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Health

INTERVIEW: Wyden Doesn’t ‘Put Too Much Stock Into’ Gingrich And Romney’s Endorsements Of His Plan

In an interview with ThinkProgress, Sen. Ron Wyden (D-OR) addressed criticism of the Medicare premium support plan he introduced yesterday with Rep. Paul Ryan (R-WI). Before tackling the policy specifics, Wyden addressed the political reaction to the plan and played down Republican support for his proposal. “I want folks all across the political spectrum…to be supportive of these kinds of principles,” he said, in response to a question about Newt Gingrich’s and Mitt Romney’s endorsements of Wyden/Ryan. “I don’t put too much stock into someone saying on the campaign trail that they’re for this, or they’re for that.” “I’m looking for people who will talk in specific terms about the fundamental issues — will they be for traditional Medicare being there for all time?,” he offered.

Under the Wyden/Ryan proposal, beginning in 2022, seniors will receive a pre-determined premium support voucher to purchase benefits through an exchange of private plans or the existing fee-for-service program. The government subsidy would be determined by the “second-least expensive approved plan or fee-for-service Medicare, whichever is least expensive” and “rise or fall along with the actual cost of the policies — creating more protection for seniors” than past premium support plans.

Some health analysts, including this blog, have raised concerns that shifting beneficiaries from Medicare into private health insurance plans would undermine Medicare’s “guaranteed equitable access to affordable health care” and, in some geographic areas, offer premium support subsidies that don’t fully cover the cost of traditional Medicare. The program would also place seniors in the untested — and at times untrustworthy — hands of private insurers, who would have an incentive to design policies that attract only the healthiest applicants. Wyden/Ryan does offer tools to help prevent cherry-picking, but the plan is somewhat vague and relies on existing risk adjustment mechanisms that may not eliminate adverse selection against traditional Medicare.

What follows is an abridged and edited version of Wyden’s response to this criticism:

MOVING AWAY FROM THE ADVANTAGES OF MEDICARE

VOLSKY: Some health analysts have asked, why would you take Medicare that’s a bulk purchaser, that can drive innovation that, with the Affordable Care Act is going to do delivery reforms that are hopefully going to be taken systemwide, why would you take take that, move more people out of it, make it smaller over time and rely on this new competitive structure that for the most part is an untested system?

WYDEN: I’m for using Medicare marketplace leverage at every possible opportunity. For example, I’ve been one of the strongest proponents of lifting restrictions so that Medicare can bargain to hold down the costs of medicine. Of course you ought to use the marketing power of Medicare. What we’re simply saying is that anyone who wants to be in traditional Medicare today, can do it, can be in traditional Medicare. I simply think it makes sense to give senior citizens the choice to do something else, particularly if you have the consumer protections I envision.

VOLSKY: But if the program becomes smaller over time, as it inevitably will, when people go into the private Medicare exchange…

WYDEN: I don’t believe that you can foreordain the decisions. I think people are going to look…

VOLSKY: Do you envision that most people are going to remain in traditional Medicare?

WYDEN: I think traditional Medicare certainly has a story to tell right now. I think traditional Medicare with [low] per-patient growth, right now, going to talk about that, that’s as it should be.

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NEWS FLASH

Customs Agrees To Defend Binational Same-Sex Couple From Deportation | Immigration and Customs Enforcement (ICE) has agreed to oppose the deportation of a spouse from a same-sex couple that has lived with the constant fear of being separated from his husband because the federal Defense of Marriage Act does not recognize their Massachusetts marriage. The couple, Michael Thomas and John Brandoli, credit Sen. John Kerry (D-MA) for speaking out on their behalf. Brandoli’s mother expressed relief that their family would no longer have to fear Thomas’ deportation, saying of ICE’s decision, “there is no greater gift that I could ask for.” ICE recently offered new policy language to guide its case-by-case review of deportation cases that is designed to help protect same-sex couples.

Security

Iraq War And Arab Spring Show U.S. Needs Better Crisis Prevention Training

Our guest blogger is Sarah Margon, associate director of sustainable security at the Center for American Progress.

With the New Year approaching, it’s a good time to take stock of the U.S. government’s response to the political upheaval throughout the Middle East and North Africa. Government officials continue to grapple with how best to balance American security interests with support for expanding democratic rights in the region. In recent important speeches, however, Hillary Clinton layed out the U.S. intention to support these transitioning countries and their citizens.

Notably absent from the conversation, though, is how the State Department and other key U.S. foreign affairs agencies can do a better job detecting –- and responding to –- crisis and conflict writ large. Such tools are essential given the increasing regularity with which political instability can emerge anywhere in the world.

As the first-ever Quadrennial Defense and Development Review noted, “With the right tools, training, and leadership, our diplomats and development experts can defuse crises before they explode.” Indeed, as political dynamics around the globe continue to shift unexpectedly, preventing and responding to expensive and destructive global crises will need to be incorporated as a cornerstone of our foreign policy — not an afterthought. If the United States wants to become a more effective international player and avoid costly engagements, our diplomats and development experts need to possess the right skill set. And let the price of the just concluded Iraq war underscore the huge price to be paid when we get our analysis wrong.

While the bulk of Americans probably assume their diplomats and development experts are the best trained, they would be shocked to learn how little training these officials actually received, especially compared to those who serve in the military. In fact, former Secretary of State Colin Powell noted that he spent 6 out of his 30 years of service in the classroom. With better and more regularized training, diplomats and development experts can help advance democracy, galvanize economic growth, and strengthen the rule of law before a conflict emerges — not after. Without it, they are left making ad-hoc and reactive decisions that end up costing a whole lot more.

The newly upgraded Bureau of Conflict and Stabilization Operations is a tremendously important first step in the State Department’s effort to “get ahead of change” -– particularly with Rick Barton as its inaugural Assistant Secretary. But if the bureau is going help ensure crisis prevention is a core consideration of policy making, it must be underpinned by a more broad-based comprehensive training initiative.

A new joint report from the Center for American Progress’ Sustainable Security Program and Humanity United — entitled “It All Starts with Training” — delineates the profound need for improved training courses and professional development opportunities at core U.S. foreign affairs agencies. As the paper makes painfully clear, the current state of conflict prevention training at both State and U.S. Agency for International Development (USAID) remains shockingly limited, ad hoc, and uncoordinated. In fact, training has little or no link to career advancement, as opposed to our military branches, and is often seen as an inconvenience rather than an asset.

Expanded and mainstreamed crisis prevention training is certainly no foreign policy panacea, but with such a high number of countries around the globe at risk of unrest and wholesale violence, it’s high time we ensure American diplomats and development experts at least have the right tools to respond. Unless the United States can get ahead of this curve and does a better job in crisis prevention and mitigation, the costs to America — and its national interests — will remain untenable.

Economy

Rick Perry’s ‘Early Retirement’ Allows Him To Boost His Income By 60 Percent

Texas’s longest-serving Governor, Rick Perry (R), is retiring at the end of his term in 2015, promising to walk away from his $150,000 annual salary. But by “officially” retiring early, the Texas Tribune reports that the 61-year-old has been taking home not only that salary, but also “lucrative pension benefits” that, altogether, ad up to a 60 percent boost in compensation:

Perry officially retired in January so he could start collecting his lucrative pension benefits early, but he still gets to collect his salary — and has in turn dramatically boosted his take-home pay.

Perry makes a $150,000 annual gross salary as Texas govenor. Now, thanks to his early retirement, Perry, 61, gets a monthly retirement annuity of $7,698 before taxes, or $6,588 net. That raises his gross annual salary to more than $240,000.

The GOP candidate who demanded sweeping changes to the “Ponzi scheme” that is Social Security and slammed public workers for their special “perks” is also eligible for Social Security and “lifetime, state-provided health care.” Perry’s windfall is “consistent with Texas state law and Employee Retirement System rules,” said Perry’s spokesman Ray Sullivan. The Texas Tribune’s Jay Root discovered this “early retirement manuever” via new ethics disclosures from the Federal Election Commission which requires candidates to detail exactly how they make their money.

Alyssa

‘Tinker, Tailor, Soldier, Spy,’ Sensitive Men, and Exiled Women

Tinker, Tailor, Soldier, Spy, one of the best overall movies of the year, has as its counterpart the best blockbuster of the summer, X-Men: First Class. Separated by roughly a decade, both have as their subject the moral ambiguities of the Cold War, whether it’s expressed in the rot at MI-6 or the persistent ravages of the Holocaust. Both movies suggest that intelligence agencies lose by marginalizing the voices and original thinking of women in their midst. And both use tenderness between men, whether it’s explicitly sexual or not, to illustrate the costs of secret-keeping and the price of betrayal.

For the unfamiliar, John le Carre’s novel and the screen adaptations of it follow George Smiley (Gary Oldman), a dedicated spy and analyst, after his boss and mentor, Control, is disgraced and both leave the agency. In a fiendishly complicated series of events, Smiley returns to root out a mole who has penetrated MI-6—known as the Circus—and to claim Control’s chair from the people who have wrested it from him.

The men Control, and then Smiley, suspect of being the mole are played by a set of British actors so incomparable that the makers of ensemble dreck like New Year’s Eve would weep with shame if they had any upon seeing the roster. Colin Firth is the polished, charming Bill Haydon (who happens to be sleeping with Smiley’s faithless wife); Toby Jones is Percy Alleline, an ambitious climber Bill refers to at one point as “a poisonous dwarf”; David Dencik is Toby Esterhase, a refugee from the Iron Curtain; Ciaran Hands is tough Roy Bland. The team Smiley puts together to assist him includes damaged agent-runner Peter Guillam (Benedict Cumberbatch); violent and emotional scalp-hunter Ricki Tarr (Tom Hardy); and intermittently disgraced Jerry Westerby (Stephen Graham) and Connie Sachs (Kathy Burke).

Even without the dispiriting quest for the mole, spycraft is, in this world, a rather grim enterprise. “All my boys. All my lovely boys,” reminisces Connie when George comes to visit her at the university where she’s nested after her expulsion from the Circus. “That was a good time.” “That was the war, Connie,” George reminds her. But even though there’s something sick about preferring a hot war to a cold one, Connie’s yearning for clarity makes a certain kind of sense. She’s tougher—and nuttier—than Rose Byrne’s oft-blown off secret agent in X-Men: First Class. “I don’t know about you, George,” she says when her guest arrives, “but I feel seriously under-fucked.” When Percy shuts down her investigation into Poliakof, the Russian cultural attache who is running the mole, it’s done less with the misunderstanding of First Class and with a more active malice. “You’re losing your sense of proportion,” he tells her. “Perhaps it’s time you moved into the real world.” It’s an expulsion from paradise with Percy as little tin God. Connie’s mourning a time when not only were the enemy and the tactics well-defined but when she was valuable and respected. (In a nice touch, we catch a glimpse of graffiti that reads “The Future Is Female” on a dingy London wall in the film’s climactic sequence.)
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NEWS FLASH

GOP’s Attempt To Pollute Middle Class Bill With Tar Sands Spurs Progressive Outrage | Galvanized by the Republican decision to hold a middle class tax cut package hostage for the Keystone XL tar sands pipeline, Americans have jammed the switchboards in Washington in protest. Credo Action’s Becky Bond reports to ThinkProgress Green that over 7,500 of their members have made over 11,000 calls since 9 am today to Democratic Senators to stand strong against Big Oil pollution. Meanwhile, Tar Sands Action is flooding the White House with calls for Obama to keep his veto pledge. The Keystone XL poison pill — which threatens the heartland’s land and water, the world’s climate, and will kill American jobs — is being debated now on the Senate floor.

NEWS FLASH

Elizabeth Warren Suggests Opposition To Obama Administration’s Plan B Decision | Speaking at a private Washington Women for Choice fundraiser last Friday, consumer advocate and Massachusetts Senate candidate Elizabeth Warren intimated to attendees that she “disagreed” with the Obama administration’s rejection of the FDA’s decision to make the morning-after pill Plan B available to women of any age. Currently, Plan B is only available over the counter to women age 17 or older. One attendee told the Huffington Post’s Amanda Terkel that Warren “was not happy with it” and “was very clearly supportive of making Plan B available.” Another attendee described Warren as “shattered” by the administration’s decision, adding “She made it very clear that this was not in line with our values, and it was ignoring the science. She thought that this was horrifying.” But another attendee did say she did give “a clear impression of where she stood” and said “she couldn’t give a context for even offering an explanation and that she had been traveling at the time it came down.”

Education

Vilified Teacher’s Union Launches Campaign To Turn Around Failing West Virginia School System

The American Federation of Teachers, the nation’s second-largest teachers union, is leading a unique campaign to turn around a failing West Virginia school district by tackling the underlying issues that hold students back — poverty foremost among them.

Eight out of every ten children who go to school in McDowell County are poor. Because of the coal industry’s collapse, most live with parents who are unemployed, or are being raised by grandparents while their parents are in prison. Their educational experience is just as bleak when they spend their days in a 1924 school building with a crumbling roof, unheated gym, and no air conditioning.

With so many obstacles to contend with, it’s no surprise that the county reports abysmal test scores and a dropout rate more than three times the national average. Gayle Manchin, the wife of Sen. Joe Manchin (D) was so appalled by the situation that she reached out to AFT president Randi Weingarten for help:

The AFT, which typically represents teachers in urban settings, wants to improve education deep in the heart of Appalachia by simultaneously tackling the social and economic troubles of McDowell County.

The union has gathered about 40 partners, including Blue Cross Blue Shield, Cisco Systems, IBM, Save the Children, foundations, utility companies, housing specialists, community colleges, and state and federal governments, which have committed to a five-year plan to try to lift McDowell out of its depths.[...]

[I]t is likely to include improvements that directly affect schools, such as expanded broadband so that digital learning can become a regular component of classroom instruction, better teacher training and a fine-tuned instructional program.

Investments would also be geared to help families outside the classroom, such as better access to health care, drug prevention and treatment programs, better transportation, and more recreation.

Better transportation and opportunities for recreation will be especially welcome, as the Washington Post notes that currently “there are no after-school activities, because if the children miss the school bus, they have no way to reach their modest houses and trailers, which are tucked into mountain crevices.”

The “wraparound services” at the heart of the initiative have been successful in turning around failing schools in other places, but in McDowell they’ll have to be created from scratch. AFT’s approach highlights a longstanding debate between labor leaders and some reformers, who say unions use poverty as an excuse to justify teachers’ inadequate performance.

Teachers unions have been vilified in recent years as a major obstacle to education reform. Critics accuse them of protecting teachers at the expense of students and their needs. To that Weingarten responds, “I’ve gotten so angry in the last couple of years when people who are new to our field decide that they alone, just by exhorting, will help ensure that geography does not become destiny for some kids.”

LGBT

Free Speech Suit Takes Aim At Anti-Bullying Policies

On October 20, 2010, Howell High School teacher Jay McDowell asked a student to leave his classroom for expressing his religious view that he does not accept homosexuality or condone homosexual acts. Now, the student’s mother, Sandra Glowacki, is suing the teacher and district for violating her son’s constitutional rights. But the lawsuit brought by the Thomas More Law Center on her behalf suggests more of a crusade against all anti-bullying policies, calling them “indoctrination” that is “hostile toward religious opposition to homosexuality.”

The incident took place on Spirit Day, a day on which teachers and students wear purple to remember those who committed suicide after experiencing relentless bullying. The lawsuit calls Spirit Day “a day in which activists exploit the tragic suicidal deaths of homosexual teenagers to promote acceptance of homosexuality in the public schools,” and then admonishes the school for allowing the teacher to participate by wearing a shirt remembering Tyler Clementi and showing a film about anti-gay bullying:

The purpose of the “anti-bullying” day, the “Tyler’s Army” t-shirts, and the movie was to indoctrinate students into believing that homosexuality is normal and to shift the blame for the destructive lifestyle of homosexuals to those who believe it is wrong and immoral. In particular, the purpose is to make those who oppose homosexuality on moral and religious grounds to feel guilty for holding those beliefs and to portray those beliefs as intolerant, harmful, hateful, and destructive. In sum, the purpose of the “anti-bullying” campaign, which is sponsored, promoted, and endorsed by the NEA, the MEA, the HEA, GLAAD, and the School District, is to shift the blame, guilt, and shame felt by homosexuals onto those who oppose homosexuality on moral and religious grounds.

The suit does nothing to sugarcoat the anti-gay Catholic beliefs Glowacki instilled in her children, calling homosexual acts “acts of grave depravity,” “intrinsically disordered,” and “contrary to the natural law,” and “under no circumstances can they be approved.” In fact, while simultaneously claiming that the student was defamed by being called “anti-gay” and that the actions against him would “chill a person of ordinary firmness,” it goes on to suggest that any policy that tries to limit anti-gay speech or favor pro-gay speech is a violation of the Fourteenth Amendment’s Equal Protection Clause.

Ultimately, this suit seems to have little to do with the student’s rights. Rather, Thomas More Law Center is using this opportunity to demand that it be perfectly okay to condemn, ostracize, bully, and harass students for their sexual orientation, the consequences be damned. (HT: Towleroad.)

Justice

NBA Official Allegedly Fired For Reporting Sexual Harassment Against Female Employees

A long-serving NBA official with a sterling record says he was fired from the organization in July for sticking up for women who were being sexually harassed:

A former N.B.A. security official says that he repeatedly warned his superiors that women in the office were being sexually harassed or discriminated against, but that his concerns were ignored and that he was ultimately fired for his actions on the women’s behalf. He is suing the league for lost wages and damages.

Warren Glover, 50, was fired as a security director in July, after 10 years with the N.B.A., despite a glowing performance record for most of his tenure, according to a lawsuit filed Thursday morning in New York State Supreme Court. In the suit, Glover accuses senior N.B.A. security officials of creating a “hostile work environment” in which he was “demeaned,” “treated differently from other employees” and denied promotions because of his willingness to speak out.

Glover says he witnessed several disturbing incidents, including a senior security official making sexual advances toward a female colleague, then demeaning her publicly when she rejected him. One secretary quit when her boss forced her to photocopy lude materials for a presentation to NBA players.

But Glover says it was his cooperation with a sexual harassment lawsuit against Bernard Tolbert, who was then the league’s senior vice president for security, that ultimately led to his ouster. The woman reportedly received a large settlement, and Tolbert told him, “It’s all your fault. You testified for your girl.”

Tolbert and Gregory Robinson, the senior director of security, also failed to act when Glover relayed sexual harassment complaints by two women against the same official. According to the suit, Tolbert even “delivered a thinly veiled threat” that Glover would be fired if he told the women that their peers had experienced the same treatment. Glover expressed his concern to Joel Litvin, the NBA’s president for league operations, but they fell on deaf ears.

This is not the first time the NBA has been under fire for enabling a culture of rampant sexual misconduct. In 2007, Anucha Browne Sanders, a former Knicks executive, received a $11.5 million settlement in her suit against Madison Square Garden and coach Isaiah Thomas. She said she was fired from her job for pursuing a sexual harassment case against Thomas.

Glover’s attorny, Randy McLaughlin commented, “I think there’s a culture of misogyny in this association…and it’s tolerated and condoned at the higher levels. Because there’s nothing being done.”

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