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Department Of Veterans Affairs Making Progress On Serving LGBT Veterans

Our guest blogger is Andrew Cray, a research associate for LGBT Progress at the Center for American Progress

We recently celebrated the one-year anniversary of the repeal of Don’t Ask, Don’t Tell (DADT), marking the end of the discriminatory policy that prohibited gay men and women from serving openly in the military. While the Pentagon has made progress in inclusion for gay active duty service members, major steps have been made elsewhere in ensuring the well-being of gay and transgender people who have served in the military. The Department of Veterans Affairs has been hard at work to ensure that gay and transgender veterans have access to the health care and coverage they have earned.

The VA has been removing barriers to health care access for gay and transgender veterans through inclusive hospital visitation policies, a policy directive to ensure respectful treatment of transgender patients, and a nondiscrimination policy prohibiting unfair treatment on the basis of sexual orientation. These protections reflect the VA’s commitment to inclusivity, and ensuring that all veterans receive the benefits and health care they have earned – regardless of their sexual orientation or gender identity.

The VA is also taking steps to make sure patients see the implementation of these policies in their local VA health care facilities. The Veterans Health Administration has been providing clinical competency training to physicians to ensure that transgender veterans receive high quality, comprehensive health care. This is particularly important given the lack of attention to transgender health issues in medical schools and the widespread discrimination and abuse that transgender patients face in health care settings. To ensure that respect and equality are reflected in programs Department-wide, the VA is also developing broad trainings on gay and transgender cultural competency, as well as an inclusive language guide for VA staff and medical providers. The Department is taking the additional step of calling on its health facilities to hold themselves accountable for implementing these programs by encouraging participation in the Human Rights Campaign’s Healthcare Equality Index.

While there is still work to be done to ensure that gay and transgender veterans receive equal access to the benefits and privileges they have earned, the Department of Veterans Affairs has responded to the community’s call for fair treatment. This emphasis on serving all veterans with respect and dignity should continue to guide the VA’s policies to care for all who have served their country.

Health

Romney Uses Choice Language To Further Muddle His Position On Women’s Health

Throughout the past week, Mitt Romney has attempted to obfuscate his record on women’s health issues. Last Tuesday, he said he isn’t familiar with any anti-abortion legislation in his proposed agenda, despite being on the record as supporting at least three pieces of anti-abortion legislation — a statement which the Romney campaign worked quickly to backtrack, saying that Romney’s new abortion position is “completely consistent” with his record. In fact, Romney’s record on abortion has been everywhere on the map.

And a Virginia mailer from the Romney campaign may serve to further confuse voters about where Romney stands on abortion issues, as it proclaims that a Romney presidency will protect health care “choice”:

As CNN reports, the message across the front of the mailer “looks like something Planned Parenthood might send out to potential supporters.” But according the Romney campaign, the “choice” in question is not about whether women should have autonomy over their own reproductive decisions. Instead, as the mailer explains, it is a reference to the choice that Americans have between President Obama’s landmark health care reform law and Romney’s proposed health care policies. Romney has pledged to repeal Obamacare on his first day in office, and he lays out the contrast between the two candidates on the back of the brochure: “This is a time of choice for the American people. If we’re going to get rid of Obamacare, we’re going to have to replace President Obama. My mission is to make sure we do exactly that.”

However, co-opting the “choice” language within the context of health issues does not serve to illustrate a clear contrast between the two presidential candidates. Instead, it relies on framing that is typically used by advocates for women’s health, further confusing where exactly Romney stands on issues like women’s access to abortion and contraception. Throughout his time as an elected official, Romney has shifted from a pro-choice lawmaker in Massachusetts to a stringently anti-choice member of the GOP party, whose platform endorses a total ban on abortions, depending on the political climate. But even if Romney is attempting to be vague about the details of his anti-choice credentials to convince some female voters that a Romney presidency wouldn’t threaten their reproductive freedom, he has pledged to be — as he clarified last week — a “pro-life president” who will take “pro-life measures.”

Alyssa

Candy Crowley And The Presidential Debates’ Gender Trouble

Tomorrow night’s presidential debate has been positioned as a critical one for President Obama after his passive showing in his first outing and Vice President Biden’s fiery attempt to regain momentum. But it’s also a debate that highlights two important issues: the essential invisibility of women’s issues (as well as other social issues like gay rights and immigration reform) in this year’s presidential debates, and the expectation of deference, rather than vigorous questioning, from presidential debate moderators. The person with the hardest task tomorrow probably isn’t President Obama: it’s moderator and CNN anchor Candy Crowley.

As a woman, a journalist, and a debate viewer, I’m at least glad to hear that Crowley views her role as to push forward the debate and to challenge the responses the candidates give the audience, or, as she she said of her plan for the debate: “Once the table is kind of set by the town-hall questioner, there is then time for me to say, ‘Hey, wait a second, what about X, Y, Z?’” At Time, Mark Halperin has a long piece up about how both the Obama and Romney campaigns have reacted to that statement of intent, which is to say, unenthusiastically. But Crowley apparently was never asked to abide by the memorandum of understanding that the campaigns agreed upon before the debates started, which govern other issues like banning pledges and naming people in the audience other than their own families. And it’s telling that the campaigns expect her to be on board even without asking her to agree.

It’s already frustrating that the lone female moderator for the presidential debates was assigned to the town hall-format debate, a setting where the Gallup Organization picks the audience, who in turn get to submit questions. Crowley can cut questions and order them, and there is room for her to ask follow-up questions, though she is obviously constrained by the subjects the attendees prioritize. Through both the first presidential debate and the lone vice-presidential debate, there’s been a single question asked about issues that particularly concern women, Martha Raddatz’s query about how Vice President Biden and Congressman Ryan’s religious beliefs affected their personal views of abortion. There are a lot of questions that could be posed about the candidate’s national approaches to abortion policy alone, not to mention the inquiries that moderators, male and female alike, could make into the many creeping restrictions on women’s reproductive health and autonomy on the state level.It’s frustrating that women should have to be responsible for raising questions about issues like contraception or pay equity, which of course affect men as well. But given that it seems that if women and the men who care about these issues care about these issues want to see them discussed, women have to ask them ourselves, it’s difficult to see Crowley assigned the debate with this format and its limitations.
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Climate Progress

Island Wildlife Decline, Linked To Ocean Acidification, ‘Could Prove A Bellwether For Oceanic Change Globally’

The NY Times published a sobering piece recently about Tatoosh Island off the coast of Washington state. Tatoosh is a global “warming bellwether”:

But for over four decades, with the blessing of Makah leaders, Tatoosh has been the object of intense biological scrutiny, and scientists say they are seeing disturbing declines across species — changes that could prove a bellwether for oceanic change globally.

The Makah hold treaty rights to the island.

Among the declines the researchers are noticing: historically hardy populations of gulls and murres are only half what they were 10 years ago, and only a few chicks hatched this spring. Mussel shells are notably thinner, and recently the mussels seem to be detaching from rocks more easily and with greater frequency.

Goose barnacles are also suffering, and so are the hard, splotchy, wine-colored coralline algae, which appear like graffiti along rocky shorelines.

Media MattersThis particular whodunit appears to be largely solved: Humans in the Ecosystem with CO2. Global warming is “capable of wrecking the marine ecosystem and depriving future generations of the harvest of the seas” (see Ocean dead zones to expand, “remain for thousands of years”).

In this case, it’s ocean acidification, a subject we have covered extensively — see, for instance, Geological Society study finds acidifying oceans on track for marine biological meltdown “by end of century,” as co-author warns: “Unless we curb carbon emissions we risk mass extinctions, degrading coastal waters and encouraging outbreaks of toxic jellyfish and algae.”

The major media haven’t been so focused on this major threat to humanity (see ”Kardashians Get 40 Times More News Coverage Than Ocean Acidification“).

So it’s good to see the Times run with this story and explain the climate change angle so clearly:

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Justice

Police Awake Homeless Man With Beating At Brooklyn Jewish Youth Center

Two Brooklyn police officers were captured on video Monday beating up a young homeless man at a Jewish youth center, just minutes after waking him from sleep.

The incident began when a volunteer security guard found the man, identified as Ehud Halevi, asleep and apparently intoxicated.

Though the New York Daily News later confirmed that the man had been given permission to sleep, police tried to arrest Halevi. When he fought back a bit, the beating began:

According to CrownHeights.info, police are charging Halevi with trespassing, resisting arrest, harassment, and assaulting a police officer.

NEWS FLASH

Pennsylvania Legislator Introduces Ex-Gay Therapy Ban For Minors | In the wake of California’s new law banning licensed therapists from offering harmful “ex-gay” therapy to minors, a Pennsylvania legislator has introduced a similar bill in the Keystone State. State Rep. Babette Josephs (D-Philadelphia), in announcing the bill, correctly noted that “homosexuality is not a disorder, so attempts to ‘convert’ the sexual orientation of anyone, particularly a minor, threatens the individual’s short- and long-term health and well-being.” A state assemblyman in New Jersey announced a similar effort in his state last month.

Health

Medicaid Expansion Could Save Michigan Almost $1 Billion

The Lansing State Journal flagged a new report from a Michigan-based health policy group that found accepting Obamacare’s expansion of the Medicaid program could save the state $983 million in the first decade of operation. In particular, the additional federal dollars to fund mental health services for low-income residents and medical care for inmates will help offset the costs of expanding the program to additional low-income beneficiaries:

“We think it’s a very good deal for the state,” said Marianne Udow-Phillips, the center’s director and former head of the state Department of Human Services under then-Gov. Jennifer Granholm. “We hope this informs the dialogue, so lawmakers can make a better decision.” [...]

Udow-Phillips said the bottom line is that hundreds of thousands of Michigan residents will continue to receive insufficient health care if Medicaid is not expanded. In 2010, there were 1.1 million in Michigan without health coverage, and a Medicaid expansion would reduce that number to 290,000 by 2020, according to the report.

If all the states participate in Obamacare’s Medicaid expansion, it is projected to provide health care coverage for 17 million low-income Americans who are currently uninsured. However, nearly 4 million of those uninsured Americans live in states whose governors have already explicitly refused the expansion. Michigan itself has not yet decided whether to participate.

It’s worth mentioning that the savings states will see in the first decade will be greater than savings in future decades. That’s because the federal government covers all the costs of the Medicaid expansion for the first two years, then winds down to 95 percent in 2017, 94 percent in 2018, 93 percent in 2019, and finally 90 percent in 2020. In future decades, states will cover 10 percent for the full ten years. But even then, if the new report’s math is extended to future decades, Michigan would save over $300 million. The Urban Institute estimated last year that the total savings for all state budgets would be between $92 and $129 billion in the first five years if they all participate in the expansion.

Back in July, the state of Arkansas also determined the Medicaid expansion would benefit its budget over the first decade, to the tune of about $350 million. That was right in line with the Urban Institute’s state-specific estimate for Arkansas. And Texas also recently downgraded its extremely pessimistic prediction of $27 billion in state costs from the expansion to a much less pessimistic $16 billion.

NEWS FLASH

Pennsylvania GOP Candidate: ‘We Have To Be A Christian Army’ | GOP candidate Diana Irey Vaughan spoke to ACTION, a conservative Christian activist group, in Lancaster County this weekend, to explain why she is running for state treasurer of Pennsylvania. Though she claimed she was reluctant to run for office, she “took it as a sign from God” when she collected the required 1,000 signatures to get on the ballot. Vaughan declared, “We have to be a Christian army. We have to fight to return to a Christian nation.” Vaughan is running against Democratic incumbent Robert McCord after five terms as the only woman to ever serve as Washington County Commissioner. Rep. Daryl Metcalfe (R-PA), author of Pennsylvania’s now defunct voter ID law, was also expected to speak but postponed his talk until ACTION’s January meeting, after the November election.

Climate Progress

Community Choice Aggregation: Giving Consumers Access To Clean Energy

by Whitney Allen

With an overwhelming majority of Americans in favor of seeing more energy from wind and solar, individuals and communities are often frustrated by a lack of renewable energy options from their available power company choices.

To allow their constituents greater purchasing power, several states have implemented Community Choice Aggregation (CCA) models of buying electricity. This model allows communities to pick from several utility companies in a competitive market to ensure that the energy goals of the customers are met, be they lower rates, local job creation, or increased supply from renewable sources.

What separates CCA agreements from the municipal utility model is that CCA’s generally take over the existing utility’s role as provider, while still relying on the previous infrastructure and maintenance of the existing investor owned utility (IOU), keeping costs down and relieving the burden that municipal agreements place on the communities. The agreements typically come in the form of either “opt-in” agreements, where individual energy consumers decide whether or not to participate in an alternative energy program, or “opt-out” agreements where citizens are enrolled in the program collectively as soon as legislation is passed, but are given several opportunities to choose not to participate.

CCA agreements can offer customers access to energy generated from renewable sources by unifying voices and giving them the collective power to ensure their goals are achieved. Of the six states that currently have CCA’s, four of them have green power initiatives, most with the option of receiving 100% power from renewable sources. The CCA’s allowed these communities to establish the priority of receiving clean, sustainable energy and work around the obstacles of existing IOU’s.

CCA’s also give energy consumers the ability to customize their plans to maximize the benefit to the community at large. Several programs, such as that in the town of Oak Park, IL, have managed to achieve the goal of electricity from 100% renewable sources while still providing a savings of 2 cents/kWh less than with the existing utility.

Officials from Oak Park said that, “when bids were received from half a dozen state-certified energy providers, the difference between a mix of traditional power generation sources and all-green alternatives was so small […] going with the renewable option was an easy choice.” Participants in the Oak Park CCA program are expected to save $4.5 million on their electricity bills over the next two years.

CCA’s also allow communities to prioritize energy from local renewables projects and assist in the development of new projects. For example, those served by Massachusetts’ Cape & Vineyard Electricity Cooperative have set the goal of no fewer than 20 local wind turbines contributing to their supply over the next 5-10 years, along with contracts for the development of 18.2MW of local solar projects.  As the Institute for Local Self-Reliance states, CCA’s “[place] authority in the hands of those who will feel the impact of their decisions, making investment in renewable electricity much more likely.”

Legislation allowing the Community Choice Aggregation model has been passed in six states: California, Illinois, New Jersey, Massachusetts, Ohio, and Rhode Island. Because of the success of the programs in these states, talk of similar legislation has also begun in Utah, New York, and Colorado. Naysayers struck down CCA provisions in Pennsylvania on the grounds that “opt-out” rules did not provide customers with enough information and that decisions would be made without their consent, despite repeated assurances that “customers receive multiple notifications of opportunities to remain with their existing service and that the offering of CCA service must be approved by a public vote.”

The next big step for community choice could come from Chicago. The Windy City will be voting in November on whether or not to provide an “opt-out” community choice alternative to the current electricity provider, ComEd. Program advocates Chicago Clean Power Coalition say that customers could create a plan that invests in renewable energy, create local jobs, and save money for the more than 1.1 million potential customers eligible for the switch. The move could be a great one for a city with numerous green initiatives and could further Mayor Emanuel’s desire for Chicago to be the “greenest city in the world.”

Community choice aggregation is still a limited option. But it’s getting more interest from localities — and it has the potential to significantly expand access to clean energy among a broad swath of Americans.

NEWS FLASH

One Billion Women Will Enter The Global Workforce In The Next Decade | According to a new report from the management and consulting firm Booz and Co., one billion women will enter the global workforce over the next decade. The report shows that “there is compelling evidence that women can be powerful drivers of economic growth. Our own estimates indicate that raising female employment to male levels could have a direct impact on GDP of 5 percent in the United States, 9 percent in Japan, 12 percent in the United Arab Emirates, and 34 percent in Egypt.”

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