Thursday, November 14, 2013
Health Insurance Industry Slams White House #ObamaCare Fix!
That sound you're hearing is the swirl of the #ObamaCare death spiral.
Here's the lead headline at Memeorandum, "Insurance Industry Rips White House Obamacare Fix."
And at Hot Air, "Scapegoated insurers fire back at Obama over “administrative fix”: You’re not pinning this ObamaCare mess on us."
Also at AoSHQ, "Insurance Industry: Obama's 'Fix' Is Entirely Unworkable."
And the statement of Karen Ignagni, CEO of America’s Health Insurance Plans, is at the Wall Street Journal, "Insurance Group Skeptical of Obama Plan."
Wolf Blitzer has an Inagni interview at the clip.
Here's the lead headline at Memeorandum, "Insurance Industry Rips White House Obamacare Fix."
And at Hot Air, "Scapegoated insurers fire back at Obama over “administrative fix”: You’re not pinning this ObamaCare mess on us."
Also at AoSHQ, "Insurance Industry: Obama's 'Fix' Is Entirely Unworkable."
And the statement of Karen Ignagni, CEO of America’s Health Insurance Plans, is at the Wall Street Journal, "Insurance Group Skeptical of Obama Plan."
Wolf Blitzer has an Inagni interview at the clip.
'Lord of the Flies' at Spurgeon Intermediate School in Santa Ana
Another harsh look at public education in America, this time close to home.
At the Los Angeles Times, "A hostile work environment, but 'these are not bad kids'":
At the Los Angeles Times, "A hostile work environment, but 'these are not bad kids'":
On the first day of school at Spurgeon Intermediate, after the first bell had rung and administrators swept the halls for stragglers, new Principal Todd Irving faced dozens of parents in a room near his office. A translator stood at his side.Continue reading.
Eliazar Arines, whose son is in the eighth grade, told Irving that last year her boy was ridiculed so mercilessly that he was hospitalized for depression.
"I came to complain five times, and no one paid attention to me," she said, her voice cracking.
Edelmira Rodriguez told Irving her son's ID was snatched and marked up with slurs. She too complained, and nothing was done.
One woman, who recently moved to Santa Ana from Tustin, said what many in the room were thinking:
"When someone says Spurgeon, it's like the worst thing in the world."
Spurgeon Intermediate in Santa Ana sits squarely in the center of one of the poorest ZIP Codes in Orange County. For years, it has consistently ranked one of the lowest-performing schools in the region. But early this year, things got even worse.
In March, 36 teachers and employees took the unusual step of filing a hostile work environment complaint against the administration and students. Children were accosting adults, smoking marijuana, making sexual noises in class, the complaint said. By the end of the school year, more than 40% of the students had been suspended for a total of more than 800 days.
Things were so bad, one teacher said, it was like "Lord of the Flies."
Labels:
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Lara Logan Hammered on Botched Benghazi Report
Her "60 Minutes" Benghazi segment ran during the World Series and I never did get a chance to blog it.
Turns out that's probably for the better.
At the Washington Post, "CBS News and reporter Lara Logan face brutal criticism on flawed Benghazi report":
Lara Logan, CBS News’ hard-charging chief foreign correspondent, has repeatedly risked her life in pursuit of the story. She’s been shot at, arrested, blindfolded by militiamen, and physically assaulted by a mob while reporting from some of the most troubled places on earth.
And at CBS News, "60 Minutes apologizes for Benghazi report."
Turns out that's probably for the better.
At the Washington Post, "CBS News and reporter Lara Logan face brutal criticism on flawed Benghazi report":
Continue reading.
But her mistaken “60 Minutes” report about a supposed eyewitness to the Benghazi consulate attacks has put Logan under a different kind of pressure. Despite two on-air apologies, including one Sunday night on “60 Minutes,” Logan, 42, has come in for widespread criticism and demands for a more complete explanation of how her Oct. 27 report went so wrong.
Until last week’s unpleasantness, the Washington-based journalist has lived an almost made-for-TV idea of a foreign correspondent. Glamorous and intense, she has reported — and reported well — from combat zones in Afghanistan, Iraq, Pakistan and across the Middle East for years. Among other reporting triumphs, she was the only journalist from an American TV network to broadcast live from Firdos Square in Baghdad in 2003 when American soldiers pulled down the statue of Saddam Hussein.
She has been amply recognized for her work, having won an Emmy Award, an Overseas Press Club Award and the duPont Award, among others.
At the same time, Logan’s globetrotting lifestyle and striking looks have occasionally made her tabloid fodder. Her relationship with a security contractor in Iraq, Joseph Burkett, became the subject of gossip columns in 2008; Logan and Burkett were married to others at the time, although both were separated from their spouses when their relationship began. They married in 2008 and live in Cleveland Park.
Logan’s feminity often attracts as much attention as her reporting; virtually every profile of her mentions that she was once a swimsuit model. On Halloween, people who live in Logan’s neighborhood were startled to see the famous TV correspondent trick-or-treating with her children while dressed in a hot-pink bodysuit costume, set off with high heels.
Logan has also been outspoken about some of the stories she has covered. After Rolling Stone published a story by Michael Hastings in 2010, in which aides to Gen. Stanley A. McChrystal criticized Washington’s civilian leadership of the war in Afghanistan, Logan rushed to defend McChrystal. “Michael Hastings has never served his country the way McChrystal has,” she told CNN.
Last year, she offered some unusually blunt public comments about the American response to the Benghazi attack. Speaking to a civic group in Chicago a month after the compound was assaulted on Sept. 11, 2012, Logan scoffed at the Obama administration’s initial statements about the incident as a spontaneous protest that spun into violence.
“When I look at what’s happening in Libya, there’s a big song and dance about whether this was a terrorist attack or a protest,” she said. “And you just want to scream, ‘For God’s sake, are you kidding me?’ The last time we were attacked like this was the USS Cole, which was a prelude to the 1998 embassy bombings, which was a prelude to 9/11. And you’re sending in the FBI to investigate? I hope to God that you are sending in your best clandestine warriors who are going to exact revenge and let the world know that the United States will not be attacked on its own soil, its ambassadors will not be murdered and the United States will not stand by and do nothing about it.”
And at CBS News, "60 Minutes apologizes for Benghazi report."
'Palestinian' Teenager Kills Israeli Soldier on Bus in Afula, Northern Israel
He was stabbed to death.
At the Times of Israel, "Palestinian youth stabs sleeping soldier to death on Afula bus":
Seriously, the murder is so shocking because they're so infrequent since Israel put up the wall. And this 19-year-old terrorist didn't even have a legal visa to be in the country. The so-called Palestinians just want the Israelis dead and buried so they can take over all of historic Palestine. Screw 'em.
At the Times of Israel, "Palestinian youth stabs sleeping soldier to death on Afula bus":
An Israeli soldier died after he was stabbed multiple times in the neck Wednesday morning by a Palestinian youth on a bus at the central bus station in Afula.Also at the New York Times, "Attack on Israeli Worsens Tensions With Palestinians":
The soldier, 18-year-old Eden Atias of Nazareth Illit, was evacuated to the city’s Haemek Hospital. Doctors operated on him in an attempt to stabilize his condition but he succumbed to his injuries a few hours later.
His funeral was due to be held Wednesday evening at 23:00pm at the Nazareth Illit military cemetery.
Eyewitnesses said Atias was sleeping in his seat on the bus when he was attacked.
JERUSALEM — A Palestinian teenager fatally stabbed a 19-year-old Israeli soldier on a bus in northern Israel on Wednesday, according to the police, shocking Israelis who have grown unused to such killings in their cities and further clouding a peace process that was already severely strained by Israeli settlement plans in the West Bank.The elusive peace. Sigh.
Infuriated by news of long-term planning for more settlement housing, the Palestinian leadership is expected to meet on Thursday to discuss the future of the American-backed negotiations, which began this summer and were supposed to continue for nine months.
The latest crisis was set off by reports on Tuesday that Israel’s housing minister, Uri Ariel, had started planning for about 20,000 new settlement homes. But some officials suggested that talk of a possible collapse of the negotiations amounted to posturing, especially after Prime Minister Benjamin Netanyahu ordered Mr. Ariel to “reconsider” his new settlement plans, essentially putting them in suspension.
“If the Palestinians want to create an artificial crisis, that’s unfortunate,” a senior Israeli official said on the condition of anonymity because he was not authorized to discuss the peace talks in public. Dismissing Mr. Ariel’s plans as having no legal standing or practical significance, the Israeli official said the Palestinians were “going through the motions.”
Arik Ben-Shimon, an aide to Mr. Ariel, said on Wednesday that the new settlement planning was “frozen” but not canceled. Saeb Erekat, the chief Palestinian negotiator, who offered his resignation two weeks ago, along with his fellow negotiator Muhammad Shtayyeh, in frustration over a lack of progress in the talks and the continuing settlement activity, said Mr. Ariel “needs to revoke the orders,” indicating that the issue was far from resolved.
The president of the Palestinian Authority, Mahmoud Abbas, confirmed in an interview with Egyptian CBC television this week that the Palestinian negotiating team had resigned, though it was never clear if the resignations had been accepted. Mr. Abbas said he was trying to persuade the negotiators to continue, adding, “If they don’t accept, I will form another team.”
The interview was recorded two days before the Palestinians learned of the latest settlement plans, according to Mr. Erekat.
The stabbing of the soldier on Wednesday also prompted calls for a rethinking on the Israeli side. Right-wing Israeli politicians have demanded a re-examination of Israel’s agreement to release 104 long-serving Palestinian prisoners from Israeli prisons in four batches as part of a deal to resume peace talks. Two of the four groups have already been released.
In a post on her Facebook page, Tzipi Livni, the minister leading the negotiations for the Israeli government, wrote: “I wrote here earlier and harshly criticized the damage in announcing settlement construction, but I took the post off because the profound political debate about the future of our life here will certainly continue, but not now. Now I would like to pay my respects to the memory of the soldier and express sorrow to the family and to clarify one more thing: violence will not bring political achievements. And we will fight terrorism and extremists decisively and without compromise.”
The stabbing took place when the bus, traveling from Upper Nazareth to Tel Aviv, pulled into a station in the northern town of Afula.
Seriously, the murder is so shocking because they're so infrequent since Israel put up the wall. And this 19-year-old terrorist didn't even have a legal visa to be in the country. The so-called Palestinians just want the Israelis dead and buried so they can take over all of historic Palestine. Screw 'em.
Labels:
Islam,
Israel,
Judaism,
Middle East,
National Security,
Terrorism
Alternative to #ObamaCare
From Ramesh Ponnuru and Yuval Levin, at the Wall Street Journal, "A Conservative Alternative to ObamaCare":
As ObamaCare's failures and victims mount by the day, Republicans have so far mostly been watching in amazement. They expected the law to fail, but even among its most ardent opponents few imagined the scale and speed of the fiasco.Click through at Google to read the whole thing.
Seeing the pileup, Republicans might be tempted to step aside and let ObamaCare continue to disappoint and infuriate Americans. After all, the GOP doesn't have the power to repeal the law, or even to make meaningful changes to undo its worst effects. So why not just watch the Democrats pay the price for their folly?
But such passivity would actually protect the Democrats from paying that price. What Republicans can and should do is offer the public something better. Now is the time to advance a conservative reform that can solve the serious, discrete problems of the health-care system in place before ObamaCare, but without needlessly upending people's arrangements or threatening what works in American medicine. That the Democrats are now making things worse doesn't mean the public wants to keep that prior system, or that Republicans should.
The biggest Republican misconception about health care is that the system before ObamaCare was a free-market paradise. On the contrary: It has consisted chiefly of massive and inefficient entitlements that threaten to bankrupt the nation; the lopsided tax treatment of employer-provided coverage that creates incentives for waste and overspending; and an underdeveloped individual market struggling to fill the gaps.
Exploding health-care costs and millions left needlessly uninsured are a result of misguided federal policies. Solutions require targeted reforms to those policies.
The outlines of such reforms have been apparent for years. The key is to enable all Americans to purchase coverage and to approach health care as consumers: with an interest in quality and an eye on cost.
The first step of a plan to replace ObamaCare should be a flat and universal tax benefit for coverage. Today's tax exclusion for employer-provided health coverage should be capped so that people would not get a bigger tax break by buying more extensive and expensive insurance. The result would be to make employees more cost-conscious; and competition for their favor would make insurance cheaper.
That tax break would also be available—ideally as a refundable credit sufficient at least for the purchase of catastrophic coverage—to people who do not have access to employer coverage. This would enable people who now choose not to buy insurance to get catastrophic coverage with no premium costs. It also would give those who want more-comprehensive coverage in the individual market the same advantage that people with employer plans get.
Medicaid could be converted into a means-based addition to that credit, allowing the poor to buy into the same insurance market as more affluent people—and so give them access to better health care than they can get now.
All those with continuous coverage, which everyone could afford thanks to the new tax treatment, would be protected from price spikes or plan cancellations if they got sick. This guarantee would provide a strong incentive to buy coverage, without the coercion of the individual mandate. People who have pre-existing conditions when the new rules take effect would be able to buy coverage through subsidized, high-risk pools.
By making at least catastrophic coverage available to all, and by giving people such incentives to obtain it, this approach could cover more people than ObamaCare was ever projected to reach, and at a significantly lower cost.
The new alternative would not require the mandates, taxes and heavy-handed regulations of ObamaCare. It would turn more people into shoppers for health care instead of passive recipients of it—and encourage the kind of insurance design, consumer behavior and intense competition that could help keep health costs down. Redesigned and directed this way, the flow of federal dollars and tax subsidies would do much less to distort health markets than it has for the last several decades, while getting far more people insured...
The Left's Skeezy 'Hosurance' #ObamaCare Distraction
At Michelle Malkin's, "Bros and hos: Obamacare’s bread and circuses."
And at AoSHQ, "Progressives' "Brosurance" Ads Are An Embarrassment." And Daniel J. Mitchell, "The Oleaginous Interaction of Sex and Obamacare."
Liberal marketing gurus here in Colorado are masters of Obamacare distraction. While customers struggle to apply through the still-broken health insurance exchange and consumers grapple with cancellation notices, these hipster ad designers are partying it up. Who cares about the insurance market meltdown? They’ve got keg stands and one-night stands!More at the link.
The “Got Insurance?” campaign is the lame brainchild of two “progressive” outfits with dubious nonprofit status: ProgressNow and the Colorado Consumer Health Initiative. Their previous claim to fame: a “Thanks, Obamacare” social media movement to propagandize praise and gratitude for the federal mandate.
Modeled after the “Got Milk?” ads, the latest print and web promos pander to young people with pop-culture memes and entitlement-friendly appeals. The dumbed-down website address: doyougotinsurance.com. Last month, while federal and state Obamacare exchange sites 404′ed, the Colorado marketing buffoons LOL’ed. Their “Brosurance” ads featured frat boys with red solo cups guzzling beer, playing golf and celebrating government with a “Thanks, Obamacare!” smile.
ProgressNow’s Alan Franklin boasted about his coverage. Media coverage, that is: “Within the first few weeks, ‘Brosurance’ has been featured by The Wall Street Journal, The Atlantic, CNN, MSNBC, Conan O’Brien, Bill Maher and Roll Call, as well as the front page of Buzzfeed and Jezebel, just to name a few. Just in the first 24 hours of the campaign’s launch alone, #Brosurance was mentioned more than six million times on Twitter, and #GotInsurance more than 1.7 million times. Yes. The ads went viral.” Priorities.
On Tuesday, the groups launched phase two of their Obamacare bread and circuses. Aimed at young women, the ads show party gals with shot glasses lined up on a ski; “Hey, Girl” gags involving a cutout of actor Ryan Gosling; and the Sandra Fluke-inspired promo featuring birth control-wielding “Susie” and her “hot to trot” date, Nate. The caption reads:
“Let’s Get Physical. OMG, he’s hot! Let’s hope he’s as easy to get as this birth control. My health insurance covers the pill, which means all I have to worry about is getting him between the covers. I got insurance. Now you can, too.”
It’s bad enough that these idiocracy-targeted ads reduce young people to perpetually partying boozers and traffic-bait boobs. But what’s truly toxic is the ad campaign’s cynical feint to draw attention away from Obamacare’s undeniable harm to responsible young people.
And at AoSHQ, "Progressives' "Brosurance" Ads Are An Embarrassment." And Daniel J. Mitchell, "The Oleaginous Interaction of Sex and Obamacare."
Wednesday, November 13, 2013
Boom! Panicked White House Now Welcomes #ObamaCare Fix!
Hell freezes over.
At the Wall Street Journal, "Obama Open to Health Law Fix: Shift Comes as Figures Show Far Lower Insurance Enrollment Than Expected":
At the Wall Street Journal, "Obama Open to Health Law Fix: Shift Comes as Figures Show Far Lower Insurance Enrollment Than Expected":
WASHINGTON—The government released numbers Wednesday showing that far fewer Americans had enrolled in private insurance plans under the new health law than expected and, in a marked shift, the Obama administration signaled it was open to legislation to fix the troubled rollout.PREVIOUSLY: "Democrats Threaten to Abandon Obama on Health Law Provision."
The move came as the administration faced mounting dissatisfaction from Democrats over the law's implementation.
New administration figures showed that only 26,794 people nationwide had enrolled in a private health plan through the balky online federal marketplace in its first month—far short of projections. Meantime, some 79,391 people had bought private plans on state-run exchanges.
In the past, White House officials had said they strongly preferred an administrative remedy to the law's shortcomings. But on Wednesday, officials suggested that President Barack Obama was open to a bill by Sen. Mary Landrieu (D., La.), that would require insurers to continue offering plans that were in existence this year, even if that meant reinstating ones that had been canceled because they didn't meet the health law's standards.
The magnitude of Democratic support for a legislative solution will become clearer on Friday, when the House is set to vote on a separate Republican plan to let insurance companies continue to offer policies that were canceled recently. That vote may push Mr. Obama to move before Friday to offer his own administrative remedy or more fully embrace Ms. Landrieu's bill.
The White House shift came as more Democrats in Congress, fearful of a voter backlash due to the law, have lost confidence in administration assurances that the problems could be solved without changing the legislation.
"Sen. Landrieu's proposal shares a similar goal to what the president has asked his team to explore," White House spokesman Jay Carney said. "There may be ways to help some people with cancellation notices without legislation, but we are happy to work with her and any member of Congress who has ideas on how to make the Affordable Care Act better."
At least five Democratic senators have backed Ms. Landrieu's bill, with the latest, Sen. Jeff Merkley (D., Ore.), joining on Wednesday. Support from Sen. Dianne Feinstein (D., Calif.), which came on Tuesday, was considered significant because she is an influential senior lawmaker.
In the House, where every member is up for election in 2014, Democrats on Wednesday confronted two White House aides who were dispatched to Capitol Hill to explain that the administration was working to address flaws in the online marketplace and warn representatives that it would be a mistake to reinstate insurance policies that don't meet minimum standards set by the 2010 law.
While some Democrats emerged from the meeting circling the wagons around the White House, others said they would vote anyway on Friday for the Republican plan—or at least consider doing so
"The frustration level is growing," said Rep. Jose Serrano (D., N.Y.) after leaving the closed-door Democratic strategy session. "The main message is there were three years to make this good, and it's not good. It's a mess right now."
The House bill is expected to come to an up-or-down vote Friday without any opportunity for lawmakers to offer amendments.
Democrats Threaten to Abandon Obama on Health Law Provision
At the New York Times:
That's the House Republicans' press conference today at the clip.
And actually, it's not clear to me why Republicans are bailing out the Democrats on this. Erick Erickson has that, "It's a Trap!" (At Memeorandum.)
WASHINGTON — Anxious congressional Democrats are threatening to abandon President Obama on a central element of his signature health care law, voicing increasing support for proposals that would allow Americans to retain the health insurance coverage they are losing because of the Affordable Care Act.Continue reading.
The dissent comes as the Obama administration released enrollment figures Wednesday that fell far short of expectations, and as House Republicans continued their sharp criticism of administration officials at congressional hearings examining the performance of the health care website and possible security risks of the online insurance exchanges.
In addition, a vote is scheduled Friday in the Republican-controlled House on a bill that would allow Americans to keep their existing health coverage through 2014 without penalties. The measure, drafted by Representative Fred Upton, the Michigan Republican who is the chairman of the Energy and Commerce Committee, is opposed by the White House, which argues that it would severely undermine the Affordable Care Act by allowing insurance companies to continue to sell health coverage that does not meet the higher standard of Mr. Obama’s health care law.
But a growing number of House Democrats, reflecting a strong political backlash to the rollout of the health care law, are warning the White House that they might support the measure if the administration does not provide a strong alternative argument. The approaching House vote is shaping up as an important test for both the health measure and the unity that Democratic leaders have so far been able to maintain around the health law despite a fierce Republican attack against it.
In a closed-door meeting Wednesday of House Democrats and White House officials, tensions flared as several lawmakers upbraided the administration, saying that the president had put Democrats in a tough political position by wrongly promising consumers that they could keep their existing health care plans. In fact, hundreds of thousands of Americans have received cancellation notices from their insurers because their health care coverage does not meet the minimum standards dictated by the new law.
“I’m frustrated in how it rolled out, and I let them know in no uncertain terms,” said Representative Mike Doyle, Democrat of Pennsylvania. “The point I was making in caucus to the administration is don’t give us this techno-babble that you’re going to do some administrative fix down the road. There’s a bill being put on the floor on Friday.”
That's the House Republicans' press conference today at the clip.
And actually, it's not clear to me why Republicans are bailing out the Democrats on this. Erick Erickson has that, "It's a Trap!" (At Memeorandum.)
#ObamaCare Enrollment Deals Blow to White House
At the Wall Street Journal, "Obama Administration Gives First Month Health-Site Tallies":
The Obama administration said Wednesday that 26,794 Americans selected a private insurance plan sold through the troubled federally run health exchange in its first month, falling far short of initial expectations.Also at NBC News, "GOP pounces on Obamacare enrollment figure."
The administration, releasing the first nationwide figures on enrollment under the Affordable Care Act, said that through Nov. 2, an additional 79,391 people were able to choose a private plan in states running their own exchanges.
The news that only 106,185 people nationwide were able to get through the sites in a month comes as a significant blow to the administration. In one memo, it had projected some 500,000 people would obtain private-insurance coverage through the federal exchange in October. The Congressional Budget Office projected in May 2013 that seven million people nationwide would sign up for private plans by the end of March 2014.
Top officials had been bracing for a low number and had sought to play down expectations for it. The Wall Street Journal reported on Monday that as of last week, fewer than 50,000 people had been able to enroll through the federal exchange. The Journal's figure included some enrollees past the Nov. 2 cutoff date.
The federal exchange serves consumers in 36 states. The remaining 14 states plus the District of Columbia are running their own health-insurance exchanges, and several posted better numbers.
California alone had more people picking private health plans—35,364—than the 36 states using the federal site combined. Still, California's enrollees represent less than 1% of the state's 6.6 million people who lack health insurance. Vermont was among the best performers, with 1,325 people picking a health plan, or 3.26% of the state's uninsured residents.
"There is no doubt the level of interest is strong. We expect enrollment will grow substantially throughout the next five months," said Health and Human Services Secretary Kathleen Sebelius in a statement on the release. "They're also numbers that will grow as the website, HealthCare.gov, continues to make steady improvements."
Still, the formal release of numbers showing that enrollees so far are just a tiny percentage of the goal is likely to fuel further attacks by Republican critics who have sought to repeal the 2010 health law.
Rep. Darrell Issa (R., Calif.) said Wednesday that the administration should have delayed the rollout rather than introduce a problem-plagued website that few have been able to navigate. "This was a monumental mistake to go live and effectively explode on the launch pad," Mr. Issa said.
The 106,185 figure doesn't include new enrollment in Medicaid, the federal-state health program for the poor that is being expanded in roughly half of the 50 states. The administration said that some 396,261 Americans have signed up for the newly expanded Medicaid programs.
The House is set to vote Friday on legislation that would allow insurers to continue selling current insurance policies that don't meet the standards of the new law. Some 5% of Americans buy health coverage on the individual market, rather than getting it through an employer or government program. Many of those people have received cancellation.
New Guidelines: Heart-Risk Strategy Gets Major Shake-Up
At WSJ, "Panel Unveils Shake-up in Strategy to Cut Heart Risk: Long-standing Strategy Jettisoned Under New Guidelines":
Interesting, in any case.
More at the link.
The current strategy of reducing a person's heart-attack risk by lowering cholesterol to specific targets is being jettisoned under new clinical guidelines unveiled Tuesday that mark the biggest shift in cardiovascular-disease prevention in nearly three decades.I'm not in any of those risk categories, although pharmacological treatment is the wave of medicine these days. If these medications are that effective, and less expensive generics are available, it makes sense to adjust treatment regimes to help the largest number of individuals.
The change could more than double the number of Americans who qualify for treatment with the cholesterol-cutting drugs known as statins.
The guidelines recommend abandoning the familiar and easy-to-understand guidance to keep LDL, or bad cholesterol, below 100 or below 70 for people at high risk—a mainstay of current prevention policy. Instead, doctors are being urged to assess a patient's risk more broadly and prescribe statins to those falling into one of four risk categories.
The aim is to more effectively direct statin treatment to patients with the most to gain, and move away from relatively arbitrary treatment targets that are less reliable in predicting risk of attack than is widely believed.
"We're trying to focus the most appropriate therapy to prevent heart attack and stroke...in a wide range of patients," said Neil J. Stone, professor of medicine at Northwestern University Feinberg School of Medicine and head of the panel that wrote the guidelines.
Cardiovascular disease is the Western world's leading killer. In the U.S., it accounts for about 600,000 deaths each year, or about one in four. About 130,000 Americans die annually of stroke.
Numerous studies show that statins reduce the risk of heart attack and stroke. But solid data demonstrating the benefit of reaching specific targets are lacking, said Dr. Stone.
While lowering the LDL number remains a critical goal, the focus is on the risk reduction achieved with statins rather than the effect on LDL, said Donald Lloyd-Jones, chief of preventive medicine at Northwestern and a member of the guidelines panel.
Cardiologists expect the recommendations, jointly developed by the American College of Cardiology and the American Heart Association, to substantially change the conversation between doctors and millions of patients over the best way to lower their risk of heart attack or stroke.
The risk groups identified in the guidelines include patients who have already had a heart attack, stroke or major symptoms of cardiovascular disease; those with an LDL of 190 or higher, which typically has a genetic cause; people with diabetes; and anyone ages 40 to 79 who faces a 7.5% risk of having a heart attack over the next 10 years, according to a new risk score. That score—with a lower threshold than under current guidelines—takes into account cholesterol level, smoking status, blood pressure and other factors.
All are recommended to take high or moderate statin doses that would result in LDL reductions of about 30% to more than 50%. If fully implemented, the guidelines could more than double the number of people who qualify for statins, to more than 30 million, the authors said.
The new approach is likely to have a modest immediate effect on the pharmaceutical industry. All but one of the statins available, including Lipitor, have lost patent protection and are available as inexpensive generics.
Interesting, in any case.
More at the link.
Labels:
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Medicare,
News,
Science
Jonathan Cohn: We Had to Destroy the American Healthcare System in Order to Save It
Really, I'm freakin' astounded by the left's callousness. Deaf ears and hard hearts.
I thought these people were supposed to be about compassion, diversity, and tolerance!
This is literally painful, from Jonathan Cohn, at the New Republic, "Bill Clinton Is Wrong. This Is How Obamacare Works" (via Memeorandum):
Where to begin?
Well, for one thing, Obama lied to get this law passed, without a singe Republican vote in Congress. It's a wholly partisan bill that's now generating majority disapproval in national surveys. And right, it's not a glitch. Democrats literally had to destroy the private insurance market before they could ram down the ObamaCare monstrosity on the people.
How's the working out for you, Dems? Oh, not so great, eh? Well, people liked their healthcare plans. They shopped for what best fit their needs. That's the American way: individualism and diversity all in one. And all of a sudden statists like this idiot Jonathan Cohn are saying, "Hey, this is how it's supposed to work. Suck it up you privileged fat slobs." Well, f-k you buddy. The "real people" now forced to "pay more" are telling you to shove it. Just anecdotes, eh? Right. You tell "3 to 6 million people" they're just anecdotes, alright. You will be buried alive. Damned straight they "are right to feel burned," you smug a-hole. You burned them. You and your statist Democrat clusterf-k party that rejected all expert warnings because you didn't want to give the Republicans ammunition against the law. That is, you knew it wouldn't work, and you planned all along to stiff "3 to 6 million" people" for the absurd theory about how insurance markets are "supposed to work." Hey num-nuts, it's not working! Get that? It's a bleedin' disaster unfolding right before our eyes. Democrat defections are piling up faster the corpses in Stalin's Ukrainian famine. Because anecdotes! Those 60-year old couples needed that maternity coverage anyway! It's all for the common good. Sacrifice people!
Seriously, I'd like to pound this dolt Jonathan Cohn into the ground. In theory, of course. All in theory.
IMAGE CREDIT: Diogenes' Middle Finger, "ObamaCare or (SPMD) - Sick Pig of Mass Deception."
I thought these people were supposed to be about compassion, diversity, and tolerance!
This is literally painful, from Jonathan Cohn, at the New Republic, "Bill Clinton Is Wrong. This Is How Obamacare Works" (via Memeorandum):
The Affordable Care Act includes a so-called grandfather clause. That allows insurers to keep renewing plans, without changes or benefits and prices, as long as they were available before March 2010, when the Affordable Care Act became law. But the non-group market is volatile: Very few people stay on plans for more than two years anyway. And the grandfather clause is narrow, by design: If insurers made even modest changes, the protection goes away. Those plans are subject to the new regulations that take effect in January. As a result, the majority of people who buy insurance on their own are learning they can’t have what they had before, even though Obama promised everybody they could. Either their premiums are going up, as insurers accommodate the new regulations, or the plans are disappearing altogether. In those cases, people have to find new plans. And the sticker price of what they’ll find is higher than what they pay now.Read the whole thing. Utterly astounding.
This is not a glitch or an accident. This is the way health care reform is supposed to work. And it’s important to put these changes into context. For one thing, it’s a small number of people relative to the population as a whole. The vast majority of Americans get coverage through employers or a large government program like Medicare. These changes don’t really affect them. The law also anticipates these changes by, among other things, offering tax credits that discount the premiums—in many cases, by thousands of dollars. (Other provisions of the law, like a limit on insurance company profits and overhead, should restrain prices more.) As a result, many people buying coverage on their own will be paying less money for benefits that are as good, if not better, than what they have now.
But there are real people who must pay more and, in some cases, put up with less. Some of them are people walking around with junk insurance, the kind are practically worthless because they pay out so little. Some of them are young people, particularly young men, whom insurers have coveted and wooed with absurdly low premiums—and make too much money to qualify for substantial subsidies. And some of them are reasonably affluent, healthy people with generous, open-ended policies that are hard to find even through employers. Insurers kept selling them because they could restrict enrollment to healthy people. Absent that ability, insurers are canceling them or raising premiums so high only the truly rich can pay for them.
Those people are the ones everybody is hearing about now, partly because they are a compelling, sometimes well-connected group—and partly because, absent a well-functioning website, stories of people benefitting from the law’s changes aren’t competing for attention. It’s impossible to know how big this group is. The data on existing coverage just isn’t that good. The anecdotes are frequently, although not always, more complicated than they seem at first blush. It’s probably one to two percent of the population, which doesn’t sound like much—except that, in a country of 300 million, that’s 3 to 6 million people. Most experts I trust think they represent a minority of people buying coverage on their own, but nobody can say with certainty.
Is that a worthwhile tradeoff for reform? Obviously that’s a matter of opinion. The fact that some people—even a small, relatively affluent group—are giving up something they had makes their plight (genuinely) more sympathetic. They are right to feel burned, since Obama did not make clear his promise might not apply to them. And there’s a principled argument about whether people should be responsible for services they’re unlikely to use presently, whether it’s fifty-something year olds paying for maternity care or twenty-something year olds paying for cardiac stress tests.
Where to begin?
Well, for one thing, Obama lied to get this law passed, without a singe Republican vote in Congress. It's a wholly partisan bill that's now generating majority disapproval in national surveys. And right, it's not a glitch. Democrats literally had to destroy the private insurance market before they could ram down the ObamaCare monstrosity on the people.
How's the working out for you, Dems? Oh, not so great, eh? Well, people liked their healthcare plans. They shopped for what best fit their needs. That's the American way: individualism and diversity all in one. And all of a sudden statists like this idiot Jonathan Cohn are saying, "Hey, this is how it's supposed to work. Suck it up you privileged fat slobs." Well, f-k you buddy. The "real people" now forced to "pay more" are telling you to shove it. Just anecdotes, eh? Right. You tell "3 to 6 million people" they're just anecdotes, alright. You will be buried alive. Damned straight they "are right to feel burned," you smug a-hole. You burned them. You and your statist Democrat clusterf-k party that rejected all expert warnings because you didn't want to give the Republicans ammunition against the law. That is, you knew it wouldn't work, and you planned all along to stiff "3 to 6 million" people" for the absurd theory about how insurance markets are "supposed to work." Hey num-nuts, it's not working! Get that? It's a bleedin' disaster unfolding right before our eyes. Democrat defections are piling up faster the corpses in Stalin's Ukrainian famine. Because anecdotes! Those 60-year old couples needed that maternity coverage anyway! It's all for the common good. Sacrifice people!
Seriously, I'd like to pound this dolt Jonathan Cohn into the ground. In theory, of course. All in theory.
IMAGE CREDIT: Diogenes' Middle Finger, "ObamaCare or (SPMD) - Sick Pig of Mass Deception."
Tuesday, November 12, 2013
Congressional Democrats Give Obama 72-Hours to Fix #ObamaCare!
I watched hot Megyn Kelly earlier tonight and it was blockbuster. Man, she was fired up!
I tweeted:
Like I said earlier. Today was a very bad day for the White House.
See also Freedom's Lighthouse for the full opening segment at the Kelly File, "Panicked Congressional Democrats Give Obama a “72-Hour Ultimatum” to “Fix” ObamaCare – Video 11/12/13."
I tweeted:
.@MegynKelly is on fire!So now here's the opening blockbuster segment, via Gateway Pundit, "BREAKING: Congressional Democrats Give WH 72 Hours to Fix Obamacare Disaster (Video)."
— Donald Douglas (@AmPowerBlog) November 13, 2013
Like I said earlier. Today was a very bad day for the White House.
See also Freedom's Lighthouse for the full opening segment at the Kelly File, "Panicked Congressional Democrats Give Obama a “72-Hour Ultimatum” to “Fix” ObamaCare – Video 11/12/13."
The Making of an #ObamaCare Management Failure
Man, the hits keep coming, and how.
From Carrie Budoff Brown, at Politico:
Continue reading.
From Carrie Budoff Brown, at Politico:
In the days after HealthCare.gov went live, White House chief of staff Denis McDonough quietly dispatched Jeff Zients, a favorite West Wing fixer, to assess the operation and report back.Sheesh. That's clinical, almost like an autopsy.
When Zients did, President Barack Obama learned the project was in worse shape than suspected — riddled with coding problems, management issues and communication gaps, according to a senior administration official.
It was only then that Obama and his top aides realized the extent of what they didn’t know.
The story of how a technology-obsessed White House failed to head off a technological disaster may be as simple as it is mind-boggling to the law’s supporters. Senior White House officials claim they just never anticipated the magnitude of the problems that would unfold — there was concern, yes, but not an impending sense of doom.
The notion that Obama wasn’t clued in seems to defy logic, given the warning signs from both within the administration and outside of it, the importance of the law’s success to his presidency and his own understanding of the power of technology. But ever since the troubled launch, administration officials have tried to keep Obama as far as possible from the debacle, describing him as engaged in the implementation but unaware of the depth of the website issues.
The question of how much the White House knew will get a fuller, public airing Wednesday when technology officials in charge of the website testify before House Oversight and Government Reform Committee.
Continue reading.
Bill Clinton Sticks a Knife in #ObamaCare
From Jonathan Tobin, at Commentary:
This has been a very bad day for the White House.
There's so much disastrous news I'm simply gonna have to do a couple of roundups. In addition to Clinton, today saw further Democrat defections on Capitol Hill, particularly Senator Dianne Feinstein, who's apparently ready to join Senator Mary Landrieu for a legislative fix for the millions health plan cancellations nationwide. Also in the news in the new James O'Keefe undercover video that exposes ObamaCare navigators encouraging enrollees to lie on applications. And in a twist that's real-life imitating frat-house parody, progressives out of Colorado are pitching hookup sex and alcohol to promote ObamaCare --- a turn that is nothing less than Democrats embracing rape culture to get "young invincibles" to sign up for the world-class clusterf-k.
See Twitchy, "Sens. Feinstein, Landrieu co-sponsor bill to let people keep their health plans."
More, "‘There’s a new sheriff in town’: James O’Keefe exposes Obamacare navigator fraud [video]," and "Obamacare navigator caught on tape fired; Three others suspended."
And, "Do you got ‘Ho-surance’? ‘Brosurance’ creators branch out, set their sights on lady parts [pics]."
Plus, I sure hope Twitchy does a curation, but Dana Loesch is just destroying idiot leftist Alan Franklin, who I guess is the dolt who created these Colorado ObamaCare ads. Just scroll Dana's timeline to witness a thing of beauty.
The five-year-long dance between the Clintons and President Obama has always been an interesting show, but never more so than now as the runner-up in the 2008 Democratic presidential contest starts to maneuver in preparation for 2016. Hillary Clinton spent her four years as secretary of state playing the good soldier for the president, doing little of value but also (and unlike her spectacularly inept successor John Kerry) causing him little trouble. She exited the cabinet with a presidential love fest that had to annoy Vice President Joe Biden, her only likely rival for 2016. But now that she is safely out of the Washington maelstrom and embarked on a path that she hopes will see her return to the White House as president rather than first lady, her relationship with Obama has undergone a not-so-subtle change. That has allowed some of the old antagonism between her and, in particular, her husband and the man who beat her in 2008 to resurface.Continue reading.
That antagonism was on display today as Bill Clinton joined the growing chorus of critics of the ObamaCare rollout in an interview published in a web magazine. Speaking much as if he was one of the angry red-state Democrats who think the president’s lies about ObamaCare can sink their hopes of reelection next year, the 42nd president stuck a knife into the 44thpresident by saying the law should be changed to accommodate the demands of those who are losing their coverage despite the president’s promises to the contrary:
“I personally believe even if it takes a change in the law, the president should honor the commitment the federal government made to those people and let them keep what they got.”In doing so, the former unofficial “explainer in chief” for Obama has helped undermine the notion that the president’s signature health-care legislation can be kept intact. But he has also begun the process by which Hillary will begin to disassociate herself from an administration that is beginning to take on the odor of lame-duck failure.
This has been a very bad day for the White House.
There's so much disastrous news I'm simply gonna have to do a couple of roundups. In addition to Clinton, today saw further Democrat defections on Capitol Hill, particularly Senator Dianne Feinstein, who's apparently ready to join Senator Mary Landrieu for a legislative fix for the millions health plan cancellations nationwide. Also in the news in the new James O'Keefe undercover video that exposes ObamaCare navigators encouraging enrollees to lie on applications. And in a twist that's real-life imitating frat-house parody, progressives out of Colorado are pitching hookup sex and alcohol to promote ObamaCare --- a turn that is nothing less than Democrats embracing rape culture to get "young invincibles" to sign up for the world-class clusterf-k.
See Twitchy, "Sens. Feinstein, Landrieu co-sponsor bill to let people keep their health plans."
More, "‘There’s a new sheriff in town’: James O’Keefe exposes Obamacare navigator fraud [video]," and "Obamacare navigator caught on tape fired; Three others suspended."
And, "Do you got ‘Ho-surance’? ‘Brosurance’ creators branch out, set their sights on lady parts [pics]."
Plus, I sure hope Twitchy does a curation, but Dana Loesch is just destroying idiot leftist Alan Franklin, who I guess is the dolt who created these Colorado ObamaCare ads. Just scroll Dana's timeline to witness a thing of beauty.
Germany Debates Edward Snowden Asylum
At Der Spiegel, "Germany's Quandary: The Debate over Asylum for Snowden":
Plus, "Asylum Debate: Germany Wants to Question Snowden":
There are growing calls in Germany not only to question Edward Snowden in connection with the ongoing NSA scandal, but also to offer him safe passage and asylum. Yet the heads of the two major political camps fear the wrath of the United States.More here.
Hans-Christian Ströbele, a lawyer and parliamentarian for Germany's Green Party, turned 74 this year. He has devoted more than 50 of those years to the political struggle for justice and for what is good in the world - or at least that's how he sees it. "Have you ever been on the wrong side of things?" Ströbele was asked in a recent television interview.
"Politically speaking?" he asked the interviewer, glancing at the ceiling. For two seconds, it seemed as if he had to consider the question, but he quickly regained his composure and emphatically replied: "No."
Now Ströbele is waging another political battle, probably the most noteworthy one of his life. Last Thursday, he went to Moscow and spent three hours speaking with Edward Snowden, the man whose revelations about the spying activities of the United States have both captivated the world for months and deeply changed its perceptions.
Ströbele, a lawmaker from the Friedrichshain-Kreuzberg election district in Berlin, was the first politician in the world to meet with Snowden in his Moscow exile. Snowden's mission is now Ströbele's mission. He wants to bring the American whistleblower to Germany to testify before an investigative committee of the German parliament, the Bundestag, and in doing so provide him with a secured right of residence in Germany.
Ströbele knows that granting Snowden the right to stay in Germany would create problems for German-American relations. The Americans have already submitted an extradition request, just in case Snowden ever sets foot on German soil. But Ströbele doesn't care. He sets his own priorities and, once again, he believes himself to be on the right side of history, notwithstanding Germany's trans-Atlantic partnership with the United States. "If the political will exists, as well as the courage, including the courage to stand up to presidents, then it's possible," Ströbele said after returning from Moscow.
Plus, "Asylum Debate: Germany Wants to Question Snowden":
Since revelations emerged two weeks ago that America's National Security Agency had long spied on Chancellor Angela Merkel's mobile phone communications, calls have been growing for whistleblower Edward Snowden to be offered political asylum in Germany.Well, he can't stay in Russia forever. He's still a man without a country. Interesting though is how much the German left digs the guy. Anything to stick it to Obama right in the eye.
#ObamaCare Enrollment Numbers Coming In on the Short Side. Just a Little...
At The Last Refuge, "Report: October Obamacare Enrollment Fewer Than 50,000."
And you know, if the numbers aren't coming in the way you want them (the way you need them!), no problem. Just tweak the numbers until they're just right!
At WonkBlog, "Who counts as an Obamacare enrollee? The Obama administration settles on a definition":
Word.
And you know, if the numbers aren't coming in the way you want them (the way you need them!), no problem. Just tweak the numbers until they're just right!
At WonkBlog, "Who counts as an Obamacare enrollee? The Obama administration settles on a definition":
When the Obama administration releases health law enrollment figures later this week, though, it will use a more expansive definition. It will count people who have purchased a plan as well as those who have a plan sitting in their online shopping cart but have not yet paid.WTF?
If Amazon counted all the items sitting in my shopping cart as "paid" I'd be broke a long time ago.
— Amanda Carpenter (@amandacarpenter) November 12, 2013
Word.
Mystery of the Gurlitt Family and the Munich Nazi Art Find
At Der Spiegel, "Phantom Collector: The Mystery of the Munich Nazi Art Trove":
Continue reading.
PREVIOUSLY: "Nazi Art Cache."
The world has been captivated by the discovery of more than 1,400 works of art in a Munich apartment, among them many lost masterpieces stolen by the Nazis. The mystery surrounding the paintings reveals much about the great tragedies of the 20th century -- and Germany's attempt to grapple with its past.Talk about international intrigue.
Two men are on horseback, it's summer, the colors are radiant, the riders are deep in conversation, and one of the horses prances in the surf. It's a brief moment on a beach in Holland - but it is also a moment for eternity.
Max Liebermann's painting, "Two Riders on the Beach," is an Impressionist masterpiece. He painted it in 1901, and a Jewish sugar refiner from Breslau in Lower Silesia, now the Polish city of Wroclaw, owned it for more than 30 years -- until the Nazis confiscated the work. After that, it disappeared.
Two attorneys in Berlin have been searching for the Liebermann for the last five years. Lothar Fremy and Jörg Rosbach specialize in restitution cases. In the postwar period, they helped clients assert claims for expropriated property in eastern Germany. The lawful heirs of the Liebermann paintings are brothers, 88 and 92, who live in London and New York, respectively. The sugar refiner from Breslau was their great uncle. The painting is probably worth about €1 million ($1.34 million) today.
When Fremy and Rosbach switched on the television last Tuesday, they weren't expecting much. The public prosecutor's office in the Bavarian city of Augsburg was giving a press conference on a mysterious Munich art find, and it was being broadcast live. Yet what they saw on TV was the announcement of the largest discovery of lost art from the Nazi period since World War II. Eleven of the 1,406 art works that had been seized in Munich a year and a half ago were presented in the press conference. The Liebermann was one of the paintings.
Continue reading.
PREVIOUSLY: "Nazi Art Cache."
Labels:
Art,
Europe,
Germany,
World War Two
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