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NEWS FLASH

BREAKING: Judge Issues Injunction Over Contraception Mandate |
A federal judge Friday night sided with a Christian publishing company in a lawsuit against the requirement included in Obamacare to provide co-pay free contraception to employees. US District Court Judge Reggie B. Walton issued a temporary stay on the rule. The company, Tyndale House Publishers, sued to be exempt from providing any contraception it equated with abortion, including Plan B and intrauterine devices (neither is actually an abortifacient). While this has become a pet issue of the religious right, in actuality, religious institutions are exempt from contributing to contraception cost. Instead, insurance companies must provide birth control free of charge to employees of such institutions — a requirement that a majority of Americans support.

Health

STUDY: Medicaid Beneficiaries Are Just As Happy With Their Coverage As Americans With Private Insurance

A new study from the Government Accountability Office (GAO) finds that since 2008, state efforts to reform Medicaid and make the low-income safety net program more efficient — likely spurred by provisions in the Children’s Health Insurance Program Reauthorization Act (CHIPRA) and Obamacare — have resulted in lower application processing times and high beneficiary coverage satisfaction comparable to private health insurance.

The study also found that the main hurdle to ensuring beneficiary satisfaction was the shortage of caregivers who accept Medicaid patients, mainly due to low payment rates for the doctors who take on Medicaid patients. As the GAO summarizes:

States reported making numerous changes to provider payments, provider taxes, and beneficiary services since 2008. While more states reported provider-rate and supplemental payment increases each year from 2008 through 2011, the number reporting payment reductions and increased provider taxes also grew. More states reported increasing services than limiting them.

Over two-thirds of states reported challenges to ensuring enough Medicaid providers to serve beneficiaries — including dental and specialty care providers. States cited Medicaid payment rates and a general shortage of providers as adding to the challenge. To attract new providers, over half the states reported simplifying administrative requirements or increasing payment rates.

In calendar years 2008 and 2009, less than 4 percent of beneficiaries who had Medicaid coverage for a full year reported difficulty obtaining medical care, which was similar to individuals with full-year private insurance; however, more Medicaid beneficiaries reported difficulty obtaining dental care than those with private insurance.

CHIPRA and Obamacare both expand the Medicaid program by vastly increasing the program’s funding, encouraging more aggressive enrollment efforts in the states, and rewarding states that successfully expand their coverage pool by insuring the poorest Americans.

The fact that Medicaid beneficiaries are self-reporting satisfaction with their coverage at the same rates as private insurance subscribers suggests that the program is working well — at least in states where it is well-funded. Safety net programs tend to enjoy high levels of satisfaction in general, with Medicare beating out private insurance with a 92 percent approval rating. Medicaid could be on the road to that same level of success if it’s adequately funded. But that would likely happen only if Republican governors decide to accept the federal government’s extremely generous funding to implement Obamacare’s Medicaid expansion.

Health

House Speaker Praises Ohio For ‘Resisting Federal Takeover Of Healthcare’

Health and Human Services (HHS) Secretary Kathleen Sebelius has given recalcitrant Republican governors extra time to decide whether or not to implement Obamacare in their states, extending the deadline for submitting their plans for health insurance exchanges until December 14. But some lawmakers are already prepared to announce their intentions. This week, Republicans governors in Maine, Wisconsin, and Ohio officially turned down the opportunity to design their own state-wide health exchanges.

And The Hill reports that House Speaker John Boehner (R-OH) is pleased with his home state’s decision to avoid setting up a health exchange, releasing a statement that praises Gov. John Kasich (R) for “resisting the federal takeover” of Ohio’s health care system:

BOEHNER: I’m proud of my governor, John Kasich, for taking a stand and resisting the federal takeover of healthcare in Ohio. By declining to implement a government-run ‘exchange’ and preserving Ohio’s ability to regulate health insurance on its own, Gov. Kasich is protecting Ohio families and small businesses from some of the steep costs and red tape created by ObamaCare.

In fact, states that choose not to set up a health exchange simply cede their control to the federal government, which will then step in and set up one for them. As The Hill points out, Kasich’s decision not to pursue his own exchange ensures that “the federal government will now have total control over all the functions of Ohio’s exchange, such as the number of plans that can participate and whether to impose requirements above and beyond those spelled out in the law.”

And regardless of the role the federal government will play in implementing state-wide exchanges, Obamacare is not a strain on families and small businesses. In reality, the health reform law represents a massive tax cut for the middle class. Studies have confirmed that Obamacare’s implementation is not causing business owners to drop their employees’ coverage, and the law may actually help reduce costs for small businesses.

Justice

A Guide To National Election Reform

President Obama's election night victory speechIn his victory speech on election night, President Obama noted the lines that voters faced and observed “we have to fix that.” With some people forced to wait up to seven hours just to vote, legislators and advocates are exploring an array of possible changes aimed at improving the way elections are run. And as several states reduced early voting availability, adopted strict voter photo ID laws, made registration more difficult, long lines were hardly the only form of voter suppression at play in this year’s elections.

A new Penn Schoen Berland poll of 2012 voters, conducted for the John D. and Catherine T. MacArthur Foundation, finds broad support for election reforms. 50 percent of voters say they strongly support establishing national standards such as standardizing the hours polls are open, who is eligible to vote, and the design of ballots. Another 38 percent of voters said they were somewhat supportive. Just 12 percent said they were not very supportive or not at all supportive of such a proposal.

At least three bills have been proposed so far on this topic:

1. The Voter Empowerment Act of 2012. Offered by Rep. John Lewis (D-GA) in the House and Sen. Kirsten Gillibrand in the Senate, this bill would make an array of changes to the election system. Among the reforms would be national rules allowing online voter registration and same-day voter registration, automatically restoring the right to vote for felons after they serve their sentences, prohibiting elections supervisors from participating in political campaigns, and setting national standards for voting machines. The proposal, introduced earlier this year, has 140 House co-sponsors and four Senate co-sponsors — none are Republicans.

2. The Louis L. Redding Fair, Accurate, Secure and Timely (FAST) Voting Act of 2012. Offered by Sen. Chris Coons (D-DE) this week, the bill would reward states that make voting faster and more accessible with federal challenge grants. The grants would be available to states offering same-day registration, ample early voting, and no-excuse absentee voting. Rep. Gerry Connolly (D-VA) has introduced a House version. Sen. Mark Warner (D-VA), Sen. Sheldon Whitehouse (D-RI), and Rep. Jim Langevin (D-RI) have signed on as co-sponsors. This approach would be a carrot to encourage reforms, but would still leave the decision to the states.

3. The Streamlining and Improving Methods at Polling Locations and Early (SIMPLE) Voting Act. Offered by Rep. George Miller (D-CA) this week, would require all states to provide at least 15 days of early voting for federal elections and to ensure each voting precinct has sufficient poll workers and machines to prevent lines from ever exceeding one hour.

In addition to these bills, law professor and prominent election law blogger Rick Hasen has proposed a blue-ribbon commission on long election lines and advocates a neutral federal elections board. “Nationalize our elections,” he says, “and impose professional nonpartisan administrators. A neutral election board with its allegiance to the integrity of the voting process rather than to a political party should take on the basic tasks of voting.” Tom Perez , the Assistant Attorney General for the Civil Rights Division, is also exploring “national standards for counting provisional ballots for federal elections, to ensure that voters are not disenfranchised by moves close to an election, by appearing at the wrong polling place, or by simple poll workers’ errors.”

In Florida, where lines were among the longest, Gov. Rick Scott (R) and Democratic legislators are also considering state reforms.

Economy

Democratic Senator Introduces Bill To Lift Social Security’s Tax Cap, Extend Its Solvency For Decades

Democratic Senator Mark Begich of AlaskaSocial Security, the government entitlement that provides support to seniors in retirement, the disabled, and other Americans, has long been in the cross-hairs of budget reformers. The program’s trust fund currently won’t be spent out until 2033, and after that it would still pay 75 percent of scheduled benefits.

Most of the proposed solutions to the shortfall involve cutting back benefits and raising the minimum retirement age. Both are deeply problematic; at its current level of benefits Social Security kept over 20 million people out of poverty in 2011, many Americans in demanding manual labor jobs already take early retirement and thus reduced benefits as it is, and lower-income Americans have not particularly benefited from the average rise in lifespans .

This week, however, Sen. Mark Begich (D-AK) put forward a reform package that goes in the opposite direction, while still financially securing the program’s trust fund for roughly the next seven decades. The Washington Post’s Dylan Matthews laid out the details:

The Begich bill would lift the current payroll tax cap, which exempts wages in excess of a certain amount ($110,100 this year) from the tax. In turn, it would give high earners, who would pay more, additional benefits upon retirement, just as benefits increase as wages do for workers below the cap. […]

It also increases benefits across-the-board. While Bowles-Simpson and Domenici-Rivlin adopt a stingier “chained CPI” measure for inflation, Begich adopts “CPI-E,” or a measure that specifically captures inflation in goods that seniors buy.

Due to deteriorated health and other considerations, goods seniors buy tend to be more expensive than those younger people purchase. Begich’s CPI-E change would mean, effectively, a 4.5 percent benefit increase for the program’s beneficiaries, including not just seniors but their designated survivors and disabled Americans as well.

The Congressional Research Service ran the numbers back in 2010 and concluded that eliminating the payroll tax cap — while also paying out the new benefits to wealthier Americans in accordance with their new taxes — would eliminate 95 percent of the trust fund’s shortfall over the next 75 years.

Begich may not hit that goal exactly, depending on how the legislation is written. In particular, his change to CPI-E also lifts the overall benefit level, on top of the changes in CRS’ scenario. But his reform would probably come very close.

Alyssa

‘Skyfall’ And The Resurrection Of James Bond

This post, obviously, discusses plot points from Skyfall.

I. The Bulldog

Skyfall is supremely British movie. M writes Bond’s obituary with a bottle of whiskey and a china bulldog painted to look like the Union Jack as company at her desk. After the bombing of MI6 headquarters, Bond grouses “The whole office goes up in smoke and that bloody thing survives?” “Your interior decorating tips are always appreciated,” M tells him tartly. When MI6 relocates, it’s to Winston Churchill’s old bunker: “Quite fascinating, if it wasn’t for the rats,” M’s aide Tanner (Rory Kinnear) says. During a free-associative exercise as part of his field assessment, Bond’s asked to respond to the world “Country.” His immediate response, of course, is “England.” When he and M return to Skyfall, the family estate Bond hasn’t visited since he left for school, they’re met by a fabulous old-school retainer, Kincade. “Some men are coming to kill us. We’re going to kill them first,” Bond informs him. “Then we’d better get ready,” Kincade replies stoutly. When the first henchman meets Kincade’s shotgun, he dispatches the man with a hearty “Welcome to Scotland.” Even the language of daily conversation feels more staunchly English than usual, whether it’s Bond telling M “Just changing carriages,” as the back half of a train is violently torn away behind him, or M sourly suggesting, on Bond’s return from a long absence that “I suppose they ran out of drink where you were.”

That vigorous emphasis on cultural signifiers of British national character makes sense. Skyfall is a film that’s explicitly concerned with the blowback to British imperialism, and implicitly structured to bridge the gap between the UK’s two great contributions to spy culture: the bureaucratic knife-fight and the secret agent with the Walther PPK.

“England. The Empire. MI6. You’re living in a ruin,” Skyfall’s antagonist, Silva (Javier Bardem) tells Bond when he finally arrives on-screen. Much more so than a traditional Bond film villain, Silva is a photo-negative of Bond, a man whose faith in MI6 has been shattered, who abandoned British soil to live on a Japanese island that looks like a dreamscape in Inception, complete with a tumbled Ozymandian statue, who wears white and cream to Bond’s black, who fights his battles with server farms instead of his fists, and whose sexual ominvorousness extends even beyond Bond’s own. It’s possible he’s meant as an allusion to Julian Assange, who recently caused the UK some measure of annoyance, in both physical presentation and weapon of choice. But Skyfall makes the interesting choice to give Silva grievances against his government more legitimate than any Assange suffered personally. When M ran him as an agent in Hong Kong during the transition of control from the British to China, she handed him over to the Chinese government after he was discovered doing offensive hacking outside his brief. “I got six agents in return, and a peaceful transition,” M explains to Bond without sentiment. Silva was tortured, and when he tried to take his cyanide capsule, it failed to kill him. “Life clung to me like a disease,” Silva tells her, revealing the destruction of his dental plate, the ruined face he conceals with prosthetics. “Do you know what hydrogen cyanide does to you? Look upon your work.” Hong Kong isn’t the only element of British foreign policy history that Skyfall alludes to: as Silva stalks M through London, the movie brings up the dreadful specter of that city’s subway bombings. Who needs doomsday devices when you have reality?

The chase ends, where it has to, in a Parliamentary hearing room at Westminster. John Le Carre, the creator of some of the greatest heroes of bureaucratic British spydom, has explained that he dislikes James Bond because “It seems to me he’s more some kind of international gangster with, as it is said, a license to kill… he’s a man entirely out of the political context.” Much of the best of British spy fiction has responded to Bond in the same way, from George Smiley’s disinfection of the Circus, to the men and women working inside the Grid in Spooks. And among the other work of the Daniel Craig era in the Bond franchise has been the reconciliation of that “international gangster” with British politics and bureaucracy. In Casino Royale, M is disgusted at being called in to testify as to Bond’s conduct after he shoots up an embassy in Africa, both because she has to deal with the oversight, and because Bond’s given Parliament reason to demand it:

Who the hell do they think they are? I report to the Prime Minister and even he’s smart enough not to ask me what we do. Have you ever seen such a bunch of self-righteous, ass-covering prigs? They don’t care what we do; they care what we get photographed doing. And how the hell could Bond be so stupid? I give him double-O status and he celebrates by shooting up an embassy. Is the man deranged? And where the hell is he? In the old days if an agent did something that embarrassing he’d have a good sense to defect. Christ, I miss the Cold War.

In Skyfall, she’s back at it again, this time on even more serious grounds. After Bond fails to stop Patrice, a terrorist who managed to steal the encrypted identities of NATO agents embedded in terrorist organizations, M finds herself called to heel by Mallory (Ralph Feinnes), a former soldier-turned bureaucrat. “Are we to call this civilian oversight?” M asks him. “We call it retirement planning,” he tells her. “I’m here to oversee the transition period leading to your voluntary retirement in two months’ time.” After those agents are unmasked and begin to be killed, M is called before an inquiry to explain herself, an act that both makes Bond and his colleagues answerable to a political context and gives M an opportunity to explain why the kind of political context Le Carre called for is less clear-cut in a post-Cold War era. “Our enemies are no longer known to us,” she tells the minister. “They don’t exist on a map. our world is not more transparent, now. It’s more opaque. That’s where we have to fight. In the shadows.” As Silva makes his murderous way towards her, she quotes Alfred, Lord Tennyson’s “Ulysses”:

Tho’ much is taken, much abides; and though
We are not now that strength which in old days
Moved earth and heaven; that which we are, we are;
One equal temper of heroic hearts,
Made weak by time and fate, but strong in will
To strive, to seek, to find, and not to yield.
Read more

Election

Arizona Gun Store Refuses To Sell Guns To Anyone Who Voted For Obama

The owner of the Southwest Shooting Authority in Pinetop, Arizona is testing out a new business strategy: banning anyone who voted for President Obama from the store.

Owner Cope Reynolds took out an ad in the local newspaper announcing his new policy, writing “If you voted for Barack Obama, your business is not welcome at Southwest Shooting Authority.” A similar sign is posted on the front door of the shop as well.

Reynolds prefaced his ad campaign with a letter posted to firearm news website AmmoLand:

Effective immediately, if you voted for Obama, your money is no good here. You have proven beyond a doubt that you are not responsible enough to own a firearm. We have just put a sign up on the front door to save you the trouble of walking all the way in here….

Gun advocates have been notoriously critical of the Obama administration for its perceived slights of the second amendment, this despite overseeing the expansion of gun rights during Obama’s first four years in the White House.

Reynolds’ feelings about a second Obama administration were hardly a secret before his ad appeared, taking to Facebook to lend his support for the fringe secessionist movement that has sprung up in reaction to Obama’s reelection as well as the notion that President Obama is coming for conservatives’ guns.

[h/t TPM]

NEWS FLASH

British Driver Refuses To Operate Bus With Pro-Gay Ad | A British bus driver refused to drive a bus that featured a PSA from the LGBT group Stonewall that read, “Some people are gay. Get over it!” According to another driver, “the poster wasn’t acceptable to this Christian.” As a result, passengers who were awaiting the driver transfer were delayed for 20 minutes until a new replacement driver arrived. One passenger found the incident “disgusting,” asking, “Does he seriously think he has never had a gay person on his bus?”

Health

Pennsylvania City Enacts A Buffer Zone Around Abortion Clinics To Protect Patients And Staff

The city council in Harrisburg, Pennsylvania, voted unanimously this week to create a buffer zone around the entrances and driveways to reproductive health clinics and medical facilities, stopping protesters from being closer than 20 feet to offices. Planned Parenthood had asked for the measure to prevent anti-abortion protesters from harassing patients and staff at its local clinic.

After Planned Parenthood began offering medication-induced abortions almost a year ago, police have responded to incidents between protesters, patients, and staff members. Kim Custer, president and CEO of Planned Parenthood’s Northeast, Mid-Penn & Bucks County locations said that being able to separate the demonstrators from the patients trying to get into the clinic and staff members will Kim Custer, president and CEO of Planned Parenthood’s Northeast, Mid-Penn & Bucks County locations“>help to stop the fights:

Our employees, our patients or anyone else visiting our patients at that time shouldn’t have to be followed, harassed, yelled at or feel that their safety is at risk,” Custer said. “We’re thrilled that it was a unanimous vote.” [...]

Planned Parenthood offers an array of services and too many people assume that women visiting the clinic are going there for abortions, Councilwoman Susan Brown-Wilson said.

Everyone has the right to enter a health care facility without being interrogated, Brown-Wilson said.

“Women have a right to choose for themselves. And people really don’t know what [women] are going there for. They assume that everyone is going there for abortions and that’s not true,” she said. “Planned Parenthood isn’t just about abortion, it’s also about health care and providing other medical services.”

While the council’s vote was unanimous, one anti-abortion protester questioned why the measure was needed. Suzanne Doller claimed that existing trespassing laws would protect patients and staff without stopping her ability to protest against abortion procedures. “Babies are being killed there. [Protesters] are citizens, and we should be allowed to walk on public sidewalks like anybody else does,” she told the local newspaper. One councilwoman said they were not trying to limit freedom of speech, but simply trying to ensure that women had access to medical care. “We’re just here to assure that those persons seeking medical care can get there without being detained or harassed,” said councilwoman Sandra Reid.

And the Harrisburg clinic has a reason to fear additional violence between protesters and people trying to get into the reproductive health clinic. In Oregon, an altercation between a woman and an anti-abortion protester at a Planned Parenthood clinic that does not even perform abortions led to a stabbing. And harassment from anti-abortion protesters forced one anti-abortion clinic in New York to stop providing services.

Officials in New York City are also pushing back against clinic harassment. The city has started a program to recruit and train clinic escorts who will assist women in passing the anti-abortion protesters and so-called sidewalk counselors outside of health care offices.

Security

New Report Shows Iran Expanding Enrichment At Underground Nuclear Facility

A new report released on Friday by the International Atomic Energy Agency declares that while Iran’s nuclear program has moved forward, the motion is incremental in nature. The report comes as speculation continues to grow about whether the U.S. and Iran will engage in direct talks.

While the number of centrifuges installed at the Fordow nuclear site, buried into the side of a mountain, has increased, the number that are operational has stayed the same. Likewise, the amount of uranium that has been enriched to a 20 percent level has actually decreased since the August 2012 report. This is due to a large amount of material being converted, or slated for conversion, to be used in reactor fuel plates. While not impossible to transform this material back into uranium for further enrichment, it greatly complicates the process.

In terms of the nature of Iran’s program, the full report notes that since August there has no new ability of the IAEA to completely verify Iran’s work due to there being “no agreement on a structured approach to resolving outstanding issues related to possible military dimensions to Iran’s nuclear programme and no agreement by Iran to the Agency’s request for access to the Parchin site.”

Iran experts, like Jamal Abdi, the policy director at the National Iranian American Council, say the report offers “no surprises” and that it’s clear that Iran is continuing “to modestly increase its bargaining position but hasn’t made any dramatic escalatory moves like installing advanced machines or enriching above medium grade.” Abdi told ThinkProgress that the “same number of centrifuges are spinning at Fordow, and Iran’s medium enriched uranium quantities are still well below the amount required for a weapon.” Others, like Mark Fitzpatrick, the director of the International Institute for Strategic Studies’ Non-Proliferation and Disarmament Program, come to a similar conclusion. Fitzpatrick tweeted that the report “shows Iran continues to make incremental advances, but almost as if calibrating progress so as not to spark a crisis.” He also tweeted that the report shows that Iran “has 10% more enriched uranium and 10% more centrifuges than 3 months ago. The rial dropped 40%, so this time sanctions are winning.”

To some, like Cliff Kupchan, an Iran analyst at the Eurasia Group, the report indicates that, “Iran has crafted its nuclear posture to gain leverage at likely upcoming talks.” Kupchan said to ThinkProgress that “Iran could quickly increase production of dangerous medium enriched uranium -– but has for now chosen not to.” He added that “in effect, Iran has pointed a loaded diplomatic gun at the West, hoping that it will see the most attractive offer possible from the U.S. and its partners.”

The Obama administration has enforced sanctions against Iran with the goal of inducing a diplomatic solution. Thus far, sanctions have had an impact: Iran has lost $48 billion in oil reserves because of them. What’s more, last month the Congressional Research Service reported that, “many judge that Iran might soon decide it needs a nuclear compromise to produce an easing of sanctions.” Indeed, influential Iranian officials have recently said that diplomacy with the U.S. is not “taboo.” Officials from the U.S. and Israel believe Iran has not yet decided on whether to build a nuclear weapon.

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