What the American People Want in Health Care

March 4th, 2010

Rep. Roskam shakes Etch-A-Sketch as Pres. Obama looks on. [from C-SPAN] Rep. Roskam (R-IL) shakes his Etch-A-Sketch as Pres. Obama looks on. from C-SPAN
“[The American people] … have rendered a judgment about what we have attempted to do so far,” said Senator Mitch McConnell (R-KY) at the president’s big health care meeting last week.30+31 “[P]ut that on the shelf and … start over with a blank piece of paper and go step by step.” This theme, that the American people want to start over with a blank sheet of paper, was repeated by Republicans throughout the six-hour meeting. But when Rep. Peter Roskam (R-IL) got his turn, he gave it a twist: “[The American people] say, look, take the Etch-A-Sketch, go like this [shaking imaginary Etch-A-Sketch upside down], let’s start over, let’s do incremental things …”32+33 Vice President Joe Biden addressed the Republican claims of knowing what the American people want: “I think it requires a little bit of humility to be able to know what the American people think. … I know what I think. I think I know what they think, but I’m not sure what they think.”34 The Republicans pointed to polls showing that most Americans don’t like Congress’s health care bills, but President Barack Obama pointed to polls showing that most Americans do like individual points of the health care bills.35 Taking a cue from Vice President Biden, I won’t claim to know what others want, but I know what I want in a health care system, and, taking a cue from the Republicans, I am writing it on a blank sheet of paper:

1. Good, Constant Coverage: I want a plan with good, reasonable coverage that is always in effect — even when I’m in between jobs.

2. Insurance Standards: I want coverage without insurance company tricks and loopholes: no caps, no denial for preexisting conditions, no cancellation when needing an pricey treatment.

3. Quick Treatment: I want to be able see my doctor, or go to a walk-in clinic and get treatment, without waiting days for an appointment.

4. No Paperwork: I want to be able to show my health care card and get treatment — no interview, no forms.

5. Doctor’s Best Judgment: I want my doctor to act from one’s own best judgment, and not from the need to ring the cash register.

6. No Premiums: I want to pay for this out of our taxes. But if I have to pay a premium, it should be affordable, and I should be able to pay it into a public, non-profit plan.

7. Everyone In: I want these things for everyone in America. A healthier nation is a stronger and freer nation.

Which of these features do you want in a health care bill? Please check ALL the ones you want, then click “Vote”:

What do you want in a health care bill?

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While Congress’s bills would address some of these features in some measure, I think that the best and least costly way to get them would be to improve and extend Medicare to all.36 While Congress has not moved on that, several states are now moving towards a single-payer system.37

Sources

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Greg Mortenson Builds Schools in War-Ridden Afghanistan and Pakistan

February 20th, 2010

From Climbing Mountains to Building Schools

K2, West Face K2 from air, West Face (Guilhem Vellut)
Greg Mortenson is an American, who grew up near Mount Kilimanjaro, where his father started a teaching hospital and his mother started a school.20+21 From that background, Mortenson became a nurse, and an avid mountain climber — but later switched to become an avid school-builder. The switch came with his try at climbing K2, the second-highest peak on Earth, so deep in the Himalayas that it had long stayed almost unseen — and nameless.22 Mortenson and his buddy gave up the climb after their exhausting rescue of an ill teammate.23 On the way down from base camp, Mortenson made a wrong turn, and eventually staggered into the village of Korphe, Pakistan. The village welcomed him and, over time, nursed him back to health. During his stay, Mortenson saw the state of the village’s schooling:26

… I walked behind the village, and I saw 84 children sitting in the dirt during their school lessons. There were five girls, 79 boys. What really struck me, though, was that there was no teacher there. And I said, where’s your teacher? And they said, Master Hussein is in the next village because we can’t afford his daily one dollar salary. So that day in ’93 I made a promise to try and get a school built there.

After working at it for three years, Mortenson fulfilled his promise. Since then, his Central Asia Institute (CAI) has built 131 schools in rural Pakistan and Afghanistan.

CAI’s Pigish High School in the Wakhan Corridor, Afghanistan
CAI’s Pigish High School in the Wakhan Corridor, Afghanistan (Teru Kuwayama)

Community Buy-In is Key to Success

The school-building process starts when persons of a village ask Mortenson to meet with them.23+24 Community members then take part in every stage of planning and building. The CAI provides the teacher training, materials and skilled labor, and the community provides the land, resources, and 2000 to 5000 days of manual labor. So with this community buy-in, in these countries where the Taliban has bombed or otherwise shut down hundreds of girls’ schools, only one CAI school has been attacked. Mortenson tells the story of how that school was closed and soon reopened:26

About 14 Taliban came in at night. They beat up the night watchman and the next day they said if anybody comes to school, we’ll kill you. The headmaster got on his bicycle. He pedaled about 23 miles. He went to the local commander. Now, he’s somewhat of a shady guy, but he also has two daughters in school, and so he rounded up about 120 men. He came in with his militia. He killed two Taliban and then, for lack of better words, he extracted information from the other Taliban.

And he found out they had gotten $3,000 to shut the school down from the local mullah. So today, some of those men are in prison and two days later, the school was reopened. He appointed 12 Askari, which are – Askari is like militia men – to guard the school. And they have orders that if anybody tries to hurt or harm the school or the students, that they should just shoot them.

Daltir, Pakistan
School under construction in Daltir, Thaile Valley, Baltistan, Pakistan (Teru Kuwayama)

Educating Girls is Powerful

Gultori Girls’ School near
Skardu, Baltistan
Gultori Girls’ School near
Skardu, Baltistan, Pakistan (Teru Kuwayama)
CAI schools now teach 58,000 children — three-quarters of them girls.20 Mortenson explains this focus on teaching girls:24

Well, it’s obvious the boys need education also. But as a child in Africa, I learned a proverb. And it says, “If we educate a boy, we educate an individual. But if we can educate a girl, we educate a community.” And what that means is when girls grow up, become a mother, they are the ones who promote the value of education in the community. The education of girls has very powerful impacts in a society. Number one, the infant mortality’s reduced. Number two, the population is reduced. The third thing is the quality of health improves. … And another compelling reason is when women are educated, they’re not as likely to condone or encourage their son to get into violence or into terrorism. In fact, culturally when someone goes on jihad, they should get permission from their mother first. And if they don’t, it’s very shameful or disgraceful. So when women are educated, as I mentioned, they are less likely to encourage their son to get into violence. And I’ve seen that happen … over the last decade in rural areas of Afghanistan, Pakistan. I mean, I could go on all day about this, but educating girls is very powerful.

A Girls’ School in Taliban Country

Mortenson tells the story of how the CAI came to be building a girls’ high school in the heart of Taliban country:24

[O]ne of our goals … was to put a girls’ high school in Urozgan province in Afghanistan, which is in the south. It’s the home of Mullah Omar, the leader of the Taliban — it’s probably one of the last bastions who are completely opposed to girls going to school. And so last year we kind of set a rough goal that would take us … 20 years to set up a girls’ school there. So this spring, a year later, we got contacted by … the elders of Urozgan province. They wanted to visit one of our schools. And we said sure. And so this summer they came to Char Asiab, where we have a girls’ school. And these are about 14 men. When they got to the school, these are, you know, some of them are, you know, kind of shady guys, black turbans. They’re armed to the teeth, have, you know, big, long beards. And when they got there, they saw the giant playground. So they threw down their weapons. For the next hour and a half, they went on the swings and slides and had a glorious time playing. And I finally kind of had to stop them and say, “You know, let’s get serious. We need to — this is the headmaster. We need to talk to the principal.” And he said, “No, no. We’re totally satisfied. We want a girls’ high school in Urozgan Province. But it has to have a playground. And you have to come and have tea with us.” So I got up the nerve in September to visit Urozgan. And this is an area, there’s no U.S. troops there. I mean, there’s no nothing there. There’s a lot of Taliban. We had a giant jirga. And I was pretty, you know, pale faced and kind of fearful. But it was a beautiful meeting. When they got done, they said, “We want to start this school. Of course we want the playground built first.” And so in October 2009 we started breaking ground on the school, and this year, in 2010, the school will be finished this summer.

Mortenson meets tribal leaders in Tarin Khot, Afghanistan
Greg Mortenson, second from right, with tribal leaders in Tarin Khot, Urozgan Province, Afghanistan (Teru Kuwayama)

Advice for U.S. Officials

From his many years of working with the people of Afghanistan, Mortenson gives two strong points of advice to officials of the United States, which has 100,000 of its soldiers in that country, along with 130,000 persons under contract.25 One point is to talk with the elders:24

Every province has three to five dozen shura. And these are elders. They’re poets. They’re warriors. They’re businessmen, a few women. And they’re not elected, but they’ve kind of risen up through the ranks. And these to me are the real people with integrity and power in Afghanistan. … And it’s not that difficult. You can do it at a district level, or local level, or at a national level. It’s, you know, I think half of diplomacy is just showing up. You know, we’ve got to actually just show up and start to talk and then maybe we could get somewhere.

And the other point is to not bomb people:24

[O]f all things that the elders say is, please, do not bomb and kill civilians. That is the number one way to antagonize people.

###

Further Information

Video: Bill Moyers interviews Greg Mortenson — video and transcript

Book: Three Cubs of Tea – One Man’s Mission to Promote Peace . . . One School at a Time By Greg Mortenson and David Oliver Relin, 2007

Book: Stones into Schools: Promoting Peace with Books, Not Bombs, in Afghanistan and Pakistan By Greg Mortenson and Mike Bryan, 2009

Sources

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Old Law Could Stop Corporate Dinosaurs

January 24th, 2010

Haplocanthosaurus
Haplocanthosaurus, where it belongs. Cleveland Museum of Natural History
Since U.S. states abandoned their old laws that curb corporate power, many corporations have become dinosaurs — huge beasts that have outlived their time, but that keep on stomping through the world.1 One type of dinosaur is the big oil company, whose products feed disastrous global warming climate change. Such companies should cut back production as the world limits greenhouse gases. Instead, the largest of them, ExxonMobil, has spent many millions to cast doubt on the scientific facts of climate change.2+3 Another type of dinosaur is the for-profit medical insurance company, whose kind controls the gates to health care, shutting out many millions, and canceling the policies of many who need a costly treatment.4+5 Such companies should bow out of the basic medical insurance business, and let Congress improve and extend Medicare to all. Instead, they have hired former government officials to lobby for keeping control, while getting millions of new, healthy customers at taxpayer expense.6 A third type of dinosaur is the Wall Street bank, whose kind sold lousy bonds as AAA-rated, sold vast amounts of bets against those bonds, and sold more bonds backed by those bets — before crashing the economy in 2008.7 Such banks should have gone bankrupt, letting smaller, well-run banks pick up the slack. Instead, those banks deemed “too big to fail” got government bailouts, and are now working on the next bubble and crash, while their lobby — the biggest in D.C. — works to thwart Congress’s tries at stopping them.8+9 All of these corporate dinosaurs have spent much money to skew policy for themselves and against the public. But among the old state laws are those that totally ban corporations from the public policy arena. If the U.S. Congress would pass such a law, it could at last send the corporate dinosaurs stomping into history, where they belong.

Here is an example from Wisconsin in 1905 of a law banning corporate influence on public policy:10

No corporation doing business in this state shall pay or contribute, or offer consent or agree to pay or contribute, directly or indirectly, any money, property, free service of its officers or employees or thing of value to any political party, organization, committee or individual for any political purpose whatsoever, or for the purpose of influencing legislation of any kind, or to promote or defeat the candidacy of any person for nomination, appointment or election to any political office.

Penalty: Any officer, employe, agent or attorney or other representative of any corporation, acting for and in behalf of such corporation, who shall violate [this act] shall be punished upon conviction by a fine of not less than one hundred nor more than five thousand dollars, or by imprisonment in the state prison for a period of not less than one nor more than five years, or by both … and if the corporation shall be subject to a penalty then by forfeiture in double the amount of any fine so imposed … and if a domestic corporation, it may be dissolved, … and if a foreign or nonresident corporation, its right to do business in this state may be declared forfeited.

Similar Ohio Law, 1908

Section 1, That no corporation doing business in this state shall directly or indirectly pay, use or offer, consent or agree to pay or use, any of its money or property for, or in aid, of any political party, committee or organization, or for, or in aid of, any candidate for political office or for nomination for any such office, or in any manner use any of its money or property for any political purpose whatever, or for the reimbursement or indemnification of any person or persons for moneys or property so used.

Section 3. Every corporation which violates section 1 of this act shall be punished by a fine of not more than five thousand nor less than five hundred dollars… Any officer, stockholder, attorney, or agent of any corporations which violates section 1 of this act who participates in, aids, or advises any such violation, and any person who solicits or knowingly receives any money or property in violation of this act shall be punished by imprisonment for not more than one year or a fine of not more than one thousand dollars, or both at the discretion of the court.11

Other Wisconsin Laws

From research by Jane Anne Morris:1

  • corporations were required to have a clear purpose, to be fulfilled but not exceeded.
  • corporations’ licenses to do business were revocable by the state legislature if they exceeded or did not fulfill their chartered purpose(s).
  • the state legislature could revoke a corporation’s charter for a particular reason, or for no reason at all.
  • the act of incorporation did not relieve corporate management or stockholders/owners of responsibility or liability for corporate acts.
  • as a matter of course, corporation officers, directors, or agents could be held criminally liable for violating the law.
  • state (not federal) courts heard cases where corporations or their agents were accused of breaking the law or harming the public.
  • directors of the corporation were required to come from among stockholders.
  • corporations had to have their headquarters and meetings in the state where their principal place of business was located.
  • corporation charters were granted for a specific period of time, like 20 or 30 years (instead of being granted “in perpetuity,” as is now the practice.)
  • corporations were prohibited from owning stock in other corporations in order to prevent them from extending their power inappropriately.
  • corporations’ real estate holdings were limited to what was necessary to carry out their specific purpose(s).
  • corporations were prohibited from making any political contributions, direct or indirect.
  • corporations were prohibited from making charitable or civic donations outside of their specific purposes.
  • state legislatures set the rates that corporations could charge for their products or services.
  • all corporation records and documents were open to the legislature or the state attorney general.

All of these provisions were once law in the state of Wisconsin. And similar ones were on the books in most other states.

Sources

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There’s No Warm Time Like the Present

December 4th, 2009

Today’s global warming is unique among the Earth’s warm periods. The rise in average world-wide temperature (0.7°C over the past 100 years) is much faster-paced than the warming after an ice age (4 – 7°C over 5000 years).90 And the rise of carbon dioxide (CO2) in the atmosphere (80 parts per million (ppm) — up 27% — over the past 100 years) is much, much faster-paced than the rise of CO2 after an ice age (about 80 ppm in 5000 years). Since CO2 is the main greenhouse gas, and since there has not been much rise in solar radiation over the past 100 years, we are left with the greenhouse effect as the only explanation for today’s warming.9192 Scientific models show that the greenhouse effect has indeed caused today’s warming.9394 And data shows that the burning of fossil fuel has mainly caused the rise in CO2, giving another unique feature to today’s warm period: it is caused by the activity of an animal species — the human.95

For comparison, here is a look back at other warm periods:96

  • The Medieval Warm Period (900-1400 A.D.) brought more warmth to northern Europe and some other regions of the Northern Hemisphere, but did not much raise average world-wide temperature. The highest average Northern Hemisphere temperatures during this period were about those of the mid-20th century.
  • The Mid-Holocene Epcoh (6000 years ago) marked the peak warmth of the current natural inter-glacial period. Since then, the Earth should be gradually and naturally cooling towards the next ice age in 50,000 years or so. But today’s warming climate change has halted that trend for a while, and may even — with continued fossil fuel burning — cancel the next ice age.9798
  • The Eemian Stage (120,000 years ago) was the prior inter-glacial period. Regular wobbles in the Earth’s orbit cause the coming and going of the Earth’s ice ages on about a 100,000 year cycle. The orbital wobbles affect the amount of solar radiation hitting the planet. When the solar radiation on the continents strengthens, it triggers the inter-glacial warming. After hundreds of years of warming, CO2, having maybe been flushed from the deep ocean, rises in the atmosphere, which amplifies the warming, driving the glaciers back towards the poles.99
  • The Pliocene Epoch (5.3 – 2.6 million years ago) was the last warm period before the glacial cycles started. Northern Hemisphere ice sheets had not yet formed, as high atmospheric CO2, the Earth’s orbital state, and constant El Nino winds and ocean currents likely kept them at bay.100
  • The Paleocene-Eocene Thermal Maximum (55 million years ago) was a big warming climate change (5 – 8°C over a few thousand years) from an already-warm climate. Somehow, a huge amount of greenhouse gas got up into the atmosphere, as clathrates in the ocean may have melted to free trapped methane, or a massive volcano may have heated up vast swaths of coal.101
  • During the Mid-Cretaceous Age (120 to 90 million years ago) the Earth was very different. Rolling back 100 million years of continental drift, we find the continents clumped together, giving very different ocean currents and climatic rhythms. CO2 levels were at least twice today’s, and it was so warm that the tropical breadfruit tree likely grew in Greenland (55°N).

Each warm period has its own story, but today’s is not yet finished. The effects of today’s climate change could put heavy stress on human and other life that has gotten used to the more-or-less regular climate since the last ice age.102 As more CO2 is added to the atmosphere, the outlook for future life becomes more dire. Now, it is up to the human species to muster its social sense and clever wit, and stop the rise of CO2 in the atmosphere that it started.

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Feingold Leads Senate Fight against Sneak-and-Peek, Other PATRIOT Act Excess

October 14th, 2009

Sen. Feingold at Judiciary hearing
“[I]t’s quite extraordinary to grant government agents the statutory authority to secretly break into Americans homes,” said Sen. Russ Feingold (D-WI) last month at a Judiciary Committee hearing on the PATRIOT Act.80 A month after 9-11, with half its members shut out of their offices due to anthrax-powdered letters, the Senate passed the PATRIOT Act by a vote of 98-1 — the lone “nay” vote cast by Feingold.81 The stated purpose of the PATRIOT Act was to help stop terror attacks, but there is little to show it has done that.8283 However, the PATRIOT Act has boosted federal snooping.84 For instance, sneak-and-peak — the “authority to secretly break into Americans’ homes.” that Feingold mentioned — went from a seldom-used tactic to 760 warrants issued in 2008, but with only three warrants sought for terrorism cases.85 Now, Feingold and nine other senators are sponsoring a bill — the JUSTICE Act — to rein in the PATRIOT Act’s broad and easy search and seizure powers.86 Under current sneak-and-peek, a federal agent can get a secret warrant just by showing the judge that a regular, served warrant might “seriously jeopardiz[e] an investigation,” but with the JUSTICE Act, the agent would have to show that a secret warrant was needed for a solid reason, such as preventing “flight from prosecution” or “destruction of … the evidence sought,”87 Under current sneak-and-peek, an agent could extend the term of the secret warrant just by showing a judge “good cause,” but with the JUSTICE Act, the agent would again have to show a solid reason — the same criteria as for getting the warrant in the first place. Last week, after many members attended a classified Justice Department briefing, the Judiciary Committee, though having a 12-7 Democratic majority, sent out a bill with very few of the JUSTICE Act’s safeguards. Said Feingold:

I hope to work with [Chairman Leahy] and other members of this committee to make further improvements as this bill goes forward. In the end, however, Democrats have to decide if they are going to stand up for the rights of the American people or allow the FBI to write our laws. For me, that’s not a difficult choice.88


Feingold: “We’re not the Prosecutor Committee”

JUSTICE Act Senators

The senators sponsoring the JUSTICE Act are:

  • Russ Feingold (D-WI)
  • Daniel Akaka [D-HI]
  • Jeff Bingaman [D-NM]
  • Richard Durbin [D-IL]
  • Robert Menendez [D-NJ]
  • Jeff Merkley [D-OR]
  • Bernard Sanders [I-VT]
  • Jon Tester [D-MT]
  • Tom Udall [D-NM]
  • Ron Wyden [D-OR]

The Fourth Amendment to the U.S. Constitution

The right of the people to be secure in their persons, houses, papers, and effects, against unreasonable searches and seizures, shall not be violated, and no Warrants shall issue, but upon probable cause, supported by Oath or affirmation, and particularly describing the place to be searched, and the persons or things to be seized.

Sources

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