Local Government – Page 59

They Just Can’t Help Themselves

Senate Bill 371, currently passing easily through the various stages of the legislative process, requires facilities that dispense abortion-inducing drugs to meet all the structural and operational specifications of facilities that provide surgical abortions. In other words, in order for a clinic to prescribe or supply a pill to induce a very early abortion, its facilities must rival those of a hospital or surgical center.

SB 371 also requires the physician providing such a prescription to provide the patient with materials–colors specified!–oversee ultrasound imaging, and document efforts to have the woman return in two weeks for a follow-up examination and ultrasound.

This bill has nothing to with women’s safety. It has everything to do with limiting the availability of safe and legal abortion. As a side effect, it also limits the availability of all reproductive health care for low-income women. Note the language: it applies only to “clinics.” None of the standards in SB 371 apply to private physicians who dispense abortion-inducing drugs.

The restrictions apply only to “clinics”–read, Planned Parenthood– that provide health care at low cost.

Medication abortion is a safe, early-stage procedure. SB 371 is an unwarranted interference with the doctor-patient relationship, not to mention an unconstitutional effort to deny some women but not others access to reproductive health services by forcing the closure of the clinics that serve them. This measure is yet another salvo in the GOP’s ongoing war on Planned Parenthood. and a woman’s right to make her own moral decisions.

On the other hand, the perennially cash-strapped ACLU can use the legal fees that will be generated when it wins the inevitable legal challenge. So I suppose there is a bright side to everything.

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And This is Supposed to be Good News?

The average amount of time Indy folks spend commuting hasn’t increased since last year, according to the IBJ. The headline suggests that this is a positive finding. We should all cheer.

An Indianapolis commuter spends an average of 41 hours in freeway delays during rush hour each year, according to a study by the Texas A&M Transportation Institute. Forty-one hours–an entire week of one’s life, each and every year–spent behind the wheel, looking at someone else’s tail lights.

What could you do with that week? Read a book, play with your children, volunteer for a charity…sleep? Make love?

I’ve always had difficulty understanding the folks who live in far-flung suburbs, and willingly trade convenience for the privilege of mowing more grass. My own commute is less than 2 miles, and during rush hour can take up to 8 minutes, so I’m not the most empathetic person to be commenting on the waste of time involved. But let’s do a thought experiment: what if Indianapolis had real mass transit?

By “real,” I mean public transportation with 5 or at most 10-minute headways, on clean and comfortable trains or buses with wi-fi. Such a transportation system wouldn’t just improve the environment by saving lots of carbon emissions. It wouldn’t just jump-start the local economy by getting employees to work. It wouldn’t just encourage smart urban growth.

It would give that average Indianapolis commuter a week of his or her life back. Every year.

The grass aficionados could have their cake and eat it too: they could spend their commuting week reading, emailing, working–or just listening to music. Or sleeping. (Sex probably isn’t an option.)

If I were one of the people spending a week of every year stuck in traffic, I’d be down at the Indiana Statehouse demanding the right to hold a referendum. And if the micro-managing legislators actually allowed us a measure of self-determination, I’d beat the drums for a positive vote–and my chance to recapture that lost week.

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An Unhealthy Partisanship

As Hoosiers proved again last November, we’re a Red, Red State. And evidently, that partisan identity–and a deep desire to thwart that Kenyan interloper who inexplicably occupies the White House–is motivating a costly and immoral decision on healthcare.

The Affordable Care Act–aka “Obamacare”–provides incentives for states to expand Medicaid coverage. That expansion is not mandatory, however. (The Supreme Court’s decision upheld the Act, but not provisions making Medicaid expansion obligatory.)

There’s a lot of misunderstanding about Medicaid and who it covers. Currently, Indiana’s Medicaid program provides health care to about one in seven Hoosiers–mostly children, pregnant women, the disabled, seniors in long-term care and very low income families. The word “families” is key here, because non-disabled childless adults under the age of 65 are not eligible for Medicaid, no matter how poor they are. And the “eligibility” of families with children is mostly illusory: a family of three (mother, father, child) with income over $4582 a year makes too much to qualify.

The new health reform law gives Indiana the option of expanding Medicaid to provide care to Hoosiers who are currently uninsured–by increasing eligibility to low-income working adults with incomes up to 138% of the federal poverty level. Last year, that would have been $15,415 for an adult, and would have allowed that family of three to make the princely sum of $26,344.

If Indiana opts to participate, an estimated 450,000 Hoosiers would benefit. And here’s the kicker: if Indiana does participate, the federal government will pay all the costs for the first three years. The state’s portion would then phase in gradually, topping out at 10% in 2020.

And if we don’t participate? Well, poor people have this pesky habit of getting sick anyway. And we already pay to treat them–frequently, in the least cost-effective way, when they appear at hospital emergency rooms. When uninsured folks are treated there, the costs of their un-reimbursed care drives up the premiums of those with insurance. If the hospital is public, our taxes go up. If the hospitals still can’t recover their costs, they cut healthcare workers or reduce services. The 10% Indiana would eventually have to pay to cover far more people is unlikely to be more than we are actually paying now in a variety of ways–it would just be more visible and much more cost-effective.

The arguments against participating mainly boil down to two: the feds might change the formula sometime in the future, and we don’t like the government or the President.

Let’s see: on the one hand, the federal government will pay to cover nearly half a million Hoosiers whose lack of insurance is currently costing all of us money and jobs. On the other hand, we can show that socialist Barack Obama how much we hate him.

Even Ohio Governor John Kasich–a man without a “blue” bone in his body–has concluded that cutting off one’s nose to spite one’s face is rarely a sane public policy option.

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Send In the Clowns….

Don’t bother. They’re here. In fact, they’re apparently everywhere.

Yesterday, a student sent me a link to a story about a Montana lawmaker who is proposing to give people convicted of a crime a choice between prison time and “infliction of pain.” According to the report, Republican Rep. Jerry O’Neil is drafting a bill that would allow those convicted of misdemeanors or felonies to negotiate corporal punishment rather than a more conventional sentence, because he thinks long prison sentences are inhumane, and thinks many offenders would prefer something like “20 lashes.”

This is the same lawmaker who made headlines earlier in the legislative session when he asked to get paid in gold and silver coins because he is skeptical about the future of the dollar.

Not to be outdone, however, our Hoosier legislators are weighing in with some pretty impressive entries in the OMG sweepstakes. Some pending bills are just terrible policy, of course. We’re used to those here in Indiana. Others are head-scratchers. For example, Senate Bill 0462 designates the fourth Saturday of July as the National Day of the Cowboy and Cowgirl in Indiana, and designates the third weekend of May as the First People’s Celebration Weekend in Indiana in observance of the Corn Planting Moon Ceremony.

The Corn Planting Moon Ceremony? SB 0462 is definitely a contender. But my current favorite is Senate Bill o230, which proposes to “nullify” federal laws our Indiana policymakers don’t like.

SB 0230 provides that “any federal act, order, law, rule, regulation, or statute found by the general assembly to be inconsistent with the power granted to the federal government in the Constitution of the United States is void in Indiana. Provides that a resident of Indiana has a cause of action to enjoin the enforcement or implementation or the attempted enforcement or implementation of a federal act, order, law, rule, regulation, or statute declared void by the general assembly. Provides that a plaintiff who prevails in such an action is entitled to reasonable attorney’s fees and costs. Provides that a person who knowingly or intentionally implements or enforces, or attempts to implement or enforce, a federal law that is declared void by the general assembly commits a Class D felony. Finds that the federal Patient Protection and Affordable Care Act and the federal Health Care and Education Reconciliation Act of 2010 are inconsistent with the power granted to the federal government in the Constitution of the United States.”

Presumably, the genius who sponsored this one missed that pesky little provision in the U.S. Constitution known as the Supremacy Clause. (Didn’t some of this guy’s forebears try that “states rights” gambit during the civil rights movement? Didn’t work then, either.)

It’s pretty clear what’s pissed off the sponsor of SB 0230, and pretty obvious what his bill–however embarrassing–is all about. SB 0163, on the other hand, is mystifying.

The digest begins “Provides that an individual may not be registered as a lobbyist for more than ten years.” The bill also provides that “an individual may not be a candidate for election to the general assembly if, at the expiration of the term to which the individual would be elected, the individual would have served more than 16 years as a member of the general assembly” and “provides that an individual may not be employed by or provide personal services under contract to any Indiana government body for more than ten years during the individual’s lifetime.” It also prohibits anyone from receiving more than $1,000,000 in compensation from government during his lifetime.

I understand trying to term limit legislators (although it really isn’t a very good idea, no matter how tempting it may seem)–but lobbyists and government employees?

Maybe we could just give those guys a choice between term limits and 25 lashes?

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Law and Sausage

There’s an old saying that you should never watch either of two things being made: sausage or laws. A report in the Indianapolis Star’s “Behind Closed Doors” section this morning is a good example of the sort of game-playing and disregard of the public interest that is the counterpart to sweeping up the floor to plump up the sausage.

As I’ve posted previously, Mike Young has authored a bill that would divest the Indianapolis City-County Council of its fiscal authority. His bill–and a couple of other iterations also pending–would create an “imperial” Mayor no longer answerable to Councilors for spending, hiring and other important decisions that are now part of the democratic checks and balances. It’s terrible policy.

In response, Democratic County Chair Ed Treacy has an equally bad idea. He wants the Democrats in the Legislature to hold the mass transit referendum hostage. Since it will take actual bipartisanship–i.e., votes from both Republicans and Democrats–to pass the bill allowing Marion County voters to decide for ourselves whether we want decent mass transit enough to pay for it, Treacy proposes that Democrats withhold those votes until and unless the Mayor-as-King bill is defeated.

The only people who get forgotten in this unsavory game of political chicken are the citizens of central Indiana. But hey–watch those politicians play that inside baseball game! Watch them give as good as they get! Tit for tat….and screw the public interest.

Pass the sausage.