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“Muddied Waters And Smokescreens”: These Six States Want To Allow Health Insurers To Deny Coverage To Sick People

Officials in Texas and five other GOP-led states are refusing to oversee even Obamacare’s most basic — and popular — consumer protections and insurance market reforms. That includes the law’s ban on denying coverage or charging more because of a pre-existing condition and discriminating against women on the basis of gender. The decision could present major hurdles to Americans who buy health insurance through federally-run marketplaces in the Lone Star State, Arizona, Alabama, Missouri, Oklahoma, and Wyoming.

A majority of states haven’t set up their own insurance marketplaces, opting to let the federal government set one up for them. But every one of those states (other than the six in question) have at least said they will police the insurers that sell plans on their federally-run marketplaces to make sure that they aren’t giving consumers short shrift. The Centers for Medicare and Medicaid Services (CMS) will instead be responsible for enforcing Obamacare’s insurance industry reforms and reviewing consumer complaints in the states refusing to do so on their own.

That could be confusing for Americans who are buying insurance for the first time through the marketplaces. For example, imagine you’re a relatively poor person with diabetes. Your income isn’t low enough to get you on Medicaid — but your employer doesn’t offer health benefits, and you’ve never qualified for insurance on the individual market because of your medical condition. On October 1st, you can go buy insurance with government subsidies for the first time on an Obamacare marketplace. But the plan you choose charges you a suspiciously high premium relative to your income. You suspect it’s because of your medical problem, which is clearly illegal under the reform law. But who do you complain to?

Usually the answer is your state’s insurance department. But the answer is CMS if you live in one of the six states that won’t enforce the consumer protections. Unfortunately, if you don’t know that, you could spend months oscillating between the state and federal government, trying to figure out if you’re getting hoodwinked by your insurance company. And in the meantime, the bills are piling up.

Those kinds of scenarios are the reason that health policy experts say insurance complaints are best handled by state agencies. Officials with the Texas Department of Insurance argue that they legally can’t enforce the regulations because they’ve ceded authority over the marketplace to the federal government, and Texas doesn’t have corresponding state laws holding insurers to the same standards as Obamacare. But Stacy Pogue of the Center for Public Policy Priorities tells the Texas Tribune that’s likely a smokescreen, since Texas has enforced plenty of other federal laws on a statewide level in the past.

Officials in the Lone Star State certainly haven’t been shy about their opposition to the health law. Gov. Rick Perry (R) dug in his heels against reform in 2012, saying he wouldn’t “be a part of expanding [the] socializing of our medicine.” More recently, Perry denied basic health benefits to 1.5 million of his state’s poorest residents by forgoing Obamacare’s Medicaid expansion. Evidently, that wasn’t going far enough.

National Republicans have also been stepping up their efforts to to undermine Obamacare. Reps. Tim Huelskamp (R-KS) and Jason Chaffetz (R-UT) are refusing to help their own constituents if they have questions about the health law, and the Tea Party-affiliated advocacy group FreedomWorks has been telling young Americans to forgo signing up for health coverage under Obamacare entirely.

By: Sy Mukhergee, Think Progress, August , 2013

August 8, 2013 Posted by | Affordable Care Act | , , , , , , , , | 1 Comment

“The New GOP Confederacy”: The US Civil War Is Playing Out Again

Nearly 150 years after the end of the US civil war, the South and the federal government are poised for a rematch over the voting rights of black Americans, and ultimately over the fundamental rights of all Americans. Once again, the former Confederate states are determined to defend their traditions and way of life, while the Union forces in the North – the federal government – are positioning themselves to defend justice and equality.

But this time, in an ironic twist, two black men – President Barack Obama and Attorney General Eric Holder – are leading the charge.

In the 1860s, the fight between the North and the South was about slavery and the right of the Confederate states to maintain a dreaded institution that kept people of African descent in bondage. Unprecedented carnage resulted.

A century later – in light of the 1954 US supreme court decision in Brown v Board of Education of Topeka, which ended racial segregation in public schools – the South struggled to maintain a Jim Crow system that kept black people legally and politically impotent, all in the name of states’ rights.

Two hallmarks of the civil rights movement are the Civil Rights Act of 1964 and Voting Rights Act of 1965. Passed by Congress and signed into law by President Lyndon Johnson, the legislative victories were achieved only through the blood of civil rights workers, both black and white, who were beaten, sprayed with fire hoses, shot, firebombed, bitten by police dogs and lynched.

The purpose of the Voting Rights Act was to apply a nationwide ban against discriminatory election practices such as literacy tests. The existing anti-discrimination laws, Congress concluded, were insufficient to overcome the Southern states’ resistance to the Fifteenth Amendment.

In June 2013, the nation’s high court cut the voting law at its knees in Shelby County v Holder when it eviscerated the key component of the act – the section 4 preclearance requirement – which determined which states must receive approval from a federal court or the Justice Department before making changes to their voting procedures. The act applied to nine states – Alabama, Alaska, Arizona, Georgia, Louisiana, Mississippi, South Carolina, Texas and Virginia – and various other localities and counties across the country.

In the second decade of the 21st century, the latest battle centers around southern states with a history of voting rights violations, and currently exhibit the most anti-black, racist sentiment. These states want to employ restrictive and racially discriminatory voter suppression methods such as voter ID. This time, the Republican party has replaced the Dixiecrats as the party of white supremacy and the old Confederacy, of racial discrimination and voter suppression. And Holder has decided to make an example of Texas, firing the first shot at the Lone Star state.

Within 24 hours of the high court decision, five states – Alabama, Mississippi, South Carolina, Texas and Virginia – decided to move forward with their voter ID laws. They required preclearance under section 4, which no longer exists. Moreover, Holder and a federal court had already blocked the South Carolina and Texas voter ID laws because they violated the Voting Rights Act.

Florida has resumed its purge of Hispanic voters following the supreme court decision, and after a federal court lifted a ban on removing potential non-US citizens from the rolls. North Carolina Governor Pat McCrory is about to sign into law the nation’s most restrictive voter suppression measure, though, he admits he has not read the provision prohibiting 16- and 17-year-olds from pre-registering to vote. The law also eliminates same-day registration, cuts early voting by a week and requires government-issued ID to vote. According to the North Carolina secretary of state, voter ID laws are having a disproportionate impact on Democratic voters and voters of color.

SB 14, the Texas voter ID law considered the most severe in the US at present, requires Texans to prove their citizenship and state residency in order to vote, using a passport, military ID or birth certificate if they lack a driver’s license, concealed handgun license or photo ID. In 2012, a federal court struck down the Texas law on the grounds that:

The implicit costs of obtaining SB 14-qualifying ID will fall most heavily on the poor and that a disproportionately high percentage of African Americans and Hispanics in Texas live in poverty. … We therefore conclude that SB 14 is likely to lead to ‘retrogression in the position of racial minorities with respect to their effective exercise of the electoral franchise.’

Yet, in light of the Shelby County decision, the Supreme Court discarded the lower court’s Texas voter ID ruling, and threw out a ruling that found Texas’ state redistricting maps were “enacted with discriminatory purpose” and diluted the Latino vote. Although Latinos made up nearly 40% of the Texas population in the 2010 census and accounted for 65% of the growth in the state population, Texas Republicans essentially pretended Texas is a white state. The GOP kept Latinos and black voters out of the redistricting process, added only one minority district, and manipulated an electoral map “that would look Hispanic, but perform for Anglos”.

In addition, the court found that 603,892 to 795,955 Latino voters in Texas lacked voter identification – as Texas Republicans had intended. Student IDs are not adequate identification at the polls, but gun permits are acceptable, reflected a preference for Republican constituents.

Holder announced he would ask a federal court to force the state to continue to receive permission to make changes to its voting laws. The Justice Department has requested that a federal court impose an additional 10 years of preclearance.

Governor Rick Perry said in a statement:

This end run around the supreme court undermines the will of the people of Texas, and casts unfair aspersions on our state’s common-sense efforts to preserve the integrity of our elections process.

Greg Abbott, the Texas state attorney general, accused Holder of “sowing racial divide” and tweeted “I’ll fight #Obama’s effort to control our elections & I’ll fight against cheating at ballot box.” Conservative proponents of voter ID measures invoke the specter of voter fraud and the need to protect the integrity of elections as justifications for the legislation. However, voter fraud is exceedingly rare, and about as infrequent as death by lightning strikes, according to the Brennan Center for Justice at New York University School of Law.

Rather, white southern Republicans enact voter ID laws because they do not want Democratic constituencies to vote, particularly people of color. Rather than embrace the changing demographics in the US and adopt platforms to address the needs and concerns of voters of color, Republicans have chosen to eschew these voters and wage an assault on civil rights, immigration and policies of diversity and inclusion. This is the endgame for the Republican Southern Strategy of race card politics. The GOP was able to win elections on the margins by appealing to the racial insecurities of disaffected working class whites. In the process, southern whites fled the Democratic party, and the GOP became the party of the white South. Now, this marginalized base of angry white voters is all that is left of the Republican strategy and of the GOP as well, so Republicans must remove the segments of the electorate that will not vote for them.

Last year, President Bill Clinton said:

Do you really want to live in a country where one party is so desperate to win the White House that they go around trying to make it harder for people to vote if they’re people of color, poor people or first generation immigrants? … This is not complicated – America is becoming more diverse and younger and more vibrant. We’re younger than Europe, we’re younger than Japan and in 20 years, we’ll be younger than China.

In the South, dramatic Latino population growth has the potential to realign politics. The Obama administration’s decision to attack the war on voting rights, starting with Texas, is a wise move that will energize his diverse coalition of supporters. The Lone Star state – a red state, yet a majority-minority state – represents the future of the US. More than 55% of Texans are minorities, and only 30% of children under 5 in Texas are non-Hispanic whites. Demographic realities will one day betray GOP racial gerrymandering tactics, inevitably making way for a blue state.

Meanwhile, July marked the 150th anniversary of the Second Battle of Fort Wagner in Charleston Harbor, South Carolina. The Union army – led by black troops from the 54th Massachusetts regiment – failed to retake the fort, and the Confederate army won the battle.

But ultimately, two years later, the Union army won the war.

 

By: David A. Love, The Guardian, August 2, 2013

August 4, 2013 Posted by | Civil Rights, GOP | , , , , , , , | 1 Comment

“Could This Prompt A Rush On Executions?”: Texas Running Low On Lethal Injection Drug But Confident It Won’t Miss A Beat

Texas already leads the nation in carrying out executions, having killed 11 inmates so far this year. The state’s Department of Criminal Justice announced this week, however, that state supplies of the sedative pentobarbital, used in the three-drug lethal injection cocktail, were running low and remaining supplies would expire by September. Like other states, Texas switched to pentobarbital when supplies of another sedative regularly used in the lethal cocktail were cut off. Now the situation is repeating with this sedative.

However, as the Guardian noted, a spokesman for the Texas Department of Criminal Justice, Jason Clark, expressed confidence that it would be able to continue to carry out executions. “Alternate sources of pentobarbital are possible, or an alternate drug,” he said.

When Georgia faced a similar predicament earlier this year, with its limited supplies of lethal drugs nearing expiration, a troubling situation arose in which the state attempted to rush through a spate of executions. As I noted in February, state prosecutors pushed aggressively to overturn the stay of execution granted intellectually disabled death row inmate Warren Hill (although the stay remains) and reportedly executed 38-year-old Andrew Allen Cook (on death row since 1995 for the murder of two college students) in the hurry prompted by drug shortages.

With 300 inmates currently on Texas death row, attempts to speed up executions before pentobarbital supplies expire would be of grave concern to human rights advocates. It is of some hope, however, that more and more death penalty states are under a stranglehold from companies and authorities around the world refusing to provide drugs used in executions.

 

By: Natasha Lennard, Salon, August 2, 2013

August 3, 2013 Posted by | Death Penalty | , , , , , , , | Leave a comment

“Fighting Back On Voting Rights”: First The Struggle Will Begin In Texas, Then The NC Omnibus Voter Suppression Act of 2013

Attorney General Eric Holder has opened what will be an epic battle over whether our country will remain committed to equal rights at the ballot box. In a display of egregious judicial activism in late June, the conservative majority on the Supreme Court gutted the Voting Rights Act. Holder made clear last week he intends to fight back.

The struggle will begin in Texas, but it won’t end there. “We cannot allow the slow unraveling of the progress that so many, throughout history, have sacrificed so much to achieve,” Holder told the National Urban League’s annual conference.

He wasn’t exaggerating the stakes. From the moment the Supreme Court threw out Section 4 of the act, which subjected the voting laws in states and jurisdictions with a history of discrimination to Justice Department scrutiny, conservative legislators in those places gleefully signaled their intention to pass laws to make it harder to vote. In addition, Texas re-imposed a redistricting map that a federal court had already ruled was discriminatory.

These hasty moves were unseemly but entirely predictable, proving that Chief Justice John Roberts’ opinion in the case will become a Magna Carta for voter suppression. Without having to worry about “preclearance” from the Justice Department, legislators can go about their business of making it more difficult for voters who would throw them out of office to reach the polls — and of drawing racially gerrymandered districts that prolong their tenure. Justice Ruth Bader Ginsburg understood a logic here that escaped Roberts. “A governing political coalition,” she wrote in her dissent, “has an incentive to prevent changes in the existing balance of voting power.”

This in turn means that when a political party fares badly with minority voters, it will try to turn them away from the polling booths. That’s what segregationist Southern Democrats did in the past. Many Republican-controlled legislatures are doing it now.

Holder announced he was using Section 3, a different part of the Voting Rights Act that was left standing, to ask a federal court to re-subject Texas to preclearance. It is a less efficient way to achieve what the pre-gutted act allowed automatically, but it is the best that can be done for now. It would be better still if Congress reinstated a revised version of Section 4. In the meantime, the hope is to limit the damage of the high court’s folly — and perhaps also give other states pause before they rush into new discriminatory schemes.

“This is the department’s first action to protect voting rights following the [Supreme Court] decision, but it will not be our last,” Holder declared. His department is likely to move this week against the Texas voter-identification law, and to go to court eventually against other states that pass comparable statutes.

To get a sense of how bad these laws are, consider the bill Republicans rushed through both houses of North Carolina’s Legislature that should be called the Omnibus Voter Suppression Act of 2013. It reads like a parody written for Stephen Colbert’s show with its cornucopia of provisions that would make it as hard as possible for African-Americans, Latinos and young people to vote.

As the Charlotte Observer reported, it shortens the early-voting period, eliminates the opportunity to register and vote on the same day during that time, and ends pre-registration for teenagers 16 to 17. The bill also prevents counties from extending voting hours when lines are long — which they will be with the cutback on early voting days. It not only requires photo identification, but also narrows the list of what’s acceptable, eliminating college IDs, for example.

Oh, yes, and remember the old civic tradition of using all avenues to encourage people to register to vote, a favorite cause of that famously revolutionary group, the League of Women Voters? This bill would ban paid voter registration drives.

Throughout the world, our country proclaims its commitment to equal rights and broad democratic participation. We seem to be abandoning those ideals at home. You have to wonder what this will do to our witness on behalf of democracy.

It won’t shock you to learn that after Holder made his announcement, Gov. Rick Perry of Texas condemned the Obama administration for showing an “utter contempt for our country’s system of checks and balances.”

Actually, what Holder’s move shows is an utter contempt for efforts to deprive our fellow Americans of their right to cast a meaningful ballot. It is a contempt that all of us should feel.

 

By: E. J. Dionne, Jr., Opinion Writer, The Washington Post, July 29, 2013

July 30, 2013 Posted by | Voting Rights Act | , , , , , , , , | Leave a comment

“Yes, Mess With Texas”: To Ensure Fairness At The Polls, Southern States Still Require Scrutiny

Pro-tip: When you win a big court case giving you the go-ahead to suppress voter turnout for your political opponents, don’t gloat about it.

That is surely one of the lessons in the remarkable news that the U.S. Department of Justice is challenging new voting-rights laws in Texas and elsewhere even after the Supreme Court ruling that eviscerated the part of the Voting Rights Act that the feds had relied on for decades to challenge voting restrictions. What made the ruling especially galling was the celebration that followed from Republicans in states, including Texas, who immediately vowed to proceed with voting restrictions that had been challenged under the now-undermined part of the VRA.

The alacrity with which Texas, North Carolina and other states have rushed to take advantage of the ruling seriously weakened the sober conservative argument, from Chief Justice John Roberts and others, that Southern states no longer needed to be singled out for special scrutiny because they had long since left their discriminatory ways behind. And it all but invited Attorney General Eric Holder to take this new step, to announce that his department would still do everything in its power to ensure fairness at the polls.

This will of course be decried as executive overreach and an assault on checks and balances, but the case for declaring it such would be much easier to make if Texas and other states hadn’t been so gleeful in their rush to capitalize on the ruling. Texas takes the cake for the speed of its response, but North Carolina surely takes the prize for sheer brazenness: The legislation making its way through Raleigh is so extreme that it earned even a tut-tut from arch-conservative Wall Street Journal columnist Stephen Moore. The legislation will not only add a strict Voter ID requirement by the polls, but reduce early voting days from 17 to 10 (early voting has been used disproportionately by African-Americans in the state), prohibit counties from extending polling hours in extraordinary circumstances, like unusually long lines, and eliminate provisional ballots for voters who show up at the wrong precinct, among other changes. A separate bill seeks to give a tax penalty to parents whose dependent children register to vote somewhere in the state other than where the parents reside, a nifty way to discourage voting by college students.

What impact would the changes have? My colleague Nate Cohn, who has generally warned against over-reaction on voter suppression measures, ran the numbers and found that the Voter ID provision alone could swing enough votes to win the state for Republicans in a close statewide election—and that’s not accounting for the early voting cutbacks and other changes. The New York Times has declared North Carolina “first in voter suppression,” a judgment quoted approvingly by election-law expert Rick Hasen, also not one prone to overstatement.

Holder is now, essentially, using the giddy brazenness of the voting-restriction push in these states to justify federal challenges even in the wake of the Supreme Court ruling. Under the “pre-clearance” provision in Sections 4 and 5 of the Voting Rights Act that was eviscerated by the ruling, a whole swath of states and municipalities, mostly in the South, had to submit voting law changes to the feds for approval as a matter of course. Holder is now threatening to use a different part of the Voting Rights Act, Section 3, which allows the federal government to demand pre-clearance rights by “bail-in.” As the Times puts it, if “the department can show that given jurisdictions have committed constitutional violations, federal courts may impose federal oversight on those places in a piecemeal fashion.” In other words, if the states’ recent track record on voting rights is sufficiently egregious, they may still need federal approval.

That is not to say, though, that the Supreme Court ruling was not enormously consequential. It will be much harder for the federal government to press its case by the Section 3 route.  And whether the DOJ decides to make the effort to move against states will depend even more on which party holds the White House. As South Carolina Governor Nikki Haley boasted when I saw her on the stump in Greenville with Mitt Romney in early 2012, whereas the Obama administration had challenged her state’s stringent new Voter ID law,  “President Romney [will say] that’s our right.”

 

By: Alec MacGillis, Senior Editor, The New Republic, July 26, 2013

July 29, 2013 Posted by | Civil Liberties, Voting Rights Act | , , , , , , , | Leave a comment