Friday March 29, 2024

An Independent Progressive Media Outlet

FacebookTwitterYoutube
Newsletter
News Feeds:

Progressive Thinking

Discussion with education and reason.

Medicare and Medicaid Turn 50: Born from Compromise, Continuing in Controversy

Posted by Kathleen Vinehout, State Senator 31st District
Kathleen Vinehout, State Senator 31st District
Kathleen Vinehout of Alma is an educator, business woman, and farmer who is now
User is currently offline
on Tuesday, 28 July 2015
in Wisconsin

elderlySen. Kathleen Vinehout writes about the 50th birthday of Medicare and Medicaid. These health programs provide access for the elderly and people without the means to purchase health insurance. Medicare moved many elderly out of poverty and Medicaid is important not only to those covered but the health providers which serve them.


ALMA, WI - “Whatever you do,” the elderly woman in Gilmanton told me a few years ago, “Keep your government-run hands off my Medicare.”

Medicare and Medicaid turned 50 years old on July 30, 2015. After decades of political leaders grappling on the issue of health care, it was in 1965, that then President Lyndon Johnson signed Medicare and Medicaid into law.

Today we take for granted what was a seminal political accomplishment. Medicare, a federally run program, provides health care for those over 65 through a Social Security payroll tax. Medicaid, a state and federally administered health program, provides aid for the poor. Both are government-run.

The Center for Medicaid Advocacy reported that before Medicare, less than 50% of elders had health insurance and 35% lived in poverty. By the 1970s, 96% of seniors were covered.

In our current era of health care controversy, we often forget the past political struggles. President Johnson sent “Medicare” bills to Congress in 1961 and 1962. Congress did not even give the bill a hearing until 1963.

Success in Medicare and Medicaid legislation was finally achieved through political compromise. Medicare “Part A” benefited hospitals. “Part B” benefited the oppositional Medical Society.

The concept of a ‘fiscal intermediary’ or the ‘moneyman in the middle’ that paid providers was a nod to hospitals and especially physicians who worried the legislation would open the door to ‘socialized medicine’, which they feared would drive down physicians’ salaries. To address this fear, Medicare paid physicians ‘usual’ and ‘customary’ fees; and what began as a creation of the hospitals and the doctors: Blue Cross (hospital insurance) and Blue Shield (physician coverage) pay providers of Medicare coverage.

While Medicare for all elderly – not just poor elderly – was a victory for Johnson, Medicaid – care of the poor – benefited those without the means for health care as well as doctors and hospitals.

Many hospitals have their genesis in care of the poor. Religious organizations served the poor through “hostels” during the Middle Ages. Wealthy individuals could afford private doctors and live-in nurses. Poor folks had no choice but charity.

In the mid-twentieth century, unions had raised wages and benefits. Health care became a standard benefit. However, left out were the elderly (who worked prior to the strength of unions) and the poor who worked in ‘day-labor’ without union representation.

Hospitals continued charity care but realized the benefits of a program that covered poorer folks. About the time of the first hearing on Johnson’s ‘Medicare’ bill, the Hospital Association dropped its opposition because they realized the potential benefits of Medicare and Medicaid.

The original compromise that created Medicare and Medicaid was never designed to control health costs or to cover preventive or maintenance of health care. Johnson’s compromise was designed to pass the legislation.

Over the years, health costs have grown and government has put in place a number of ‘cost savings’ measures. Blue Cross and Blue Shield eventually divested themselves of their founders: the hospitals and physicians. They even divested of their non-profit roots in Wisconsin and many other places. Medicare moved toward a plethora of for-profit insurance plans - with mixed results.

Within states, the mechanisms for administering Medicaid increasingly involved contracts with for-profit companies. In Wisconsin, these costs more than doubled in the last 5 years. The budget just passed provided a 20% cost increase for health administration contracts with private companies.

Medicare and Medicaid continue to struggle balancing costs and quality care. In Wisconsin Medicaid takes up 32% of the total (all funds) state budget and is growing faster than any other program. About 80% of the over $2 billion increase in state spending went to Medicaid.

Increases in costs and the number of elders caused some to speak of “phasing out” Medicare. Do we really want to go back to a world where 35 out of 100 seniors live in poverty?

Future generations will grapple with balancing health costs, high quality and access. There are answers. One of the unsung successes of the Affordable Care Act is the Center of Medicare and Medicaid Innovation. Using science and best practices in health care can help manage costs and provide high quality coverage for generations to come.

Tags: Untagged
Rate this blog entry
0 votes

11 Steps to More Open and Honest Government

Posted by Mike McCabe, Blue Jean Nation
Mike McCabe, Blue Jean Nation
Mike McCabe is the founder and president of Blue Jean Nation and author of Blue
User is currently offline
on Monday, 27 July 2015
in Wisconsin

capitol-dome-mdsnRepublicans who call the shots in Madison want to butcher the state’s open meetings law and turn our independent elections watchdog agency into a lapdog. It’s easy to focus on condemning the attacks, but let's think of ways to make open government laws sturdier and government more trustworthy.


MADISON - Those who call the shots in Wisconsin’s Capitol show themselves to be most comfortable working in the dark. They tried to butcher the state’s open meetings law, and only backed down when their action whipped up a public firestorm. They want to do away with the highly respected state audit office. They’re itching to turn a nationally acclaimed, politically independent elections and ethics watchdog agency into a lapdog.

They must have a lot to hide.

With open government laws under assault, it’s easy to focus entirely on condemning the attacks and seeking to prevent further harm. It’s harder, especially in times like these, to take the time to think up ways to make our open government laws sturdier and the business of governing more transparent and trustworthy. It’s not enough to bear witness to destruction or even to try to stand in the way of the demolition crews. Blueprints for new construction need to be drawn.

It’s only a start, but here are 11 ways to bathe the encroaching darkness in light:

1. Require all legislative proposals – every bill, every amendment, every budget provision – to have named sponsors. Whoever wants a proposal drafted and considered has to be publicly identified.

2. Strengthen the open records law by clarifying how promptly government agencies must respond to public records requests. Wisconsin’s law just requires them to do it “as soon as practicable and without delay.” In Illinois – Illinois, for crying out loud – officials are given five business days to either comply with or deny a request or put in writing a darn good reason for needing more time. Maybe five days is not enough time, but 352 is definitely too much. That’s how long one Wisconsin newspaper was made to wait.

3. Further strengthen the open records law by narrowing the exemption for draft proposals. Once the official developing the proposal shares it with colleagues or other officials, it should be a public record.

4. Strengthen the open records law even more by clarifying that electronic records – or “electromagnetic information” as it’s called in Wisconsin’s law – have to be treated just like paper records when it comes to storage and retrieval. Make it abundantly clear that sudden mass email deletions and other destruction of electronic public records are crimes.

5. Create an open data law requiring the government to publish data online in an open format, and require government responses to public records requests to be made available in an open data format. Harnessing the power of the Internet to drive transparency, efficiency and innovation is gaining momentum globally, and was written into law for the first time anywhere in the U.S. by a major American city in 2010. Wisconsin has dabbled in a few open data projects, but has no overarching open data law.

6. Sharpen Wisconsin’s open meetings law to address the reality that members of public bodies too frequently go into closed session simply because they believe they can speak more candidly that way. When enough members are present to constitute a quorum, the meeting should be open to the public, with very limited exceptions. And it should be made clear that the open meetings law applies fully to the legislature, even when members of just one party gather.

7. Instead of dismantling the independent Government Accountability Board, make the GAB stronger by giving it the staffing and funds needed to carry out its duties and deal with the work backlog identified by arecent audit. That audit pointed out that the GAB keeps being given more and more to do on top of its regular workload, including administering recall elections in 2011 and 2012, overseeing a statewide election recount, implementing redistricting legislation, and preparing for a photo identification requirement for voting. Yet the GAB’s funding has actually shrunk, decreasing 3% from $5.8 million in 2009-10 to $5.6 million in 2013-14.

8. End the home-court advantage for public officials who find themselves in trouble. This would fix one of the two major flaws in the 2007 law establishing the Government Accountability Board. That law allows any legislators and other state officials accused of wrongdoing to be criminally prosecuted in the county where they live. All other citizens are charged where the offense allegedly occurred. This double standard gives state officials – and no others accused of crimes – the ability to go court shopping and choose where they will be tried.

9. Make Government Accountability Board records related to complaints and investigations public, and require all actions by the Board regarding complaints and investigations to be done in open session. Currently, records pertaining to complaints filed with the GAB and investigations by the agency are confidential, and all Board actions dealing with these matters take place in closed session.  This change, along with repealing the law’s measure making it a crime punishable by up to nine months in jail and a $10,000 fine to publicly discuss or disclose any records about an investigation into ethics or campaign finance violations, would repair the second substantial flaw in the law creating the GAB and unmuzzle the watchdog.

10. Bring Wisconsin’s conflict of interest laws into the 21st Century. State law prohibits public officials from knowingly taking any action “substantially affecting a matter in which the official, a member of his or her immediate family, or an organization with which the official is associated has a substantial financial interest.” The law – written back in 1973, long before campaign contributions played the dominant role in elections they do today – is silent on whether political donations could create a conflict of interest for Wisconsin officials. Likewise, the state’s Code of Judicial Conduct allows judges to rule on cases involving their biggest campaign supporters. Both the judicial ethics code and the broader 1973 state law should be rewritten to disqualify officials from participating in decisions that could benefit individuals or groups that spend large sums to get them elected.

11. Follow Minnesota’s lead and ban gifts of travel and lodging to public officials from lobbying groups, even when passed through an organization that is not a registered lobbying group. Better yet, prevent the unregistered groups doing the passing of gifts from gaming the system by treating them as lobbying operations and requiring them to publicly disclose their activities and obey Wisconsin’s law prohibiting officials from accepting “anything of value if it could reasonably be expected to influence the state public official’s vote, official actions or judgment, or could reasonably be considered as a reward for any official action or inaction.”

Here you have 11 ideas for making governing more open and honest that should be under active consideration at the Capitol but currently are not. Surely others can come up with another 11. Or 111. There is much to be done to reverse Wisconsin’s descent into darkness.

Tags: Untagged
Rate this blog entry
0 votes

Ron Johnson & The Clown Show that Was the Senate Iran Hearing

Posted by Bob Kiefert, Green Bay Progressive
Bob Kiefert, Green Bay Progressive
Bob Kiefert is the Publisher of the Northeast Wisconsin - Green Bay Progressive.
User is currently offline
on Friday, 24 July 2015
in Wisconsin

ron-johnson-speaksWisconsin's senior Senator Ron Johnson lectures a top-of-his-field nuclear physicist on the nonsense science fiction EMP "threat" at the Foreign Relations Committee. His antics should be of interest to those of us who are really tired of the backwater image he continues to paint on our state.


WASHINGTON - According to a blog by Max Fisher in VOX, our Senator Ron Johnson really distinguished himself with his "scientific" knowledge at the Senate Foreign Relations Committee this week.

Top administration officials were at Congress Thursday for a hearing before the Committee on the Iran nuclear deal, a subject that has always brought out the crazy in American politicians. No one expected this hearing to be anything other than a circus. The deal is politically contentious, and Republicans are trying to out-hawk one another for the coming presidential primaries.

At one point, a tweet from New York Times economics policy reporter Jonathan Weisman captured the scene nicely, "Now Sen. Ron Johnson is lecturing MIT physicist Ernest Moniz on electro-magnetic pulse weapons".

As we all know here in Wisconsin, Johnson is our current senior senator and a Republican. Ernest Moniz is the secretary of energy and one of the lead US negotiators on the Iran deal. Electromagnetic pulse (EMP) weapons are a nonsense science fiction "threat" and a longtime point of obsession among certain conservatives, such as Newt Gingrich and Ron Johnson.

According to Fisher, "Johnson's line of questioning, to a top-of-his-field nuclear physicist, is a little like asking Neil Armstrong if he thinks the moon landing might have been faked".

Moniz, as is the obligation of administration officials at congressional hearings, did his best to entertain the senator's message. According to a tweet by Laura Rozen, a Washington reporter, "Energy Secretary Moniz told Sen. Johnson he was not familiar with the EMP commission's findings. Johnson said he'd forward him some stuff".

According to Fisher, there were other clown show moments. GOP Sen. Jim Risch said anyone who supports the nuclear deal "really joins the ranks of the most naive people on the face of the earth." Risch added that Moniz and Secretary of State John Kerry had been "bamboozled" by Iran, but did not clarify whether they had also been run amok, led astray, or hoodwinked.

But Ron Johnson's antics should be of greatest interest to those of us in Wisconsin who are really tired of the backwater image he continues to paint on our state for the rest of the nation.

Fisher concludes "Sometimes congressional hearings can be productive. But almost always they will include a not-insignificant amount of circus time, particularly if it's on a politically loaded issue or if it's getting lots of TV coverage. This hearing is so far no exception."

Tags: Untagged
Rate this blog entry
0 votes

Art Mirrors Our Environment

Posted by Kathleen Vinehout, State Senator 31st District
Kathleen Vinehout, State Senator 31st District
Kathleen Vinehout of Alma is an educator, business woman, and farmer who is now
User is currently offline
on Tuesday, 21 July 2015
in Wisconsin

art-fairSen. Kathleen Vinehout writes about the annual Art Fair in Stockholm Wisconsin, reflecting on how the art mirrors the natural environment as well as the political environment in our state.


STOCKHOLM, WI - “If you came to Stockholm today, you came up or over a river,” musician Julie Patchouli told the folks gathered at the 42nd Annual Art Fair. The musical group, known by Julie’s last name, began a rousing river song as part of the celebration of art in the village of Stockholm, Wisconsin.

Stockholm is a picturesque Mississippi River town of 66 individuals (not counting the dogs and cats) that swells by many hundreds on art fair day. Most of the art fair is in the scenic village park on the riverbank of Lake Pepin – the widest spot in the Mississippi.

Over 100-juried Midwest artists brought their pottery, paintings, photography, jewelry, glass, leather, metal, wood, and hand painted silk clothing.

Mary Peterson of rural Stockholm brought her hand-woven alpaca ornaments and wearables. She also brought one of her partners in this artistic venture – the alpaca “Mabel”.

I was struck by how much the art fair – the art, artists, and attendees, mirrored the environment. For example, the hues, tints, shades, and tones of nature were reflected in the art.

I saw the greens and greys of a misty August morning in pottery, the vivid pinks and lavender blue of the tall, blooming Delphinium’s stalks in photography, the rich gold and red of autumn leaves in acrylic paints.

Artists’ renditions of Wisconsin’s natural beauty leapt to life: the rushing streams along deep green woods, the crashing waves of Lake Superior, the huge, fluffy cumulus clouds over a rolling landscape, and the multi-colored rocks washed over by a stream.

Much of the art that reflected our environment was three-dimensional: glistening water droplets in earrings, the graceful swirls of wood grains accentuated by the carvers’ hand in wooden bowls, and all sorts of clay lumps turned to art suited for daily activities of eating and entertaining.

Around every corner I found a new interpretation of the essence of our great state.

What is more Wisconsin than cows and fishing? I found artistic versions of cows in paintings, pottery, and even leather. But nothing matched the popularity of fish! I found fish everywhere: in photography, paintings, woodcarvings, jewelry, metal sculpture, and even T-shirts.

Renditions of Wisconsin’s beauty were not limited to objects of art. The group Patchouli entertained the art fair goers with “Folk Meets Flamenco” music including the song “Amarantha” (named after the grain, I suppose) from their CD “Dragonfly”. The music made me feel like dragonflies were darting around me.

This also might have been because art fair-goers were decorated with millions of mayflies. These rather large, harmless insects looked like Mother Nature’s works of art. In its flying form, the insect has two sets of delicate lacewings tinted grey, olive, or blue, large eyes, short, bristle-like antennas, and two or three long sweeping tails.

Once mayflies enter their winged state, they cannot feed. Sometimes their existence in winged form lasts only a few hours; which means the mass emergence of the mayflies – which nature timed perfectly to coincide with the art fair – reminded us of how our time on this planet is short-lived.

People came with family and friends to enjoy the festivities. Throughout the day, people I met shared ideas and concerns. Topics ranged from local affairs – especially sand mines and railroads – to state and national politics. I heard concern about cuts to the UW and spending on the Bucks Arena. Folks worried about the meager $1,400 per student the Pepin School District will receive in state aid. Pepin is among the 55% of public schools that will receive less state aid under the new state budget. Citizens raised concerns about privatization of health programs like FamilyCare and IRIS.

One woman, Marge Lorayne of rural Maiden Rock, told me of her fight with the telephone company to keep her home phone. “I have to go up to the top of the bluff to get cell coverage,” she told me. I spoke with her about policy in the budget related to landlines and my new bill to protect rural residents.

I found art also reflected our environment of frustration with recent governmental action. Perhaps none better than Paul Meddaugh’s comic photography of Wisconsin’s Capitol encircled by an enormous, puffy, white ghost. The photo’s title: “Who you gonna call?”

Tags: Untagged
Rate this blog entry
0 votes

Leverage Investments to Spur Job Growth

Posted by Jennifer Shilling, State Senator 32nd District
Jennifer Shilling, State Senator 32nd District
Jennifer Shilling serves as the Senate Democratic Leader and represents the 32nd
User is currently offline
on Thursday, 16 July 2015
in Wisconsin

lacrosseharborLA CROSSE, WI - Wisconsin is struggling economically. While other states have invested in their communities and boosted family wages, So where do we go from here?

It’s simple. Stop cutting and start growing.

By working together to strengthen our schools, expand access to health care and invest in modern infrastructure, we can grow Wisconsin’s middle class and create thousands of good-paying jobs.

We are a diverse and hardworking state. In order to succeed, we need a team approach to leverage our shared assets and lift all communities equally.

Whether it’s an energy-saving upgrade to reduce utility bills at a local school, a broadband project to boost internet access in a rural community, the construction of a cultural center to encourage creative thinking and tourism or a highway expansion to improve safety and reduce traffic, communities across Wisconsin rely on one another to leverage our public resources and maximize private investments.

Like many in our state, I was skeptical when Governor Walker first proposed borrowing millions to help pay for a new arena facility in Milwaukee. I recognized the importance of this project and what it meant for our state, but I didn’t think it was the best deal for taxpayers or workers. I knew we could do better.

I wanted to see a more fiscally responsible plan that strengthened our state's bottom line and included stronger protections for all Wisconsin families.

By listening to local residents and working to find a more bipartisan solution, we have been able to leverage additional private investments, reduce the amount of state borrowing, increase the amount of state funding available for schools and create thousands of quality, family-supporting jobs for Wisconsin workers.

Keeping the Milwaukee Bucks in Wisconsin and encouraging more than $1 billion in private sector economic development will benefit everyone in Wisconsin. Best of all, the new plan doesn’t raise taxes and it ensures first and foremost that Wisconsin workers are protected. The state won't be on the hook for future maintenance or repair costs, and we can invest additional revenue into our schools and communities.

With these improvements to the governor’s original proposal, this investment is good deal for taxpayers, workers and families across Wisconsin.

But the same can be said for other state investments as well.

We all know it’s better to invest in quality schools and affordable higher education than additional prison cells. It’s better to help working families get regular health checkups and preventive care than pay for expensive emergency room visits. It’s better to keep our lakes and rivers free from arsenic and mercury than clean up industrial pollution later.

Across Wisconsin, I want to make sure that we are strengthening communities by responsibly leveraging our public resources to encourage private investments and expand economic opportunities.

Generating more revenue for our schools and creating thousands of family-supporting jobs with a new Milwaukee arena project is a good deal for working families that I am proud to support. I know it is a much better deal for families than the “cut and borrow” alternative and I hope that this spark of bipartisanship will renew our desire to come together and invest in other forward-looking priorities across our state.

Tags: Untagged
Rate this blog entry
0 votes
Tweet With Us:

Share

Copyright © 2024. Green Bay Progressive. Designed by Shape5.com