bnuckols

Obamacare Consumer Cost Protections–Delayed! | National Review Online

Or, as my granddaughter said, “Was he BORN dumb?” We, the people, will now pay more than we were promised!

The Obamacare “train wreck” continues. Now, the NYT reports, the caps on out-of-pocket expenses–you know the “affordable” part of the Affordable Care Act–are being delayed a year

via Obamacare Consumer Cost Protections–Delayed! | National Review Online.

Why not “delay” the whole thing?

CVS requesting ID for nail polish remover

Where’s Eric Holder when you need him protecting our rights? Oh, yeah: he’s only protecting the rights of some people, some of the time.

This is not due to some law. It’s a purely arbitrary decision on the part of one retail pharmacy chain, the owners of CVS and Long’s Pharmacies. Since the first announcement, CVS’s policy has moved to Chicago, Washington, DC, Hawaii, as well as “Southern New England.”

And yet, some judge said Plan B should be available to anyone, at any age. In addition, some of my colleagues in the American Academy of Family Physicians want to make regular birth control pills over the counter.

 

CVS pharmacy customers are being asked for identification when they buy nail polish remover, WPRI 12 News reports.

The policy, which has been rolled out across southern New England in the past few weeks, means customers must show ID and will be limited on the number of bottles of remover they can purchase, according to the station.

The drugstore chain says the rule is an attempt to curb the making of illegal methamphetamine, and issued this statement, according to the station:

via CVS requesting ID for nail polish remover, in effort to curb ‘meth’ production | Fox News.

AP News: Correction: Ports-Obama story

In case you missed it, the AP corrects it’s correction of Obama’s geography gaff:

Charleston, Savannah and Jacksonville are not Gulf ports. It wasn’t known if the president was suggesting they were. The AP should not have added the phrase in an effort to clarify his statement.A corrected version of the story is below:Obama plugs deeper Ga., SC, Fla. harbors on LenoObama uses Leno appearance to plug need for deeper harbors at Ga., SC and Fla. ports.

By RUSS BYNUM

via AP News: Correction: Ports-Obama story.

The AP reporter, Russ Bynum most certainly should not have changed the quote. The question we should all be asking — and we should all be questioning — is why did Bynum do it in the first place?

Obamacare months behind in testing IT data security: government

Just in case you thought we were exaggerating:

The missed deadlines have pushed the government’s decision on whether information technology security is up to snuff to exactly one day before that crucial date, the Department of Health and Human Services’ inspector general said in a report.

As a result, experts say, the exchanges might open with security flaws or, possibly but less likely, be delayed.

****

 

IDENTITY THEFT?

When people try to enroll in health insurance starting on October 1 for insurance plans taking effect in 2014, their identity, income and other information they furnish with their application will be funneled through a federal “data hub.”

The hub is like a traffic circle for data. It does not itself store information, but instead has digital spokes connecting to the Internal Revenue Service and other agencies that will allow it to verify information people provide. Opponents of Obamacare have repeatedly raised concerns that sensitive personal information could be stolen.

 

Read more of the story via Obamacare months behind in testing IT data security: government | Reuters.

Hat Tip to Congressman Michael Burgess and today’s “TMA Member Physician’s Daily”

Podcast: Stop ObamaCare – Greg Abbott

From the Greg Abbott Campaign website:

Communications Director Matt Hirsch speaks with Dr. Beverly Nuckols on location at The Texas Mailhouse in Austin about the negative impact ObamaCare is having on small businesses and the health care industry, while U.S. Secretary of Health and Human Services tries to sell an unworkable, expensive healthcare takeover in Texas.

via Podcast: Stop ObamaCare – Greg Abbott.

(I’m a doctor, not an audio/visual expert. And I certainly can’t afford one. Since I can’t get the podcast to embed, so please go to the site. While you’re there, volunteer, donate, help out!)

ObamaCare’s effects difficult to measure: USA Today

From the USAToday, August 8, 2013:

When California announced that individual premiums in its health insurance exchange could be 29% lower than expected, President Obama cheered. When Indiana announced premiums might be 72% higher than before, state officials predicted doom. So who is right? Are health insurance premiums going up or down?

We don’t know, at least in part, because both sides are playing with the numbers. To be sure, natural variation exists in how state insurance markets will be affected, but consumers should also be aware of how premium comparisons are twisted to reach predetermined results. Here are five ways they have been slanted: . . .

read more via ObamaCare’s effects difficult to measure: Column.

Edited 8-9-13 – Changed the title and post to make it more clear that this is from the USAToday, not my own writing. BBN

Texas or DC: Who do you want regulating your doctor?

Peggy Fikac once again proves that she’s not a reporter, and most certainly not anything like a fair and balanced media representative.

From the Houston Chronicle’s coverage of events in Austin, today:

“Obamacare is the wrong prescription for American health care, and I will never stop fighting against it,” Abbott said, joined by small business people and a doctor who also oppose the law at a company, the Texas Mailhouse.

One reason that Abbott gave for fighting the law came in response to a doctor who asked him from the audience about what Texas could do to keep the federal law from interfering with doctors’ judgment about the best way to treat their patients.

“You’re raising one of the more challenging components of Obamacare, and a hidden component in a way, and that is government is stepping in between the doctor-patient relationship and trying to tell you what you can and cannot do, interfering with both your conscience and your medical oath to take care of your patient,” said Abbott, who is campaigning to succeed Gov. Rick Perry.

That is similar to arguments raised against tighter abortion restrictions approved in special session, including a ban on the procedure at 20 weeks, along with stricter regulations on clinics and abortion-inducing drugs.

 

I am that doctor from the audience. Ms. Fikac is correct that I voiced concern over the Federal interference between the patient and the doctor. She’s flat wrong about Texas regulation of medicine by bring abortionists up to standards being equivalent to the

I prefaced the question by noting that it is the State of Texas that properly regulates Texas Doctors and medicine. At the State level, patients and doctors have more influence on our elected officials and the people they appoint to write regulations and enforce the law than we do on the Federal level.

I also noted that because of the increasing interference over the years by Medicare, I am concerned about the reach that this new set of regulations will have, including ever-invasive micro-reporting of patient’s private medical conditions. (I named the upcoming move to the ICD-10, which will be a nightmare, requiring doctors to make distinctions between medical conditions, out to five (5) decimal places.

As bad as the bureaucracy of the Office of the Inspector General for the Federal Health and Human Services and the Centers for Medicare and Medicaid Services have been in the past, I don’t look forward to the additional layer of IRS income verification, audits and enforcement.

We could stick closer to home, with the Texas Health and Human Services, the Texas Medical Board, and the Texas Insurance Commission!

Freedom2Care: Now Secretary of Health and Human Services Kathleen Sebelius is not radical enough to work at Rite Aid

Conscience? More “Trust me, I’ll violate my conscience” news:

Tolerance. Diversity. Broad-mindedness. Those are the words.

Bullying. Discriminating. Compelling. Those are the deeds.

The contradictory words and deeds often come from one and the same individuals–and in a case I learned about today, companies. Turns out the words of tolerance, diversity and broad-mindedness only apply to those who comply with the dogma and submit to the will of the speakers.

Here’s an email I received this morning from a pharmacist member of the Christian Medical Association:

“Subject: Forced to resign over mandate to sell the morning after pill.

“Just to let you know that Rite-Aid corporation came out with a stricter policy on July 5, 2013 that requires all employees to accommodate the sale of the morning-after pill to all comers, of either gender and of any age.”

Read more via Freedom2Care: Now Secretary of Health and Human Services Kathleen Sebelius is not radical enough to work at Rite Aid.

While I don’t believe that Plan B is an abortifacient, I do believe it’s a powerful drug and that adolescents shouldn’t be able to buy it over the counter. I also find it hard to trust someone who will agree to go against their conscience!

Dr. Wes: A Case of (Medicare) “Fraud”

A real-life, real medicine tale of the risk that doctors face – and are willing to face – when taking care of our patients under arbitrary and often outdated Medicare regulations. It will only get worse under ObamaCare and the IRS.

He was a slender-framed man, mid- to late-sixties, with a kind of ridden-hard-put-away-wet complexion.  It was clear the years had not always been good to him, but being the kind soul that he was, he had plenty of friends.  It was a beautiful summer day to spend with friends for a barbecue, but he arrived feeling puzzled why he collapsed at home earlier in the day.

He stopped at the keg and poured himself a beer in a red solo cup, and as he approached his friends with a smile, he did it again, this time which such gusto that his beer went flying and the thud he made when he hit the ground made everyone gasp.  He laid motionless for a moment face down on the ground while his friends rushed to his aid.  An ambulance was summoned as others rolled him over onto his back.  He began to move – slowly at first – then more purposefully.  As sirens approached, he asked his friends, “What just happened?’

Read the rest of the story here.

The author’s comments:

It is becoming abundantly clear that conflicts between the [sanctity] of human life will confront the government’s unwillingness to pay for procedures. No where is this more clear than with approval of payment for the implantation of an ICD, which might run in excess of $200K for the procedure at some instituions. As a result, doctors who strive to provide state-of-the-art care to their patients will continue to confront similar ethical dilemmas that risk their legal standing (and credentials) as they care for their sickest arrhythmia patients.

By publishing this case scenario, my hope was to draw attention to these ethical dilemmas that are becoming increasingly prevalent in medicine as a result of these outdated, inconsistent, and incomplete coverage decisions, guidelines for care, and “appropriateness use” criteria. Further, the potential for legal action against physicians y imposes real fear for do

ctors if they stray at all from these outdated decisions. This fear is to the point where it might do actual harm – and even cause death – to patients who are left without appropriate treatment as a result.

via Dr. Wes: A Case of Fraud.

Mapping Humans’ Mental GPS | The Scientist Magazine®

Now, we need to find out once and for all whether male brains are better at directions than female!

First recognized in rats, humans may also owe their sense of direction in part to grid cells—neurons that fire in a triangular pattern and help keep track of navigational cues—according to a study published yesterday (August 4) in Nature Neuroscience. Recording the neuronal activities of people asked to locate invisible objects in a virtual environment, researchers at Drexel University observed grid-like firing in two regions of the brain, providing the most concrete evidence yet for the existence of grid cell activity in humans.

via Mapping Humans’ Mental GPS | The Scientist Magazine®.

CANCELLED: UN Medical Women International Association Prolife Drs’ Presentations

Last weekend, organizers cancelled officially scheduled scientific presentations at the United Nations sponsored Medical Women International Association (MWIA) meeting in Seoul, Korea.

The American Association of Pro-Life Obstetricians and Gynecologists have reported the information and published the women doctors’ planned presentations on their blog.

According to the published official press release (available in Word format) by the President of MWIA, Ghana’s Dr. Afua Hesse, she personally “intervened” to cancel “listed speakers at our 29th International Congress of MWIA who would deny women their basic right to choice.” She further claimed that the presentations had “no scientific merit and threaten women’s reproductive rights and therefore do not belong at our triennial meeting.”

Dr. Donna J. Harrison, an OB/Gyn and member of AAPLOG, was one of the three presenters who found out that their presentations were cancelled only after arriving at the site. The other two presenters were OBGyn Dr. Mary L Davenport, MD, FACOG and Psychiatrist Dr. Martha Shuping, M.D.  After their session was cancelled, Dr. Anna Choi, Chair of the Public Relations Committee of the MWIA 2013 Organizing Committee, invited the three to speak at a press conference.

Canadian Family Physician Dr. Shelly Ross, Secretary-General to the United Nations for MWIA, physically intervened in an attempt to stop a press conference to which the three were invited. Here’s an excerpt from Dr. Davenport’s letter to AAPLOG members about the confrontation:

“They put the three of us up front like a “panel” discussion, and the reporters started asking us questions about our presentation, allowing us an opportunity to talk about what we came to present. About 20 minutes into the interview, the Secretary General of MIWA, a Canadian woman, burst into the room (I kid you not. …and all of this is on camera), and came up to the table and said “What presentation is this? Donna Harrison said “it’s not a presentation”. So she snarled “Why are you being interviewed? At that point, the answers were left to Anna, our host. Anna said that this was a requested interview by the press.

“The SecGen then said “Who gave you permission to interview these people?” And the reporters said “We are the press, we don’t need anyone’s permission. We have freedom of the press” And the Sec Gen snarled at Anna and said “Did you arrange this? Did you talk to the organizing committee?” And Anna said “I am on the organizing committee. I don’t need to talk to anyone.” And the Sec Gen stood in front of the camera, and refused to move, and said “The interview is over.” Then the reporters said “You can’t do this. We have the freedom of the press. You are interfering with the freedom of the press.” But the Sec Gen would not move and said “The interview is over.””

If you’ve never been to one of these big conferences, I’ll explain how they are set up. The tentative schedule is published months in advance. The separate presentations are grouped with similar- or same-topic presentations per “breakout” session, and many separate sessions may be held at one time. In this case, the final schedule of talks and even the signs (as you can see above) had been printed and posted.

I have viewed the three presentations and found them scientifically sound. They’re in PowerPoint format and easy to read, with great graphics and the first, by Dr. Davenport, is excellent and includes the bibliography of her references.

Texas Still Fighting Funding to Planned Parenthood!

In spite of repetitive fraud, in spite of Texas’ laws prohibiting sending money to affiliates of abortionists, in spite of all our work.

Planned Parenthood clinics could be facing a legal fight that could keep them from receiving funding for impoverished Medicaid patients.

When the state passed the Women’s Health Program in 2005, legislators said the intent was to provide more family planning services, but not abortions, to low-income Medicaid patients.

State Sen. Bob Deuell said due to a loophole in the law, Planned Parenthood is part of the program, but thinks they shouldn’t be. As such, he has requested the attorney general clear up the matter.

*****

While Sen. Deuell admits he isn’t in favor of Planned Parenthood, he said his “goal is to provide comprehensive care and — abortion issue aside — the Planned Parenthood clinics don’t provide comprehensive care.”

It could take Attorney General Greg Abbott months to give his opinion.

In a brief HHSC officials sent to Abbott, they told him if the agency limits providers based on the way the law currently reads, the state risks violating Medicaid rules. State health officials said that could result in a loss of federal funding for the program.

via AG to rule on Planned Parenthood funding question – YNN – Your News Now.

Every Slice of Drug-Rep Pizza Counts Starting Aug. 1

It’s possible that I can be bought, and no one’s come up with the right amount of money (or pens or pizzas), yet.

Or maybe, just maybe, I’m honest. Of course not!

I’m assumed to be guilty (where’s the opportunity to prove innocence, much less their duty to prove me guilty?) of all sorts of fraud by authors of the Physician Payments Sunshine Act included in the thousands of pages of PPACA – otherwise known as Obamacare:

From now on, companies must keep track of virtually every payment and gift bestowed on each clinician and report them to the Centers for Medicare & Medicaid Services (CMS), which will report them to the world.

This accounting exercise stems from a provision in the Affordable Care Act (ACA) that seeks to expose the financial dealings between industry and physicians and discourage conflicts of interest for the latter that might skew education, research, and clinical decision-making. Under the ACA provision, called the Physician Payments Sunshine Act, drug and device makers must report any “transfer of value” of $10 or more made to a physician. Transfers of value under $10 — a cup of coffee, say — aren’t reportable unless they add up to more than $100 in a year. Companies also must disclose whether physicians have any ownership stake in them.

via Every Slice of Drug-Rep Pizza Counts Starting Aug. 1.

Of course lawmakers assume that we’re being bribed – that’s what they do! Why aren’t the limits at least as high as those our Senators and Representatives are allowed? Like Democrat Senator Harry Reid, can we form a “Friends of Dr. Practice” and get more, as long as we don’t accept donations at our office?

BTW,  there’s an app available to help doctors keep up with the bribes.

Texas Planned Parenthood pays $4.3M (but media attacks Greg Abbott)

The $1.4 Million previously reported was the part that Texas will receive, not the total. Can you guess how the (very few) media reports (if you can find them) are playing the story?

From the July 30, Houston Chronicle:

Planned Parenthood Gulf Coast Tuesday settled a whistle-blower lawsuit that alleged the Houston nonprofit engaged in fraudulent Medicaid billing for $4.3 million – nearly $3 million more than was announced last week by Texas Attorney General Greg Abbott.

Yes, Planned Parenthood is quoted as claiming that the settlement for the AG’s finding that they are guilty of over $30M in fraud is “baseless” and simply a way to end harassment and to avoid turning over the (altered) medical records of patients. But the spin on the story is that Texas’ Attorney General, Greg Abbott, didn’t report the total and sent out his announcement before the settlement was signed by all parties.

My news search yields some op-eds and stories by Texas’ newspapers and a few more on pro-life sites.

‘Obamacare’ National Marketing Campaign To Cost Nearly $700 Million « CBS DC

In the meantime, doctors who still accept Medicare (not hospitals or other “providers”) are facing decreased payments and increased hassles.

As President Barack Obama’s health care law moves from theory to reality in the coming months, its success may hinge on whether the best minds in advertising can reach one of the hardest-to-find parts of the population: people without health coverage.

The campaign won’t come cheap: The total amount to be spent nationally on publicity, marketing and advertising will be at least $684 million, according to data compiled The Associated Press from federal and state sources.

via ‘Obamacare’ National Marketing Campaign To Cost Nearly $700 Million « CBS DC.

Democratic Congressman: ‘Not Fair’ To Subject Congress To Obamacare Just Like Everyone Else – Forbes

Brain drain? In DC? Oxymoron?

Now that the time to sign up for exchange coverage is nearing, a Democratic member, Rep. John Larson (D., Conn.), is saying that “this is simply not fair” – as key staff members head for the exits to avoid Obamacare.

Politico reports that “many on Capitol Hill fear it could lead to a brain drain” and notes that “[t]he problem is far more acute in the House, where lawmakers and aides are generally younger and less wealthy.

via Democratic Congressman: ‘Not Fair’ To Subject Congress To Obamacare Just Like Everyone Else – Forbes.

Protect the right to life – San Antonio Express-News

I wrote this to the San Antonio Express News, in response to an “Other Views” Commentary a couple of weeks ago that claimed our pro-life HB2 violated the “separation of church and state.” It was rife with errors, easily corrected:

1. Abortion isn’t “private.” It is performed by licensed doctors in licensed abortion facilities, under laws regulating the practice of medicine passed by the elected Legislature of the state of Texas.

2. Women’s health and family planning clinics that offer federal and state funded health and cancer screenings and contraception are prohibited by both state and federal law from performing elective abortion. These clinics aren’t licensed abortion facilities and aren’t affected by HB2.

3. After Pennsylvania, Virginia and Missouri passed laws requiring safety standards similar to those in HB2, most abortion facilities in those states remained open.

4. Abortion facilities are allowed 16 months to come up to standard. If abortion facilities close, it will be because business owners decide not to invest in their facilities.

5. HB2, like earlier Texas laws, protects the mother if her life is endangered by continuing the pregnancy.

6. HB2 doesn’t create any criminal charges for the mother, only for physicians who perform illegal abortions after five months.

HB2 does require doctors who perform abortions to have admitting privileges in case their patients have complications requiring hospitalization and abortion facilities to meet building standards known to improve patient safety.

More, including some philosophy, via Protect the right to life – San Antonio Express-News.

Abortion and Informed Consent: American Thinker

#Stand4Life: As only a woman with first-hand experience can tell us:

If a woman tells her doctor she wants to have a double mastectomy, the doctor won’t assume she’s made a sound decision. He or she will want to review her health history, get a detailed family history, find out if the woman has tested positive for the gene that will put her at increased risk, and so forth.

Similarly, when a woman expresses her desire to have an abortion, the health care provider should not assume she’s making a sound decision. It is their duty to make sure she understands her Carbaby’s development, including a way for her to see an image of her baby. And if that’s not possible, at least an image of a baby at the same developmental stage. Pregnant women deserve exposure to as much information as possible. I would argue that there is no more serious matter than the creation of a new life, save the destruction of it. This is no time to withhold vital information and resources.

As a point of comparison, several years ago my routine screening mammogram showed something abnormal. The immediate follow up diagnostic mammogram confirmed an abnormal mass. The radiologist brought me into her office to discuss the images with me. She showed me the area of concern. Explained the difference in color and shadow and what that meant. She also discussed why the image suggested a mass that was hard, and why that added to her concern. She recommended we move forward with an ultrasound and a fine needle aspiration. Throughout the entire discussion she checked in to make sure I understood everything. She invited questions. During the fine needle aspiration, she showed me the image on the monitor as she was guided with the needle to the area in question. When she withdrew the contents of the mass, she showed it to me and explained, to our great relief, that it appeared that I had nothing more than a benign cyst.

Looking back, I now realize that I knew more about the cyst in my breast than the 3-month old baby who once grew inside me. And that is dreadfully wrong. Not because I knew too much about the cyst. But because I knew too little about my baby.

via Articles: Abortion and Informed Consent.

Edited – title for typo – 8/1/13 at 7:45 AM — BBN

Wrinkle in Health Law Vexes Lawmakers’ Aides – NYTimes.com

Oh! What a tangled web we weave . . .

Under a wrinkle that dates back to enactment of the law, members of Congress and thousands of their aides are required to get their coverage through new state-based markets known as insurance exchanges.

But the law does not provide any obvious way for the federal government to continue paying its share of the premiums for the comprehensive coverage.

via Wrinkle in Health Law Vexes Lawmakers’ Aides – NYTimes.com.

San Antonio Christians need not apply

(Or, how I ensure that I never run for office in San Antonio.)

For the last few months, the San Antonio City Council has been considering a “Non-discrimination ordinance” in which they pretty much discriminate against the First Amendment rights of free speech or free exercise of religion. If passed, it would prevent anyone in the City of San Antonio from running for office or being appointed to a citizens’ committee – or from holding office if elected – who advocates for traditional marriage or speaks or writes about their religious belief that homosexuality is a sin. It also looks like a great way to slide into a San Francisco-style attempt to give out same sex marriage licenses.

    Sec. 2-552. – Appointed Officials, Boards and Commissions.

  (a) Appointments to Boards and Commissions.

    When making appointments to boards and commissions, the City shall not discriminate on the basis of race, color, national origin, religion, sex, sexual orientation, gender identity, veteran status, age or handicap disability.

    (b) Prior Discriminatory Acts.

    No person shall be appointed to a position if the City Council finds that such person has, prior to such proposed appointment, engaged in discrimination or demonstrated a bias, by word or deed, against any person, group or organization on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, veteran status, age, or handicap disability.

    (c) Discrimination by Appointed Officials – Malfeasance.

    (1) No appointed official or member of a board or commission shall engage in discrimination or demonstrate a bias, by word or deed, against any person, group of persons, or organization on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, veteran status, age or handicap disability, while serving in such public position.

    (2) Violation of this standard shall be considered malfeasance in office, and the City Council shall be authorized to take action as provided by law to remove the offending person from office.

Once the City tramples on the First Amendment, it’s not so hard to take (more) control of what should be private property and the free citizen’s means to make a living.

Property owners in San Antonio are no different from those in most cities. They don’t really own their property. They merely pay rent in the form of taxes and fees for the right to use it until a majority of their neighbors – or their elected representatives – decide to take control of a portion of it. If you don’t believe me, just try to build a home 1 foot higher than City ordinance allows or buy a house across the street from Schlitterbahn in my town of New Braunfels with the intention of renting it by the night or week to tourists.

But the new San Antonio ordinance goes a little farther. It doesn’t just prohibit action – it forces action by creating a new Class C misdemeanor for discrimination on the basis of gender identity or sexual orientation. So, everyone who sells their home, rents their property or makes a living as a wedding photographer would now be forced to rent or sell to, or work for people engaged in activities that goes against their religion.

    SECTION 10. Discriminatory practices in the provision of public accommodations and housing shall be a Class C misdemeanor and, upon conviction, shall be punishable in accordance with Chapter 1, Section 1-5 of the City Code. The penalties contained herein are non-exclusive and the City shall have any and all remedies to which it may be entitled in law or in equity. The exercise of any penalty or remedy by City shall not be deemed as a waiver of any other remedy to which the CITY may be entitled.

City Council member Diego Bernal has said he plans to take out the section about bias. However, nothing’s official, yet. If you would like to let the Council know how you feel before they consider the ordinance on August 2, you can read the actual ordinance, here.  That link also has the names of Council members and their phone numbers.

Hat tip to the Center for Western Journalism and San Antonio radio station, KSLR.com , for their articles and links.

Medicaid Expansion: money, politics, and plain talk

Ross Ramsey of the Texas Tribune only sees the political debate behind both HB2’s restrictions on abortion and Medicaid expansion.

The state didn’t expand its Medicaid program, and you’ll still find legislators across the spectrum thinking about the consequences, good or bad.

This summer’s debate on abortion restrictions turned entirely on politics. It wasn’t about the money.

via The Economic Debate Behind the Political Debate | The Texas Tribune.

Lay aside the silliness that any Conservative considers abortion simply about the money or politics. Let’s look at the Medicaid debate.  Rather than the TT’s simplistic view of “9 Federal dollars for every 1 dollar the State spends,” remember that the operative word in “Medicaid expansion” is “expansion.”

Under the expansion, the only criteria would be income. Any asset test or obligation to look for work would be forbidden by Federal law.

Healthy men and women who choose not to work, not those on disability – and even those whose employers offer some sort of health insurance would have come under the State’s Medicaid.  Many more would find it “cheaper” to quit work or avoid work and go under Medicaid and other benefits.(Back when I was delivering babies, I had several two-income families who found it better for mom to quit work after she became pregnant, since Medicaid picked up the cost of insurance and co-pays for her and the kids.)

I remember a tall, healthy-appearing (I’m qualified to judge, BTW) 30-year-old man who testified against HB2 and all its precursors. He not only showed up for repeated Committee meetings, he was there every time there for the House and Senate hearings. He loudly claimed to be a Texas law school graduate who is (STILL!) unemployed – and criticized and ranted at our Legislators for not “giving” him a job and benefits. Who wants to pay his Medicaid?

The expansion wouldn’t significantly cut the oft-quoted high rate of uninsured in Texas, even according to TT’s own numbers. Over 1/2 of Texas’ uninsured make too much money for Medicaid, and 1/3 make more than $50,000 a year.  Lawbreaking immigrants (someone’s bound to be insulted if I use the term “illegal immigrants”) make up 1/4 of the uninsured, but they wouldn’t be covered without breaking a few more laws. The disabled, low-income mothers and children and the elderly in nursing homes would have continued to be covered under current programs – at least as long as the money holds out.

Why not Planned Parenthood? Feds ban some types of providers

For the first time in history, federal health officials said Friday they will ban certain types of Medicare and Medicaid providers in three high-fraud cities from enrolling in the taxpayer-funded programs for the poor as part of an effort to prevent scams.

via Feds ban some types of Medicare providers from enrolling in Miami, Chicago, Houston – The Washington Post.

We Paid for Those Abortions | National Review Online

A question for @GregAbbott_Tx: When will charges be filed?

Planned Parenthood has been found to be guilty of Medicaid fraud including altering medical records and even making taxpayers pay for abortions!  History from California in 2004, New York in 2008, others in New Jersey and Washington state. And now, a settlement for $1.4 Million in 2013 in Texas.

“[W]hat are we to make of a consistent pattern of overbilling and fraud across several states, involving millions upon millions of dollars of taxpayers’ money? Given the impenitent attitude of the Texas affiliates and the Planned Parenthood central command, perhaps it is time to inform Cecile Richards & Co. that orange is the new black.”

via We Paid for Those Abortions | National Review Online.

Planned Parenthood settles Medicaid Fraud (Update 2 on 8-5-13)

Good news for Texas, but it seems there should be more penalties for falsifying records!

Texas Attorney General’s Office Obtains $1.4 Million Settlement against Planned Parenthood Gulf Coast for Medicaid Fraud

Planned Parenthood Gulf Coast fraudulently billed Texas Medicaid program for products, services either not provided or not necessary

HOUSTON – The Texas Attorney General’s Office today concluded the State’s Medicaid fraud investigation into Planned Parenthood Gulf Coast, Inc. Under today’s agreement, Planned Parenthood Gulf Coast must pay $1.4 million for fraudulently overbilling the taxpayer-funded Medicaid program.

After a whistleblower lawsuit was filed alleging improper billing practices by Planned Parenthood Gulf Coast, an investigation was opened by the Texas Attorney General’s Office and the Texas Health and Human Services Commission’s Office of Inspector General. The State’s investigation revealed that Planned Parenthood Gulf Coast improperly billed the Texas Medicaid program for products and services that were never actually rendered, not medically necessary, and were not covered by the Medicaid program – and were therefore not eligible for reimbursement. For example, state investigators determined that Planned Parenthood Gulf Coast falsified material information in patients’ medical records in order to support fraudulent reimbursement claims to the Medicaid program.

via Texas Attorney General.

Update: Of course, PP is saying the claims are “baseless,” and that they paid all that money to rid themselves of a nuisance suit! (See Texas Tribune’s “reporting”  here.)

Update 2 on August 5, 2013: The total that PP agreed to pay is actually $4.3 Million. The first number was just that portion that will be paid to Texas.

Book Review: The Secret Knowledge: On the Dismantling of American Culture

The Secret Knowledge

“Success in life comes not from the ability to choose between the four presented answers, but from the rather more difficult and painfully acquired ability to formulate the questions.”  Mamet, David (2011-06-02). The Secret Knowledge: On the Dismantling of American Culture (p. 28). Sentinel Trade. Kindle Edition.

I’m reading “The Secret Knowledge: On the Dismantling of American Culture,” by David Mamet. Those of you who follow me on FaceBook or Twitter have probably seen a few quotes that I’ve shared.

I’m afraid that I might be indulging in the same thing Mr. Mamet accuses the Liberal Left of doing: surrounding myself with like-minded thinkers and writers. If so, Mr. Mamet at least expresses himself differently than most of the Conservative writers I read.

As an example, I was struck by his description of the new love story, in which two people who don’t even like each other are thrown together by fate and somehow decide they are meant for each other. This is in contrast to the traditional love story in which a couple first falls in love but are separated by outside forces, finally triumphing by their will to be together. (Compare “Sleepless in Seattle” with the movie it references, “An Affair to Remember.”) The difference is subtle, but one of fatalism vs. making a deliberate, conscious choice.

Mr. Mamet is critical of Liberal Arts education, socialism, “change” and “hope.” He explains why Conservatism is better than Liberalism in phrases that go far beyond sound bites and the bumper sticker he sometimes refers to.

From Amazon’s “Popular Highlights:”

“The Good Causes of the Left may generally be compared to NASCAR; they offer the diversion of watching things go excitingly around in a circle, getting nowhere.”

“The essence of socialism is for Party A to get Party B to give something to Party C.”

“. . . Wrights, Cyrus McCormick, Henry Ford, Tesla, Tom Edison, Meg Whitman, Bill Gates, Burt Rutan, and Steve Jobs. How would they and American Industry have fared had Government gotten its hands upon them at the outset—if it had taxed away the capital necessary to provide a market for their wares; if it had taxed away the wealth, which, existing as gambling money, had taken a chance on these various visionaries? One need not wonder, but merely look around at the various businesses Government has aided.”

“Government itself, where waste is the end product.”

Mr. Mamet’s central point is that culture is the unconscious and pre-verbal adaptation of people that creates predictability, allowing us to get along with one another. When we throw out our culture and try to create a new one, the “change” leads us to uncertainty and the necessity to weigh each new stimulus because we don’t know what it means under the new conditions.

“The tool of culture is the capacity to predict the operation of the social environment—a property right little different from a right in land or wealth. This cultural right exists not limitlessly—for any property right is limited, by chance, death, inflation, erosion, theft, laws, confiscation, etc. but, as with a material property right, founded upon an abstract concept: predictability, which differs from omniscience, but is of immeasurably greater worth than ignorance. Culture exists and evolves to relegate to habit categories of interactions the constant conscious reference to which would make human interaction impossible.”

(Mamet, David (2011-06-02). The Secret Knowledge: On the Dismantling of American Culture (pp. 12-13). Sentinel Trade. Kindle Edition.)

He compares the new situation to “The First Night in A New Home,” where each creak or thump is unfamiliar, and could mean danger or nothing. No one gets any rest, many will get angry, and far too many will simply stop evaluating those noises for themselves. In societies, those who stop questioning and wish only for peace, end up ceding their will and ability to innovate and create to the herd.

Kindle will let you read the first chapter, free. (I don’t profit from promoting the book.)

La. already has Texas abortion limits | The Town Talk | thetowntalk.com

Louisiana has many of the same restrictions on the books, but they passed with few significant fights in the Legislature and none of the massive protests. The state has added nearly any legal limit it can find on abortion — and several that courts have said weren’t legal.

As they have added new statutes, the bills passed with overwhelming and bipartisan support and with Louisiana lawmakers acknowledging that they hope to lower the number of abortions with each restriction.

Unlike in Texas, Louisiana’s debates don’t showcase a deep divide between Republicans and Democrats. A handful of Democrats oppose the abortion restrictions, but often far more of Louisiana’s Democrats vote to support the measures. A few individuals show up to committee hearings to complain about the latest proposed abortion restrictions, but the bills don’t attract widespread outrage.

via La. already has Texas abortion limits | The Town Talk | thetowntalk.com.

Stories about PP closures and what to do if you need a doctor

What is PP doing with the $13 Million grant that the Obama Administration awarded them? Last March, the spokeswoman for the Women’s Health and Family Planning Association of Texas was crowing about the future use of the funds.

One thing it’s not doing is funding services in Bryan/College Station, Huntsville, and Lufkin, Texas.

In the meantime, everyone who is worried about low cost or free birth control and family planning should check into the Texas Women’s Health Program. For the most accurate and largest number of TWHP qualified doctors and clinics in your area, Texas’ Department of Health and Human Services has a search engine available here. More information, here. Use the “Advanced Search,” then choose Plan type:”Traditional Medicaid,” Provider type: “Specialist” (although this will actually bring up family physicians and other primary care docs). If you qualified at PP, you should qualify under this program, even if you don’t qualify for Medicaid. These docs give a 6 month or 12 month prescription, and the State will pay for screening, family planning.

DPS Director Responds to Letter on Security Report | The Texas Tribune

File under “no good deed goes unpunished.”

Officers simply gave visitors the choice to throw away their goods and come in or to take them away and leave, he said. No arrests were made, and no jars were confiscated.

via DPS Director Responds to Letter on Security Report | The Texas Tribune.

Similarly, most of the people who were detained before the night of July 12th were released by police at the Capitol exit door, and allowed re-entry. At least 5 who were arrested for disrupting a House session on July 10th, were released without charges and within 5 hours, according to the Houston Chronicle, when the Magistrate found “insufficient probable cause.” What does that say about Austin/Travis County justice system, that a DPS can arrest a woman, that there are videos all over the ‘Net, and yet the Magistrate can’t find “probable cause?”

Update: one of those women arrested on July 12th was one of the 5 released on the 10th, also according to the Houston Chronicle.

Christian Medical Association on HB2

Here’s my piece for the Christian Medical and Dental Association’s “The Point,” a weekly newsletter on current events. (This isn’t a 250 word discussion — I snuck in 275 words!)

“At what point do humans become human enough to have the right not to be killed? How should society balance protection for women who choose to abort their children with the burden imposed by that protection?

“While 62 percent of Texasⁱ and 59 percent of U.S. votersⁱⁱ support a ban after 20 weeks, opponents of the bill stormed the Capitol, disrupted hearings and threatened lawsuits that will likely decide whether the law is enforced. In the middle of the noise, both sides told legislators painful stories about the effect of abortion on their lives.

“Texas’ new law bans abortion after 20 weeks, based on the possibility that the fetus can feel pain at the lower limit of viability since the lower brain structures are in place, the thalamo-cortical connections are developing and primitive memory and learning have begun.ⁱⁱⁱ There are exceptions for life and permanent injury for the mother and severe fetal anomalies. The law also requires that abortion facilities meet guidelines required of facilities that do similar procedures like D&Cs. Doctors performing abortions must obtain hospital privileges within 30 miles of the facility and follow FDA guidelines for medical abortions.

“Christian doctors are in a unique position to guide the public conversation toward one of ethics, rather than popular opinion, science or law. We must also demonstrate Christ’s healing love and forgiveness to those who are in pain because of abortion.”

 

Links and more references, here.

Freedom2Care: Protests tell a lot about a low level of health and safety at abortion clinics

. . . [A] Washington Post editorial protests that providing such basic safeguards will mean that “all but one of the clinics probably would close because of the associated costs.”

Such protests tell a lot about a low level of health and safety at those abortion clinics.

via Freedom2Care: Protests tell a lot about a low level of health and safety at abortion clinics.

Unfortunately, the Gosnell (and, possibly Texas’ Karpen) case tell us more about the effects of not monitoring State laws that are in existence.

But we do have evidence that the current standards are too low for health and safety. Over the last few months, as Texas’ Legislature considered new laws concerning abortion safety, we heard testimony from women who were required to stand in lines in narrow halls while waiting for their abortion, who were forced to walk out of the facility while hemorrhaging, and who were denied privacy. Most of all, we heard that the much touted claim that abortion is between a woman and “her doctor” is often meaningless, since the doctor doesn’t offer continuing care after the procedure.