One Texas Right to Life (TRTL) lawyer has posted an update on Facebook about the “rescue” of Mrs Carolyn Jones. I’m afraid that, as with the declaration that another patient was “slain,” TRTL is gaming the Medicare funding and Texas medical systems for political purposes.
Emily Cook, General Council for TRTL, wrote that she worried that “funny business clinically would happen as we moved her” from the hospital where Mrs. Jones has been admitted for over 6 months, where the docs had weaned her off the ventilator and wanted her to transfer to a more appropriate level of care facility over 2 months ago.
Emily says TRTL spent their own money (*see my last paragraph) to put her in a private ambulance and take Mrs. Jones to another hospital ER. That hospital couldn’t provide dialysis, so they in turn transferred her via ambulance somewhere else, to yet another hospital until admission can be arranged at the nursing home.
Cook-ing the system
Mrs. Jones’ Medicare funding for the original hospitalization is bound to have run out some time ago. Normally, Medicare will allow 90 days per admission, with an extra 60 “reserve” days, once per person, per lifetime. The patient is responsible for part of the bill from the first day of admission, and for the total hospital costs after the eligible days.
But there are still Medicare regulations to deal with in the case of “Medicare eligible” patients, even when they aren’t paying.
Medicare makes it very difficult and risky for everyone to navigate the private pay process. When I had a question in my private medical office about whether Medicare would cover something, we had the patient sign an informed consent agreement and an acknowledgement that the patient might have to eventually pay if Medicare denied the service. Then we performed the service, filed the charge with Medicare, waited to be denied, and then tried to Bill the patient. I gave away a lot tetanus vaccines and removed a lot of moles and warts for free to avoid the risk of “fraud and abuse” from the likes of Janet Reno.
The same risk would have applied if the hospital had privately charged Mrs. Jones’ Dialysis.
I don’t believe the first new hospital is at risk for a charge of “dumping” if they documented a legitimate reason. However, both new hospitals will be able to charge the Jones copays and co-insurance. They may also find Medicare coverage limited because of the way Mrs. Jones left the original.
“Medicaid limits 2019” (a .PDF)
I certainly don’t know the Jones’ financial circumstances, and I may have over estimated the maximum income in early speculation. However, there are strict maximum Medicaid income and asset levels. These vary according to age, disability, and marital status. (Even the government bureaucratic Leviathan doesn’t want the spouse if a nursing home patient to end up indigent.)
In my experience, the social workers and benefits experts at hospitals and nursing homes are experts at negotiating and translating the bureaucracy. In addition, the disabled Medicare eligible person will have access to a benefits specialist. I’ve never had a hospital discharge and nursing home admission blocked by this “paperwork.” Certainly not for months at a time.
I hope TRTL assists the Jones family with what is certain to be several enormous hospital bills. As long as they pay the bills directly, the funds won’t be counted as income to Mrs. Jones.
Are you worthy of the oxygen you breathe, much less the carbon dioxide you exhale?
Well, let’s see what the new Dem Rep from New York has to say:
How does MasterCard feeeeel about your buying, selling, eating and drinking – or breathing?
But that was *government* acting outside of Constitutional guidelines, not private business. . .
Facebook, Apple, Spotify, and YouTube ban and erase/delete Alex Jones on* the* same* day*? Only conspiracy nuts would see a conspiracy in the timing!
How do you feel about your credit card company conspiring and colluding with Internet platforms to monitor – and “de-monitize” – your actions and speech: “sins,” as arbitrarily determined by the arbitrary ethics or whims of a 3rd or 4th party?
Even if you don’t read Revelation as the prediction of the ultimate dystopia, you might agree that there’s a move to force political – ethical – correctness on the public by monitoring and restricting how you spend and receive money. You might even see the possibility that in order to spend and earn money, we could soon need the approval – the “Mark” if not of *the* “Beast, “of some lesser beast, composed of powerful organizations.
The opening paragraph might add to that anger:
“President Trump, who has long believed that he is his own best adviser and spokesman, was forced to test that idea on Friday when few of his allies seemed willing to publicly share in his evident satisfaction with the tumultuous events that have buffeted the White House in the past few days.“
A version of this article appears in print on Page A18 with the headline: Confusion and Controversy Swirl, But the President Remains Positive.
The internet address for the article hints at the original purpose behind the column in the US Politics section of what was once the “newspaper of record:” “donald-trump-syria-government-shutdown.”
Other than a few comments that this is the 3rd shutdown in recent years, news coverage ignores the fact that Schumer and the Senate Democrats “shutdown” the government in January, 2018 when they staged a filibuster over another funding Bill because it didn’t protect DACA.
The President is said to have an “aggressively partisan stance,” but New York’s Democrat Senator Chuck Schumer is the one who ranted on the Senate floor:
““You’re not getting the wall today, next week or on Jan. 3 when Democrats take control of the House.”
You don’t have to wonder how Not-the-Majority-Leader Chuck really feels. And it’s clear that he has “reliable allies” at the NYT.
For two years, the problem with funding the border wall has been exactly the same that the country faces now: the Senate Dems refuse to budge. It’s down to the last minute, now or never for the wall, and up to the Dems to choose.
The solution is simple: instead of dedicating $10+B in aid to Mexico and Central America, allocate the money necessary to build the wall and secure the border.
What a shame that the division has become so partisan and the talking points so bitterly derisive.
As to the “immorality” that Schumer decries: just as with your home, there is a moral difference between a wall intended to control who comes into the Country and one intended to lock the inhabitants in.
The solution is simple: instead of dedicating $10+B in aid to Mexico and Central America, allocate the money necessary to build the wall and secure the border.
In their statements about income inequality, most people ignore what I covered yesterday: the measurements of poverty almost invariably are based on income, not true poverty as measured by actual resources and consumption.
They appear to be stating that the only reason the wealthy have money is because they steal from the poor. That’s not born out by the evidence on upward mobility.
“Our analysis of new administrative records on income shows that children entering the labor market today have the same chances of moving up in the income distribution relative to their parents as children born in the 1970s. Putting together our results with evidence from Hertz (2007) and Lee and Solon (2009) that intergenerational elasticities of income did not change significantly between the 1950 and 1970 birth cohorts, we conclude that rank-based measures of social mobility have remained remarkably stable over the second half of the twentieth century in the United States. In light of the findings in our companion paper on the geography of mobility (CHKS), the key issue is not that prospects for upward mobility are declining but rather that some regions of the U.S. persistently offer less mobility than most other developed countries.”
It turns out that research indicates that conservative cities not only grow faster than liberal cities, but have better chances of upward mobility.
That same Brookings Institute referred to yesterday has reported what it takes to become middle class by US standards: graduate high school, get married before having children, and get a job..
We know what encourages learning and successful education. It’s not only money, although the bulk of education dollars should go to the classroom rather than the administration. The extent of parental involvement and prioritizing education is number one, along with a belief in the importance of attendance.
I hope this information helps you the next time someone implies that the income inequality in the US is caused by the aggression of the wealthy.
I’m very careful about politics when traveling. The media far too often tells us that the rest of the world doesn’t like the US since Trump was elected. The “Italian for Dummies” web page even has the phrase, “Non siamo americani.” (We aren’t American.”)
But my experience has been different: a lot of Europeans think Donald Trump is right about border security and limiting immigration. And we’ve heard this from citizens of England and Italy, who go out of their way to express their support of President Trump.
Last month, a British couple stopped to admire our narrowboat on the Thames. When they found out we were Americans, they turned the conversation to politics, support for Brexit and praise for President Trump.
We picked up our car at the Rome Airport on Friday and it happened again. Out of the blue, the 30-something agent asked, “What about Trump?”
I deferred answering to Larry and braced myself for criticism or ridicule of the President from our new aquaintance.
Instead, our Roman friend volunteered his approval of Donald Trump and the “changes’ both our countries are making in response to international pressure to accept overwhelming numbers of refugees.
He talked about the inability to vet the refugees picked up at sea, the effects on Italy’s employment situation, and the financial stress the boat loads of immigrants were causing Italy before his government’s recent refusal to accept ships full of migrants at Italian ports.
He said, “Trump is making changes. People are afraid of change, but this is good change.”
None of the people we talked to – or who made it a point to talk to us – expressed hate or racism. They are worried about the future if their countries and disapprove of “Brussels” forcing regulations on them, not simply afraid of foreigners.
I wonder who’s listening.
(BTW, several different sets of Canadians have initiated similar conversations. All approved of the President and disapproved of Trudeau.)
Current barriers on imports into Canada from the US affect dairy, wine, telecommunications like TV, cable, and broadcasting, and even software and “cloud” data storage.
In contrast, there are very few barriers to trade with Mexico.
(Edited to add the link to information on Mexico.)
Okay, old lady rant here, from someone who once qualified for WIC, but did what we had to* to refuse it. I’m seeing complaints about a proposal to change the SNAP (food stamp) program from money/cards/vouchers for dollars to a mix of money and commodities.
Most people complain that it would be a big government boondoggle. And I’m sure it would be bloated and subject to all sorts of agendas and unintended consequences. I’m not sold on a change.
However, I’m also seeing comments that SNAP should be “supplemental,” rather than basic. That rather than interfering and deciding to only provide nutritional foods, we should trust recipients to know and meet their own needs. And kids on SNAP should be allowed the “dignity” of having Cheetos and a birthday cake.
I started this post because I have a real problem with measuring a child’s dignity by whether their parents can use some one else’s money to buy Cheetos or other junk food. (And, come on! A birthday cake is flour, sugar, milk, and eggs and time.)
Taxes aren’t charity. And I know I’ve seen abuses at the grocery store and with Medicaid in my practice.
Charity is giving someone a ride to the store or offering to shop when you go. It’s giving whatever without government force and, sometimes, when it hurts in the long run. But tell me, who among us would be happy to see even a freely given gift abused by the recipient?
SNAP, WIC, etc., are helping hands, a bridge over hard times. it’s hard work – nearly a time-consuming job – to meet the requirements to access government assistance, I know. And I know there are gaps. I’m sorry, but they shouldn’t be something that is comfortable.
*(Came within minutes of getting utilities turned off several times, nursed those babies until they could reason, baked my own bread with wheat I bought by the big bag and ground myself, joined a cheese and vegetable coop, bought in quantity and learned to store it in smaller portions, made do with one car and shared rides with neighbors, and taught my kids to eat what they were given – when their cousins lived on French fries, Dairy Queen and cookies. Eventually, I was lucky enough to enroll in the local Junior College and then on to medical school and Larry worked harder and harder. I know we’ve been lucky, but…)
Health insurance choice is bad?
The San Antonio Express News picked up a Washington Post op ed on those big, bad Republican plans to repeal Obamacare. Originally titled, “The reason Republican Republican health-care plans are doomed to fail,” by the editorial board that declared, “There’s no way to replace Planned Parenthood.”
And it’s bunk, even as prudently renamed and appropriately filed in the Opinion section.
What we are *actually *seeing *today is that costs are rising and insurers are withdrawing from States. Choices are certainly limited if there’s only one insurance company on the exchange and routine screening costs are “free” — But the care for treatment discovered at screenings is subject to high deductibles.
Limited coverage plans with major medical for extraordinary costs – rather than a wish list covered with other people’s money from first dollar – encourages personal responsibility and will cut costs. It would also allow people to own their insurance, rather than have it controlled and limited by current employers.
Cuomo wants no co-pays, no deductibles, and abortion business doctors to decide whether the abortion is “medically necessary.” And there are lots of taxes on the poor, as well as the rich, to pay for it.
What a perfect example to give as a rebuttal to those who tell me that as a Christian, I have to support every social spending plan by government.
That duty to help the poor is my personal duty to Christ. I don’t see any command to turn it over to someone else.
The US Government spends and taxes – doesn’t even dedicate Medicare and Social Security taxes for the supposed purposes – and hasn’t proven a trustworthy steward for my duty to Christ. In fact, Jesus said to give Caesar what is Caesar’s. He didn’t tell us to take from our neighbors to give to Caesar!
But there are many scriptures addressing our duty to use well what we are given and to give credit to the One Who blessed us. And many more admonishing us to protect our fellow humans.
Proverbs 24:11 Rescue those who are being taken away to death; hold back those who are stumbling to the slaughter.
The consensus of media pundits and bloggers, as well as quite a few liberal and even Conservative op-ed authors, is that Donald J.Trump was elected President out of some misguided national populism and anger at Congress, fueled with a lot of racism, misogyny and hate. The fact that those same voters elected a Republican majority in the House and Senate – sending virtually every eligible Republican incumbent back to DC – is glossed over.
The idea that Conservatives really believe in small government and equal opportunity supported by personal responsibility is rarely voiced. That we might actually vote, not only for President but consistently down ballot, in order to defend the Bill of Rights and the right to life is ignored while we are accused of xeno-, homo-, and poly-whatever-phobia. I read that I am “afraid” of other lifestyles, religions, and losing my “privilege” based on being a White Christian.
Personally, I approve of most of the Republican Platform, especially where it addresses core Conservative issues, such as low taxes and equal treatment under the law. I want a Legislature that will uphold the Constitution as it’s written and defend against the infringement of inalienable rights. I don’t want activist judges nominated or confirmed at any level of the Federal Court system, especially the Supreme Court. I hope President Trump and the Republican Congress majority will decrease the hassle factors and threats placed on the practice of medicine and business in general by an overreaching Federal bureaucracy.
And, yes, my sense of fairness hopes that our existing immigration laws will finally be enforced, as an outcome of the”equal treatment under the law.”
Instead of facile clichés fed by cherry-picked sound bites and the latest talking points from the Left, try looking at and listening to the 59 Million voters across the country who elected a Republican candidate for President, and ensured a Republican majority including all those “establishment” candidates in both the House and Senate.
It’s the Republican platform and Conservative policy that we Conservatives voted for, not one man.
Obama’s new Health and Human Services regulations will prohibit consideration of whether a provider does abortions – or sells body parts – or not.
Kansas and Texas, among other States, attempted to prioritize their limited tax dollars, preferring to steer money – and patients – toward continuing and comprehensive caregivers – primary care providers- over reproductive health “boutiques:”
When PP sued, they lost. But Obama arbitrarily stripped the State’s Title X funds and gave the money to PP, anyway.
The “most transparent Administration ever” went further:
In New Hampshire, the administration even refused to disclose information about its direct Planned Parenthood grant, claiming disclosure would harm the nonprofit’s “competitive position.”””
What competition??? That’s pure cronyism and blatant support of the Democrat’s – and Obama’s – pro-abortion political ideology.
Edited 11/12/16: misspelling of Services in first sentence BBB
At the Faith and Family conference, Senator Ted Cruz claimed that Senator Marco Rubio had not supported the defunding of Planned Parenthood by not voting against the annual budget vote in September, 2015.
I don’t know if most of my readers can understand what a big step it is for a group like National Right to Life to enter into this political debate between pro-life candidates. However, this accusation was enough to cause this statement to go out, as reported by Andrew Bair, @ProLifePolitics :
“Marco Rubio voted to defund Planned Parenthood before Ted Cruz ever got to the U.S. Senate (see roll call on H. Con. Res. 36, April 14, 2011). Since Ted Cruz joined the U.S. Senate, both he and Sen. Rubio have voted the same on every roll call that National Right to Life regards as pertinent to defunding Planned Parenthood. To suggest that Rubio voted wrong or missed meaningful votes on the Planned Parenthood issue is inaccurate and misleading. National Right to Life is pleased that all of the major Republican candidates for president, Sens. Rubio and Cruz included, have stated that, if elected, they would work to derail Planned Parenthood’s government gravy train. “
For every one who still claims that Republicans should have shut down the government last year rather than pass any budget that included funds for Planned Parenthood, read what National Right to Life had to say at the time. Even if the government had shut down over the budget, PP would have continued to receive funds!
“Additionally, as LifeNews.com reported recently, a study by the Congressional Research Service found that the majority of federal funds flowing to Planned Parenthood would not even be temporarily interrupted if the government shut down over this issue, because the funds flow through “entitlement” programs such as Medicaid – and those entitlement programs do not do not depend on enactment of the annual funding bills.
“It is also important to understand that federal spending bills do not include any “line items” that specifically designate money for Planned Parenthood. Rather, Planned Parenthood affiliates tap into funds from big programs like Medicaid and Title X. In order to deny Planned Parenthood such funds, a new law must be enacted to specifically prevent such funding. But for Congress to approve such a law will require 60 votes in the U.S. Senate, to overcome the filibuster.”
Remember this the next time you read or hear that nothing has come from a Republican majority in the House and Senate because Congress passed a budget September, 2015.
Then, ask the writer or speaker what kind of budget we would have had if Pelosi and Reid had been in charge.
Posted from WordPress for Android. Typos will be corrected!
Edited for formatting -BBN
Here’s where we are, according to Red State:
The Senate has already approved the TPA. On Friday, the House voted on it. The TPA portion was actually approved by a tiny majority, however it did not pass because it was tied to another provision: TAA, which failed miserably. In essence, the TAA is a multi-faced welfare program for those allegedly “hurt” by trade deals.
“TPA ensures that only 51 votes are needed in order to pass the TPP. If you don’t think Obama and the Chamber of Commerce can engage in some bi-partisan vote whipping, you are living in fantasy land.”
There’s still 2 more days for early voting in the Comal Independent School District Bond and School Board Election. Regular Election Day is May 9.
Here’s the times and places for early voting on Monday and Tuesday!
(Thanks to the New Braunfels Republican Women for the information!)
May 4 & 5 – Early voting
During early voting, you have the opportunity to cast both votes at one place!
You can cast both your votes for New Braunfels City Council (Districts 3 & 4) and Comal ISD School Board (Districts 1, 2, 5, & 6) and school bond locations at:
The Comal County Elections Office May 5 – 8am to 5pm
178 E. Mill Street, Suite 10 May 4 – 7am to 7pm
New Braunfels 78130
Bulverde City Hall May 4 – 8am to 5pm
30360 Cougar Bend May 5 – 7am to 7pm
Garden Ridge City Hall May 5 – 8am to 5pm
9400 Municipal Pkwy May 4 – 7am to 7pm
Garden Ridge 78266
Early voting for CISD School Board (Districts 1, 2, 5, & 6) and school bond only:
May 4 & 5 – 7am to 7pm
Bill Brown Elementary Hoffmann Lane Elementary Rebecca Creek Elementary
20410 Hwy 46 W. 4600 FM 306 125 Quest Ave.
Spring Branch 78070 New Braunfels 78132 Spring Branch 78070
Comal ISD Support Serv. Indian Spring Elementary Smithson Valley Middle
Admin. Bldg. 25751 Wilderness Oak 6101 FM 311
1404 I-35 N. San Antonio 78261 Spring Branch 78070
New Braunfels 78130
Church Hill Middle Kinder Ranch Elementary Timberwood Park Elementary
1275 N. Business 35 2035 Kinder Pkwy. 26715 S. Glenrose
New Braunfels 78130 San Antonio 78260 San Antonio 78260
Clear Spring Elem. M.H. Specht Elementary
550 Avery Parkway 25815 Overlook Parkway
New Braunfels 78130 San Antonio 78260
Saturday, May 9 – Election Day – Polls open from 7am – 7pm
New Braunfels City Council (Districts 3 & 4)
Election Day polling locations at:
**NB City Council District 3 – Seele Elementary School, 540 Howard Street, New Braunfels
**NB City Council District 4 – Faith United Church, 970 N. Loop 337, New Braunfels
For City Council District Map – http://www.nbtexas.org/DocumentCenter/Home/View/1480
(also listed on your Voter Registration Card)
Comal ISD School Board (Districts 1, 2, 5, & 6) and school bond only
Election Day polling locations at:
Single Member District 1 Single Member District 2 Single Member District 3
Clear Spring Elementary Faith United Church Rebecca Creed Elementary
550 Avery Parkway 970 N. Loop 337 125 Quest Ave.
New Braunfels 78130 New Braunfels 78130 Spring Branch 78070
Single Member District 4 Single Member District 5 Single Member District 6
Smithson Valley Middle School Bulverde City Hall M.H. Specht Elementary
6101 FM 311 30360 Cougar Bend 25815 Overlook Parkway
Spring Branch 78070 Bulverde 78163 San Antonio 78260
Single Member District 7
Garden Ridge City Hall
9400 Municipal Parkway
Garden Ridge 78266
Contrast the Hippocratic ethic in which a physician recommends treatment to his patient, based on his best medical judgement in the patient’s interest, with that of the “veterinary ethic,” where decisions are made by the “payor” — or owner. Now, consider the effect of Government regulations which arbitrarily force doctors to learn protocols and guidelines (rather than adjust to the patient’s course of illness), to fit a patient’s illness into International Clinical Diagnoses (out to the nth decimal place) and which withhold payment when a patient becomes ill enough to need readmission to the hospital within 30 days of the last admission.
In an article published online by Cato, Dr. Jeffery Singer lays out the history of the destruction of Medicine as a profession. In the past, Dr. Singer described the ethical transition toward the “veterinary ethic.”
Each of these articles is worth your time and consideration. The first article gives one of the best explanations of the Government move to “coding” of medical diagnoses in exchange for
payment “reimbursement,” on through the forced move to Electronic Medical Records without evidence that patients will benefit and Accountable Care Organizations which assign patients to employee “providers.” The second, earlier article, reviewed the necessary change in medical ethics to allow doctors to practice without – or in contradiction to – their conscience.
Forget patient autonomy, long elevated by the lawmakers, lawyers and Ph.D’s (in the name of “Bioethics”) above the traditional physician Hippocratic values of beneficence and its foundation, non-maleficence. In the world of Government medicine, your life is in the hands of the “payor:” the Golden Rule of “He who has the gold makes the rules.”
The New England Journal of Medicine has some free articles you might want to read this week. (I’m afraid you will have to register – will you let me know if you do?)
The first asserts that we’re stuck with ObamaCare – but it calls ObamaCare, “ObamaCare.” The author, Jonathan Oberlander, Ph.D, also acknowledges that the only way the ACA (the Affordable Care Act) is “Affordable” is if the Federal government hands out cash subsidies. In fact, if the Supreme Court rules that the language of the law forbids subsidies in States that don’t have their own exchanges,
Here’s an excerpt:
“The calendar cannot be turned back to 2009. The ACA has made some irreversible changes in U.S. health care.
“Even if they have unified control of the federal government in 2017, Republicans will confront the reality that Obamacare has redefined U.S. health policy and the terms of the debate. In practice, future repeal legislation would probably not scrap the whole ACA, but rather remove specific provisions and remake other policies to conform to a more conservative vision. A Republican President could, through waivers and other means, undermine Obamacare in important ways, but he or she could not eliminate it.
“The Supreme Court’s decision to hear a case (King v. Burwell) challenging the legality of providing premium subsidies in federal exchanges is crucial to the GOP precisely because the chances for legislative repeal of Obamacare are so remote. The Court can seriously damage the ACA in a way that congressional Republicans cannot. A decision to prohibit subsidies for helping the uninsured to purchase coverage in the 34 states that have federally run exchanges would destabilize the health insurance marketplaces and unravel the individual and employer mandates in those states, exacerbating the already large disparities in insurance coverage among states. It would cause both a sizable increase in the uninsured population and sizable losses for the insurance industry and medical care providers as millions of Americans lost their health coverage. Such a ruling could, in turn, produce enormous pressures on affected states and Congress to adopt measures to stave off those outcomes. Yet the ACA’s shaky political foundations would complicate policymakers’ responses, and Obamacare’s opponents would be emboldened to resist any fixes. A ruling against federal subsidies could have a spillover effect, dampening the chances for Medicaid expansion in some states.“ (Emphasis mine)
The ACA appears to be on track to destroy the financing of health care in our country, whether or not it is fully implemented.
What “executive priorities” would you like to see implemented by Executive Order of the new Republican President, beginning January 20, 2017?
Even as a “dream,” it’s not easy to write all this. It’s easy to see the objections and possible pitfalls. I need help. I suggest not enforcing any law that can’t be justified in 2 to 3 sentences, using “Life, liberty and the pursuit of happiness” and a plain reading of the Constitution and the Bill of Rights. No “penumbras,” no nuances. Make it plain and transparent enough that even Gruber’s criteria of “the stupidity of the American voters” is met.
Same 90 day deadline Obama set for his immigration fiat?
Here’s a short list:
Read this article for a history (you probably don’t know about) of the many attempts and failures in healthcare reform over the last 20+ years.
In 2001, Rep. Bill Thomas (R-Calif.), chair of the House Ways and Means Committee, brought a tax credit bill to the House floor and passed it over objections of congressional liberals favoring Medicaid expansion. In the Senate, however, Majority Leader Tom Daschle (D-S.D.) blocked the tax credit bill twice. Nonetheless, as a political matter, conservatives were playing offense on health care policy for the first time in memory. While small, the proposal was a psychological victory for those who wanted to fix health care with more free markets.
Forty years ago the words “fertilization” and “conception” meant the same thing to doctors, lawyers, and embryologists alike: the joining of the 23 chromosomes in the sperm with the 23 chromosomes in the oocyte (“egg”) to form a new complete, unique human organism. “Contraception” was defined as any method that worked before the existence of the embryo by preventing fertilization. These were the hormonal treatments and devices that prevent ovulation of the egg and condoms, diaphragms and sterilization that serve as “barriers” between the sperm and egg. Drugs and devices that may or may not end the life of the embryo after fertilization were legally and correctly called “abortifacients.”
However, legalized abortion and the ability to accomplish fertilization through in vitro methods led to new legal definitions of “pregnancy” and “conception” as beginning at implantation rather than fertilization. Even in vivo, healthy human embryos in healthy mothers were deprived of legal protection as human beings for at least the first 5 – 10 days of their lives, the window of opportunity for implantation when the developing embryo grows to hundreds of cells organized in 2 or 3 recognizable tissue layers and interact with the mother’s body in ways that may affect the timing of birth or risk of diabetes and other health concerns. Possible abortifacients that work after fertilization but before implantation were redefined as “emergency contraception.”
In spite of what you may have heard on the news, the June 30, 2014 Burwell v. Hobby Lobby decision by the Supreme Court of the United States (SCOTUS) didn’t deny birth control for anyone. Everyone may still purchase his or her own FDA-approved birth control. SCOTUS simply ruled that the government can’t force some employers to buy things that they believe are immoral.
In fact, Hobby Lobby only asked to be exempt from purchasing insurance plans that paid for specific drugs and devices used for “emergency contraception.” Before the passage of the Affordable Care Act (“ObamaCare” or ACA), the company purchased insurance that included true forms of contraception, including,
- Those that prevent ovulation by preventing the normal ups and downs of the hormones estrogen and progesterone, such asBirth-control pills with estrogen and progestin (“Combined Pill”),Birth-control pills with progestin alone (“The Mini Pill”),Birth control pills (extended/continuous use), Contraceptive patches, Contraceptive rings,Progestin injections, andImplantable rods
- Those that act as “barriers” to fertilization by preventing the union of sperm and egg: Male condoms, Female condoms, Diaphragms with spermicide, Sponges with spermicide, Cervical caps with spermicide, Spermicide alone, Vasectomies, Female sterilization surgeries, and Female sterilization implants.
The problem is that regulations written by the Obama Administration mandated that all insurances pay for all pregnancy “preventatives” approved by the FDA, including drugs and devices that may function after fertilization to end the life of the new human embryo:
- Pills that mainly delay ovulation but may impair implantation and development of the placenta if fertilization takes place, such as over-the-counter Plan B and generic levonorgestrel tablets, and ella, which requires a prescription, and
- Devices that mechanically and hormonally make the uterus inhospitable to implantation by the embryo, such as intrauterine devices like the copper-T, Mirena, and ParaGuard. These are inserted up to 5 days after unprotected intercourse to prevent implantation and then left in place to prevent fertilization and implantation for as long as 5-10 years.
Although the words we use do not change the fact that the human embryo is the same human life before implantation as after, they can change his or her legal status.
Remember, no one is forbidden to buy anything. However, the US Government will not force people or their companies to pay for devices and drugs they believe are immoral.
The Affordable Care Act regulations issued by the federal government, however, required twenty different preventive methods or services, including sterilization and pregnancy counseling. Depending upon how lower courts now interpret the Hobby Lobby decision, companies that fit within the Court’s “closely held company” bracket and offer religious objections could be spared from having to provide any of those services through their employee health plans.
In three cases in which a federal appeals court had rejected the challenges to the mandate, the new Supreme Court orders told those courts to reconsider, applying Monday’s decision. The companies or their owners had taken those petitions to the Court.
On three petitions filed by the federal government, involving appeals court rulings rejecting the challenges by corporations. their owners, or both, the Justices simply denied review.
No punitive damages because the IRS guy plead the Fifth!
Forget ideological issues. This is not about marriage. It’s intimidation and theft of information that the Federal government forces us to give them at the point of guns.
The leak of confidential tax records should be a crime. Isn’t it time for criminal charges against one of these “leakers?”
Testifying under oath in a deposition as part of the lawsuit filed in U.S. District Court for the Eastern District of Virginia, Meisel invoked his Fifth Amendment right not to incriminate himself and declined to disclose the identity of his “conduit.”
To get at that fact, Eastman said, the National Organization for Marriage has asked Attorney General Eric Holder to grant immunity from prosecution to Meisel.
The $50,000 to be paid by the IRS represents actual damages NOM incurred responding to the illegal disclosure, not punitive damages, since the marriage group was unable to prove disclosure of the confidential records was deliberate after Meisel took the Fifth.
Meisel provided the marriage group’s tax data to the Human Rights Campaign, documents found as part of the investigation show. HRC is among organizations and activists advocating same-sex marriage that routinely describe NOM as a “hate group” or “anti-gay” for making the case for preserving marriage as the union of one man and one woman.
UPDATE: A few quick observations. First, the central holding of the opinion for the Court is that the Senate gets to determine when the Senate is in recess, provided the recess is of sufficient length. This is significant in that it gives Congress the ability to prevent recess appointments.
Second, none of the justices were willing to accept the position of the Obama Administration, which was unnecessarily extreme. In choosing the make the recess appointments in the way it did, such as by not following precedents set by prior administrations (including Teddy Roosevelt) and filling some Board spots that the Senate never had time to fill, the Administration adopted a stance that was very hard to defend, so it could not attract a single vote.
The latest wins came this month, when the Office of Personnel Management announced that government-contracted health insurers could start covering the cost of gender reassignment surgeries for federal employees, retirees and their survivors, ending a 40-year prohibition. Two weeks earlier, a decades-old rule preventing Medicare from financing such procedures was overturned within the Department of Health and Human Services.
Unlike Obama’s support for same-sex marriage and lifting the “don’t ask, don’t tell” ban on openly gay troops, the White House’s work to promote transgender rights has happened mostly out of the spotlight.
Some advances have gone unnoticed because they also benefited the much larger gay, lesbian and bisexual communities. That was the case Monday when the White House announced that Obama plans to sign an executive order banning federal contractors from discriminating against employees on the basis of their sexual orientation or gender identity.
In other instances, transgender rights groups and the administration have agreed on a low-key approach, both to skirt resistance and to send the message that changes are not a big deal, said Barbara Siperstein, who in 2009 became the first transgender person elected to the Democratic National Committee.
There is one big problem with Holder’s plan to fund legal representation for illegal aliens: It violates federal law. Federal immigration law (8 U.S.C. §1229a) lays out the rules governing removal proceedings in the immigration courts, which are administrative courts run by the Justice Department, not Article III federal courts. Under Section 1229a(b)(4)(A), aliens have the “privilege of being represented, at no expense to the government, by counsel of the alien’s choosing.” Thus, there is no question illegal aliens can be represented by lawyers in immigration removal proceedings, but it also is clear representation cannot be at the expense of the government.
Not only are the emails lost, but they hoped the notice would be, also:
Camp notes that the IRS decided to “bury” the claim of lost emails “deep in an unrelated letter on a Friday afternoon.” He isn’t kidding. It appears on the 15th page of the document, which is actually the seventh page of the first attachment to an eight-page letter, addressed to Sens. Ron Wyden of Oregon and Orrin Hatch of Utah, respectively chairman and ranking Republican of the Senate Finance Committee.
The IRS asserts that it has “determined that Ms. Lerner’s computer crashed in mid-2011. . . . The data stored on her computer’s hard drive was determined to be ‘unrecoverable’ by the IT [information technology] professionals.” The agency further claims to have “confirmed that back-up tapes from 2011 no longer exist because they have been recycled.”
And there’s more:
IT professionals from outside the administration say the Lois Stretch is quite a stretch, too. Norman Cillo, identified as “an Army veteran who worked in intelligence and a former program manager at Microsoft,” tells TheBlaze.com that if the IRS is telling the truth, it means the agency is “totally mismanaged and has the worst IT department ever.” According to Cillo, there should be multiple backups, on server hard drives as well as tape.
And the docs will pay if the patient doesn’t qualify . . .
Though 6 million new patients have enrolled for Medicaid coverage due to expansion of the program, media reports say that nearly half of those enrollment applications have yet to be processed.
Because of the bureaucratic backlog, physicians might get stuck waiting even longer on Medicaid reimbursements for patients who have yet to receive authorization. In addition, practices may incur costs from patients who signed up for but were denied Medicaid coverage.
Corruption knows no party lines. (Give your money to the Candidates!)
The Post found that of the $7.4 million that the Georgia-based group’s super PAC has spent since the beginning of 2013, just $184,505 has gone to boost candidates. Three-quarters of the spending by the Citizens Fund — $5.5 million — has been devoted to fundraising and direct mail.
In addition, Tea Party President Jenny Beth Martin, who runs the super PAC, has been receiving $15,000 monthly consulting fees.