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Health

STUDY: Raising Medicare Eligibility Age Would Devastate America’s Most Vulnerable Seniors

The Center for American Progress (CAP) today released a new study highlighting the devastating effect that raising the Medicare eligibility age would have on America’s seniors.

CAP’s study finds that if lawmakers were to raise the eligibility age to 67, as many as 5.4 million 65- and 66-year-olds would have to search for alternative coverage sources — either by postponing retirement, enrolling in an individual plan on one of Obamacare’s statewide insurance exchanges, or qualifying for Medicaid. This dynamic alone will drive up all Americans’ costs by making existing insurance pools older, sicker, and costlier to treat.

The report further estimates that while the federal government would save a net $5.7 billion, raising the eligibility age would end up costing states, employers, and Americans an added $11.4 billion in health care spending. Worse still, seniors living in GOP-run states that have very high concentrations of poor, elderly Americans yet have refused to take part in Obamacare’s Medicaid expansion would be hit hardest by the eligibility hike, and as many as 435,000 seniors could end up uninsured by 2021 if lawmakers end up following through on the proposal:

Unfortunately, GOP governors have been digging in their heels against health care reform by refusing to take part in Obamacare’s Medicaid expansion. Just last week, while announcing that South Dakota would not be expanding its Medicaid program, Gov. Dennis Daugaard (R) dismissed the plight of poor, uninsured Americans off-hand, saying, “I want to stress that: these are able-bodied adults. They’re not disabled; we already cover the disabled. They’re not children; we already cover children. These are adults — all of them.” While it is certainly true that these poor Americans — who must make ends meet on less than $12,000 per year — are “adults,” Daugaard’s assurance that they are able-bodied is dubious.

Raising the Medicare eligibility age from 65 to 67 is fundamentally un-serious entitlement “reform.” It’s the kind of proposal that sounds logical — after all, it’s true that Americans are living longer on average — and makes for a quick and easy political pitch. But a brief dive into its mechanics and consequences shows it for what it really is: a shoddy political deal that ends up costing double what it saves by shifting the cost of health care from the federal government onto states, employers, and Americans’ premiums — all while doing absolutely nothing to address the actual roots of America’s skyrocketing health spending.

Security

Bachmann Compares Letter From Muslim Advocacy Group To Hitler’s Manifesto

On a conservative radio program over the weekend, Rep. Michele Bachmann (R-MN) went on an anti-Muslim tirade, making accusations about Muslims that ranged from the offensive to the absurd. Within her long conversation with host Jan Markell and co-host Eric Barger, Bachmann suggested that Americans read Islamic study materials to learn about Muslims’ supposed plot to conquer Western civilization, comparing the tactic to reading Adolf Hitler’s infamous book, Mein Kampf.

During the interview, Bachmann said she had proof that there was creeping sharia law — or, Islamic law — infiltrating the United States. That proof? A letter signed by groups of Muslim-Americans asking the Department of Homeland Security to stop distributing anti-Muslim materials:

BACHMANN: That’s right. That’s why we need to know what their belief system is; we need to know what they truly believe. That’s why the most important thing a person could do in WWII was to read the book that the leader of Germany wrote.

BARGER: Mein Kampf.

BACHMANN: Because he laid out very clearly what his intention was, he wasn’t hiding it, the Islamist does the same thing. They do not hide it, they lay it out very clearly. But what we’ve never seen before is the United States aiding and abetting that goal.

Listen:

Bachmann’s Islamophobia has been an important part of her congressional repertoire. Most recently, Bachmann lost a lot of favor among her congressional colleagues when she led the witch hunt of Secretary of State Hillary Clinton’s aide, Huma Abedin, with accusations that Abedin was a member of the Muslim Brotherhood.

(HT: Right Wing Watch)

Economy

Oregon Governor Wants Special Legislative Session To Let Nike Write His State’s Tax Law

After Oregon voters passed a referendum ending one corporate tax break — and with unions and education officials calling for the closure of tax loopholes to raise more revenues — one of the state’s biggest and most identifiable companies is calling for more tax certainty. And if it doesn’t get it, it is threatening to move.

Oregon Gov. John Kitzhaber (D) called a special legislative session Tuesday so lawmakers could consider handing Nike, the Oregon-based apparel and athletic shoe company, the “tax certainty” bill it is demanding. In exchange for the legislation, which will allow the governor to enter into agreements that lock-in current tax laws for certain large companies, Nike says it will create 500 jobs in the state, the Oregonian reports:

Kitzhaber said Nike officials approached him more that a month ago to discuss the company’s expansion plans. Kitzhaber said they told him that Nike was being “heavily courted” by other states but wanted to stay in Oregon.

To do so, the company wanted a guarantee that the state would continue its tax policy, known as the “single-sales factor,” in which companies are taxed only on in-state sales.

“To me, that’s an easy call,” Kitzhaber said.

In addition to the 500 jobs Nike promises to create, Kitzhaber said the tax policy could lead to 12,000 more jobs and a $2 billion boost to Oregon’s economy. But state tax preferences and subsidies aimed at specific businesses often fall flat. New Jersey, for instance, handed a food company $80 million in tax incentives last year, all so it could create just nine jobs. And Sears announced layoffs in Illinois just months after the state gave it millions in tax subsidies.

What Nike wants from Kitzhaber, though, may be even worse. At a time when Oregon is cutting funding for public education and for its colleges and universities — one of which Nike has a close relationship with — Kitzhaber is asking for legislation that would allow the governor to enter into a “tax certainty” agreement with any company that promises to create at least 500 jobs and invest at least $150 million over five years. In exchange for that investment, current tax laws would be set for a time-frame determined by the governor, essentially turning control of the state’s taxes and revenue stream over to any corporation that, like Nike, raised the possibility of moving without the maintenance of Oregon’s already-favorable corporate tax law.

Justice

Three Potential Bombs Hidden In The Supreme Court’s Marriage Equality Cases

The constitutional case for marriage equality is simple and straightforward. Under our Constitution, all people are entitled to the “equal protection of the laws,” and that includes gay couples. Moreover, under well-established Supreme Court precedent, minority groups that possess a common trait that they have no control over and who have historically been subject to irrational discrimination are entitled to heightened protection. This is why some of the most conservative judges in the country held the anti-gay Defense of Marriage Act unconstitutional.

The opinion the Supreme Court ultimately hands down in June, however, could be anything but simple. On Friday, the Supreme Court did not simply agree to hear arguments on whether DOMA and California’s Proposition 8 are constitutional, they also announced that they are uncertain whether they are even allowed to consider these cases in the first place. This announcement, in addition to a looming issue raised by a lower court, could lead the Court to turn the law into a sloppy mess.

  • Retroactive Vetoes:
  • Last year, the California Supreme Court held that the state’s governor and attorney general could not, acting without anyone else’s support, effectively kill a ballot initiative by refusing to defend it on appeal after a trial court struck it down. The Supreme Court revived a similar issue in both the Prop 8 and the DOMA cases — whether the justices are allowed to hear these appeals in light of the fact that neither the California government nor the U.S. Department of Justice will defend marriage discrimination. In DOJ’s absence, the mantle of defending discrimination has fallen on House Republicans.

    If the justices decide they cannot hear the Prop 8 case, the almost certain impact is that the lower court’s order striking down the anti-gay ballot initiative would stand, and marriage equality would be restored in California. As explained below, things get quite a bit more complicated if the justices decide they cannot resolve the DOMA case, but at least some gay couples would escape the grip of federal marriage discrimination if the Court reaches this conclusion.

    Nevertheless, progressives should not celebrate such an outcome. As the lawsuits challenging the Affordable Care Act proved, it is not difficult for conservatives to find purely ideological judges willing to reach any number of indefensible outcomes. The law’s best defense against lawless judges is the appeals process. If the justices allow that appeals process to be cut short if the government refuses to defend a law — an outcome Obama Justice Department has actively tried to avoid in this case — then there is little preventing a future president from killing anything from Medicare to the Affordable Care Act by finding a trial judge willing to strike the law and then refusing to defend it.

  • Mass Confusion
  • If the justices decide they lack jurisdiction to hear the DOMA appeal, things could get ugly fast. The First and Second Circuit courts, which together encompass New York and New England, both held DOMA unconstitutional, but most Americans live in a circuit where the courts have not resolved this question.

    Striking DOMA only in a few states would not simply deny same-sex couples their basic constitutional rights, it would also be an administrative nightmare. A married same-sex couple that lives in New York would be taxed as a married couple, but what about a similar couple that lives in Maryland? If the New York couple winters in Florida, are they taxed as married or single people? What if they move permanently to Florida half way through the year? If the military transfers a lesbian officer and her wife from a station in New York to one in Kentucky, does the officer’s wife lose her health benefits? Does a wealthy businessman’s husband lose his estate tax exemption if their spouse dies on a trip outside the First or Second Circuit?

    It is possible that the First or Second Circuit could attempt to enjoin the entire federal government from enforcing DOMA — but it is not clear this order would apply nationwide. According to Brian Wolfman, an expert on federal jurisdiction with the Georgetown University Law Center, the Reagan Administration routinely used “non-acquiescence rulings” to avoid paying disability benefits in jurisdictions where their policies had not yet been struck down. President Obama might willingly comply with a nationwide order halting DOMA, but a future president may openly defy it.

  • Looming Tentherism
  • In an otherwise excellent opinion striking down DOMA, the First Circuit also invoked an odd states-rights argument similar to one conservatives have used to attack Medicaid — essentially arguing that DOMA stands on weaker constitutional footing because it might impact state lawmakers’ decision-making. It is possible that conservative justices such as Anthony Kennedy or even Clarence Thomas could attempt to use an opinion striking DOMA as a vehicle to undermine the safety net. Simply put, the wealthiest, most powerful nation that ever existed should not have to choose between the blessings of equality and the promise that no American will die because they cannot afford health care. A justice like Kennedy, however, who has both favored gay rights and opposed access to health care, may see things differently.

    LGBT

    GLSEN Study Reveals Unique Challenges Faced By Rural LGBT Youth

    A new study from the Gay, Lesbian, & Straight Education Network (GLSEN) provides a novel look into the experience of LGBT youth who live in rural areas and don’t access to the same support structures as those in urban or suburban areas. This isolation leads to heightened incidents of student victimization and an unsafe school climate, which in turn negatively impact students’ academic performance and aspirations for post-secondary education.

    Here are some of the chilling findings based on responses from rural LGBT students:

    • Victimization based on sexual orientation at school: 87 percent reported being verbally harassed, 45 percent reported being physically harassed, and 22 percent reported being physically assaulted.
    • Victimization based on gender expression at school: 68 percent reported being verbally harassed, 31 percent reported being physically harassed, and 16 percent reported being physically assaulted.
    • Anti-gay language at school: 91 percent heard “gay” used in a negative way, and 79 percent heard other homophobic remarks (“dyke,” “faggot,” etc.) used frequently or often.
    • Lack of school intervention: Only 13 percent reported that school personnel intervened when they heard homophobic language, and only 11 percent reported similar intervention for negative remarks about gender expression.
    • Lack of peer support: Half as many rural students (27 percent) reported having a gay-straight alliance compared to suburban (55 percent) and urban (53 percent) students.
    • Lack of visibility: Half as many rural students (11 percent) reported having an LGBT-inclusive curriculum, compared to suburban (18 percent) and urban (20 percent) students.

    Compared to suburban and urban LGBT students, those living in rural areas felt less safe at school, had less supportive administrators, had less supportive peers, and were less likely to have policies protecting sexual orientation and gender expression.

    The new report is based on the data GLSEN originally presented in September, which found troubling rates of anti-LGBT bullying and harassment nationwide. The very policies that would help protect students with anti-bullying programs and education are opposed by conservatives based on “religious liberty” grounds. In states like Michigan and Tennessee, the ruling Republican majorities have even tried to pass “license to bully” bills guaranteeing a place for anti-LGBT harassment in schools.

    NEWS FLASH

    UN: Syrian Refugee Count Now Above 500,000 | The United Nations High Commissioner for Refugees announced today that there are more than 500,000 Syrian refugees. There is no sign that the increase will stop: the U.N.H.C.R tweeted this morning that “every 27 seconds, a Syrian is registered as a refugee.” A spokesman added that the timing couldn’t be worse given the weather conditions, saying that “winter can be extremely harsh, particularly when you’ve got people already weakened by the ordeal of coming out of Syria.” What’s more, reports indicate that neighboring countries are less than thrilled to continue to welcome the refugees.

    Health

    Childhood Obesity Rate Drops In Cities With Aggressive Nutrition Policies


    New York City and Los Angeles, along with a string of smaller cities, are finally seeing their childhood obesity rates drop for the first time. The decline, though modest, has shocked researchers who have watched the obesity rate in children steadily climb for 30 years. Los Angeles’ rate has dropped 3 percent, while New York and Philadelphia both reported declines around 5 percent.

    About 12.5 million children under 20 are obese, and the rate has tripled since 1980. Childhood obesity problems are usually concentrated in metropolitan areas, prompting several cities to launch anti-obesity advertising campaigns. Others have gone farther; Mayor Michael Bloomberg (I-NY) recently banned the sale of sugary drinks above 16 ounces. First Lady Michelle Obama has made childhood obesity her personal cause, coming under fire from Republicans and conservative commentators for her efforts to reform school lunch programs and promote healthy eating habits. Along with city policies, nonprofit groups have been working to get more fresh produce in urban corner stores and promote urban agriculture initiatives.

    It is not clear why the rate is dropping or which, if any, of these measures have had an impact. However, all of the cities that are now seeing declines enacted anti-obesity policies several years ago. The most promising data comes from Philadelphia, which has introduced snack guidelines as well as removed sugary drinks and deep fryers from school cafeterias over the past decade:

    Individual efforts like one-time exercise programs have rarely produced results. Researchers say that it will take a broad set of policies applied systematically to effectively reverse the trend, a conclusion underscored by an Institute of Medicine report released in May.[...]

    Some experts note that the current declines, concentrated among higher income, mostly white populations, are still not benefiting many minority children. For example, when New York City measured children in kindergarten through eighth grade from 2007 to 2011, the number of white children who were obese dropped by 12.5 percent, while the number of obese black children dropped by 1.9 percent.

    But Philadelphia, which has the biggest share of residents living in poverty of the nation’s 10 largest cities, stands out because its decline was most pronounced among minorities. Obesity among 120,000 public school students measured between 2006 and 2010 declined by 8 percent among black boys and by 7 percent among Hispanic girls, compared with a 0.8 percent decline for white girls and a 6.8 percent decline for white boys.

    Philadelphia’s measured success could inspire other cities to start experimenting with obesity reduction policies. These policies could help shift the currently untenable status quo. If the state of American health remains the same, the number of children with type 2 diabetes is projected to rise 50 percent by 2050, while children who are already struggling with weight problems are far more likely to suffer from heart disease and stroke as adults.

    Climate Progress

    In Florida, An Actual Bipartisan Discussion On How To Deal With Climate Change

    Christina DeConcini, via WRI’s Insights

    “Think globally, act locally” is a slogan that aptly describes what I witnessed last week at the Southeast Florida Climate Leadership Summit. At the event, local government officials from four counties gathered to discuss how to mitigate and adapt to climate change’s impacts.

    Yep, you heard that correctly: government officials in the United States — in a “purple” state, no less — came together in a bipartisan manner to address climate change mitigation and adaptation. In fact, mayors, members of Congress, county commissioners, and officials in charge of water issues in the state discussed how to move forward with action plans in response to sea-level rise – a climate change impact which is not theoretical, but happening now.

    Putting Aside Partisanship for Action

    Unlike Congress, these public officials aren’t debating the facts of climate change and its impacts or whether we should act. They see current effects and understand that in the face of streets flooding more regularly, drinking water supplies threatened by salinization, and models showing that some neighborhoods could become uninhabitable, what political party you support is irrelevant. Climate change impacts like sea level rise don’t discriminate between Democrats and Republicans.

    As Congress continues to fail to address climate change at the national level, local officials from Florida’s Broward, Miami-Dade, Monroe, and Palm Beach counties—representing a combined population of 5.6 million—established the four-county Southeast Florida Regional Climate Change Compact and recently completed a 110-point regional action plan. They have developed mitigation and adaptation strategies through joint efforts, which can inform policy-making and government funding at the state and federal levels.

    Other Communities and Lawmakers Can Learn from South Florida

    Panelists at the summit discussed the tens of millions of dollars already spent on new wells to replace those that have had saltwater seep into them and the hundreds of millions of dollars needed for new drainage systems in Miami. Meanwhile, people having side conversations talked of the Florida Keys eventually becoming a reef and parts of the state’s valuable beachfront property no longer being inhabitable. The fact that Florida is built on porous limestone makes the adaptation challenges even more daunting, as sea water will seep under any barriers that could be constructed.

    Significantly, South Florida’s officials understand that they must also address the causes of climate change. They’ve included mitigation strategies as part of the action plan, including transitioning to cleaner energy and reducing greenhouse gas emissions through adoption of forward-thinking policies, such as a renewable energy standard. A lot of work remains to implement the action plan, but there is no disagreement on the need to act now.

    Will Federal Lawmakers Take a Page from South Florida’s Book?

    The action plan by these local governments is a model for others to follow. However, we know that climate change is a global problem that will ultimately require national leadership. It’s admirable that local leaders in Southeast Florida are not waiting for that missing leadership before taking action, but it does raise real questions about Congress’s failure to act on climate change and its responsibility to protect American people and their property.

    Two newly elected members of Congress spoke at the recent summit, providing some glimmers of hope at the federal level. Representative-elect Patrick Murphy (D-FL) said he would support climate change legislation and chastised politicians for “burying their heads in the sand.” Congresswoman Lois Frankel (D-FL) also committed to support federal action, saying “I will deal with it in a scientific way.” She noted that climate change is “not a partisan issue,” and “we cannot hide from it.”

    Perhaps as more people at the local level respond to climate change, national policymakers will wake up and take action to protect our citizens and valuable resources from dangerous impacts. While local action is desperately needed and should be applauded, we ultimately need national leaders to lead on climate change.

    Christina DeConcini is the Director of Legislative Affairs at the World Resources Institute. This piece was originally published at WRI’s Insights and was reprinted with permission.

    Justice

    How Michigan Voters Can Repeal The GOP’s Anti-Union Powergrab

    Michigan workers protest outside the state capitol Thursday

    Earlier today, the Michigan House passed a so-called “right-to-work” law. The anti-union legislation, which permits workers to benefit from the high salaries gained through collective bargaining without contributing to the union that negotiates those higher salaries for them, will cost both union and non-union workers an estimated $1,500 a year in wages, in addition to costing thousands of Michiganders health benefits and pensions.

    Anti-union lawmakers attached a budget appropriation to the bill in order to thwart efforts to repeal it by referendum — the Michigan Constitution provides that “[t]he power of referendum does not extend to acts making appropriations for state institutions or to meet deficiencies in state funds.” This is not the end of the story, however. Under that same constitution, Michigan voters may still restore the lost wages and collective bargaining power denied by this bill through a state ballot initiative:

    The people reserve to themselves the power to propose laws and to enact and reject laws, called the initiative, and the power to approve or reject laws enacted by the legislature, called the referendum. The power of initiative extends only to laws which the legislature may enact under this constitution. The power of referendum does not extend to acts making appropriations for state institutions or to meet deficiencies in state funds and must be invoked in the manner prescribed by law within 90 days following the final adjournment of the legislative session at which the law was enacted. To invoke the initiative or referendum, petitions signed by a number of registered electors, not less than eight percent for initiative and five percent for referendum of the total vote cast for all candidates for governor at the last preceding general election at which a governor was elected shall be required.

    No law as to which the power of referendum properly has been invoked shall be effective thereafter unless approved by a majority of the electors voting thereon at the next general election.

    By attaching the appropriations provision to the anti-union bill, its supporters accomplished two things: they increased the number of signatures necessary to place it before the voters, and they guaranteed that, if enacted, it will be in effect at least until it can be repealed in the next general election. Nevertheless, Michigan voters are far from powerless. In the last Michigan gubernatorial election, voters cast a total of 3,226,088 votes. So workers and their allies will need to collect just under 260,000 signatures to place a repeal initiative on the ballot.

    NEWS FLASH

    Study Finds Biological Causes For Homosexuality | A new study suggests that homosexuality can be explained by biology, though not by genes specifically. Instead, the researchers propose that there are sex-specific epi-marks on the genes that are triggered during fetal development to maintain a hormone level balance. These switches cause fluctuations in DNA expression that impacts sexual development, including sexual identity and various other gender characteristics. These switches help protect both the fetus and the mother from the natural variation in sex hormone levels present during fetal development, which could help explain why homosexuality has evolved as a common variation of human identity.

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