depressed and uninsured Wisconsin woman named Tamara Loertscher spent 17 days in jail because clinic discovered methamphetamines and marijuana in her system when she went in for a pregnancy test. Loertscher said that she stopped using drugs as soon as she suspected she was pregnant but it was too late.

Many “fetal homicide” laws were originally intended to punish those who injured or killed pregnant women—now they are being applied to punish and demonize pregnant women themselves.

As ACOG notes, several major medical and public health organizations in the United States have argued that states should try to curtail drug and alcohol use during pregnancy through treatment rather than criminal prosecution. The American Medical Association fought the 2013 Alabama Supreme court ruling and opposes legislation that criminalizes drug use during pregnancy. And the American Psychiatric Association said in a 2001 position statement that “societal resources [should] be directed not to punitive actions but to adequate preventive and treatment services for these woman and children.”

Even new universal testing initiative in Cincinnati is not without controversy. As Reuters reports, some advocates would prefer a screening program for pregnant women to mandatory testing. But if mandatory testing can be effective anywhere, it would be in a state like Ohio where there are no criminal consequences for drug-using pregnant women, no mandatory reporting requirement, and state-funded treatment available for pregnant women.

What a novel idea: Help people recover from drug addiction instead of punishing the ones who have uteruses more severely.

 

By: Samantha Allen, The Daily Beast, August 12, 2015

August 13, 2015 Posted by | Abortion, Drug Addiction | , , , , , , , | Leave a comment

“In GOP Debates, The Wrong People Are On The Stage”: Super-Rich Donors Turn Our Democracy Into Their Plutocracy

Once upon a time in our Good Ol’ US-of-A, presidential contenders and their political parties had to raise the funds needed to make the race. How quaint.

But for the 2016 run, this quaint way of selecting our candidates is no longer the case, thanks to the Supreme Court’s malicious meddling in the democratic process in its reckless Citizens United decision. In that decision, the five members of the Corporate Cabal decreed that “non-candidate” campaigns can take unlimited sums of money directly from corporations. Therefore a very few wealthy powers can pour money into these murky political operations and gain unwarranted plutocratic power over the election process.

And looking at the fundraising numbers, those wealthy powers have definitely taken charge of the electoral game. These very special interests, who have their own presidential agendas, now put up the vast majority of funds and run their own private campaigns to elect someone who will do their bidding.

So far, of over $400 million raised to back candidates of either party in next year’s race, half of the money has come from a pool of only about 400 people — and two-thirds of their cash went not to candidates directly but to corporate-run SuperPACs. To get a grasp at what this looks like, take a peek at the SuperPACs supporting Ted Cruz. Of the $37 million they have raised, $36 million was pumped in by only three interests — a New York hedge fund manager, a corporate plunderer living in Puerto Rico, and the owners of a franking operation who’ve pocketed billions from the explosive use of this destructive drilling technology.

So while Jeb Bush, Ted Cruz, Scott Walker, and gang are the candidates, the driving forces in this election have names like Robert Mercer, Norman Braman, Diane Hendricks, Dan and Farris Wilks, Toby Neugebauer, and Miguel Fernandez.

Who are these people? They are part of a small but powerful coterie of multimillionaire corporate executives and billionaires who fund secretive presidential SuperPACs that can determine who gets nominated. These elephantine funders play politics like some super-rich, heavy-betting gamblers play roulette — putting enormous piles of chips on a name in hopes of getting lucky, then cashing in for governmental favors.

Let’s take a look at the funders:

  • Robert Mercer, chief of the Renaissance Technologies hedge fund, has already put more than $11 million into Ted Cruz’s SuperPAC.
  • Norman Braman, former owner of the Philadelphia Eagles football team, has $5 million down on Marco Rubio
  • Diane Hendricks, the billionaire owner of a roofing outfit and a staunch anti-worker activist, is betting $5 million on Scott Walker, as are the Koch brothers.
  • Mike Fernandez, a billionaire investor in health-care corporations, has backed Jeb Bush with $3 million.
  • Ronald Cameron, an Arkansas poultry baron, is into Mike Huckabee for $3 million.

These shadowy SuperPACs amount to exclusive political casinos, with only a handful of million-dollar-plus players dominating each one (including the one behind Hillary Clinton’s campaign). These few people are not merely “big donors” — they are owners, with full access to their candidate and an owner’s prerogative to shape the candidate’s policies and messages.

But one of these new players assures us that they’re not buying candidates for corporate and personal gain, but “primarily (for) a love of economic freedom.”

Sure, sweetheart — all you want is the “economic freedom” to pollute, defraud, exploit, rob, and otherwise harm anything and anyone standing between you and another dollar in profit. The problem with the GOP presidential debates is that the wrong people are on stage. These treacherous few donors are using their bags of cash to pervert American democracy into rank plutocracy. Why not put them on stage and make each one answer pointed questions about what special favors they’re trying to buy?

 

By: Jim Hightower, Featured Post, The National Memo, August 12, 2015

August 13, 2015 Posted by | Campaign Financing, GOP Campaign Donors, GOP Primary Debates | , , , , , , | 4 Comments

“I Don’t Believe Bush Misspoke”: The Phony, Unprincipled War On Planned Parenthood

With one careless comment, Jeb Bush revealed a fundamentally indifferent attitude toward half the U.S. electorate.

“I’m not sure we need half a billion dollars for women’s health issues,” he said in a speech at the Southern Baptist Convention in Nashville, Tennessee.

It was a throwaway aside in a longer blather about defunding Planned Parenthood, and one imagines that no sooner were the words out of his mouth than his cringing consultants were drafting a clarification.

The inevitable statement soon followed, admitting he “misspoke” and adding that “there are countless community health centers, rural clinics and other women’s health organizations that need to be fully funded.”

Too late. The game was on. Hillary Clinton blasted back, “When you attack women’s health, you attack America’s health.”

I don’t believe Bush misspoke. There’s something about abortion he wishes to ignore: Abortion is a women’s health issue. You cannot separate abortion from this context.

Oppose it or not — and I do — abortion is a medical procedure that ends an unwanted or health-threatening pregnancy. If we want to encourage the trend toward decreasing numbers of abortions in this country — and no one in their right mind wants to see more of them — we need to bolster women’s reproductive health services. That means ensuring wide access to sex education and contraceptives. (It also means honestly admitting that an overwhelming majority of Americans accept that abortion should be permitted when a pregnancy is the result of incest or rape, or when the health of the mother is threatened.)

If you oppose abortion and you’re not ready to promote the most effective ways of preventing unwanted pregnancies, you’re not serious. If you call for “defunding” Planned Parenthood — as virtually the entire Republican Party does — you are attacking a leading purveyor of contraceptives and information about how to use them for women of limited economic resources. You’re also threatening to shut down 700 clinics that provide crucial preventative health measures like pap smears and refer women for mammograms.

About 85 to 90 percent of Planned Parenthood’s work is providing these basic health services, often to low-income women without access to health insurance. That’s according to analysis of the organization done by PolitiFact. Abortions add up to about 3 percent of the organization’s services, and they are not funded with federal money.

A recent vote in the U.S. Senate to defund Planned Parenthood, which failed, called for redirecting the monies to other women’s health facilities that did not provide abortions. The problem is that there are far too few such clinics to meet the need. Moreover, the effort misunderstands how Planned Parenthood receives $528 million annually: mostly through Medicaid reimbursements and competitive Title X family planning grants.

The plain truth is that the Republicans who wish to destroy Planned Parenthood — and Bush is far from the most vociferous — really don’t care that the bulk of its work has nothing to do with abortion. Nor do they care about standards of accuracy in the accusations they make against the organization.

They have worked hand in glove with the Center for Medical Progress, an anti-abortion group inspired by the ethically dubious video techniques of conservative activist James O’Keefe. This group set up a phony front company and then lured Planned Parenthood officials into secretly videotaped conversations about providing fetal tissue for research. The group then released videos selectively edited to suggest that Planned Parenthood was in the illegal business of selling fetal tissue.

The bogusness of this charge is patently obvious when one views the unedited tapes, but that matters little to GOP opportunists, who promise all sorts of congressional inquisitions.

Fine. Hold hearings. See what you find. My guess is that it will be zilch (See: Benghazi).

Meanwhile, the American public needs to know that these new anti-abortion activists are picking up the cudgels of the folks that brought us the so-called Summer of Mercy protests that required federal marshals to restore order in Wichita, Kansas, in the 1990s. Tactics used to include clinic bombings and harassing any woman who set foot near a clinic, regardless of what services she might be seeking.

That phase of the movement failed, although it never went away. In 2009, Kansas abortion doctor George Tiller was shot dead at his church.

Pro-life activists have figured out that it’s better to co-opt the Republican Party than to engage in terrorism. That’s progress. Unfortunately, disingenuous attacks on women’s health care purely to court votes do no favors to either women or unborn babies.

 

By: Mary Sanchez, Opinion Page Columnist, The Kansas City Star; The National Memo, August 12, 2015

August 13, 2015 Posted by | Hillary Clinton, Jeb Bush, Planned Parenthood, Women's Health | , , , , , , , | Leave a comment

“Fox News Created The Trump Monster”: The Billionaire Egoist Is The Creation Of The Network Now Trying To Destroy Him

Okay, so as I write these words, someone could be about to release a post-debate poll showing exactly what establishment Washington, which now apparently includes even Fox News (!), yearns to see a poll show—that Donald Trump has tumbled, and that the new leaders in the GOP field are the comparatively sober Jeb Bush and John Kasich, along with maybe Carly Fiorina, since everybody seems to be swooning over her now. Maybe it’ll happen.

But what in fact did happen is that we got this NBC News-Survey Monkey poll showing Trump still ahead and Ted Cruz and Ben Carson vaulting into second and third place, respectively. It’s an online poll, and I know we’re supposed to question its methodology (which the pollsters explain here, if you’re interested). So I’m not going to sit here and swear by it. But on Monday, two other post-debate polls came along showing that Trump is still going strong. So the results are interesting enough, and they track closely enough with other anecdotal evidence that’s made its way to my inbox, that it’s certainly worth asking: What if Trump is still clobbering the rest of the GOP field?

If he is, we’re at a very interesting politico-cultural moment: The moment when, to a sizeable portion of the GOP electorate, Fox News stopped being their warrior and instead became just another arm of the lamestream media. If that’s true, everything we’ve known and assumed about our political divide is now moot, and we’re flying totally blind. The Republican Party has unleashed furies it can no longer remotely control.

First, here are the numbers, if you haven’t seen them. Post-poll, Trump went to 23 percent, according to NBC. That’s actually a gain of one statistically insignificant point, but reflect on this: He gained that point even though poll respondents said by a huge margin that he lost the debate (29 percent called him the loser; next closest was Rand Paul at 14 percent). Ted Cruz gained seven points, going from 6 to 13 percent. Ben Carson gained three points, moving from 8 to 11 percent. Marco Rubio stayed flat at 8 percent, and Jeb Bush and Scott Walker, the other “first-tier” candidates, finished in the cellar, losing three points each.

So add it up. The Tasmanian Devil candidate who’s obviously tapping into deep right-wing anti-establishment anger and the two other most extreme candidates combine for 47 percent. The two who in my view you can reasonably call quasi- or comparatively moderate, Kasich and Bush, combine to hit 9 percent.

All right, though, enough on the polls. Maybe enough time hasn’t elapsed for Trump’s Megyn Kelly comments to truly sink in with the Republican electorate. But here’s the anecdotal materials that suggests he’s still on the rise. First, which candidates were most heavily Googled during the debate? Huh. What a coincidence. It was Trump, Carson, and Cruz. The biggest single Google moment by a mile came during Cruz’s first remarks (“If you’re looking for someone to go to Washington, to go along to get along, to get—to agree with the career politicians in both parties who get in bed with the lobbyists and special interests, then I ain’t your guy.”) Carson scored well while talking terrorism and during his close, and Trump throughout.

Here’s a little more. I was on Fox on Sunday, on Howard Kurtz’s show. Every time I finish that show, I have 30 or so tweets in my feed. Usually, the tweeters are angry at me, for the obvious reasons. But Sunday, they were mostly mad at The Blaze’s Amy Holmes for her robust defenses of Megyn Kelly and attacks on Trump. This tweet, while more polite than most, is representative of the argument. Trump isn’t perfect, but lay off him already. Fox screwed up. And most of all: Don’t tell us what to think!

We’re used to this kind of rhetoric when conservatives volley it in the direction of The New York Times and CNN. But what are we to make of it when the target is Fox?

Two things. First, if I’m right about this and other polls back all this up, this process is officially beyond anyone’s ability to predict. Ignore all “surely this will finally start Trump’s downfall” stories, and all positive Jeb! stories. And is Cruz soon-to-be first tier? I admit that I sure missed that. I didn’t think he registered a heartbeat in the debate. It’s hardly remarkable that I was wrong about something, but most commentators pretty much dismissed Cruz, too.

And Carson! It’s not like he comes out of nowhere. They’ve been selling his first book by the truckful in Christian bookstores for years, and for gosh sakes, Cuba Gooding Jr. played him in a movie. But normally that would translate into a respectable sixth or seventh place. If he’s really doing better than that, something important has changed. And don’t ignore what an extremist he is: In his more recent book, which I actually read, he sincerely questioned whether citizens who pay no net income tax should have the right to vote—“Serious problems arise when a person who pays nothing has the right to vote and determine what other people are paying.”

The second thing we’re to make of this is that Fox and the Republican Party have created this new reality. When you spend years nodding and winking and yuk-yuking about the President’s birth certificate, how can you be surprised when the guy who has repeatedly demanded to see it turns out to be really popular with your base? You promote a politics that attacks women not merely for having abortions but for wanting to use contraception, and then you’re shocked when your hard-shell voting base turns out not to be overly offended by remarks like Trump’s?

Indeed Roger Ailes recognized all this when he decided to make nice with Trump on Monday. In the first instance Ailes did it because Trump has leverage, and The Donald’s threat not to go on his air meant a heavy hit in the ratings department. Ailes was also certainly feeling the blowback from his core audience–the kinds of tweets I alluded to above. And beyond all that, somewhere deeper down, Ailes knows that Fox made Trump, politically, and that the two are made for each other.

The Republican Party and Fox permitted and encouraged Trumpian vitriol for years. All that talk over the years about birth certificates and Kenya and terrorist fist-jabs (remember that one?!) and the moocher class and the scary brown people and all the rest of it…all of it created a need for a Trump, and for other Trump-like candidates, to flourish. Now it threatens to overtake them. If they’re wondering who created Trumpism, I have someplace they can look. The mirror.

 

By: Michael Tomasky, The Daily Beast, August 12, 2015

August 13, 2015 Posted by | Donald Trump, Fox News, GOP Primary Debates | , , , , , , , | 1 Comment

“Arguing Candidly With Trump Instead Of Flattering Him”: Inside Story; Behind Trump’s Breakup With Consultant Roger Stone

The tumultuous split between Roger Stone and Donald Trump – allied since their introduction more than 30 years ago by the late and legendary right-wing attorney Roy Cohn – erupted from internal divisions that have troubled the real estate mogul’s presidential campaign almost from the beginning, according to knowledgeable sources. Among the figures who may seek to fill the strategic vacuum left by Stone’s abrupt departure is none other than David Bossie, who runs the Citizens United Foundation and has long been associated with disreputable figures on the Republican right.

Stone’s very public resignation followed the Fox News Republican primary debate and Trump’s subsequent sparring with moderator Megyn Kelly. He complained on CNN that when the Fox anchor raised his past misogynist remarks during the debate, “You could see there was blood coming out of her eyes…Blood coming out of her wherever.” Interpreted as a reference to menstruation, which Trump later denied, those words provoked a powerful backlash from across the political spectrum, leading to an angry argument between him and Stone over the debate results and aftermath.

On Saturday morning, Washington Post reporter Robert Costa tweeted an interview with Trump saying that he had fired Stone, whom he disparaged as a “publicity seeker.” Stone tweeted back: “Sorry @realDonaldTrump didn’t fire me—I fired Trump. Disagree with diversion to food fight with @megynkelly away [from] core issue messages.” The provocative political consultant and “dirty trickster” quickly produced a letter of resignation that he had sent to Trump, lamenting the end of their long personal and professional relationship, while noting that “current controversies involving personalities and provocative media fights have reached such a high volume that it has distracted attention from your platform and overwhelmed your core message … I can no longer remain involved in your campaign.” Friends of Stone confirmed to reporters that he had discussed resigning from the campaign even before the Fox debate.

Behind the media histrionics and dueling Twitter messages, however, were intrigues that sources trace to the hostility between Stone and campaign manager Corey Lewandowski, an ambitious former Capitol Hill staffer and employee of Americans for Prosperity, the Koch brothers’ political operation.

On August 2, Lewandowski arranged the firing of Sam Nunberg, a Stone protégé bounced from the campaign after an anonymous informant sent an email about racist posts on Nunberg’s Facebook page, including a 2007 post mocking the daughter of Rev. Al Sharpton, to the political editor of Business Insider. Under Stone’s direction, Nunberg had almost singlehandedly prepared all of the Trump campaign’s position papers, talking points, and written materials.

But Lewandowski clashed frequently with the volatile, obsessive, wonkish Nunberg and apparently appreciated neither his abilities nor his efforts. When asked about Nunberg, Lewandowski called him “a short-term consultant,” telling CNN that the campaign would “investigate” Nunberg to determine whether he had written the racist posts; and if so, he would be terminated.

Then, despite a personal promise from Trump to Nunberg that he could resign quietly to preserve his career, Lewandowski made sure that the campaign publicly announced his dismissal. It was a gratuitous bit of nastiness that infuriated Stone, who told friends he suspected Lewandowksi’s hand in the exposure of Nunberg’s inflammatory Facebook post.

So Stone had developed a low opinion of Lewandowski well before the Fox debate, telling friends that “due diligence” ought to have precluded Trump from hiring the campaign manager. Lewandowski has no previous presidential-level experience but his résumé undeniably does include stints with former Rep. Bob Ney (R-OH), who went to prison in 2006 after pleading guilty to corruption charges in the Jack Abramoff lobbying scandal, and former Senator Bob Smith (R-NH), who lost his seat in 2002 after angering fellow Republican senators and GOP leaders in his home state. In fact, Lewandowski managed Smith’s embarrassing, doomed campaign.

To those who know Stone, whose experience in national politics dates back to the 1968 Nixon campaign, his irritation at being overruled by someone of such lowly political stature was understandable. The Trump campaign, as he saw it, had become dominated by mediocre climbers who would never speak honestly to the casino mogul.

The Bossie connection also troubled Stone, according to the same sources. Trump had hired Lewandowski after meeting him at a New Hampshire event for Republican presidential hopefuls sponsored by Citizens United and Americans for Prosperity, where Bossie reportedly recommended the 40-year-old operative to Trump. Stone may suspect that Bossie – a disreputable GOP operative who runs profitable email response campaigns — might have designs on the tens of thousands of valuable names and email addresses of conservatives who have contributed money on the Trump website. In only two days, tens of thousands had signed up for a “matching campaign,” making donations that the Manhattan developer promised to double.

Stone’s frustration grew, sources say, because his attempts to influence Trump’s direction and strategy went largely ignored. Instead, he found himself on the defensive internally against adversaries who wanted both him and Nunberg ousted. The worst offense that any consultant or staffer could commit, from Trump’s perspective, was to seek publicity for himself or herself. When Vox published a profile of Stone in late July – without a single quote from him – the piece somehow landed on Trump’s desk and sent him into a rage. Meanwhile, both Lewandowski and campaign press secretary Hope Hicks, a 26-year-old former assistant to Ivanka Trump, were profiled in Politico and the Washington Post Style section, respectively – with no repercussions for either of them.

Campaign intrigues aside, Stone put himself at risk by arguing candidly with Trump instead of flattering him. While sources say that Stone’s advice wasn’t infallible – he wrongly predicted, for instance, that Trump would get little traction without traditional polling and television advertising – he was certainly correct to say that the candidate should have ignored Megyn Kelly after the Fox debate. And if Trump intends to brandish a credible third-party threat, the only figure in his campaign with any relevant competence was Stone, who helped put Libertarian candidate Gary Johnson on the 2012 presidential ballot in 48 states.

Yet the toxic tide of anti-immigrant, xenophobic acrimony that has carried Trump this far may take him further still, even without his old friend and confidant. In a “scientifically weighted” online survey released by NBC on Sunday, he is still leading the Republican race with 23 percent, essentially unchanged from his previous level of support – even though he also topped the list of biggest “losers” of the debate among Republican voters.

 

By: Joe Conason, Editor in Chief, Editor’s Blog, The National Memo, August 9, 2015

August 12, 2015 Posted by | Donald Trump, GOP Primary Debates, Roger Stone | , , , , , , , | Leave a comment