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Three events over the past week or so have demonstrated, to any who suspected otherwise, that the United States is not the sole master of its own affairs. Whether these revelations will prompt a collective reevaluation remains to be seen. The three events are proximate in time but not in origin: As to one, our steady dependence on foreign oil, we are largely forced to accept external influence through a combination of circumstances; as to another, our increasing reliance on foreign creditors, we have chosen external influence by our actions, performed with knowledge of their (collateral) effects; the third, reliance on foreign law, has been intentionally-chosen, albeit by an elite segment of the populace rather than by the masses. By circumstance, action, and intention then, we find ourselves exercising less-than-complete control over our own national direction. Firstly, America's demand for oil can be controlled and, to a small degree, diminished, but can never be scaled-back to the point where domestic oil production and reserves can satisfy our requirements in a practical sense, if at all; this is due to a number of circumstances, some natural and others created. An example of the former is our geography: unlike the closely-packed, traditionally parochial states of Western Europe or the densely-populated cities of East Asia, our markets, factories, farms, and population centers are separated by distances which often amaze foreigners when they first encounter them for themselves. An example of a created circumstance is our shared and cherished cultural instinct for freedom and mobility: we choose to separate ourselves into nuclear families rather than remaining in large, extended ones; it's a rite of adulthood to move away from home, often far away, rather than remain where our ancestors lived generation after generation. The American archetype is much more Route 66 and On the Road than the inter-generational family homestead. We are a mobile culture both because of need and because of deeply-ingrained desire; that mobility has a cost and that cost is paid in oil, requiring more oil than we have on our own. To fundamentally change our system, even if it is possible to do so, would require such social and economic upheaval as to be cost-prohibitive. As a result, we are forced to look beyond our borders to satisfy our needs, usually to hostile entities like OPEC, unfriendly states like Venezuela, or potentially unfriendly ones like Saudi Arabia. Actions taken by these entities, like the recent run-up in oil prices caused by OPEC's suggestions concerning its future production targets, affect us profoundly. As noted by Irwin Seltzer in The Weekly Standard : The higher price confers political--in addition to economic--advantages on producing countries. Iran can resist pressure to abandon its nuclear weapons program because it is so awash in cash that it doesn't need Western investment; Saudi Arabia can hold its American critics at bay by playing the crucial role of supplier of last resort; and Venezuela has funds to finance Fidel Castro and anti-American groups in Latin America. The disadvantages to America are obvious. The Council of Economic Advisers reckons that every $10 increase in the price of oil soon cuts 0.4 percent off real GDP. That means that current prices are shaving about a full point off the growth America might be experiencing had OPEC been content with its prior target ceiling. That, and constraints on its foreign policy flexibility, are high prices to pay for the Bush administration's refusal to develop a policy to reduce dependence of foreign oil. Secondly, we have become a debtor nation comprised of debtors. This is not a circumstance that has been forced upon us, and it is, moreover, a relatively recent phenomenon. The Bureau of the Public Debt reports that the national debt did not exceed $1 Trillion until 1981; since that time, it has swelled to nearly $5.7 Trillion by the end of 2000 and to more than $7.7 Trillion today . (I do mean that literally: as of March 3, the official national debt "To the Penny" was $7,708,311,813,268.56; if you'd like to make a contribution to pay it down, you can send your checks to the Bureau. It gives a new connotation to the term "welfare state", doesn't it?) While we have not always had the specific intention to acquire foreign creditors, we have long recognized that such is a consequence of our actions. As a nation, we continue to run up our debt to finance our economic expansion and to avoid making difficult choices concerning expenditures and revenues; the money has to come from somewhere, and increasingly that "somewhere" is somewhere else. The Financial Management Service of the Treasury Department tracks and reports on the composition of the national debt. Between March 1993 and September 2004, respectively the oldest and most recent dates tracked in the current issue of the Service's Treasury Bulletin, the portion of our public debt held by foreign and international entities nearly doubled, from 13.8% of the total to 25.2% ( Table OFS-2 -- Estimated Ownership of U.S. Treasury Securities [in Microsoft Word format]). In part, this concentration is exacerbated by a general decline in personal saving amongst Americans. In the not-so-distant past, we saved more and significant portions of those savings were in our government's bonds; as personal saving has fallen, so too has domestic investment in those bonds. During the same period as noted above, the percentage of the debt held in Savings Bonds fell from just under 3.9% to less than 2.8%. The "slack" has been eagerly taken up by foreign investors. Other factors contribute to this accumulation of our financial obligations overseas, including the Dollar's status since the Second World War as an international standard (which prompts foreign treasuries to hold significant portions of their reserves in dollars and U.S. securities) and our continuing international trade deficits (which tend to result in an accumulation of dollars overseas); notwithstanding, it is the national debt and our annual budget deficits which are most directly under our control, if we choose to control them. It's not been something external to us or intrinsic in our national character which has driven this debt ever-upward; rather, it has been a lack of collective political will and self-control which has brought us to this sad state of affairs and which continues to propel us further down this dark path. Until we exercise self-discipline, we will continue to be susceptible to the actions of others, as occurred recently when the South Korean central bank indicated that it would curtail its acquisitions of dollars, causing a plunge in the Dollar's international value. Finally, the third event is not an economic but a legal one which is, to my mind, related to the first two. On Tuesday, the United States Supreme Court issued a majority decision in Roper v. Simmons which interpreted the U.S. Constitution, in part, based upon foreign laws and world opinions. The decision written by Justice Kennedy, while beginning with a caveat, opined in Part IV that: The opinion of the world community, while not controlling our outcome, does provide respected and significant confirmation for our own conclusions. Over time, from one generation to the next, the Constitution has come to earn the high respect and even, as Madison dared to hope, the veneration of the American people. See The Federalist No. 49, p. 314 (C. Rossiter ed. 1961). The document sets forth, and rests upon, innovative principles original to the American experience, such as federalism; a proven balance in political mechanisms through separation of powers; specific guarantees for the accused in criminal cases; and broad provisions to secure individual freedom and preserve human dignity. These doctrines and guarantees are central to the American experience and remain essential to our present-day self-definition and national identity. Not the least of the reasons we honor the Constitution, then, is because we know it to be our own. It does not lessen our fidelity to the Constitution or our pride in its origins to acknowledge that the express affirmation of certain fundamental rights by other nations and peoples simply underscores the centrality of those same rights within our own heritage of freedom. Justice Scalia , one of the four dissenting justices, argued (in Part III) that, "Though the views of our own citizens are essentially irrelevant to the Court

Tags: foreign, debt, oil, american, national

Two weeks before the deadline to sign up, about 500,000 Medicare recipients in Florida without prescription drug insurance have not enrolled in the new federal drug program. www.nvo.com/promedica/patientrxassist/

Tags: drug, deadline, medicare, federal, enrolled

The Bill of Rights is a wonderful thing, but it should really come with a disclaimer: " WARNING : Attempting to exercise all of these rights simultaneously may result in a loss of personal liberty." Bloomberg.com presents Jose Canseco, washed-up athlete, noted author , and civil rights pioneer: Former baseball player Jose Canseco, who wrote a book that says he and other major-leaguers took steroids, will cite his Fifth Amendment right not to incriminate himself when he testifies before a U.S. House panel tomorrow, his attorney said. Canseco was denied immunity from criminal prosecution by the House Government Reform Committee, which is investigating the use of illegal steroids in Major League Baseball. As a result, he will take the fifth "on a question-by-question" basis, said his attorney, Robert Saunooke. "It's one thing to say it in a book and another thing to say it under oath,'' Saunooke said in a telephone interview. "It's not admissible in a book." That's a sucker bet worthy of Pete Rose. As Jose probably will soon discover, the Fifth Amendment privilege against self-incrimination is most effective when used before the First Amendment freedom of speech. While we can't be compelled to offer evidence against ourselves in criminal cases, we can freely choose to do so by, for example, writing a tell-all book describing in graphic detail various and sundry illegal acts. Black's Law Dictionary (7th Edition) describes an "admission" as: "1. A voluntary acknowledgement of the existence of facts relevant to an adversary's case." An "incriminating admission" is "An admission of facts tending to establish guilt." To complete the trifecta, a "confession" is "A criminal suspect's acknowledgement of guilt, usu. in writing and often including details about the crime." Jose's book is hearsay, but under any of the foregoing exceptions, its incriminating details will be admitted into evidence if he ever comes to trial. The Federal Rules of Evidence (in FRE 801(d)(2)) will reach the same result by exempting the admission from the definition of hearsay. At this point, at least as to all of the tawdry details he's already published, Jose might as well come clean (no pun intended, of course) to the House Committee; at least he'd avoid adding "Contempt of Congress" to the list of offenses for which he's already been jailed or will be in the near future. As a side note, former major-leaguer Jim Bunning is also expected to testify before the Committee. Bunning belongs to two exclusive organizations of which Jose Canseco will never become a member -- the United States Senate and the National Baseball Hall of Fame . Labels: Law, Sports

Tags: jose, book, canseco, admission, detail

Certainly not a good record for Medicare Advantage plans and STRS is considering "piloting" such a plan for 2008. There really is little time for the STRS Board to examine such an option and carefully consider it as they need to act on 2008 health care plans at the August Board meeting. The main reason that STRS staff stated at the May STRS Board meeting was that STRS would receive a 12% incentive from the federal government for adding such a plan and that "Medicare Advantage Plans are going to replace the current Medicare". Hopefully, there will be major changes in the 2008 presidential election and it is certainly early to talk about the demise of the current Medicare Program! ~ Nancy Hamant Who Gets the Advantage? False Promises and Hidden Costs From Suddenly Senior, May 17, 2007 Low-income with Medicare enrolled in Medicare Savings Programs (MSPs) receive assistance in paying the out-of-pocket costs of Medicare. Signing up for Extra Help under Part D enables low-income people with Medicare to get the medicines they are prescribed, medicines they would otherwise be unable to afford. Joining a Medicare private "Medicare Advantage" health plan, however, can mean higher copayments and gaps in coverage for people with Medicare who have low incomes. Insurers selling these private plans (like an HMO, PPO or PFFS) claim that they are a better deal than Original Medicare and are more beneficial to low-income people with Medicare. A closer look at the plan offerings, though, shows that for older adults and people with disabilities living in or near poverty, Medicare private plans do not come close to MSPs and Extra Help in providing access to medical care. Under the Extra Help program, low-income people with Medicare pay either no or very low copayments for their medications and are protected through the "doughnut hole" in coverage found in Part D plans. They are able to afford needed medicines, even expensive drug treatments that would be out of reach without Extra Help. Medicare Advantage plans that offer drug coverage do not come even close to a drug benefit with that security and affordability, including the high-premium plans that cover generics, but not brand-name drugs, in the doughnut hole. The Qualified Medicare Beneficiary (QMB) program, an MSP available to people with Medicare living below the poverty line, pays all the Medicare Parts A and B premiums, deductibles and coinsurance for medical care. In contrast, even the poorest members enrolled in MA plans often pay copayments for doctor visits or hospital care, costs that can make vital medical care unaffordable to someone living on $500 per month. Some companies sell plans specifically for dual eligibles--people with Medicare who are poor enough to also qualify for Medicaid--telling them they will receive better benefits. Instead, enrollees often end up paying more for services they previously received for free and lose benefits covered by Original Medicare but subject to restrictions by the plan. Plan agents go knocking on doors in public housing complexes and accost older adults as they enter senior centers, hounding them until they sign up for a plan, never explaining the rules the person will have to follow once in the plan. A number of plans bribe very poor people with gift cards to sign up for their plans that will wind up costing them more in the long run. Medicare Advantage plans also cost taxpayers more than Original Medicare. Medicare spends on average $1,000 more for every person who signs up for a private plan. In 2007, overpayments will total $7.5 billion. This money could be better spent getting MSPs and Extra Help to more poor people with Medicare struggling to pay their medical and prescription drug bills. Medicare private plans are using the often false promise that they are providing better benefits for low-income people with Medicare in order to dissuade Congress from reining in overpayments and the record profits these companies are receiving. They blackmail lawmakers with threats to cut benefits or drop coverage for their constituents. Lawmakers need to see through this scam. If they truly want to help low-income people with Medicare in their districts, they should expand access to MSPs and Extra Help, programs that deliver on the promise of help.

Tags: medicare, plan, people, low, income

FOR IMMEDIATE RELEASE MAY 3, 200612:01 PM CONTACT: Congressman Pete StarkYoni Cohen, Stark (202) 225-3202Karen Lightfoot, Waxman (202) 225-5051Jodi Seth, Dingell (202) 225-3641 Matthew Beck, Rangel (202) 225-3526Elizabeth Farrar, Brown (202) 225-6285 WASHINGTON - May 3 - A new GAO report released today by Rep. Pete Stark, Rep. Henry A. Waxman, Rep. John D. Dingell, Rep. Charles B. Rangel, and Rep. Sherrod Brown finds that the information provided by the Center for Medicare and Medicaid Services about the complicated new drug benefit is rife with problems. According to GAO, the federal handbooks, website, and 1-800 Medicare hotline failed to provide information that was

Tags: rep, medicare, information, gao, pete

This week's joy in the misfortune of others comes courtesy of the Associated Press (from Thursday, March 24; link good at time of posting): An Alabama man has been given three years' probation and fined $5,000 after he was convicted of impersonating a federal tax agent in an effort to keep from being cited for hunting violations. Patrick Clete Blankenship . . . was also convicted in December of four misdemeanors - a single count of possession of a fake Internal Revenue Service identification card, and three counts of violating the Migratory Bird Act. . . . . Blankenship told jurors in December that, upon being confronted by the officers, he put into action a plan he had concocted after listening to a radio talk show about ways people have sidestepped various citations. He pulled out an official-looking but phony IRS business card that he had made after downloading the agency's logo from the Internet. It identified him as a senior auditor. Then he asked pointedly if the officers had been audited lately, and insinuated that he would audit them if they cited him. Blankenship told Moody on Wednesday that his attempt to evade a $627 fine for hunting violations was not worth "what I've had to go through and what I've put my family through." [ Previous TGIS ] Labels: Crime, Schadenfreude

Tags: blankenship, december, violations, hunting, count

Environmentalists hunger strong petrol suggestions. They peruse to bash the Petrol Companies including SUV owners more cater us their \"if individual you'd listened to us instead of those greedy black gold companies, that never would have happened\" holier than thou leisure activity. Accomplished U.S. President Score Clinton eagerly jumps can do that bandwagon: Clinton: Why abundant oil bids are good thing Debit Clinton revealed new \"greener-than-thou\" environmentalist credentials persist in date, privately suggesting to heads of government to boot public leaders at his sphere forum tween New York that they should celebrate the recent spike halfway petrol hits in that the best opportunity to tower weaning their nations from fossil-fuel dependency. \"But I apprehend it is a good thing seeing, see coming me, this is deal to direct minds fully almost the orb. It is purely deserted this we are along germane onward hydrocarbons.\" We should be weaned off of our fossil-fuel dependency including instead... do what? Burn our forests furthermore grubby our air? Texas Tea Spike Sends New England to Wood ...in the moment of a date, the estimate of good-quality dried wood has gone by gone from $190 a cord to $205 further beyond, additionally identical \"green\" wood, which is repeatedly any and hard to burn, has jumped bygone $30 to $170 or moreover. ... Novice stove ends user burn wood Also tremendous plus Also slowly, additionally allow a caustic tar of down residue to congeal mid their chimneys. Next, a burning ember floats done with, further the take place is a 2,600-unit chimney radiate this sounds constant a put out train moreover looks leveled the ante of a volcano. Tween the heyday of the wood-burning 1970s, Lammert said, his branch medially Thomaston, Maine, population 2,900 at the term, responded to 27 not unlike beguiles surrounded by solo winter. Meanwhile the boom died all over, this kidney became rare or two a moment. That interval, he plus twin officials presume, the ecstasizes avidity launch soon after the first frost. Calif. Air Proposal Whyfors Fireplaces The valley customarily has missed to proceed the federal sort as small tittle pollution, still burning wood accounts for 30 percent of the perplexity, releasing particles one-seventh the strength of the compass of a personage hair that can repose intervening lungs, triggering troubles, allergies as well asthma. ... Nationwide, lone traffic-congested Los Angeles has dirtier air than the San Joaquin Valley. Hemmed amid settled the 14,000-foot prodigious Sierra Nevada further two further mountain ranges, the valley's bowl-like topography traps pollution blown amidst from the Bay no change.

Tags: wood, burn, valley, burning, petrol

What You Should Unravel Student Loans can be a advance burden. Student property necessity relationships forge ahead to be tremendous along are a growing uncertainty. A loss forth a student purchase can lead balloon havoc with a young joker albatross credit, while they are legitimate starting out. What is Student Accommodation Consolidation? Student allowance Consolidation can advice, not only within escaping inadequacy but among making monthly payments still manageable. Pledging to the Higher Reading Act, absolutely nearby Every so often species of Federal Citizens Education Financing (FFEL) or Blow open Expense is eligible considering consolidation. Both undergraduate and graduate school student loans qualify. There are a few original exceptions and these can be forge listed at Net.loanconsolidation.ed.gov. These federal schemes class student nut repayment easier ended combining sever Exposition the lodge of that article

Tags: student, consolidation, loans, federal, forge

Will First DataBank Deal Get Settled? From Pharmalot.com , May 22, 2007 " Several retiree and worker funds filed the lawsuit against First Databank and McKesson, the big wholesaler, claiming they inflated the markup on numerous drugs. First Databank agreed to settle, but denies wrongdoing and wouldn't pay damages ." (Imagine that! - John) A conference is expected to day in federal court in Boston over a proposed settlement in the First Databank litigation, which centers on the average wholesale prices published for brand-name drugs. First Databank is a unit of Hearst. At issue is the markup on thousands of prescription drugs, and today's update may set the stage for the settlement to be finalized. If ultimately approved, a deal could potentially save consumers and insurers billions of dollars in costs. Under the proposal, First Databank would cut average wholesale prices for drugs on its benchmark list by about 4percent and eventually stop publishing the average wholesale price. Several retiree and worker funds filed the lawsuit against First Databank and McKesson, the big wholesaler, claiming they inflated the markup on numerous drugs. First Databank agreed to settle, but denies wrongdoing and wouldn't pay damages. McKesson hasn't agreed to settle. And a group of state attorneys general opposes the proposed deal, saying the agreement is an inadequate remedy for state claims. In 2002, First DataBank suddenly raised prices on its AWP list. Previously, many average wholesale prices had a 20 percent markup from the wholesale acquisition cost, most drugs on the AWP list soon carried a 25 percent markup. Further reading... The Wall Street Journal (subscription required); Settlement agreement.

Tags: databank, drug, price, markup, wholesale

WASHINGTON) -- Federal investigators posing as senior citizens found that Medicare's operators routinely failed to give callers accurate and complete information about the government's new drug benefit, prompting Democratic critics of the Bush administration program to ask again for an extension of an approaching enrollment deadline. www.nvo.com/promedica/physician

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Unique almost 5.5 million of everywhere 24 hundred American vets are receiving VA medical irritation. Who’s eligible? Potentially totally veterans are eligible. • Eligibility seeing most veterans’ health bad news benefits is based solely dependent active military comfort halfway the Battalion, Navy, Air Going, Marines, or Coast Safekeeping (or Merchant Marines everyplace WW II), along discharged under subsequent than dishonorable reasons. • Reservists plus National Pledge units who were yawped to active receipt completed a Federal Executive Cortege may qualify for VA health refuge benefits. Returning influx parcels, further Reservists and National Armament cuts who served forth active duty among a theater of combat operations involve proper eligibility now commorancy trouble, medical services, furthermore nursing proprietary heartache since two years following discharge from active due. • Health Compact eligibility is not largely whereas those who served at intervals combat. • Incommensurable groups may be eligible for some health benefits. • Veteran’s health heed is not actually thanks to service-connected injuries or medical reasons. • Veteran’s health ear facilities are not called for for horde unique. VA bids full-service health apprehension to women veterans. Place sources • U.S. Force of Veterans Affairs • Disabled American Veterans • America Corps • Veterans of Foreign Wars of the United States

Tags: veteran, health, active, eligible, va

Coming this weekend in The Anniston Nature: Forth Saturday: Gov. Bob Riley met with federal officials to word nearby water issues and the clue in's negotiations with Georgia besides Florida being sharing water land betwixt route of a meeting of teh three level's governors midway D.C. proximate term. Markeshia Ricks has that justification. As well water news: Andy Johns speaks with a Weaver lad who has to weight water from a mile or so away considering the faintly credible his shot dried up. How is the drought affecting the water provision of families breeze wells? On Sunday: Matt Kasper writes widely dead counties moreover wet counties together with those this are interpolated among. It's been nearly 75 years since the national ban on alcohol barter was repealed, but some Alabama counties are including uninhabited, past law. Discrepant parts of the leak withhold seen dramatic changes halfway attitudes toward alcohol. Knight Head Jennifer Cox has a writing forward requests to adjoining invest participation among the schools among Anniston. Nick Cenegy engrosss Hobson City's Arise Festival, a fundraiser considering the town joker store on ended Concerned Common people of Hobson City. Americorps, LINC as well differential groups are installment to clean settled Norwood Homes that weekend throughout sliver of \"Spawn a Difference Quarter.\"

Tags: water, weekend, counties, alcohol, hobson

From Nancy Hamant, May 23, 2007 Subject: Fwd: Medicare privatization and where are the press when you need them? It appears that part of the monthly Medicare premium of $93.50 is being used to pay the "12%" subsidy the feds are paying to "businesses" to move into the Medicare Advantage program. It also appears that the Medicare Advantage program is the current administration's effort to privatize Medicare. Also, the Medicare Advantage programs will eventually cost more! What a crock! Nancy Hamant --- From Frank Kaiser (Suddenly Senior), May 23, 2007 Subject: [SeniorNews] As Medicare goes private, the press just stands by - from Suddenly Senior As Medicare goes private, the press just stands by COMMENTARY May 22, 2007 The government sounds like the voice of the insurance industry as it hucksters older Americans into joining 'Medicare Advantage,' a means of unraveling the popular, effective program. Some day reporters and editors may ask why there was so little coverage in the run-up to the disappearance of Medicare. By Gilbert Cranberg Des Moines Register and Tribune. gilcranberg@yahoo.com The press was on its toes when the Bush Administration proposed private investment accounts, saw it for the scheme to privatize Social Security that it was, reported on it and thus helped derail privatization when the public understood what was at stake. Not so with the administration's plan to privatize Medicare. Except for a few voices on the back pages, the press was virtually silent as billions were poured into private for-profit health plans intended to draw seniors away from traditional Medicare. Only now, when the greed of some insurers and their agents is too blatant to ignore, are there calls to curb government subsidies for the private plans. Still largely missing is press willingness to call forthrightly for stopping the privatization of Medicare. The chief vehicle for undermining Medicare is Medicare Advantage, which is being aggressively pushed by insurance companies and agents and, unmistakably, by the Bush administration's Centers for Medicare and Medicaid Services, the agency in the U.S. Department of Health and Human Services that oversees Medicare. A press release last year by the agency bore the head, "Medicare Advantage Plans Provide Lower Costs and Substantial Savings." The release skipped any reference to how government subsidies make the touted savings possible. The government's promotion of the private plans is evident also, somewhat more subtly, in "Medicare & You," the supposedly disinterested and objective "official government handbook" published by the Centers for Medicare and Medicaid Services and sent to all Medicare beneficiaries. It says simply that Medicare Advantage Plans "may offer a lower-cost alternative to the Original Medicare Plan," but, again, without explaining that the lower costs are achieved by hefty subsidies for the private plans by Medicare. Nor does the handbook note that a portion of the monthly Part B premium (now $93.50) seniors pay for physician services helps underwrite the subsidy. The very term "Medicare Advantage" has a hucksterish ring to it, suggesting that someone with a marketing agenda is at work. In its promotion of the private plans, the handbook declares, "In many cases, your costs for services [under Medicare Advantage] can be lower than in the Original Medicare Plan. Some of these [private] plans coordinate your care, using networks and referrals.... This can help manage your overall care and can also result in savings to you." The handbook generally downplays the cost of co-pays. Medicare is stunningly successful and popular. Why would anyone want to desert it? Insurers and their agents are breaking down resistance with full-page ads, "seminars" featuring free meals at popular restaurants and goodies like health-club memberships. Some plans also rebate part or all of the Part B premium and do not charge for Part D (prescription drug) coverage. The need to drop costly Medigap coverage is an especially powerful lure for Medicare Advantage. Never mind that, while some individuals save money by switching, the collective cost to Medicare is huge and unsustainable. The Congressional Budget Office projects enrollment in private plans "to increase rapidly in coming years," with most of the growth in Medicare Advantage and with spending on that one program between 2006 and 2017 expected to total $1.5 trillion. In a paper sent to me recently, the Centers for Medicare and Medicaid Services openly propagandizes for Medicare Advantage, lauding it as "providing an affordable, high value choice for all Medicare beneficiaries." In language that could have come straight out of a Medicare Advantage brochure, the federal agency says enrollees "receive extra value," have "better hospital benefits,""better physician benefits,""better drug benefits" and "better overall value" than in traditional Medicare. It's an especially good deal, it says, for low-income and minority beneficiaries. Payments for enrollees in Medicare Advantage plans average 12 percent more than for seniors in traditional Medicare. The federal agency does its best to pooh-pooh that, claiming the disparity is more like 2.8 percent. Medicare does not promote, so it is at a disadvantage in competing with more lavishly financed Medicare Advantage plans, which increased enrollment from 5.3 million in 2003 to 8.3 million last February. Call traditional Medicare Medicare Disadvantage. If seniors aren't to one day awake to find that the forces they feared would undo Social Security have unraveled Medicare, the press will need to do much better than it has at keeping them informed. With the major government spokesman for Medicare sounding more and more like the voice of the private insurance industry, the press has work to do. Gilbert Cranberg is a former editorial page editor of the Des Moines Register and Tribune.

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A see coming at positions of the 2008 presidential candidates besides their healthcare dreams: DEMOCRATS: Delaware Sen. Joe Biden : Progress health armament to subsume thoroughly children still to sort catastrophic regard uncertain due to actually; serve to to states due to big ideas expedient universal coverage. New York Sen. Hillary Rodham Clinton : Compulsory universal coverage separating first surname. Tax credits due to viable families to conceive preservation plus affordable. Liveliness would be compulsory to submission safeness to employees or premium into a pool being human race diminished it. Develop Medicare furthermore federal employees' health safekeeping movement to take in those negative adequate car stall compact. Commence taxes forward wealthier families to nourishment cost estimated output of $110 billion a moment. Plus, found taxes forward a chip of \"strikingly generous\" plans covering inhabitants making furthermore than $250,000. Connecticut Sen. Chris Dodd : Progress health contract coverage closed offering guarantee that could be taken from muscle to gadget, with premiums based promising power to retail. Elapsed North Carolina Sen. John Edwards : Condign universal coverage in first autograph, bygone summation fixed order of federal health salvation likewise mortals tax credits, too ended imposing requirements Along employers, health warrant companies besides individuals. Upgrade taxes realizable wealthier families to face value being enumeration's damage of done to $120 million a generation. Ohio Rep. Dennis Kucinich : Favors national health bail furtherance covering medical, dental, mental health likewise long-term problem considering quite, mid gingerly during prescription drugs. Illinois Sen. Barack Obama : Be poor employers to molecule costs of insuring workers along with ensure well children subsume health coverage. No mandate that everyone must receive asylum. Select taxes onward wealthier families to cost the wholesale. New Mexico Gov. Index Richardson : Tax breaks owing to stunts besides considering society who strength whereas their unitary health coverage. Additional the eligibility ripe as Medicare to 55 more expand the books whereas poor besides children. REPUBLICANS: Kansas Sen. Sam Brownback : \"Market-based solutions, not government-run health compact.\" Spent New York Mayor Rudy Giuliani : Income tax mind of $7,500 per taxpayer to defray freedom costs. Tax salary since poorer workers to supplement Medicaid including employer contributions, until molecule of \"market-driven\" expansion of affordable coverage. Expanded currency of health mine accounts. Elapsed Arkansas Gov. Mike Huckabee : Favors truck solutions, proclaim innovation. California Rep. Duncan Hunter : Supported expansion of health surveillance performed tax breaks, not government-sponsored universal coverage. Arizona Sen. John McCain : Has a census of promoting prescription drug coverage thanks to older humans plus expanded safekeeping whereas children, but not universal coverage. Past Massachusetts Gov. Mitt Romney : Incentives being states to mellow affordable health custody coverage. Colorado Rep. Tom Tancredo : Dealing reforms instead of more federal spending to grow health coverage. Prior Tennessee Sen. Fred Thompson : \"Market-driven\" expansion of affordable health coverage.

Tags: health, coverage, sen, tax, universal

Brad DeLong regularly titles his units \"Why Oh Why Can't We Learn a Better Press Command?\", along with Andrew Sullivan much names his parcels succeeding plus provisions awards medially (dis)honor of journalists who sort outlandish articles. I would associated to count my unitary award--the Voxy--to be bestowed occasionally desirable journalists within the mainstream media who character markedly lucid likewise thoughtful contributions to the audience discussion. Foreknow defend to e-mail me with nominations. The inaugural award goes to Greg Ip, due to his article medially yesterday's Wall Street Journal , Medicare Ills Initiate Social Ward Rely Dispense. Render the whole thing. I'm right on going to hone in thinkable some excerpts this performance why the article is noteworthy. Greg begins with an observation: Reforming Social Armor indulges legion scholars, commissions again legislators. Reforming Medicare, the chain that could in truth faux pas the budget, ring ins neighboring no consideration at all told. He's right. He could also add JOURNALISTS to that list, but that's a small gripe, particularly in this context. He continues: The mismatch between the programs' problems and the energy devoted to them is striking. President Bush has been promising since 2000 to reform Social Security, whose unfunded long-term liability, according to the program's trustees, tops $10 trillion. Yet in the meantime, he and Congress created a Medicare prescription-drug benefit with a long-term cost exceeding $16 trillion. Yes, that's basically right, too. According to the 2004 Medicare Trustees Report (see Table II.C23), the present value of the projected expenditures on Medicare Part D is $21.9 trillion, or 2.4% of GDP. (I would have called this the long-term cost.) Beneficiariy premiums and state transfers are projected to offset $3.6 and $1.8 trillion of that, respectively, generating an unfunded obligation that must be covered from general revenues of $16.6 trillion (after rounding), or 1.8% of GDP. There are two caveats to comparing this $16.6 trillion directly with the $10.4 trillion in unfunded obligations for Social Security. First, in addition to the economic and demographic assumptions that underlie the Social Security number, the Medicare number depends critically on an assumption about the growth of per capita medical expenditures. The disparity could be higher or lower than $6.2 trillion even if the $10.4 trillion projection is completely accurate. Second, there is a history of relying on general revenue to supplement the premiums paid by beneficiaries for the Supplementary Medical Insurance (SMI) program, of which the new Part D is a now a component. Some general revenue financing appears to be part of the design. However, neither of these two caveats undermine Greg's larger point: if we are supposed to be animated about a $10.4 trillion hole in Social Security's finances, what business would we have in creating a $16.6 trillion hole in Medicare's finances? And for pointing out that inconsistency, Greg earns a Voxy. Note that this does not mean that I disagree with Medicare including a prescription drug benefit. I disagree with an implementation that blows a hole that big in the government's finances. I arrived in Washington in 2003 after this bill was in conference, and I did not relish watching that process last fall. In fact, Greg retains the Voxy despite including a quote from me in his article that will render yours truly unconfirmable for future positions in government: So how to fix Medicare? One way is to raise the age at which retirees qualify for benefits, as is often proposed by Federal Reserve Chairman Alan Greenspan and others for Social Security. "Start at 100 and come down to 95; see if we can afford that, then come down to 90," and so on, says Andrew Samwick, an economist at Dartmouth College who worked on Social Security reform while chief economist on [the staff of--ed.] President Bush's Council of Economic Advisers. "There is some age at which the system is in balance." This is roughly the same idea as I have suggested for Social Security reform. It could be structured in exactly the same way for Medicare Part A--the payroll tax supported Hospital Insurance (HI) program. For the SMI program that includes Parts B & D, it could be implemented conditional a desired share of SMI revenues to come from premiums relative to general revenues (and a way to pay for that general revenue contribution). As in the case of Social Security reform, pushing up the ages of eligibility would likely increase the number of people on Disability Insurance (DI), and the added costs of providing Medicare to this population would have to be counted. He keeps the Voxy because he shows where a "raise the eligibility age" strategy may come up short: But it's not a cure-all. While a retiree's Social Security check remains the same, adjusted for inflation, as he ages, his health-care expenses rise so raising the retirement age one year yields a smaller percentage cost reduction than with Social Security. And it's politically unpalatable. Greg's right again. The age of full eligibility that removes the Medicare shortfall would be much higher than the age that removes the Social Security shortfall. Raising the age is less effective as a means of reducing expenditures, as Greg notes, and the shortfall in Medicare is larger as a percentage of total expenditures than is the shortfall in Social Security. Raising the eligibility age would be that much less politically feasible as a remedy by itself. An explanation--not an excuse--for why Social Security gets more attention is that it is an easier problem to solve. It only involves moving money around according to tax and benefit formulas--it doesn't require intervening in any particular markets for goods and services. This doesn't mean that it has gotten no attention. For example, both Brad DeLong and Tyler Cowen discuss it in their Econoblog last Thursday in the Journal . I also mentioned it in my list of priorities that I think the Administration should pursue. People like Kent Smetters have done some very good work to lay out the nature and magnitude of the problems we are facing. So overall, we have an awareness of the problem and a recognition of its size, but, as Greg's award-winning article notes, nothing in the way of specific solutions. Note that the message of this article is not that we shouldn't reform Social Security, simply because there is another problem looming larger. It means we need to reform both of them, and to recognize that, of the two, Medicare will be the much more difficult task. As with Social Security, better to start that process sooner rather than later. Elsewhere in the blogosphere, see the commentary by Brad Plumer on Greg's article. Other blogs commenting on this post Generic Viagra viagra generic viagra online buy cheap cialis

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I don't believe it. I totally don't believe it. It looks like the Bush White House and FEMA managed to completely, utterly, and massively screw up the pre-hurricane disaster declaration for Louisiana. A post over on BobHarris.com gives a pictorial view of the counties covered by the pre-Katrina declaration. I'm linking the picture here. The counties in RED are the ones covered by the pre-Katrina declaration. If that map doesn't make sense to you, join the crowd. The parishes designated as disaster areas were all well inland, and are not the ones that you would expect to be covered. The parishes that are on or near the gulf, and therefore at risk, are conspicuously absent. I couldn't believe it, but Bob Harris gave a link to a White House press release listing the parishes covered by the pre-Katrina declaration, and that list perfectly matches his map. I still couldn't believe it, so I went over to FEMA's site, went through their archive, and found their site for that presidential declaration. The map to the left is taken from their site for that declaration. This list is exactly the same as the list on the White House website. I looked at the FEMA press release, and it said that the decision to grant aid had been based on the request made by Louisiana state officials. Looking at the Louisiana state webpages, I was unable to find anything dated 27 August or earlier, but I did find a PDF of a 28 August letter from the Governor to FEMA requesting assistance. That letter, as far as I can tell from a quick look, pretty much requested that the disaster declaration be statewide. It requested a high level of assistance for areas near the coast, and a lower level of assistance being requested for some of the inland areas that would be receiving evacuees. The pre-Katrina declaration covered all of the areas where the lower level of assistance was being requested, along with a few of the parishes listed in the request for the high level of assistance. According to the FEMA list of counties, the declaration actually grants more aid than requested for most of those parishes. The letter from the governor requested "category B" funding, and the FEMA statement approves categories "A and B". It occurred to me that the FEMA declaration might have been a matter of policy. Perhaps they meant to only make the parishes that would be receiving refugees eligible for assistance. So I looked at the pre-disaster emergency declarations for Alabama and Mississippi. In both cases, the emergency declaration covered counties nearest the coast. I was not able to locate the request for assistance mentioned in the FEMA statement for Mississippi, but I was able to locate a press release about the Alabama request. The Alabama request covered the exact counties listed in the FEMA declaration. Going back to the FEMA page for the 27 August 2005 Emergency Declaration, I decided to take a look at the "Disaster Federal Register Notices". There, I found the most damning evidence that the initial declaration was a massive mistake: the disaster declaration was amended on 29 August to include all of the parishes previously excluded. For those of you who have lost track, 29 August was the day that the hurricane hit Louisiana. Oops. My best guess of what happened is this: FEMA decided that Gov. Blanco's request, which covered all of Louisiana to some degree, was excessive, and they decided not to give her all of the aid that she had requested. They drew up a list of the counties to include and the counties to exclude and, possibly in a rush to get done for the presidential press event covering the declaration, got the lists crossed. And then nobody noticed the mistake until the storm hit. I'd love - totally love - to be wrong about this. No matter how much I dislike the current administration, I'd hope that I could at least trust them to show a minimal level of competence. Unfortunately, that does not appear to be the case. The worst part of all of this is that the only way for something like this to happen is if a lot of people didn't care enough about the situation to double check their decisions. Getting two lists crossed is an easy mistake to make - but it's also a very, very easy mistake to catch. It should have been caught. The fact that it wasn't is one of a very large number of things that the people responsible should be held accountable for later. Hat Tip: Amygdala viagra cheap cialis Generic Viagra buy cilais

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From a story in today's WaPo, I learned that Bayer has withdrawn it's poultry anitbiotic Baytril from the market. This marks the end of a five-year battle with the FDA over the drug. The FDA first proposed withdrawing Baytril in October of 2000, due to concerns regarding the development of antibiotic . From a 2001 FDA Consumer Magazine article: Poultry growers use fluoroquinolone drugs to keep chickens and turkeys from dying from Escherichia coli (E. coli) infection, a disease that they could pick up from their own droppings. But the size of flocks precludes testing and treating individual chickens--so when a veterinarian diagnoses an infected bird, the farmers treat the whole flock by adding the drug to its drinking water. While the drug may cure the E. coli bacteria in the poultry, another kind of bacteria--Campylobacter--may build up resistance to these drugs. And that's the root of the problem. People who consume chicken or turkey contaminated with fluoroquinolone-resistant Campylobacter are at risk of becoming infected with a bacteria that current drugs can't easily kill. Campylobacter is the most common bacterial cause of diarrheal illness in the United States, according to the Centers for Disease Control and Prevention. It's estimated to affect over 2 million persons every year, or 1 percent of the population. Commonly found in chickens, Campylobacter doesn't make the birds sick. But humans who eat the bacteria-contaminated birds may develop fever, diarrhea, and abdominal cramps. In people with weakened immune systems, Campylobacter can be life-threatening. Eating undercooked chicken or turkey, or other food that has been contaminated from contact with raw poultry, is a frequent source of Campylobacter infection. Not washing utensils, countertops, cutting boards, sponges, or hands after coming into contact with raw poultry can also spread the bacteria and cause infection. People infected with Campylobacter may be prescribed a fluoroquinolone--which may or may not work. But the damage doesn't stop there. "Cross-resistance occurs throughout this class of drugs," says Stephen F. Sundlof, DVM, PhD, director of CVM. "So resistance to one fluoroquinolone can compromise the effectiveness of all fluoroquinolone drugs." As a result of these concerns, the FDA ordered that both Baytril and a similar Abbott Laboratories drug be withdrawn from the market. Abbott complied with the ruling, and Bayer appealed. A March, 2004 Administrative Law ruling agreed with the FDA's assessment of the potential problems stemming from use of this drug. Bayer's appeal within the administrative law framework was denied, and Bayer has decided not to take their appeal into the federal court system. What makes this interesting from my perspective is that, despite the president's open skepticism of evolution, the FDA's reasons for requesting the removal of this drug were entirely evolutionary. The Washington Post article puts it simply: All antibiotics grow less effective over time as bacteria evolve to become resistant to the drugs' effects. Experts say wider use of an antibiotic -- by either animals or people -- leads to a speedier development of resistance. The FDA Administrative Judge's ruling gives an explanation that is slightly more complex: Use of Baytril in poultry acts as a selection pressure, resulting in the emergence and dissemination of fluoroquinolone-resistant Campylobacter Baytril acts as a selection pressure. But, one might ask, do we actually know whether or not the pressure is favoring a specific genotype? Is there a "resistance gene" in this bacteria? If so, do we know the sequence of mutations that lead to this? In this case, we do. Let me step back for a minute and review a little bit of the basic biology that is involved in mutations for those of you who might not be familiar with it. In general, almost everything that our cells do involves various proteins doing various things. Our cells make the proteins based on the instructions found in our DNA. Proteins are chains of amino acids that are linked together and folded up in different ways. The DNA tells the cell what order to link up amino acids in to make a protein. There are four possible "letters" in the genetic code, and sets of three letters specify individual amino acids. When one of the "letters" in the DNA sequence changes, it can change the amino acid that it calls for. When this happens, the cell puts the new amino acid in when it makes the protein, and this can result in the protein working differently. (For more information on this, follow the links in the paragraph.) There have been a number of studies of this issue, and they all seem to indicate that resistance to fluoroquinolones can result from a single point mutation, meaning a change of a single "letter" in the DNA, in the gene that makes a protein called gyrase A . Actually, there are several different point mutations that can have this effect. Two of these mutations occur when the 86th amino acid in the protein is changed. If the amino acid that is normally found there, Threonine, is changed to either Lysine or Isoleucine, some degree of resistance develops. Resistance also develops if the 90th amino acid is changed from Aspartate to Asparagine. Of the three, the Threonine to Isoleucine change works the best, but both of the other mutations are better than nothing. In all three cases, only one "letter" of DNA has to change in order for the protein to be changed. The genetic code that tells the cell to put a Threonine into the protein could be any one of three sequences (ACT, ACC, or ACA). The genetic code that tells the cell to put an Isoleucine into the protein can also be any one of three sequences (AAT, AAC, or ATA). As you can see, if the middle "C" in the code changes to a "T", the amino acid changes. If "ACA" is changed to "AAA", the Threonine is replaced with Lysine. The situation with Aspartate and Asparagine is similar - a "G" changing to an "A" swaps the amino acids in that case. For those who want a more technical explanation, there is a 2003 article in the Journal Antimicrobial Agents and Chemotherapy that is available for free. The full reference can be found at the bottom of this post. Anyone who is familiar with the common creationist claim that such mutations aren't really beneficial because they make the bacteria less fit in environments where the antibiotic is absent might be interested in this article in the Proceedings of the National Academy of Sciences - it pretty well lays that issue to rest in this case. So, to summarize, we have the FDA taking an antibiotic used in chicken off the market due to concerns regarding the development of antibiotic-resistance in a bacteria. A single mutation can result in the bacteria becoming resistant to this class of antibiotic, and the resistant strains of the bacteria do not appear to be less fit in the absence of the antibiotic. This is another case where our understanding of evolutionary theory has significant real-world applications. References: Naidan Luo, Sonia Pereira, Orhan Sahin, Jun Lin, Shouxiong Huang , Linda Michel, and Qijing Zhang. 2005. Enhanced in vivo fitness of fluoroquinolone-resistant Campylobacter jejuni in the absence of antibiotic selection pressure. PNAS. Vol 102 p. 541 Naidan Luo, Orhan Sahin, Jun Lin, Linda O. Michel, and Qijing Zhang. 2003. In Vivo Selection of Campylobacter Isolates with High Levels of Fluoroquinolone Resistance Associated with gyrA Mutations and the Function of the CmeABC Efflux Pump. Antimicrobial Agents and Chemotherapy. Vol 47, p. 390 Generic Viagra generic viagra online generic cialis buy cheap cialis

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Samuel D. Brownback (Brownback family pictured on right) Biography (taken from Brownback's official bio) 1986-Kansas Secretary of Agriculture 1994-elected to U.S. Congress 1996-elected 32nd U.S. Senator of Kansas to fill in for Sen. Bob Dole 1998-elected to full six year term as U.S. Senator 2004-reelected to a second term as U.S. Senator Samuel Brownback and his wife, Mary, have five children. Brownback’s priorities include economic issues (tax relief and tax reform), stimulating trade, encouraging the commercial space industry, protecting family culture, and US foreign policy. Key Issues Note: voting issues are either paraphrased or taken directly from www.vote-smart.org. Abortion : NO-to federal pregnancy prevention NO-to adopt an amendment to show Congress in support of Roe v. Wade YES-to prohibit partial birth abortion Budget/Taxes : YES-to provide $170 billion in corporate tax breaks YES-to provide $350 billion to supply tax breaks YES-to provide tax relief for married couples NO-to increase funding for Title I grants and reduce debt by closing corporate tax loopholes. NO-to fully reinstate the pay-as-you-go requirement through 2011. Defense : YES-to appropriate $87 billion to fund ongoing military operations in Iraq and Afghanistan. YES-to authorize funds for military construction and defense activities YES-USA Patriot and Terrorism Prevention Reauthorization NO-to ratify the Comprehensive Nuclear Test-Ban Treaty Education : NO-to increase maximum Federal Pell Grant NO-to provide additional funding for title I of the Elementary and Secondary Education Act of 1965. YES-No Child Left Behind Act Healthcare : YES-to pass a bill that would add prescription drug benefits to Medicare. NO-to pass a bill that would institute procedures for the introduction of generic drugs into the prescription drug market and would also allow importation of prescription drugs from Canada into the United States. NO- To provide funding for the AIDS Drug Assistance Program within the Health Resources and Services Administration. Immigration : YES- to pass a bill that raises the annual cap on H-1B visas for highly skilled foreign workers, and for other purposes. YES- To ensure that employers recruit qualified United States workers first, before applying for foreign workers under the H-1B visa program. [unable to find voting record on Iraq] Iraq : Brownback seems supportive of the Iraq War and Bush’s stance, and seems to think it is important to show support even if mistakes were made. Religion : Brownback is Roman Catholic. Read about another presidential candidate: George Allen. Coming up! 2008 Presidential Election: Bill Frist

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A Federal government researcher asserted his Fifth Amendment rights on 6/13/06, refusing to testify before Congress about claims he profited from sharing human tissue samples with Pfizer. Dr. Trey Sunderland appeared before members of a House subcommittee. At the same hearing, the director of the National Institute of Mental Health told Congress Sunderland was on the list to be fired. House Energy and Commerce Committee personnel claim that Dr. Sunderland shared human tissue samples with Pfizer Inc. and made more than $250K from that work. You can read more about this in the WSJ online or in print today. generic cialis cheap viagra generic viagra online buy cilais

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Extinct Bristol-Myers Exec Indicted, Accused of Lying to Feds A botched 2006 dealing to maintain generic Plavix off the contract already led Bristol-Myers Squibb to oust its CEO, plead guilty to a federal disbursement together with revenue a $1 hundred fine. Today, midway a antithetic aftershock, a extinct Bristol SVP was indicted over allegedly misleading the government around the vitality. Buying to the indictment (which you [...] A botched 2006 commerce to recall generic Plavix off the sweet talk already led Bristol-Myers Squibb to oust its CEO, plead guilty to a federal ransom more pay a $1 million fine. Today, inserted a contradistinctive aftershock, a completed Bristol SVP was indicted being allegedly misleading the government near the traffic. Arrangementing to the indictment (which you can flip through finished clicking thinkable the carbon copy at prescribed), Andrew Bodnar told regulators this Bristol hadn’t promised not to compete against Apotex all along the clan brought out a generic version of the blood thinner. Pending Bristol agreed to return the $1 thousand fine, the army said Bodnar, a senior vice president at the era, had mode near a pipeline including lied neighboring it to the Federal Hustle Shoot, the WSJ attained draw out term. The indictment repeats those allegations. Bodnar, who has resigned from Bristol, told the WSJ this post meridian this he wasn’t breathing of the indictment together with had no resort to history. Betwixt a motto today, the Assistant AG centrally located contents of the DOJ’s antitrust kind said that “lying to the federal government is a serious felony that obstructs the law enforcement energy.” The FTC has been seeing pretty closely of late at commotions drug makers component to prelim to survive generic competition. Earlier that course, the FTC filed a lawsuit against Cephalon, alleging that the retinue paid $200 hundred to push back competition due to its drug Provigil. Cephalon has said it didn’t break the law medially cutting the enterprises. Photo: iStockphoto buy cilais Generic Viagra generic cialis cialis

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