12 March 2013

How Sequestration Savages People on Medicare

Tacoma woman, 2011: recording the strength of character and depth of feeling so magnificently evident in her face was its own reward as, at the time, I had no other reason to make her portrait. Pentax MX, 135mm f/2.5 Takumar, Fujucolor 800 (desaturated). Though these bayonet-mount Takumars are frequently damned for having low-end, inferior glass, I have to differ: this was wide open at 1/125th of a second.  (I bought the Takumar after the retirement of the last  Leica-trained repair person in the United States forced me to sell my beloved M cameras and make Pentax my sole 35mm system.)  Photograph by Loren Bliss,  copyright 2013.  
 *

ANOTHER EXPOSÉ DETAILING how sequestration threatens lower-income people with death by abandonment and neglect – the One Percent's favorite 21st Century modality of genocide – surfaced last Friday via Medicare Watch, the on-line weekly of the watchdog Medicare Rights Center.
 
The MW report summarizes detailed analyses from two unimpeachable sources, the National Council on Aging and the federal Office of Management and Budget. It itemizes $292 million the sequester is gouging from Medicare funding, and describes how “(t)hese devastating cuts will no doubt have a major impact on the economic security of middle- and low-income Medicare beneficiaries, who will have to spend more out–of-pocket on basic necessities, thus making it more difficult to afford health care.”
 
“Half of all people with Medicare,” the report continues, “live on annual incomes of $22,000 or less and spend one-third of their household incomes on health care costs. Due to sequestration, already overburdened seniors will need to make difficult choices, such as whether to pay their heating bills or fill their prescriptions.”
 
MW also provides convenient links to the original documents.
 
The underlying premise, based on MRC's 24 years as a primary advocacy group for Medicare beneficiaries, is that all cuts in government payments to hospitals, insurance companies, pharmaceutical firms, doctors and other Medicare providers will be passed onto patients as increased costs or reduced services. Even if such trickle-down measures are presumably illegal, the lawyers who serve the insurers and other such health-care profiteers invariably find loopholes by which to maintain their margins.
 
Supported as it is by the historical record, this conclusion adds yet another credible rebuttal  to the Obama Administration's increasingly unbelievable claim the much larger cuts to Medicare provider payments already imposed by the Affordable Care Act will somehow not increase the already burdensome medical bills paid by elderly and disabled people.
 
Hence there's a growing fear – and not just amongst seniors – an ugly post-electoral surprise is lurking in Obamacare. Skeptics are already damning it as another example of “change we can believe in”: the absolute certainty that life in the United States – at least for the 99 Percent – will get much, much worse.

 
***** 


EDITORIAL NOTE: here's my explanatory response to a couple of colleagues who thought I buried my lead in “How Sequester's Sword Slashes Vital Programs for Lower Income People,” one of two stories that ran last week under the “Economics Below the Salt” headline.
 
If this were a local-news blog – if the majority of its readership were local instead of national and international – the two critics would be right. But readers who are unfamiliar with the intricacies of U.S. governance need background information if they are to understand the sequester's magnitude – why it could prove to be the most maliciously deadly atrocity in the nation's political history.
 
It is also the most diabolically clever political ploy I have yet encountered, an unabashedly vicious bit of legislative sleight-of-hand by which both parties give the One Percent the budget cuts they demand while simultaneously worming out from under responsibility for the ruin so inflicted.
 
(Yes, I believe sequestration is permanent – why the present Republican/Democrat infighting is merely another Big Lie to conceal the grim reality we are governed by One Party of Two Names, a political machine that serves only the One Percent, the rest of us be damned.)
 
In any case, rather than begin the sequester story with quotes from Tacoma Housing Authority Executive Director Michael Mirra, as I would have done had I been writing only for locals, I prefaced his remarks with many details that were presumably familiar to readers in the U.S. but possibly unknown to those elsewhere.
 
I took this route not just to facilitate maximum comprehension, but to contribute my own tiny part in what – if there is any justice left in this world – will surely become a global journalistic campaign to inflict maximum embarrassment on the treacherous and cowardly politicians who perpetrated the potentially murderous fraud of sequestration.
 
Which, of course, assumes such conscienceless politicians can still be mortified – that they have not given themselves completely over to the moral imbecility advocated by Ayn Rand in her capitalist sequels to Nazism's Mein Kampf. Obviously we shall see.
 
LB/12 March 2013
 
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04 March 2013

Economics Below the Salt: Bad News, Better News

The two reports below warn of the ongoing destruction of essential government services. This information is especially relevant to those of us who live “below the salt,” a late medieval term for the 99 Percent. The first report describes the sequester's impacts on several vital programs. The second tells how a local transit authority – forced by anti-transit voters to radically downsize its operations – nevertheless managed to save a fraction of its weekend and nighttime bus service. Those who fear they might be potential victims are urged to contact the appropriate local agencies for more information.

 
***


How Sequester's Sword Slashes Programs for Lower-Income People 
 
ASKING THE POLITICIANS who perpetrated the sequester to acknowledge the devastating wounds they've inflicted on the people of the United States is like investigating a murder in a bad neighborhood: nobody knows nuttin' – and what's more, nobody seems to give a damn.

The best you'll get out of the elected officials who wielded the sword of sequestration – the Congressmen and the president who collaborated to put the service-slashing scheme together and impose it on the nation – is a spin-doctored variant of what street cops and prosecutors used to call the “SODDI” defense: “some other dude did it.” The Democrats blame the Republicans who are busy blaming the Democrats, each trying to hide the fact both parties are equally guilty.

But the politicians' game of hot potato and its accompaniment of journalistic jeering is no help to the millions of lower-and-middle-income people who now wait in fear to learn how badly they'll be hurt.
 
So here's a summary of just a few of the sequester's real-world consequences.
 
The sequester sword inflicts a $3.7 billion gash  on the Department of Housing and Urban Development. According to one estimate,  at least 145,900 people are thus condemned to permanent homelessness. The members of least 417, 400 households will suffer other negative effects.
 
Part of the sequester-lacerated HUD budget is the housing-choice program more commonly known as Section Eight. It is a remnant of the many federal New Deal and Great Society programs that have been on bipartisan target lists since the Clinton Administration years, 1993-2001. (That's when the Democrats abandoned their longtime role as advocates for lower income people and joined with the Republicans in an ongoing campaign to shrink or eliminate social service expenditures.)
 
The money now routinely taken from all such services is typically diverted into various forms of so-called “corporate welfare” – taxpayer dollars doled out mostly to raise executive salaries and stockholder dividends at profit-making enterprises. Corporations that serve the world's largest and most expensive military establishment are especially favored by this upward redistribution of the nation's wealth.
 
But Section Eight – probably because of support from the powerful real estate industry – has somehow remained marginally functional despite decades of efforts to shut it down. Its vouchers provide access to privately owned, open-market housing. The associated subsidies ensure recipients' out-of-pocket expenditures for rent don't exceed 30 percent of their income.
 
Most of the applicants' needs are urgent. Many are disabled. Some are homeless or in danger of becoming so. But the sequester, by indiscriminately shrinking the Section Eight budget, imposes additional limits on the number of people it can serve.
 
Like other HUD programs, Section Eight is administered by local housing authorities. Sequestration's impact on the Tacoma Housing Authority, which serves a seaport city of about 200,000 persons, is typical.
 
Michael Mirra, THA's executive director, said the sequester downsized the group's $45 million annual budget by $2 million or 4 percent. It is, he acknowledged, a painful blow. But he and his colleagues, always attentive to political circumstances, had anticipated the cuts. Thus they reduced Section Eight expenditures accordingly, applying a policy Mirra describes as “thinning the soup, so we did not have to take any chairs away from the dinner table.”
 
Even so, the waiting list for Section Eight housing in Tacoma, already four or five years from application to approval, now becomes much longer.
 
Other local casualties of sequestration, Mirra said, include homeless college students and lower income people who were awaiting aid for first-time home purchases. The students were to have been participants in a new program that would have found them housing but was shut down by sequester's denial of funds.
 
Another cutback imposed by the sequester, this of $6.3 million,  has forced the nearby King County Housing Authority to suspend some of its Section Eight operations.
King County includes Seattle, which has its own housing authority. Excluding the people in Seattle, the county's population – that is, the number of persons potentially served by KCHA – is 1.3 million.
 
The sequester also slashes a number of education-related programs. These include work-study jobs and other forms of aid for college students as well as well as Head Start programs for pre-school children.
 
Though elderly and disabled people had been reassured Medicare was protected from sequestration, the reassurance may prove to have been misleading. Reimbursements to doctors, hospitals, health-insurance plans and drug companies are to be downsized by $2 billion over the next ten years. Whether these costs will be passed on to recipients is unknown at present, but the history of the health insurance business suggests they probably will be. An Associated Press analysis out of Washington D.C. says Medicare Advantage enrollees will be especially hard hit if the providers thus raise premiums, fees and prices.
 
Statewide, the sequester is hacking $1.05 million from nutrition assistance that provides meals for Washington seniors – some of whom would otherwise starve. It is the sort of cutback Rep. Alan Grayson says will kill people. Grayson, a Florida Democrat who is one of sequestration's few Congressional critics, calls it “a self-immolation,” adding it “will cause a lot of pain, a lot of hunger, a lot of disease, a lot of death.”
 
How severely will the shrunken funding wound Tacoma seniors? As of Friday, the relevant local officials didn't seem to know.
 
Nevertheless there's no doubt cuts similar to all those described above now afflict anyone who depends on federally funded programs. As is often the case, the circumstances in Washington state are a microcosm of what's happening throughout the nation.

Meanwhile Grayson is not the sequester's only outspoken adversary. U.S. Sen. Elizabeth Warren, the feisty Democrat from Massachusetts, has denounced it as “irresponsible” and “just plain stupid.”

But it remains to be seen whether Grayson, Warren and their few like-minded colleagues can convince the bipartisan House and Senate majorities to sheath their metaphorical swords and undo the real-world damage they've already done. 



*****



Transit Board Backs Down on (Some) Service Reductions 
 
PERHAPS IN RESPONSE to increasingly bitter criticism by advocacy groups for lower-income people, the Pierce Transit Board of Commissioners has effectively defied its anti-transit constituents and discarded an already approved plan to abolish all weekend and nighttime bus service. 

Or perhaps – as an inside source implied last week – it was just too embarrassing to too many powerful people to think of a city as big and economically significant as Tacoma without any weekend or night-time buses.

In any case, the service reduction that goes into effect in September will be on the order of 25 percent rather than the 34 percent mandated by the board in January. Revoking its January decision, the besieged agency now says it will retain minimal night and weekend service. 

Even in their new and slightly revised form, the cutbacks will further shrink already radically-diminished bus service for the approximately 600,000 people who live in Pierce Transit's 292-square-mile service district. The area includes the seaport city of Tacoma, population about 200,000, which plays a significant role in the global economy.

Pierce Transit's downsizing, by nearly 70 percent since 2009, is mandated by local voters who damn public transport as welfare, denounce its users as bums and condemn its unionized employees as parasites.

But for once the “human decency” meme that emerged in reaction to last November's vote against transit and transit-users seems to have been paramount amongst the commissioners' considerations. The agency thus reshuffled its budgetary tarot cards and came up with an additional $6.2 million – $5.5 million from maintenance funds – to maintain (very limited) weekend and night-time bus operations.

“The risk,” said Pierce Transit's Lars Erickson, “is that we may have (unforeseen) maintenance problems.” The board is willing to gamble, the publicist says, “because we understand the effects of cutting weekend and nighttime service.” 

Nevertheless, Tacoma and its surrounding suburbs will still suffer from what – for a municipality of its size and economic importance – is probably most inadequate public transport in the industrial world.

At least one board member, Derek Young, says he fears Pierce Transit is “in a death spiral,” with the ongoing service reductions resulting in revenue losses and enough additional political antagonism to eventually terminate the agency's operations. Some transit opponents have already admitted this is precisely their intent.

In this context, the Polly Anna spin Pierce Transit attempts to put on the cutbacks – “extensive system redesign project, robust public outreach since 2009” – seems especially ironic.

The initial downsizing of the agency's operations, in 2009, was due to Washington state's notoriously regressive tax structure.

As a consequence, the state's transit authorities are funded almost entirely by sales tax revenue, which slumped radically during the Bush-Obama recession and has remained low ever since. In response, Pierce Transit reduced service by eight percent. It re-routed several bus lines and shortened operating hours but otherwise preserved pre-recession schedules.

In 2011, hoping to restore these cuts and expand existing service to accommodate growing ridership, the commissioners asked voters to approve a sales-tax increase of .03 percent, three cents on a $10 purchase.

But the far-right majority that dominates the suburbs, energized as they were by the success of the Tea Party, launched a nasty campaign based on spurious claims that transit is not a civil necessity but rather a means of placating lower-income people, pampering minorities and funding the Democratic Party via the Amalgamated Transit Union.

The transit opponents also tried to portray the agency as an exceptionally glaring example of government spending run amok – a bureaucracy that squandered taxpayer dollars at every opportunity.

Efforts at rebuttal – for example telling the story of how insightful planning gave Pierce Transit the first natural-gas-powered buses on the planet and locked in fuel prices that in today's market are equivalent to buying diesel at 71 cents per gallon – were either ignored or shouted down.

Thus the agency's 2011 special-election ballot measure, though narrowly approved in Tacoma proper, was overwhelming defeated in the suburbs, which contain about two-thirds of the population of the Pierce Transit service area.

The directors resubmitted the three-cents-on-$10 tax-hike to the voters in 2012, hoping the progressive majority expected to turn out for the November general election would at last rescue the system.

As expected, the transit opponents' responded with the same hateful rhetoric they had employed the previous year. But they became even more stridently anti-union after the agency's bus drivers and other workers represented by ATU Local 587 voted to give up their 2011-2014 raises and cost-of-living increases in a last-ditch effort to help save bus service.

The second vote thus went the same way as the first.

While the voters within the Tacoma city limits again approved the tax hike, an overwhelming number of suburbanites again voted against it. And even the Tacoma outcome was gravely disappointing to transit supporters. An unprecedented two-percent under-vote – about 15,400 ballots cast by people who declined to vote on the transit measure – suggests the presence of a decisive anti-transit plurality even inside the city limits.

Hence the Pierce Transit board's unannounced but obvious decision to abandon – at least for the foreseeable future – any further ventures in electoral politics.

LB/4 March 2013

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25 February 2013

How Obama's Deceptions Prove the Imbecility of Hope

(Note: My primary blog-server's system for posting links as highlighted text has inexplicably failed, a vexing malfunction that necessitated two hours of retyping and reformatting but will no doubt soon be corrected. Meanwhile, because I do not want to retype everything once more, this time for Blogger, I'm retaining  the old, awkward method of including actual URLs in the text, the solution mandated by the techno-failure. My apology for the inconvenience.) 

*

DESPITE MY NEW recognition that writing political commentary is a waste of time and energy, I can't promise to stop doing it. Old habits die hard – never mind I now sadly acknowledge H. sapiens sapiens is so determined to fulfill the biblical prophecies of human extinction, we are like some jumper who has leapt from a bridge, ourselves on an irreversible plunge toward the bottomlessly toxic waters of environmental suicide.
 
Nevertheless the fact our species festers with such self-hatred it has destroyed its own future does not seem to relieve me from the obligation to produce new work. It is a paradox I cannot explain, a powerful certainty that writing and photography remain rites of redemption even amidst the ultimate holocaust inflicted by a failed species intent on murdering its entire planet. Perhaps such certitude is only stubborn egotism, a last spasm of (imbecilic) hope. But I believe it is something more, the final riddle of the Muse, an ultimate mystery into which death is the only initiation. Hence I'll soon be publishing the long-promised photo essay on Occupy Tacoma plus new and/or revised chapters of my memoir, all here in Outside Agitator's Notebook.
 
Given my age and uncertain health, I think it better to get those texts and pictures into print as quickly as possible. After 2014, Obamacare regulations force all lower-income Medicare recipients onto Medicaid, which in turn mandates the post-mortem confiscation of one's entire estate, for the details of which see the text and links in the concluding section below. As a result, all my manuscripts and photographs, which I long ago willed to a beneficiary able to archive them in a significant library, could instead be seized by the state and suppressed accordingly.
 
Immediate publication of the work in question will also ensure certain kinfolk cannot squelch the darker details of why I regard “family” as a synonym for pain, terror and betrayal. These include the circumstances of my conception (not an expression of love but instead a malicious act by my mother-to-be to ensnare a mate whose gender she despised); her attempts to murder my father and me five years later; my father's immediate response (a judicially terminated effort to abandon me in an orphanage); and of course the denouement, my subsequent rejection by most relatives as an unwanted reminder of the stigma that accompanies psychopathic violence and scandalous divorce. Such were among the formative events of my childhood, a succession of wounds from which the only possible recovery is acceptance and accommodation.
 
No doubt there are a few relatives who would like to delete the brighter, more optimistic parts of this memoir too. Included are expressions of gratitude for a seeming miraculous psychic rescue by a maternal aunt (the most decisive event of my life); for a series of healing relationships with remarkable females who befriended me in childhood or shared themselves as lovers during my adult years; and finally for the confirmation provided by occasional encounters with the resurrected Goddess – gifts of clarity that, given the expanded perspective of my closing years, enable me to redeem with newly discovered elements of structure, meaning and apparent purpose what I had long belittled as a personal odyssey of naught but ruin and despair. (I leave it to readers to decide whether the Goddess is objectively real or merely an imaginary character my psyche fabricated in compensation for my hateful mother.) In any case I think it is a story worth telling, potentially healing not just on abstract or theoretical levels but in everyday life as well.
 
Meanwhile I'll begin shifting OAN's focus more toward providing practical information that's useful to impoverished, elderly and disabled people like myself. This sort of material was formerly covered by most newspapers, certainly by all the better ones. But the definition of news – previously the duty of seasoned editors – is now dictated by the One Percent, the political and economic interests that own the nation's major media. And news that's important to lower-income people – for example, death-dealing changes in welfare regulations or instructions on how to build backyard gardens that will help us survive the coming famines – is now rejected either as dangerous or editorially insignificant. It is also snootily shunned lest it detract from the ever-more-deliberately elitist formats demanded by advertisers.
 
Breaking the resultant embargo – applying my formerly award-winning reportorial skills to light a few informational candles that might momentarily ease the darkness beneath the Obama Bush – is the one activity in which I may yet be of service. It is, admittedly, resistance for its own sake – small acts of defiance – assertions of existential freedom – that change nothing. But it's all I have left to give. 
 

***


One of the most compelling reasons I am convinced we are a doomed species is how we react to the approaching apocalypse in exactly the same way an individual reacts to a diagnosis of terminal illness.
 
As Elisabeth Kübler-Ross famously documented in her 1969 book On Death and Dying, such reactions have five stages. These are (with their pre-apocalyptic equivalents in parentheses): denial (the response of the vast majority, whether in the United States or elsewhere); anger (the chaotic, avowedly disorganized and therefore ultimately unsuccessful responses of political, socioeconomic and environmental activists); bargaining (the openly conspiratorial response of the Ruling Class, as in “if I steal all the wealth, maybe that will ensure my survival”); depression (the soaring rates of mental illness); acceptance (the point at which I seem to have arrived – and where, much to my astonishment, I'm finding an entirely new kind of empowerment).
 
That said, what I'm offering here today is already more than the usual recitation of atrocities and outrages. It is rather a carefully selected octet of linked reports that define the breathtaking Big Lies fostered by both the (genuine) Right and the (alleged) Left wings of The One Party of Two Names – the vast political machine that rules the United States, increasingly with zero-tolerance tyranny, always and exclusively on behalf the capitalist aristocracy aka the One Percent aka the Ruling Class – the robber barons who, especially now in this time of increasing scarcity and ecological desperation, are savaging the rest of us, the 99 Percent, at every possible opportunity.
 
In keeping with OAN's new direction, today's essay is particularly relevant to Medicare recipients and anyone (foolishly) hoping Obamacare will provide financial relief from the omnipresent threat of bankruptcy and death inflicted by capitalism and its Ayn Rand medicine – the system of genocide-for-profit unique to the United States. 
 

***


Though it is something of an aside, I believe we should focus for a moment on the fact the deception and brutality that perpetuates the USian charade of freedom and democratic process has no precedent in history. Certainly there have been other regimes that combined Big Lies with police-state terror: Hitler's Germany, Stalin's Russia, Pol Pot's Cambodia, Pinochet's Chile all come quickly to mind. Moreover there have been so many more such despotisms during the 40 or 50 centuries since the emergence of patriarchy, it is now taken as axiomatic that liberty has never been more than an occasional spark of hopefulness in a near-infinity of dungeon-dark despair. But never before in our species' experience has a Ruling Class possessed such malicious cunning – its falsehoods engineered by entire institutes of scholars and psychologists – nor has such official deceitfulness ever before been defended by such irresistible technologies of surveillance and suppression of dissent.
 
Successful rebellion or even reform is thus rendered impossible. The nihilism of today's rebels – their rejection of ideology, their inability to agree even on short-term goals, their penchant for self-destructive acts – all these behaviors contradict any optimistic claims of revolutionary or reformist expectations. Indeed they confirm the real attitude of the USian 99 Percent is irremediable pessimism – heartfelt recognition, whether articulated or not, that hope is no more than imbecility. 
 
Because capitalist dogma forbids consideration of the obvious connection between our collective hopelessness and the hitherto-unthinkable crimes of school shootings and similar sorts of massacres, we are denied the ability to understand these atrocities in their socioeconomic contexts. Thus the ultimate nihilism of a nothing-left-to-lose frenzy of murder and suicide is deceptively portrayed as an isolated, lone-gunman event. Its cause is reduced to an interaction of Second Amendment rights and the availability of firearms with the biblical prejudice and Ayn Rand policies that have eliminated mental health care or made it prohibitively expensive. But Truthout and Harriet Fraad courageously break this taboo by publication of “Mass Killings: Why American Men Are 'Going Postal'”: 
 
“American white men and Asian men have lost the family wage and with it their hegemonic positions in what was once secure employment. The have simultaneously lost their dominant positions in intimate and family life...Mass killings became a new phenomenon in the 1980s when Reagan's platform of disempowerment of white, male workers, began.”
 
 
The implication – which even Fraad dare not express – is the common denominator of hopelessness makes the USian school-shooter and the Islamic suicide-bomber much closer psychological kin than we are willing to admit.
 
Meanwhile in “Lifting the Veil of Mirage Democracy in the United States,” Kevin Zeese and Dr. Margaret Flowers MD trace how these circumstances were imposed, describe how they are maintained and label them – correctly I believe – as “mirage democracy”:  
 
“Elections are tightly controlled, rigged for the two parties by restrictive ballot access laws, a corporate-run debate commission that blocks third parties, gerrymandered voting districts, unverifiable computer vote counts and a mass media that does not cover alternatives to the corporate duopoly. US voting systems are among the least democratic in the world. They lack modern, more democratic approaches like universal voter registration, proportional representation and ranked choice or instant run-off voting. Only half the US public is registered, and only half of registered voters vote, so these mirage elections provide a less than legitimate government.”

 
While “Mirage Democracy” is framed in the obligatory Polly Anna optimism of USian activists, its stark conclusions actually confirm the depth of our powerlessness: 
 
“Following a blueprint developed by Lewis Powell in his infamous memo to the US Chamber of Commerce, they built institutions over the next 40 years, including think tanks, lobbying firms and courts, to promote the market agenda and control the media and universities to prevent another outbreak of democracy...Those groups that directly challenge the system and cannot be co-opted by money or access are routinely infiltrated for the purpose of spying, dividing and destroying.”
 
 
In this context, the Democrats' 2008 campaign slogan, “change we can believe in,” may well be the most brazen example of Orwellian doublespeak in U.S. electoral history. The post-electoral transformation(s) of Obama the Orator into Barack the Betrayer not only prove the slogan to have been the biggest of Big Lies; the residual anger no doubt continues to fuel a lot of the non-racist antagonism toward the president. Similar betrayals are routinely inflicted on voters by the Republicans, for example Wisconsin Gov. Scott Walker's carefully concealed plan to win election as a moderate then – once in office – wage relentless war on unionized workers, women, sexual minorities and the 99 Percent in general. Michigan's Gov. Rick Snyder used the same maliciously dishonest strategy and tactics of lies and ambushes. Such duplicity characterizes U.S. governance at every level, especially during its last eight decades.
 
Hence the bitter jest: “Question: how can you tell when a politician is lying? Answer: his lips are moving.” The same is said of bureaucrats and executives. But the reality is no joking matter. Our national hopelessness is intensified by our reflexive fear and loathing of government and our associated distrust of anyone so employed – a mind set now shared by USian citizens whether their politics are Left, Right or Centrist. As I commented on a Naomi Wolf report entitled “Obama's Secret Assassins”:
 
Once again – and more vividly than usual – we see the true function of governance under capitalism is protection of the Ruling Class, including serving as its death squad. 

Indeed here is the one place – totally rational absolute distrust of government – Left and Right might unite...were it not for the insurmountable barriers imposed by the self-destructive anti-intellectuality that now defines Moron Nation.

 
Though I intended it as nothing more than a snarky remark – I did not even take the usual step of preserving it in my document file – it nevertheless earned me 52 thumbs-up clicks from other readers.
 
But it is not just our own USian local, state and federal governments we distrust. It is all government everywhere that has betrayed us. In every instance and in the name of every ideology, government promises to help us do collectively that which we cannot do individually. But then it invariably robs us, enslaves us and all-too-often herds us to our graves via poverty and ghettos and unjust imprisonment and unnecessary wars and genocide whether by death camps or abandonment and neglect – or most likely some carefully scripted combination of all these and every other imaginable negation of human potential.
 
Note in particular both the self-inflicted downfall of the historically youthful American experiment in constitutional democracy and the festering corruption within the Vatican, the oldest government on earth. 
 
 
Such is the record, at least in the 3500 years since the fall of Knossos and its global commonwealth, of government in action. Deny it however vehemently you choose, the lesson is that not even the most well-intentioned solidarity and collective determination can protect us from the predatory greed of the individual. 
 
Whether this is the fault of patriarchy or symptomatic of some deeper psychopathy, I know of no more damning evidence of our failure as a species. With any notion of liberation via government so utterly and permanently discredited, hope is not just imbecilic but insane. Add to that our decisive loss of any prospects for a better future – an irremediable loss we have inflicted on ourselves by our collective failure to purge ourselves of serial predators or at least subdue them with sustainable restraints – there cannot possibly have been a psychologically worse epoch in our species' entire 200,000-year history.


***


Beyond the obvious ineffectiveness of efforts to topple or ameliorate the oppressiveness of a state that has deteriorated to the point it serves only the most predatory members of its Ruling Class – just as history proves all states are destined to do – there are certain episodes and events that define the new USian reality with more clarity than usual.
 
One such circumstance is the impenetrable smog of Big Lies that, from the beginning, has obscured the truth about the (alleged) reform of the murderous business of denying health care to those who cannot pay for it and profiting obscenely from those who can. What facilitates these lies is the unavailability of the Affordable Care Act, 383,086 words of legalese and bureaucratic jargon in 1,990 pages – its form and content a classic example of censorship by presentation and price: an impossible $201.78, tax included, for the paper and ink (mostly the latter) to print one copy from my desktop computer.
 
Democrats and Republicans thus freed themselves to spew even the most brazen deceptions with little concern they might be challenged. But subsequent experience – including how my own health care costs have soared since the advent of Obamacare (never mind my Medicare provider is a non-profit cooperative) – has convinced me the Democrats' lies are far more injurious.
 
From the very beginning I understood “reform” as nothing more than an unprecedented Democratic Party payoff to Big Business and Wall Street, a bribery-rebate of inestimable profit for the health-insurance barons and an absolute guarantee there will never be an USian equivalent to the health-care-as-civil-right systems that serve the people fortunate enough to live anywhere else in the developed world. I saw too how its buy-it-or-be-punished mandate is a new form of enslavement by the One Percent.
 
But I did not anticipate how willingly the Democrats would participate in the de facto genocide of “shared sacrifice,” the Reverse-Robin-Hood euphemism by which we lower-income people are to be plunged deeper into poverty as the Ruling Class reaps its inconceivably expanded profits. Such is Obamacare: the means by which The One Party of Two Names ensures we live the rest of our years in fear our life-sustaining stipends can be slashed or eliminated at any moment.
 
Even so – if only because of my predilection to lean Left – I remained skeptical of most Republican anti-ACA claims until Truthout's recent publication of a Workers Action analysis of the government's own (mostly unpublicized) war against Medicare and those of us whose lives depend on it. Entitled “Obama's Shakedown of Medicare,” it confirms, with credible links as authoritative footnotes, the long-standing Republican accusation the president and his henchmen are robbing Medicare to finance ACA.
 
The conservatives, of course, don't tell us where the money is actually going – that the downsizing of Medicare is expanding the profits of the health insurance cartels and of Wall Street in general. But apart from that omission, the socialist and ultra-conservative indictments of “health care reform” are virtually identical.
 
Here is what the Workers Action report tells us:
 
“Obamacare’s Medicare 'savings'... (singles) out the Medicare Advantage program for hundreds of millions of dollars in cuts, while also reducing payments to Medicare contractors by hundreds of millions of dollars (hospitals, clinics, etc)...Of course hospitals simply shift this cost burden onto the patients, who receive less care, while giving doctors greater incentive not to see Medicare patients. As Medicare is steadily defunded, a two-tier healthcare system is created, where wealthier seniors will opt for private insurance while the rest will get second rate treatment, undermining the popularity and universality of Medicare, and thus making it more vulnerable to further cuts.”

 
And here is what The Weekly Standard said last May in the report entitled “Obama's Senior Swindle”:
 
“The most politically brazen feature of Obamacare has always been its looting of Medicare. About half of Obamacare’s costs are to be covered with money taken from an already nearly bankrupt program for seniors. And the most politically perilous aspect of this ploy is Obamacare’s cuts in Medicare Advantage funding, which would cause many seniors to lose their preferred health plans.”
 
 
For those unfamiliar with Medicare, the Medicare Advantage program, originally named Medicare Plus, was set up by the Clinton Administration in recognition of the fact the dying American-Dream economy was shoving Medicare's 20-to-50-percent copayments far beyond the reach of lower-income elderly and disabled people. Intended to provide folks like myself with adequate yet affordable health care, it was a life-saving boon, especially when administered by non-profits like Group Health Cooperative, of which – disclosure – I am a voting member. 

Then the Bush Administration expanded Medicare Plus into a windfall for insurance profiteers and renamed it Medicare Advantage – the advantage, of course, mostly going to the insurance barons and Wall Street. Rates soared accordingly, with non-profits like Group Health struggling to remain cost-competitive in a market now rigged to favor the profiteers. Predictably, the Democrats – ever obedient to the same dishonest imperatives that prompt the Republicans to reject their own proposals whenever they are embraced by the Democrats – instantly began denouncing Medicare Advantage as pampering seniors and disabled people by providing the alleged “luxury” of a few extra benefits like dental care and eyeglasses – a ripoff, the Democrats claimed, at taxpayer expense. 

The Democrats thus target Medicare Advantage with the same sort of deliberately invoked envy and greed the Republicans routinely muster against unionized workers – never mind the Democratic attack was another characteristic betrayal of the poor, tantamount to the party's sudden backstabbing of welfare recipients in 1995.
 
(By the end of the Clinton years, half the Medicare Plus enrollees were definitively in the lower-income category, with incomes no greater than 200 percent of poverty. Medicare Advantage's beneficiaries were, by 43 percent in 2010, people with annual incomes below $20,000. See the pdf, Lower Income and Minority Beneficiaries in Medicare Advantage Plans, 2010. Available by Googling its title, it is a report by America's Health Insurance Plans, an industry group that therefore is not to be trusted. I cite its figures only because they approximate Kaiser Family Foundation data I saw in 2011 but could not find online even with a four-hour search.)

Again quoting “Shakedown,” which I urge all of you to read in full: 

“In a political era of corporate dominance it was inevitable that doublespeak would become the official language of Washington, D.C. Now 'cuts' to social programs are referred to as 'savings,' while the destruction of these programs is 'reform'...The Medicare cuts are part of a larger 'reform' of health care in the United States, which ultimately serves to shift the cost of health care off the corporations, placing the burden firmly on the shoulders of working people.”

Or as “Senior Swindle” put it:

“Roughly 12 million seniors have chosen to carry Medicare Advantage. Most like it and want to keep it. They surely don’t want the funding for their plan cut by an average of $17,000 per senior over the rest of this decade, as would happen under Obamacare. They similarly don’t want to see the Medicare chief actuary’s prediction come true: that by 2017, enrollment in Medicare Advantage will decrease by half from what it would have been without Obamacare...But it’s not just Medicare Advantage beneficiaries who have cause for concern. Under Obamacare, other Medicare enrollees would struggle to find doctors, as (according to the Medicare chief actuary) Medicare reimbursement rates would drop below even Medicaid reimbursement rates by the end of this decade. Also by the end of the decade, the (Congressional Budget Office) suggests, Obamacare will cause 5 million people to lose their employer-sponsored insurance—almost certainly a lowball estimate.”
 
Then there's the in-depth analysis entitled “Obamacare: a Deception,” the history of which may be as revealing as its contents. The poet Franetta McMillian, to whom many thanks for sending me the text of the report, also described its rocketing ascent and meteoric plunge into darkness:
 
“This was up on Truthdig's website for a hot minute, because the anonymous author of the article was nominated as 'Truthdigger of the Week.' I PDF'd it to read later, and now can't find it anywhere on the site. I know that things barely last for a blink on the interwebs...but the article's quick burial is almost enough to make me believe in a conspiracy of censorship. Anyway: it confirms my fear about the Affordable Health Care act. Like desegregation, it was set up to fail.”
 
(Well done, Franetta; good catch!)
 
Here is the most telling paragraph of “Obamacare”:
 
“The ACA was not selflessly designed with the intent of providing affordable and equitable medical services to those in need, but rather to acquire taxpayer money for the private insurance companies under the seemingly helpful guise of health care and the ideological excuse of personal responsibility. It takes money from ordinary people and gives it to a medical insurance industry that profits handsomely from this legally-enforced corporate welfare – all while keeping Americans locked in the same broken system that puts profit before patients. The law was essentially written by business executives from the industry so that special interests would not be upset and profits assured.”
 
 
And here is what, for lower-income elderly and disabled people, are undoubtedly its most wrenching disclosures:
 
“Obamacare not only rations health care by what a person or family can afford, but also has implications for Medicare patients. Hundreds of billions of dollars are siphoned from Medicare to help pay the cost of Obamacare. The health care provided to Medicare patients will decline with the reduced payments to care providers. Health care seems destined to be rationed according to the age and illnesses of Medicare patients. Those judged too old and too ill could be denied expensive treatments or procedures that would prolong their lives.”
 
This is even worse:
 
“(T)he ACA stipulates that the system will ensure that if any individual applying to an Exchange is found to be eligible for Medicaid or a state children’s health insurance program (CHIP), the individual will be enrolled in such a plan...Furthermore...states are advised to automate enrollment whenever possible by using existing databases for social services programs such as SNAP (food stamps) to enroll people who appear eligible for Medicaid but are not currently enrolled. Therefore, you could find yourself auto-enrolled in Medicaid against your will...(And) the Omnibus Reconciliation Act of 1993 (OBRA 1993)... requires all states that receive Medicaid funding to seek recovery from the estates of deceased individuals who used Medicaid benefits at age 55 or older. It allows recovery for any items or services under the state Medicaid plan going beyond nursing homes and other long-term care institutions. In fact, The Centers for Medicare & Medicaid Services (CMS) site says that states have the option of recovering payments for all Medicaid services provided.”
 
Medicaid is welfare, with all its associated indignities. In other words, once enshackled by Medicaid, we are scarcely different from prisoners on parole. Our rights are radically curtailed; in some states we no longer have any rights at all. Even the most minute details of our lives are now governed by the whim of merciless, often sadistic welfare bureaucrats – all-seeing, zero-tolerance bullies whose administrative brutality makes fear the defining constant of our consciousness.
 
And not only are we to be flung onto welfare; if the “Obamacare” analysis is correct (and I believe it is), when we die the government is now able to seize the entire contents of our estates – house, land, personal property, insurance policies – literally everything we own at the times of our deaths. Indeed we are to be reduced to the property-less condition that defined medieval serfdom. For writers and artists like myself, this virtually guarantees the permanent suppression of our unpublished or unexhibited work. For all of us so indentured, its seizure of funds could mean there will not even be any insurance money for funerals. Like antebellum slaves, we are stripped of any pretense of postmortem dignity. Our bodies could be buried in unmarked graves, our ashes flung into Dumpsters, our relatives and friends denied the scant comfort of ritual farewells.
 
Thus – even unto desecrating our corpses and reaching beyond the tomb to afflict our survivors – does capitalism persecute its victims, punishing us for the poverty we could neither avoid nor escape.
 
LB/19-25 February 2012
 
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