Theocrats At HHS

Readers from Indiana will understand why I found this recent Politico headline chilling: “How Mike Pence’s Mafia Took Over Health Care Policy.”

Pence, of course, could care less about health care, or policy of any sort that doesn’t advance his Christianist agenda. And he “serves” (or is that word “serviles”?) a President who has no discernible interest in any policy–or anything other than his own self-aggrandizement. So the fact that Pence has installed his preferred people at Health and Human Services tells us that health policy will be made on the basis of ideology, not science or evidence.

Behind the scenes, Pence has developed his own sphere of influence in an agency lower on Trump’s radar: Health and Human Services. It’s also the agency with the ability to fulfill the policy goal most closely associated with Pence over his nearly 20 year career in electoral politics: de-funding Planned Parenthood.

Numerous top leaders of the department — including Secretary Alex Azar, Surgeon General Jerome Adams and Medicaid/Medicare chief Seema Verma — have ties to Pence and Indiana. Other senior officials include Pence’s former legislative director from his days as governor and former domestic policy adviser at the White House.

“He has clearly recruited people connected to him who share his very extreme views on sexual and reproductive health care,” said Emily Stewart, the vice president of public policy at Planned Parenthood. “This has been one of the most active administrations ever on rolling back reproductive rights and there’s no way that happens unless you have people in the White House driving the effort to put out policies at such a rapid clip.”

Before the courts intervened, HHS was getting ready to implement rewritten federal policies to curb abortion and–Pence’s wet dream– cut funding to Planned Parenthood. The new regulations would also have tightened the conditions under which Title X federal family planning grants are awarded, ensuring that clinics wouldn’t even be able to refer women to entirely separate abortion providers.

And in a nod to Pence’s longterm efforts to privilege religious bigotry, the agency this month boosted “religious conscience protections” for providers who refuse to perform certain medical services, including abortion, citing religious or moral objections.

The changes to Title X are the culmination of a battle Pence waged first as a member of Congress, then as governor and now in the White House. The Title X rules, which force providers of federally funded family-planning programs to separate themselves from abortion providers, are aimed squarely at Planned Parenthood, which relies heavily on such funding. The Title X changes don’t cut off Medicaid funds from Planned Parenthood — although cutting off that big pot of money is on the GOP wish list as well.

Pence has installed a number of people at HHS who were part of his Indiana administration. As White House staff members have confirmed, from the very outset of the Trump administration, Pence had carte blanche to identify nominees he preferred  “particularly in roles Trump didn’t really care about,” as one GOP operative put it.

Even somewhat smaller projects appear to bear the vice president’s ideological imprint — for example, a recent HHS decision to grant South Carolina a waiver that allows foster care providers to reject potential families who have different religious beliefs.

These conservative and religious views have played into the administration’s foreign as well as domestic policy. Internationally, Trump and Pence have gone beyond even other Republican administrations in curbing access to abortion and contraception by expanding the so-called Mexico City policy barring U.S. foreign aid to groups that promote or provide abortion.

Trump is fixated on himself. Pence is fixated on imposing his peculiar version of Christianity  on America.

Neither they nor any of the criminals and incompetents they’ve installed as cabinet members and White House staffers care anything at all about We the People, the Constitution, or the Rule of Law.

If we don’t evict the whole crew in 2020, there may not be any going back.

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A Master Class

In the space of a week, Donald Trump and Mike Pence have given us a Master Class in  cluelessness (Trump) and servility (Pence).

Pence was at his smarmy best when he dutifully defended Trump’s lunatic assertion that murderous “Middle Easterners” were part of that scary Caravan making its way to the border from Guatemala. Talking Points Memo named Pence their “Duke of the Week” for that one.

Every lackey willingly floating in President Trump’s orbit is handed their fair share of flak for their regular defense of Trump’s latest fallacious musings.

But Vice President and Trump hype man Mike Pence is the aide most often recruited to step in it. And this week, he dove in deep, defending Trump’s unfounded — and racist — claims that “Middle Easterners” were part of the caravan of Central American migrants heading to the U.S., spouting false statistics and then being forced to shove his tail between his leg and publicly walk back the comments.

Ever since Fox News began its non-stop coverage of the group of immigrants traveling toward the U.S., Trump and his flunkies in Congress and on TV have seized on the issue to get Republican voters worked up ahead of the midterms. Trump blamed the Democrats for “open borders” and tweeted threats to Mexico and Guatemala, signaling he’d cut U.S. aide to the countries if they didn’t block the group from approaching the U.S.-Mexico border. According to multiple on-the-ground reports, the migrants were escaping violence and poverty in Honduras and hoped to seek asylum in the U.S.

Pence insisted that during  the last fiscal year, authorities had apprehended “more than 10 terrorists or suspected terrorists per day at our Southern border. from countries that are referred to in as ‘other than Mexico.” With a straight face, he insisted that “countries other than Mexico” meant from the Middle East.  It also turned out that those apprehended were attempting to enter the country illegally at all ports of entry, not just the southern one.

So he’s a liar like Trump. (And don’t get me started about his attempt to use the term “Rabbi” to describe the Christian he trotted out to offer a prayer for the real Jews killed in Pittsburgh.)

Eventually, of course, our demented President had to admit he had “no proof” that there were people of Middle Eastern decent tagging along with the caravan. (“There’s no proof of anything but they could very well be,” Trump said, after he let Pence and others spend more than 24 hours defending his bizarre assertions).

Sure, and I could “very well” be a Martian…

Lest his “base” (in both senses of the word) miss the point of his attacks on those brown people trying to escape poverty and violence, Trump has promised to issue an Executive Order ending automatic citizenship for children of immigrants born on American soil. That’s ludicrous, of course–such a change would require a Constitutional amendment. The evidence suggests his base is too ignorant of the American Constitution to know that.

Of course, it’s entirely possible Trump doesn’t know it either–he’s given no hint of familiarity with the law or the Constitution.

Trump’s ignorance of law, facts, science, geography and the way the world works is more than equalled, however, by his inability to understand even the most basic obligations of the office he accidentally holds. I can’t say it any more plainly than Vox, in an article titled “Trump Has Passed Every Chance to Unite the Country during the Pipe Bomb Crisis.”

Once again, he has proven to be completely incapable of providing sober, mature, responsible leadership in a time of crisis.

After initially calling for “unity” in scripted remarks on Friday, the president turned his appearance at the White House’s Young Black Leadership Summit into a campaign rally.

He did his usual thing: He slammed Democrats, bashed the “fake news” media, and lambasted so-called “globalists.” Never mind that most of the bomber’s targets were top Democratic politicians, including former President Barack Obama and former Secretary of State Hillary Clinton, and that one was CNN, one of Trump’s favorite targets for the “fake news” label.

Trump is a terrifyingly un-self-aware person; he is absolutely unable to take responsibility for anything. In a conversation with reporters, he refused to accept any blame for his rhetoric.

“Not at all, no. There is no blame. There is no anything,” he told reporters.

Asked if he would commit to toning down his rhetoric for a few days, he responded, “Well, I think I’ve been toned down. I could really tone it up. Because as you know, the media has been incredibly unfair to me and to the Republican Party.”

And when he was asked if he would call any of the targeted individuals–especially former Presidents Obama and Clinton–he said “probably not.”

In other words, he doesn’t even want to do the bare minimum a president is expected to do here: speak with the people targeted by a terrifying bomb threat and tell them he’s happy they’re safe.

Trump wasn’t interested in making a phone call–after all, that doesn’t generate media exposure. But he was insistent on going to Pittsburgh, a trip that would be covered by the media he pretends to despise, despite requests from the mayor and the community that he stay away and refrain from distracting from the funerals.

Like I say–a Master Class.

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Did They Really Have Souls To Sell?

A few days ago, I was on the treadmill watching “Morning Joe,” and heard Presidential historian Jon Meacham, from all indications a deeply religious man, respond to questions about the Trump Administration’s “biblical” defense of separating parents and children in order to deter asylum seekers. Meacham predicted a “day of reckoning” for Evangelical Trump supporters, and put it in stark terms: They sold their souls for a Supreme Court seat, and they’ll have to decide whether it was worth it.

Of course, in order to sell a soul, you first need to have one.

Later that same day, The Washington Post reported that Mike Pence (aka “Mr. Piety”)has turned the Vice-President’s office into “a gateway for lobbyists.”

About twice as many companies and other interests hired lobbyists to contact the vice president’s office in Pence’s first year than in any single year during the tenures of Vice Presidents Joe Biden and Richard B. Cheney, filings show.

Speaking of selling one’s soul….(Since this is Pence, one assumes the sale price reflects an appropriate and substantial discount…)

A couple of observations: first, Sessons’ use of a biblical reference to justify a governmental policy is profoundly anti-American. As several commentators have pointed out, America isn’t a theocracy.  Public policies must be attacked or defended with secular reasoning and argumentation, not appeals to theology.

More generally, however, what Sessions and Pence both exemplify is the cynical use of religion to advance personal and political ends–to justify bigotry, to claim privilege, and to reassure a frightened and angry “base” that its hostility to the “other” is God’s will.

As regular readers of this blog know, I am not religious. But I have friends who are genuinely religious people, and there is a huge difference between the devout people I know, who tend to be both humble and kind, and the “faux religious” and “holier than thou” hypocrites who are supporting and excusing the behaviors of this administration.

Meacham may be right when he predicts a day of reckoning. If I had to hazard a guess, however, I’d predict that reckoning will consist only of recognizing the strategic failure of efforts to find religious justifications for Trump’s unholy behaviors.

Somehow, I don’t see the Mike Pences and Jeffrey Beauregard Sessions of this world looking deep inside themselves and reckoning with the truly important questions: have I been a good person? Have I been honest? Kind? Have I read my holy book in its entirety, or have I cherry-picked and “interpreted” it in order to convince myself that God dislikes the same people I do? What is the nature of my obligation to my fellow-man and woman? What is justice? What is mercy?

Do I have a soul? Have I sold it for a mess of pottage?

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“Pro Life” Really Isn’t

Those of us who champion individual autonomy and the right of a woman to make her own reproductive decisions often point to the hypocrisy of a movement that labels itself “pro life,” but expresses concern only when that “life” precedes birth.

Many of the same people who express touching concern for a blastula or fetus consistently oppose measures to ameliorate threats to the lives and health of the already-born. This disconnect strongly suggests that their real goal is control of women, not protection of life or the unborn.

Well, we have a new bit of evidence strengthening that claim of hypocrisy, and –unsurprisingly–it involves Mike Pence, Indiana’s contribution to the disaster that is the Trump Administration.

A bipartisan effort to stabilize the U.S. health-insurance markets collapsed last month after anti-abortion groups appealed directly to Vice President Mike Pence at the 11th hour, The Daily Beast has learned.

Amid opposition from conservatives in the House of Representatives, a group of pro-life activists met with Pence to lobby the Trump administration against supporting a health-insurance market-stabilization bill on the grounds that it does not contain sufficient language on abortion restrictions, according to sources with direct knowledge of the meeting. Senate Majority Leader Mitch McConnell (R-KY) was also in attendance at the Dec. 19 meeting, three of the sources said.

The next day, key lawmakers involved in crafting the legislation announced they were punting on the issue until 2018.

You may be wondering what the stabilization measure–which is intended to prevent thirteen million people from losing their health insurance due to a provision of the tax bill–has to do with abortion. And of course, in a sane world, the answer would be, nothing. But the supposedly “pro-life” activists who met with Pence last month were opposed to the bill because some of the subsidies in the stabilization legislation (known as cost-sharing reduction (CSR) payments) might go to health plans that fund abortions.

This is how Pence’s Party–formerly known as the GOP–protects “life.”

These lawmakers are willing to see thirteen million Americans lose their health insurance if that’s what it takes to prevent private-sector insurance companies from covering abortions (many of which are medically indicated in order to save the life or health of the mother).

There are numerous studies which estimate the number of deaths that are a direct consequence of lack of health insurance.

A 2012 familiesUSA study shows that more than 130,000 Americans died between 2005 and 2010 because of their lack of health insurance. The number of deaths due to a lack of coverage averaged three per hour and the issue plagued every state. Other studies have shown those statistics to be high or low, but all studies agree: In America the uninsured are more likely to die than those with insurance.

So how, exactly, is blocking a measure that would prevent these very predictable deaths “pro life”? Elevating the value of the unborn over the value of existing men, women and children isn’t “pro life”–even if you believe that human life begins at the very instant that a sperm and egg unite–it is rather obviously “pro fetal life.”

More accurately, it’s a war on women’s autonomy. And like all wars, it will take the lives of many innocent, already-born people.

There are certainly people who are truly pro-life. They oppose abortion–but they also oppose the death penalty. They support full funding for CHIP.  They support programs to feed hungry children.

Fanatics like Pence aren’t pro-life in any meaningful sense. They are anti-women and pro-paternalism.

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Charles Pierce Identifies It–What Are We Going To Do About It?

My mother used to recite a rhyme that I don’t recall entirely, but the gist of it was that the only difference between men and boys was the size of their toys.

Americans are being “governed”–if you can dignify what is coming from the White House as governing–by a boy with a nuclear toy. (If there were any remaining doubts, Michael Wolff’s new book should dispel them.)

Who among us would ever have anticipated having an occupant of the Oval Office tweeting “mine is bigger than yours” at another, equally demented, world leader? (Do you suppose we could settle this by putting the two of them in an examining room, and measuring their “parts”?)

I used to attribute Trump’s unbelievable lack of self-awareness to privilege. We all know people whose money or power insulates them from contact with people who will tell them the truth; the longer their isolation from ridicule or dissent, the less grounded they become. But I think Charles Pierce has a more accurate evaluation of the problem.

Pierce’s column analyzed Trump’s recent interview with New York Times reporter Michael Schmidt. Schmidt had intercepted Trump on a golf course, where are no aides to constrain the free flow of what Trump apparently regards as sentences, and reaction to that interview has been shock and (terrified) awe.

Pierce dismissed criticisms of Schmidt’s conduct of the interview as irrelevant to what it exposed:

In my view, the interview is a clinical study of a man in severe cognitive decline, if not the early stages of outright dementia.

Over the past 30 years, I’ve seen my father and all of his siblings slide into the shadows and fog of Alzheimer’s Disease. (The president*’s father developed Alzheimer’s in his 80s.) In 1984, Ronald Reagan debated Walter Mondale in Louisville and plainly had no idea where he was. (If someone on the panel had asked him, he’d have been stumped.) Not long afterwards, I was interviewing a prominent Alzheimer’s researcher for a book I was doing, and he said, “I saw the look on his face that I see every day in my clinic.” …

In this interview, the president* is only intermittently coherent. He talks in semi-sentences and is always groping for something that sounds familiar, even if it makes no sense whatsoever and even if it blatantly contradicts something he said two minutes earlier. To my ears, anyway, this is more than the president*’s well-known allergy to the truth. This is a classic coping mechanism employed when language skills are coming apart.

Pierce gives several examples from the transcript of the interview–boasts that embarrass rational people, non-sequiturs that most observers (reasonably enough) attribute to ignorance, and Trump’s trademark, repellant grandiosity, which Pierce sees as the desperation of a man who is losing the ability to understand the world around him.

And as he points out, this lack of capacity is oh-so-useful to Congressional Republicans.

In Ronald Reagan’s second term, we ducked a bullet. I’ve always suspected he was propped up by a lot of people who a) didn’t trust vice-president George H.W. Bush, b) found it convenient to have a forgetful president when the subpoenas began to fly, and c) found it helpful to have a “detached” president when they started running their own agendas—like, say, selling missiles to mullahs. You’re seeing much the same thing with the congressional Republicans. They’re operating an ongoing smash-and-grab on all the policy wishes they’ve fondly cultivated since 1981. Having a president* who may not be all there and, as such, is susceptible to flattery because it reassures him that he actually is makes the heist that much easier.

If we had a Vice-President and Cabinet who actually gave a rat’s ass about America rather than their own prospects and assorted zealotries, we could hope for invocation of the 25th Amendment.

If we had Congressional Republicans who were willing to put country above party, we could hope for impeachment.

If the President is seriously mentally ill–and it’s hard to argue with that diagnosis (a number of psychiatrists have already concurred)–that explains his terrifying behaviors.

What’s everyone else’s excuse?

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