Monday, February 22, 2010

Maybe My Party is finding their Balls

At least 20 Democratic Senators have signed up with using Reconciliation to pass a Public Option medical plan with a simple majority of votes in the Senate. Imagine that, being able to pass laws using a simple majority vote.

For all the pulling of hair and gnashing of teeth, I have yet to hear a fact based argument against creating a publicly chartered health insurance company to complete with the private companies that currently provide health care to those of us who can afford health insurance.

I love it.

Doing something good for the country based on a majority vote.

Tuesday, February 16, 2010

President Obama the Socialist

Will/Can anyone explain to me what President Obama has proposed or done that qualifies him as a socialist?

Thursday, February 11, 2010

They say its not true

I was just watching Greta Van Susteren interview Rep John Boehner.
He repeated the Republican lie that the American Recovery and Reinvestment Act of 2009 (otherwise known as the Stimulus Bill) did not work.
I don't generally get into discussions about economic statistics since the numbers can be awfully slippery.

But the stimulus bill worked and everybody who has studied it knows that it worked

http://www.politifact.com/truth-o-meter/statements/2010/jan/27/barack-obama/obama-claims-two-million-more-americans-would-be-u/

This is the Politifact.org article addressing the President's State of the Union claim that the Stimulus Bill had created or saved 2 million jobs. As the article points out, you can argue the statistics whether the Stimulus bill created 800,000 jobs or 2 million jobs. I personally would have been happier if he had chosen a more middle of the estimates number like 1.6 million but the President wanted to put as good a face on the Stimulus Bill as possible so he used the 2 million number.

But all the estimates agree.

The Stimulus Bill worked

It put people back to work.

It saved jobs

It kept the unemployment rate from going higher

It helped to stimulate the economy.

IT WORKED

Did it work perfectly?? Certainly not. But there is no real argument that it worked.

Yet Republicans like Rep Boehner keep repeating the same lie. Some Republican Senator (I think it was Judd Gregg) claimed that the Stimulus Bill had not created even one job. Clearly either a lie or a statement by a US Senator who is completely uninformed.

I have been accused on this blog of whining.

I guess that is true.

Republicans uniformly opposed the Stimulus Bill, but many Republicans have been more than happy to pose for pictures trying to take credit for stimulus spending in their Districts or States.

Racheal Maddow did a great segment on Republicans who proposed or supported legislation (like a Bi-Partisan Debt Commission or Pay as you Go) but then turned against it when the President supported it.

Some Republicans continue to refer to President Obama as a Socialist without being able to point to anything that he has done or proposed the is even vaguely socialist.

Republicans complain that FBI agents read the Underwear Bomber his rights and that the Justice Department plans on trying him in US District Court without acknowledging the HUNDREDS of terrorists (including the Shoe Bomber) that were tried in US District Court under the Bush Administration. Somehow now that we have a Democratic President, trying terrorists in US District Court is a threat to our nation and proves that the President is not serious about fighting terrorism.

On almost every issue that we are facing, Republicans have chosen to simply lie in their opposition to what ever the President proposes.

They lie compulsively about the cost and deficit impact of the Health Care bills before Congress

They lie repeatedly about the potential costs to the American Public of the proposed Cap and Trade legislation.

They lie about his prosecution of the war on Terror/Al Queda.

I suspect that our President would welcome an honest debate on any of these issues. But Republicans aren't interested in honest debate.

The percentage of Americans who support the currently proposed Health Care Reform legislation continues to drop largely due to the incessant stream of lies told by Republicans. Despite that, most Americans, when asked about specific provisions of the Health Care Bill support the vast bulk of those provisions.

http://www.kff.org/kaiserpolls/upload/8042-F.pdf

Barack Obama has not done as good a job as I would have liked in selling his programs, particularly Health Care and Cap and Trade. But he is largely constrained by the facts. Republicans don't seem to have that constraint.

I guess I am just whining. But I think that we, as a nation, are better served by honest debate. A consistent stream of lies isn't part of that honest debate.

Tuesday, February 2, 2010

Tort Reform revisited

Tort Reform, particularly malpractice tort reform, has long been a rallying cry of Conservatives/Republicans. They have repeatedly claimed that reducing or capping non-economic damages (mostly punative and pain and suffering) will have a significant impact on medical cost inflation.

And, like many arguments they have made in opposition to the President's proposed health care reform proposal and their opposition to the watered down versions that passed out of the House and Senate, these claims are exxagerated at best, down right deceptive at worst.

I had planned on presenting a unfortunately complex proposal for tort reform that protected doctors (and their insurers) who had clean records of not losing malpractice suits. It would advocate normalizing the definition of clean records by speciality since some specialities get sued far more than others. Doctors who had repeatedly lost malpractice suits would not have any limitations on punative award. Good doctors are rewarded with a level of protection, bad doctors are exposed to huge awards. It would forbid sealed judgements and would require that all settlements be reported even if they were settled out of court.

But I just don't see any need for a system that complex. The cure would be worse than the disease.

The best studies that I have seen indicate the the total cost of malpractice cases in the United States is about 1.5% of all health care costs. How ever you measure the cost of excessive awards, whatever you think that means, the vast majority of that 1.5% slice is valid and wouldn't be reduced by any of the things Republicans/Conservatives have proposed. The OMB puts the total potential savings to the US government from tort reform at $5Billion a year. Thats nice money, but a very tiny fraction of what we are spending.

There is no statistical evidence that I can find that malpractice costs are driving physicians out of the practice of medicine or driving them from high liability states to states with restricted liability.

And there is no evidence that caps on non-economic awards have actually led to reduced rates of litigation or to lower premiums for malpractice insurance.

So, unless I have got the facts wrong, what is the driver behind malpractice tort reform?

Other than protecting Insurance Company profits, what problem is tort reform trying to fix and have the caps on awards that many states have imposed on malpractice awards actually addressed those problems?

If someone can make a real fact based case for tort reform, lets see it.

But just to keep making the same old claims that aren't supported by the studies that have been done, is just another example of Conservatives/Republicans fact free arguments.

What am I missing here?

Thursday, January 28, 2010

Conservatives and Facts

As I have made my posts here and engaged in spirited discussions with people who had opposing opinions I have been struck by one recurring theme of these discussions.

Facts, or the lack there of.

In discussions of global warming I hear opinions. I also here non-factual statements that are not true despite the positive nature of the statement. I got told once that Global Warming was not real because mankind wasn't that powerful. My favorite is that temperature readings more than 50 or so years old are meaningless since older measurements weren't as accurate as they are now. A statement that displays such a basic lack of understanding of science and statistics as to almost disqualify the speaker from being allowed to voice an opinion on any scientific matter.

On evolution I have been told that since the theory of evolution is not perfect and because we haven't found a complete fossil record linking our ancestors to those of the great apes, that creationism is equally as valid as evolution despite the simple fact that creationism makes no scientific attempt to explain the available data.

Talking about Gay Marriage, opponents have all sorts of dire predictions about social consequences if we allow gay marriage but they have no studies or data from those places that do allow gay marriage that supports their beliefs.

One consistent refrain of conservatives and Republicans in the health care debate was that without Tort Reform the reforms would not be able to constrain health care costs. The problem is that every study I have seen shows that medical malpractice awards add something around 1.5% to health care costs and that limiting punative and non-economic damages would change that number very little. They don't mention that Texas placed significant caps on punative awards and then saw malpractice insurance rates go up even faster than before, not down as promised.

The Health Care debate has been one continuous stream of lies in attacks on the various plans, most famously the Death Panels, something the habitually fact challenged Sarah Palin continues to talk about.

I have asked Conservatives/Republicans for some facts that they wanted to brag about and tell me what great things Conservatives/Republicans have done for this country and none of them had any Conservative/Republican accomplishments to brag about.

Republicans/Conservatives advocate constantly for tax cuts as a solution for almost every problem. And they keep claiming that tax cuts pay for themselves and that they spur economic growth despite all the studies that show that tax cuts by themselves have a very small positive short term impact on growth and long term actually retard growth and never never pay for themselves.

20 years ago the same people were claiming that cigaretts weren't addictive.

The amazing thing is that Conservatives and Republicans are consistently wrong about the facts and they just don't seem to care.

Tort Reform

I am looking for help
I have been doing some research on Tort Reform, particularly medical malpractice tort reform and would be very interested in any studies that any of you have seen that show that excessive medical malpractice awards are actually a significant factor in health care inflation.
I have looked and cannot find any studies that make that claim.
Can anybody help?

Thanks

Thursday, January 21, 2010

An Activist Supreme Court

Its funny in a twisted way.
An activist Supreme Court overturns a century of laws and previous ruling and screwed all of us.
And conservatives/Republicans seem to love it. Now corporations can spend their money without limit in direct support of the candidates of their choice.
When Barack Obama ran for President in 2008, he raised an amazing amount of money. Hundreds of millions of dollars, from millions of individual donors.
And the Supreme Court of the United States just made that into chump change. If the 10 biggest banks can give their employees 10's of Billions of dollars in bonuses, imaging how much they might be willing to spend to ensure that they are allowed to continue to make huge profits while taking ridiculous risks with other people's money.
And that's only the financial industry
Look at how much the Health Insurance industry has spent, all the while trying to hide how much they were spending, to oppose any real reform in the health insurance market.

Needless to say, I think this decision will turn out to be a disaster for this country. I guess I shouldn't be surprised that Republicans and conservatives seem to love this ruling. I just wonder if now they will stop whining about activist judges.
I doubt it.