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Health

Improving Productivity In The Health Care Sector

Sarah Kliff points to this article from the New England Journal of Medicine which argues that the health care sector is growing faster than any other because health care workers are less productive than laborers in most parts of the economy:

Part of the problem is the outdated health care administrative system, its scant use of information technology and fee-for-service reimbursement structure that encourages unnecessary care. As the article notes, if the health care sector is to improve its labor productivity, “we will need to redesign the care delivery model much more fundamentally to use a different quantity and mix of workers engaging in a much higher value set of activities.” The health system will have to limit “time-wasting, low-value activities; increasing our use of technology, data, evidence, and teams; increasing standardization to avoid rework; and relying on evidence-based personalized care to avert complications.”

The Affordable Care Act invests in all of these areas through payment innovations, comparative effectiveness research, and health information technologies. In fact, economists estimate that health care system modernization could help lower administrative costs and consequently reduce the annual growth in health care spending. It’s still unclear if these efficiencies will work in a sector that’s as labor-intensive as health care or if policy makers and providers will adopt the changes to ensure that we create the right kind of jobs to help improve inefficiency and reduce the nation’s health care costs.

Media

Video: Joel Klein Refuses To Say If There Is A Firewall Between Fox News And News Corp’s New K-12 Education Business

Joel Klein sitting behind James Murdoch, son of News Corp CEO Rupert Murdoch, during a Parliamentary hearing on the company's hacking scandal.

Last year, just as Republicans swept state legislatures across the country and became poised to implement an education privatization agenda, New York City school chancellor Joel Klein announced he was moving to Rupert Murdoch’s News Corporation. As the New York Times reported, his move signaled News Corp.’s aggressive bid to enter the for-profit education business. The company even purchased a digital learning company called Wireless Generation to buttress its K-12 product line.

This worried some education advocates, who are concerned that the conservative politics of News Corp. will bleed into its education services. For instance, News Corp.’s Fox News subsidiary is well known for its revisionist history, smears campaigns against scientists, and ignorance of basic math.

So, at former Florida governor Jeb Bush’s education privatization conference, held today and yesterday in the Palace Hotel in San Francisco, ThinkProgress approached Klein to ask if there are any internal firewalls between the executives at Fox News and News Corp’s education business.

TP: With News Corp’s new education business, is there any internal firewall between the executives at Fox News and executives working in the education business that are serving children? Is there any internal firewall?

KLEIN: Uh, I’ve got a meeting to go to.

TP: I mean you’ve avoided all the questions today.

KLEIN: I’ve got a meeting. [...]

TP: Mr. Klein, is there any internal firewall between the executives at Fox News and the education side of News Corp? Sir, is there any reason you’re avoiding this question?

Watch it:

At the time ThinkProgress caught up with Klein, he was casually chatting with attendees at the event.

Before ThinkProgress spoke to Klein, Klein had participated in a panel discussion about local school boards. A reporter asked Klein a question about News Corp’s expected profit margins from its forays into the education industry, but was rebuffed. The panel informed the reporter and others in the room that Klein would take questions after the event.

Alyssa

Friday Tunes

Since it’s Friday, and I’m about to spend seven hours in a car, in the rain, heading to North Carolina, I thought it’s a good time for a light-hearted music post that has nothing to do with anything.

It’s no secret these days that video games have some great soundtracks. And although some tremendous scores are coming out in the modern era, it’s not entirely a new development; some of the classics go back 20 years or longer.

Chrono Cross got its North American release in 2000, so I’m on 11 years of thinking the theme is brilliant. So brilliant that I finally got talked into playing the game (JRPGs and I have a spotty and adversarial history) and am about 90 minutes into it so far.

Chrono Cross opening theme

This summer’s hit Bastion became as immediately noted for its soundtrack as for its gameplay and art design. It’s fusion in the broadest sense, being something like cowboy-techno-hip hop-bluegrass. ”Build that Wall (Zia’s theme)” is probably the best, but for speeding up Excel wrangling at ye olde day job, “Spike in a Rail” is the winner.

Bastion OST – Spike in a Rail

In “I like men’s choirs, string bass, percussion and 6/8″ news (see also: how I fell in love with Battlestar Galactica), there’s Halo, which is terrific fun to listen to (again, good for motoring through mundane desk-work tasks or even washing dishes!) even though I don’t have an XBox and haven’t personally played any version of it since 2002.

Halo main theme (orchestrated)

And last, but not least, “Terra’s theme” from Final Fantasy VI. It makes a really fantastic wedding prelude on piano. If you happen to be a gamer nerd marrying another gamer nerd two years ago this week. Such as. (It was his idea. I just found the sheet music.)

Terra’s Theme

That’s four out of, oh, hundreds. Maybe thousands. I’m sure a few more favorites in the comments wouldn’t be amiss?  ;)

Thanks again to Alyssa for welcoming me into her space this week; I’ve had fun bringing game chats to the progressive pop culture crew over here.

Security

AIPAC Gives Koch A Pass For Flouting Iran Sanctions

Earlier this month, Bloomberg reported that Koch Industries had been flouting U.S. sanctions with Iran when the company sold millions of dollars of petrochemical equipment to the Islamic Republic over several years. But the powerful pro-Israel lobby group AIPAC — which has for years been one of the most vocal proponents of tougher sanctions on Iran — has given the conservative mega-corporation a pass for dealing with the country.

As Politico’s Ben Smith reports, in a memo AIPAC sent to members of Congress with suggested questions for Obama administration officials, the Israel lobby suggests it is uninterested in holding Koch accountable (the memo presents questions lawmakers could use, so “I” represents the congressman):

Last week, the Bloomberg Markets Magazine ran a story titled, “Koch Brothers Flout Law Getting Richer With Secret Iran Sales.” The article alleges that a foreign subsidiary of the U.S.company, Koch Industries Inc., sold petrochemical equipment to Iran. My concern today is not with the Koch Brothers. That company did the right thing in 2007 and voluntarily ended all of its subsidiary’s business in Iran. However, I am concerned that other American companies continue to use foreign subsidiaries to profit from sales to Iran, and it is completely legal. [...]

Do you know which American companies have foreign subsidiaries conducting business with Iran that would be illegal for their parent companies to do? Do you do anything to discourage this practice?

Every single chance they had to do business with Iran, or anyone else, they did,” said George Bentu, a former employee of Koch-Glitsch, a German Koch subsidiary which did much of the company’s business with Iran. The company “took elaborate steps” to sidestep the sanctions, Bloomberg reported.

But apparently to AIPAC, Koch is off the hook because they stopped trading with terror-sponsor Iran in 2007. This seems a little disingenuous, since U.S. companies have been banned from trading with Iran since 1995. One would think AIPAC would condemn any company that did business with Iran, especially after elements of the country’s government have been tied to a potential assassination plot against Israeli and Saudi officials, instead of going out of their way to defend them.

Climate Progress

Contrary To Economic Evidence, Rep. Bishop Declares Protecting National Treasures A ‘Detriment’ To Nearby Communities

By Jessica Goad, Manager of Research and Outreach, Center for American Progress Action Fund.

Representative Rob Bishop (R-UT), who is behind a recent effort to roll back 36 environmental and health laws along U.S. borders, spent part of a hearing today in the Subcommittee on National Parks, Forest and Public Lands disparaging the value of natural wonders like national monuments and wilderness. He stated:

Contrary to claims by the administration and others, the designation of national monuments and wilderness are not a boon to local economies, but rather a detriment in most scenarios.

This statement is contrary to recent research by Headwaters Economics, which studied 17 large national monuments in the West to determine their economic impact on the counties in which they were situated. In every single case, local economies adjacent or host to national monuments grew after the designations. Headwaters Economics takes care to say that “this does not demonstrate a cause-and-effect relationship,” but shows that “national monuments are consistent with economic growth in adjacent local communities”—evidence that refutes Bishop’s claim that monuments are a “detriment.”

A number of Republicans have come out in support of national monuments as valuable to their communities. For example, Scott Tipton (R-CO), recently sponsored a bill to designate a new national monument in Colorado, saying:

A national monument designation would increase awareness and interest in Chimney Rock, and create new tourism opportunities for the Four Corners area, potentially generating badly needed revenue and new jobs in a southwest Colorado region ravaged by double-digit unemployment.

The state of Utah already benefits greatly from the revenue and jobs generated around public lands by tourism and the outdoor industry. But at a recent hearing, Bishop made the statement that the federal government doesn’t “add much” to the state of Utah. A website entitled “Bishop’s Blunders” refutes that statement:

Bishop: But the bottom line is, even with the federal presence in the state of Utah you don’t add much.

Announcer: According to a 2011 report from the Department of Interior, federally-owned public lands in Utah draw in 21 million visitors every year to the state. That translates to $1.7 billion for the local economy, as well as 20,319 jobs. Bishop calls that “not much?”

Watch it (minute 0:53-1:19):

A recent report from CAP determined that the conservation economy (which includes the protection of public lands) “has enormous economic value” and creates many jobs every year. Additionally, the outdoor recreation industry is speaking about the importance of these jobs, and 28 Utah businesses sent a letter to the Utah delegation in August in order to pushback on attacks on public lands and associated jobs. They stated, “…we urge you to not give away the places where we hike, hunt, fish, and recreate and instead protect our iconic landscapes, and support the parks and recreation areas that our businesses rely on. As business people we see these proposed changes as being bad for our business and bad for tourism.”

Economy

Romney’s ‘Middle Class Tax Cut’ Would Provide No Benefits To Most Of The Middle Class

During this week’s GOP primary debate, Newt Gingrich asked Mitt Romney why he has proposed eliminating capital gains taxes for only those making less than $200,000 annually (which is a key component of Romney’s economic plan). “If I’m going to use precious dollars to reduce taxes, I want to focus on where the people are hurting the most, and that’s the middle class,” Romney said. “The people in the middle, the hard-working Americans, are the people who need a break, and that is why I focused my tax cut right there.”

Romney may think he focused his tax cut on the middle-class, but according to a ThinkProgress analysis of Tax Policy Center data*, nearly three-fourths of households that make $200,000 or less annually would get literally nothing from Romney’s tax cut, due to the simple fact that most of those households have no capital gains income

To be exact, 73.9 percent of the households upon which Romney “focused” his tax cut will see zero benefit from it. The table below shows how few households in each income bracket would be affected by Romney’s cut:

For families making between $40,000 and $50,000 annually, Romney’s tax cut comes out to a whopping $216 per year. Meanwhile, the payroll tax cut enacted by the Obama administration in 2011, which Romney derided as a “temporary little Band-Aid,” gave those same households a tax cut of $800 to $1,000.

According to the Tax Policy Center, 67 percent of the entire benefit from lower capital gains tax rates goes to millionaires. 75 percent of the benefit goes to richest 1 percent of Americans. So lowering the capital gains rate for those making less than $200,000 doesn’t do many people any good at all. In a tax plan that costs nearly $7 trillion, you’d think Romney would have found a way to focus his “focused” middle-class tax cut a bit better.

*Of the 155,943,000 households making $200,000 or below, just 40,703,051, or 26.1 percent, would see any tax cut under Romney’s plan. TPC’s data is based on “cash income,” while Romney’s tax is based on adjusted gross income, but widely speaking, the distribution is the same.

LGBT

Rep. Duncan Hunter: ‘Homosexual Lobby’ Will ‘Takeover’ The Military

Rep. Duncan Hunter Jr. (R-CA) — who orchestrated several unsuccessful legislative maneuvers to delay the repeal of Don’t Ask, Don’t Tell — told the Family Research Council’s Tony Perkins this afternoon that the “homosexual lobby” is pushing for “a military takeover by the lesbian, gay, bisexual, transgender community”:

HUNTER: We’re not especially clairvoyant, we can’t see into the future, but the homosexual lobby isn’t simply pressing to have equal status in the military with people that are heterosexual. They would like a military takeover by the lesbian, gay, bisexual, transgender community, and that’s what they’re going to keep pushing for until it happens.

Military leaders — many of whom supported the repeal of the ban against open service — have yet to witness any negative consequences from the recent change.

Hunter, however, has a long track record of leveling some very dubious charges against the LGBT community. During the floor debate surrounding repeal, he infamously proclaimed that the military “isn’t the YMCA.”

Special Topic

Occupy Boston: After Demonstrators’ Property Is Destroyed By Police, Commissioner Calls It ‘Trash’

Early Tuesday morning, Boston police arrested 141 members of Occupy Boston for their unauthorized peaceable assembly in the Rose Kennedy Greenway and then destroyed their tents, chairs, political signs, and medical supplies, disposing the personal property in waiting trucks from the Boston Department of Public Works. After the demolition of the encampment, Boston Police Commissioner Ed Davis told reporters afterward that the occupiers’ property was “trash,” adding insult to injury:

There’s trash all over the place. All the grass has been pounded down. This was from them sitting out there there all day today. It’s exactly what the people who run the Greenway were afraid of.

Watch it:

Davis made this false claim even though police were videotaped and photographed demolishing the tents, for DPW workers to put into garbage trucks. The police scanner tells the real story:

1:25 am: “We’ve confiscated quite a bit of signs and wood, we need to get rid of. If the truck comes the wrong way by the Intercontinental we can load it up.”

1:30 am: “We do have a garbage truck here trying to get the way down.”

1:33 am: “Get rid of some of this garbage.”

1:34 am: “Trash trucks are pulling up now.”

1:36 am: “The particular section of the Greenway that they wanted them cleared out has been cleared. DPW is removing tents. “

“Personally, I lost my tent, two sleeping bags, a large comforter and pillow, and a box of DVDs that were given to me for the purpose of creating an educational film series for Occupy Boston,” one arrested demonstrator wrote after being detained for 13 hours. “They took all the tents and belongings, destroyed them and put them in a trash truck and hauled them away.”

Some backpacks and other small items were sent to a Boston Police lost and seized items facility.

See below for photographs:
Read more

Health

Anti-Abortion Groups Push ‘Heartbeat’ Bills In All 50 States

Earlier this month, Rep. Michele Bachmann (R-MN) introduced The Heartbeat Informed Consent Act which would require all abortion providers to “make the heartbeat of the unborn child visible and audible to its mother as part of her informed consent.” Bachmann’s bill may be a shameless pander to evangelical voters, but abortion foes are already planning a much more ambitious campaign to propose Bachmann-style “heartbeat” bills in all 50 states:

A nationwide coalition of anti-abortion groups said Wednesday it is preparing to push legislation in all 50 states requiring that pregnant women see and hear the fetal heartbeat before having an abortion.

The effort follows the introduction of similar legislation at the federal level by Republican presidential candidate and U.S. Rep. Michele Bachmann of Minnesota. [...]

The informed-consent bill that’s being pushed in the 50 states would require abortion practitioners to make the fetal heartbeat audible and visible to pregnant women before an abortion. It’s being backed by the National Right to Life, the U.S. Conference of Catholic Bishops, Americans United for Life, Susan B. Anthony List and Family Research Council Action.

This year, Ohio considered the most radical “heartbeat bill” in the country. The bill outlaws abortions if a fetal heartbeat can be detected, which can be as early as six weeks into a pregnancy — before many women even know they’re pregnant. There is no exception in the bill for rape, incest, or mental health of the woman. The Ohio bill passed the House but stalled in the Senate and is expected to be taken up again this fall.

Ohio’s heartbeat bill is unlikely to survive a legal challenge and is so extreme that it has actually divided the anti-abortion community in Ohio, the home state of International Right to Life founder Jack Willke. Ohio Right to Life has withheld its support for the legislation, arguing that it could not withstand judicial scrutiny.

But while some of the anti-abortion groups may be divided over how radical they want their heartbeat bills to be, their ultimate mission is the same, said Kellie Copeland, executive director of NARAL Pro-Choice Ohio. “Let’s be clear, they all want to take away a woman’s ability to make personal, private decisions by outlawing abortion.”

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