The Prosecution of George W. Bush for Murder – Trailer

Think what you will of Mr Bugliosi (and I can’t see how one cannot respect his win percentage, at the very least), but this is simple logical deduction. Anyone in their right mind can see something amiss… worthy of real investigations and prosecutions. It is only the very most gullibly ignorant or ideologically entrenched in protection of the criminals that deny it.

h/t AfterDowningStreet

 

Taking Christ Out Of Christianity: Sinner Thou Art Healed (Where Is Your Deductible?)

I have an enormous amount of friends who call themselves Christians. Being that I was raised and have lived most of my life in the south, I have been around the Bible Belt Christianity and have even been immersed in leadership positions within churches, so I have a first hand understanding of how Christianity works down south, by and large. A very good friend recently told me that no matter where in the world he goes, he can have amazing conversations and learn new things, but the moment he goes back home, it is almost as if entering in some medieval world of superstition and myths. I must concur that my home county/state is full of these religious fanatics (as opposed to “Christians). For there is a differentiation.

Let me say that most people are raving, yet unaware, hypocrites, by and large. Sure, they mean well coming from the understanding they have been taught by the fear mongers that control their lives (and sadly, the preacher man in the south has far more control than most people will admit). These preachers don’t get that superiority BS from their imaginations. They feed from those that lavish them with praise and undue respect (and money, homes, retirement accounts, etc). These “men of God” use every possible tactic to take money and control lives. This is just simple fact. Maybe not 100%, but to deny it happens on a large scale is ludicrous.

And in many cases one cannot even blame the preacher. If you had people stumbling all over you to praise you in your “position” of authority, it easily goes to one’s head (like in any human circumstance). Lavish praise and unadulterated sheople-like following would tend to make a person big headed.

So, recently I have had a few discussion regarding faith, especially when it comes to healthcare for all people.

I can’t help but think about the “Good Samaritan” story and how most (yes, MOST) Christians I have spoken with seem to believe that everybody should NOT be healed from their sicknesses, UNLESS they have the money to pay for it (none come right out and say this, except one, but the insinuation is inescapable).

“A Jewish man was travelling on a trip from Jerusalem to Jericho, and he was attacked by bandits. They stripped him of his clothes, beat him up, and left him half dead beside the road. By chance a priest came along. But when he saw the man lying there, he crossed to the other side of the road and passed him by. A Temple assistant walked over and looked at him lying there, but he also passed by on the other side. Then a despised Samaritan came along, and when he saw the man, he felt compassion for him. Going over to him, the Samaritan soothed his wounds with olive oil and wine and bandaged them. Then he put the man on his own donkey and took him to an inn, where he took care of him. The next day he handed the innkeeper two silver coins, telling him, ‘Take care of this man. If his bill runs higher than this, I’ll pay you the next time I’m here.‘ “Now which of these three would you say was a neighbor to the man who was attacked by bandits?” Jesus asked. The man replied, “The one who showed him mercy.” Then Jesus said, “Yes, now go and do the same.”

Does anyone else sense an unreconciled dichotomy here? Can anyone fully explain to me how one can follow Christ and NOT believe that sick people should be healed, even free of charge? Maybe ESPECIALLY free of charge, for if Christ had been asking for money, how many would consider Him a miracle worker?

How is it that Christianity has basically become the antithesis of the Good Samaritan? How did the followers of Christ become the priest and/or the “Temple assistant”? How is it that we pat ourselves on the back about how we help people in the world, yet we have no qualms about denying healthcare to the sickest of us.

Can you truly call yourself Christ-like, if you don’t do the shit He did?

REALLY?

The logic goes like this: giving free healthcare is immoral because God obviously is showing favor to rich people by giving to them the means to take care of themselves. For us to give to the poor (who are obviously NOT favored by God) is to do something immoral and against God. We simply cannot allow someone to get something for free. As if every human being that doesn’t have health insurance is a dead beat.

You see, these “Christians” have worked too damned hard to be giving away their heathcare that God favored them with. The others can just eat shit and die (or get a better relationship with God thru Creflo Dollar). Whatever!

I don’t know about you, but I am beginning to think that the people that most claim to be Christ’s are the ones that He will not know at the nut cuttin’ time.

“Best Cost Countries” And How To Blame The Government For The Failure Of Corporate America

As I have done before, I receive regular articles from Manufacturing & Technology News and wanted to post the article with my observations. To me, this simply points out that Corporatism rules this country and that those who are in control of corporations don’t give a single rat’s ass about the American workers or their well being (at least from their job perspective).

Corporations are anti-worker. Corporations are entities set up with one goal in mind: making the most profit for their share holders as possible. Period. They do this off of the backs of labor and always have.

So, when I read such stuff as Mr Farr writes (and Richard notes) like blaming government for the current fiasco, I have lived the last 30+ years watching corporations take off towards those “best cost countries” (aka cheapest labor and overhead possible). His blame is hollow when he and his ilk are just as responsible for this mess as any government official ever alive. And both parties are complicit.

I have been calling on Emerson Electric companies for 20+ years. I have actually sold Emerson Electric owned product and know first hand how cheap they are and how they run in to the ground any entity they buy up. So, Mr Farr, excuse me as I call your Bullshit for what it is… Bullshit.

Emerson Electric Votes With Its Feet, Saying The Goverment Is Destoying American Manufacturing

By Richard McCormack
richard@manufacturingnews.com

One of the country’s most important industrial companies says the United States is not a good place to manufacture and it will continue moving its assets offshore.

The federal government is “doing everything in [its] manpower [and] capability to destroy U.S. manufacturing,” says David Farr, chairman and CEO of Emerson Electric Co., in a presentation at the Baird 2009 Industrial Conference in Chicago Ill., on Nov. 11. In comments reported by Bloomberg, Farr added that companies will continue adding jobs in China and India because they are “places where people want the products and where the governments welcome you to actually do something. I am not going to hire anybody in the United States. I’m moving. They are doing everything possible to destroy jobs.”

In his Powerpoint presentation available on the Emerson Electric Web site, Farr notes that the federal government is damaging prospects for U.S. economic growth with a $1.41 trillion federal deficit (10 percent of GDP); $12 trillion in government debt that will grow to $20 trillion in 10 years; a policy of printing money; a “non-targeted $800-billion stimulus”; bailouts for Wall Street and the automobile companies; the prospect for cap and trade legislation; a “government takeover” of health care to the tune of more than $1 trillion; increasing taxes and regulations; and a “lack of U.S. $ support” for manufacturing. The global stimulus “soon will fade,” says Farr.

What does it mean for a company like Emerson? “We continue to increase our international and emerging market presence,” says Farr. The company has increased its emerging market sales by 19 percentage points over the past 10 years, from 13 percent of total sales in 1999 to 32 percent in 2009. It is now generating 55 percent of its sales from overseas operations, a figure that will grow to 60 percent by 2014, with 40 percent of total sales coming from emerging markets.

“Emerson’s investment in emerging markets is continuing to pay off with sales growth,” say Farr. In 1999, the company generated $12.4 billion in annual sales from mature markets and $1.9 billion from emerging markets. By 2009, sales from mature markets grew to $14.2 billion, while sales from emerging markets more than tripled to $6.7 billion.

The company projects sales from mature markets in 2014 of between $16 billion and $17 billion, while emerging market sales will reach almost $12 billion.

Between 1999 and 2009 “73 percent of growth is from emerging markets!” Farr exclaims. “More than 60 percent of our growth is expected to come from emerging markets over the next five years so Emerson will continue to invest in these key markets.”

In 2001, the company had 21 percent of its 360 manufacturing facilities located in “best cost countries.” Today, Emerson has 250 manufacturing locations and 36 percent of them are in “best cost countries.” That percentage is going to increase to more than 40 percent.

Emerson is following the money. Infrastructure investment in the United States now accounts for 21 percent of the global total of $12 trillion, down from 27 percent in 2004. Asia Pacific’s share of global infrastructure investment has increased from 18 percent of the global total in 2004 to 27 percent in 2009. That number is expected to continue going up — to 31 percent of global investment in 2014 and 37 percent in 2019.

The current recession has been destructive and the United States will have a hard time recovering, says Farr. U.S. job losses of 7.3 million to date are only slightly less than the total of the last four recessions combined (8 million). The current downturn is having a big impact on Emerson and its employees. The company has reduced its headcount by 15 percent. It has closed 55 facilities and has incurred $540 million in restructure expenses.

The 2001 recession was also tough on the company. It reduced its headcount by 14 percent, closed 75 facilities and incurred $437 million in restructuring expenses. “But the world did not change much,” says the Emerson CEO. With the current recession, “there will be some fundamental changes going forward.”

The company reported sales for its 2009 fiscal year ending in September of $21 billion, down from $25 billion in 2008 and $22 billion in 2007. It had an operating profit of $3.2 billion in 2009 (15 percent of sales).

I will say this. At least now we will see the true spirit of the Corporate Controllers of this country. What you, as a poor redneck just trying to make ends meet needs to know, these jobs will NEVER come back. The vast majority of jobs that have folded up (either for good or to move overseas to those “best cost countries”) are NEVER going to come back to the USA. If you had a decent paying job making parts for an American automotive company… sorry, your job is gone FOREVER. If you were lucky enough to move to an Asian automotive company, get ready to see your wages decrease (or NEVER increase to accommodate inflation). And when it gets bad enough, watch as these jobs disappear, as well.

We used to think that China was the “best cost country”, but I read recently that Mexico is now.

You think that is going to help your chances keeping a good job as these corporations (who ONLY care about the profits) move out even more over the next two years?

It is a snow ball rolling down hill and I see it growing and growing.

BTW: My comment on the article:

Comment: Mr Farr’s comments have a ring of BS to them. I have called on Emerson Plants for almost 20 years and have watched as they took every advantage of “best cost countries”, with NEVER a thought of the American worker in mind. This moving away was happening long ago and the fact is that government and Corporations are BOTH instrumental in this fiasco. Corporations control our government. This is so evident that surely there is no argument. So, Mr Farr, I see this as just another way for you to fulfill your obligations to make as much profit for your shareholders as you can. But do not think for a second that you can start this crap and think that everyone will believe it. Emerson Corp is set to make money… with or without Americans. I say you take your entire shebang elsewhere, then.

December: National Awareness Month

Thank Goodness. We finally have a month dedicated to the nincompoops who are still starry eyed and ignorant to what is happening to our country.

Wake up!

December Named National Awareness Month

WASHINGTON—In an effort to combat what organizers are calling “our current epidemic of complete and utter obliviousness,” the American Foundation for Paying Attention to Things has declared December “National Awareness Month.”

“All across the country, millions of men and women are dangerously unaware,” AFPAT spokesperson Karen Teeling said during a press conference Monday. “What’s worse, the vast majority of those suffering from this debilitating state of mind don’t even know it.”

“That’s why this December we’re asking that all Americans stop whatever it is they’re doing, and take a moment to open their eyes for once—just once—in their lives,” Teeling added. “It’ll make all the difference in the world.”

According to AFPAT, planned events for National Awareness Month include a 10K charity walk, during which participants will be forced to actually interact and engage with the outside world for a change, as well as several advertising campaigns, which will help get the word out about things other than what currently happens to be playing on television.

Awareness-month organizers will also hand out large reflective ribbons, in hopes that, by wearing a 9-inch yellow reminder on their chests, citizens across the country might actually remember that something is going on.

“Obliviousness doesn’t discriminate,” said volunteer Robert Fargo, who added that his own father might still be alive today had he been more aware of his surroundings. “Adults, children, the elderly, those staring slack-jawed as their very existence rushes by—obliviousness can strike them all.”

Defined as the ability to realize what one is doing, to whom one is doing it, and what the consequences of doing it or not doing it may be, awareness is considered to be a major factor in a number of modern human endeavors, among them: decision-making, prioritizing, and just basically walking around without always bumping into things.

While lack of awareness—or “unawareness,” as the foundation calls it—has reached dangerously high levels across the nation, organizers said there are still steps that can be taken by everyone to address the issue.

“A simple self-exam once a month can greatly reduce the chances of becoming unaware,” AFPAT founder Michael Poe said. “First, position yourself in front of your bathroom mirror. Second, make eye contact with the reflection in the mirror. Now, while still maintaining eye contact, take three to five minutes to think about the fact that you exist as a human being.”

Added Poe, “As long as you can remember to do that and not just completely tune out for an entire year or so, you should be all right.”

In addition to distributing literature about raising awareness of awareness itself, and launching a series of bus ads featuring such slogans as “Hey, you! Come on, snap out of it,” organizers listed a number of symptoms Americans can look for when attempting to deduce whether or not they’re aware.

“Lack of coherent thought is usually a sign of being unaware, as is a fleeting attention span, and forgetting what this particular sentence pertains to midway through reading it,” said Dr. Howard Sturges, who has treated several hundred cases of acute obliviousness. “If you suspect you have such a disorder, please contact a health professional immediately, or, as you likely know him, the man in the white lab coat with the shiny thing around his neck who has that office with all the chairs and patients inside of it.”

Though they remain confident about the success of the upcoming monthlong event, members of the American Foundation for Paying Attention to Things maintained that the cure for the national unawareness epidemic ultimately lies with the individual.

“We’ll do what we can to help, but at some point it’s really up to all Americans to make sure they can leave the house in the morning without setting the place on fire, show up to work without looking like a complete moron, or carry on an intelligent conversation without getting distracted by different tile patterns on the floor,” AFPAT chairwoman Sheila Winters said. “Hello? Hello?”

B’Man’s Patriot Watch: David Simon

I am certainly glad that Chycho decided to post this and enlighten folks (Chycho has recently been on an important hiatus).

Part One

Part Two

I think my buddy Jay Midnyte would be interested in Mr Simon’s thoughts on free market capitalism.

How’s That New Military Job Working For You?

The MIC (Military Industrial Complex or Big Military) is in full tilt. They are growing in terms of money spent and control they have in the world.

But even worse is the fact that as normal industrial output is stifled and jobs are forever lost, we have the military to take their place, right? Just like the other night at the Veterans Day Parade and the young father whose son just joined the Air Force simply because he could not find work or afford college: we are being forced into service (one way or the other) of the military, instead of items we can use and consume for peaceful purposes.

But, if you ever took time to study history, you would find that previous Empires died the same death while the citizens were being told the same lies. The Roman Empire was over-extended and became too militaristic and could not support the behemoth it grew in to (much of its purpose, too, was to control the earth’s resources).

I have always questioned the replacement jobs that military produces for the manufacturing sector and whether or not it is sustainable. It, of course, is not, but it is a seeming light at the end of the tunnel for poor, young, rednecks and minorities. Nothing could be further from the truth, as is displayed by the fact that we have privatized much of our military and it costs us far more to do what we could do by necessity, if we were truly attacked (and we have not been attacked by any of the people we now occupy).

Read the full story at Washington’s Blog, but it has been confirmed that Defense Spending Creates Fewer Jobs Than Other Types Of Spending:

The table first shows in column 1 the data on the total number of jobs created by $1 billion in spending for alternative end uses. As we see, defense spending creates 8,555 total jobs with $1 billion in spending. This is the fewest number of jobs of any of the alternative uses that we present. Thus, personal consumption generates 10,779 jobs, 26.2 percent more than defense, health care generates 12,883 jobs, education generates 17,687, mass transit is at 19,795, and construction for weatherization/infrastructure is 12,804. From this list we see that with two of the categories, education and mass transit, the total number of jobs created with $1 billion in spending is more than twice as many as with defense.

So how do you like the idea that your country has strong-armed us into being its military slaves while, at the same time, indiscriminately killing and occupying innocent others?

Marsha Blackburn Called Me To Apologize For The 71 Dead In Her District Of Lack Of Healthcare

Of course she didn’t. But she did call me and was sorry that I was unable to join in on the town hall conference call (some of the latest and greatest technology available).

Congressman Blackburn Msg

Wow, what a chipper woman. It might help had you not called my FAX line, for goodness sake. I am sure I would be interested in asking you about those 71 that will die in our district simply due to the lack of health insurance. Rep Grayson mentioned them in this series of videos starting with the following:

And speaking of which, I’d like to share the list that Chris Kromm of Facing South (written by Sue Sturgis)  sent me that shows the numbers per congressman of folks in the south that will die due to lack of health insurance. I’m sure you can shrug this off just like Jesus did:

• Alabama District 1, Joe Bonner: 114 dead
• Alabama District 3, Mike Rogers: 88 dead
• Alabama District 4, Robert Aderholt: 114 dead
• Alabama District 6, Spencer Bachus: 69 dead
• Arkansas District 3, John Boozman: 151 dead
• Florida District 1, Jeff Miller: 130 dead
• Florida District 4, Ander Crenshaw: 116 dead
• Florida District 5, Ginny Brown-Waite: 200 dead
• Florida District 6, Cliff Stearns: 152 dead
• Florida District 7, John Mica: 143 dead
• Florida District 9, Gus Bilirakis: 129 dead
• Florida District 10, Bill Young: 138 dead
• Florida District 12, Adam Putnam: 133 dead
• Florida District 13, Vern Buchanan: 160 dead
• Florida District 14, Connie Mack: 159 dead
• Florida District 15, Bill Posey: 152 dead
• Florida District 16, Thomas Rooney: 165 dead
• Florida District 18, Ileana Ros-Lehtinen: 199 dead
• Florida District 21, Lincoln Diaz-Balart: 195 dead
• Florida District 25, Mario Diaz-Balart: 195 dead
• Georgia District 1, Jack Kingston: 123 dead
• Georgia District 3, Lynn Westmoreland: 102 dead
• Georgia District 6, Tom Price: 100 dead
• Georgia District 7, John Linder: 156 dead
• Georgia District 9, Nathan Deal: 159 dead
• Georgia District 10, Paul Broun: 120 dead
• Georgia District 11, Phil Gingrey: 113 dead
• Kentucky District 1, Ed Whitfield: 113 dead
• Kentucky District 2, Brett Guthrie: 102 dead
• Kentucky District 4, Geoff Davis: 83 dead
• Kentucky District 5, Harold Rogers: 130 dead
• Louisiana District 1, Steve Scalise: 111 dead
• Louisiana District 2, Joseph Cao: 98 dead
• Louisiana District 4, John Fleming: [garbled on video]
• Louisiana District 5, Rodney Alexander: 132 dead
• Louisiana District 6, Bill Cassidy: 105 dead
• Louisiana District 7, Charles Boustany: 112 dead
• Mississippi District 3, Gregg Harper: 117 dead
• North Carolina District 3, Walter Jones: 100 dead
• North Carolina District 5, Virginia Foxx: 97 dead
• North Carolina District 6, Howard Coble: 103 dead
• North Carolina District 9, Sue Myrick: 82 dead
• North Carolina District 10, Patrick McHenry: 101 dead
• South Carolina District 1, Henry Brown: 157 dead
• South Carolina District 2. Joe Wilson: 118 dead
• South Carolina District 3, Gresham Barrett: 112 dead
• South Carolina District 4, Bob Inglis: 133 dead
• Tennessee District 1, Phil Roe: 110 dead
• Tennessee District 2, John Duncan: 85 dead
• Tennessee District 3, Zach Wamp: 94 dead
• Tennessee District 7, Marsha Blackburn: 71 dead
• Texas District 1, Louie Gohmert: 155 dead
• Texas District 2, Ted Poe: 126 dead
• Texas District 3, Sam Johnson, 144 dead
• Texas District 4, Ralph Hall: 134 dead
• Texas District 5, Jeb Hensarling: 151 dead
• Texas District 6, Joe Barton: 136 dead
• Texas District 7, John Culberson: 103 dead
• Texas District 8, Kevin Brady: 132 dead
• Texas District 10, Mike McCaul: 127 dead
• Texas District 11, Michael Conaway: 164 dead
• Texas District 12, Kay Granger: 156 dead
• Texas District 13, Mack Thornberry: 144 dead
• Texas District 14, Ron Paul: 146 dead
• Texas District 19, Randy Neugebauer: 132 dead
• Texas District 21, Lamar Smith: 119 dead
• Texas District 22, Pete Olson: 150 dead
• Texas District 24, Kenny Marchant: 138 dead
• Texas District 26, Michael Burgess: 162 dead
• Texas District 31, John Carter: 124 dead
• Texas District 32, Pete Sessions: 209 dead
• Virginia District 1, Robert Whitman: 68 dead
• Virginia District 4, Randy Forbes: 93 dead
• Virginia District 6, Bob Goodlatte: 99 dead
• Virginia District 7, Eric Cantor: 76 dead
• Virginia District 10, Frank Wolf: 81 dead
• West Virginia District 2, Shelly Moore Capito: 102 dead

I dunno bout you, but that seems like a lot of dead folk. I’m sure they are all dead beats, anyway, right?

At least we won’t starve to death (h/t A Tiny Revolution):

Nearly half of all U.S. children and 90 percent of black youngsters will be on food stamps at some point during childhood.

“The current recession is likely to generate for children in the United States the greatest level of material deprivation that we will see in our professional lifetimes,” Stanford pediatrician Dr. Paul Wise wrote.

The analysis is in line with other recent research suggesting that more than 40 percent of U.S. children will live in poverty or near-poverty by age 17.

Right. Just more dead beats, huh?

Originally found here.

Nearly half of all U.S. children and 90 percent of black youngsters will be on food stamps at some point during childhood.    “The current recession is likely to generate for children in the United States the greatest level of material deprivation that we will see in our professional lifetimes,” Stanford pediatrician Dr. Paul Wise wrote.    The analysis is in line with other recent research suggesting that more than 40 percent of U.S. children will live in poverty or near-poverty by age 17.

I Pledge Allegiance To The Flag (With A Bellamy Salute)

Oh, the irony of it all.

Indivisible? Dude, Com’on. I know how embarrassing that must have been… choking when making a speech in front of red-meat starving idolaters. Wait, that’s right. That’s what you do for a living.

So what caused the man’s little mis-quote? Why would he not be able to remember the one word, “indivisible”?

Because that particular party, especially that faction of it (and the Demo’s are just as guilty but don’t have the same red-meat starving idolaters smacking their lips over such roadkill) are set up to DIVIDE. THAT is what they do. That is what the fake two party system is intended to do… keep just enough of the air heads on both sides divided so they can pass the mantle back and forth every 4 to 8 years.

When will you wake up?

As I was re-reading information on the Pledge of Allegiance, just to see how well Rep Akin’s research is conducted before these embarrassing speeches, I came across something I had never seen before (and Akin and most others conveniently fail to discuss, but is poignant in our current times): we were instructed way back to use the Bellamy Salute when making this pledge.

What do you think?

Bellamy Salute During Pledge of Allegiance

Somehow or another, I am not surprised.

Where In The World Is Universal Healthcare? Taiwan Revisited

I wrote about Taiwan here with a breakdown of how their system is implemented and who and what it covers and for how much. Today, I received a letter from my friend Doctor Sutherland, who is the TN Chair of PNHP. He expressed delight in the fact that our calls this week must have made a difference, because the Wiener Amendment is again going to be voted on (probably Saturday):

Politics are unpredictable! The Weiner amendment for Single-Payer is now back on the floor of the House thanks to calls, emails and faxes sent to the Congressional leaders this past week.
This is our last big push to get true health care reform passed this year. Please call your Congressperson tomorrow and flood their switchboard with our voices to pass Single-Payer. The public is confused and tired of the way the Congress has tried to cobble more of the same dysfunction on our broken system- give them a simple and efficient plan to vote on to get true health care reform now.
Push for “Improved and Expanded Medicare for All”! Send this out to all your colleagues and families and friends.

Health care is a human right.

I have been to this man’s house and spent time with him. He is wealthy and has a very renowned practice in Memphis. He could keep his mouth shut because he and his wife are set for life. But just like many of the other Doctors that are ready to fight for Universal Healthcare, even to the extent of going to jail for it, I believe he sees the injustices and wants change. There isn’t a dubious rationale that I can imagine and I have a great deal of respect for him and his views. He went farther to add Ida Hellander’s letter to members and activists:

Dear PNHP Board and Activists,

Quick update and “last call” for lobbying your Representative to support Medicare for All!

The latest news from Capital Hill is that there could be a vote on the Weiner amendment for single payer as soon as this Friday, although it may not come up until Saturday.  The House is expected to vote on the Democrats’ bill at 6 p.m. Saturday.  The Kucinich amendment did not make it into the final bill, and is dead.

Last minute calls to encourage your Representative to vote “yes” on the Weiner amendment for single payer are encouraged.  The Congressional Switchboard number is (202) 224-3121.

As Harvard health economist William Hsiao told the New York Times yesterday “you can have universal coverage and good quality health care while still managing to control costs. But you have to have a single-payer system to do it.”

In solidarity,

 

Ida Hellander

Its not too late to make a difference. Call.

But, also read detail about a system that was implemented in Taiwan and how, who and why they did it in this fashion (remembering that we, America, is the only industrialized wealthy nation IN THE WORLD that doesn’t implement something similar.

Health Care Abroad: Taiwan

By Anne Underwood
New York Times
Prescriptions blog
Nov. 3, 2009

William Hsiao is a professor of economics at the Harvard School of Public Health and co-author of the 2004 book “Getting Health Reform Right.” He served as a health care adviser to the Taiwan government in the 1990s, when officials decided to reform that country’s health care system and to introduce universal coverage. He spoke with Anne Underwood, a freelance writer.

Q. Taiwan instituted universal insurance in 1995. What was the health care system like before?

A. Only a portion of the people were insured, including civil servants, employees of large firms and farmers. The military had its own system of coverage. But 45 percent of the population did not have insurance, and they faced financial barriers to access to health care. President Lee Teng-hui felt strongly that he wanted to do something concrete and visible for all the citizens. He thought of introducing national health insurance to touch the lives of all the people. There was a sense in Taiwan that health care is needed by everyone and a country has to assure everyone equal access.

Q. How did you become involved in the health care reform process?

A. The government initially appointed four Taiwanese professors to lead a task force of technical experts. But the four professors all had different ideas. It was like a wagon drawn by four horses, with each going in a different direction and nobody driving. After a year of this, government officials realized there was a problem. In addition, they wanted someone who understood health systems and health care abroad and what lessons other countries could offer to Taiwan. The domestic experts did not have much international experience.

I was invited to a three-day workshop, where they tested me. At the end, I was put in charge of the task force of four professors and 16 other technical experts. It turned out to be a big advantage that I’m not Taiwanese and had no aspirations of getting a job in Taiwan. At the end of the day, our recommendations and findings were perceived as more objective and free of self-interest.

Q. What was your assignment as head of this task force?

A. We had to design a national health insurance plan for Taiwan, based on international experience. Government officials wanted to understand how other advanced countries fund and organize health care and learn from their successes and failures, so I made a study of the systems in six high-income countries – the United States, the U.K., Germany, France, Canada, Singapore and Japan.

Q. And what was your conclusion at the end of this study?

A. We adopted a single-payer system along the Canadian lines. I did not invent it. I’m just in the transfer-of-knowledge business.

Q. Why did you choose the Canadian model?

A. Canada has a single-payer system with universal insurance coverage. It offers people free choice of doctors and hospitals, and it has competition on the delivery side between public and private hospitals. The quality of health services is very high, and people were very satisfied with the system from the 1980s through the mid-1990s.

Unfortunately, in the early-to-mid 1990s, Canada went through a severe recession for four or five years. The budget became very tight. The government underfunded national health insurance, which led to long waiting lines for elective surgery, MRIs and so forth. But when Canada adequately financed its N.H.I., it was a very good system.

Q. In Taiwan, can people choose any doctor or hospital they want?

A. Yes, any provider. Americans talk about choice. But in fact, insurance plans in this country restrict what providers you can go to. Canada gives its citizens more choice of providers. So does Germany. So does England. So does Taiwan.

Q. How comprehensive is the coverage?

A. It covers prevention, primary care and hospitalization, among other things.

Q. I‘ve read that it also covers Chinese massage, acupuncture, traditional herbal medicine, mental health care, dental, vision and long-term care.

A. Yes, these services are covered. We tried to design a benefit package that would give people what they value. For many Taiwanese, that includes traditional Chinese medicine. Though Chinese medicine is not 100 percent proven to be medically effective, people believe in it. And some therapies have been proven effective. For example, when acupuncture is given in certain spots, it stimulates the brain to release opiates.

Q. The Taiwanese system also covers home care.

A. You need home care by visiting nurses for people who are chronically ill or bedridden. It’s not rocket science to recognize this. Some people argue that the patients should pay for home care themselves. But if people have to pay out of pocket, they might not ask for visiting nurse services and their illnesses may get much worse. Then they will need to be hospitalized.

Q. Is the system very expensive?

A. Expensive is a relative term. Taiwan spends 6 percent of G.D.P. on health care, compared to 16 percent in the United States.

Q. How much do people have to pay?

A. If you’re employed, your employer pays 60 percent of your premium. The employee pays 30 percent, and the government subsidizes 10 percent. The government fully subsidizes the premiums for the poor and gives partial subsidies to veterans, the self-employed and farmers.

Q. How much is the typical premium?

A. The total insurance premium for employed workers is 4.6 percent of wages. That’s much lower than in the United States, where the average is between 12 and 20 percent of wages for those who are covered by their employers.

Q. Are there co-pays, too?

A. Yes. The task force felt that service should not be totally free or else people might waste services. For example, we studied what happened in Taiwan when some insurance policies gave prescription drugs free to everyone. One-third of the drugs dispensed were never taken but thrown away. You can imagine, if you have free office visits, some people will say, “I have this little ache. I’ll go see the doctor because it’s free.” We wanted to moderate this waste.

Q. How high are co-pays?

A. The charge is $2 for a visit to a clinic and about $4 to a hospital outpatient department. The co-pay for hospitalization is now 10 percent for the first 30 days and 20 percent for the days beyond 30 days. For prescriptions, it’s 20 percent of the cost of the drug, but capped at $6 for each prescription. Taiwan also sets a ceiling on the total co-pays, so patients won’t face bankruptcy.

Q. How long did it take to implement this program?

A. Less than a year. Mr. Lee pushed through the legislation in four to five months, because an election was coming. Then he asked for the new system to be implemented six months after that – and they did it.

Q. What percent of the population is now insured?

A. Within the first year, Taiwan managed to insure 95 percent of the population. That increased that by another percent or so each year, until they reached 98 percent. They had trouble with that last 2 percent, because some were living overseas and others were homeless. The government literally sent people to find the homeless under bridges and enroll them. Now they have close to 99 percent enrollment.

Q. Has this translated into better life expectancy or lower complication rates from major diseases?

A. There is evidence of positive health results for select diseases, like cardiovascular disease and kidney failure. But overall, it’s really difficult to say that national health insurance has improved the aggregate health status, because mortality and life expectancy are crude measurements, not precise enough to pick up the impact of more health care. That said, life expectancy is improving, and mortality is dropping. And everyone now has access to good health care.

Q. What does the system do particularly well?

A. In addition to covering everyone, it has a uniform system of electronic health records. Every patient has a Smart Card. When you go in for services, the physician puts the card into his computer. You give him the code to access your records, which are all stored on the card – what medications you’ve taken, what tests, along with the results, the last time you saw another physician. With a single, unified electronic system, it improves treatment and it also vastly reduces claims processing. Hospitals and doctors get paid in a week or two. It’s a paperless system. That’s why it keeps administrative costs down to 2.3 percent of the total premium. In the United States, it’s more than 10 percent.

Taiwan was also able to control health-expenditure increases very well in the early years. Unfortunately, now that the government budget is tight, it is overdoing it.

Q. What are the system’s weaknesses?

A. In the legislative process, compromises had to be made. First, the president yielded on payment reform, so Taiwan kept its fee-for-service payment system. Unfortunately, that encourages doctors and hospitals to give more treatment in order to boost their income.

Second, the Taiwanese system doesn’t have a systematic way to monitor and improve quality of care.

Third, in the legislative process, they rejected a provision to adjust the premium automatically when the national health system depletes its reserves. In every country, health care costs are increasing faster than wages. When that happens, the premium has to go up. But that provision wasn’t incorporated into the law. As a result, the system is running a deficit. National health insurance tries to cut the fees for hospital and physician services. But eventually these fee reductions will adversely affect the quality of health care.

Q. What’s the most important lesson that Americans can learn from the Taiwanese example?

A. You can have universal coverage and good quality health care while still managing to control costs. But you have to have a single-payer system to do it.

Originally found here.

Sanity Arrives In Two More States of America

Pete at DrugWarRant shared these two stories of elections that prove many more Americans are gaining some sanity (as of 8:45AM CST DrugWarRant’s website is down). The tide turns:

A Win In Maine

Medical marijuana users in Maine will be able to buy their pot at licensed dispensaries after voters approved a bill that expands the state’s existing medical marijuana law.

The new law allows patients to buy marijuana at nonprofit dispensaries. It also expands the medical conditions under which people can be prescribed the drug.

In unofficial returns, Question 5 was leading 60 percent to 40 percent with half of precincts reporting.

Original link found here.

Another story of sanity:

Legalized

BRECKENRIDGE, Colo. — The skiing town of Breckenridge voted Tuesday night by a margin of nearly 3 to 1 to legalize the adult possession of marijuana.

Breckenridge voters passed Measure 2F, which removes criminal penalties from the town code for the private possession of up to one ounce of marijuana by adults 21 and older. The ordinance also removes criminal penalties for the possession of bongs, pipes and other drug paraphernalia.

It passed 73 percent to 27 percent.

Original link found here.

 

There Are Sane Republicans?

An example of a real, conservative Republican with a real, progressive view:

Jessica Corry

h/t Pete at Drug War Rant

What Every American Service Member’s Child Should Cry Over

My wish is that each and every little girl whose parent is away from home right now soon cries exactly the same kind of tears as this little girl cries:

more about “The Return from Iraq – Video“, posted with vodpod

As I shared with Lynda a bit ago:

I have experienced that very same emotion, back in ‘69 when my dad returned from VN unexpectedly. It is a feeling that I will never forget the rest of my life. It was likely one of the most joyful moments in my life… but totally mind-blowing, just like it blew her mind.

I want all our men and women to come home from these bogus wars and occupations only set forth to enrich the mongers who put us there.

I want every child to experience this moment of relief from fear and awestruck love of knowing they are back from harm.

Put Down The Shit Spoon, Ron Paul

You are way too full of it when it comes to health care:

Ron Paul is full of shit on this particular subject. Sure, anyone can go to the ER, but what about those who cannot afford to go to their general practitioner for that ache in their side. Put it off until that ache makes them go to the ER in writhing pain, only to find out that it is colon cancer (that COULD have been taken care of had the person been insured or more wealthy). Oops, now you’re dead.

Paul, again, is allowing his “free market” ideology trump his Hippocratic oath or is really uninformed or stupid regarding the truth of why and how so many people lose their lives due to the lack of health insurance/health care. For those two are intertwined. To say that people don’t die because they cannot afford health insurance is a pitiful moral failure on Paul’s part.

His point about Corporatism versus Capitalism is valid (to an extent). But it will not be the “free market” system that fixes what is a moral quandary. And hence lies the basis of his bogus rationale. It is all about competitive “services” rendered with this immoral mindset, not about ensuring that everyone is well and healthy and doesn’t have to worry about dying or losing everything they own if they get sick). In my opinion, one must be able to balance their conservative, free marketism and a moral, social attitude to embrace and help care for the lesser of Thee. His first example, at the 2:20 mark, is skewered right off the bat (regarding the person who went to Singapore to get the $100K surgery for $25K). Where I am from, most people don’t make $25K/year, much less $100K.

He went on to say just seconds later “all the mischiefs of government”, as if the Corporatism doesn’t involve corporations, but just the government officials. Is the point to privatize and “free market”-ize everything (just like the way our security is handled in Iraq and Afghanistan)? As if this doesn’t create even MORE abuse for profit. How about admitting that health insurance companies provide ZERO added value. What the hell does protecting those that say of themselves to be “free marketeers”, whom provide no benefit or value, yet suck off a cool 25-30% off the top.

Is being anti-government the answer? Or could there be a moral imperative that creates a system where anyone and everyone is covered via taxes after cutting off the value deducting parasite called health insurance. Maybe then, we can have a system that mimics all the other industrialized “progressive” countries in the world that have longer, healthier lives at a fraction of the cost we do. OR, we can take the route that Paul wants to take which is exactly what got us where we are today (it morphed and grew into what we have now from the original “free market” foolology Paul is discussing).

You see, what Paul would prefer is that we turn back the hands of time for all medical security (like Medicare and Medicaid). Not improve what the lackeys he leads with have torn asunder. He would rather blame “government” (which he is a key part of). Funny how he starts with Corptocracy and ends up with how government is bad. Look in the mirror old man to see why. Then grab any number of your fellow thieves and sing us a song about how it will be you (members of the government) who will fix this moral imperative by making the poorest of the poor pay what cannot be afforded to begin with.

With so many good points to his credit, it is this lack of moral understanding and dedication that makes me believe he is NOT POTUS material. He could be in some cabinet level post (maybe even Sec of State), but POTUS, he is not.

This reminds me of someone close to me that told me they didn’t agree with my views on healthcare, yet he has been in the hospital countless times with no insurance or money and simply just “writes it off”. There is a disconnect that these people don’t seem to be able to reconnect.

h/t DeProgram

No_Slappz Is a Liar? Duh

There is a scummy asshole that sticks her ignorant head in every now and again to add some commentary (that I normally just delete). She had the audacity to call me a liar on a subject I never lied about, so I banned her worthless ass. But, her worthless ass still shows up every now and again to add some comment about Medicare in New York or that a Single Payer system would cost more than our current insurance controlled system. I am pretty sure the worthless bitch works in health insurance, so this is no surprise. But for the kettle to call the pot black is an amazing amount of hypocricy.

The problem is that there is no documented proof she shares, just the same old horseshit from a lying worthless bitch.

The fact is that the basic Medicare premium for New Yorkers is going to radically go up… to a whole $110.50/month. Yes, No-Slappz, you worthless, lying scumbag, bitch. I just left a plan that cost me and my family over $23K/year (BCBS). My premiums were $1,173/month (and this is not out of line with many others that I have spoken to). Add whatever out of pocket costs you can imagine to your imaginary lies and there is still no freaking way Medicare costs more than any insurance plan in this country.

You are a damned liar. And a bitch. (Not to mention your undeniable racism)

Single Payer, Not-for-profit healthcare, after removing the plight of the scumbag’s employer, health insurance companies, is the ONLY viable way to fix our healthcare system. Don’t let the likes of these fools such as No_Slappz lie to you.

My New Career Choice

done

h/t Mr Z