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Admiral Loinpresser Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Sep-26-11 05:12 PM
Original message
An open letter to the Democratic Party.
September 26, 2011.

I am a lifelong Democrat. One week from today, I will change my voter registration status to independent. The reason is that on October 1, Medicare will be cut 11% for nursing homes which provide care for some of our most vulnerable citizens.

Nursing home operators are now looking for ways to cut spending in preparation of Medicare budget cuts that will take effect Oct. 1. The 11.1% rate slash will be applied to Medicare reimbursements paid to nursing home facilities that provide post-acute care...


http://www.nuwireinvestor.com/articles/elder-care-facilities-floored-by-medicare-cuts-57711.aspx

Death panels, indeed. This is a portent of the dismantlement of the New Deal. Martin Luther King said to give tacit consent to immorality is immoral.

I used to be proud of the Democratic Party and enthusiastically donated my time and money for candidates and party activities. I am proud of FDR for implementing the New Deal, proud of LBJ for extending the New Deal with Medicare and Medicaid, for expending a great deal of political capital to pass the Civil Rights Act of 1965. I am proud that my party helped to stop American involvement in the war in Viet Nam. I am proud that Jimmy Carter put solar panels on the White House symbolizing our desperate national security need for clean energy. I am proud that Bill Clinton raised taxes on the rich in 1993 and despite chicken-little predictions from the GOP, presided over the greatest economic boom in history. I am proud that Al Gore, going against his advisers, risked his political future in order to deal with climate change and personally catalyzed the Kyoto Protocol in 1997. I am proud that Howard Dean ignored post-9/11 hysteria in 2003 and called out Bush for his incompetent, arrogant invasion of Iraq.

But things have changed. Now I am ashamed of a leadership which claims to be playing three-dimensional chess but engages in a Neville Chamberlain style of compromise more reminiscient of two-dimensional checkers. The dismantlement of the New Deal leaves me with no rationale for being a Democrat. Sadly, I believe the national Democratic Party leadership has left the people, so now I must leave it.

In closing I would like to make a comment of hope and link to a speech by the greatest class warrior in American history. In 1933, the Democratic Party began waging class warfare *for* the 99%, because he understood that without such a total commitment, the 1% will win, as they are doing now. If you listen to the speech linked below, you may find it every bit as relevant today as when given in 1936.

Here is my comment of hope: Occupy Wall Street.

http://www.youtube.com/watch?v=3nuElu-ipTQ
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Mabus Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Sep-26-11 06:32 PM
Response to Original message
1. I wish we had real FDR dems these days
In office that is. I know a bunch of them in real life but we aren't represented in Congress.
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BuelahWitch Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Sep-26-11 08:39 PM
Response to Reply #1
7. I'd be happy with a Teddy Roosevelt
At least he wanted to break up the monopolies!
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mod mom Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-28-11 08:23 AM
Response to Reply #1
17. +1
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evlbstrd Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Sep-26-11 06:50 PM
Response to Original message
2. K&R, Admiral!
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Name removed Donating Member (0 posts) Send PM | Profile | Ignore Mon Sep-26-11 07:00 PM
Response to Original message
3. Deleted message
Message removed by moderator. Click here to review the message board rules.
 
girl gone mad Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Sep-26-11 07:03 PM
Response to Reply #3
5. Sounds like you need a better accountant.
You say: "where does the medicare money come from?"

So let me ask you a quick question. Where does money come from?
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bvar22 Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Sep-26-11 07:01 PM
Response to Original message
4. K&R ...back UP to +5
"In our day these economic truths have become accepted as self-evident. We have accepted, so to speak, a second Bill of Rights under which a new basis of security and prosperity can be established for all—regardless of station, race, or creed.

Among these are:

*The right to a useful and remunerative job in the industries or shops or farms or mines of the nation;

*The right to earn enough to provide adequate food and clothing and recreation;

*The right of every farmer to raise and sell his products at a return which will give him and his family a decent living;

*The right of every businessman, large and small, to trade in an atmosphere of freedom from unfair competition and domination by monopolies at home or abroad;

*The right of every family to a decent home;

*The right to adequate medical care and the opportunity to achieve and enjoy good health;

*The right to adequate protection from the economic fears of old age, sickness, accident, and unemployment;

*The right to a good education.

All of these rights spell security. And after this war is won we must be prepared to move forward, in the implementation of these rights, to new goals of human happiness and well-being.

America's own rightful place in the world depends in large part upon how fully these and similar rights have been carried into practice for all our citizens.

For unless there is security here at home there cannot be lasting peace in the world."--- FDR, 1944


I sure do miss THAT Democratic Party.
:cry:



You will know them by their WORKS,
not by their excuses.

Solidarity!
--------------------------------------------------------------------------------------------------------------------------------
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A Simple Game Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Sep-26-11 08:16 PM
Response to Original message
6. Good for you. Do you think that President Obama would be
sucking up to the Republicans if 5 million Democrats suddenly changed their voter registration to independent?

They know 90% of registered Democrats will vote for the Democratic candidate, they are not sure of the independents. We could also make the center move to the left thereby making the Democratic party and possibly the Republican party also shift to the left to vie for our votes.

No more voting for the lesser of two evils, it is still evil.

Signed: Unaffiliated liberal and proud of it!
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emilyg Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Sep-26-11 10:59 PM
Response to Original message
8. knr
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Hart2008 Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-27-11 04:10 AM
Response to Original message
9. So why not wait until after voting against Obama in the primary?
He will have a challenger.

Make your voice heard first.
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Admiral Loinpresser Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-27-11 04:57 PM
Response to Reply #9
13. I believe the political process has become irrelevant.
I hope and believe that it can only be restored to relevancy by a popular movement of class warfare. Putting our efforts into occupying Wall Street may lead to real change in the political process. While I am not opposed to a primary challenge, and admit it could do some good, I believe the effort will be more symbolic than substantive.
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sad sally Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-27-11 05:02 PM
Response to Reply #13
14. It's all about money, money, money - who has the most is the winner.
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Admiral Loinpresser Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-27-11 06:32 PM
Response to Reply #14
15. +1 n/t
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Hart2008 Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-28-11 08:22 AM
Response to Reply #14
16. Not when there are the major issues of war and peace and its negative effect on prosperity.
What will Obama's estimated $1 billion war chest get him when people realize that money came from selling them out to big money donors?

Negative adds don't work well when the incumbent is considered damaged goods.

In 1992, the one candidate who could not win was Poppy Bush.

If the present trend continues, the same will be true of Obama.
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ellisonz Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-27-11 04:47 AM
Response to Original message
10. This faulty analysis and what happens when you rely on an industry newsletter - here are the facts:
Nursing Homes' Lost Lobbying Fight to Cost Industry $3.87 Billion in 2012
Q
By Drew Armstrong - Jul 29, 2011 9:01 PM PT

U.S. nursing homes’ lost lobbying battle with Medicare will cost the industry $3.87 billion, as the health program tries to recover overpayments it says it made to companies such as Kindred Healthcare Inc. (KND) and Sun Healthcare Group Inc. (SUNH)

The 11.1 percent Medicare rate cut for next year is meant to stop overbilling by for-profit homes including Sun, Kindred, and Skilled Healthcare Group Inc. (SKH) The change follows Medicare’s finding that, under a new payment system put in place this year, the companies drove up reimbursements for patients.

The new rates “correct for an unintended spike in payment levels and better align Medicare payments with costs,” according to a statement by Medicare, the U.S. health plan for the elderly and disabled. The American Health Care Association, the industry’s Washington lobby group, said Medicare is moving too fast, and that the sudden cuts won’t give nursing homes time to adjust.

---------

To stop the cuts, or at least make them smaller, nursing homes lobbied Medicare regulators and Congress. Acknowledging the industry was overpaid, the American Health Care Association urged Medicare put off the cuts and wait to collect more data.

http://www.bloomberg.com/news/2011-07-30/nursing-homes-lost-lobbying-fight-to-cost-industry-3-87-billion-in-2012.html

So basically for-profit nursing homes over-billed the federal government and to support other programs the reduction is being made. Having personally been part of Medicare fraud in a nursing home I can tell you that it is rampant. It could be as much as $50 billion. So really the fact is that the corporate nursing homes don't want to reduce their profit margin and keep bilking the taxpayers. I think the solution is more reform.

http://en.wikipedia.org/wiki/Medicare_fraud
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ellisonz Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-27-11 04:52 AM
Response to Reply #10
11. A little more on the issue from the news link:
Medicare wanted to clamp down on a practice allowing nursing homes to categorize patients as getting the most intense services that the program will pay for. This year’s new payment system left a billing code open that allowed nursing homes to bill for higher rates while providing the same amount of service. Companies used that process to avoid lower revenue, according to Medicare.

The regulation issued yesterday shuts down that billing method, according to Medicare. It will also require nursing homes to report in more detail the therapies Medicare pays them to provide.

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Admiral Loinpresser Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-27-11 04:51 PM
Response to Reply #10
12. First the forest, then the trees.
Here's the forest:

The political discussion must be divided into two segments: 1) prior to beginning of the Democratic presidential 2012 campaign and 2) 2012 campaign, which began this month, IMO. Polling indicates Obama has been to the right of middle America on taxing the rich, fighting for the middle class, etc. So Obama is now targeting his rhetoric to Democrats and independents. Politicians are generally better judged by their governance mode than their campaign mode, so I will only address Obama on his actions prior to the “pivot” to campaign mode.

Obama was dealt the worst economic hand since FDR and he has played it very badly. He has, like Neville Chamberlain did with respect to fascism in the 1930s, engaged in a capitulation strategy which only empowers the enemy.

Medicare and Medicaid are extensions of the New Deal in the sense of broad safety net. I consider them, like Social Security to be the at the core of Democratic values. We have a Democratic President proposing large cuts in Medicare, including cost increases to old people and others on fixed incomes. This is obscene.

http://www.nytimes.com/2011/09/20/us/politics/medicare-and-medicaid-face-320-billion-in-cuts-over-10-years.html

The cost of American health care is over twice per capita that of any other G20 country. There has been no significant effort to address cost of health care and HCR did nothing about it. Major provisions of HCR were suggested by the enemy (big health care), e.g mandatory health care for all citizens. This actually enables predatory pricing and is indicative of the strategic naivete of Obama.

Increasingly, the entire safety net is on the table, this is because the RW agenda is marching US history in that direction. While many congressional Democrats oppose this, the debate has been clearly led by the RW because of a lack of White House leadership on health care, the deficit “crisis,” etc.

There is no clear message of reality from the White House: there has been a massive transfer of wealth to the 1% , exacerbated by the lack of regulation. The sacrifice must be borne by them in the crisis created by them. Our over sized military spending makes us weaker economically and makes us less secure by enabling terrorism to become more widespread and popular among oppressed nations. The only way to lessen our debt problem is to increase revenue by taxing the super rich and putting people back to work with clean energy jobs.

Now as to the trees.

Where is the faulty analysis you allude to?

I am all for the reduction of fraud and waste in government, as well as big business. But the meat ax approach taken in this instance punishes for-profit and non-profit nursing homes which played no part in the fraud. This is from your cited link:

Nursing homes say Medicare has gone too far. “We are appalled,” said Larry Minnix, chief executive officer of Leading Age, the Washington lobby group for not-for-profit homes. A cut “of this magnitude is unprecedented,” he said in a statement. The group had pushed Medicare to close what Minnix called billing loopholes instead of make a broad cut.

The Service Employees International Union wanted to limit cuts to for-profit nursing home companies that Medicare said were driving the billing. The across-the-board cuts will unfairly penalize not-for-profit homes, the group said in a statement. “Its rate reduction fails to solve the real problem and instead punishes all nursing homes for the bad actions of a few,” said President Mary Kay Henry.

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