HEALTH CARE REFORM: Dissenters against meaningful health care reform haven’t done their homework

Health Care ProtestorIt’s clear that the dissenters of health care reform aren’t happy about how our elected officials are driving policy in Washington D.C. However, I’m not happy with how these dissenters have passively and wantonly been a catalyst for disinformation on health care reform.

Furthermore, it’s obvious, by listening to their criticisms of current efforts to reform health care, that these anti-health care reform protesters haven’t done their homework. How can you criticize a politician, a policy, a reform bill, politics, or anything else that’s related to our government or the public affairs of our country if you haven’t considered the facts or taken the time to understand the challenges facing our country?

To me, these protestors appear xenophobic and ignorant when they exclaim hogwash like, “I don’t want this country turning into Russia, turning into a socialized country.” As a criticism against the Obama Administration, these town hall protestors are using words like fascism, Marxist, Nazism, or socialism very loosely or incorrectly.

Furthermore, given that “the total US tax burden is less than that in most industrialized countries” and as state budgets are running in the red, these town hall protestors seem selfish to me when they complain about not wanting to pay more taxes. Basically, these protestors are driving the type of policy that has resulted in our country’s current woes. Maybe most Americans aren’t ready for change, or perhaps most Americans are perfectly content with the status quo, but I’m certainly not. From Katy Abram at Senator Arlen Specter’s town hall meeting:

I don’t believe this is just about health care. It’s not about TARP. It’s not about left and right. This is about the systematic dismantling of this country. I’m only thirty-five years old, and I have never been interested in politics. You have awakened a sleeping giant. . . . I don’t want this country turning into Russia, turning into a socialized country. . . . What are you going to do to restore this country back to what our founders created, according to the Constitution?

Lawrence O’Donnell, while filling in for Chris Matthews’s “Hardball”, exposes Katy Abram’s ignorance of the issues surrounding the health care debate:

Katy Abram on “Hardball” says she’s upset about having to fund government programs as a taxpayer, but the federal government has a responsibility to drive policy. As a taxpayer we have a responsibility to pay for these programs—there’s no such thing as a free lunch. Furthermore, Abram mentions she has a $5,000 deductible!  Consequently, I imagine it’s hard to meet a $5,000 deductible while also paying the exorbitant costs of private health insurance. Additionally, when her parents retire, they’ll participate in a single payer health care system—Medicare. Clearly these dissenters of health care reform are relying on sources that have purposely spread disinformation, because the health care industry doesn’t want the status quo to change, since they’re making so much money! From the NYTimes.com:

Ms. Abram described herself as a stay-at-home mother from Lebanon, and in many ways she was representative of the almost entirely white and irritable crowd, most of whom were from the area. Based on interviews with several dozen people who attended, it appeared that about 80 percent of those who showed up opposed the planned changes to the health care system.

Many said they heard about the meeting from e-mail alerts sent by conservative and antitax groups like the Constitutional Organization of Liberty and the Berks County Tea Party, along with Mr. Specter’s own mailings. Some voiced sentiments that were heard recently on conservative radio shows, though those interviewed said they resented being characterized as mobs or puppets of lobbyists, emphasizing that they represented only themselves. “I demand my voice!” read one sign outside. “You work for me,” was a refrain yelled inside the auditorium.

At the same time, those who favor a health care overhaul, urged to attend by unions and liberal groups like the Service Employees International Union and Health Care for America Now, said they were motivated by concern that the government might not go far enough. Only the government, they say, can take on a problem as big as health care.

Here’s another great Lawrence O’Donnell interview:

Some facts that illustrate the need for health care reform:

Canada spends more than a third less per capita on health than the United States and still covers everyone, whereas the U.S. system leaves 46 million people without insurance.

Via

  1. Cost of current House healthcare plan: $1.042 trillion over 10 years
  2. According to a report “submitted to Congress by the Congressional Budget Office and the Joint Committee on Taxation,” healthcare reform as it stands now would cost “$1.042 trillion over 10 years . . . [but] that cost would be partially offset by program savings of $219 billion over five years and added revenues totaling $583 billion.”

  3. % increase of employer health insurance premiums in 2008: “5.0 percent – two times the rate of inflation.”
  4. Even though no national healthcare plan currently exists, the total national health expenditure as % of U.S. gross domestic product in 2008 and 2018: “The health share of GDP is projected to reach 16.6 percent in 2008 and 20.3 percent by 2018.”
  5. U.S. obesity-attributable medical expenditures in 2003: $75,000,000,000 (yes, that’s in billions). More data can be found here and here.
  6. Research suggesting % of Americans that could be overweight or obese by 2030: 86%
  7. If I’m spending twice as much, I’d expect to have the better outcomes.

  8. Despite not having some type of universal coverage, how does the U.S. rank in overall healthcare expenditures? #1: “The United States spends at least 40% more per capita on health care than any other industrialized country with universal health care.” (from a 1999 source)
  9. How does the United States’ health care system rank in quality: 37th (from a 2000 report). According to The World Health Report 2000 – Health systems: Improving performance:
  10. The U.S. health system spends a higher portion of its gross domestic product than any other country but ranks 37 out of 191 countries according to its performance, the report finds. The United Kingdom, which spends just six percent of GDP on health services, ranks 18 th . Several small countries – San Marino, Andorra, Malta and Singapore are rated close behind second- placed Italy.

Discussion of Michael Moore’s Sicko—“Bill Moyers interviews former health insurance industry executive Wendell Potter, who left the field after almost 20 years to become a health reform advocate.”


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CONSERVATION TIP #1: Understand that unlimited economic growth is impossible, to understand why conservation and environmentalism are indispensable to preserving civilization

LandfillFireExergyI would argue that most conservationists and environmentalists understand that we live in a world with limited resources (so unlimited growth is impossible); otherwise, they probably wouldn’t be conservationists or environmentalists in the first place. Since we live in a world with limited resources, small changes in behavior—in the aggregate—in addition to policies that bring about big changes are important in alleviating our propensity to increase entropy—or the unavailability of energy to produce work, thus goods and services. Consequently, extracting energy from renewable resources, consuming or using less goods and energy, thus generating less waste, are important in conserving energy within a closed system (e.g., Earth). However, this concept isn’t commonly or aggressively distributed by the media, politicians, or in our school systems.

For example, I find the complacency of relying on fossil fuels and the subsequent impacts of relying on fossil fuels extremely worrying. During the 2008 presidential elections a hot topic was offshore drilling. An alarming number of Americans believed (and many still do) that offshore drilling was an appropriate remedy to our energy woes. However, what happens when we exhaust offshore energy supplies? Therefore, shortsighted policies do nothing but exacerbate the problem. Consequently, save the offshore supplies for when we really need them, because to me, a smarter policy is modernizing the grid, utilizing as much renewable energy as possible, and getting gas-guzzlers off the road. Investing in appropriate technologies is important too. Furthermore, although the markets can foster change, the markets often bring change too late. Therefore, the federal government has a responsibility to drive policy. That policy should reflect the maximum sustainability that’s possible to achieve with current technology and resources. Considering the various competing interests, such a policy would be difficult to hammer out but certainly not impossible.

I believe utilizing more nuclear power has its problems as well—the biggest being nuclear waste. Drought is also the Achilles’ heel of nuclear power, so like coal-fired power plants, nuclear power relies heavily on water resources. Furthermore, I believe nuclear power is a lazy remedy to our energy woes. Nuclear power should be a tool to solve our energy crisis, but it shouldn’t be pursued aggressively.

Our current paradigm of development is undeniably unsustainable, and it’s unsustainable because we use energy unsustainably.  This behavior results in less energy for future generations and high energy prices.  Certainly, the economy of the United States can absorb high-energy prices but only to a particular amount and for a certain amount of time. Driving your family around in an inefficient vehicle such as an SUV might make you feel safe, but what type of world are you leaving your children?

For instance, when we burn coal it turns to ash, so the same amount of energy contained before the coal was burned can’t be extracted from the ash. The same applies when we extract crude oil and produce diesel, gasoline, kerosene, petroleum gas, or the many other products we create from crude oil. After these products are burned, the energy they contained before being used can’t be recaptured. Furthermore, burning these products produces pollution. Likewise, consuming food and drink provides fuel for our bodies, but the end product—or the waste—is essentially useless. Rusting iron and steel illustrates the entropic process as well.

The concept that unlimited growth is impossible, and we are limited by how much energy is available reflects the Second Law of Thermodynamics, especially the concept of entropy. More from Tushara Kodikara at Scoop.co.nz (emphasis added):

However, a litany of environmental problems, including destruction of the ozone layer, climate change, acid rain, deforestation, overpopulation, loss of biodiversity, soil erosion, desertification, floods, famine, overfishing, hazardous wastes, expanding landfills, fresh water depletion and the depletion of nonrenewable resources, to name a few, are symptoms of the shortcomings of the current economic system.

The planet is approximately in a steady state. Neither the mass nor the surface is growing or shrinking and the flows of energy inwards and outwards are roughly equal. Energy and matter enter the economy as inputs, are turned into goods and services, and leave as wastes. This flow is known as throughput.

Steady state economics draws from the work of Nicholas Georgescu-Roegen’s The Entropy Law and the Economic Process (1971). This explains how the second law of thermodynamics can be applied to the economy. In a closed system such as the planet, where the energy balance is around zero, the availability of useful energy decreases. Production of economic goods transforms matter-energy from a state of low entropy to a state of high entropy. Entropy is a measure of the disorder within a closed system.

The second law implies that matter can only be recycled a number of times and that energy can be recycled. However it takes more energy to do the recycling than the amount of energy being produced. The law also implies that creating order by means of producing goods will create greater disorder elsewhere in the environment. Therefore the entropy law puts a limit on how much we can produce. Therefore unlimited growth is impossible.

The planet’s interdependence has its limits too, and in turn limits growth. The environment provides vital services such as non-renewable resources which excessive economic growth exhausts. Forests, for example, can be considered as floating lakes. They hold topsoil in place, preventing erosion; help absorb rainwater, thereby preventing flooding; and they also remove carbon dioxide, produce oxygen and many other important ecological services. Deforestation removes all of these services.

However, in neoclassical economics, this forest can be turned into books on the topic of the ecological services of trees and people can go to the library and learn about the ecological services trees provide. This economic theory treats factors of production as substitutes; natural capital can be replaced by human capital or physical capital. If there is less of one (such as labour) it can be replaced by another (machinery) and you can still get the same output.

Before the industrial age, when the economy was small compared to the ecosystem, physical capital was the limiting factor. Fish in the sea were abundant. The number and capacity of fishing boats determined the catch size. Today however, Daly argues, the factors’ roles have changed—the economy has become very large relative to the ecosystem—making natural capital the limiting factor. The depleted fish stock in the sea will determine the number of fish that can be taken as opposed to the technologically advanced fishing fleet.

.       .       .

Until recently, the world economy had been growing, and yet we still have extreme poverty. It should be obvious that what actually grows is the reinvested surplus, such as profits and the benefits of growth go to the owners of the surplus, who are not the poor.

Another argument of those who oppose the steady-state economy and think that the current system is the answer is that of technology being able to solve our problems. We shouldn’t worry about peak oil, as electric cars will become cheap and viable for everybody. However, there are a couple of issues here. There is a limited amount of platinum available in the world. This is an important component for the vehicle’s battery. There is not enough platinum to produce enough cars to replace the current petroleum-based vehicle fleet on the planet.

This blind faith that technology will solve all our problems is just that, blind faith. These solutions will be far more expensive than the preventive measures available. These solutions may in fact cause more problems rather than solving the current environment problems.

The most important point is that petroleum isn’t just used for fossil fuels. It is also an important chemical feedstock used in just about every produced good. It is literally the lubricant for the world’s economy. Under the current economic system, a substitute should be able to replace this vital feedstock. However, this substitute is not forthcoming.

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Exergy image found here.

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MARINE CONSERVATION: Glenn Beck attacks sea turtle conservation

Kemp's RidleyKemp's Ridley3Kemp's Ridley2In the video above, Glenn Beck goes crazy over sea turtle and sea otter conservation. Most certainly, Glenn Beck channels Republican contempt for conservation, environmentalism, environmental regulations, and science. However, there is a great utility in preserving nature and natural landscapes. We all benefit from clean air and water in addition to the preservation of biodiversity—even Glenn Beck.

Furthermore, international sea turtle conservation work in countries such as Mexico is important, because sea turtles do not follow political boundaries. As a result, conservation efforts and gains in the United States are threatened by the lack of environmental regulation, protections, and conservation efforts in other countries.

The Kemp’s Ridley sea turtle (Lepidochelys kempii) is a critically endangered species, and “the recent nesting increase can be attributed to full protection of nesting females and their nests in Mexico, and the requirement to use turtle excluder devices in shrimp trawls both in the United States and Mexico.” More from the U.S. Fish & Wildlife Service:

In 1966, conservation efforts for the Kemp’s ridley were initiated on the beach near Rancho Nuevo in Tamaulipas, Mexico. This locale is the only place in the world where large nesting aggregations of this sea turtle were and are known to occur. From 1966 to 1987, conservation efforts focused on the area of Rancho Nuevo with one turtle protection camp. In 1978, the U.S. joined with Mexico at Rancho Nuevo in a bi-national effort to prevent the extinction of the Kemp’s ridley. In 1988, this bi-national program expanded to the south and another camp was added. In 1989, a third camp was established when the program was expanded to the north of Rancho Nuevo. By 1997, a total of seven camps had been established along the Tamaulipas and Veracruz coasts to allow for increased nest protection efforts.

The Mexico government also prohibits harvesting and is working to increase the population through more intensive law enforcement, by fencing nest areas to diminish natural predation, and by relocating all nests into corrals to prevent poaching and predation. While relocation of nests into corrals is currently a necessary management measure, this relocation and concentration of eggs into a “safe” area is of concern since it makes the eggs more susceptible to reduced viability due to movement-induced mortality, disease vectors, catastrophic events like hurricanes, and marine predators once the predators learn where to concentrate their efforts.


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CLEAN WATER ACT: Due to inaction, goals of the Clean Water Act not met

Shellfish and Fecal ColiformIndividuals, governments, and corporations failing to recognize and follow environmental legislative mandates and regulations merely generate more costs and contribute to or exacerbate environmental degradation. Most certainly, courts play an important role and can be negative or positive drivers in remedying environmental wrongs.

As an example, take the case I recently read below discussing the Clean Water Act and Montana’s foot dragging in the development of total maximum daily loads or TMDLS under the Clean Water Act.  TMDLs represent “a value of the maximum amount of a pollutant that a body of water can receive while still meeting water quality standards.” From Friends of Wild Swan v. U.S. Envtl. Prot. Agency (emphasis added)

B. Appropriateness of District Court’s Deadline
The district court supported its schedule with the following finding:

The CWA declares as a national goal the elimination of pollutant discharges into navigable waters by the year 1985. See 33 U.S.C. § 1251(a)(1). To meet this goal, the CWA required states to promptly submit TMDLs for all WQLSs, with initial lists of TMDLs due in 1979. See 33 U.S.C. § 1313(d)(2). The tight deadline for submission of the TMDLs emphasizes an obvious congressional mandate that TMDLs be established in a matter of years, not decades. See Idaho Sportsmen’s Coalition v. Browner, 951 F.Supp. 962, 967 (W.D.Wa.1996). Montana failed to develop any TMDLs until 1996. In 1996, the state only identified 1 TMDL. In the nineteen years since 1979, Montana has developed 130 TMDLs. At its current pace, the state will need over one hundred years to develop the 3,000 TMDLs required for the WQLSs identified in 1998. The net result will be to put off for another generation a mandate that Congress required be taken years ago. Because TMDLs provide a basis for developing pollution control measures where technology-based point source controls prove inadequate, TMDLs must be developed quickly if they are to serve their intended purpose. See 33 U.S.C. § 1313(d)(1)(A); Browner, supra, 951 F.Supp. at 967. Montana’s submission of 130 TMDLs in 1998 fails to meet the CWA’s requirement that states promptly develop TMDLs for the WQLSs they identify. Accordingly, I find that the EPA acted arbitrarily and capriciously when it failed to disapprove of Montana’s inadequate submission of TMDL’s.

The court’s imposition of a schedule is also supported by Montana’s history of delay and EPA’s repeated failure to require the timely development of TMDLs as evidenced by numerous court orders and consent decrees across the country.

.       .       .

The district court has broad latitude in fashioning equitable relief when necessary to remedy an established wrong. Weinberger v. Romero-Barcelo 456 U.S. 305, 102 S.Ct. 1798, 72 L.Ed.2d 91 (1982). In this case the established wrong is the failure of the EPA to take any steps to establish the TMDLs mandated by Congress for more than a decade. In tailoring the relief granted, the district court correctly recognized that in order to bring about any progress toward achieving the congressional objectives of the CWA, the EPA would have to be directed to take specific steps. In selecting the remedy that it did, the district court acted with great restraint in requiring only that steps undeniably necessary to the development of TMDLs in Alaska be accomplished by deadlines that are far more lenient than those contained within the CWA itself.


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NOTEWORTHY PIC

In the image below, Greenpeace sends President Barack Obama a strong message—the United States must develop an effective policy and regulations that tackle global climate change—so no more politics as usual as Alaska Governor Sarah Palin would say. From the Christian Science Monitor:

Greenpeace activists scaled Mt. Rushmore today to issue a challenge to President Obama. “”Our brave climbers rappelled down the face of Mt. Rushmore today to issue a challenge to President Obama: If he wants to get his face on this monument, he needs to be a true leader on global warming, not a politician,” said one Greenpeace member.

8.09.62.KD

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