Tag Archives: Trump

Making America Sick Again

With the introduction of its proposed budget, the Trump Administration has continued its effort to cut the ground out from under all but the wealthiest Americans–and especially from under the people who voted for Trump.

Fortunately, that budget displays the stunning ineptitude that is a hallmark of this Administration (Hey–what’s a two trillion dollar math mistake among friends..?) and is unlikely to pass.

We often hear exhortations to “follow the money,” or to “put your money where your mouth is.” Those phrases reflect an undeniable truth of human behavior: whatever our rhetoric, where we commit our resources shows our real priorities.  Trump’s budget not only makes his priorities painfully clear; it reflects his callous disregard for struggling Americans, including those who voted for him.

Time Magazine has detailed the consequences of the savage Medicaid cuts proposed by the Trump budget. Nearly one in four Americans–and 42 percent of Trump voters– rely on Medicaid. The budget assumes passage of the deeply unpopular Obamacare replacement passed by the House and currently pending in the Senate; that measure–which the CBO calculates would cost 23 million Americans their health insurance– cuts Medicaid funding by $839 billion over the next decade. The budget proposal reduces Medicaid by an additional $610 billion.

Those cuts endanger medical access for 74 million Americans.

Medicaid reaches far beyond able-bodied adults out of work, despite the proposal’s rhetoric. The elderly and disabled account for around 60% of Medicaid’s expenditures, with the disabled, including the mentally ill, accounting for a full 42% of spending.

The program is the country’s largest funder of long-term care expenses, covering 40% of the costs, as well as more than 60% of all nursing home residents. For Baby Boomers nearing or past retirement age, these funds are crucial: As MONEY has previously reported, nursing homes for the elderly cost an average of $80,000 annually, and those expenditures aren’t covered under Medicare, the health program for seniors over 65. In fact, because Medicaid absorbs high healthcare costs of people with expensive conditions like dementia, it has kept private insurance around 7% lower than they would be.

Slashing funds also disproportionately affects women and children: one-half of births in the U.S. are covered by Medicaid (that varies widely by state—in Louisiana, 65% of births are covered by Medicaid, according to the Kaiser Family Foundation). The Children’s Health Insurance Program, which covered more than 8.4 million children in 2015, would also see its budget significantly reduced, according to Joan Alker, Executive Director of the Georgetown Center for Children and Families. Medicaid also provides essential health coverage for low income women, particularly women (and children) of color.

And of course, the budget continues the Republican war on women and women’s health by defunding Planned Parenthood–effectively eliminating preventive care (pap tests, breast cancer screenings) for most poor women.

Pointing to the cruelty of this proposal is unlikely to move lawmakers for whom tax cuts for rich people are the highest priority, but you would think they might realize that such a wholesale assault on access to preventive care would wildly increase overall medical costs. (The old adage “penny wise, pound foolish, comes to mind.) Trump’s budget would throw people back to the tender mercies of the emergency room, return us to the days when medical costs and nursing home fees bankrupted families, and ensconce a system in which healthcare is simply a consumer good, available to those who can afford it and too bad for the rest of you.

Destroying Obamacare and slashing Medicaid aren’t even the end of the story: the proposed budget also “severely cuts funding for science and public health agencies, including a $1 billion cut to the National Cancer Institute.”

Notably, the National Institute of Health’s budget would be slashed from $31.8 billion to $26 billion. The Center for Disease Control and Prevention would face cuts of more than $1 billion, including a $222 million decrease in funding to the chronic disease prevention programs, which help people with conditions like diabetes, heart disease, and obesity.The National Science Foundation would face a decrease of $776 million.

Welcome to dystopia.

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It’s the Constitution’s Fault!

As I watch the unfolding train wreck that is the Trump Administration, and talk with friends and colleagues, it’s increasingly clear that most of us are more mystified and appalled than angry. (Not that we aren’t angry…)

How, we ask each other, could anyone be so ignorant of the most basic rules that govern our society? How could someone whose background was entertainment and whose entire focus was ratings be so oblivious to massively negative public opinion? How can anyone get to the ripe old age of 70 without even a shred of self-awareness?

And of course, the recurring question: why would anyone vote for this ignorant buffoon? It’s not like his abundant deficits weren’t obvious during the campaign.

I don’t have answers to most of those questions, but I think a recent article in the Independent, a British newspaper, sheds some light on Trump’s path to constitutional crisis.

The article was one of many that attempted to evaluate Trump’s first 100 days in office; it reported on an interview with the President’s favorite source of “news.” (Note quotation marks.)

Donald Trump has blamed the US constitution for the problems he has encountered during his first 100 days in office.

In an interview with Fox News to mark the milestone, the Republican called the system of checks and balances on power “archaic”.

“It’s a very rough system,” he said. “It’s an archaic system … It’s really a bad thing for the country.”

Lest we shrug this off as just another “open mouth, let stuff come out” incident in Trump’s stream-of-(semi)consciousness mode of utterances, I would simply point out that everything he has done in office has been consistent with contempt for, or ignorance of, America’s charter, and his unwillingness to be bound by the rule of law–indeed, his clear lack of comprehension of what “rule of law” is or means.

I think I’m going to add a codicil to that question about American voters. Why would anyone vote for a man who quite clearly does not understand or even pretend to value the legal premises of the country he was proposing to lead–a man who is unwilling to give even lip service to the U.S. Constitution?

To date, I am unaware of any Republican criticism of Trump’s comment.

What happened to all the posturing bloviators who constantly profess their undying devotion to a constitution they clearly don’t understand? Why aren’t they registering shock and concern at the President’s airy dismissal of America’s founding document?

What happened to all those pompous assholes who whip a small copy of the Constitution out of their pockets at the slightest provocation? Where are the members of the NRA’s Church of the Second Amendment? Where are all the pious frauds who constantly promote their  ahistorical version of the First Amendment’s protection of religious liberty?

Surely they are all appalled. Where are they?

And a more pressing question: why are Congressional Republicans continuing to enable and defend a man who not only dishonors the Constitution by word and deed, but also poses an unmistakable threat to American democratic institutions at home and the country’s stature abroad?

Can you imagine their response if Obama had said or done any of these things?

Of course, Trump’s white. (Okay, orange, but close….)

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Truer Words Were Never Spoken

A column by Richard Cohen in the Washington Post is unkind, but deadly accurate.

Actually, the subhead says it all: Trump is crazy. What’s Pence’s excuse?

Cohen’s lede:

When history holds its trial to account for the Donald Trump presidency, Trump himself will be acquitted on grounds of madness. History will look at his behavior, his erratic and childish lying and his flamboyant ignorance of history itself and pronounce the man, like George III, a cuckoo for whom restraint, but not punishment, was necessary. Such will not be the case for Mike Pence, the toady vice president and the personification of much that has gone wrong in Washington.

On any given day, Pence will do his customary spot-on imitation of a bobblehead. Standing near Trump in the Oval Office, he will nod his head robotically as the president says one asinine thing after another and then, maybe along with others, he will be honored with a lie or a version of the truth so mangled by contradictions and fabrications that a day in the White House is like a week on LSD.

Those of us who have known Pence prior to his unlikely ascension to the Vice-Presidency aren’t surprised by his acquiescence; Pence is not particularly intelligent, thoughtful or self-aware. The adjective Cohen uses– “toady”– is entirely apt. (In fact, when I see him doing his “bobblehead” routine, or especially when he is proclaiming his Christian piety, I always think of Dickens’ Uriah Heep–the smarmy character who was always proclaiming his humbleness.)

What is worrisome about Mike Pence isn’t that he is, in Cohen’s words, “clueless.” It’s that he is entirely typical of today’s GOP officeholders.

I don’t feel an iota of sympathy for Pence. He was among a perfidious group of political opportunists who pushed Trump’s candidacy while having to know that he was intellectually, temperamentally and morally unfit for the presidency. They stuck with him as he mocked the disabled, belittled women, insulted Hispanics, libeled Mexicans and promiscuously promised the impossible and ridiculous — all that “Day One” nonsense like how the wall would be built and Mexico would pay for it….

The president cannot be trusted. He cannot be believed. He has denigrated the news media, not for its manifest imperfections but for its routine and obligatory search for the truth. He has turned on the judiciary for its fidelity to the law and, once, for the ethnic heritage of a judge. Trump corrupts just about everything he touches.

From most of the Republican Party comes not a whisper of rebuke. The congressional leadership is inert, cowed, scurrying to the White House for this or that ceremonial picture, like members of the erstwhile Politburo flanking Stalin atop Lenin’s mausoleum. They are appalled, but mute. They want to make the best of a bad situation, I know, and they fear the voters back home, but their complicity ought to be obvious even to them.

This captures the situation perfectly. Here in Indiana, the Republicans we’ve sent to represent us in Congress are all doing their best imitation of Pence’s “bobblehead.” They’ve traded whatever honor and integrity they had (and in some cases, that wasn’t much) for more visible committee assignments and financial help from the RNC in the next campaign.

I don’t know how they sleep at night.

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About That Fox and That Henhouse…

And the hits keep coming…

Major media outlets are reporting on the Administration’s most recent assault on science and the environment. According to the New York Times, 

The Environmental Protection Agency has dismissed at least five members of a major scientific review board, the latest signal of what critics call a campaign by the Trump administration to shrink the agency’s regulatory reach by reducing the role of academic research.

A spokesman for the E.P.A. administrator, Scott Pruitt, said he would consider replacing the academic scientists with representatives from industries whose pollution the agency is supposed to regulate, as part of the wide net it plans to cast. “The administrator believes we should have people on this board who understand the impact of regulations on the regulated community,” said the spokesman, J. P. Freire.

The dismissals on Friday came about six weeks after the House passed a bill aimed at changing the composition of another E.P.A. scientific review board to include more representation from the corporate world.

The Washington Post reports that the Interior Department is overhauling the more than 200 advisory panels that inform how their agencies assess the science underpinning departmental policies, “the first step in a broader effort by Republicans to change the way the federal government evaluates the scientific basis for its regulations.”

Gee–maybe Jeff Sessions can emulate Scott Pruitt, and allow offenders to rewrite criminal law and incarceration practices–after all, who knows more about crime and punishment than those most immediately affected?

Trump has previously instructed Pruitt to shave 40 percent of the agency’s science budget and to eliminate or severely roll back the most important Obama-era regulations on climate change and clean water protection. Last week, when I was checking some clean water information, I found that the EPA had removed a significant amount of data on climate change from its websites.

Of course, anyone who cares about the environment–or scientific integrity–expected much of this;  Pruitt is a climate-change denier. Like most of Trump’s cabinet, he appears to have been chosen in order to dismantle the agency he heads. Betsy DeVos is an enemy of public education, Jeff Sessions has already moved to erode enforcement of civil rights laws.. the list goes on.

The administration has also announced plans to fill federal court vacancies with judges likely to do their bidding.

The only people who will benefit from the policies of this Administration are the rich and the large corporations chafing under “inconvenient” regulations–like the rules against dumping toxic materials  into nearby rivers and polluting the drinking water.

Public administration scholars have long been concerned with the problem of “capture”–the process by which regulatory agencies get “cozy” with representatives of the industries they regulate. Some of that is inevitable; especially when you are dealing with complex issues that are salient only to the industry being regulated, it’s understandable that the regulators and those subject to regulation will develop a relationship. That relationship doesn’t necessarily undermine the regulatory process, and it is important to listen to the voices of those being regulated–the voices of those with the most intimate knowledge of the effect of rules being promulgated.

Listening, however, is one thing. Letting the industry write the rules–or rewrite the science justifying the rules–is something else entirely.

In the Trump Administration, the fox apparently lives in the henhouse.

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Yep….

In the wake of November’s election, my biggest concern was the prospect of Donald Trump in charge of a unified government: with a Republican House and Senate, I was sure we would see legislation canceling progress on the environment, reversing rights for women, gay citizens and immigrants, and eviscerating public education, among other nightmares.

Jennifer Rubin, a conservative columnist for the Washington Post, recently explained why we have yet to see that legislation. Her column was titled “Here’s why, even with control of everything, the GOP can’t govern.” She began with a quote from the Wall Street Journal:

Many popular postelection wagers took a hit last month after Republicans failed to repeal and replace the Affordable Care Act, which highlighted the difficulties they could face advancing new legislation even while holding the White House and both houses of Congress.

She went on to describe the current situation.

If one had any doubt, this week’s events — a half-baked tax proposal that would not pass one let alone two houses, another failed effort at Trumpcare, White House bluffs and retreats on the budget — should have disabused observers of the notion that Trump’s agenda would sail through Congress…

Trump cannot manage to devise attractive legislation or get down in the weeds of negotiation, while House Speaker Paul Ryan (R-Wis.) seems willing to accommodate whatever group is currently rocking the boat, regardless of the likelihood of success. Neither Ryan nor Trump can lead a successful legislative effort. As a result, members of Congress figure there is little reason to stick their necks out for either one. “Members of Congress have watched with horror as Trump thrashed about in Washington with little predictability, guided by top aides with little experience in the trenches of government,” Time reports. “Staffers with decades of Hill experience find themselves sidelined by political neophytes who think barking orders can get Congress to act. More than once, White House officials have told Paul Ryan that his role as Speaker may be in jeopardy if he does not do more to help Trump.”

Rubin notes that –given his priorities–Trump’s inability to get things done is a gift; gridlock looks pretty good when balanced against this administration’s goals.

This is not to say we don’t have substantial problems or need competent leadership. However, this president and this Congress have not a clue how to proceed. They would potentially do much more harm than good. They are prisoners of extreme ideology, unrealistic expectations and their own incompetence.

Wonkblog recently came to a similar conclusion. In a column tracing the reasons that  financial markets aren’t betting on a big Trump stimulus anymore,  Matt O’Brian wrote

But a funny thing happened on the way to Trump’s making great deals. It turns out that everything is more complicated than anyone named Donald Trump knew. It isn’t easy to get Republicans to agree on a health-care plan when some of them think the problem with Obamacare is everything, and others think it’s just the name. Or to get the whole party to agree on which tax loopholes to close to pay for all their tax cuts. The result, according to Trump, is that health-care reform is always a week away, and tax reform, always two weeks.

In the meantime, though, the economy is still chugging along at the same 2 percent pace it has been the whole recovery. So when you add it all up — a government that’s doing nothing today, that looks as if it will be doing nothing tomorrow, and an economy that’s doing nothing different from what it has been the last decade — there’s no reason to expect the dollar to go up anymore. And it hasn’t. It has given back most of its post-election gains to now only be up 1 percent over that time.

I don’t know about you, but I’m gratified that these clowns seem unable to learn.

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