#american health care costs

[seabeck]

"dull knives aren't safe they're more dangerous than a sharp knife!"

tell that to my now 5+ scars from ultra sharp fillet knives

[batboyblog]

Things the Biden-Harris Administration Did This Week #31

August 9-16 2024

President Biden and Vice-President Harris announced together the successful conclusion of the first negotiations between Medicare and pharmaceutical companies over drug prices. For years Medicare was not allow to directly negotiate princes with drug companies leaving seniors to pay high prices. It has been a Democratic goal for many years to change this. President Biden noted he first introduced a bill to allow these negotiations as a Senator back in 1973. Thanks to Inflation Reduction Act, passed with no Republican support using Vice-President Harris' tie breaking vote, this long time Democratic goal is now a reality. Savings on these first ten drugs are between 38% and 79% and will collectively save seniors $1.8 billion dollars in out of pocket costs. This comes on top of the Biden-Harris Administration already having capped the price of insulin for Medicare's 3.5 million diabetics at $35 a month, as well as the Administration's plan to cap Medicare out of pocket drug costs at $2,000 a year starting January 2025.

President Biden and Vice President Harris have launched a wide ranging all of government effort to crack down on companies wasting customers time with excessive paperwork, hold times, and robots rather than real people. Some of the actions from the "Time is Money" effort include: The FTC and FCC putting forward rules that require companies to make canceling a subscription or service as easy as signing up for it. The Department of Transportation has required automatic refunds for canceled flights. The CFPB is working on rules to require companies to have to allow customers to speak to a real person with just one button click ending endless "doom loops" of recored messages. The CFPB is also working on rules around chatbots, particularly their use from banks. The FTC is working on rules to ban companies from posting fake reviews, suppressing honest negative reviews, or paying for  positive reviews. HHS and the Department of Labor are taking steps to require insurance companies to allow health claims to be submitted online. All these actions come on top of the Biden Administration's efforts to get rid of junk fees.

President Biden and First Lady Jill Biden announced further funding as part of the President's Cancer Moonshot. The Cancer Moonshot was launched by then Vice-President Biden in 2016 in the aftermath of his son Beau Biden's death from brain cancer in late 2015. It was scrapped by Trump as political retaliation against the Obama-Biden Administration. Revived by President Biden in 2022 it has the goal of cutting the number of cancer deaths in half over the next 25 years, saving 4 million lives. Part of the Moonshot is Advanced Research Projects Agency for Health (ARPA-H), grants to help develop cutting edge technology to prevent, detect, and treat cancer. The President and First Lady announced $150 million in ARPA-H grants this week focused on more successful cancer surgeries. With grants to Tulane, Rice, Johns Hopkins, and Dartmouth, among others, they'll help fund imaging and microscope technology that will allow surgeons to more successfully determine if all cancer has been remove, as well as medical imaging focused on preventing damage to healthy tissues during surgeries.

Vice-President Harris announced a 4-year plan to lower housing costs. The Vice-President plans on offering $25,000 to first time home buyers in down-payment support. It's believed this will help support 1 million first time buyers a year. She also called for the building of 3 million more housing units, and a $40 billion innovation fund to spur innovative housing construction. This adds to President Biden's call for a $10,000 tax credit for first time buyers and calls by the President to punish landlords who raise the rent by over 5%.

President Biden Designates the site of the 1908 Springfield Race Riot a National Monument. The two day riot in Illinois capital took place just blocks away from Abraham Lincoln's Springfield home. In August 1908, 17 people die, including a black infant, and 2,000 black refugees were forced to flee the city. As a direct result of the riot, black community leaders and white allies met a few months later in New York and founded the NAACP. The new National Monument will seek to preserve the history and educate the public both on the horrible race riot as well as the foundation of the NAACP. This is the second time President Biden has used his authority to set up a National Monument protecting black history, after setting up the Emmett Till and Mamie Till-Mobley National Monument on Emmett Till's 82nd birthday July 25th 2023.

The Department of The Interior announced $775 million to help cap and clean up orphaned oil and gas wells. The money will help cap wells in 21 states. The Biden-Harris Administration has allocated $4.7 billion to plug orphaned wells, a billion of which has already been distributed. More than 8,200 such wells have been capped since the Bipartisan Infrastructure Law passed in 2022. Orphaned wells leak toxins into communities and are leaking the super greenhouse gas methane. Plugging them will not only improve the health of nearby communities but help fight climate change on a global level.

Vice-President Harris announced plans to ban price-gouging in the food and grocery industries. This would be a first ever federal ban on price gouging and Harris called for clear "rules of the road" on price rises in food, and strong penalties from the FTC for those who break them. This is in line with President Biden's launching of a federal Strike Force on Unfair and Illegal Pricing in March, and Democratic Senator Bob Casey's bill to ban "shrinkflation". In response to this pressure from Democrats on price gouging and after aggressive questions by Senator Casey and Senator Elizabeth Warren, the supermarket giant Kroger proposed dropping prices by a billion dollars

[passengerpigeons]

becoming largely chill about most things. but i give myself permission to be mad about car infrastructure, car dependence, and cars flagrantly ignoring pedestrian right-of-way and generally endangering beings of flesh. because this is one of the few truly moral axis of this world

[thebookewyrme]

So, I have finally realized, I think what's putting me in the hole every month is physical therapy. It's $25 a week, which amounts to a $100 a month. Like, there have been other things too, from being committed to too many things probably. But I think a big part is PT. Which has been helping so much! I can almost walk completely pain free now! But I think I'm gonna have to quit soon, and that's making me mad. Our medical system is so fucked.

[nidamae-spedmom]

Not exactly ADHD, autism, etc related but kids are kids.

Ok so my kid had an ear infection, right? As kids often do.

The doctor scraped out a bit of earwax to have a better look inside.

I was sent a bill for $200 PER EAR for this 5 second procedure which I did not give permission for them to do.

That was key- they did not ASK me if they could do this "procedure". And, as I OWN a medical practice (it's me. The medical practice is me, sitting in my house on video calls) I knew to call them when this bill came in to be like "You did not obtain informed consent for this procedure, and it was not en emergency procedure. You had full ability to gain my consent and didn't. I'm not paying."

And the massive hospital who owned the bill said "yuh-huh you do have to pay."

And I said "I own a practice. I know these laws. I do not owe you money for this."

And they conducted an "internal review" and SURPRISE! Decided I totally owed them money and they had never done anything wrong ever.

And so I called my state's Attorney General office, and explained the situation because, as I mentioned, I know the law. The AG got in touch within a couple days to say they were taking the case and would send the massive hospital conglomerate a knock it off, guys letter.

Lo and Behold, today I have a letter where said hospital graciously has agreed to forfeit the payment.

"How not to get screwed over by companies" should be part of civics class.

Know your rights and know who to call when they're infringed on. This whole process cost me $0 and honestly less effort than I would have expected.

May this knowledge find its way to someone else who can use it.

[boreal-sea]

Look.

I have made you a chart. A very simple chart.

People say "You have to draw the line somewhere, and Biden has crossed it-" and my response is "Trump has crossed way more lines than Biden".

These categories are based off of actual policy enacted by both of these men while they were in office.

If the ONLY LINE YOU CARE ABOUT is line 12, you have an incredible amount of privilege, AND YOU DO NOT CARE ABOUT PALESTINIANS. You obviously have nothing to fear from a Trump presidency, and you do not give a fuck if a ceasefire actually occurs. You are obviously fine if your queer, disabled, and marginalized loved ones are hurt. You clearly don't care about the status of American democracy, which Trump has openly stated he plans to destroy on day 1 he is in office.

EDIT:

Ok fine, I spent 3 hours compiling sources for all of these, you can find that below the cut.

I'll give at least one link per subject area. There are of course many more sources to be read on these subject areas and no post could possibly give someone a full education on these subjects.

Biden and trans rights: https://www.hrc.org/resources/president-bidens-pro-lgbtq-timeline

Trump and trans rights: https://www.aclu.org/news/lgbtq-rights/trump-on-lgbtq-rights-rolling-back-protections-and-criminalizing-gender-nonconformity

The two sources above show how Biden has done a lot of work to promote trans rights, and how Trump did a lot of work to hurt trans rights.

Biden on abortion access: https://www.cnn.com/2022/07/08/politics/what-is-in-biden-abortion-executive-order/index.html

Trump on abortion access: https://apnews.com/article/abortion-trump-republican-presidential-election-2024-585faf025a1416d13d2fbc23da8d8637

Biden openly supports access to abortion and has taken steps to protect those rights at a federal level even after Roe v Wade was overturned. Trump, on the other hand, was the man who appointed the judges who helped overturn Roe v Wade and he openly brags about how proud he is of that decision. He also states that he believes individual states should have the final say in whether or not abortion is legal, and that he trusts them to "do the right thing", meaning he supports stronger abortion bans.

Biden on environmental reform: https://www.whitehouse.gov/briefing-room/statements-releases/2021/10/07/fact-sheet-president-biden-restores-protections-for-three-national-monuments-and-renews-american-leadership-to-steward-lands-waters-and-cultural-resources/

Trump on environmental reform: https://www.nytimes.com/interactive/2020/climate/trump-environment-rollbacks-list.html

Biden has made major steps forward for environmental reform. He has restored protections that Trump rolled back. He has enacted many executive orders and more to promote environmental protections, including rejoining the Paris Accords, which Trump withdrew the USA from. Trump is also well known for spreading conspiracy theories and lies about global climate change, calling it a "Chinese hoax".

Biden on healthcare and prescription reform: https://www.hhs.gov/about/news/2023/06/09/biden-administration-announces-savings-43-prescription-drugs-part-cost-saving-measures-president-bidens-inflation-reduction-act.html

Trump on healthcare reform: https://www.cnn.com/2024/01/07/politics/obamacare-health-insurance-ending-trump/index.html

I'm rolling healthcare and prescriptions and vaccines and public health all into one category here since they are related. Biden has lowered drug costs, expanded access to medicaid, and ACA enrollment has risen during his presidency. He has also made it so medical debt no longer applies to a person's credit score. He signed many executive orders during his first few weeks in office in order to get a handle on Trump's grievous mishandling of the COVID pandemic. Trump also wants to end the ACA. Trump is well known for refusing to wear a mask during the pandemic, encouraging the use of hydroxylchloroquine to "treat" COVID, and being openly anti-vaxx.

Biden on student loan forgiveness: https://www.ed.gov/news/press-releases/biden-harris-administration-announces-additional-77-billion-approved-student-debt-relief-160000-borrowers

Trump on student loan forgiveness: https://www.forbes.com/sites/adamminsky/2024/06/20/trump-knocks-bidens-vile-student-loan-forgiveness-plans-suggests-reversal/

Trump wants to reverse the student loan forgiveness plans Biden has enacted. Biden has already forgiven billions of dollars in loans and continues to work towards forgiving more.

Infrastructure funding:

I'm putting these links next together because they are all about infrastructure.

In general, Trump's "achievements" for infrastructure were to destroy environmental protections to speed up projects. Many of his plans were ineffective due to the fact that he did not clearly outline where the money was going to come from, and he was unwilling to raise taxes to pay for the projects. He was unable (and unwilling) to pass a bipartisan infrastructure bill during his 4 years in office. He did sign a few disaster relief bills. He did not enthusiastically promote renewable energy infrastructure. He created "Infrastructure Weeks" that the federal government then failed to fund. Trump did not do nothing for infrastructure, but his no-tax stance and his dislike for renewable energy means the contributions he made to American infrastructure were not as much as he claimed they were, nor as much as they could have been. Basically, he made a lot of promises, and delivered on very few of them. He is not "against" infrastructure, but he's certainly against funding it.

Biden was able to pass that bipartisan bill after taking office. The Bipartisan Infrastructure Plan that Trump tried to prevent from passing during Biden's term contains concrete funding sources and step by step plans to rebuild America's infrastructure. If you want to read the plan, you can find it here: https://www.whitehouse.gov/build/guidebook/. Biden has done far more for American infrastructure than Trump did, most notably by actually getting the bipartisan bill through congress.

Biden on Racial Equity: https://www.npr.org/sections/president-biden-takes-office/2021/01/26/960725707/biden-aims-to-advance-racial-equity-with-executive-actions

Trump on Racial Equity: https://www.axios.com/2024/04/01/trump-reverse-racism-civil-rights https://www.bbc.com/news/av/world-us-canada-37230916

Trump's racist policies are loud and clear for everyone to hear. We all heard him call Mexicans "Drug dealers, criminals, rapists". We all watched as he enacted travel bans on people from majority-Muslim nations. Biden, on the other hand, has done quite a lot during his term to attempt to reconcile racism in this country, including reversing Trump's "Muslim ban" the first day he was in office.

Biden on DEI: https://www.whitehouse.gov/briefing-room/presidential-actions/2021/06/25/executive-order-on-diversity-equity-inclusion-and-accessibility-in-the-federal-workforce/

Trump on DEI: https://www.msn.com/en-us/news/politics/trump-tried-to-crush-the-dei-revolution-heres-how-he-might-finish-the-job/ar-BB1jg3gz

Biden supports DEI and has signed executive orders and passed laws that support DEI on the federal level. Trump absolutely hates DEI and wants to eradicate it.

Biden on criminal justice reform: https://time.com/6155084/biden-criminal-justice-reform/

Trump on criminal justice reform: https://www.vox.com/2020-presidential-election/21418911/donald-trump-crime-criminal-justice-policy-record https://www.theatlantic.com/politics/archive/2024/05/trumps-extreme-plans-crime/678502/

From pardons for non-violent marijuana convictions to reducing the federal government's reliance on private prisons, Biden has done a lot in four years to reform our criminal justice system on the federal level. Meanwhile, Trump has described himself as "tough on crime". He advocates for more policing, including "stop and frisk" activities. Ironically it's actually quite difficult to find sources about what Trump thinks about crime, because almost all of the search results are about his own crimes.

Biden on military support for Israel: https://www.nbcnews.com/politics/national-security/biden-obama-divide-closely-support-israel-rcna127107

Trump on military support for Israel: https://www.vox.com/politics/353037/trump-gaza-israel-protests-biden-election-2024

Biden supports Israel financially and militarily and promotes holding Israel close. So did Trump. Trump was also very pro-Israel during his time in office and even moved the embassy to Jerusalem and declared Jerusalem the capitol of Israel, a move that inflamed attitudes in the region.

Biden on a ceasefire: https://www.usatoday.com/story/news/world/2024/06/05/gaza-israel-hamas-cease-fire-plan-biden/73967659007/

Trump on a ceasefire: https://www.nbcnews.com/politics/donald-trump/trump-israel-gaza-finish-problem-rcna141905

Trump has tried to be quiet on the issue but recently said he wants Israel to "finish the problem". He of course claims he could have prevented the whole problem. Trump also openly stated after Oct 7th that he would bar immigrants who support Hamas from the country and send in officers to American protests to arrest anyone supporting Hamas.

Biden meanwhile has been quietly urging Netanyahu to accept a ceasefire deal for months, including the most recent announcement earlier in June, though it seems as though that deal has finally fallen through as well.

[snorfbin]

god i hope all the health insurance horror stories come to an end with brian thompson

[jcmarchi]

Study: Hospice care provides major Medicare savings

New Post has been published on https://thedigitalinsider.com/study-hospice-care-provides-major-medicare-savings/

Study: Hospice care provides major Medicare savings

Hospice care aims to provide a health care alternative for people nearing the end of life by sparing them unwanted medical procedures and focusing on the patient’s comfort. A new study co-authored by MIT scholars shows hospice also has a clear fiscal benefit: It generates substantial savings for the U.S. Medicare system.

The study examines the growth of for-profit hospice providers, who receive reimbursements from Medicare, and evaluates the cost of caring for patients with Alzheimer’s disease and related dementias (ADRD). The research finds that for patients using for-profit hospice providers, there is about a $29,000 savings to Medicare over the first five years after someone is diagnosed with ADRD.

“Hospice is saving Medicare a lot of money,” says Jonathan Gruber, an MIT health care economist and co-author of a paper detailing the study’s findings. “Those are big numbers.”

In recent decades, hospice care has grown substantially. That growth has been accompanied by concerns that for-profit hospice organizations, in particular, might be overly aggressive in pursuing patients. There have also been instances of fraud by organizations in the field. And yet, the study shows that the overall dynamics of hospice are the intended ones: People are indeed receiving palliative-type care, based around comfort rather than elaborate medical procedures, at less cost.

“What we found is that hospice basically operates as advertised,” adds Gruber, the Ford Professor of Economics at MIT. “It does not extend lives on aggregate, and it does save money.”

The paper, “Dying or Lying? For-Profit Hospices and End of Life Care,” appears in the American Economic Review. The co-authors are Gruber, who is also head of MIT’s Department of Economics; David Howard, a professor at the Rollins School of Public Health at Emory University; Jetson Leder-Luis PhD ’20, an assistant professor at Boston University; and Theodore Caputi, a doctoral student in MIT’s Department of Economics.

Charting what more hospice access means

Hospice care in the U.S. dates to at least the 1970s. Patients opt out of their existing medical network and receive nursing care where they live, either at home or in care facilities. That care is oriented around reducing suffering and pain, rather than attempting to eliminate underlying causes. Generally, hospice patients are expected to have six months or less to live. Most Medicare funding goes to private contractors supplying medical care, and in the 1980s the federal government started using Medicare to reimburse the medical expenses from hospice as well.

While the number of nonprofit hospice providers in the U.S. has remained fairly consistent, the number of for-profit hospice organizations grew fivefold between 2000 and 2019. Medicare payments for hospice care are now about $20 billion annually, up from $2.5 billion in 1999. People diagnosed with ADRD now make up 38 percent of hospice patients.

Still, Gruber considers the topic of hospice care relatively under-covered by analysts. To conduct the study, the team examined over 10 million patients from 1999 through 2019. The researchers used the growth of for-profit hospice providers to compare the effects of being enrolled in non-profit hospice care, for-profit hospice care, or staying in the larger medical system.

That means the scholars were not only evaluating hospice patients; by evaluating the larger population in a given area where and when for-profit hospice firms opened their doors, they could see what difference greater access to hospice care made. For instance, having a new for-profit hospice open locally is associated with a roughly 2 percentage point increase in for-profit hospice admissions in following years.

“We’re able to use this methodology to [analyze] if these patients would otherwise have not gone to hospice or would have gone to a nonprofit hospice,” Gruber says.

The method also allows the scholars to estimate the substantial cost savings. And it shows that enrolling in hospice increased the five-year post-diagnosis mortality rate of ADRD patients by 8.6 percentage points, from a baseline of 66.6 percent. Entering into hospice care — which is a reversible decision — means foregoing life-extending surgeries, for instance, if people believe such procedures are no longer desirable for them.

Rethinking the cap

By providing care without more expensive medical procedures, it is understandable that hospice reduces overall medical costs. Still, given that Medicare reimburses hospice organizations, one ongoing policy concern is that hospice providers might aggressively recruit a larger percentage of patients who end up living longer than six additional months. In this way hospice providers might unduly boost their revenues and put more pressure on the Medicare budget.

To counteract this, Medicare rules include a roughly $29,205 cap on per-patient reimbursements, as of 2019. Most patients die relatively soon after entering hospice care; some will outlive the six-month expectation significantly. But hospice organizations cannot exceed that average.

However, the study also suggests the cap is a suboptimal approach. In 2018, 15.5 percent of hospice patients were being discharged from hospice care while still alive, due to the cap limiting hospice capacity. As the paper notes, “patients in hospices facing cap pressure are more likely to be discharged from hospice alive and experience higher mortality rates.”

As Gruber notes, the spending cap is partly a fraud-fighting tool. And yet the cap clearly has other, unintended consquences on patients and their medical choices, crowding some out of the hospice system.

“The cap may be throwing the baby out with the bathwater.” Gruber says. “The government has more focused tools to fight fraud. Using the cap for that is a blunt instrument.”

As long as people are informed about hospice and the medical trajectory it puts them on, then, hospice care appears to be providing a valued service at less expense than other approaches to end-of-life care.

“The holy grail in health care is things that improve quality and save money,” Gruber says. “And with hospice, there are surveys saying people like it. And it certainly saves money, and there’s no evidence it’s doing harm [to patients]. We talk about how we struggle to deal with health care costs in this country, so this seems like what we want.”

The research was supported in part by the National Institute on Aging of the National Institutes of Health. 

[ohello0]

Someone on the radio just talked about the growing industry of ppl capitalizing off of our neglectful and collapsing healthcare system and told ppl to “get their hustle up” by starting up a POSTPARTUM DOULA RETREAT BUSINESS???

[glittering-jellyfish]

Americans this year are like "I didn't feel festive this year, I think it's the weather!" And that's part of it. Or, now just hear me out, it could also be the active decay of our country. Just a thought

[lets-steal-an-archive]

By Bernie Sanders | July 13, 2024

I will do all that I can to see that President Biden is re-elected. Why? Despite my disagreements with him on particular issues, he has been the most effective president in the modern history of our country and is the strongest candidate to defeat Donald Trump — a demagogue and pathological liar. It’s time to learn a lesson from the progressive and centrist forces in France who, despite profound political differences, came together this week to soundly defeat right-wing extremism.

I strongly disagree with Mr. Biden on the question of U.S. support for Israel’s horrific war against the Palestinian people. The United States should not provide Benjamin Netanyahu’s right-wing extremist government with another nickel as it continues to create one of the worst humanitarian disasters in modern history.

I strongly disagree with the president’s belief that the Affordable Care Act, as useful as it has been, will ever address America’s health care crisis. Our health care system is broken, dysfunctional and wildly expensive and needs to be replaced with a “Medicare for all” single-payer system. Health care is a human right.

And those are not my only disagreements with Mr. Biden.

But for over two weeks now, the corporate media has obsessively focused on the June presidential debate and the cognitive capabilities of a man who has, perhaps, the most difficult and stressful job in the world. The media has frantically searched for every living human being who no longer supports the president or any neurologist who wants to appear on TV. Unfortunately, too many Democrats have joined that circular firing squad.

Yes. I know: Mr. Biden is old, is prone to gaffes, walks stiffly and had a disastrous debate with Mr. Trump. But this I also know: A presidential election is not an entertainment contest. It does not begin or end with a 90-minute debate.

Enough! Mr. Biden may not be the ideal candidate, but he will be the candidate and should be the candidate. And with an effective campaign taht speaks to the needs of working families, he will not only defeat Mr. Trump but beat him badly. It’s time for Democrats to stop the bickering and nit-picking.

I understand that some Democrats get nervous about having to explain the president’s gaffes and misspeaking names. But unlike the Republicans, they do not have to explain away a candidate who now has 34 felony convictions and faces charges that could lead to dozens of additional convictions, who has been hit with a $5 million judgment after he was found liable in a sexual abuse case, who has been involved in more than 4,000 lawsuits, who has repeatedly gone bankrupt and who has told thousands of documented lies and falsehoods.

Supporters of Mr. Biden can speak proudly about a good and decent Democratic president with a record of real accomplishment. The Biden administration, as a result of the American Rescue Plan, helped rebuild the economy during the pandemic far faster than economists thought possible. At a time when people were terrified about the future, the president and those of us who supported him in Congress put Americans back to work, provided cash benefits to desperate parents and protected small businesses, hospitals, schools and child care centers.

After decades of talk about our crumbling roads, bridges and water systems, we put more money into rebuilding America’s infrastructure than ever before — which is projected to create millions of well-paying jobs. And we did not stop there. We made the largest-ever investment in climate action to save the planet. We canceled student debt for nearly five million financially strapped Americans. We cut prices for insulin and asthma inhalers, capped out-of-pocket costs for prescription drugs and got free vaccines to the American people. We battled to defend women’s rights in the face of moves by Trump-appointed jurists to roll back reproductive freedom and deny women the right to control their own bodies.

So, yes, Mr. Biden has a record to run on. A strong record. But he and his supporters should never suggest that what’s been accomplished is sufficient. To win the election, the president must do more than just defend his excellent record. He needs to propose and fight for a bold agenda that speaks to the needs of the vast majority of our people — the working families of this country, the people who have been left behind for far too long.

At a time when the billionaires have never had it so good and when the United States is experiencing virtually unprecedented income and wealth inequality, over 60 percent of Americans live paycheck to paycheck, real weekly wages for the average worker have not risen in over 50 years, 25 percent of seniors live each year on $15,000 or less, we have a higher rate of childhood poverty than almost any other major country, and housing is becoming more and more unaffordable — among other crises.

This is the wealthiest country in the history of the world. We can do better. We must do better. Joe Biden knows that. Donald Trump does not. Joe Biden wants to tax the rich so that we can fund the needs of working families, the elderly, the children, the sick and the poor. Donald Trump wants to cut taxes for the billionaire class. Joe Biden wants to expand Social Security benefits. Donald Trump and his friends want to weaken Social Security. Joe Biden wants to make it easier for workers to form unions and collectively bargain for better wages and benefits. Donald Trump wants to let multinational corporations get away with exploiting workers and ripping off consumers. Joe Biden respects democracy. Donald Trump attacks it.

This election offers a stark choice on issue after issue. If Mr. Biden and his supporters focus on these issues — and refuse to be divided and distracted — the president will rally working families to his side in the industrial Midwest swing states and elsewhere and win the November election. And let me say this as emphatically as I can: For the sake of our kids and future generations, he must win.

Bernie Sanders is the senior senator from Vermont.

[batboyblog]

Things the Biden-Harris Administration Did This Week #39

October 18-25 2024.

President Biden issued the first presidential apology on behalf of the federal government to America's Native American population for the Indian boarding school policy. For 150 years the federal government operated a system of schools which aimed to destroy Native culture through the forced assimilation of native children. At these schools students faced physical, emotional, and sexual abuse, and close to 1,000 died. The Biden-Harris Administration has been historic for Native and Tribal rights. From the appointment of the first ever Native American cabinet member, Secretary of the Interior Deb Haaland, to the investment of $46 billion dollars on tribal land, to 200 new co-stewardship agreements. The last 4 years have seen a historic investment in and expansion of tribal rights.

The Biden-Harris Administration proposed a new rule which would make contraceptive medication (the pill) free over the counter with most Insurance. The new rule would ban cost sharing for contraception products, including the pill, condoms, and emergency contraception. On top of over the counter medications, the new rule will also strength protections for prescribed contraception without cost sharing as well.

The EPA announced its finalized rule strengthening standards for lead paint dust in pre-1978 housing and child care facilities. There is no safe level of exposure to lead particularly for children who can suffer long term developmental consequences from lead exposure. The new standards set the lowest level of lead particle that can be identified by a lab as the standard for lead abatement. It's estimated 31 million homes built before the ban on lead paint in 1978 have lead paint and 3.8 million of those have one or more children under the age of 6. The new rule will mean 1.2 million fewer people, including over 300,000 children will not be exposed to lead particles every year. This comes after the Biden-Harris Administration announced its goal to remove and replace all lead pipes in America by the end of the decade.

The Department of Transportation announced a $50 million dollar fine against American Airlines for its treatment of disabled passengers and their wheelchairs. The fine stems from a number of incidences of humiliating and unfair treatment of passages between 2019 and 2023, as well as video documented evidence of mishandling wheelchairs and damaging them. Half the fine will go to replacing such damaged wheelchairs. The Biden administration has leveled a historic number of fines against the airlines ($225 million) for their failures. It also published a Airline Passengers with Disabilities Bill of Rights, passed a new rule accessible lavatories on aircraft, and is working on a rule to require airlines to replace lost or damaged wheelchairs with equal equipment at once.

The Department of Energy announced $430 million dollars to help boost domestic clean energy manufacturing in former coal communities. This invests in projects in 15 different communities, in places like Texas, West Virginia, Pennsylvania, Tennessee, Kentucky, and Michigan. The plan will bring about 1,900 new jobs in communities struggling with the loss of coal. Projects include making insulation out of recycled cardboard, low carbon cement production, and industrial fiber hemp processing.

The Department of Transportation announced $4.2 billion in new infrastructure investment. The money will go to 44 projects across the country. For example the MBTA will get $400 million to replace the 92 year old Draw 1 bridge and renovate North Station.

The Department of Transportation announced nearly $200 million to replace aging natural gas pipes. Leaking gas lines represent a serious public health risk and also cost costumers. Planned replacements in Georgia and North Carolina for example will save the average costumer there over $900 on their gas bill a year. Replacing leaking lines will also remove 1,000 metric tons of methane pollution, annually.

The Department of the Interior announced $244 million to address legacy pollution in Pennsylvania coal country. This comes on top of $400 million invested earlier this year. This investment will help close dangerous mine shafts, reclaim unstable slopes, improve water quality by treating acid mine drainage, and restore water supplies damaged by mining.

Data shows that President Biden's Inflation Reduction Act (passed with Vice-President Harris' tie breaking vote) has saved seniors $1 billion dollars on out-of-pocket drug costs. Seniors with certain high priced drugs saw their yearly out of pocket costs capped at $3,500 for 2024. In 2024 all seniors using Medicare Part D will see their out of pocket costs capped at $2,000 for the year. It's estimated if the $2,000 cap had been in effect this year 4.6 million seniors would have hit it by June and not have had to pay any more for medication for the rest of the year.

The Department of Education announced a new proposed rule to bring student debt relief for 8 million struggling borrowers. The Biden-Harris Administration has managed despite road blocks from Republicans in Congress, the courts and law suits from Republican states to bring student loan forgiveness to 5 million Americans so far through different programs. This latest rule would take into account many financial hardships faced by people to determine if they qualify to have their student loans forgiven. The final rule cannot be finalized before 2025 meaning its fate will be decided at the election.

The Department of Agriculture announced $1.5 billion in 92 partner-driven conservation projects. These projects aim at making farming more susceptible and environmental friendly, 16 projects are about water conservation in the West, 6 support use of innovative technologies to reduce enteric methane emissions in livestock. $100 million has been earmarked for Tribal-led projects.

[reasonsforhope]

Article | Paywall-Free

"The Environmental Protection Agency finalized a rule Tuesday [October 8, 2024] requiring water utilities to replace all lead pipes within a decade, a move aimed at eliminating a toxic threat that continues to affect tens of thousands of American children each year.

The move, which also tightens the amount of lead allowed in the nation’s drinking water, comes nearly 40 years after Congress determined that lead pipes posed a serious risk to public health and banned them in new construction.

Research has shown that lead, a toxic contaminant that seeps from pipes into the drinking water supply, can cause irreversible developmental delays, difficulty learning and behavioral problems among children. In adults, according to the Centers for Disease Control and Prevention, lead exposure can cause increased blood pressure, heart disease, decreased kidney function and cancer.

But replacing the lead pipes that deliver water to millions of U.S. homes will cost tens of billions of dollars, and the push to eradicate them only gathered momentum after a water crisis in Flint, Mich., a decade ago exposed the extent to which children remain vulnerable to lead poisoning through tap water...

The groundbreaking regulation, called the Lead and Copper Rule Improvements, will establish a national inventory of lead service lines and require that utilities take more aggressive action to remove lead pipes on homeowners’ private property. It also lowers the level of lead contamination that will trigger government enforcement from 15 parts per billion (ppb) to 10 ppb.

The rule also establishes the first-ever national requirement to test for lead in schools that rely on water from public utilities. It mandates thatwater systems screen all elementary and child-care facilities, where those who are the most vulnerable to lead’s effects — young children — are enrolled, and that they offer testing to middle and high schools.

The White House estimates that more than 9 million homes across the country are still supplied by lead pipelines, which are the leading source of lead contamination through drinking water. The EPA has projected that replacing all of them could cost at least $45 billion.

Lead pipes were initially installed in cities decades ago because they were cheaper and more malleable, but the heavy metal can wear down and corrode over time. President Joe Biden has made replacing them one of his top environmental priorities, securing $15 billion to give states over five years through the bipartisan infrastructure law and vowing to rid the country of lead pipes by 2031. The administration has spent $9 billion so far — enough to replace up to 1.7 million lead pipes, the administration said.

On Tuesday, the administration said it was providing an additional $2.6 billion in funding for pipe replacement. Over 367,000 lead pipes have been replaced nationwide since Biden took office, according to White House officials, affecting nearly 1 million people...

Environmental advocates said that former president Donald Trump, who issued much more modest revisions to the lead and copper rule just days before Biden took office, would have a hard time reversing the new standards.

Erik Olson, the senior strategic director for health at the Natural Resources Defense Council, said that the Safe Drinking Water Act has provisions prohibiting weakening the health protections of existing standards...

Olson added that the rule “represents a major victory for public health” and will protect millions of people “whose health is threatened every time they fill a glass from the kitchen sink contaminated by lead.”

“While the rule is imperfect and we still have more to do, this is by far the biggest step towards eliminating lead in tap water in over three decades,” he said."

-via The Washington Post, October 8, 2024

[metamatar]

some of you are being outflanked from the left by the jacobin. lol.

For many loyal Democrats, this will not compute. The Biden economy, party-loyal pundits have said over and over again, is tremendous — low unemployment, strong GDP growth, slowing inflation, a booming stock market — and anyone unhappy about it must simply be brainwashed. Out of view in this self-congratulatory hall of mirrors were the constant statistics that said otherwise: evictions up past pre-pandemic levels, record-high homelessness, cost-burdened renters at an all-time high, median household income lower than the last pre-pandemic year, inequality returning to pre-pandemic levels, and food insecurity and poverty growing by large double digits since 2021, including a historic spike in child poverty. Here’s another thing you might not have heard. Largely due to a trick of history, including the COVID-19 pandemic and a Democratic-controlled Congress, Trump was partly responsible for the creation of what the New York Times called “something akin to a European-style welfare state” in 2020 that reduced inequality and even helped some Americans improve their finances for a short spell — and under Biden, all of it went away. Sometimes that happened due to factors outside Biden’s control and sometimes because of his own decisions, but it always took place with little fight from the president, and it contributed to the ominous rise in hardship under his tenure. That meant not only adding to people’s already onerous monthly expenses — in one case in a self-imposed October surprise that made student loan repayment much more unforgiving for tens of millions of borrowers just before voting. It also saw twenty-five million people being thrown off their public health insurance, many of them in some of the battleground states Harris lost last night. Recall that one of Biden’s attack lines against Trump four years ago was that Trump was going to strip twenty million people of their health insurance. This might have been mitigated had the president passed the flagship policies on his agenda, helping people weather the storm of rising living costs. Those that he did enact he sometimes self-sabotaged. (...)

As a result, Harris’s run was a major downgrade from the 2020 Democratic effort. Biden’s never-passed ambitions to historically expand the social safety net became firmly relegated to distant memory, never to be revived; only the child tax credit and a modest expansion of Medicare benefits survived. The campaign combined a sharp rightward lurch on foreign policy and immigration with a handful of laudable populist proposals to ban price gouging and help out first-time homebuyers (while largely avoiding the national 5 percent rent cap that Biden desperately took on before dropping out and that had earlier made its way into the Democratic platform). Beyond the Medicare proposal and vague promises to protect and strengthen Obamacare, the idea of reforming the broken US health care system — one of Americans’ biggest and most anxiety-inducing costs — was almost entirely absent from the campaign. When voters in a Univision town hall came to Harris with their bleak personal stories of suffering under the health care system and asked how she would solve them, she could give them nothing, because her only real major health care policy was for those over sixty-five and already insured under Medicare.

[fellthemarvelous]

Deny. Defend. Depose.

It is clear to those of us that live in America, the only people we truly have on our side are ourselves. The ruling class has made it clear we don't matter to them.

Luigi Mangione was arrested and happened to have every single piece of evidence on him that law enforcement was looking for, including the parts for the ghost gun, inside his backpack (that he also got rid of in Central Park containing the Monopoly money???). Either he was trying to get caught or that evidence was planted. And when he was being forcefully pushed into the jail, he hollered back to the press about "injustice" and "being an insult to the intelligence of American citizens and our lived experiences."

The people have now turned against corporate America and the CEOs and billionaires are fucking terrified. Nothing the news stations are saying to us are changing our minds. The American people have finally united over this issue and there is no going back for us. Whoever did kill Brian Thompson (and theories abound on the game The Adjuster is playing because no one plays Monopoly alone) exposed the very real divide that exists between every day citizens and the extremely wealthy. Things were easier for them to control when they were able to divide us, but now that we are aware of how uncertain our future is in America and seeing just how little we matter to the people who take our money, we have realized that we have more in common with each other than the people who control every aspect of our lives. We are waking up.

There isn't one person in this country who hasn't been a victim to the predatory scam that is private health insurance. Medical debt is the leading cause of bankruptcy in America, and many of us are one ambulance ride or hospital stay away from homelessness. We all know people who have died because the insurance company denied them the treatment they needed or waited until it was too late for an approval of a medical claim to matter anymore.

Recently, I decided to be tested for autism and ADHD. Not life-threatening or anything, but my life is still in shambles and I want to know if I'm going untreated for something else. Before being tested though, I was informed that the insurance company (Aetna) has said that they were going to cover the full cost of the testing I was having (which was six hours of testing by the way). She even made sure several times that they were, in fact, going to cover it in full and they said yes.

The same day that Brian Thompson, CEO of another horrible healthcare company, was murdered in broad daylight, I received a call from that doctor's office with the woman telling me that Aetna was now telling her they never agreed to cover my testing and that they are going to bill me for $1600 (where the hell am I supposed to get that?) and she is fighting them, but considering our lives don't matter to the people who tell us what healthcare we are and are not allowed to receive, I don't think they will feel compelled to change their minds because they are bloodsucking parasites who only care about lining their pockets while I don't even have $6 lying around, let alone $1600!!

Corporate America leeches off our taxes. They take and take and take and we see nothing in return. They raise prices on insurance coverage and then deny us the very coverage that we pay for. They poison our food, price gouge our poisoned food, and then force us to pay for the treatment we get when the food makes us sick. Corporate America profits off of our hard work, our taxes, our health, our lives, our deaths.

I don't know if this will reach a larger audience or not, but I wanted to talk about it on Tumblr because this platform seems to be a crossroads for every type of creative soul. I initially brought up this idea on TikTok earlier, but I want to see if it can get traction in other places as well since I have fewer than 3,000 followers on TikTok (and I have seen a small few express interest in my idea in the hours since I posted the video.)

We're busy being lectured by politicians and the news media because while they are clutching their pearls at what happened to Brian Thompson, the rest of us do not give one single flying fuck about what happened to him. As CEO of a for-profit health insurance company, he signed off on denied claims and death for those of us who struggle to make it from one day to the next. The sicker you are, the poorer you are, the more they force you to struggle and pay. The love to deny coverage because regardless of whether we live or die, they already have the money we are forced to pay them.

I don't condone murder at all, but I also don't care that he was murdered because he was guilty of murdering so many more people in this country through legal means because it's profitable. The CEOs are scared and there are wanted posters with their names and faces popping up in places. Every CEO of every healthcare company is guilty of murdering Americans and they continue to go unpunished for it because "it's just business".

So (if you've read this far) all of this previous rambling is to say that I keep thinking about how I want to make an impression. I want to continue upsetting the billionaires and the CEOs because corporate America is full of murderers who are legally allowed to decide whether we live or die based on which outcome will give them more money.

I have thought about the idea of creating a wall/constructing a wall somewhere as an art piece or something (making a statement) that will somehow honor the memory of people who died because insurance denied them care.

I know I definitely want it to say something along the lines of "In memory of those murdered by for-profit healthcare systems in corporate America". Something blatant. Loud. Something they are forced to look at every single day. Somehow. The wall could have images of those who are gone, or names of the person who died with the name of the insurance company responsible for their death underneath. Just something to make it clear that we see them for what they are. Something to avenge those who were sacrificed so billionaires and CEOS and shareholders could brag about record profits. Something that shows the whole world that American citizens are waking up to who the real monsters are.

The Adjuster (whoever he is or is not) has fanned the flames of revolution in America. He managed to unite us in a way I can't even recall before. It's not over. We know what happened to Brian Thompson was just the beginning, and corporate America only just now realized how much we actually hate them. A single shooter has sparked an awakening in America that is starting to snowball into something much bigger.

So if there is anyone out there who might be interested in collaborating on something like this, please let me know. I know we are all tired and demoralized and we have no money. I want to make a statement though, and I love doing that through art or writing. Collaborating with other people who have been through this same shit will also probably help us unite even more.

This is a watershed moment in American history.

In the words of Kanan Jarrus, Jedi Knight,

"There is a future for us. One where we're all free. But it's up to us to make it happen."

[mostlysignssomeportents]

"Efficiency" left the Big Three vulnerable to smart UAW tactics

Tomorrow (September 22), I'm (virtually) presenting at the DIG Festival in Modena, Italy. Tomorrow night, I'll be in person at LA's Book Soup for the launch of Justin C Key's "The World Wasn’t Ready for You." On September 27, I'll be at Chevalier's Books in Los Angeles with Brian Merchant for a joint launch for my new book The Internet Con and his new book, Blood in the Machine.

It's been 143 days since the WGA went on strike against the Hollywood studios. While early tactical leaks from the studios had studio execs chortling and twirling their mustaches about writers caving once they started losing their homes, the strikers aren't wavering – they're still out there, pounding the picket lines, every weekday:

https://www.cnbc.com/2023/08/09/how-hollywood-writers-make-ends-meet-100-days-into-the-writers-guild-strike.html

The studios obviously need writers. That gleeful, anonymous studio exec who got such an obvious erotic charge at the thought of workers being rendered homeless as punishment for challenging his corporate power completely misread the room, and his comments didn't demoralize the writers. Instead, they inspired the actors to go on strike, too.

But how have the writers stayed out since May Day? How have the actors stayed out for 69 days since their strike started on Bastille Day? We can thank the studios for that! As it turns out, the studios have devoted so much energy to rendering creative workers as precarious as possible, hiring as little as they can getting away with and using punishing overtime as a substitute for adequate staffing that they've eliminated all the workers who can't survive on side-hustles and savings for six or seven months at a time.

But even for those layoff-hardened workers, long strikes are brutal, and of course, all the affiliated trades, from costumers to grips, are feeling the pain. The strike fund only goes so far, and non-striking, affected workers don't even get that. That's why I've been donating regularly to the Entertainment Community Fund, which helps all affected workers out with cash transfers (I just gave them another $500):

https://secure2.convio.net/afa/site/Donation2?df_id=8117&8117.donation=form1&mfc_pref=T

As hot labor summer is revealed as a turning point – not just a season – long strikes will become the norm. Bosses still don't believe in worker power, and until they get their minds right, they're going to keep on trying to starve their workforces back inside. To get a sense of how long workers will have to hold out, just consider the Warrior Met strike, where Alabama coal-miners stayed out for 23 months:

https://www.thenation.com/article/activism/warrior-met-strike-union/

As Kim Kelly explained to Adam Conover in the latest Factually podcast, the Alabama coal strikers didn't get anywhere near the attention that the Hollywood strikers have enjoyed:

https://www.youtube.com/watch?v=UvyMHf7Yg0Q

(To learn more about the untold story of worker organizing, from prison unions to the key role that people of color and women played in labor history, check out Kelly's book, "Fight Like Hell," now in paperback:)

https://www.simonandschuster.com/books/Fight-Like-Hell/Kim-Kelly/9781982171063

Which brings me to the UAW strike. This is an historic strike, the first time that the UAW has struck all of the Big Three automakers at once. Past autoworkers' strikes have marked turning points for all American workers. The 1945/46 GM strike established employers' duty to cover worker pensions, health care, and cost of living allowances. The GM strike created the American middle-class:

https://prospect.org/labor/2023-09-18-uaw-strikes-built-american-middle-class/

The Big Three are fighting for all the marbles here. They are refusing to allow unions to organize EV factories. Given that no more internal combustion cars will be in production in just a few short years, that's tantamount to eliminating auto unions altogether. The automakers are flush with cash, including billions in public subsidies from multiple bailouts, along with billions more from greedflation price-gouging. A long siege is inevitable, as the decimillionaires running these companies earn their pay by starving out their workers:

https://www.businessinsider.com/general-motors-ceo-mary-barra-salary-auto-workers-strike-uaw-2023-9

The UAW knows this, of course, and their new leadership – helmed by the union's radical president Shawn Fain – has a plan. UAW workers are engaged in tactical striking, shutting down key parts of the supply chain on a rolling basis, making the 90-day strike fund stretch much farther:

https://prospect.org/blogs-and-newsletters/tap/2023-09-18-labors-militant-creativity/

In this project, they are greatly aided by Big Car's own relentless pursuit of profit. The automakers – like every monopolized, financialized sector – have stripped all the buffers and slack out of their operations. Inventory on hand is kept to a bare minimum. Inputs are sourced from the cheapest bidder, and they're brought to the factory by the lowest-cost option. Resiliency – spare parts, backup machinery – is forever at war with profits, and profits have won and won and won, leaving auto production in a brittle, and easily shattered state.

This is especially true for staffing. Automakers are violently allergic to hiring workers, because new workers get benefits and workplace protection. Instead, the car companies routinely offer "voluntary" overtime to their existing workforce. By refusing this overtime, workers can kneecap production, without striking.

Enter "Eight and Skate," a campaign among UAW workers to clock out after their eight hour shift. As Keith Brower Brown writes for Labor Notes, the UAW organizers are telling workers that "It’s crossing an unofficial picket line to work overtime. It’s helping out the company":

https://labornotes.org/2023/09/work-extra-during-strike-auto-workers-say-eight-and-skate

Eight and Skate has already started to work; the Buffalo Ford plant can no longer run its normal weekend shifts because workers are refusing to put in voluntary overtime. Of course, bosses will strike back: the next step will be forced overtime, which will lead to the unsafe conditions that unionized workers are contractually obliged to call paid work-stoppages over, shutting down operations without touching the strike fund.

What's more, car bosses can't just halt safety stoppages or change the rules on overtime; per the UAW's last contract, bosses are required to bargain on changes to overtime rules:

https://uaw.org/wp-content/uploads/2023/09/Working-Without-Contract-FAQ-FINAL-2.pdf

Car bosses have become lazily dependent on overtime. At GM's "highly profitable" SUV factory in Arlington, TX, normal production runs a six-days, 24 hours per day. Workers typically work five eight-hour days and nine hours on Saturdays. That's been the status quo for 11 years, but when bosses circulated the usual overtime signup sheet last week, every worker wrote "a big fat NO" next to their names.

Writing for The American Prospect, David Dayen points out that this overtime addiction puts a new complexion on the much-hyped workerpocalypse that EVs will supposedly bring about. EVs are much simpler to build than conventional cars, the argument goes, so a US transition to EVs will throw many autoworkers out of work:

https://prospect.org/labor/2023-09-20-big-threes-labor-shortages-uaw/

But the reality is that most autoworkers are doing one and a half jobs already. Reducing the "workforce" by a third could leave all these workers with their existing jobs, and the 40-hour workweek that their forebears fought for at GM inn 1945/46. Add to that the additional workers needed to make batteries, build and maintain charging infrastructure, and so on, and there's no reason to think that EVs will weaken autoworker power.

And as Dayen points out, this overtime addiction isn't limited to cars. It's also endemic to the entertainment industry, where writers' "mini rooms" and other forms of chronic understaffing are used to keep workforces at a skeleton crew, even when the overtime costs more than hiring new workers.

Bosses call themselves job creators, but they have a relentless drive to destroy jobs. If there's one thing bosses hate, it's paying workers – hence all the hype about AI and automation. The stories about looming AI-driven mass unemployment are fairy tales, but they're tailor made for financiers who get alarming, life-threatening priapism at the though of firing us all and replacing us with shell-scripts:

https://pluralistic.net/2023/03/09/autocomplete-worshippers/#the-real-ai-was-the-corporations-that-we-fought-along-the-way

This is why Republican "workerism" rings so hollow. Trump's GOP talks a big game about protecting "workers" (by which they mean anglo men) from immigrants and "woke captialism," but they have nothing to say about protecting workers from bosses and bankers who see every dime a worker gets as misappropriated from their dividend.

Unsurprisingly, conservative message-discipline sucks. As Luke Savage writes in Jacobin, for every mealymouthed Josh Hawley mouthing talking points that "support workers" by blaming China and Joe Biden for the Big Three's greed, there's a Tim Scott, saying the quiet part aloud:

https://jacobin.com/2023/09/republicans-uaw-strike-hawley-trump-scott/

Quoth Senator Scott: "I think Ronald Reagan gave us a great example when federal employees decided they were going to strike. He said, you strike, you’re fired. Simple concept to me. To the extent that we can use that once again, absolutely":

https://twitter.com/American_Bridge/status/1704136706574741988

The GOP's workerism is a tissue-thin fake. They can never and will never support real worker power. That creates an opportunity for Biden and Democrats to seize:

https://pluralistic.net/2023/09/18/co-determination/#now-make-me-do-it

Reversing two generations of anti-worker politics is a marathon, not a sprint. The strikes are going to run for months, even years. Every worker will be called upon to support their striking siblings, every day. We can do it. Solidarity now. Solidarity forever.

If you'd like an essay-formatted version of this post to read or share, here's a link to it on pluralistic.net, my surveillance-free, ad-free, tracker-free blog:

https://pluralistic.net/2023/09/21/eight-and-skate/#strike-to-rule