Friday, October 16, 2009

Call you Senators to insist on the Public Option

It is NOT too late.

Snowe Job? Insider Says Senator Is "Disingenuous or Naive"

by: Greg Palast, t r u t h o u t | Report

 

Wendell Potter tells Greg Palast health insurers' dirty secret.
Wendell Potter tells Greg Palast health insurers' dirty secret. (Photo: Fighting Bob Fest)

 

Special Feature: Listen to Greg Palast's exclusive interview with health insurance company whistleblower Wendell Potter. Press play below to hear the clip.




Also, read Greg Palast's expert analysis,
The S-Word and Dr. Kevorkian's Accountant.

Former insurance executive Wendell Potter tells Greg Palast, in an exclusive interview for Truthout.org, that "the system's rigged" to kill off so-called "health cooperatives." Sen. Olympia Snowe of Maine cast the only Republican vote on the Senate Finance Committee for the Obama health care plan, but only on the condition that Democrats drop their demand for a "public option" insurer in favor of private doctor/hospital cooperatives.

Earlier today, Potter told Truthout.org that the senator's plan is "disingenuous or naive," because, in most states, "the system's rigged" to lock up all patients under one for-profit monopoly. While a publicly-funded insurer might succeed in forcing insurers to cut premium charges, Snowe's cooperatives "don't stand a snowball's chance" of competing against the for-profit monopolies.

Potter, once vice president of CIGNA, told Truthout.org that, "The insurance industry, if it were honest" would admit that it "loves" the Senate Finance Committee's version of the health care legislation as the bill provides nearly half a trillion dollars ($461 billion) in subsidy payments directly from the Treasury to the industry.

Tuesday, September 15, 2009

I'm so done with hearing stories like this...

 

Real "Norma Rae" Dies of Cancer After Insurer Delayed Treatment

by: Sue Sturgis  |  Facing South

Thanks of course to   t r u t h o u t

 

photo
A screenshot of Sally Field in the film "Norma Rae." The North Carolina union organizer who inspired the movie died on Friday of brain cancer. (Photo: shavawnmarie / Flickr)

The North Carolina union organizer who was the inspiration for the movie "Norma Rae" died on Friday of brain cancer after a battle with her insurance company, which delayed her treatment. She was 68.

Crystal Lee Sutton, formerly Crystal Lee Jordan, was fired from her job folding towels at the J.P. Stevens textile plant in her hometown of Roanoke Rapids, N.C. for trying to organize a union in the early 1970s. Her last action at the plant -- writing the word "UNION" on a piece of cardboard and standing on her work table, leading her co-workers to turn off their machines in solidarity -- was memorialized in the 1979 film by actress Sally Field. The police physically removed Sutton from the plant for her action.

But her efforts ultimately succeeded, as the Amalgamated Clothing Workers won the right to represent the plant's employees on Aug. 28, 1974. Sutton later became a paid organizer for the union, which through a series of mergers became part of UNITE HERE before splitting off this year to form Workers United, which is affiliated with the Service Employees International Union.

Several years ago, Sutton was diagnosed with meningioma, a type of cancer of the nervous system. While such cancers are typically slow-growing, Sutton's was not -- and she went two months without potentially life-saving medication because her insurance wouldn't cover it initially. Sutton told the Burlington (N.C.) Times-News last year that the insurer's behavior was an example of abuse of the working poor:

"How in the world can it take so long to find out [whether they would cover the medicine or not] when it could be a matter of life or death," she said. "It is almost like, in a way, committing murder."

Though Sutton eventually received the medication, the cancer had already taken hold. She passed away on Friday, Sept. 11 in a Burlington, N.C. hospice.

"Crystal Lee Sutton was a remarkable woman whose brave struggles have left a lasting impact on this country and without doubt, on me personally," Field said in a statement released Friday. "Portraying Crystal Lee in 'Norma Rae,' however loosely based, not only elevated me as an actress, but as a human being."

Read the rest at   t r u t h o u t

Monday, August 24, 2009

A Neutral Report on Health Care Reform

Vetting the Health Care Rhetoric

by: Meghan McCarthy, Drew Armstrong and Alex Wayne  |  Visit article original @ The Congressional Quarterly

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Groups attending town hall meetings across the country hear conflicting claims about health care reform. (Photo: AP)

 

As politicians and interest groups try to shape the outcome of the health care overhaul, they've offered interpretations that are so wildly different that truth sometimes seems to be taking a vacation.

Some - like the contention that a House health care overhaul (HR 3200) would create "death panels" that decide end-of-life care - are false. Some are misleading, and others are true.

Many of the claims are being floated by advocacy groups, then amplified on the Internet and at town hall events hosted by members of Congress. Lawmakers have contributed to the rhetoric, as well.

The majority of the claims deal with the House bill that awaits floor action in September. The Senate is not as far along in the process with its legislative proposal. The Senate Health, Education, Labor and Pensions Committee has approved a draft bill, but the Finance Committee is still working on its version. The lack of a unified Senate approach has led proponents and opponents to focus much of their criticism on the House measure.

The following examination of health care claims and their sources is not comprehensive but provides an overview of the commonly recited talking points in the debate.

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Claim: The House bill would create a government committee to decide what treatments or benefits patients may receive in a retooled health care system.

Source: The office of House Minority Leader John A. Boehner, R-Ohio, made the claim in a news release. It also was found in a Web publication by the group Family Security Matters.

Misleading. A committee would make recommendations on what sorts of minimum benefits insurers should be required to provide, but these standards are a floor, not a ceiling. Insurers could offer more benefits if they chose, perhaps to gain a competitive advantage to draw customers, but they could not offer less.

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Claim: Under the House bill, health care will be rationed, especially care for seniors.

Source: A number of congressional Republicans and conservative groups have made this claim. It's been repeated online and in some television advertisements by groups such as Patients United Now, which is funded in part by another right-leaning interest group, Americans United for Prosperity.

False. The House bill says almost the opposite - that insurers can't charge patients more than $5,000 a year for an individual or $10,000 for a family toward the cost of their own health care. It does not set limits on how much the plans can spend on each patient, however. As for seniors, they would still be covered by Medicare, and the bill does not set any benefit limits for that program.

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Claim: Employers will have to automatically enroll their workers in the public plan, according to the House bill.

Source: This assertion originated from a handout that conservative groups circulated via e-mail and at rallies. It's derived from a Web publication by Family Security Matters and has been repeated online by groups such as Patients United Now.

False. The House bill would require companies to enroll workers in whatever group insurance plan they offer as part of the mandate that employers provide health insurance coverage. But workers could opt out of automatic enrollment in an employer's plan if they want. The House bill is silent about enrolling in a specific plan.

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Claim: Any individual who doesn't have acceptable health insurance as defined by the government will have to pay a 2.5 percent income tax.

Source: Several places, including a Boehner press release.

True. The bill requires all Americans to obtain insurance or pay a penalty. There would be exemptions for children and other dependents, people living overseas and members of religious faiths that believe in limiting medical treatment, among other groups.

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Claim: A government-run insurance plan would drive all private insurers out of business.

Source: A Conservatives for Patients Rights advertisement.

Misleading. A number of conservative groups have argued that a public plan would squeeze concessions out of health providers, undercut private plans and drive those insurers out of business. But a Congressional Budget Office (CBO) analysis of the House bill says that, of the people who would get coverage in the new health insurance exchange, 21 million would go to private plans, while 9 million would go to the public plan.

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Claim: The government would have "real-time access" to individual bank accounts and create a "national ID health card."

Source: Conservative groups opposed to the Democrats' health care overhaul have asserted this in chain e-mails and at rallies across the country. Many claims emanate from the Family Security Matters Web publication.

False. A section of the bill would require insurers to make it easier for patients to calculate the cost of their care by providing information about the prices of treatments in the doctor's office. The House bill also would allow - but not require - insurers to issue patients a "machine-readable health plan beneficiary identification card," similar to the insurance cards most people with coverage already carry. The card would not be issued by the government.

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Claim: The government would provide an "approved list of end-of-life resources," require health care providers to consult with the government on end-of-life care, require individuals to create living wills or advance directives regarding end-of-life care. Such mandates will lead to government-ordered "assisted suicide" or "euthanasia."

Source: Most famously, Alaska's Republican former Gov. Sarah Palin stated this on her Facebook page. The claim has been repeated by overhaul opponents.

False. Claims that the legislation would establish "death panels" have made this one of the most controversial and talked-about provisions in the House measure. But they are fiction. The bill would authorize Medicare reimbursement for doctors who consult with their patients on end-of-life care, including the creation of advance directives, powers of attorney and orders for life-sustaining treatment - documents that allow individuals to control the care they receive when they are incapacitated.

Nothing in the bill would mandate such consultations, nor would patients be required to create advance directives or other documents related to end-of-life care in order for doctors to be paid.

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Claim: The bill tells doctors what and how much they can own.

Source: A handout being circulated via e-mail and at rallies by conservative groups opposing Democrats' health care effort, with many of the claims taken from the Web publication by Family Security Matters.

Misleading. Congressional Democrats and some Republicans have long sought to limit the creation and growth of "physician-owned" hospitals. Studies have shown that physicians tend to refer patients to hospitals in which they hold a financial stake and prescribe more procedures than necessary when they have a financial stake in the hospital. Over the last decade, Congress has periodically enacted moratoriums on physician-owned hospitals.

The House bill spells out a limited set of circumstances in which physicians would be allowed to invest in hospitals and how much of an ownership stake they can take. Existing hospitals owned by physicians would be "grandfathered" in, but their stakes would not be allowed to expand.

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Claim: Preventive screenings for disease, aggressive treatments to keep illnesses from becoming acute and making changes in communities to promote healthier lifestyles would reduce the cost of health care.

Source: Many overhaul proponents inside and outside of government have made this claim. Democrats have cited it as a rationale for using preventive care as a source of cost-savings: A Partnership for Prevention policy paper, the Senate Health, Education, Labor and Pensions Committee's a Health Care for America Now fact sheet, and a Prescription For Change fact sheet.

Misleading. Although liberal lawmakers and advocacy groups frequently say preventive care will lower health care costs, experts disagree when it comes to preventive care provided by doctors. The cost of screening and treating a large population is often greater than caring for the smaller groups of people struck with diseases. A CBO analysis of the House bill found that provisions that would remove co-payments for preventive services for Medicare and Medicaid patients would cost $9.9 billion. The CBO has not released an analysis of the Senate's draft bill, but past CBO reports have calculated preventive care as a cost, not a savings.

However, advocates argue that preventive care goes beyond medical treatments. Significant savings could be gained from investing in sidewalks to promote exercise, and making other changes such as healthier food in schools and labeling menus to promote good heath, proponents say.

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Claim: Legislation restructuring the health care system will not add to the federal budget deficit.

Source: Top Democrats, including President Obama and Senate Majority Leader Harry Reid of Nevada have made such claims.

False. A CBO analysis of the House bill found that it would produce a deficit of $239 billion over 10 years. House Democratic aides contend that this figure is inaccurate because it includes a $245 billion provision to adjust Medicare payments to physicians. They argue that the fix to physician payment rates is undertaken every year, and Congress is likely to pass it again with or without a health care overhaul.

In the Senate, the CBO scored portions of a measure being drafted by the Finance Committee at a lower cost than the House bill. The Senate Health, Education, Labor and Pension Committee's draft bill was scored at $611.4 billion, meaning it would not impact the deficit. Senate Finance Committee members also have talked about keeping the Medicare physicians' payment adjustment off the books, as well - meaning that the Senate bill could boost the deficit.

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Claim: Individuals who like their current health insurance plans can keep them.

Source: President Obama and many other Democrats have cited this in calling for a health care overhaul.

Misleading. Neither the House nor Senate legislation would require individuals with insurance to change their coverage. Both bills would continue the practice of workers enrolling in plans offered by their employers. But, if enacted, the overhaul would trigger significant changes in the health insurance industry, which could prompt employers to change the menu of plans they offer employees. An insurance plan offered by employers before the overhaul may not be the same one offered after the overhaul.

An overhaul also is expected to reduce reimbursement rates for a private-sector Medicare alternative called Medicare Advantage, leading some insurance companies to decrease plan offerings. Seniors covered by those plans would likely end up back in regular Medicare.

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Claim: A health care overhaul will lower premiums for people buying insurance.

Source: Democratic leaders have made the claim, and it was a centerpiece of Obama's justification for a health care overhaul. More recently, the president has talked about slowing the growth of health care costs.

Misleading. While the jump in the cost of premiums may slow, it's unlikely that their cost will decline. The House bill with its public option aims to lower government payments to providers. Reduced payments mean the government could charge those enrolled in the public option lower premiums than private insurers charge. Such a move could put pressure on private insurers to lower their premiums.

However, in a concession to fiscally conservative House Democrats known as Blue Dogs, the legislation would require public option administrators to negotiate rates with providers, instead of pegging payments at a fixed level above Medicare rates. If public option administrators are unsuccessful in negotiating lower payments to providers, there will be significantly less pressure on private insurance companies to lower premiums.

Wednesday, August 19, 2009

Amnesty International Pulls out of Concert Fund

Amnesty International Withdraws from Leonard Cohen's Israel Concert Fund
by PACBI & NYCBI ( info [at] nycbi.org
Tuesday Aug 18th, 2009 1:58 PM
Amnesty International has announced today that it will abstain from any involvement in the Leonard Cohen concert in Tel Aviv and will not be party to any fund that benefits from the concert's proceeds. A number of media accounts had reported that Amnesty International was to manage or otherwise partner in a fund created from the proceeds of Cohen’s concert in Israel that would be used to benefit Israeli and Palestinian groups. Amnesty International’s announcement today followed an international outcry over the human rights organization’s reported involvement in the Leonard Cohen concert fund, and an earlier international call for Cohen to boycott apartheid Israel. 
PALESTINIAN CAMPAIGN FOR THE ACADEMIC AND CULTURAL BOYCOTT OF ISRAEL (PACBI) & NEW YORK CAMPAIGN FOR THE BOYCOTT OF ISRAEL (NYCBI) 

Amnesty International Withdraws from Leonard Cohen’s Israel Concert Fund 

Media Contacts: pacbi [at] pacbi.orginfo [at] boycottisraelnyc.org

New York, NY, August 18 – Amnesty International has announced today that it will abstain from any involvement in the Leonard Cohen concert in Tel Aviv and will not be party to any fund that benefits from the concert's proceeds. A number of media accounts had reported that Amnesty International was to manage or otherwise partner in a fund created from the proceeds of Cohen’s concert in Israel that would be used to benefit Israeli and Palestinian groups. Amnesty International’s announcement today followed an international outcry over the human rights organization’s reported involvement in the Leonard Cohen concert fund, and an earlier international call for Cohen to boycott apartheid Israel. 

Omar Barghouti from the Palestinian Campaign for the Academic and Cultural Boycott of Israel (PACBI) commented, “We welcome Amnesty International’s withdrawal from this ill-conceived project which is clearly intended to whitewash Israel’s violations of international law and human rights. By abandoning the Leonard Cohen project in Tel Aviv, Amnesty International has dealt Cohen and his public relations team a severe blow, denying them the cover of the organization’s prestige and respectability.” 

A statement confirming Amnesty's withdrawal has now been posted on the Amnesty International website. 

After reports in late July that Amnesty International would manage a fund from the proceeds of Leonard Cohen’s concert in Israel, groups in occupied Palestine and around the world mobilized to pressure Amnesty International not to participate in such a fund. The Palestinian Non-governmental Organizations’ Network (PNGO) called in an August 11th letter on Amnesty International to reject management of a fund that is to be created from the proceeds of Leonard Cohen’s planned September concert in Israel. The West Bank village of Bil’in had made a similar appeal to Amnesty International. An international campaign of about one thousand letters to Amnesty International called for Amnesty’s withdrawal from the Cohen concert initiative. The only Palestinian organization that was claimed to be a recipient of the fund had previously announced that it was not involved in the project. Additionally, a representative of the joint Palestinian Israeli group Combatants for Peace, another previously announced beneficiary of the Cohen concert fund, had informed the New York Campaign for the Boycott of Israel in writing that the group had decided not to participate in the Leonard Cohen concert in Tel Aviv and not to accept any funds from its proceeds. 

PNGO explained in their letter to Amnesty International that Israel Discount Bank, a major sponsor of Cohen’s concert in Israel, “is involved in the construction and the continuation of the Israeli settlement project in the oPT [occupied Palestinian Territories]… These settlements built on Palestinian lands are illegal under international law and are considered as war crimes in the Fourth Geneva Convention.” PNGO added that Cohen’s “concert in Israel contributes in normalizing Israeli occupation and colonization policies.” In an August 9th letter to Amnesty International, the West Bank village of Bil’in, a leader in the Palestinian nonviolent resistance movement, said that, “Israel Discount Bank’s trading room and other computer services are run by an Israeli company called Matrix IT. Matrix IT’s trading room is located on our villages land stolen by the illegal settlement of Modiin Illit.” 

Additionally, nineteen groups and organizations worldwide explained in an open letter to Amnesty International that, “Being one of the world’s strongest proponents of human rights and international law, you shall thus be subverting a non-violent, effective effort by Palestinian and international civil society to end Israel's violations of international law and human rights principles.” The groups asserted that, “Accepting funds from the proceeds of Cohen’s concert in Israel is the equivalent of Amnesty accepting funds from a concert in Sun City in apartheid South Africa.” They also commented that the Peres Center for Peace, Amnesty International’s announced partner in managing the concert fund, “has been denounced by leading Palestinian civil society organizations for promoting joint Palestinian-Israeli projects that enhance ‘Israeli institutional reputation and legitimacy, without restoring justice to Palestinians.’”
...Read more here

Ok, I'm going to think postive and stay active.

But I still fear that Washington "progressives" will cave to these bellowing fools that show up at the town halls. Some of those people are domestic terrorists, making death threats and painting swastikas on public property, all in the pursuit of damning their own best interests. Those are people who have talk radio blaring at them in their workplace or home and who, understandably angry at the status quo, have been duped by propaganda from the very insurance companies and big pharma that are ripping them off currently. The health care plans are not perfect, and the "public option" needs to remain in place to create a competitive environment. I'm going to post a couple of positive links here, in hopes of putting THAT in the universe instead of my nagging fear for our country.

Here's the White House page with videos answering questions:

And here's an article from an optimist:

 

Three Reasons Why a Strong Public Option Is Likely to Be Part of Health Insurance Reform

by: Robert Creamer  |  Visit article original @ The Huffington Post

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A primary care physician meets with patients at the Barron Center in Portland, Maine. (Photo: Emilie Sommer / USA Today)

Hasty headlines to the contrary, it is very likely that a strong public option will be part of a final health insurance reform bill when it finally passes Congress this fall. There are three reasons:

1). A Public Option is the most elegant and politically viable solution to a major practical problem. Three basic models have been adopted by Western industrial nations to provide universal health care to their populations.

The government can directly employ doctors and hospitals to provide service. That is the system they have in Britain where they spend 40% less per person on health care than in the U.S. and get pretty good reviews from their citizens. It's the same system that we use to provide health care to veterans through the Veterans Administration.

The government can provide heath insurance for everyone as it does in Canada - or as we do in the U.S. with Medicare. Medical practices and hospitals are in private hands, but the health insurance fund is managed by the government. Again, that system seems to work quite well and also does a good job at controlling costs.

The third approach is to require individuals and businesses to purchase insurance and leave it to private insurance companies to provide that coverage. The problem with this approach is that requires some mechanism to control costs. That is particularly true in the United States where insurance companies are one of only two industries (Major League Baseball being the other) that are excepted from the anti-trust laws that are aimed at insuring competitive markets. In fact, most major health insurance markets are dominated by two or three companies so there is no real competition - particularly with respect to price.

Once everyone is required to buy insurance, the companies can have a field day raising prices and profits using the government to guarantee they are paid - either through subsidies or the imposition of fines. You can see why, from an insurance company perspective, this would be a great deal.

But from the point of view of the taxpayers - and the insurance ratepayers - it would be a disaster. It would be like giving the insurance companies a license to take your money - with no regulation - all enforced by government edict.

This, of course, is basically what happened with the prescription drug benefit - Medicare Part D. But there is a big political difference. A huge percentage of the money used to pay the insurance and drug companies in Medicare Part D comes from the taxpayers (or deficits). Most of the money that will go to pay for health insurance in a new system will come from ratepayers - individuals and companies who will feel the sting of rate increases directly.

What politician in his right mind would pass a law that requires individuals and businesses to buy products from companies who can then charge whatever the traffic will bear - especially in an industry where premiums have increased three times faster than wages, and profits keep heading skyward even in the worst recession in 60 years? Once government requires you to purchase a product, it has to provide some means to guarantee that the price is fair.

There are only two real practical solutions to this problem. On the one hand, you could set up a public health insurance option that does not have the same incentives to increase profit or CEO salaries and would compete against the private insurance companies and keep them honest. That is what President Obama has proposed. Or you could regulate health insurance rates.

Now rate regulation is not a crazy idea. It's been done for years in segments of the insurance market at the state level. But if you think the private health insurance industry is fighting tooth and nail to stop a Public option - wait to see what they would do to stop rate regulation.

A public option has none of the bureaucratic complexity of rate regulation and uses competitive forces to keep rates down. It is simple and elegant.

That's why the President and his top advisors support a public option.

2). The politics of Congress and the White House. There are a couple of political givens:

• Both the White House and Democratic Leadership understand that they must pass health insurance reform. Defeat is simply not an option. Both the Carter and Clinton administrations foundered because they proposed major policy initiatives and failed to achieve them. The effect was to depress overall support for the President and Democratic Party. In 1994 it cost the Democratic Party the control of Congress when large numbers of Democratic Members (mostly moderates) lost their seats in the mid-term elections. These defeats crippled their ability go back to the political well for subsequent big initiatives.

So far this White House is batting 13 for 13 in major initiatives - but health care is by far the biggest of them all. The White House and Democratic Leadership will do whatever is necessary to win. Health care is their signature issue.

• Finance Committee Ranking Member Charles Grassley has made it increasingly clear that he will not support any "bi-partisan" measure that is not endorsed by a majority of Republicans. That means that the likelihood of a "bi-partisan" deal are about zero.

This leaves two other approaches to victory. First is a strategy that works to get all Democrats and a couple of Republicans to vote for cloture, but not necessarily for a final bill. Second is the budget process known as reconciliation under which the bill could pass with just 50 votes (plus the Vice-President). Either of these options will make possible passage of a public option in the Senate.

• There are at least 100 Democrats in the House who would have to be dragged kicking and screaming to vote for health insurance reform that does not include a public option. In fact, it is hard to see how a bill could pass the House without a public option.

3). Inclusion of a public option is necessary to assure a mobilizable base to counterbalance a highly-motivated right wing and make passage of any health insurance reform possible. The public option has become an iconic symbol for Progressives. Without it, many would lose the passion that sends them to town meetings, phone banks and demonstrations. Without a public option to fuel this passion, the forces for reform would likely be overwhelmed by the shock troops of the right wing.

When you put all of these factors together, it is very likely that later this year President Obama will sign a health insurance reform bill into law that will indeed include a strong public option - not simply because the President clearly supports it, but also because of the practical policy and political considerations that make it critically necessary to success.

--------

Robert Creamer is a long time political organizer and strategist, and author of the recent book: "Stand Up Straight: How Progressives Can Win," available onAmazon.com.

Sunday, August 16, 2009

I heard they scuttled the public option.

The Brutal Truth About America’s Healthcare

by: Guy Adams  |  Visit article original @ The Independent UK

 

Clinic at the Forum.
On the first day of the clinic, Remote Area Medical founder Stan Brock, left, announces the ground rules for participants. (Photo: Genaro Molina / Los Angeles Times)

 

They came in their thousands, queuing through the night to secure one of the coveted wristbands offering entry into a strange parallel universe where medical care is a free and basic right and not an expensive luxury. Some of these Americans had walked miles simply to have their blood pressure checked, some had slept in their cars in the hope of getting an eye-test or a mammogram, others had brought their children for immunisations that could end up saving their life.

In the week that Britain's National Health Service was held aloft by Republicans as an "evil and Orwellian" example of everything that is wrong with free healthcare, these extraordinary scenes in Inglewood, California yesterday provided a sobering reminder of exactly why President Barack Obama is trying to reform the US system.

The LA Forum, the arena that once hosted sell-out Madonna concerts, has been transformed – for eight days only – into a vast field hospital. In America, the offer of free healthcare is so rare, that news of the magical medical kingdom spread rapidly and long lines of prospective patients snaked around the venue for the chance of getting everyday treatments that many British people take for granted.

In the first two days, more than 1,500 men, women and children received free treatments worth $503,000 (£304,000). Thirty dentists pulled 471 teeth; 320 people were given standard issue spectacles; 80 had mammograms; dozens more had acupuncture, or saw kidney specialists. By the time the makeshift medical centre leaves town on Tuesday, staff expect to have dispensed $2m worth of treatments to 10,000 patients.

The gritty district of Inglewood lies just a few miles from the palm-lined streets of Beverly Hills and the bright lights of Hollywood, but is a world away. And the residents who had flocked for the free medical care, courtesy of mobile charity Remote Area Medical, bore testament to the human cost of the healthcare mess that President Obama is attempting to fix.

Christine Smith arrived at 3am in the hope of seeing a dentist for the first time since she turned 18. That was almost eight years ago. Her need is obvious and pressing: 17 of her teeth are rotten; some have large visible holes in them. She is living in constant pain and has been unable to eat solid food for several years.

"I had a gastric bypass in 2002, but it went wrong, and stomach acid began rotting my teeth. I've had several jobs since, but none with medical insurance, so I've not been able to see a dentist to get it fixed," she told The Independent. "I've not been able to chew food for as long as I can remember. I've been living on soup, and noodles, and blending meals in a food mixer. I'm in constant pain. Normally, it would cost $5,000 to fix it. So if I have to wait a week to get treated for free, I'll do it. This will change my life."

Along the hall, Liz Cruise was one of scores of people waiting for a free eye exam. She works for a major supermarket chain but can't afford the $200 a month that would be deducted from her salary for insurance. "It's a simple choice: pay my rent, or pay my healthcare. What am I supposed to do?" she asked. "I'm one of the working poor: people who do work but can't afford healthcare and are ineligible for any free healthcare or assistance. I can't remember the last time I saw a doctor."

Although the Americans spend more on medicine than any nation on earth, there are an estimated 50 million with no health insurance at all. Many of those who have jobs can't afford coverage, and even those with standard policies often find it doesn't cover commonplace procedures. California's unemployed – who rely on Medicaid – had their dental care axed last month.

Julie Shay was one of the many, waiting to slide into a dentist's chair where teeth were being drilled in full view of passers-by. For years, she has been crossing over the Mexican border to get her teeth done on the cheap in Tijuana. But recently, the US started requiring citizens returning home from Mexico to produce a passport (previously all you needed was a driver's license), and so that route is now closed. Today she has two abscesses and is in so much pain she can barely sleep. "I don't have a passport, and I can't afford one. So my husband and I slept in the car to make sure we got seen by a dentist. It sounds pathetic, but I really am that desperate."

"You'd think, with the money in this country, that we'd be able to look after people's health properly," she said. "But the truth is that the rich, and the insurance firms, just don't realise what we are going through, or simply don't care. Look around this room and tell me that America's healthcare don't need fixing."

President Obama's healthcare plans had been a central plank of his first-term programme, but his reform package has taken a battering at the hands of Republican opponents in recent weeks. As the Democrats have failed to coalesce around a single, straightforward proposal, their rivals have seized on public hesitancy over "socialised medicine" and now the chance of far-reaching reform is in doubt.

Most damaging of all has been the tide of vociferous right-wing opponents whipping up scepticism at town hall meetings that were supposed to soothe doubts. In Pennsylvania this week, Senator Arlen Specter was greeted by a crowd of 1,000 at a venue designed to accommodate only 250, and of the 30 selected speakers at the event, almost all were hostile.

The packed bleachers in the LA Forum tell a different story. The mobile clinic has been organised by the remarkable Remote Area Medical. The charity usually focuses on the rural poor, although they worked in New Orleans after Hurricane Katrina. Now they are moving into more urban venues, this week's event in Los Angeles is believed to be the largest free healthcare operation in the country.

Doctors, dentists and therapists volunteer their time, and resources to the organisation. To many US medical professionals, it offers a rare opportunity to plug into the public service ethos on which their trade was supposedly founded. "People come here who haven't seen a doctor for years. And we're able to say 'Hey, you have this, you have this, you have this'," said Dr Vincent Anthony, a kidney specialist volunteering five days of his team's time. "It's hard work, but incredibly rewarding. Healthcare needs reform, obviously. There are so many people falling through the cracks, who don't get care. That's why so many are here."

Ironically, given this week's transatlantic spat over the NHS, Remote Area Medical was founded by an Englishman: Stan Brock. The 72-year-old former public schoolboy, Taekwondo black belt, and one-time presenter of Wild Kingdom, one of America's most popular animal TV shows, left the celebrity gravy train in 1985 to, as he puts it, "make people better".

Today, Brock has no money, no income, and no bank account. He spends 365 days a year at the charity events, sleeping on a small rolled-up mat on the floor and living on a diet made up entirely of porridge and fresh fruit. In some quarters, he has been described, without too much exaggeration, as a living saint.

Though anxious not to interfere in the potent healthcare debate, Mr Brock said yesterday that he, and many other professionals, believes the NHS should provide a benchmark for the future of US healthcare.

"Back in 1944, the UK government knew there was a serious problem with lack of healthcare for 49.7 million British citizens, of which I was one, so they said 'Hey Mr Nye Bevan, you're the Minister for Health... go fix it'. And so came the NHS. Well, fast forward now 66 years, and we've got about the same number of people, about 49 million people, here in the US, who don't have access to healthcare."

"I've been very conservative in my outlook for the whole of my life. I've been described as being about 90,000 miles to the right of Attila the Hun. But I think one reaches the reality that something doesn't work... In this country something has to be done. And as a proud member of the US community but a loyal British subject to the core, I would say that if Britain could fix it in 1944, surely we could fix it here in America.

Healthcare compared

Health spending as a share of GDP

US 16%

UK 8.4%

Public spending on healthcare (% of total spending on healthcare)

US 45%

UK 82%

Health spending per head

US $7,290

UK $2,992

Practising physicians (per 1,000 people)

US 2.4

UK 2.5

Nurses (per 1,000 people)

US 10.6

UK 10.0

Acute care hospital beds (per 1,000 people)

US 2.7

UK 2.6

Life expectancy:

US 78

UK 80

Infant mortality (per 1,000 live births)

US 6.7

UK 4.8

Source: WHO/OECD Health Data 2009

Thanks always to  t r u t h o u t

12:06 Posted in Blog | Permalink | Comments (0) | Email this | Tags: health care, ram, free clinic

Monday, July 27, 2009

Teeming Masses without Healthcare

Interesting that the US media blackout on rational "public option" or "single payer" health care means that we have to get this article from the UK.     --J

 

Whistleblower Tells of America's Hidden Health Nightmare for its Sick Poor

by: Paul Harris  |  Visit article original @ The Observer

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The Remote Area Medical clinic in Wise, Virginia provided free medical care. (Photo: Getty Images)

When an insurance firm boss saw a field hospital for the poor in Virginia, he knew he had to speak out. Here, he tells Paul Harris of his fears for Obama's bid to bring about radical change.

Wendell Potter can remember exactly when he took the first steps on his journey to becoming a whistleblower and turning against one of the most powerful industries in America.

It was July 2007 and Potter, a senior executive at giant US healthcare firm Cigna, was visiting relatives in the poverty-ridden mountain districts of northeast Tennessee. He saw an advert in a local paper for a touring free medical clinic at a fairground just across the state border in Wise County, Virginia.

Potter, who had worked at Cigna for 15 years, decided to check it out. What he saw appalled him. Hundreds of desperate people, most without any medical insurance, descended on the clinic from out of the hills. People queued in long lines to have the most basic medical procedures carried out free of charge. Some had driven more than 200 miles from Georgia. Many were treated in the open air. Potter took pictures of patients lying on trolleys on rain-soaked pavements.

For Potter it was a dreadful realisation that healthcare in America had failed millions of poor, sick people and that he, and the industry he worked for, did not care about the human cost of their relentless search for profits. "It was over-powering. It was just more than I could possibly have imagined could be happening in America," he told the Observer

Potter resigned shortly afterwards. Last month he testified in Congress, becoming one of the few industry executives to admit that what its critics say is true: healthcare insurance firms push up costs, buy politicians and refuse to pay out when many patients actually get sick. In chilling words he told a Senate committee: "I worked as a senior executive at health insurance companies and I saw how they confuse their customers and dump the sick: all so they can satisfy their Wall Street investors."

Potter's claims are at the centre of the biggest political crisis of Barack Obama's young presidency. Obama, faced with 47 million Americans without health insurance, has put reforming the system at the top of his agenda. If he succeeds, he will have pushed through one of the greatest changes to domestic policy of any president. If he fails, his presidency could be broken before it is even a year old. Last week, in a sign of how high the stakes are, he addressed the nation in a live TV news conference. It is the sort of event usually reserved for a moment of deep national crisis, such as a terrorist attack. But Obama wanted to talk about healthcare. "This is about every family, every business and every taxpayer who continues to shoulder the burden of a problem that Washington has failed to solve for decades," he told the nation.

Obama's plans are now mired and the opponents of reform are winning. The Republican attack machine has cranked into gear, labelling reform as "socialist" and warning ordinary Americans that government bureaucrats, not doctors, will choose their medicines. The bill's opponents say the huge cost can only be paid by massive tax increases on ordinary Americans and that others will have their current healthcare plans taken away. Many centrist Democratic congressmen, wary of their conservative voters, are wavering. The legislation has failed to meet Obama's August deadline and is now delayed until after the summer recess. Many fear that this loss of momentum could kill it altogether.

To Potter that is no surprise. He has seen all this before. In his long years with Cigna he rose to be the company's top PR executive. He had an eagle-eye view of the industry's tactics of scuppering political efforts to get it to reform. "This is a very wealthy industry and they use PR very effectively. They manipulate public opinion and the news media and they have built up these relationships with all these politicians through campaign contributions," Potter said.

Potter was witness to the campaign against Michael Moore's healthcare documentary Sicko. The industry slammed the film as one-sided and politically motivated. Secret documents leaked from the American Health Insurance Plans, the industry's lobby group, detailed the plan to paint Moore as a fringe radical. Potter now says the film "hit the nail on the head". "The Michael Moore movie that I saw was full of truth," he admits.

Thanks, as ever, to t r u t h o u t , where you can read the rest of this article.

 

Saturday, July 25, 2009

Taking us Down the Drain

The Great Tax Con Job

by: Thom Hartmann  |  Visit article original @ OpEdNews.com

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Ruper Murdoch. (Photo: Jamie McDonald / AFP)

Republicans are using the T-word - taxes - to attack the Obama healthcare program. It's a strategy based in a lie.

A very small niche of America's uber-wealthy have pulled off what may well be the biggest con job in the history of our republic, and they did it in a startlingly brief 30 or so years. True, they spent over three billion dollars to make it happen, but the reward to them was in the hundreds of billions - and will continue to be.

As my friend and colleague Cenk Uygur of The Young Turks pointed out in a Daily Kos blog recently, billionaire Rupert Murdoch loses $50 million a year on the NY Post, billionaire Richard Mellon Scaife loses $2 to $3 million a year on the Pittsburgh Tribune-Review, billionaire Philip Anschutz loses around $5 million a year on The Weekly Standard, and billionaire Sun Myung Moon has lost $2 to $3 billion on The Washington Times.

Why are these guys willing to lose so much money funding "conservative" media? Why do they bulk-buy every right-wing book that comes out to throw it to the top of the NY Times Bestseller list and then give away the copies to "subscribers" to their websites and publications? Why do they fund to the tune of hundreds of millions of dollars a year money-hole "think tanks" like Heritage and Cato?

The answer is pretty straightforward. They do it because it buys them respectability, and gets their con job out there. Even though William Kristol's publication is a money-losing joke (with only 85,000 subscribers!), his association with the Standard was enough to get him on TV talk shows whenever he wants, and a column with The New York Times. The Washington Times catapulted Tony Blankley to stardom.

"Fellowships" and other forms of indirect sponsorship of right-wing talk show hosts have made otherwise-marginal shows and their hosts ubiquitous, and such sponsorships of groups like Norquist's anti-tax "Americans for Tax Reform" regularly get people like him front-and-center in any debate on taxation in the United States.

All so they could run a tax con on the American people, thus keeping Moon and Murdoch and Scaife and Anschutz (and others) richer than you or I could ever even imagine.

All of this money was spent - invested, really, since it's been more than saved back in low income tax rates on millionaires and billionaires - to convince Americans that up is down and black is white when it comes to income taxes. Here's how it works:

Rich Person's Tax Effect

If a person earns so much money that he doesn't or can't spend it all each year, then when his taxes go down your income after taxes goes up. This is largely because there's little to no relationship between what he "needs to live on" and what he's "earning."

Somebody living on a million dollars a year but earning five million after taxes, can sock away four million in a Swiss bank. If his taxes go up enough to drop his after-tax income to only three million a year, he's still living on a million a year, and only socks away two million in the Swiss bank. His "disposable" income goes down when his taxes go up, and vice-versa. (Technically, the word is "discretionary" income for after-tax, after-living-expenses income, but "disposable" income has become so widely used as a phrase to describe discretionary income I'll use it here.)

The Rich Person's Tax Effect is the one that virtually all Americans understand - and, oddly, most working class people think applies to them, too (this is the truly amazing part of the con job referred to earlier).

But it doesn't.

Working Person's Tax Effect - Version One

Most working people spend pretty much all of what they earn - their "disposable/discretionary" income is close to zero. Savings rates in the US among working people typically are small - one to five percent - and during the last few years of the W. Bush administration actually went negative. So the take-home pay that people have after taxes - regardless of what the taxes may be - is pretty much what they live on.

As economist David Ricardo pointed out in 1817 in the "On Wages" chapter of his book "On the Principles of Political Economy and Taxation," take home pay is also generally "what a person will work for." Employers know this: Ricardo's "Iron Law of Wages" is rooted in the notion that there is a "market" for labor, driven in part by supply and demand. So if a worker is earning, for example, a gross salary of $75,000, his 2008 federal income tax would be about $15,000 ($802.50 on
first $8,025 of income; $3,687.75 on income from $8,025 to $32,550; $10,612.50 on income from $32,550 to $75,000), leaving him a take-home pay of $60,000.

Both he and his employer know that he'll do the job he's doing for around $60,000 a year in take-home pay.

So what happens if his taxes go up, cutting his take-home pay to $55,000 a year (even though his gross is still $75,000)? Over time (typically one to three years) his wages will rise enough to compensate for the lost income.

Alan Greenspan used to be hysterical about this effect - he called it "wage inflation" - and The Wall Street Journal and other publications would often reference it, although the average working person has no idea that if his taxes go up, his wages will eventually go up. Similarly, when working-class people's taxes go down, their gross wages will, over time, go down so their inflation-adjusted take-home pay remains the same. We've seen both happen over the past eighty years, over and over again.

When I was in Denmark last year doing my radio show from the Danish Radio offices for a week and interviewing many of that nation's leading politicians, economists, energy experts, and newspaper publishers, one of my guests made a comment that dropped the scales from my own eyes.

We'd been discussing taxes on the air, what the Danes get for their average 52% tax rate (free college education, free health care, 4 weeks of vacation, being the world's "happiest" country according to research reported on CBS's "60 Minutes" TV show, etc.). I asked him why people didn't revolt at such high tax rates, and he smiled and just pointed out to me that the average Dane is very well paid with a minimum wage that equals about $18 US (depending on the exchange rate from day to day).

Off the air, he made the comment to me that was so enlightening. "You Americans are such suckers," he said, as I recall. "You think that the rules for taxes that apply to rich people also apply to working people. But they don't. When working peoples' taxes go up, their pay goes up. When their taxes go down, their pay goes down. It may take a year or two or three to all even out, but it always works this way - look at any country in Europe. And it's the opposite of how it works for rich people!"

Working Person's Tax Effect - Version Two

The other point about taxes - which Obama leveraged with his "no tax increases on people earning under $250,000 a year" pledge - has to do with the fact that our tax structure in the US is progressive.

Here's how it breaks out for a single person from the 2008 federal tax tables:

10% on income between $0 and $8,02515% on the income between $8,025 and $32,550;25% on the income between $32,550 and $78,850;28% on the income between $78,850 and $164,550;33% on the income between $164,550 and $357,700;35% on the income over $357,700.

Note that our $75,000/year worker has two full tax brackets above him, which, if they go up, will not affect him at all. (This is also true, of course, for the median-wage and average-wage American workers who earn in the low to mid-$40,000/year range.)

The top tax rate that a person pays is referred to as their "marginal tax rate" (in our worker's case 28%). So what happens if the top marginal tax rate on people making over $357,700 goes up from its current 35% to, for example, the Eisenhower-era 91%?

For over 120 million American workers who don't earn over $357,700/year, it won't mean a thing. But for the tiny handful of millionaires and billionaires who have promoted The Great Tax Con, it will bite hard. And that's why they spend millions to make average working people freak out about increases in the top tax rates.

Read the rest here

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Sunday, July 12, 2009

Telling it like it is.

Some Choice Words for "The Select Few"

by: Bill Moyers and Michael Winship, t r u t h o u t | Perspective

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The green hue of money in Washington, DC. (Photo: Getty Images)

If you want to know what really matters in Washington, don't go to Capitol Hill for one of those hearings, or pay attention to those staged White House "town meetings." They're just for show. What really happens - the serious business of Washington - happens in the shadows, out of sight, off the record. Only occasionally - and usually only because someone high up stumbles - do we get a glimpse of just how pervasive the corruption has become.

Case in point: Katharine Weymouth, the publisher of The Washington Post - one of the most powerful people in DC - invited top officials from the White House, the Cabinet and Congress to her home for an intimate, off-the-record dinner to discuss health care reform with some of her reporters and editors covering the story.

But CEOs and lobbyists from the health care industry were invited, too, provided they forked over $25,000 a head - or up to a quarter of a million if they want to sponsor a whole series of these cozy get-togethers. And what is the inducement offered? Nothing less, the invitation read, than "an exclusive opportunity to participate in the health-care reform debate among the select few who will get it done."

The invitation reminds the CEO's and lobbyists that they will be buying access to "those powerful few in business and policy making who are forwarding, legislating and reporting on the issues …

"Spirited? Yes. Confrontational? No." The invitation promises this private, intimate and off-the-record dinner is an extension "of The Washington Post brand of journalistic inquiry into the issues, a unique opportunity for stakeholders to hear and be heard."

Let that sink in. In this case, the "stakeholders" in health care reform do not include the rabble - the folks across the country who actually need quality health care but can't afford it. If any of them showed up at the kitchen door on the night of this little soiree, the bouncer would drop kick them beyond the Beltway.

No, before you can cross the threshold to reach "the select few who will actually get it done," you must first cross the palm of some outstretched hand. The Washington Post dinner was canceled after a copy of the invite was leaked to the web site Politico.com, by a health care lobbyist, of all people. The paper said it was a misunderstanding - the document was a draft that had been mailed out prematurely by its marketing department. There's noblesse oblige for you - blame it on the hired help.

In any case, it was enough to give us a glimpse into how things really work in Washington - a clear insight into why there is such a great disconnect between democracy and government today, between Washington and the rest of the country.

According to one poll after another, a majority of Americans not only want a public option in health care, they also think that growing inequality is bad for the country, that corporations have too much power over policy, that money in politics is the root of all evil, that working families and poor communities need and deserve public support if the market system fails to generate shared prosperity.

But, when the insiders in Washington have finished tearing worthy intentions apart and devouring flesh from bone, none of these reforms happen. "Oh," they say, "it's all about compromise. All in the nature of the give-and-take-negotiating of a representative democracy."

That, people, is bull - the basic nutrient of Washington's high and mighty.

It's not about compromise. It's not about what the public wants. It's about money - the golden ticket to "the select few who actually get it done."

It gets juicier and will rile you even more, hopefully to take action and call your congresspeople. So....

Read the rest by: Bill Moyers and Michael Winship, at  t r u t h o u t | Perspective.

Thank you t r u t h o u t.

Friday, July 10, 2009

This guy is on "our side"

Southern Poverty Law Center Urges Congress to Investigate Extremism in the Military

by:   |  Visit article original @ The Southern Poverty Law Center

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Ignoring their own regulations, US military recruiters enlisted Iraq veteran Forrest Fogarty in spite of his neo-Nazi, white supremest tattoos and views. (Photo: Matt Kennard)

The Southern Poverty Law Center today urged Congress to investigate growing evidence that racial extremists are infiltrating the US military in order to ensure that the armed forces are not inadvertently training future domestic terrorists.

In a letter to committee chairmen with oversight over homeland security and the armed services, the SPLC said it recently found dozens of personal profiles on a neo-Nazi website where individuals listed "military" as their occupation - the latest evidence of extremist infiltration gathered by the SPLC. It also cites FBI and Department of Homeland Security reports supporting the SPLC's concerns.

"Evidence continues to mount that current Pentagon policies are inadequate to prevent racial extremists from joining and serving in the armed forces," SPLC founder Morris Dees wrote. He added, "Because the presence of extremists in the armed forces is a serious threat to the safety of the American public, we believe Congressional action is warranted."

The letter was sent to the chairmen of the House and Senate committees on Homeland Security and Armed Services. The SPLC has raised its concerns with Pentagon officials since publishing a report in 2006, but no apparent action has been taken.

In recent months, SPLC investigators found approximately 40 personal profiles that listed "military" as an occupation on the Internet forum New Saxon, which is operated by the neo-Nazi National Socialist Movement. One individual, who claims to be serving in Afghanistan, lists as his favorite book "The Turner Diaries," which was written by neo-Nazi leader William Pierce. The book served as a blueprint for the Oklahoma City bombing by Gulf War veteran Timothy McVeigh. Another individual said he was about to be deployed overseas and was looking forward to "killing all the bloody sand niggers." Still another spoke of his hatred for undocumented immigrants.

The SPLC has been involved with this issue for more than two decades. In 1986, the SPLC presented evidence to Defense Secretary Caspar Weinberger that Marines were participating in Ku Klux Klan paramilitary activities and urged him to prohibit all military personnel from being members of, or participating in, the activities of white supremacist groups. Although Weinberger issued a directive addressing extremist activity, it ultimately proved inadequate.

The SPLC again brought the problem to the attention of Pentagon officials again in 1996, after three neo-Nazi soldiers stationed at Fort Bragg murdered a black couple in North Carolina in a ritualistic, racially motivated slaying. Pentagon regulations were strengthened following an investigation by an Army task force and hearings by the House Armed Services Committee.

But a decade later, military recruiters, under intense pressure to meet quotas for the wars in Iraq and Afghanistan, appear to have lowered recruiting standards, according to the SPLC's 2006 report. The report revealed that large numbers of neo-Nazi skinheads and other white supremacists were joining the armed forces to acquire combat training and access to weapons and explosives.

In 2008, the FBI released an unclassified report that supported the SPLC's findings. This past April, the Department of Homeland Security issued a report stating that right-wing extremists currently pose the most significant threat of domestic terrorism and expressing the concern that they may attempt to exploit the combat training and experience of returning veterans.

The SPLC letter notes that since 1994 the military has discharged more than 12,500 servicemembers simply because of their homosexuality. "It seems quite anomalous that the Pentagon would consider homosexuals more of a threat to the good order of the military than neo-Nazis and other white supremacists who reject our Constitution's most cherished principles," said Mark Potok, director of the SPLC's Intelligence Project, which monitors extremist activity.

The letter also says that "the overwhelming majority of U.S. servicemembers reject extremism and are dedicated to serving and protecting the highest ideals of our country" and notes that there will never be a fail-safe system to weed out all extremists. "But we owe it to our courageous men and women in uniform, and the American public, to remain vigilant to ensure that the ranks are as free of extremists as possible," Dees wrote.

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