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Politics : Formerly About Advanced Micro Devices -- Ignore unavailable to you. Want to Upgrade?


To: American Spirit who wrote (260925)11/18/2005 6:58:17 AM
From: Road Walker  Read Replies (1) | Respond to of 1577011
 
re: Democrats are not corrupt.

Both sides have learned how to game the system. They gerrymander their districts so there are no free elections and feed their marketing with special interest money in exchange for legislation that benefits corporations not the people or the country. "Toto, I don't think we're in a Democracy anymore".

Both the Republicans and Democrats are complicit in this hoax.

John



To: American Spirit who wrote (260925)11/18/2005 7:08:18 AM
From: Road Walker  Read Replies (1) | Respond to of 1577011
 
The Congress From Nowhere
Say this for the sad-sack Republicans in Congress: they really know how to get things done when it comes to meaningless face-saving legislation.

The House's biggest accomplishment in recent days may be its decision to scratch those two notorious Alaskan bridges to nowhere, a $442 million chunk of highway pork that made a national laughing stock of the lawmakers - supposedly financial conservatives - who stuffed it into the budget.

The retreat provides a definitive example of the legislative hypocrisy now gripping Congress. It won't actually save money because the funds will be shifted to Alaska's general transportation kitty for who-knows-what disposal. Actually taking unnecessary money away from the home state of a powerful Republican senator is a lift far beyond the lawmakers' capacity.

As if to make the point, the Senate was simultaneously refusing to reform the nation's scandalous antiterrorism financing. Senators narrowly on guard for parochial self-interest killed the House's plan to fix the skewed formula. Talk about pork. The financing formula fairly oinks at the terrorist threat as it shortchanges high-risk cities and ports and rewards rural states with more antiterror funds per capita than California, Texas and New York. The House proposal, co-sponsored by John Sweeney and Peter King, Republicans of New York, and Nita Lowey, a New York Democrat, would cut back on patently unthreatened areas while still allowing each state a minimum of 0.25 percent of the total funds for first responders and other antiterrorism operations.

Senate parochialism carried the day in the secret horse-trading over assorted parts of the Patriot Act's renewal. As a result, the original law will prevail, with its guaranteed minimum of 0.75 percent. In practice, this formula has proved to be not a ceiling, only a starting point for negotiating still more wasteful funds for sparsely populated states.

Bush administration officials and the independent 9/11 commission have warned of the risks in maintaining the current formula. But lately Congress's idea of homeland security has been political posturing. The House has been wallowing through its great "budget hawk" melodrama - making a show of slashing Medicaid spending for the poor while quietly preparing still more tax cuts for the rich. Meanwhile, the Senate has passed resolutions on Iraq aimed at making it very clear that whatever happens, the members up for re-election should not be held responsible.

No one expects any profiles in courage, or even difficult decisions, from this House and Senate. But putting local political pork above the protection of major terror targets is just pathetic.



To: American Spirit who wrote (260925)11/18/2005 7:13:23 AM
From: Road Walker  Read Replies (1) | Respond to of 1577011
 
A Private Obsession
By PAUL KRUGMAN
"Lots of things in life are complicated." So declared Michael Leavitt, the secretary of health and human services, in response to the mass confusion as registration for the new Medicare drug benefit began. But the complexity of the program - which has reduced some retirees to tears as they try to make what may be life-or-death decisions - is far greater than necessary.

One reason the drug benefit is so confusing is that older Americans can't simply sign up with Medicare as they can for other benefits. They must, instead, choose from a baffling array of plans offered by private middlemen. Why?

Here's a parallel. Earlier this year Senator Rick Santorum introduced a bill that would have forced the National Weather Service to limit the weather information directly available to the public. Although he didn't say so explicitly, he wanted the service to funnel that information through private forecasters instead.

Mr. Santorum's bill didn't go anywhere. But it was a classic attempt to force gratuitous privatization: involving private corporations in the delivery of public services even when those corporations have no useful role to play.

The Medicare drug benefit is an example of gratuitous privatization on a grand scale.

Here's some background: the elderly have long been offered a choice between standard Medicare, in which the government pays medical bills directly, and plans in which the government pays a middleman, like an H.M.O., to deliver health care. The theory was that the private sector would find innovative ways to lower costs while providing better care.

The theory was wrong. A number of studies have found that managed-care plans, which have much higher administrative costs than government-managed Medicare, end up costing the system money, not saving it.

But privatization, once promoted as a way to save money, has become a goal in itself. The 2003 bill that established the prescription drug benefit also locked in large subsidies for managed care.

And on drug coverage, the 2003 bill went even further: rather than merely subsidizing private plans, it made them mandatory. To receive the drug benefit, one must sign up with a plan offered by a private company. As people are discovering, the result is a deeply confusing system because the competing private plans differ in ways that are very hard to assess.

The peculiar structure of the drug benefit, with its huge gap in coverage - the famous "doughnut hole" I wrote about last week - adds to the confusion. Many better-off retirees have relied on Medigap policies to cover gaps in traditional Medicare, including prescription drugs. But that straightforward approach, which would make it relatively easy to compare drug plans, can't be used to fill the doughnut hole because Medigap policies are no longer allowed to cover drugs.

The only way to get some coverage in the gap is as part of a package in which you pay extra - a lot extra - to one of the private drug plans delivering the basic benefit. And because this coverage is bundled with other aspects of the plans, it's very difficult to figure out which plans offer the best deal.

But confusion isn't the only, or even the main, reason why the privatization of drug benefits is bad for America. The real problem is that we'll end up spending too much and getting too little.

Everything we know about health economics indicates that private drug plans will have much higher administrative costs than would have been incurred if Medicare had administered the benefit directly.

It's also clear that the private plans will spend large sums on marketing rather than on medicine. I have nothing against Don Shula, the former head coach of the Miami Dolphins, who is promoting a drug plan offered by Humana. But do we really want people choosing drug plans based on which one hires the most persuasive celebrity?

Last but not least, competing private drug plans will have less clout in negotiating lower drug prices than Medicare as a whole would have. And the law explicitly forbids Medicare from intervening to help the private plans negotiate better deals.

Last week I explained that the Medicare drug bill was devised by people who don't believe in a positive role for government. An insistence on gratuitous privatization is a byproduct of the same ideology. And the result of that ideology is a piece of legislation so bad it's almost surreal.

Copyright 2005 The New York Times Company