Posts Tagged ‘Senate Health Bill’

The calendar once again makes its call. For me – Platrix Chapter 2, “Queen of the Cow Counties” No one can resist the call.

October 5, 2017

Two times each year your humble author retreats from his solemn duties to Trek to
E Clampus Vitus, Platrix Chapter #2, that most ancient and honorable group. This is one of those times, kid. Would you like to read just a bit about The History of ECV.

E CLAMPUS VITUS is said by its adherents to be the most ancient of all fraternal orders. It’s founding, as the tale is told, was coeval with the origin of the human race.

It is related that in 1852 Steamboat Jake. a merchant from Yreka, thinking to improve his business by fraternal affiliations, made arrangements through certain Clampers for initiation into the Masons, the Odd Fellows and E CLAMPUS VITUS at one bargain priceof $98.50. When the various brethern were assembled at the Hall of Comparative Ovation and Jake, bound and blindfolded was brought to be initiated, the question arose as to which Order should first apply the branding iron. It was agreed that the oldest should have priority.

 The Odd Fellows presented their claim for that honor, stating that their order was created by a charter issued in the form of a golden tablet by the Emperor Titus to his Jewish Legion in the first century A.D.

 The Masons disputed the claim, relating the scholarly history of Reverend Dr. Anderson to prove that the Grand Master Moses often marshalled the Isrealites onto a regular and general lodge whilst in the wilderness, and that King Solomon was “Grand Master of the Lodge at Jerusalem”.

 The Noble Grand Humbug of E Clampus Vitus then rose and confounded the rival oraganizations with proof abducted from the unimpeachable unwritten works of St. Vitus, the final authority in all such matters, that E CLAMPUS VITUS was founded by our Clampatriarch Adam himself in the Garden of Eden, and that the original Staff of Relief, which figures so greatly in the Clamper ritual, was a branch that Adam broke from the Tree of Knowledge and smuggled out with him, hidden beneath his apron, when he was driven from Eden. All present in the Hall agreed that such antiquity was beyond compare.

The senority of the Clampers was recognized, and Steamboat Jake accordingly was given into the hands for initiation. It is then told that by the time they were through with him he had lost all desire for further fraternal connections.

 The unsurpassable antiquity of E CLAMPUS VITUS has been recognized and proven on many occasions. There are those who claim they can trace it through the times of the Old Testament and the beginnings of the Christian Era when its rites were conducted in the catacombs of Rome and referred to as the “Enigmatical Book of Vitus” and the “Curious Book of the Clampers”. These tales tell how it was spread through Europe by the Frolicking Friars, and carried to the Orient by the indomitable Vituscan Fathers.

According to the Clampers, the introduction of the order into the United States has long been shrouded in mystery and legend. Only recently has the true history been traced by the Royal Platrix Chapter and the Archivist of the West Virginia Lodge. The result of this research supposedly proves by documentary evidence that the secrets and symbols of E CLAMPUS VITUS were imparted by the Emperor of China, Tao-Kwang, Great Hotchot of the Chinese Grand Lodge to Caleb Cushing when the latter visited China in 1844 to negotiate the first treaty between the United States and the Celestial Kingdom. Cushing was specially charged by the Emperor to deliver the secrets and signs of authority to Ephrairn Bee, innkeeper of Bush Creek, Boone County, Virginia, to be disseminated by him at his descretion among the fellow citizens so that the Chinese and American People might henceforth be united by the Bonds of Fraternal Brotherhood as well as by the more formal ties of diplomatic relations. By virtue of his authority, Ephraim Bee traveled about his native state organizing lodges of E CLAMPUS VITUS in villages and county seats. 

It is also said that among others, a number of drummers were taken into the order, with or without authority from Bee. These travelers took the gullible villagers and townsmen along their routes into the Brotherhood, until by 1849, the East and Middle West were dotted with Clamper Lodges. From these Lodges many lusty Clampers went West in the Gold Rush and founded the historic lodges in the mining camps that constitiuted themselves as guardians of the morals of these communities.Their duty as they saw it was to prevent the preachers and pious wives who followed the 49′ers, from imposing any excess of morality that might hamper the full enjoyment of life. How well the Clampers performed this function is commonly known, despite the lack of written records. This lack of written records is attributed to the circumstance that during the meetings there was never anyone capable of keeping the minutes and that afterwards no one remembered what had taken place.

As E CLAMPUS VITUS mushroomed along with the rapid growth of the gold towns, it declined as rapidly as they did, and, therefore, lived only in the memory of a few ancient dwellers in the mountains and in the annals of the county histories until, in 1930, when a new prophet, a second Ephraim Bee , appeared in the person of Carl Wheat to reorganize the historic organization. 

Members of the Ancient and Honorable Order of E CLAMPUS VITUS have always been adventurers and many have been leaders in conquest of their respective countries. The most noteworthy of that band of stalwarts was Juan Rodriquez Cabrillo, a doughty explorer in the service of the Spanish Empire, who on October 19, 1542, raised the Spanish Flag at a point near the beach city of Hueneme in Ventura County and took possession of the land in the name of the King. Cabrillo is buried on San Miguel island and some Clampers make an annual pilgrimage to his grave. 

Sir Francis Drake was a Clamper but not in good standing because of his piratical exploits until June 15, 1579, when this bold bucaneer reached California in the famous ship, the “Golden Hind”, and anchored in Drakes Bay where he raised the English Flag and took possession for Queen Elizabeth and called the land New Albion.

Then Spain decided to occupy California to protect her colonial possessions, so two courageous Clampers were selected for the expedition: one was Don Gaspar de Portola, and the other was Father Junipero Serra. These men raised the Emperors flag at San Diego on May 17, 1769.

After Mexico revolted from Spain, an admirable Clamper, General Antonio de Santa Ana, ordered the flag of the Mexican Republic raised at Monterey on January 7,1769. 

John Charles Fremont was a peritatetic Clamper and he raised his ensign as Captain of the United States Topographical Engineers above every camp that he made in California during his expeditions between 1844 and 1846. That flag is now in the custody of the Southwest Museum in Los Angeles. 

On June 14, 1846, a Sonoma group of justly indignant Clampers rebelled against the aggression of Mexican officials. They captured the garrison at Sonoma, issued a clampotent proclamation declaring California to be an independent republic and raiseda crudely designed but historic Bear Flag.

 Clampers played an important part in the history of California in the nineteenth century because the American membersof this Order worked in unison. Commodore John D. Sloat in command of the Pacific Squadron of the U.S. Navy captured Monterey and on July 7, 1846 he instructed a fellow Clamper William Mervine to raise the flag of the United States above the customhouse. When Fremont learned of Brother Sloat’s coup he ordered the Bear Flag struck at Sonoma and replaced by a 28-star flag of the United States.

It is manifest that Clampers have been leaders throughout the history of California and the flag-raising members of the Order of E CLAMPUS VITUS have contributed glamor and deeds of courage and gallantry to our heritage. It must be noted however that this history has never been proven.

 CREDO QUIA ABSURDUM – BECAUSE ITS ABSURD I BELIEVE
QUOTED FROM E CLAMPUS VITUS, THEN AND NOW, 1852-1979

As for me, I’ve been a “clamper” since 1992 at the Tehachapi Loop.
How many of you are Brothers of the Order?

Next week, we’re back to common sense ideas for healthcare reform. Promise!
Until then remember, we’re all in this together.

Mark Reynolds, RHU
559-250-2000
mark@reynolds.wtf

 

Promoting “polls” that suggest a change in “favorable vs. unfavorable” opinions is the new technic to support the ACA. Can we trust these polls?

September 7, 2017

You’ve probably seen them, too. Polls that show the “favorable” opinions about the ACA increasing dramatically. Since the introduction of the failed House and Senate bills to replace the ACA more articles are stating that opinion polls are showing the “favorable” attitude about the ACA increasing.

Who in the world did these polls approach. And I do mean “in the world”, because if anyone likes the ACA better now than before January 2017, they must have been people from other world counties. Another likely scenario would be that the polled population was previously uninsured who are now covered by either Medicare expansion or a state exchange with full or nearly-full subsidy.

Who could find the ACA more favorable after 7 years of:

  • Double digit premium increase (100%+ in many areas)
  • 50% fewer providers in the PPOs
  • Crappy benefits with higher out of pockets
  • Limited number of insurers

The answer is that no one would find the ACA more favorable unless:

  • You paid premium before but now it’s paid for you.
  • You were uninsurable before and had no coverage.
  • Had no coverage before but what the heck – its free now.
  • You are Harry R or Nancy P or Z Emanuel or J Gruber.
  • Or one of their relatives (even that’s unlikely, though).

The key to the outcomes in these kind of polls is often the format in which questions were formulated to meet the desired outcome of the pollster. In a sensitive issue such one’s health care it is easy to ask a yes-no question in a manner that leads the subject to the answer desired.
For instance: if I asked you “Do you think it’s fair for insurers to decline an applicant for coverage?” you could easily say NO. But, would your answer change if you knew that the applicant had several opportunities to enroll before but chose not to until just recently after a negative diagnosis was received?

Our citizens are smarter than politician think, or want for that matter, so they know what should be done. However, if they are polled with questions impossible to answer then it skews the outcome. As Ms. Vido, in My Cousin Vinny, said “It’s a bullshit question”. By that, as she goes on to explain – “It’s a trick question. No one could answer that question.” So how are we to believe these polls?

Or let’s say you were asked – “Sir, do you still beat your kids?”. Of course you don’t because you never have but you must answer yes or no. The point is that professional pollsters conducting polls for entities with certain agendas can make the American public seem like it supports or does not support an issue based on the specific outcome desired.

So, don’t you find it difficult to believe that any American would answer that he/she is more favorably inclined toward the ACA today than they were 1 or 2 years ago? Unless, it was because they were among the citizens outlined above.

I know I can be a skeptic or even a cynic, as I’ve mentioned before, but some things are beyond giving the benefit of the doubt.

Now, if you were to ask people the following questions you could be sure of people’s true opinions:

  • Do you think premiums increasing 100% per year is reasonable?
  • Do you think insurers should be subsidized by the government.
  • Do you think PPOs with half the Doctors carved out provide good service?
  • Do you think the premium you pay should be tax-deductible?
  • Do you think people who choose not to enroll should be GI with no Pre-ex later?
  • Do you want your plan to cover pediatric dental if you are a single 50 yr. old male?
  • Do you think healthy working-age people should get their coverage for free?
  • Do you think the Congress should have been better prepared to offer a replacement plan for the ACA?
  • Do you think calling the House or Senate’s bill a “repeal” was an assault on your intelligence?

I guess I got on to another rant there for a moment but you get my meaning. It is very difficult to believe that tens-of-millions of our hard-working premium-paying citizens would find the ACA more favorable today than they did a year or two ago.
But, what do you think?

Until next week, just remember that we’re all in this together.

Please keep praying for the folks in south Texas and Louisiana. They have a long haul ahead.

Mark Reynolds, RHU
559-250-2000
mark@reynolds.wtf

The Cruz Amendment, what would it do for Healthcare Reform? Maybe, just maybe, it would provide options.

July 20, 2017

As I write this Post today, the Senate’s two attempts at HCR are on hold for voting purposes. Initially, the public reason given for the delay is that they are waiting for Senator McCain to be released and back at work. Please join us in wishing the Senator a speedy and full recovery!

Now, we hear that Leader McConnell is pulling the bills back all together.

In the interim let’s discuss the possibilities of the passing the BCRA (Better Care Reconciliation Act), or any Reform or Replace legislature, with the Cruz Amendment (CA) included. The opposition argument against the CA is some what logical and makes for good debate even though the opposition is too scripted and predictable to be conclusive. Their argument is that the CA will cause premiums to increase dramatically on full service standardized or ACA type of benefit plans. What’s wrong with that argument? Plenty!

For one, it makes us accept (or forget) that premiums haven’t already increased dramatically (over 100%) and done so to the point of being unaffordable.

Two, the opponent’s argument conveniently forgets to acknowledge that the ACA Bronze Plans and even Silver Plans leave members with such high out-of-pocket costs that the plans provide no real benefit for basic primary care or for higher cost care such as diagnostic care for most Americans covered by those plans. Who can afford to pay a $6,500 deductible before their plan pays anything?

Three, their argument neglects the fact that insurers are so regulated and handicapped by the ACA that the insurers have skinnied down PPOs to the point that finding a doctor to accept your Bronze/Silver plan is nearly impossible. In addition, by eliminating 50% of the providers in your area the opportunity for you to even receive care is reduced.
You might have a Health Plan Id card in your pocket but you have no providers at which to use it.

The opponents of the Cruz Amendment want you to forget that the ACA has allowed or even forced insurers to offer high-priced, high out-of-pocket, skinny network plans that people would not want to purchase unless they were forced to do so. And could not afford the richer Gold and Platinum plans available.

And don’t forget the subsidies paid to insurers which further drive up the costs of the ACA plans because we all pay those subsidies don’t we. Those subsidies also skew the pricing assumptions that insurers usually make.

Remember that the Cruz Amendment would require insurers to offer standardized HCR metallic-like health plans before they are permitted to make other plans, with less benefits, available. It is not a license for insurers to offer only stripped out benefit plans. It’s a chance for insurers to offer more options from which individuals and small employers can choose.
So, what could the Cruz Amendment create?

The obvious goal is that it could create a menu, with more options, from which Americans could choose the benefits important to them.
For example.

Individuals:

  • Young healthy men or woman(or older) might select benefits with limited  or no maternity coverage.
  • Older men or woman might select plans with richer Rx benefits than younger folks.
  • Young people might be more willing to buy catastrophic coverage with a deductible of $10,000, for example.
  • Certainly, many people would not want to pay for built-in pediatric dental that is forced on current ACA plans.
  • There are dozens of examples of how plans could be built and priced for more choice.

Small Employers:

  • Could purchase low-cost catastrophic plans then implement an HRA to enrich their employee’s benefits. (Thousands of employers would do this.)
  • Provide multiple options so employees can choose from more than a couple options
  • The employer’s HRA plans would provide employees with better choices so that they might include their families. It’s be nice to be able to afford to include their kids on the parents plan.
  • Employers could lower the cost and improve benefits for their employees.

The argument against the Cruz Amendment uses the well-tested tactic of fear to gain support for the opposition. Yet the opponents must rely on our faulty memories to forget that premium have increased by over 100% while out-of-pocket costs have increased and provider access is scarce, since the ACA went into play March 23rd, 2010.

What the Cruz Amendment needs is a solid national promotion campaign with an articulate spokesman to lay out the facts. The GOP must tell America that having more options from which to choose does not guarantee poorer benefits or higher premiums.

I recognize that I am being pretty basic here and that there are a few more details to address such as subsidies for those that need them, Medicare expansion, logical pre-ex provisions and more. But all of that can be resolved when we let competition take hold.

Fortunately these types of health plans and the solutions they bring are part of a solution for which your author has some experience. I challenge anyone to debate this issue with us. That is, if the opponents use facts and real experience.

What do you think?
Remember, we’re all in this together!

Mark Reynolds, RHU
559-250-2000
mark@reynolds.wtf

Why are some Republican Senators suddenly so opposed to their own Senate Healthcare Reform bill? Follow the money!

July 13, 2017

Money, that’s it, that’s the reason why a handful, but growing number, of GOP Senators are opposing the Senate’s current R&R effort. (Please forgive me for referring to it as R&R since we know it’s not either.) But the point is, their opposition is not about their concern for the poor or any other human related issues. It’s about the money attached to Medicare Expansion.

The creators of the ACA understood human nature and politicians so they knew that if the ACA could get states hooked on and depentant upon the billions of Federal dollars committed for ACA enrollees created by the Medicare Expansion then those states, or more appropriately those politicians, would be reluctant to give up those dollars. Actually, the ACA proponents knew that Politicians would be unwilling, actually unable, to give up those Federal dollars; as if those dollars were an addiction.

You’ve read in previous Posts how the Medicare Expansion works. It promised states that the Feds would pay 100% of the costs for those enrollees initially then reduce to 90% after a few years. Meaning the states had to come up with no more than 10% to cover the millions of newly enrolled healthy working age citizens getting their health coverage from Medicaid.

You will remember that Medicaid was originally created for the young, the disabled or pregnant citizen and that the Feds matched the state’s spending on a graduated scale based on each state’s average “prosperity rating”. So richer states like California and New York received only a 50% match while poorer states such as Mississippi received up to 75% match. These figures and factors have applied for years and as you can see are much lower than the Federal match for enrollees under the ACA’s Medicare Expansion.

Bottom line is that  which means a “political” problemthe 31 states, that accepted the Medicare Expansion, are hooked on the higher reimbursements from the ACA.

Some GOP Senators from states that excepted (swallowed) the Medicare Expansion pill now are getting pressure from their home states to keep the funding for Medicare Expansion in place. The reason is that to reduce the matching funding would cause these states a budgeting problem.

The current GOP Senate bill retains the concept of Medicare Expansion but starts to reduce the matching % in 2021. Then, by 2024, (6 years from now) the matching % would level off and be the same % as the state’s Federal match for regular Medicaid enrollees. Seems fair doesn’t it but to Governors of those states hooked on the Federal ACA match it creates a budget issue and therefore they have a “political” problem.

For the past 7+ years the GOP used the “Repeal and Replace” mantra as its campaign slogan which worked and added thousands of Republicans to every level of government office from your local representatives in city, county and state positions to Congress and Senators including a bunch of Governor’s seats. So all of a sudden the success of the GOP to unseat Dems from all of these seats has put many Republicans in a position of responsibility over budgets and caused the GOP a political problem. Now it appears that many have forgotten their pledge to Repeal & Replace the ACA which helped get them elected. Funny how quickly some politicians forget their promises, isn’t it?

Make no mistake about the magnitude of this issue. We’re talking about hundreds of billions of dollars that the states will see reduced over the coming few years. Those state politicians will be faced with citizens (voters) that will fear that ( and be told by Dems) that their public subsidy (premium or benefits paid by Government) are being reduced or eliminated. The Governors and Senators of the Expansion states fear the back-lash from those healthy, often young, able-bodied and often working citizens who are currently covered by Medicaid who that their subsidy will be reduced or eliminated.

Do you think the Dems will exaggerate or try to capitalize on this in their campaigns?

So, that’s it! It’s not about a better healthcare reform package or helping the poor or the disabled. It’s about the money, the money to which these Expansion states are now addicted. Of course the cynic in your author assumes that the politicians in those Expansion states are more concerned about their own re-election than on what’s good for America. I pray that I am wrong about this.

As I write this Post we are hearing that the Senate will introduce a new R&R bill this week that will be “better” than the Senate’s current Better Care Reconciliation Act.
I wonder; Better for Whom?

Let me know what you think.
Also let me know what you think would happen if the GOP does nothing about R&R but simply props up the ACA for another year? Let me know.

You know I believe that we are all in this together and by being together we will overcome any obstacles facing us. However, when one sees politicians act or react for their own benefit it makes a person wonder.

Until next week.

Mark Reynolds, RHU
559-250-2000
mark@reynolds.wtf