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Obama Finds Another Cave: End of Life Counseling

Our Spelunker-in-Chief has discovered another cave. Just when I thought there was some hope that he would start standing up to his Republican critics, my optimism was dashed. On December 24th it was announced that outlined a new policy that would pay doctors to council patients about end of life care that was outlined in Medicare.

When a proposal to encourage end-of-life planning touched off a political storm over “death panels,” Democrats dropped it from legislation to overhaul the health care system. But the Obama administration will achieve the same goal by regulation, starting Jan. 1.

Under the new policy, outlined in a Medicare regulation, the government will pay doctors who advise patients on options for end-of-life care, which may include advance directives to forgo aggressive life-sustaining treatment.

Then there was the disheartening news that the President had decided to reverse his decision

The Obama administration, reversing course, will revise a Medicare regulation to delete references to end-of-life planning as part of the annual physical examinations covered under the new health care law, administration officials said Tuesday.

The move is an abrupt shift, coming just days after the new policy took effect on Jan. 1.

Many doctors and providers of hospice care had praised the regulation, which listed “advance care planning” as one of the services that could be offered in the “annual wellness visit” for Medicare beneficiaries.

While administration officials cited procedural reasons for changing the rule, it was clear that political concerns were also a factor. The renewed debate over advance care planning threatened to become a distraction to administration officials who were gearing up to defend the health law against attack by the new Republican majority in the House.

This reversal removes this valued conversation with your doctor from your annual physical. This is the government getting between you and your doctor about your treatment, the treatment that you want, or in some cases might not want, when you reach the end of your life and might not be able to make those decisions for yourself.

Paul Waldman summed this up

Rule No. 1: When you make policy decisions based on “The Republicans might attack us on this!” then you haven’t just lost politically; you’ve betrayed the things you allegedly believed in.

What’s particularly maddening about this isn’t just the cowardice; it’s the fact that this is a debate Democrats can easily turn to their advantage. First, it’s important to note that unlike in many cases, the press has taken a pretty firm pro-truth position on this issue, which sets an important context for how whatever discussion there ends up being would play out. Reports about it have overwhelmingly declared the “death panel” line to be false. It was PolitiFact’s 2009 “Lie of the Year.” Seriously — take a look at how it’s been reported. The press has done a good job on this one. And the main proponent of the idea, Sarah Palin, is one of the most unpopular politicians in America

(emphasis mine)

If this is Obama standing up to Republicans, I don’t have a lot of positive feelings about the next two years.

The 112th Congress: 1995 Redux

The only thing “new” is that incoming class of 2011 is already corrupt. Is this really what Americans’ voted for? Or are they really so stupid that they couldn’t see that these people will not represent their best interests.

And so the co-opting begins

by Bob Edgar

Back in the summer, when it began to look like the Tea Party might get a boatload of political neophytes elected to Congress, Senator-turned-lobbyist Trent Lott sounded an alarm for Washington’s influence industry.

“As soon as they get here,” Lott said of the new wave of legislators, “we need to co-opt them.”

So as the new Congress convenes this week, no one should be surprised to learn that the co-opting is well underway.

On Tuesday night, just hours before they stood in the House chamber to swear their allegiance to the Constitution, at least a dozen new lawmakers sipped cocktails and got better acquainted with the capital’s lobbying corps at a glitzy, $2,500 per ticket reception thrown in their honor.

‘Tea party’ freshmen embrace status quo

by Kathleen Hennessey

After campaigning against D.C.’s ways, new Republican lawmakers quickly turn to lobbyists and fundraisers.

?The new class of Republican lawmakers who charged into office promising to shun the ways of Washington officially arrives on Capitol Hill on Wednesday. ?But even as they publicly bash the capital’s culture, many have quietly begun to embrace it.

Several freshmen have hired lobbyists – the ultimate Washington insiders – to lead their congressional staffs. In the weeks leading up to Wednesday’s swearing-in, dozens of the newcomers joined other lawmakers in turning to lobbyists for campaign cash. And on Wednesday, congressional offices will be packed with lawmakers’ relatives, friends, constituents and lobbyists, all invited to celebrate the new Congress.

This picture of business-as-usual Washington clashes with the campaign rhetoric of many newcomers, some who were propelled by support from the anti-Washington “tea party” movement. It also muddles the image House Republicans hoped to project as they took the helm this week. In contrast to the public celebration thrown by Democrat Nancy Pelosi when she became speaker four years ago, incoming House Speaker John A. Boehner has tried to strike a subdued and earnest note as he takes up the gavel.

So it raised eyebrows Tuesday when several House freshmen held a fundraiser in a swanky Washington hotel. The event, organized in part by California Rep.-elect Jeff Denham (R-Atwater), stood out as the flashiest celebration of the new Congress.

“It’s important. Without money, the machine doesn’t move,” said Javier Ortiz, a GOP strategist and fundraiser, about the week’s schedule of fundraisers and other events. “No one should be surprised that newly elected or long-serving members ask interested constituents and others to support their campaigns by making donations.”

Worse than it ever was in 1995

Punting the Pundits

“Punting the Pundits” is an Open Thread. It is a selection of editorials and opinions from around the news medium and the internet blogs. The intent is to provide a forum for your reactions and opinions, not just to the opinions presented, but to what ever you find important.

Thanks to ek hornbeck, click on the link and you can access all the past “Punting the Pundits”.

Bob Herbert: Get Ready for a G.O.P. Rerun

You just can’t close the door on this crowd. The party that brought us the worst economy since the Great Depression, that led us into Iraq and the worst foreign policy disaster in American history, that would like to take a hammer to Social Security and a chisel to Medicare, is back in control of the House of Representatives with the expressed mission of undermining all things Obama.

Once we had Dick Cheney telling us that Saddam Hussein had weapons of mass destruction and belligerently asserting that deficits don’t matter. We had Phil Gramm, Enron’s favorite senator and John McCain’s economic guru, blithely assuring us in 2008 that we were suffering from a “mental recession.”

Robert Muggah: The world’s broken promises to Haiti

A year on from the earthquake, more than a million are still living in tents and less than a tenth of aid cash has been delivered

Despite breathless promises to “build back better”, the international community has made only incremental progress in Haiti over the past 12 months. Our failures are especially stark when measured against the genuine displays of global solidarity with Haiti in the wake of the the January earthquake and financial pledges to reconstruction three months later, in March.

Even if some allowance is made for the extraordinary devastation wrought by the disasters, few disagree that the Haitian government’s handling of the situation has been spectacularly poor. Likewise, with few exceptions, the international aid sector’s record has been dismal. Notwithstanding efforts to signal political commitment to supporting Haiti’s transition – including UN secretary general Ban Ki Moon’s appointment of Bill Clinton as special envoy – few tangible outcomes have yet to be materialise. Haitians themselves are growing disillusioned and impatient, and signs of violence are apparent in the streets of wrecked Port-au-Prince.

And while 2010 was grim, there are few guarantees that 2011 will be any better.

Eugene Robinson: Health Care Melodrama

If the incoming Republican leadership in the House of Representatives is serious about trying to repeal health care reform, there’s only one appropriate Democratic response: “Make my day.”

Just to be clear, there’s no earthly chance that a bill repealing the landmark health care overhaul could actually make it through Congress and be signed into law. Even if Republicans managed to hold together their new majority in the House, they would face the inconvenient fact that Democrats still control the Senate. And even if a repeal measure somehow sneaked through the Senate, President Obama would veto the thing faster than you can say “pre-existing conditions.”

So this exercise in tilting at windmills can’t even be described as quixotic, since that would imply some expectation of success, however delusional. The whole thing is purely theatrical-and woefully ill-advised.

On This Day in History January 5

This is your morning Open Thread. Pour your favorite beverage and review the past and comment on the future.

Find the past “On This Day in History” here.

January 5 is the fifth day of the year in the Gregorian calendar. There are 360 days remaining until the end of the year (361 in leap years).

On this day in 1933, construction starts on what will become one of America’s most famous landmarks: the Golden Gate Bridge. When completed in 1937, the Golden Gate has a 4,200-foot-long suspension span, making it the world’s longest suspension bridge. Since opening to the public in May 1937, almost 2 billion vehicles have crossed the bridge, in both the north- and southbound directions.

The bridge was named not for its distinctive orange color (which provides extra visibility to passing ships in San Francisco’s famous fog), but for the Golden Gate Strait, where the San Francisco Bay opens into the Pacific Ocean. The bridge spans the strait and connects the northern part of the city of San Francisco to Marin County, California.

Before the bridge was built, the only practical short route between San Francisco and what is now Marin County was by boat across a section of San Francisco Bay. Ferry service began as early as 1820, with regularly scheduled service beginning in the 1840s for purposes of transporting water to San Francisco. The Sausalito Land and Ferry Company service, launched in 1867, eventually became the Golden Gate Ferry Company, a Southern Pacific Railroad subsidiary, the largest ferry operation in the world by the late 1920s. Once for railroad passengers and customers only, Southern Pacific’s automobile ferries became very profitable and important to the regional economy. The ferry crossing between the Hyde Street Pier in San Francisco and Sausalito in Marin County took approximately 20 minutes and cost US$1.00 per vehicle, a price later reduced to compete with the new bridge. The trip from the San Francisco Ferry Building took 27 minutes.

Many wanted to build a bridge to connect San Francisco to Marin County. San Francisco was the largest American city still served primarily by ferry boats. Because it did not have a permanent link with communities around the bay, the city’s growth rate was below the national average. Many experts said that a bridge couldn’t be built across the 6,700 ft (2,042 m) strait. It had strong, swirling tides and currents, with water 500 ft (150 m) in depth at the center of the channel, and frequent strong winds. Experts said that ferocious winds and blinding fogs would prevent construction and operation.

Punting the Pundits

“Punting the Pundits” is an Open Thread. It is a selection of editorials and opinions from around the news medium and the internet blogs. The intent is to provide a forum for your reactions and opinions, not just to the opinions presented, but to what ever you find important.

Thanks to ek hornbeck, click on the link and you can access all the past “Punting the Pundits”.

Robert Reich: The Big Lie

Republicans are telling Americans a big lie, and Obama and the Democrats are letting them. The Big Lie is that our economic problems are due to a government that’s too large, and therefore the solution is to shrink it.

The truth is our economic problems stem from the biggest concentration of income and wealth at the top since 1928, combined with stagnant incomes for most of the rest of us. The result: Americans no longer have the purchasing power to keep the economy going at full capacity. Since the debt bubble burst, most Americans have had to reduce their spending; they need to repay their debts, can’t borrow as before, and must save for retirement.

Joseph E. Stiglitz: Common Sense, Not Austerity, in 2011

New Year’s Hope against Hope

The time has come for New Year’s resolutions, a moment of reflection. When the last year hasn’t gone so well, it is a time for hope that the next year will be better.

For Europe and the United States, 2010 was a year of disappointment. It’s been three years since the bubble broke, and more than two since Lehman Brothers’ collapse. In 2009, we were pulled back from the brink of depression, and 2010 was supposed to be the year of transition: as the economy got back on its feet, stimulus spending could smoothly be brought down.

Growth, it was thought, might slow slightly in 2011, but it would be a minor bump on the way to robust recovery. We could then look back at the Great Recession as a bad dream; the market economy – supported by prudent government action – would have shown its resilience.

In fact, 2010 was a nightmare. The crises in Ireland and Greece called into question the euro’s viability and raised the prospect of a debt default. On both sides of the Atlantic, unemployment remained stubbornly high, at around 10%. Even though 10% of US households with mortgages had already lost their homes, the pace of foreclosures appeared to be increasing – or would have, were not it not for legal snafus that raised doubts about America’s vaunted “rule of law.”

Paul Krugman: Deep Hole Economics

If there’s one piece of economic wisdom I hope people will grasp this year, it’s this: Even though we may finally have stopped digging, we’re still near the bottom of a very deep hole.  

Why do I need to point this out? Because I’ve noticed many people overreacting to recent good economic news. What particularly concerns me is the risk of self-denying optimism – that is, I worry that policy makers will look at a few favorable economic indicators, decide that they no longer need to promote recovery, and take steps that send us sliding right back to the bottom.

So, about that good news: various economic indicators, ranging from relatively good holiday sales to new claims for unemployment insurance (which have finally fallen below 400,000 a week), suggest that the great post-bubble retrenchment may finally be ending.

On This Day in History January 4

This is your morning Open Thread. Pour your favorite beverage and review the past and comment on the future.

Find the past “On This Day in History” here.

January 4 is the fourth day of the year in the Gregorian calendar. There are 361 days remaining until the end of the year (362 in leap years).

On this day in 1987, Spanish guitar great Andres Segovia arrives in the United States for his final American tour. He died four months later in Madrid at the age of 94.

Segovia was hailed for bringing the Spanish guitar from relative obscurity to classical status. Born in Spain’s southern region of Andalusia–the original home of the guitar–Segovia studied the piano and cello as a child but soon became captivated with the guitar. Knowing of no advanced teachers of an instrument that was generally banished to the cafes, he taught himself and in 1909 gave his first public performance at the age of 15. To successfully render classical material, Segovia invented countless new techniques for the guitar, and by his first appearance in Paris in 1924, he was a virtuoso. His American debut came four years later in New York City.

IOKIYAR: Providing Material Support for Terrorism

If a Democratic delegation did this, do you think that these right winger would be quiet? Would there be virtual crickets from the media? “Off with their heads!!!” would be the cry.

Glen Greenwald: Leading conservatives openly support a Terrorist group

Imagine if a group of leading American liberals met on foreign soil with — and expressed vocal support for — supporters of a terrorist group that had (a) a long history of hateful anti-American rhetoric, (b) an active role in both the takeover of a U.S. embassy and Saddam Hussein’s brutal 1991 repression of Iraqi Shiites, (c) extensive financial and military support from Saddam, (d) multiple acts of violence aimed at civilians, and (e) years of being designated a “Terrorist organization” by the U.S. under Presidents of both parties, a designation which is ongoing? The ensuing uproar and orgies of denunciation would be deafening.

But on December 23, a group of leading conservatives — including Rudy Giuliani and former Bush officials Michael Mukasey, Tom Ridge, and Fran Townsend — [Imagine if a group of leading American liberals met on foreign soil with — and expressed vocal support for — supporters of a terrorist group that had (a) a long history of hateful anti-American rhetoric, (b) an active role in both the takeover of a U.S. embassy and Saddam Hussein’s brutal 1991 repression of Iraqi Shiites, (c) extensive financial and military support from Saddam, (d) multiple acts of violence aimed at civilians, and (e) years of being designated a “Terrorist organization” by the U.S. under Presidents of both parties, a designation which is ongoing? The ensuing uproar and orgies of denunciation would be deafening.

But on December 23, a group of leading conservatives — including Rudy Giuliani and former Bush officials Michael Mukasey, Tom Ridge, and Fran Townsend — did exactly that. In Paris, of all places, they appeared at a forum organized by supporters of the Mujaheddin-e Khalq (MEK) — a group declared by the U.S. since 1997 to be “terrorist organization” — and expressed wholesale support for that group. Worse — on foreign soil — they vehemently criticized their own country’s opposition to these Terrorists and specifically “demanded that Obama instead take the group off the U.S. list of foreign terrorist organizations and incorporate it into efforts to overturn the mullah-led government in Tehran.” In other words, they are calling on the U.S. to embrace this Saddam-supported, U.S.-hating Terrorist group and recruit them to help overthrow the government of Iran. To a foreign audience, Mukasey denounced his own country’s opposition to these Terrorists as “nothing less than an embarrassment.” did exactly that]. In Paris, of all places, they appeared at a forum organized by supporters of the Mujaheddin-e Khalq (MEK) — a group declared by the U.S. since 1997 to be “terrorist organization” — and expressed wholesale support for that group. Worse — on foreign soil — they vehemently criticized their own country’s opposition to these Terrorists and specifically “demanded that Obama instead take the [] group off the U.S. list of foreign terrorist organizations and incorporate it into efforts to overturn the mullah-led government in Tehran.” In other words, they are calling on the U.S. to embrace this Saddam-supported, U.S.-hating Terrorist group and recruit them to help overthrow the government of Iran. To a foreign audience, Mukasey denounced his own country’s opposition to these Terrorists as “nothing less than an embarrassment”

(emphasis mine)

The “richest” part of this is Fran Townsend’s involvement

Amazingly, Fran Townsend, on CNN, hailed the Supreme Court’s decision in Humanitarian Law — the Supreme Court ruling that upheld the DOJ’s view that one can be guilty of “material support for terrorism” simply by talking to or advocating for a Terrorist group — and enthusiastically agreed when Wolf Blitzer said, while interviewing her: “If you’re thinking about even voicing support for a terrorist group, don’t do it because the government can come down hard on you and the Supreme Court said the government has every right to do so.” Yet “voicing support for a terrorist group” is exactly what Townsend is now doing — and it makes her a criminal under the very Supreme Court ruling that she so gleefully praised.

(author’s emphasis)

Not that the Obama administration DOJ will notice. Look the other way

Playing Chicken with the Insane

Some of the more radical Republican Congress-critters are feeling their new “power” and threatening to not raise the debt ceiling. President Obama’s top economic advisor, Austan Goolsbee, called this threat “insanity”, laying out the implications of the first default in history and the damage that it would do to the credit of the United States.

“Well, look, it pains me that we would even be talking about this,” he told co-host Jake Tapper. “This is not a game. You know, the debt ceiling is not something to toy with. If we hit the debt ceiling, that’s essentially defaulting on our obligations, which is totally unprecedented in American history. The impact on the economy would be catastrophic. That would be a worse financial economic crisis than anything we saw in 2008.”

“As I say that’s not a game,” Goolsbee went on. “I don’t see why anybody’s talking about playing chicken with the debt ceiling. If we get to the point where you’ve damaged the full faith and credit of the United States, that would be the first default in history caused purely by insanity. There would be no reason for us to default other than that would be some kind of game. We shouldn’t even be discussing that. People will get the wrong idea. The United States is not in danger of default. We do not have problems with that. This would be lumping us in with a series of countries throughout history that i don’t think we would want to be lumped in with.”

The good news for Goolsbee and the president is that House GOP leadership does seem to see the deficit ceiling debate a bit differently than their incoming Tea Party brethren — as does the intellectual establishment of the Republican Party, including George Will, who, following Goolsbee on ABC, criticized the idea of defaulting simply for symbolic reasons

Goolsbee to Tea Party: ‘Playing Chicken’ With Debt Ceiling Vote is ‘Insanity’

Forcing Country into Default Would Create ‘Financial Economic Crisis’ Worse Than 2008

Then there are those who are holding grandmom’s purse and Medicare card hostage

Punting the Pundits

“Punting the Pundits” is an Open Thread. It is a selection of editorials and opinions from around the news medium and the internet blogs. The intent is to provide a forum for your reactions and opinions, not just to the opinions presented, but to what ever you find important.

Thanks to ek hornbeck, click on the link and you can access all the past “Punting the Pundits”.

E.J. Dionne, Jr.: Celebrating the New GOP Majority

Welcome to the Republicans who take over the House of Representatives this week. Since it is a new year, let us be optimistic about what this development means for our nation.

There is already a standard line of advice to Speaker-to-be John Boehner and his colleagues that goes like this: Democrats overreached in the last Congress by doing too much and ignoring “the center.” Republicans should be careful not to make the same mistake, lest they lose their majority too.

This counsel is wrong, partly because the premise is faulty. Democrats did not overreach in the last Congress. On the contrary, they compromised regularly. Compromise made the health care bill far more complicated than it had to be and the original stimulus bill too small. Democrats would have been better off getting more done more quickly, and more coherently.

New York Times Editorial: Reform and the Filibuster

The new Senate will face one of its most momentous decisions in its opening hours on Wednesday: a vote on whether to change its rules to prohibit the widespread abuse of the filibuster. Americans are fed up with Washington gridlock. The Senate should seize the opportunity.

A filibuster – the catchall term for delaying or blocking a majority vote on a bill by lengthy debate or other procedures – remains a valuable tool for ensuring that a minority of senators cannot be steamrollered into silence. No one is talking about ending the practice.

Every returning Democratic senator, though, has signed a letter demanding an end to the almost automatic way the filibuster has been used in recent years. By simply raising an anonymous objection, senators can trigger a 60-vote supermajority for virtually every piece of legislation. The time has come to make senators work for their filibusters, and justify them to the public.

Zbigniew Brzezinski: How to Stay Friends With China

The visit by President Hu Jintao of China to Washington this month will be the most important top-level United States-Chinese encounter since Deng Xiaoping’s historic trip more than 30 years ago. It should therefore yield more than the usual boilerplate professions of mutual esteem. It should aim for a definition of the relationship between the two countries that does justice to the global promise of constructive cooperation between them.

I remember Deng’s visit well, as I was national security adviser at the time. It took place in an era of Soviet expansionism, and crystallized United States-Chinese efforts to oppose it. It also marked the beginning of China’s three-decades-long economic transformation – one facilitated by its new diplomatic ties to the United States.

On This Day in History January 3

This is your morning Open Thread. Pour your favorite beverage and review the past and comment on the future.

Find the past “On This Day in History” here.

January 3 is the third day of the year in the Gregorian calendar. There are 362 days remaining until the end of the year (363 in leap years). The Perihelion, the point in the year when the Earth is closest to the Sun, occurs around this date.

On this day in 1938, The March of Dimes is established by President Franklin D. Roosevelt.

March of Dimes is an American health charity whose mission is to improve the health of babies by preventing birth defects, premature birth, and infant mortality.

Polio was one of the most dreaded illnesses of the 20th century, and killed or paralyzed thousands of Americans during the first half of the 20th century. In response, President Franklin D. Roosevelt founded the March of Dimes as the National Foundation for Infantile Paralysis on January 3, 1938. Roosevelt himself was paralyzed with what at the time was believed to be polio, though recent examination has led some to suggest that this diagnosis might have been mistaken. The original purpose of the Foundation was to raise money for polio research and to care for those afflicted with the disease. The name emphasized the national, nonpartisan, and public nature of the new organization, as opposed to private foundations established by wealthy families. The effort began with a radio appeal, asking everyone in the nation to contribute a dime (ten cents) to fight polio.

“March of Dimes” was originally the name of the annual fundraising event held in January by the Foundation. The name “March of Dimes” for the fundraising campaign was coined by entertainer Eddie Cantor as a play on the popular newsreel feature of the day, The March of Time. Along with Cantor, many prominent Hollywood, Broadway, radio, and television stars served as promoters of the charity. When Roosevelt died in office in 1945, he was commemorated by placing his portrait on the dime. Coincidentally, this was the only coin in wide circulation which had a purely allegorical figure (Liberty) on the obverse. To put Roosevelt on any other coin would have required displacing a president or founding father.

Over the years, the name “March of Dimes” became synonymous with that of the charity and was officially adopted in 1979.

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