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Medicaid patients encounter difficulties getting appointments

Disturbing information continues to build concerning the growing difficulty of individuals covered under the affordable care act as well as those under Medicaid in finding physicians who will treat them.

According to Healthline News, “many of the newly insured will have trouble finding a doctor. Those who do may have difficulty getting quick appointments. Many have gained or will gain coverage under the expansion of Medicaid. …A big problem, even for those who do live in Medicaid expansion states, is that there are not enough primary care physicians to treat people on the government insurance plan. This was a problem even before the expansion.” Healthline News reports that those not able to obtain primary care frequently end up in emergency rooms.

Part of the reason is that, this year, primary care doctors are receiving lesser reimbursement.

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To address the problem, which can greatly increase costs to states and local governments, which in many cases are responsible for the emergency room expenses incurred at public hospitals, “Fifteen states indicated that they will continue the primary care fee increase in 2015, at least in part” according to a Kaiser Family Foundation study.

Adding to the difficulties faced by Obamacare enrollees, a CNN Money study  finds that “Deductibles, co-payments, and drug payments are higher under the average Obamacare silver-level plans — the most popular — than employer policies.”

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Time for a candid look at the climate change theory

The time has come for a candid re-examination of an almost sacrosanct article of faith: the acceptance of significant global climate change resulting from human causes.

Originally, advocates of the theory suggested that the planet was cooling.  That concept didn’t work out, and the same advocates proposed that the population, particularly in industrialized nations, was causing global warming.  That, too, hasn’t withstood the rigors of scientific analysis, particularly since the alleged warming trend appears to have halted for decades, if indeed it ever existed, and so the rather nebulous concept of “climate change” was proposed, and is now widely taught in schools, accepted by most of the media, and used as a factor in fostering large-scale government intervention in the private sector.

A number of explicit facts have challenged the notion that manmade activities are having a significant impact on the Earth’s temperature, starting with the fact that the Earth has continuously experienced climate change, even before humans made their relatively recent appearance.

The data employed to foster the manmade change theory has been shown to be seriously flawed. When “change” advocates generally cite records only a few hundred years old, they ignore extremely relevant information. From the 10th to the 14th centuries, the planet’s temperature was warmer  than that of our time. This period was followed by an era now known as “the Little Ice Age.”  Changes continued, not tied to human activity, and continue still.
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As climate change advocates pursued significant alterations in the U.S. economy, some scientists began to notice an interesting phenomenon. The planet Mars appears to be experiencing climate changes similar to Earth. Clearly, human activity could not be a factor there.

As serious as the ignored data has been the intentional falsifying of key science studies. The most well-known case, popularly known as “Climategate,” came to the public’s attention when leaked emails from the University of East Anglia revealed that results of studies were tailored to ignore actual results in favor of propping up the beliefs of global warming theory advocates. It has now been revealed that the U.S. National Oceanographic and Atmospheric Administration and NASA have fabricated computer modeling of the atmosphere, perhaps in response to political pressure, also to better serve the wishes of climate change advocates.

The Earth’s environment does require attention, and actual harmful activities should be addressed. But the use of ignored facts and falsified data to support incorrect theories can only cause harm. The cynical employment of counterfeit science to pursue political ends is unacceptable.

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Moscow’s military buildup is offensive, not defensive

The most worrisome aspect of Moscow’s intense military buildup is the offensive nature of the weapons and tactics emphasized. The advanced nuclear weapons technology upgrades, including both strategic and tactical weapons being implemented are complemented by advanced conventional weaponry additions.

2014 marked the first time that Russia attained strategic nuclear superiority over the U.S., as well as a ten to one lead in tactical atomic weapons.

As reported by the pro-Moscow news source Sputnik International,  the Sevmash shipyard is constructing four next-generation nuclear submarines, the first time in history this many have been constructed at once. The question, of course, is why the economically challenged Putin regime is concentrating so much of its resources on building an offensive-oriented military at a time when there are no threats to Russia.  Indeed, at a time when the U.S. defense budget has been cut, when the U.S. Army is being reduced to its lowest level since before World War II, the Navy its lowest level since World War I, and the USAF at its lowest level ever, there remains no credible excuse other than offensive operations for the ongoing, vast Russian buildup.

According to Sputnik, “This year, Sevmash is constructing Yasen-M- and Borei-A-class nuclear-powered submarines, the Kazan and the Prince Vladimir, as well as the multipurpose nuclear submarine Novosibirsk and the nuclear submarine Prince Oleg.” In 2014, the same shipyard constructed and transferred two Yasen- and Borei-class nuclear-powered submarines, the Severodvinsk and the Vladimir Monomakh.”

The same source also reports that the “Russian Air Force and Naval Aviation units are to receive Over 200 New Aircraft in 2015.  Also planned for future delivery is an updated long-range military transport plane…The IL-76MD-90A [long range cargo plane] was developed to transport a range of military equipment, armed personnel, heavy and long size vehicles and cargoes.” This is precisely the type of aircraft necessary for operations far from the Russian homeland.
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With no threat on its borders, particularly in light of Europe’s underfunded military and the withdrawal of American tanks from Europe in 2014, and the significant U.S. sequestration cuts, there is no defensive reason for the Kremlin’s costly and far-ranging military buildup.

The global reach of Putin’s military stretches far beyond Ukraine, which despite a recent agreement remains the source of ongoing fighting. It extends beyond Europe, which Moscow has threatened with Iskander nuclear missiles (there are no US or European equivalent weapons) and overflights by military aircraft. The United Kingdom’s RAF has had to deter Russian nuclear-capable Bear bombers away from its coast, a continuation of Moscow’s ongoing threatening military flights towards European airspace. Citing the imminent danger of the Kremlin’s military towards the Baltic states, UK defense minister Michael Fallon sounded a cautionary note of the “clear and present danger” against these NATO members.

Russia is aggressively moving to establish a military presence in Latin America. In February, Russian defense minister Sergei Shoigu penned military deals with Cuba, Niaragua and Venezuela.  The deals allow Russian naval vessels to dock in the Latin America, establishes joint military drills, and furthers  cooperation between the armed forces of the several nations.  The deal enhances relations already emplaced by weapons sales.

It is apparently not fashionable for the American press to report much on these matters, and the Obama Administration has demonstrated no significant level of concern.

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Washington heading for fiscal chaos

A look at recent statistics from the U.S. Treasury Department  are truly worrisome.

The federal government ran a budget deficit of $195 billion for the first four months of fiscal year 2015, the Congressional Budget Office (CBO) estimates—$12 billion more than the shortfall recorded in the same span last year. Revenues and outlays were both 8 percent higher than they were at this time a year ago. If lawmakers enact no further legislation affecting spending or revenues, the federal government will end fiscal year 2015 with a deficit of $468 billion, or 2.6 percent of gross domestic product (GDP). The deficit occurred even as receipts through January totaled $1,041 billion, CBO estimates—$79 billion more than the amount collected in the same period last year.  In January alone, the government had a deficit of approximately $17.5 billion, a dramatic increase from last year’s figure of $10.3 billion.

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The difficult political fact that Washington seems incapable of facing is that the federal government is far too deeply involved in matters better left to the states.  Until it re-orients itself to those functions that are constitutionally envisioned for it, the federal government will continue to plunge faster and more unavoidably towards fiscal chaos.

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U.S. increasingly vulnerable in space

Adm. Cecil D. Haney is Commander of the U.S. Strategic Command, or “Stratcom.”

Stratcom’s mission includes ensuring space-based assets are available to support military operations and that these high-demand resources are used efficiently and effectively to promote mission accomplishment.

Admiral Haney has noted that Space is vital not just for defense. “When you look at where we as a nation have gone in space and our dependency on it – not just militarily, but as a society at large – you realize how important it is and why we work that particular area,” he said. “There is just so much going on in space today that it clearly warrants our attention in how to operate efficiently and effectively and have that awareness we need [that enables people] to do everything from banking to understanding weather patterns.”

He is clearly concerned about recent trends. Speaking at an Air Force Association breakfast, he noted that The playing field in space is changing, and not always to the advantage of nations that are peaceful and have democratic governments, “Today, our nation is dealing with a global security environment that is more complex, dynamic and volatile than at any time in our history.” The security environment features multiple actors operating across all domains. Many actors challenge U.S. democratic values in many ways, the admiral said.
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“In addition to significant tensions involving nation states,” Haney told the audience, “we are in an environment that is flanked with numerous ungoverned or ineffectively governed areas that are breeding grounds for bad actors and violent extremist organizations.” These groups, he added, also use space and cyberspace to recruit and spread propaganda — including misinformation — in support of their causes.

“Perhaps of greater concern, however, is the proliferation of these emerging strategic capabilities attempting to limit our decision and maneuver space that ultimately impacts strategic stability,” Haney said.

The admiral focused on the emerging capabilities and what it means for the United States. Space is getting cluttered, he said, noting that it is more “congested, contested and competitive.” That alone makes U.S. capabilities increasingly vulnerable, he said.

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U.S. manufacturing hurt by political miscalculations

U.S. manufacturing is in a state of crisis, and it may be a self-imposed dilemma for America. The January 2015 report from the Federal Reserve notes that there are fewer jobs in that industry than at the start of the Obama presidency, when there was 12,561,000 manufacturing jobs in the nation.  By January of 2015, that number had been reduced to 12,330,000.

The crisis has its antecedents long before President Obama took office, during the tenure of President Clinton.

In October 0f 2000, Clinton signed legislation granting permanent normal trade relations to China. The measure had been bitterly opposed by conservatives, human rights groups, and unions. The move was consistent with his controversial policy of enhancing relations with Beijing, which included selling them  supercomputers and nuclear technology,  The moves are now seen as playing a significant role in building China’s sophisticated and aggressive military.

The change in U.S. trade policy eliminated potential tariff increases on Chinese imports. In addressing the issue, the Federal Reserve notes: “Our estimates reveal a negative and statistically significant relationship between the change in U.S. policy and subsequent growth in manufacturing…We find that U.S. imports of the goods most affected by the policy change increase substantially after 2001, and that this growth is driven by imports from China.”

Richard mcCormick, writing in the American Prospect back in 2009  noted that For American manufacturers, “the bad years didn’t begin with the banking crisis of 2008… Since 2001, the country has lost 42,400 factories, including 36 percent of factories that employ more than 1,000 workers (which declined from 1,479 to 947), and 38 percent of factories that employ between 500 and 999 employees (from 3,198 to 1,972). An additional 90,000 manufacturing companies are now at risk of going out of business. Long before the banking collapse of 2008, such important U.S. industries as machine tools, consumer electronics, auto parts, appliances, furniture, telecommunications equipment, and many others that had once dominated the global marketplace suffered their own economic collapse. Manufacturing employment dropped to 11.7 million in October 2009, a loss of 5.5 million or 32 percent of all manufacturing jobs since October 2000. The last time fewer than 12 million people worked in the manufacturing sector was in 1941. In October 2009, more people were officially unemployed (15.7 million) than were working in manufacturing.”
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Manufacturing has a singularly vital role in the U.S. economy. Senator Christopher Coons (D-Delaware)  notes that “Workers in manufacturing jobs earn 22 percent more in annual pay and benefits than the average worker in other industries, according to the National Association of Manufacturers. Every new manufacturing job we create adds another 1.6 jobs to the local service economy, and for every dollar in manufacturing sales, another $1.34 is added to the economy. Investments in manufacturing have a stronger impact than investments in any other economic sector.”

The Economic Policy Institute recently reported that “Manufacturing industries generated $2.1 trillion in GDP (12.5 percent of total U.S. gross domestic product) in 2013. But even these figures do not fully capture manufacturing’s role in the economy. Manufacturing provides a significant source of demand for goods and services in other sectors of the economy, and these sales to other industries are not captured in measures of manufacturing sector GDP but are counted in the broader measure of its gross output. U.S. manufacturing had gross output of $5.9 trillion in 2013, more than one-third (35.4 percent) of U.S. GDP in 2013. Manufacturing is by far the most important sector of the U.S. economy in terms of total output and employment. The manufacturing sector supported approximately 17.1 million indirect jobs in the United States, in addition to the 12.0 million persons directly employed in manufacturing, for a total of 29.1 million jobs directly and indirectly supported, more than one-fifth (21.3 percent) of total U.S. employment in 2013.

“The manufacturing sector is also a particularly important provider of jobs with good wages for workers without a college degree. This can be seen in the manufacturing wage premium—the dollar amount by which the average manufacturing worker wage exceeds the wage of an otherwise comparable worker outside the manufacturing sector. The average wage premium for all U.S. manufacturing workers without a college degree was $1.78 per hour (or 10.9 percent) in 2012–2013.”

The ongoing weakness in the U.S. economy and job market, combined with Beijing’s continuing and dramatic military buildup, should encourage a timely and thorough re-examination of American trade relations with that nation.

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Lessons from Washington & Lincoln

Today is called President’s Day, but it is really a commemoration of two extraordinary men who were fundamental in the formation of America.  Their sterling example should be followed by all presidents.

Washington was so popular that he could have been king instead of president. But he understood that the Revolution was about a principle, not just creating a new nationality. Becoming president was not about adding the greatest capstone to an illustrious career; it was about public service, and service not to a faction or political party but to the nation.

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In the midst of the tumultuous task of forming a new nation, President Washington did not seek to override the other two branches of government.  He adhered to the Constitution. Despite the desperation of Civil War, Lincoln respected the principles of limited government.

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The Munich Conference, again.

Leaders of European democracies meet with the head of an aggressive power in the desperate hope of avoiding conflict, and agree to an accord that violates the sovereignty of a weak democratic state. Even with that humiliating concession, no one realistically expects that aggressive power to cease its hostile acts.   

Is that opening sentence describing the meeting of England’s Chamberlain, France’s Daladier, Italy’s Mussolini and Germany’s Hitler in 1938, or the 2015 meeting of Russia’s Putin, France’s Hollande, Germany’s Merkel, and Ukraine’s Poroshenko?

The description fits both the Munich conference in 1938 that granted the Nazis dominance of central Europe, and the recent conference which forces Ukraine’s central government to surrender a great deal of authority to Moscow-backed and encouraged rebels.

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Hitler violated arms accords, as does Putin.  Both, despite a clear absence of threats, built up their armed forces to unprecedented levels despite having to drain resources from domestic needs. In both cases, “peace at any price” advocates in democracies scoff at the obvious evidence of the danger lurking ahead.

Will the world repeat the mistakes of the past?

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Public financing of campaigns will increase corruption

Repeated cases of corruption in elected officials frequently inspire calls by other elected officials and their supporters for the public funding of campaigns. But will the concept actually work?

The answer, essentially, is no. Non-establishment candidates who run for office without the assistance of party bosses have to comply with a hornet’s nest of regulations and paperwork, and not filling it out to the satisfaction of the major party bureaucrats who generally staff campaign finance offices can result in heavy-duty fines or the rejection of matching funds. The process is a gift to the professional politicians and party bosses who have the time and money to truly master this procedure, and the connections to insure they get the funds on a timely basis.

Research recently published by the State Policy Network (SPN) indicates that “legislators from both parties still agree on at least one issue:  preserving their incumbency is paramount. In their zeal to ensure re-election, lawmakers across the country are considering proposed campaign finance laws that can sweep 501(c)(3) groups into burdensome donor disclosure regimes. While new candidates and challengers campaign to win the war of ideas and the election, those in power increasingly seek to use their lawmaking powers to protect their perch by passing onerous campaign finance laws.

According to the Institute for Justice, The only statistical study to examine the effect of state public funding laws on perceptions of government found that public funding has, in some cases, a small negative effect.

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 Research perfomed by Matt Nese and published by The State Policy Network reveals “…taxpayer-funded campaigns have been willfully exploited and manipulated by candidates seeking to abuse public funds for personal gain. Contrary to the claims of advocates, CCP’s research in Arizona and Maine has shown that taxpayer-funded elections do not reduce lobbyist influence, do not produce more occupationally diverse legislatures, do not increase the percentage of women in legislatures, and do not reduce government spending. Additional research by CCP has demonstrated that taxpayer-financed campaign systems do not increase voter turnout either, contrary to proponents’ frequent claims. In addition, CCP studied the voting patterns of legislators who served in the Connecticut General Assembly in the 2007-08 and 2009-10 legislative sessions, and accepted taxpayer dollars for their re-election campaigns through the Citizens’ Election Program (CEP). Analysis of legislator voting records revealed that the CEP failed to change the frequency with which participating legislators voted in favor of the positions of organized interest groups.

A CATO study conducted in the 1990’s prophetically stated “Almost all current reform proposals, at the state and federal levels alike, would similarly aid incumbents. Resources will never by truly equal, given the many advantages inherent to incumbents. Yet limiting electoral activism by individuals and groups would make it even more difficult for challengers to beat the odds. Political careerism is already a greater danger than is influence-peddling. “Reform” would make the system more rather than less corrupt. Ultimately, the only true campaign reform is to shrink government…In the meantime, Congress and the states should deregulate elections. Allow any contribution of any amount, so long as it’s fully disclosed. Then voters, after judging candidates’ fund-raising practices as well as policy positions, could make the final decision.”

The bad idea of regulating campaigns will keep rearing its ugly head nationwide until the voters realize that it’s just another scheme by professional politicians to keep their jobs, whether they deserve to or not.

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Dueling Conferences on Terrorism

Following President Obama’s startling State of the Union comment that the “shadow of the crisis of terrorism has passed,” followed weeks later by his equally odd comments comparing medieval crusades with modern day Islamic extremism, it has become clear that there is growing concern over the Administration’s competence and vision concerning keeping the nation safe.

It is not surprising, then, that the announcement of a White House summit on countering violent extremism would be met with considerable skepticism. The Center for Security Policy (CSP) has called the planned event “…an exercise in disinformation, deflection and deceit, both about the reality of Islamic supremacism and the effectiveness of the steps the United States and its allies are taking to contend with it.”

 

On the same day that the White House will hold its session, CSP will conduct its own event  hosting “leaders and other influential figures from around the world will come together to address in a realistic way the emerging – and potentially existential – threat facing our nation and its friends overseas, and to resolve how best to counter it… Unlike the closed-door official function, however, ours will be live-streamed.”
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According to CSP, The alternative summit’s roundtable will focus on three topics:

  1. “The nature of the enemy we face – the Global Jihad Movement and its animating ideology of shariah, i.e., notsomething euphemistically and misleadingly called “violent extremism”;
  2. the actual degree to which the present policy for addressing this threat has been successful or a failure – a realistic appraisal devoid of the cheerleading, wishful thinking, misdirection and worse that colors Ms. Rice’s every utterance (predictably, to include those served up at Brookings tomorrow) and that will be the leitmotif of the CVE Summit, with its official/Muslim Brotherhood and fellow-traveling participants;
  3. An alternative approach that is fact-based, non-submissive to jihadist threats and influence operations and, ideally based on a strategy proven to be successful in countering totalitarian ideologies bent on our destruction – i.e., the Secure Freedom Strategy modeled on the one President Reagan launched 32 years ago last month that sought, and achieved, the liquidation of Soviet communism and its ‘Evil Empire.”