Isn’t that a refreshing scene? There’s nothing quite so calming as a tropical island, with gentle surf caressing a sun swept beach while warm breezes sway the palm fronds in a relaxing rhythm. If you squint carefully, you can almost see the natives roasting a swordfish over a crackling fire and smell the heady aroma of fresh island vegetables.
The island also represents what the medical community wants for America. They want us all to hunker down in our homes in hopes of extinguishing the Wuhan Flu, much as we would be isolated and alone on a South Pacific isle. Numerous government leaders have taken them up on this advice. Sadly, they haven’t given each of us our own tropical paradise. While they aren’t actually calling it an enforced quarantine, the lack of the correct verbiage doesn’t make it any less so. If you think otherwise, try leaving your house after 8pm.
Of course, we’re just starting to deal with the fearmongering that resulted in mass panic, and nearly mass hysteria. The national economy is virtually shut down. The stock market almost collapsed,with losses not seen in nearly a half century. Nobody is certain of the damage done, but estimates range as high as perhaps a 40% reduction in GDP and 30% unemployment, numbers not seen since the Great Depression. Social structures have been irrevocably altered, in ways we cannot begin to understand. The very nature of work has been altered, with more white-collar employees working remotely than ever before. When we do get back to work, to school; when the centers of culture and learning do reopen, we have no idea how the changes that were suddenly thrust upon us will reverberate in the future.
The biggest problem with all of this is that the data about this disease is profoundly unreliable. It has been said there are lies, damned lies and statistics and no common experience drives home that truism more than the current situation. From the beginning, statisticians and epidemiologists were dealing with incomplete (and even falsified) data from China, India, Italy and South Korea. As a result, modeling – which government leaders relied on to predict how deadly the COVID-19 pandemic would be to the general population – has been terribly inaccurate. The noted epidemiologist John Ioannidis recently remarked that “the fatality rate could plausibly lie between one in 100 and one in 2,000 cases.” Mind you, he is merely referring to death rate for those who are infected. Nobody has yet put forward a reliable model for the infection rate, because the data simply doesn’t exist. This is a problem that was anticipated. On March 17, Ioannidis wrote, “we lack reliable evidence on how many people have been infected with SARS-CoV-2 or who continue to become infected. Better information is needed to guide decisions and actions of monumental significance and to monitor their impact.“
“But,” you say, “what about the rapid rise in cases in the United States I keep seeing on the evening news?” Ah, a fair question. Consider: since the United States started testing, it took us 17 days to administer the first 100,000 tests. It took another 11 days to administer the next 100,000. It has taken only 5 days to administer the last 320,000 tests. At current rates, the United States will be testing over 1 million people per week by mid-April. As the number of tests administered increases exponentially, the number of confirmed cases will also increase exponentially. The key evidence to look at is whether the number of positive cases is increasing at the same rate as the number of tests – and that answer is a resounding no. While tests have increased at a logarithmic rate, the increase in positive tests has followed a gentler curve, suggesting that the infection and lethality rates are lower than first anticipated.
One other note on testing: we have only been testing people showing symptoms. Yet the positive test rate is only about 15% of those tested for COVID-19. This is because what the media refers to as the “coronavirus” is actually a mutated form of the same virus that causes the common cold, multiple strains of influenza, SARS and MERS. Those are all corona viruses. As a result, the symptoms of COVID-19 fall into the same generalities as those other diseases: cough, fever, fatigue. That only feeds into the panic, especially as those are also symptoms of hay fever – and large swaths of the nation are entering spring allergy season.
For a doctor, the choice facing the nation is an easy one. They are worried about immediacy, and their immediate concern is to keep everyone alive and healthy. So recommending that everyone stay hunkered down in our houses and apartments is an easy choice. But for the rest of us, the choice is far from being simple. The president, and all 50 governors, have to weigh the importance of preserving lives now vs. the effects of leaving the economy in a downward spiral. How many people will end up dying from COVID-19 vs. how many people will die from starvation and other diseases of poverty if the economy slips into another massive depression? We can roughly extrapolate from available data that around 130,000 people will die from this disease. We cannot make even a haphazard guess about what the death toll from an economic depression that last months or even years might be, because while we know one is inevitable on our current course, we don’t know any of the particulars. We can’t. We’re not fortune tellers.
Without solid data, it is an impossible question to answer. Yet we’re all answering it, from the President to loudmouth Joey you normally meet at the corner tavern. The problem is, both of them – and everyone else – doesn’t really know, no matter what they tell you.
Will this virus be bad for the country? It already is. Will a deflated economy be bad for the country? It already is. But making everything worse is fear and panic. We can’t keep ourselves walled off forever, living in fear of everyone who sneezes. The federal government, between emergency fiscal expenditures and monetary expansion from the Federal Reserve, has already expanded national debt by nearly $8 trillion. That’s about 40% of last year’s GDP, and perhaps 65% of this year’s GDP. In short, that is an unsustainable degree of expenditure. We cannot afford to allow fear to panic us into cowardice, and we cannot afford to to allow fear to bankrupt the nation.
FDR once said “we have nothing to fear but fear itself.” It’s time for the panic to end, and for America to prove that FDR knew what he was talking about.
Sorry for disappearing for so long. For those who aren’t aware, on March 28th I had an ileostomy performed. As I’ve been recovering since then, I’ve had neither the energy to write nor the physical ability to sit up long enough to do so.
Of course, there were post-operative complications. My lungs, badly damaged by the chemicals at Camp Lejeune during my time there, nearly failed during surgery. To assist with breathing, I was on an interesting machine called a “bipap” for part of my recovery time. I not only had to recover from the surgery to abdomen, but also from the pneumonia I developed on the operating table. Because not being able to breathe isn’t enough of a complication, the part of my intestine that now forms my ostomy developed an annoying habit of expanding 5 to 6 inches from my skin. But that seems to be resolving itself with time; the doctors assured me that while not common it also isn’t unheard of and it isn’t particularly dangerous. Unless, of course, I run into something stomach first while that’s happening. I would prefer not to think of how messy that would be.
Still, as the saying goes, all’s well that ends well. So far, my recovery is on schedule and it’s time to get back to as much of my regular life as I can manage. I won’t be able to lift anything heavier than a milk jug for a few more weeks and I’m still adjusting to not being able to sleep on my right side. I’m not supposed to bend, twist or otherwise torque my midsection until June. On a positive note, this has been a terrific weight loss program. I’m down almost 30 pounds since the surgery.
I would be remiss if I didn’t take a moment to pause and thank the wonderful doctors and nurses at the Hospital of the University of Pennsylvania. In particular, I want to thank Dr. Najia Mahmoud, Chief of Colorectal Surgery and her amazing team for their compassion and expertise. I also need to thank the nurses of the SICU, who managed to keep me comfortable and goad my recovery while also keeping my frightened family reassured and informed.
So anyway, get ready for a blizzard of posts. One of the things that happens when you spend so much time lying around is you think. A lot. Now it’s time to put those thoughts into something more substantial than a Twitter post.
If you follow me on social media, or have read this blog for a while, then you know I have Crohn’s Disease. Well, today is the day I’ve been dreading since I was first diagnosed in April 1992.
It’s time to get something removed.
I had always made it a point of pride that I would leave this Earth with all of my parts more or less intact. But that’s not to be. My terminal ileum (that’s the end of the small intestine, the part that connects to the large intestine) is essentially dead and has been causing me all sorts of problems since October.
So, out it comes. The doctors also told me there is a good chance they’ll need to remove the ascending colon, as well. They just can’t tell from the CT scans, but will know better once they get in there and see.
Now, I’m not so worried about what they’re taking out (I’ve kind of resigned myself to the changes I’ll have to make), as simply waking up. One of the dastardly things Crohn’s has done is given me pulmonary embolisms and pulmonary hypertension. They refer to these as “extra-digestive manifestations.” That doesn’t change the fact that breathing isn’t as easy as it used to be, and general anesthesia is especially dangerous for me. As in, might not wake up dangerous.
I’ve placed myself in God’s hands. If he wants me home, there isn’t much you or I can do about it. I always figured that with all the times I’ve defied death until now that God had a reason for keeping me on this planet. It could be this surgery is that reason. My medical team almost sounds like a bad joke: “a Muslim, a Hindu, a Catholic and an atheist walk into a surgical theater…” It could be my surgery will do more for world peace than all the diplomats at the UN have managed in 75 years of talking.
Anyway, by now I’m on the table and the doctors are doing a thing. If you’re the praying type, I’d appreciate if you would lift up my medical team. Oh, and don’t let the big guy upstairs forget I am still needed down here.
Thanks everyone. See you on the other side!
Those of you who have been following my blog for a while should know a few things about me. I am a proud veteran, and I have Crohn’s Disease. And I have been an outspoken critic of the Veteran’s Administration, and the Veteran’s Health Care System in particular. But I try to be fair in my criticisms, and when someone does something right they deserve to be recognized. Such is the case with my recent hospitalization at the East Orange VA Hospital. Following is a letter I wrote to the Secretary of Veteran’s Affairs (Des.), David Shulkin and the Director of the New Jersey Veteran’s Health Care System, Vincent Immiti.
I am a Cold War era veteran who has dealt with the Veteran’s Health Administration since 1994. Over the intervening years, I have had my share of complaints. I have been either an inpatient and/or outpatient recipient of services at multiple hospitals: Ft. Lauderdale, Wilmington (DE), Philadelphia, New York Harbor and, of course, the Lyons and East Orange campuses of the NJVHCS. I am not writing to tell you that rainbows are blooming over the VHA – only a fool would believe that. But I feel that after years of heaping some well-deserved abuse on what has proven to be a dysfunctional system, my most recent experience is deserving of praise for a job well done.
On Saturday, January 21 of this year I was brought into the East Orange Veteran’s Hospital Emergency Room. I have suffered with Crohn’s Disease since 1994 and this was the beginning of yet another hospital stay for me. I was not looking forward to it, as my previous partaking’s of the VHA’s hospitality always left me feeling more as if I were a POW than a patient. Allow me to say, I was pleasantly (as pleasantly as a hospital stay can prompt) surprised by this admission.
It truly was a night and day experience, compared to all my previous hospitalizations. Whereas in the past, my concerns and questions were met with derision or (even worse) indifference, this time I found the medical staff earnestly answering my questions, explaining the anticipated course of therapy and being attentive to my concerns and those of my family. In past hospitalizations, medications would arrive haphazardly without any semblance of a schedule, nurses would be impossible to find, even when called, and doctors acted as if I, the patient, were a burden they would rather not deal with. The only thing they seemed interested in was prescribing high doses of pain killers and moving on to the next victim.
Hospital cleanliness was always a concern, as I could go days without seeing a mop or broom used. As you’re probably aware, Crohn’s patients in the middle of an extreme flare are prone to having accidental, violent bowel movements. In 2009, after once such episode, the nursing staff did eventually come in to change the bedsheets – but with a set of blood-stained ones. Such was the level of contempt that the overall staff seemed to have for the patients in their care.
As veterans, we do not ask for anything special. Every veteran I’ve ever met is proud of our service to our nation and would gladly reenlist should the nation need our services again. As patients, all we’ve ever asked for is to be treated with the basic respect anyone should give another human being. The anger and disgust many of us feel towards the VHA is rooted in the failure of the VHA to recognize and act upon that humanity.
But as I mentioned, this hospitalization was not only what one would expect at any medical facility, but in many ways surpassed even the highest expectations one could have of any hospital. The staff exhibited all the hallmarks of a professional medical organization: courtesy, attentiveness, compassion and competence. Nurse calls were answered promptly, and if an RN was needed but unavailable, the LPN’s explained the situation. My attending physician not only provided timely and pertinent explanations of my care – in terms a layman can understand! – but proved an exceptional coordinator with the specialists I needed (gastroenterology, pulmonology and cardio). Tests that were performed were explained beforehand, including not only descriptions of the procedures but the reasons for them. The residents, interns and medical students did not treat me as an object of fascination on par with a living cadaver, but as a suffering patient with information they needed to perform their duties. Even the orderlies, janitorial staff and other support staff approached their jobs with a general friendliness and professionalism that made the otherwise dread of a hospital stay comforting.
The change is remarkable. I was going to attempt to single out individuals for jobs well done, but then realized everyone associated with my care deserves special recognition.
I am not a medical professional. I suppose you could say I’m a professional patient, given my history, but that’s the extent of my medical training. However, my post-military career has been in operations and program management. As such, I can recognize and appreciate when an outstanding manager has taken control of a bad situation and is effecting a complete turnaround.
As I began, I’m not going to gloss over the fact that there are still major problems and deficiencies throughout VHA. However, Mr. Shulkin, upon your confirmation I can think of no better place to start turning around the system than seeking out your best, listening to what they’ve done and implementing those practices throughout VHA. Based on my recent stay, you would do very well to begin with Mr. Immiti. The change he has effected is nothing short of amazing.
I thank you for your time and again, congratulations on a job well done.
Semper Fi and Regards,
(Author’s note: I originally published this post in November, 2014. Now that the Northeast Corridor is bracing for the first major storm of this winter season, it seemed a good time to remind everyone that the problem hasn’t gone away)
On any given night, some 50,000 veterans end up spending the night outdoors or in a homeless shelter. Additionally, there are estimates that as many as 1.4 million veterans are at risk of becoming homeless.
In a nation where politicians trip over themselves to prove how much they care about veterans, this should be impossible. Yet the facts are what they are. Men and women who’ve sacrificed years of their lives in defense of their country often find themselves reduced to begging for scraps of food and a bit of shelter. The reasons for veteran homelessness mirror those in the general population: mental health issues, substance abuse and just plain bad luck top the list. But if any subset of the population has earned the privilege of not freezing on a winter’s night, veterans should.
The VA, for all of its shortcomings, actually does a reasonable job of trying to care for homeless veterans. But funding remains an issue. For instance, there is the VASH-HUD program, which provides homeless veterans with housing vouchers and community support (such as job assistance and counseling). It has proven to be one of the best homeless programs in the country with less than 5% of the veterans accepted returning to homelessness within 5 years.
For FY2014, VA was granted funding to assist 78 homeless veterans in New Jersey. 78. For the entire year. I can go to Military Park in Newark and find 78 homeless veterans.
But there is a solution, and one that would actually save the government money in the process. All across the United States, sequestration and other budget cuts have resulted in hundreds of military bases being closed. They sit, abandoned, awaiting a government auction where the property will be sold for pennies on the dollar. In New Jersey, Fort Monmouth sits abandoned, falling into disrepair while the former megabase of Fort Dix/Lakehurst Naval Air Station/McGuire AFB occupies 10 1/2 square miles in the New Jersey Pinelands, struggling to find a purpose after the 1991 base closures. Today, it is used a training area for National Guard and reserve units, with a federal prison and aircraft maintenance wing. Fort Monmouth once housed 21,00 troops; Dix-McGuire 27,000. On both bases, the buildings sit, more intact than less.
The proposal is this: turn a portion of either base (and the dozens more around the country) into a Veteran’s Homeless Prevention and Community Reintegration Center. Rather than hiring outside contractors to maintain the buildings, grounds, power stations and the like, assign those jobs to the veteran population living there. That would solve two problems that are often at the heart of veteran homelessness: a lack of civilian job skills (infantryman isn’t exactly a skillset required on Main Street) and providing a sense of purpose. Rather than requiring the VA to provide follow-up care on veteran’s scattered throughout the state, they would be centrally located: a VA clinic could be opened there, proving treatment for medical and mental health issues. Finally, rather than spending up to $25,000/year in housing vouchers per veteran, the government would roll that money into a facility it already owns.
Everyone wins. Homeless veterans find shelter, camaraderie, purpose, services and the opportunity to reclaim their lives. The government honors its promise to “care for him who shall have borne the battle.” And our nation’s citizens can rest easy in their beds at night, knowing that no veteran needs to sleep on a sidewalk.
Begging pardon from John Mellencamp…
I have a few questions that were artfully dodged, or never asked, during this afternoon’s presser:
1. How many days was the patient symptomatic, and therefore contagious, before going to the hospital for the first time on September 24? I mean, seriously, how many people go to a hospital because they’re running a fever and sneezing? Not many I know of, at least not right away.
2. How many people did he come in contact with, total, before being quarantined? He’s apparently visiting from Liberia. To imagine he didn’t visit any stores, restaurants or tourist sites in the 4+ days we’re certain he was contagious prior to quarantine is ludicrous.
3. How did he get to the hospital on September 24? By private car, taxi, ambulance? Or worse – by public transit?
4. Ditto for September 29.
5. Dallas is, besides being a large city, also a major worldwide transportation hub. How many of those the patient contacted while he was walking around contagious, have since departed by plane, train, bus or automobile…and where did they go?
I’m sorry, but the CDC can tell us they have everything under control all they want. But until they can tell us with a straight face that they have the answers to the questions above, I feel as though they’re recreating this scene from “Animal House “…
Those of you who follow me on Twitter or Facebook know I recently spent 8 days hospitalized once again. My ongoing battle with Crohn’s Disease, one that has consumed the last 22+ years of my life, remains unrelenting. Like all of such events over the past three years or so, this hospitalization didn’t end with long-term remission of my disease activity or even the hope of a near term remission.
I could complain and I doubt many of you would be upset if I do so. But I’ve never really been one for complaining about things beyond my control, nor do I think that really accomplishes much. Certainly, venting can ease the mind but it’s only a temporary relief. I pointed out once before that life’s recent turns have, if anything, made me more reflective and this most recent turn only served to reinforce that attitude.
But reflective of what, exactly? Well, in a word: EVERYTHING.
Faith, religion, why we’re here? Yes. My personal history, my family, friends and relationships? You bet. Medicine and medical research? Naturally. My overarching view of our world, our past and our future? Certainly.
There are only so many times a man can stare at his own mortality without contemplating the wonder and the why of it all, I suppose. Or the alternative could likewise be true: all these brushes with Death’s door may have already left me insane – in which case, you’ve been reading the rantings of a madman. We’re about to embark on a journey to find out which is true over the next few days and weeks. I’ll leave the decisions about my sanity to your discretion – which considering my readership, may be the boldest move I’ve made yet!
For a blog that spends as much time on political matters as mine, you may be wondering how I managed to leave any mention of that topic from my list of contemplations. But here’s your first point to ponder in judging my perspicacity: isn’t the political the one realm where we publicly express our personal philosophy?
Tomorrow, we begin…
Perhaps because I’ve never believed our nation is a bunch of redistributive idiots at heart, I’ve watched as the country plunged headfirst towards Obamacare with fascination. Maybe because nearly all my adult life is partly defined by my battle with Crohn’s Disease, I pay an inordinate amount of of attention to the Battle for Health Care Reform. Could be because I am even now lying in a hospital bed in the latest go-round with Crohn’s, I’m amazed at the dizzying pace of lies pouring forth from the administration of President Barack Obama over the past four weeks.
What is most sad is that a sizable chunk of the American people are just sitting back and taking it. Despite the evidence of their own eyes from the past four years, they continue to loll about and let the administration get away with the greatest government take-over of American life in history. I’m stupified by the willingness of the American citizenry to just play ostrich when they should at least get to strutting like Foghorn Leghorn.
Then it hit me.
With all the force of a Superstorm, it hit me square in the face. After 40 years of war, debt, moral erosion and political scandal, the American people are tired of dealing with it all – and longing for something they never experienced. The Founding Fathers left us a political and economic system that only works if everyone (or nearly everyone) participates. Most people don’t participate unless they have either a very personal interest in a particular program or they’re corrupt enough to look upon governement service as a way to create individual wealth.
More later. As mentioned, I’m typing this from a hospital bed. In the meantime, am I on the right track? Is the reason most Americans just don’t care because we’ve spent four generations being battered into submission?
Long time readers already know I have Crohn’s Disease. I’ve dealt with the condition for almost 22 years, and for large chunks of that time I’ve relied on the Veteran’s Administration Health Care System for medical treatment. As such, I remember the bad ol’ days – when simply signing up for medical care was nearly impossible. The program has made great strides in the past decade and medical care has improved. This isn’t to say the available care is good everywhere; it simply means that fewer VA medical centers seem to have killing veterans as their top priority. I’m also more fortunate than most vets. Because of where I live, I can actually pick and choose from four medical centers. If I lived in Montana, that option wouldn’t exist – I would be stuck with whatever quacks the local VAMC could find to staff the place.
But beyond the quality of medical treatment, there is another problem that, quite frankly, I can’t see any way the VA can correct. The Veteran’s Administration is a government agency – and as such, a ridiculously bureaucratic nightmare to navigate. Just the simple process of checking in for an appointment is a time consuming mess (it means seeing three different clerks, in different offices, before actually getting into the clinic – where you then need to fight with another clerk in order to see a specific doctor).
But there’s another aspect to the bureaucracy that most people (especially those who defend government programs as both necessary and infallible) often forget about: that bureaucracy is staffed by people whose competence is often less important to keeping their position than a host of other factors. A perfect example is what I am now experiencing. Because I’ve been dealing with Crohn’s for so long and every other medication ceased working, I’m now undergoing chemotherapy treatments. It’s a “Hail Mary” attempt at getting this disease under control and it actually seemed to be working.
Enter the VA bureaucracy. As part of the treatment regimen, I stopped the infusion therapy and was supposed to switch over to pills. Great! Fewer trips to the local VAMC, no need to hit up friends for rides, fewer side effects. The pills were supposed to be mailed to me two weeks ago. When they hadn’t arrived by last Wednesday, I spent 45 minutes on the phone to ask where my medication was. Not to worry, I was assured. Because of the holiday weekend, it might take an extra day or two for them to arrive in my mailbox. The weekend came, the weekend went and still no pills. I called back today and after another 38 minutes (most spent on hold), I discovered that somebody, somewhere, placed a “Do Not Mail” flag on my VA pharmacy account. No reason, no rhyme, no excuse – and the faceless person on the other end of the phone assured me they were incapable of releasing the flag.
But wait! It gets even better. A week and a half ago (three days after the pills were supposedly mailed), I spent another hour at the VA pharmacy to get other prescriptions. The clerks (another bureaucratic mess, you need to see four clerks to get a prescription filled – and there isn’t even a paper form, it’s all in the computer) all had access to my account. All of them saw the prescription in question was ordered, one even asked me if I wanted to wait for that one, too. Not one mentioned the “Do Not Mail” flag or offered to remove it.
Is it incompetence? Bureaucratic overlap? A simple failure to communicate? Whatever the cause, the result is the same: another dissatisfied and confused customer. On the surface, an example of how the Veteran’s Administration can screw up a simple task. At a deeper level, it’s a perfect metaphor for why the less government does, the better.
For my friends wondering how I can simultaneously avail myself of a government program and decry government programs, you can find extensive arguments in my archives. But this is an earned benefit, through my prior service to our nation. And for myself and the millions of my fellow veterans, the VAHCS can be done away with by simply issuing us medical insurance that allows us to see private physicians. (Yep, it would cost the government less, too).
If you spend any time on Twitter or Facebook, you’ve undoubtedly come across the “#Defund” hashtag. If you follow the news even cursorily (and odds are you follow it more closely than that, if you’re reading this) then you also know the House of Representatives voted yesterday to continue funding government operations until December. Everything, that is, except the Affordable Care Act – more popularly known as “Obamacare.”
The President’s reaction? He’s taking the CR personally, certain that the motivation behind it cannot be ideological in nature. “They’re not focused on you. They’re focused on politics. They’re focused on trying to mess with me. They’re not focused on you” he stated during yet another campaign speech yesterday. (As an aside, why is he campaigning? I thought the election was last November.) While my personal dislike for the the man in the Oval Office has grown considerably over the last five years, my disdain for Obamacare hearkens all the way back to its inception. Trust me on this one, Mr. President. My opposition is nothing personal – and neither is it for the people with whom I’ve conversed with on the subject.
I support the defund movement, because it is our last, best hope of getting rid of the “train wreck” (Max Baucus, the guy who helped write the ACA, called it that) and replacing it with something that actually addresses the rising costs and failed delivery of health care in the United States. I support the defund movement, because the economic impact of even a temporary federal shutdown would be far less than realized from your weapon of Mass Economic Destruction. Finally, I support the defund movement because the American people have had about all they can take of Obamacare.
Let’s start with that last point first. That you’ve always a had somewhat regal view of the Presidency is certain. Since early on, you’ve complained that you aren’t a dictator, or king, or emperor, or president of China. The actual concerns of the average American were hardly the thing that kept you awake at night; why else the dozens of “pivots to the economy” over your 5+ years in office? Over the past year, overwhelming evidence was exhumed that you consider yourself above the American people. From the failure in Benghazi, to the IRS crackdown on conservative and libertarian groups, through the revelation that the NSA is spying on everyone, to your recent attempt to force the nation into an ill-conceived war in Syria, said evidence is damning. You really did think for a while there that you are a de facto dictator.
Obamacare was our precursor. Yes, the American people wanted something done about health care. But what we wanted and what we eventually got are two very different things. Instead of reform that lowered costs and made delivery easier, we simply got told we had to go buy health insurance – or else. No matter, we were assured countless times since: once the law rolls out, you’ll love it! Why, didn’t Nancy Pelosi tell us that in order to find out all about the wonderful goodies in the ACA, Congress had to pass it first? The sycophant press quickly dubbed the new law “Obamacare” and you ‘begrudgingly’ accepted the name. FDR had the New Deal, LBJ had the Great Society, BHO had Obamacare.
Never mind that your signature piece of legislation has never been popular with the very people it is supposed to help. Polls show what support existed at passage has slowly slipped away. It’s your signature piece of legislation, by golly! So of course you’re right to be mad at Congress for attempting to undo the damage done, for seeing it as a personal attack and a personal affront. Never mind that the CR defunding Obamacare is actually more popular than the law and never mind that it enjoys popular support (and not just among the Tea Party). Never mind that it’s very passage is regarded is the single most important reason your party lost control of Congress in the 2010 mid-terms. If you refuse to sign that CR, then it’s the Republicans’ fault that the government runs out of operating cash on October 1. Not your own pigheadedness, not your own wanting to be a dictator – or failing that, being seen as the most “transformational” President since FDR.
About that threatened federal shutdown. We’ve been down that path a few times and quite frankly, they aren’t that scary to most Americans. There will be an inconveniences, of course. For instance, I won’t be able to track a flight on the NTSB’s website. I won’t be able to call the IRS with a question about my taxes (which, by the way, I’d probably sit on hold for 20 minutes and then be told to ask my tax professional). But we already know from past experience that essential government functions will continue: the Army won’t be disbanded, the FBI will keep hunting bank robbers, grandma will still get her social security check. Even progressive economists admit the actual economic impact would be minimal, resulting in a reduction of less than 1% of GDP.
But the economic impact of Obamacare is already being felt across the economy. Nobody has a full accounting thus far, but in the past week alone nearly 500,000 people have had their hours cut to 28 or fewer and their existing health coverage terminated. Another 35,000 have lost their jobs completely. Although you love to tout the million jobs created in 2013, you have yet to acknowledge the fact that 1.2 million of those jobs are part-time, without health coverage. Those are real economic impacts directly attributable to your signature legislation. Here’s another impact you may not want to acknowledge: those workers are not only facing a drop in income from reduced pay, they are now going to be hit with a new expense: mandated health coverage. Sure, there’s a subsidy headed their way (provided Obamacare is fully funded) – but those subsidies won’t cover the full cost for health insurance. A government shutdown might reduce GDP by 1%. But Obamacare is easily dropping GDP farther than that and will cause it to crash even further. All this was avoidable, but neither you nor your progressive friends apparently live in the real world, the one in which businesses aren’t going to spend a dime more than necessary. You were warned by everyone from the Chamber of Commerce to (gulp) Donald Trump, but still you refused to listen. The economic mess your signature legislation created is wholly owned by you, as well as the Senators and Congressmen you bought off.
Finally, there is the train wreck. I could list everything that has gone wrong so far with getting this mess in place, but I did that a while back. To that list I add three more fiascos: the doctor shortage, the uninsured and one I’ll keep you guessing about until the end.
The doctor shortage was known and supposedly addressed in the ACA. Simply put, there aren’t enough primary care doctors available to cover everyone. Getting an appointment to see your doctor is already hard enough (and let’s not forget the wait times once you’re in the waiting room). The AMA now anticipates that wait times are going up by about 6% – and nobody anticipates getting an appointment will get easier. Will we see British-type difficulties in getting an appointment, with waits as long as a month? Will they be more like typical waits in the VA system, where it can take up to 6 months to get an appointment? Nobody knows, but the alarm bells should be sounding: in the New York metro area, a recent study found that time to appointment was now ranging from 6 to 61 days, with an average of 24.
The uninsured? When Obamacare was trotted out to the public, we were told that all but a few, perhaps 3 million, of those without insurance wouldn’t be covered. In March, CBO blew that apart with a new estimate: 7.5 million. Last week, that get shattered again, when DHS announced that because of the rollbacks, waivers and deferments, that as many as 30 million people still would be uninsured come January 1, 2015. That would mean we went through all these gyrations over the last 36 months to insure an additional 2 million. Call me what you will, but that amounts to the second biggest load of crap ever handed the American people from Washington DC.
The biggest load of crap ever? Well, here’s the caboose of the Obamacare train wreck. Mr. President, you have promised us that “If you like your health plan, you can keep it.” You’ve pummeled the American people with that line for over four years, even though as far back as June, 2009 you admitted yourself that the statement WAS A LIE. Now millions of Americans are finding out what a monstrous pile of horse manure that line really is. Insurance companies, because of the regulatory morass that this demon child legislation created, are gutting health plans and informing their customers that come January 1, 2014 their current insurance will no longer be available.
In short, I’m supporting the #DEFUND movement because really, what other choice does our country have?