Senator Paul Kirk Disputes Howard Dean’s “Health Bill Does More Harm Than Good” Condemnation

Howard’s Dean’s assessment of the Senate’s health care bill is so negative, if he were a U.S. Senator, Dean says, he would vote against the bill. If Howard Dean were actually a U.S. senator, it’s hard to think that he would really stand against Sanders and Feingold, and other senators of integrity, and actually cause the Senate health bill to fail. A person with no actual power can make easy boasts.

But what Dean is accusing is disturbing, because Dean is an expert about health care and, I believe, has good motives.  Dean is obviously upset by what he sees as a big failure of the Democratic Party to craft better health care legislation. Dean’s analysis of the health bill is disheartening because what he says makes so much sense.

Dean writes, “I know health reform when I see it, and there isn’t much left in the Senate bill. I reluctantly conclude that, as it stands, this bill would do more harm than good to the future of America.”

U. S. Senator Paul G. Kirk from Massachusetts, the replacement for Ted Kennedy, disputes Howard Dean’s stance and outlines the reasons why he will vote for the Senate health legislation.

Senator Kirk writes, “The bill before the Senate is not the bill I would write, and it’s not the bill Chairman Dean would write. It is neither perfect, nor is it the final product. But make no mistake. It is real reform, and it will provide enormous benefits to American workers, American seniors, American small businesses and American families.”

Senator Kirk outlines seven reasons to justify the claim that the Senate bill has “real reform.”

  1. Real reform would create competition in insurance markets. The Senate bill does precisely that by establishing insurance exchanges that will create competition for enrollees, and by requiring that all insurers provide standardized information to consumers so that they can comparison shop for the best insurance product available at the most affordable price.
  2. Real reform would redirect funds from administrative expenses to investment in quality health care benefits. The nonpartisan Congressional Budget Office has already found that the insurance exchanges created by the Senate bill will lower administrative costs. In addition, the Senate bill will force any insurance company that doesn’t spend enough of its premium dollars providing benefits to rebate the difference to its customers.
  3. Real reform would significantly lower costs. Here too, the CBO has found that the Senate bill will reduce existing premiums for the insured, and reduce the deficit by cutting federal spending on health care. One way it achieves these savings is by finally focusing our health system so that it rewards the quality and value of outcomes instead of the quantity and volume of tests and procedures provided.
  4. Real reform would improve the delivery of health care. The Senate bill contains delivery system reforms that the Business Roundtable has concluded could save up to $3,000 per employee.
  5. Real reform would give all Americans a meaningful choice of coverage. That is precisely what the health insurance exchanges created by the Senate Bill are designed to do. These exchanges will provide competitive options to people who today have no health insurance choices.
  6. Real reform would eliminate discrimination against those needing insurance based on their preexisting medical conditions. The Senate bill does precisely that, and it also eliminates insurance company policies designed to end or decrease coverage when a customer gets sick.
  7. Real reform would bring transparency and accountability to the health care system when it comes to excessive salaries and insurance company profits. The Senate bill requires insurance companies to publicly report and justify how much they are spending on administrative costs relative to medical care. Insurance companies that cannot justify their premium charges will not be allowed to offer their plan in the exchange.

Sen. Kirk disputes Dean’s claim that few Americans will see any benefit under this bill until 2014, and produces a list of benefits that will kick in as early as 2010:

* Establish a high-risk pool that will give uninsured Americans with a pre-existing condition access to coverage;
* Prohibit insurance companies from dropping coverage for Americans because they get sick;
* Prohibit the imposition of lifetime limits on coverage;
* Require insurance companies to report the percentage of premium revenues that they spend on medical benefits for their enrollees, and force them to rebate any excessive costs or profits;
* Require insurance companies to provide free preventive services;
* Require insurance companies to cover dependents up to age 26;
* Provide a discount on drug costs to seniors who fall into the Medicare Part D doughnut hole.
* Provide a tax credit to small businesses that provide health insurance for their employees.

Senator Kirk concludes, “I am old enough to recall the Civil Rights Act of 1960, and the Civil Rights Act of 1964, and the Civil Rights Act of 1968. Each of those pieces of legislation was incomplete. There was always more to do. But each of those bills was a landmark that began the march of progress toward equality under our laws. And each created an environment in which we could continue to move forward so that our country’s laws better fit our national character and the principle of equal justice. The same is true of this bill. …”

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At Oslo, Obama Asked And Attempted To Answer The Question: How Do We Overcome Evil?

In President Obama’s Nobel Peace Prize speech, I hear Obama asking and attempting to answer a fundamental question:  “How do we overcome evil?”

The question, “How do we overcome evil?”, is a great way to frame the question of “peace,” because, in the world view of many, what prevents peace in this world is something known as “evil.”

If we believe that it is evil that causes the bad things in this world — poverty, war, hunger, hatred, disharmony, ignorance — then how we define “evil” is of key importance. If it is a supernatural force that causes bad things, then, of course, bad things must always be with us, war and conflict must be perpetual. If we define our enemies as “evil doers,” under the control of a supernatural force, we can see them as less than human and we can justify many horrible actions of war to defeat them.

But, if we define “evil” not as a supernatural force, but as human failing — hubris, prejudice, psychosis — then, in order to defeat evil, we need a very different strategy.  We need a strategy that will heal human failings, we need a strategy that brings all of humanity into enlightenment.

Obama in the speech said, “Make no mistake. Evil does exist in the world.” This “make no mistake” finger wagging I found disturbing. No-one, obviously, makes the mistake to think that bad things in the world don’t exist. By, saying, “make no mistake,” Obama seemed to advance the fatalistic notion that “evil” is not just “bad things,” but that evil is a supernatural force. Many a preacher has said, “There is a big spiritual battle going on — of good versus evil, of God versus Satan — make no mistake.”

This idea of supernatural evil, of course, tickles the ears of Biblical literalists. Sarah Palin and Newt Gingrich both praised Obama’s reference to evil. But the idea of evil is very dangerous. Evil, as an idea, is not only an impediment to peace, it is an encouragement to violence. The idea of evil, in this contemporary culture, must be subdued, not encouraged. To believe in evil often means to do evil.

Our whole world is facing the threat of extinction as a consequence of religious radicalism. There seems a good chance that irrational thinking eventually will destroy us. Encouraging belief in supernatural evil hardly seems like a good strategy, because, encouraging belief in a supernatural evil is an encouragement to fatalistic, unscientific, and irrational thinking, an encouragement to religious radicalism.

If he wanted to frame his speech by the phrase, “Evil exists in the world,” I found it strange that Obama did not develop the thinking of King and Ghandi concerning how evil can be overcome. The idea of “We Shall Overcome” is that the way to overcome evil is through “nonviolence.” The idea of nonviolence, preached by both King and Ghandi, comes from the founder of the Christian religion, who taught, “Resist not evil,” and from the words of St. Paul, who wrote, “Overcome evil with good.”

Obama’s Nobel speech dealt with two ideas — a “just war” and a “just peace.” The Christian teaching, that we can “overcome evil with good,” would have made a good bridge to Obama’s idea of promoting a “just peace.”  Having brought up the topic of “evil,” Obama missed the opportunity to develop an important pillar of Christian thought concerning how to deal with evil, a Christian perspective that inspired both Gandhi and King.

The idea of nonviolence, or active peace making, as a response to evil is an idea that seems lost to many Christians. I was amazed that Rick Warren in his interviews with Obama and John McCann addressed the matter of evil with this question: “Does evil exist, and if it does, do we ignore it, do we negotiate with it, do we contain it, or do we defeat it?” I would have thought that a prominent Christian, such as Warren, would have given the presidential candidates a fifth option, the Christian option for dealing with evil, by saying, “or, do we overcome evil with good?”

Is it possible to imagine a candidate for the office of the presidency of the United States to have said to this icon of evangelical Christondom, “Can you tell me what you mean by the word, ‘evil?’?” A better  Obama, I think, would have chanllenged the premise of the question, and would have shown his profound understanding of Christian thoeolgy.  I wonder why Barack Obama, with this great opportunity, did not. I am trying to understand Mr. Obama’s point of view.  His answer to Rick Warren — “Evil does exist. I mean, we see evil all the time. We see evil in Darfur. We see evil in parents have viciously abused their children and I think it has to be confronted. It has to be confronted squarely …” — is such a disappointment that it challenges one to imagine what the authenic Barack Obama of our hopes might possibly have said.

In his Nobel speech, Obama said that as head of state he cannot be guided by the nonviolent examples of Gandhi and King, because, in the real world, sometimes violence is necessary.  He said,  “I face the world as it is, and cannot stand idle in the face of threats to the American people. For make no mistake: Evil does exist in the world. A nonviolent movement could not have halted Hitler’s armies. Negotiations cannot convince al Qaeda’s leaders to lay down their arms. To say that force may sometimes be necessary is not a call to cynicism — it is a recognition of history; the imperfections of man and the limits of reason.”

Of course, this rationale for violence — “I face the world as it is” — is the same rationale used by anyone who is aggrieved and wants to start a fight. It’s a human response. But it is a rationale that was rejected by Gandhi, King and Jesus. In his eagerness to excuse his expansion of the Afghanistan War, Obama trashed the idea of nonviolence, illogically saying that just as a nonviolent movement would not have been effective against Hitler, it also doesn’t have a chance against al Qaeda.

Obama’s main answer to question, “How do we overcome evil?”, is that we must work to achieve a “just peace.” And, Obama says that this peace is much more than simply a cessation of hostility.  Obama’s “just peace,” he says, is, “based on the inherent rights and dignity of every individual … and includes not only civil and political rights — it must encompass economic security and opportunity. For true peace is not just freedom from fear, but freedom from want.”

Wow. If we could have a “just peace” throughout the world, certainly, evil, however it is defined, would be overcome. A nonviolent movement that, after WW1, that succeeded in activating such a “just peace,” in Germany of the 1920’s, in fact, would have halted Hitler’s armies, because, under the influence of a “just peace,” Hitler would never have gained power. Successful nonviolence is about timing and activity. Waving protest signs in September 1939 would not have been effective. But achieving a “just peace” for Germans after WW1 would have changed history.

Hitler and his armies, and the destruction they caused, did not come from some supernatural evil, and were not inevitable. The Nazi movement could not have flourished in the context of a just peace. Similarly, if there had been a “just peace” for Palestine and within the entire Middle East, is it reasonable to think that the evil of al Qaeda also would never have become generated.

Obama’s answer to evil is the building of a “just peace,” yet in his Afghanistan decision he has committed huge American resources to war. His Nobel speech would have had more meaning had he, as U.S. president and leader of the free world, made some specific commitments, had pledged money, to work for a “just peace.” Obama should have used his speech, for example, to address the fact that over one billion people in the world daily face hunger. This injustice is a breeding ground for evil, however it is defined, and should be the focus of the world’s attention.

Since 2001, the U.S. has spent over $1 trillion on pursuing war. As an exercise, it would be interesting to know how far a just peace in the world could be advanced if we had the national will to spend a like amount of money, say $1 trillion over the next ten years, on pursuing a just peace in the world, pursuing an honest effort of “overcoming evil with good,” by working to bring “freedom from fear, freedom from want” throughout the world.

President Obama Nobel Peace Prize speech had its good points, but overall, had a lot of bad points as well. Obama brought up the topic of “evil,” and, in so doing, confirmed the view of many of his listeners that evil is a supernatural force. He brought up the topic of evil, and, by so doing, he aligned himself with the Bush viewpoint of “evil doers” and the Bush idea of the existence of an “axis of evil.” He encouraged his listeners to think of America’s enemies as “evil.”  He justified the use of violence. He disparaged the use of “nonviolence.” He equated the “evil” of al Quaeda with that of Nazi Germany.

President Obama had a very good point in his speech, that he attempted to develop, the idea that peace and justice are inextricable linked, the idea that the world must work for justice in order for it to achieve peace. This idea of a”just peace” is a powerful idea. It is the answer to the question, “How do we overcome evil in the world?”, regardless of how “evil” is defined. But what disappointed was that, as democratically elected leader of the world’s only super-power, Obama failed to develop this idea of a “just peace” to the point of conviction. He failed to take a stand. His discussion of a “just peace” finally sounded like the balanced words of an academician, not the guiding vision of a world leader.  By his command, America is sending 30,000 more soldiers  and spending billions of dollars to pursue what he sees as a “just war.”  It is disappointing that on the occasion of this Peace Prize speech, Obama could not have found a way to use this big opportunity to tell how America could advance equally ambitious plans to pursue  a “just peace.”

Posted in M Bock, Opinion | 1 Comment

Ohio’s Budget Crisis: Ohio Must Find A Way To Make Its Total Tax System More Fair, More Progressive

Today’s DDN editorial, “Ohio’s GOP Senate to blame if cuts come” describes the needed postponement of the 4.2% income tax cut as “significant and painful.” According to the Chillicothe Gazette, Republicans in the Ohio Senate have agreed to a deal to postpone the 4.2% tax. The immediate budget crisis will be temporarily solved — by this two year delay.  Calling this temporary solution “significant and painful” seems an exaggeration — compared to the hard budget decisions that within two years will need to be accomplished.

Ohio is at the point where it must deal with the whole question of taxation. Canceling the 4.2% scheduled tax cut, not postponing it for two years, should probably be part of a long term tax revision plan for Ohio. The state needs a secure and sufficient revenue stream. A small-d democratic solution would find a way to secure revenue, while at the same time making the system more progressive. A small-d solution would work to find truly “significant” solutions.

The financial bind that Ohio now suffers from stems directly from the Republican 2005 Tax Reduction Law. Phased in over five years, this 2005 law reduced revenue to the state by $2.5 billion, or so, each year. The economic recession has contributed to Ohio’s current financial shortfall, but the chief cause for Ohio’s state budget woe is the on-going impact of the 2005 Tax Reduction Act.  (See lists of posts below.)

The shortfall of revenue to the state has had a lot of consequences. Zach Schiller of Policy Matters writes, “As approved, the budget slashed spending for important human needs, including mental health services and programs that allow seniors to stay in their homes and for children’s early care and education. At the same time, it insufficiently funded Gov. Strickland’s school plan, mass transit, libraries and food pantries, among other items. It relies on stretching out debt payments and using up reserves. This leaves a gigantic hole when the one-time sources used in this budget are not available.” Policy Ohio is recommending that Ohio, in order to generate sufficient state revenue, revise its tax code by both canceling the scheduled 4.2% tax cut and also imposing new additional taxes on large incomes.

This table shows that most of the 4.2% tax cut is scheduled to go mostly to upper incomes.
progressive-chart

Ohio’s tax structure is regressive — meaning, the lower the income the greater percentage of tax that is demanded. According to a report from the Institute on Taxation and Economic Policy, almost every state in the union has a regressive structure. Vermont, New York, and the District of Columbia are cited as the most progressive. The report shows that Ohio’s tax on the poor is the 8th highest in the nation.

Here is a chart that shows the regressive structure of Ohio’s tax system — total tax paid by taxpayers in Ohio, as a percentage of total income, decreases as income increases:

ohio-total-taxes

Increasing the progressivity of the income tax would be one way to create a more equitable tax system. Here is a table that explains the chart in more detail:

ohio-table

The 2005 Tax Reduction Act was supposed to generate jobs. But this chart shows that Ohio has continued to trail in job production:

jobs-table

Here are other posts dealing with the 2005 Tax Reduction Act

tax-on-poor

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