Making Peace With The Senate Health Care Bill

To support the health care reform bill, or not to support it, that is the question being debated across the Internet. Now that Nebraska Sen. Ben Nelson (D) has agreed to support the Senate version of the bill, it looks as if the Senate has the 60 votes necessary to pass the legislation. The new question is, "What's in the Senate bill?" I think that this is the 9th edition of the bill and it's been changed more often than Madonna has reinvented her image. After scuttling around on the Internet, I think that I reasonably understand the current content with the most recent amendments that will be voted upon at one a.m. on Monday. Of course, this all may change by the time I finish writing this entry.

Costs
According to the Congressional Budget Office (CBO), the legislation, with the proposed changes that are being offered as an amendment to the Senate's version of the health care bill would cost about $871 billion over the first 10 years. Those costs would be offset by $483 billion in spending savings and $498 billion in revenues over the period. Factoring in tax increases and lower payments to doctors, the CBO asserts that the Senate bill would reduce the deficit by about $132 billion between 2010 and 2019.

What's Changed
Elin (Mrs. Tiger Woods) and the government run insurance option (the Public Option) are gone. She may come back but the public option isn't likely to return in time for Monday morning's vote. It has been replaced with a plan to create two national or multi-state health insurance exchanges (exchanges) to be run by the U.S. Office of Personnel Management (OPM). One of the plans is to be non-profit. The CBO has stated that it is unclear whether insurers would be interested in contracting with the OPM to offer these plans. A move to replace the public option with a plan to expand Medicare to provide coverage for uninsured Americans over 55 was stopped by opposition from Sen. Nelson and other alleged Democrats and the ever present Joe Lieberman.

The Medicare payroll tax increase is 0.9% (was 0.5%) for couples with an income of  $250,000 or more and individuals earning $200,000 or more. This is a revenue raising measure. To save money, the Senate proposal cuts federal government reimbursement rates to doctors by 21% effective in 2010.

Funding for abortions has been a lightning rod in the Senate's debate about this legislation. In spite of the legal right to choose to have an abortion within certain medical guidelines and provisions, the anti-choice contingency have latched on to the health care reform legislation as an opportunity to try to make inroads in their ongoing effort to undo Roe v. Wade. The bill now includes more restrictive abortion funding language that strengthens the prohibitions against the use of public money for abortion services. The bill now separates federal funding from private funding for abortion services on the exchanges, and lets states choose not to allow insurance companies to cover abortion on their health exchanges. This change has left both pro-life and pro-choice groups unhappy (I didn't take the time to read all the reasons that both sides are upset with these changes).

Under the proposed changes, more firms would qualify for the small business tax credit for health care coverage. The tax credit would be available in 2010, a year earlier than originally proposed. The income threshold would be increased so that the tax credit will be available on a sliding scale to firms with fewer than 25 workers and an average wages of less than $50,000. Employers with 10 or fewer workers and average wages of less than $25,000 can get the full tax credit.
 What Stays the Same
Insurance Reforms to health insurance stay the same as in the first Senate bill. This means that insurers will be prohibited from denying or stopping coverage based on the cost of care or the health of the customer, or in other words, denying coverage based on preexisting conditions.

The requirement that all individuals purchase health insurance by 2014 remains the same, as do penalties for employers who do not offer insurance to their workers; however, businesses with fewer than 50 workers are exempt.

The so-called 40 percent "Cadillac tax" on high-dollar insurance plans does not change and will go into effect in 2013.

The provision remains that provides that the federal government will subsidize the cost of insurance for families who make between 133 percent and 400 percent of the poverty level.

The bill also continues to include provisions offering new federal insurance for Long Term Care.

What's next
According to the knowledgeable pundits, now that Sen. Ben Nelson has agreed to support the bill, the Democrats will have votes from 60 senators and can defeat the Republicans' efforts to filibuster the health reform bill. If all goes as predicted, the Senate will move quickly through a series of procedural votes on the bill, beginning at 1 a.m. Monday morning, and likely finishing at 7 p.m. on Christmas Eve.

However, it isn't over until it's over. Assuming that the Senate passes its bill, Democratic leaders from the House and Senate will negotiate a compromise between their competing versions of health reform. Major differences remain between the House and Senate versions, with the most significant being the creation of a public option (the House does it, the Senate does not), and who will pay higher taxes to pay for the expanded coverage. The House raises taxes on the wealthy with a five-percent income tax increase on people making more than $500,000. The Senate increases the Medicare payroll tax and creates the "Cadillac tax," which could hit middle-class workers by taxing expensive health plans.

If the conference committee reaches a compromise, the House and the Senate will both vote on the new and final version of the bill. The goal of the Democrats is for President Obama to sign the measure before his State of the Union address at the end of January.

Why a watered down bill is better than no legislation
I offer this summary because I think that it's important in this emotionally charged climate to have a clear understanding of the substance of the House and Senate bills. People that I respect and like are split on this issue, with some advocating that progressives should make our displeasure known and withdraw support for any health care legislation that doesn't include a government funded or public option. Others believe that even if the final bill is watered down, including lacking a public option, that it's better to go forward with it than to get nothing. I happen to be in the second camp.

I think that while a lot of good things have been removed in the Senate version, a lot of good things remain, most notably, prohibitions against denying coverage to persons based on preexisting conditions or charging outrageous premiums to insure those people. Even more importantly, politics is a game. It's a pretty disturbing game because the rules aren't written down and they are constantly being amended. The constants in this game are negotiation and compromise. You always ask for the moon, but you know from the outset that you're not going to get it. You leave yourself some room for compromise and negotiation.

Maintaining a facade of civility is of prime importance, unless you have had years to hone your image as an eccentric maverick and you also have acquired power through a system of favors and debts owed to you. Arguably one of the least powerful offices in the federal government is that of the president; the drafters of the Constitution designed it that way in an effort to prevent this new government from ever having the power concentrated in the hands of any single individual.

It's easy enough to call for the president to simply tell the wayward Democrats in the Senate what to do; however, the reality is that he can tell them and if they don't acquiesce, what then? He can't throw them out of the party. He could perhaps refuse to help with their reelection campaign, but chances are that their constituents don't need or want the president's input. However, this issue isn't about the president; it's about beginning the process of reforming our health care system.

That's right, reform is a process. It doesn't happen in the blink of an eye. The Senate bill cuts away far too many pieces of this bill, but the House version isn't dead. The final bill will be a compromise of the elements of both versions of the bill. However, when it comes to legislation, final doesn't mean that it's forever written in stone. More than half of the bills submitted during any legislative session aren't brand new, but rather amended versions of existing law.

If this bill dies, then chances are good that it will be several administrations in the future before the issue even makes it on the table again. The battle will have to start all over from scratch, and there is no guarantee that it will meet with any more success eight or 12 years from now. Now is the time to pass the best bill possible under the reality of the opposition and start working on the drafts of the reauthorization of the health care legislation (federal law is ripe with reauthorizations of major pieces of legislation in every legislative session). The only way that health care reform dies is if we let our righteous indignation kill it.

Sex, Lies, and Texting

Mea culpa, mea maxima culpa.

I've been trying to resist writing a single word about Tiger Woods, but I'm weak. When I was in college, I arranged my class schedule so that I had a midday break that allowed me to watch All My Children. When I began teaching, I purchased a VCR so that I could record AMC, One Life to Live, and General Hopital. My name is Sheria and I'm a soapaholic.

Three years ago, I stopped watching daytime soaps, about the same time that I took up blogging. Alas,  I'm still a soapaholic and I've been enmeshed in the Tiger Woods drama, also known as Golf Is A Four Letter Word.

When the story first made the news on the Friday after Thanksgiving, like everyone else I was concerned about Tiger's welfare. However, by the next day, my familiarity with the basic rule of soaps--nothing is at it appears--along with massive inconsistencies in the story that the Woods were presentig to the media, led me to believe that there was a juicy truth hidden behind the public story. Of course, we now know the details: a cheating spouse making a hurried escape in his vehicle and a hurt and angry spouse carrying a golf club.  I think that it was my blogami, Mark Olmsted, who first suggested the applicability of the R&B hit, Bust the Windows Out Your Car by Jazmine Sullivan, to the Tiger and Elin saga.

I totally understand the public fascination with the private lives of public figures, where I draw the line is trying to defend our rabid curiosity as being grounded in righteousness. Just because a person is a public figure does not automatically mean that every foible of his or her private life is the business of the public. Don't try to dress up basic nosiness as symbolizing some ethical concern for the sanctity of marriage. The argument about the public's right to know may have some merit when it comes to cheating spouses who are elected officials, but only if the individual has used or abused his or her elected office in the process of engaging in extramarital flings.

I admit that I have no personal stake in Tiger's marital woes but his troubles have provided me with a fix almost as fascinating as Erica's marriages to most of the men in Pine Valley, some of them more than once. It's not a matter of entitlement to know, just my general fascination with bad human behavior.

I am also fascinated as to whether or not Tiger or any of his fellow in-the-public-eye-cheaters have just been so busy with their conquests that they missed the update--it's the cell phone that is now mightier than the sword, or in some cases it's the Blackberry. What is it with all of the texting? Why do these unfaithful types always send sweet vulgar nothings to the objects of their affection in a hundred text messages per day? How do they find the time for all of this texting? Did Tiger miss the 2008 scandal involving former Detroit Mayor Kwame Kilpatrick who paid a huge settlement, was forced to resign, sentenced to serve time, and disbarred in a legal case that ultimately centered on revelations from thousands of text messages exchanged between Kilpatrick and his mistress who also was Kilpatrick's Chief of Staff?

When they aren't texting, they are leaving voicemail. Just to be certain that there is no doubt when the media eventually latches on to the voicemail, they announce themselves on the message. "Hello, this is Tiger,..." When I call people that I know well and speak to frequently by phone, I figure that they recognize my voice, and I seldom announce myself. If I were having an illicit affair, I certainly wouldn't do so.

Perhaps the larger question is why do the cheaters hook up with women who hoard text messages, voicemails, and dirty dresses (remember Monica Lewinsky)? I wouldn't argue that there is any appropriate way to be an adulterer, but there was a time when one's partner in adultery refrained from sharing all the details with the public. Eisenhower and Kennedy were alleged to have mistresses, but none of them popped up loudly proclaiming, "Yoo hoo, here I am!" Far be it for the modern mistress to show any discretion. While weeping on Good Morning America and proclaiming, "I'm a good girl, I am," she is selling copies of text messages in which her married lover describes in explicit detail what he wants to do to her body when they next meet.

So far, 13 women have identified themselves as Tiger Woods' sex partners; I think that's enough for a coven. Perhaps Tiger should ask them to cast a protection spell.

Hobbes, Rousseau, and the Nature of Humankind

Somehow, two weeks have passed and I haven't written a single blog entry. I think that my brain has been suffering from an overload of "WTFitis." I watch the news, read Newsweek, and scroll through newspapers and news sites on the Internet, and like Evilene in The Wiz, I just want to scream, "Don't nobody bring me no more bad news!"

Of course, not hearing or reading bad news doesn't make it go away. However, it isn't just the bad news that disturbs me, it's the mindlessness of the general populace that makes me want to slap somebody. As engaging in acts of violence could land me in a jail cell, I've been refocusing my disgust on trying to understand what it is about human nature that can move us to engage in great acts of creativity but can also move us to engage in acts of great cruelty and destruction.

I've been rereading two of my favorite political philosophers, Jean-Jacques Rousseau (The Social Contract 1762) and Thomas Hobbes (The Leviathan 1651). Both works focus on an analysis of why government is necessary and the purpose of government. However, they have different takes on why it is that humans spend our time fighting and squabbling among ourselves.

They each speak of the "natural state" [aka state of nature] describing it as humankind without the conventions that we have come to call civilization. Hobbes views humankind in its natural state as focused on individualism to the exclusion of any concern for the well being of others; self-preservation and aggrandizement is the reason for existence. If we occasionally act in an altruistic manner it is motivated by self-interest and not any concern for others. In Hobbesian analysis, we are motivated by self-preservation in all of our actions. We see the possibility of our own misfortune in another's misfortune and offer assistance in anticipation that we may at some point need assistance.

In this natural state, if I want my neighbor's cow, I attempt to take it. Naturally, my neighbor resists. Whichever one of us is stronger or has more friends to help out in the fray, gets the cow. Of course, then the winner has to guard against some stronger person coming along and taking the cow away. It's an ongoing cycle and no one can be truly secure and all our energies are spent on survival. We are therefore in a perpetual state of war. Hobbes defines a state of war as the absence of peace, that is, living in a society where individualism reigns supreme and it's every man and woman for themselves.

Hobbes perceives this natural state as being the essence of human nature and that governments were implemented to save us from our baser impulses. According to Hobbes, without absolute government, life is "solitary, poor, nasty, brutish, and short."

Rousseau takes a more positive view of our natural state. He proposes that humankind in its natural state is essentially good. It is the development of society that has corrupted us. The advancements of civilization, while wondrous, have also corrupted us. Often Rousseau's philosophy is defined as promoting the image of the "noble savage." Humans living relatively solitary lives, motivated only by basic needs of food, clothing and shelter. In this state, there is no competition because there is no desire for power. The individualism that Hobbes sees as innate in human nature is an acquired trait in Rousseau's philosophy. For Rousseau, it's the development of society and all its trappings that has turned humankind into greedy, selfish beings focused on self preservation.

Both Hobbes and Rousseau propose that in this natural state, we have unlimited personal freedom, sort of like Cartman, citizen of South Park, who frequently declares, "I can do what I want!" In Hobbes viewpoint, a powerful central government is needed to check that personal freedom which is motivated only by self-interests. Rousseau argues that the people create government in a desire to promote harmonious interaction. The power of the government comes from the people, who voluntarily cede their personal freedoms to the collective group, not a single authoritative power, in order to promote the common good. For Rousseau, the people are the government, while Hobbes arrives at the conclusion that the people must cede their personal liberties to the control of a strong central government, an absolute government, to protect and promote the common good.

I tend to be Hobbesian in my beliefs about the nature of humankind. I think that self-interests are the norm and concern for humankind is the exception. At the heart of the arguments against any type of social welfare program is always a stated belief by the opposition that it is not the responsibility of those who have to provide for the have-nots. People stand in town halls and shout in trembling voices that their tax dollar should not go towards supporting any program for people that they deem to be undeserving. Those of us who express a belief that we are our brothers and our sisters keepers are dismissed as stupid, naive, un-American purveyors of socialism.

We are in such a constant state of war that many of us have come to believe that war is the norm, and there is no need to call for its end. I am so tired of seeing some sad parents or a sweet young woman with an infant bravely facing the television cameras, reciting the oft repeated litany, "He died doing what he loved. He died serving his country." As long as we continue to glorify dying in war, as if it is a noble loss of life, we will do nothing to put an end to war.

Where I part company with Hobbes is that I don't believe that selfish individualism is an innate quality. I think that Rousseau was on to something; perhaps we learn to elevate self-preservation to a religion because so much in society rewards and thereby reinforces selfishness. If that's true, then like Pandora's box, there is still a flame of hope that we have to fan into a fire. We can become better than we are.

If you are intrigued by the theories of government that influenced the development of the governing philosophies of the United States, click this link for a good place to begin with summaries of the political theories of Hobbes, Rousseau, John Locke, and Charles Montesquieu.

A Single Step: Making Health Care Reform A Reality

The journey of a thousand miles begins with a single step.

The above line is often attributed to Confucius; I read it in a fortune cookie once. It is such simple logic, but often we become so wrapped up in the obstacles that impede the journey that we become mired in fear of failure and stand still, stuck in our own misgivings. I've been thinking about how important it is to take that single step as I've been reading reactions to the Senate vote to proceed with debate on the Senate's version of the health care reform bill.

I've had misgivings about both the House and Senate bills; I don't think that either of them goes far enough in making the substantive changes that are needed to provide affordable health care to everyone. However, I think that the passage of the House's bill, and the Senate's vote to move to debate and avoid a Republican fueled filibuster are steps forward on what may prove to be a long journey to health care reform on a grand scale.

My friend Beth (Nutwood Junction) observed in a Facebook comment that if health care reform legislation is defeated, it will be perceived as a failure of the Obama administration. I agree, if this reform of health care fails, then everything that Obama attempts after this is likely to be met with such resistance that it fails. A victory, even a flawed one, will give impetus to future change and there is so much more to be done.

Politics has always been a game of compromises. Draw a line in the sand and all you do is lose. (Former President George W. Bush was fond of drawing lines in the sand; he described himself as the Decider. Of course he didn't actually decide anything, he just drifted into one bad policy after the other, but he perceived his no compromise stance as indicative of a position of power.)

So although neither of the health care reform bills goes as far as is needed for real reform, I believe that the hybrid of the two that is likely to be passed (today I'm an optimist) will move the debate forward, laying a foundation for additional reform in the future.

I don't think that I'm dreaming. I was born in 1955, one year after the U.S. Supreme Court declared in Brown v. the Topeka Board of Education that separate but equal was inherently unequal. Yet, I grew up under segregation. The south didn't rush to take down the "colored not allowed" or "white only" signs. I attended segregated schools until I was in tenth grade (1971). It took a seemingly endless stream of legislation to bring to fruition the promise of the Brown decisions of 1954 & 1955: the Civil Rights Acts of 1957, 1960, 1964, 1968, 1991, and the 1965 Voting Rights Act.

The journey towards a health care system that serves the needs of all of the people, that doesn't deny access to health care to the people, and is not motivated by profit margins, is a good thousand miles, maybe more. However, I do believe that a win now will lead to additional changes until we get it right. I've seen it happen before; I have lived change that once seemed impossible. All we have to do is to take the first step. President Obama has already begun the journey; all that we must do is have a little faith and travel with him.

Revelations and Creativity

It's always satisfying to have your work recognized and I am very grateful to Gerry, Daughters of the Shadow Men, for selecting me as one of her recipients of the Kreative Blogger Award. I recommend that you check out Gerry's blog and experience her creative spirit.

As a recipient of the Kreative Blogger Award, I'm supposed to reveal seven things about me that you don't know. Having been a blogger for three years, I'm not certain if I have any unrevealed bits of me, but I'll try.

1. Several years ago, when I was still teaching high school English, I literally ran into Maya Angelou. I had joined my friend HR in going to a performance by Ms. Angelou of her poetry. As we were leaving, HR and I were separated in the exiting crowd and I took a shortcut to the car that necessitated walking past the stage exit door. Hurrying along, I nearly bumped into a tall, imposing woman who was coming out of that exit. Looking up, I came face to face with Maya Angelou. I muttered, "Excuse me." She replied, "That's all right, dear." Feeling that I needed to say more, I added, "I'm a teacher." Without missing a beat, she patted me on the cheek and said, "That's nice, dear."

2. When I was a junior in high school, I discovered that I was a poet. My high school had invited Calvin Atwood to be our poet in residence for a two week program in which a small class of students wrote poetry. I liked to write short stories, but I had never written a poem. This is my very first poem:

sometimes I'm good,
sometimes I'm very good,
and sometimes I'm very, very good
but most of the time

i'm just mediocre

I didn't think that the poem was particularly good, but Atwood liked it. I've been writing poetry ever since.

3. I met James Dickey, the author of Deliverance when I was a junior in high school. Calvin Atwood, the poet-in-residence, was friends with James Dickey, who was speaking at the local college, Atlantic Christian College (now known as Barton College). Atwood and Mr. M, the English Coordinator for Wilson County, invited me to accompany them to hear Dickey speak. After Dickey's presentation, they invited me to come back to Mr. M.'s apartment. I was starry eyed, and particularly enchanted by the jacket which Dickey wore. It had been worn by Burt Reynolds in the film, Deliverance.

4. I can play the guitar. When I was 14, guitar masses became popular in progressive Catholic churches. Sister Mary gave me my first guitar, a six string steel guitar. I taught myself to play it. It was the height of the civil rights movement and the peace not war ideology of the 1960s. For mass we played guitar and sang Kumbaya, Blowin' in the Wind, and We Shall Overcome. My favorite song had the lyrics, "Hear O Lord, the sound of my call; Hear O Lord, and have mercy; My soul is longing for the glory of you; O hear O Lord and answer me." I no longer own a guitar but I've decided to buy one, soon.

5. I can tie a knot in a cherry stem using only my teeth and tongue. I discovered my talent when I was in college.

6. My best category in Trivial Pursuit is entertainment. I once won a game because I knew who played the munitions expert in The Guns of Navarone. (David Niven)

7. My favorite flavor of ice cream is vanilla. I'm particularly fond of Ben and Jerry's French Vanilla. I don't like plain chocolate ice cream. I like chocolate fudge ice cream mixed with other flavors, but not straight run of the mill chocolate ice cream.

I think that I'm supposed to pass this award along to a few other bloggers. However, I think that I will pass on doing so. I like so many blogs; each offers something unique and I just can't settle on who deserves an award. So consider yourself awarded for your creativity and copy the Kreative Blogger icon to add to your blog. Then tell us a few new things about yourself. In the end, we are all deserving of appreciation for our creative efforts.

Health Care Plan: Battle Won But Not the War

It's always something. The U.S. Senate is making it perfectly clear that it has no intention of accepting the baton when it comes to running with health care reform. The primary Senate objection is to the government health insurance plan in the House bill passed on this past Saturday.

The party affiliation shape shifter Sen. Joe Lieberman (Independent) has declared , "... as a matter of conscience, I will not allow this bill to come to a final vote." South Carolina's Sen. Lindsey Graham (R) has proclaimed, "The House bill is dead on arrival in the Senate." In addition, a few moderate Democrats said to hold the power in the Senate, are opposed to the government health insurance plan included in the House bill.

The power in the hands of the few moderate Democrats is the power to stop a Republican led filibuster. Senate Majority Leader Harry Reid (D) needs 60 votes to start debate and 60 votes to end discussion and call the bill to a final vote. Those few moderate Democrats' votes are very important in the scheme of things.

The primary opposition to the government plan is that it puts the government into competition with private insurers. I feel as if I've missed something. Haven't the conservatives supported capitalism and its system of free market enterprise with cries of competition is good?

Lieberman asserts that his opposition to a public option arises from his belief that it could be a huge and costly entitlement program. Entitlement is a big buzz word, implying that a slew of undeserving persons will benefit from the public option. How do you deserve medical care? How can you be undeserving of medical care? In one of the most affluent nations in the world, how can it possibly be acceptable that some people don't receive health care because of exorbitant costs for medical care and/or health insurance?

I smell more compromise in the air. Already, Republican Sen. Olympia Snowe of Maine, who voted for a version of the Senate bill in committee, has provided the Democrats with a fallback position. She's proposing the "trigger" option which would allow a government plan as a last resort, if after a few years premiums keep escalating and local health insurance markets remain in the grip of a few big companies. Frankly, I think that the trigger has already been pulled, over and over again. Exactly how costly do premiums have to get and how extensive does the monopoly of the health insurance market by a few major players have to be before the need for a government plan is triggered?

There are other major differences between the House and Senate bills:

• The House would require employers to provide coverage; the Senate would not.
• The House would pay for the coverage expansion by raising taxes on upper-income earners; the Senate would use a variety of taxes and fees, including a levy on high-cost insurance plans.
• The House plan would cost about $1.2 trillion over 10 years; the Senate version would cost under $900 billion.

Sigh, I guess that I need to keep my senators on speed dial. In the words of Yogi Berra, "It ain't over till it's over."

Health Care Reform: One Step Closer to Reality

My favorite Dickens' novel, A Tale of Two Cities, begins with the line, "It was the best of times; it was the worst of times..." It's a seemingly contradictory statement, but I think that Dickens got it right. Darkness and light, good and evil, joy and sadness, everything comes in pairs. Thus it is that landmark health care legislation passed in the Democratic controlled House on Saturday night, legislation that proposes to provide health care coverage for 96% of Americans; however, women who are receiving a federal subsidy to aid in securing insurance under a private plan will be denied coverage for abortions.

The vote in favor of the health care legislation was close, 220 to 215, with one lone Republican, Rep. Joseph Cao (Louisiana) joining 219 Democrats in favor of the legislation, with 176 Republicans and 39 Democrats opposed. The vote on restricting access to a legal abortion for certain individuals and small groups was passed by a vote of 240 to 194.

However, as I read the news about the House vote, I am nonetheless encouraged by the overall victory, even though it was by a slim margin. The House's vote was historic, approving the broadest overhaul of US health care in 50 years and providing President Obama with a significant victory on his top domestic priority. To all the naysayers who said that he couldn't do it, I say a very adult, "Na, na, na, na, na!"

I am reminded why I voted for President Obama. He has the patience and tenacity that most of us lack. This was a hard fought battle, not at all an easy victory. The Senate will also be a difficult vote and I expect the victory to be by a narrow margin but I do expect there to be a victory.

Following is a summary of the key provisions of the legislation passed by the House:
1. Requires most Americans to carry health insurance;
2. Provides federal subsidies to those who cannot otherwise afford health insurance;
3. Requires large companies to offer coverage to their employees;
4. Imposes penalties on consumers and employers who do not comply with the government's mandates regarding coverage;
5. Prohibits insurers from denying coverage based on pre-existing conditions;
6. Prohibits insurers from charging higher premiums on the basis of gender or medical history;
7. Removes exemptions from federal anti-trust restrictions on price fixing and market allocation that have been held by the insurance industry; and
8. Creates a federally regulated marketplace where consumers may shop for insurance and allows the government to sell health insurance.

My personal favorite is #7. It means that the insurance companies will have to be competitive in attracting consumers. This should make everyone happy who believes in free market enterprise.

What's missing from this legislation is a robust public option; what's left of the public option has been watered down considerably. It also does nothing to alter health insurance as a for profit industry. I don't believe that this legislation is what is needed to provided health care to all. My dream is a single payer, not for profit, health care system. In the midst of celebrating this step forward, I wonder if perhaps now is the time to fight for more meaningful reform. However, I can't help but think of the protesters and elected officials shouting about socialism and I wonder if perhaps I expect too much, and that this is an incremental step towards broader reform. The best articulation that I've read on the weakness of the passed legislation is by Rep. Dennis Kucinich, who explains why he didn't vote for the bill. He's either got chutzpah or he's an idealistic dreamer, or maybe he's both.

According to news reports, Speaker Nancy Pelosi compared the passage of the health care legislation in the House to the passage of Social Security in 1935 and Medicare 30 years later. This is huge step forward and I like to think that all of our telephone calls and emails made a difference. However, there's no time to rest. The Senate has to pass this legislation before a final version ends up on the President's desk, awaiting his signature. The good news is, you only have two state senators to contact.

Disturbing Image: Assault as a Spectator Sport

Teach your children well,
Their father's hell did slowly go by,
And feed them on your dreams
The one they picked, the one you'll know by.--Graham Nash

William Golding wrote a novel called Lord of the Flies (LOTF) in which a group of English schoolboys being evacuated from home to escape an unnamed war crash land on an island. With all the adults killed in the crash, the boys must fend for themselves. Control of the group descends into a power struggle between Ralph who represents order and the better parts of civilization, and Jack who represents anarchy and our base desires run amok. I thought about LOTF today when I heard a horrifying story on the evening news.

In Richmond, CA, a young girl, age 15, left her homecoming dance at 9:30 pm to go home. She never got home; instead she was gang raped on the school grounds. According to the police, as many as four to seven people assaulted the victim while a dozen or more watched. Some of the spectators took pictures. No one called 911. The young woman was found after someone who wasn't present at the ongoing assault overheard people talking about what was going on and called the police. They found her severely beaten and semi-conscious, her injuries so severe that she was airlifted via helicopter to the hospital. The police report that the attack lasted more than two hours. So far there have been two arrests, a 19-year-old ex-student and a 15-year-old student at the high school.

Like most people, I am horrified by the actions of the perpetrators who physically assaulted this young woman, but I'm perhaps more disturbed by the spectators who watched, commented, and took pictures as if witnessing some carnival side show. The perpetrators, once apprehended, will suffer the consequences of their actions, but it is not likely that anyone who "merely" observed will be punished. According to legal experts offering an analysis of the events, there is no affirmative duty under California law to undertake being a good Samaritan.

It's easy enough to shake our heads and ponder what has become of our young people; however, I think a better question is what have we taught our young people?

The message that we communicate to our youth is muddled and hypocritical. We give lip service to values--love thy neighbor, be truthful, be responsible--but our actions are totally disconnected from those values. Dishonesty reaps rewards until you get caught, then you may go to prison but when you get out, you go on the speaker's circuit and/or write a bestseller about how you managed to be a cheat for so long. The homeless, the poor, those who speak with a foreign accent, aren't our neighbors and we don't have to love them. Hell, we don't even want them in our neighborhood. Rehabilitation has nothing to do with our prison system; it's all about vengeance. Much of the opposition to a public option in the health care plan rests on the ideology that we have no responsibility to ensure access to health care for all who live within our borders.

The underlying theme among those who are opposed to health care reform is a belief that some people are undeserving of health care. Topping the list are illegal immigrants. Elected officials demanded and received assurances that no health care reform program would include providing care to illegal immigrants: Love your neighbor as you love yourself unless your neighbor is an illegal immigrant in which case they're on their own. There is also an overt concern with allegedly undeserving poor people getting health care at the expense of the rest of the hard working people otherwise known as, I am not my brother's keeper if I don't find him worthy of help.

We are engaged in a struggle for the soul of this country. This isn't a battle in which you can afford to be neutral, playing the role of spectator like those young people who stood on the sidelines watching and doing nothing. Our youth are us, stripped of the veneers of polite society. If we give them no sense of real values, of ethics that aren't situational, of a belief in the collective responsibility of us all to be our neighbor's keeper, then what can we expect except that they will become like LOTF's Jack, an amoral wild child without conscience, relentlessly selfish and cruel, willing not only to perpetrate violence but to stand idly by as if the brutalization of another human being is a spectator sport.

Act Today to Support Health Care Reform

Want to do something about health care reform? Pick up the phone and make a call to Congress today. There is power in numbers.

I just made today's 44,322nd health reform call to Congress. Help us get to 100,000: Call Congress today! It will take you less than ten minutes to click the preceding link, get the appropriate phone numbers, and make the calls. If you are not part of the solution you have only yourself to blame when the problem persists.

Ballon Boy Update

Since my post last night, it appears that the authorities have determined that it was all a hoax. Once the balloon landed and they were able to examine it up close, based on the materials of which it was constructed, experts determined that it was impossible for the balloon to have carried Falcon aloft.

Why did the parents concoct this farce? The local sheriff surmises that it was "a publicity stunt done with the hopes of marketing themselves or better marketing themselves for a reality television show at some point in the future." People really are crazy.