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106. Health Care for All

30 Jul

It is already a basic USA value to help everyone with at least some types of health problems. If a homeless person is lying in the street with severe injuries, he will at least get minimal care. Covertly, Republicans might not agree with this, but on the record they would have to support it or be castigated.

Given this premise, that in practice, everyone will get health care if needed, then it does make sense to require everyone pay for it. The simplest and most agreeable implementation is Medicare for all. Remember that our POTUS promised health care for all at good rates, in his campaign.

I suggest that we greatly increase taxes for rich folks by having higher rates and by closing tax loopholes. If you are extremely rich, then your taxes will be extremely high. If you have no income, then no tax. If you have a small regular income then you could have a very small increase. As income increases, then the percent allotted to health care expense also gradually increases. Lower and middle class people will pay a little more and wealthy people a lot more. Why should wealthy people pay a lot more: because they use a lot of resources and because much of their wealth has been gained by unfair influence on Congressional financial (tax, subsidies, IRA’s, etc.) legislation.

Note that I am not against people who become rich through hard work and intelligence. It is extreme wealth and wealth unfairly gained that bothers me; particularly when there is substantial poverty in our nation. Many very wealthy people have stated that they would not object to increased taxes.

Countries with universal health care include: Austria, Belarus, Croatia, Czech Republic, Denmark, Finland, France, Germany, Greece, Iceland, Ireland, Italy, Luxembourg, Malta, Moldova, the Netherlands, Norway, Portugal, Romania, Russia, Serbia, Spain, Sweden, Switzerland, Ukraine, and the United Kingdom (see Wikipedia).

 

105. Balancing Rich vs. Poor

8 Jul

Our country (USA) now has a certain established income (mostly from tax), and established expenditures. An increase or decrease in any source of income or expense will, as a general rule, either raise or lower the nation debt. To keep the budget constant and free of debt increase, you must keep all parts of it about the same, or set up see-saw rules: up in one area, down in another, and visa-versa. (These rules hold in general, but there can be minor complications.)

So if someone proposes more military spending then there will be less for other areas, for example, infrastructure spending. If we take away huge amounts of income by lowering taxes for the rich, then there could be less for Medicaid, education, environmental protection, or something else.

Trump and Republicans have always proposed decreasing our national income by lowering wealthy taxes. This by itself would increase the national debt. Further, Trump wants to greatly increase military spending. So now we have a lot of spending, with the consequence that other programs will suffer. Rich folks will buy more luxury items, and will be more effective in influencing Congress. And poor people will suffer as their special programs (such as Medicaid) will be diminished. There is a clear ethical problem: less luxury for millionaires (even billionaires) versus the deaths of people who lack health care.

For Trump, having a powerful military is very important because it is helpful in coercion, forcing other countries to go along with his plans. After all, his political and negotiating skills don’t seem to be very good, so he needs a very powerful military to get his way. Also, his political mistakes can be minimized by showing off his military might — similar to the displays of armaments by North Korea.

Another bonus for very rich people would be eliminating the inheritance tax. The cut-off for this tax is the inheritance of five-million dollars so it only applies to rich folk. The vast majority of U.S. citizens support the continuation of this tax.  I have noticed that when Trump mentions inheritance tax, it is very quickly and with a lowered voice.

If the Republicans can achieve the above goals, which make wealthy people even richer, then these are some of the areas that could be adversely affected:
education, health care, State Department functions, Planned Parenthood, Medicaid, Medicare, infrastructure improvement, scientific research, medical research, various tech programs, environmental protections, etc. Let’s ask Trump to do with the Military, what he has proposed in other situations — lets hold the extra spending and make it more efficient instead.

 

100. Basic Causes of Greatest Concern

10 Mar

In my 100 blogs to date, I have tried to cover important governmental, social, medical, and related issues, that profoundly affect our way of life. In this, my 100th blog, I will list some of our most significant current issues, and maybe some possible solutions. I know that my blogs are sometimes imperfect and not very original, but my purpose is to increase the number of voices urging important changes and understanding. So here is a list of ideas to emphasize:

Our American founding fathers when creating the Constitution and other rules, were afraid of the kind of populism that we see today. So they tried to move important decisions away from the ordinary citizens and towards more responsible and intelligent leaders. Here are two examples supporting this lack of trust:
1. The establishment of an electoral college, to prevent direct citizen voting.
2. Until 1913, senators were elected by state legislatures, and not the people.
The founding fathers were afraid that ordinary people could be scammed by unscrupulous politicians. They anticipated someone like our current President.

Societies that over emphasize capitalism and the importance of financial success, foster corruption so that clever manipulators accumulate vast wealth, much of which belongs to the people. It is apparent that anyone (or party) in office for a long time will drift away from the people’s needs and develop methods for increasing their wealth. These methods include donating to Congressmen who will legislate tax loopholes and unfair subsidies.

An age requirement for U.S. President is not enough. Tax returns must be required and other financial and business details provided. It is too easy for very rich people, once in office, to make decisions best for their businesses and not for the country. A notable example is the transport minister for Azerbaijan, formerly a part of the Soviet Union. His covert construction contracting, participation in money laundering schemes, and wide-ranging contacts made him extremely rich at the expense of the citizens.

Corruption and unjustified accumulation of wealth, is not limited to politicians. Almost every vital service needed by the people, such as healthcare, education, and insurance, has cheated the citizens and made administrators (and others) hugely wealthy. Many of these rich people donate to Congress and through resulting legislation, make themselves even richer. Donations to congressmen has shifted vast amounts of money away from ordinary citizens, to undeserving administrators (making many millions of dollars). For example, median total compensation for ceos of major teaching non-profit hospitals is 1.35 million. Many make much more. Is it right that many millions of dollars are given to hospital administrators while poor people are being rejected (even die) for lack of insurance? Important services should be provided by the government at little or no cost. I feel that administrators and certain others should be allowed to become somewhat rich, but not extremely so.

Clarification: All “Western” or developed countries are a combination of capitalism with some socialistic features. Pure capitalism allows the unlimited accumulation of wealth with no financial protections for the citizens. Pure socialism is an economy totally controlled and owned by the state. In the USA (and many other major countries) capitalism is primary, and there are “social programs” in areas such as healthcare, education, and supporting the poor. Shifting some funds from the very rich to the very poor through taxation changes and programs like Medicaid is not “socialism,” it is simply the addition of a “social program.”

Last but not least, is the unethical and self-serving practices of many doctors, dentists, and other healthcare practitioners. Diagnoses and treatments are often are more determined by cash-flow than by what is most beneficial for the patient. Here are some examples. In the area of severe back-pain, diagnosis is usually a defect in the spine, and the possibility of simple excessive muscle strain and tension is ignored. Procedures for spinal defects are very expensive whereas procedures for muscle tension simply involve (at no cost) frequent muscle stretching. Here is an example from dentistry. Several years ago, my teeth would develop a dark blue hue, which could be removed by a professional teeth cleaning. Two dentists I went to urged me to double my teeth cleaning sessions, and spent little effort in trying to determine the cause. Fortunately, I was able to figure this out myself, and saved a lot of expense. The blue colored mouthwash I was using, dyed the teeth, and there was even a warning on the label. I could provide a lot of other personal examples, and many are described in previous blogs. An excellent book on this subject is “Confessions of a Medical Heretic”, 1979, by Robert Mendelsohn, MD. This is an old book, but still very applicable to many current physicians (but definitely not all).

Is there a quick fix for all of the forementioned issues? No, but major efforts to improve education could be transformative. Knowledge is important, but developing an ability to reason and research is even more relevant. Still, I have a sneaking suspicion that our current administration would fear a well-informed electorate.

89. Some Tweet-like World Observations

2 Feb

1. Privatizing means creating a system that has a private owner as opposed to a government-run institution. Examples are schools and prisons. The latter has been tried but is now diminishing. In privately run systems a concern for profit can cause neglect in providing required services. Often, civic-minded people working as a public governmental body can be more effective, and with less expenditure. There is a fixed budget so that workers can focus on quality work.  Some would argue that privatizing creates beneficial competition, but in fact there is little competition in areas where privatizing is being promoted.

2. Do we need insurance companies that develop extreme wealth for their executives, paid for by you and me, while benefits are diminished. Why should our world be configured so that a few can become very rich at the expense of the rest of us? Our more advanced civilization has been around for 150 years or so. In that time, the “royalty class” has become entrenched in our system — robbing many ordinary people of their means of survival. I am not against the concept that hard-work and intelligence should be financially rewarded, it is the extremes and abuses that concern me.extreme we Being rich is OK, wealth is not. I also want to make clear that I owned two businesses and believe in our form of regulated capitalism.

3. The arrival of Trump marks the creation of a new entity resulting from social/business evolution. The new creation is what I shall call the extended governing family unit. The Trump version consists of himself, his offspring and their spouses; each having a specialized function. But to clarify, effective and powerful family units are not really “new”, but a unit this large, with necessary distributed functionality, has never before been our “president.” My next blog (no. 90) will explain this further.

4. Diagnosis of all types should be separate from treatment. The fees for various treatments can be very different, and the Dx could be biased towards better income. For example, the exact diagnosis for a cancer could lead to expensive and profitable surgery or a much less expensive radiation or drug treatment.  Dentists have tough decisions in deciding what is actually a cavity that require a filling.  Any healthcare, other service, or repair company can be jaded by this factor. How to fix this is a real dilemma.

5. Our U.S. government may be doomed to failure, because of powerful relationships between very rich folks (donors) and governmental leaders. The best cure would be a great improvement in education so that we can break the donor influence. Remember that our current leaders arose to power under this system and, as you would expect, want to preserve it. Many of those at the top have little interest in teaching logic, reasoning, and correct history to our students and potential voters. We are caught in a powerful loop and will need to be coordinated and industrious to have a chance of breaking it. The current massive demonstrations in many cities is on the right track and encouraging.

6. Ironically, a thousand years from now, the invention of email may be identified by witty history professors, as the cause of the downfall of our Earth civilization. Take away email, and there would have been much less abuse of Hillary Clinton, and she could have been elected. If that had happened, a strong NATO, great international relations, better climate change efforts, fair treatment of the middle-class, control of nuclear weapons, careful communications, and other factors could have saved the world from numerous disasters.  Trump has already alienated some of our closest allies.

7. Governmental officials generally set their own salaries and rules of operation. They are only people, after all, so how can we expect them to be fair. It seems that most people in power long enough will eventually become corrupted (at least somewhat). We need a better system, but change is difficult. The press should help us, but are often limited by some very real vulnerabilities. A tough leader with violent supporters can be an awesome force that discourages needed criticism and modification.

8. I suspect that most of Trump’s early supporters voted for him for various reasons, including: his power, likability (for many), promises of jobs, identification of scapegoats, prejudices, anti-terrorism statements, etc.  What probably was overlooked, was a good estimation of what he would actually DO and SAY after taking office.  Many of us had hoped that he would change after a couple of weeks as POTUS, but he has not.

85. We Need Change ?

17 Jan

Trump is the man who will make “change” and deliver us from big, bad government. He is not a politician, he needs no donors, ignore what he says because there is goodness in his heart, he is smarter than the generals (and just about everyone else), all past negotiations are pathetic, and he will rid us of ISIS in a month. He is never wrong and will make you suffer for any criticism. He almost never addresses the criticism itself, but instead attacks the person who made it (even the Pope).

He paints a picture of a failing nation with incompetent leaders and government workers, rampant crime, poor negotiation, widespread poverty, etc. — “things could not be worse.” Black people have not made any progress — an insult to the millions that are doing well and have even achieved the presidency. His motto is “make American great again” without any explanation of when, how, and the meaning of “great.”

.                 False, rigid beliefs interfere with common sense

The Trump movement shows how many people are prisoners of their false and rigid beliefs, and cannot see the obvious and exercise common sense. Sad to say, there are many who voted for Trump just as a protest or just to do something based on frustration. Those persons may be responsible for a new direction leading to our country’s decline. Impulsive superficial voting may be the end of our world leadership and all of the good things developed to date. Trump will make change, but change for the better is unlikely. Here are some possible changes that have been mentioned at least once (but may have been retracted and/or restored at some time):

1. Changed healthcare legislation will cause millions to lose their insurance and many will die.

2. NATO is obsolete. Our long-standing, beneficial, and powerful pact with many nations is under threat.

3. Instead of sanctioning Russia, we will support their authoritarianism, attacks on the press, and take- over of countries like Ukraine. We will ignore their meddling in our elections and their efforts to undermine many nations.

4. We will pull out of the multi-nation “Iran Nuclear Deal”, allowing Iran to go back to making the bombs and delivery systems — prevented by the Deal. We will also pull out of climate-change treaties, which could prevent massive flooding (Florida, NY, etc) and catastrophic human migrations due to massive droughts.

5. Taxes for the very wealthy will be lowered by decreasing the tax rate and by allowing more loopholes. The rich will celebrate while the rest of us will either pay more tax or have reduced benefits — and/or our national debt will surge.

6. We will change trade policies and tariffs so that trade-wars will arise and prices for goods, everywhere, will increase. The chaos will affect our valuable relationships with long-standing allies.

7. Pres. Obama has at times been criticized for inaction, but Trump may impulsively engage us in wars, costing lives and greater national debt.

8. He may generate more terrorists by his abuse of Muslims, various other insults, and dangerous policies.

9. Our valuable press, which is required to keep our democracy honest, may be thrown out of the White House and attacked so viciously that it is ineffective. If Trump’s ideas are so laudable and clearly beneficial, why all the press criticism?

10. Is anyone suspicious of the fact that Trump’s cabinet is filled with extremely rich people and/or persons with questionable histories.

11. Trump would restore vicious torture and wants to keep Guantanamo prison. He also admires the strength of tyrants around the world. Are we setting a good example (under Trump) for the rest of the world? Traditionally the USA has been known for its might, and also its moral authority. Is Trump leading us in the right direction?

After Trump is in office for a while, the appreciation for the positive change that Pres. Obama caused will grow even more.  And the candidate, Hilary Clinton, that Obama so enthusiastically endorsed and was attacked so unmercifully by the GOP will be much more appreciated.  Ironically, she won the national vote count by almost three million.

Just added: I have been working on this blog for several days and at times almost scrapped it, because it may have been too negative. But after hearing Trump’s unnecessary and incorrect abuse of the civil-rights hero and self-sacrificing activist, Congressman John Lewis … well, here it is.

76. Actually, Rigged FOR Trump

3 Nov
Trump has complained that everything is rigged against him.  But if you examine the facts, you will actually see that almost everything is rigged for him.
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Tax laws are rigged for rich folks like Trump: loopholes, low effective rates, etc.
Banks are rigged to provide loans for very rich and powerful folks like Trump.
Rigged for Trump: a US Constitution that allows him meet his needs by lying.
Fraud laws are rigged to go easy on creators of fraudulent universities.
Republican FBI director breaking rules to tarnish Hillary;  rigged for Trump.
Capitalism rigged so that Trump can afford the best lawyers and accountants.
Social and legal rules are rigged to support a sexual aggressor like Trump.
Financial laws favor non-payment of contractors, the way Trump does it.
Bankruptcy laws are rigged to provide profits for Trump types.
Rigged press avoids asking really tough questions of people like Trump.*
Laws related to inheritance are rigged for Trump types.
Better investment systems like Hedge funds are rigged for rich folk like Trump.
Debate rules are rigged to favor a bully like Trump, who often interrupts.
Lobbyist laws and rules favor rich folks who can afford to pay them.
Influence with Congress is rigged for rich donors like Trump.
Campaign finance laws are rigged to favor folks like Trump.
Draft laws provided five deferments for Trump, others served to protect.
Trump’s father: rigged to provide him millions for a good start.
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The GENERAL ELECTION IN MANY WAYS IS RIGGED TO FAVOR TRUMP.
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But he is not quite clever enough to take full advantage of it (so far). He is defeated by his ego, lack of knowledge, poor social skills, misogyny, prejudices, and temperament. He  probably will lose, but not by much.  With some really good “presidential” behavior and social skills, he could have won (of course, at this time, it is still remotely possible).  His children and advisors tried to help him but he always reverts to his spoiled and crude self.
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  ——————
*Some tough questions:  Why does your tax plan lower taxes for the very rich? How could Hillary fail in so many ways over 30 years, as you say, when the President and Congress make all of the major decisions? How can you blame your “Birther”movement on Hillary?  Why does the KKK support you?  Why did you lie about what was said about the wall, in  your meeting with the Mexican President?  Why did you say nothing was gained by the Iran Nuclear Deal when it provided for loss of Uranium, dismantling of  equipment, inspections, etc.?

66. To Trump Voters: Really?

13 Aug

Why are you voting for Trump? He thinks you are stupid. He says that his fans are so devoted that he could kill someone in downtown N.Y. and they would not care.

He tells you obvious lies because he thinks that you don’t reason very well and will not detect them. For example, he says that Hillary enabled her husband Bill in his affairs. That is not what she said and his numerous apologies at the time, suggest otherwise. Trump’s lie comes from a distortion of the fact that she helped him with bogus lawsuits. This exemplifies his method of changing facts to support his rants.

You originally voted for him because he said that he was entirely self-supporting and could not be corrupted. Now he is accepting and soliciting donations. This is clearly reported in the news.

He says that our military is a disaster. Another lie — military leaders and other experts feel that our military is as strong as ever and best of all nations.

He developed a procedure of communication that assumes that you will not research anything that he says. He thinks that you are so ignorant that you will just accept everything he says.  He proposes a gigantic expensive wall that will be paid for by Mexico — ignoring the fact that Congress would have to approve it, which they would not do. Mexican leaders have already said that they absolutely would not pay for it. He does not discuss all the ways that this expensive wall could be circumvented — like flying over, digging under, going by sea, going through checkpoints with false ID, coming in from other countries, etc, etc. He just assumes that you can’t figure this out.

He lied about an early condemnation of the Iraq war, he lied about Hillary wanting to raise taxes for the middle class, he lied about his business successes, and he refuses to let you see his income tax returns. He has insulted women, Mexicans, NATO allies, Muslim nation allies, many Republican leaders, disabled people, military men, and others. His emphasis is on revenge rather than on making productive alliances.  He supports torture even though President Reagan was against it.

But you say you don’t care about all these things, because when he takes office he will really be on your side and do wonderful things for the middle class. But why would you think that? He tells countless lies so why would you believe anything he says. He often changes his mind. His past behavior is selfish and full of failures where he profits and other are cheated (like those joining Trump University). His original written budget lowers taxes so much for rich folks that our country would soon be bankrupt.

He claims all sorts of abilities, but all these are related to business and not to a presidency. Creating construction jobs has no relation to the way a president would have to create jobs, which is by a complicated promotion of favorable economic conditions and job creating projects. He would have to work with Congress to achieve this and he has already alienated numerous congressmen.

So if you still are for Trump, have you really considered why? Ignoring what he says (words are cheap), has he actually done anything that would suggest a presidency that would help you? Have you researched the facts? Maybe your problem is limiting your choices to Republicans. Maybe the other party can do more of what you want.