Check It Out for Thursday, July 2nd

Check It Out on the first Thursday in July offers these excerpts:

Gary Kamiya at Salon via CommonDreams writes that Californians are sinking themselves.

"There is an unreal, almost dreamlike quality about this moment. Dreadful things are about to happen: Hundreds of thousands of children will lose their healthcare. Five thousand state workers will be laid off. Massive cuts will decimate education at every level. Social services will be slashed. Two hundred and twenty-nine parks, out of a total of 280, will be shut down. Even some of the state's landmarks may go on the auction block to raise money.

"The world's eighth-largest economy has just gone belly-up. When midnight tolled on Tuesday night with legislators and Gov. Arnold Schwarzenegger still deadlocked over how to resolve the state's staggering $24 billion budget shortfall, California became unable to pay its bills. The state will have to begin issuing IOUs to its creditors as early as Thursday. It is the worst budget crisis in the state's modern history.

"Yet as their state prepares to go over the cliff, California's citizens seem weirdly oblivious, or resigned, or numb. Like inhabitants of a corrupt third-world country who have utterly lost faith in their government and in politics itself, or ostriches sticking their heads in the sand, Californians are behaving as if the whole thing is out of their control. Or even that it isn't happening at all.

"Californians are not directly responsible for the state's budget debacle. They are not the legislators who are so ideologically polarized that on Tuesday they could not even agree on an emergency partial budget fix that would have saved the state $5 billion. But in a larger sense, Californians are indeed responsible for today's crisis. The cumulative weight of their decisions, over decades, and their inability to reach consensus on the fundamental issue of what government should do and who should pay for it, are squarely responsible for the historic mess this unruly nation-state finds itself in today.

"The immediate source of California's financial problems is a lethal combination of ideology and rules. It is deeply politically divided, and its governmental mechanisms are completely broken. Bay Area leftists stare at Orange County conservatives across an unbridgeable abyss; a large and potent group of anti-government libertarians faces off against an equally powerful group of pro-tax, proactive government liberals. If California, like most states, required only a simple majority to pass its budget, the disagreements between these camps could be worked out; after all, the Democrats control the Legislature. But California requires a two-thirds majority, which gives the GOP, now dominated by anti-government, anti-tax ideologues, veto power over the process. The result is deadlock.

"Compounding this problem is California's notorious initiative process, which allows voters to bypass the Legislature and place initiatives directly on the ballot simply by gathering enough signatures......But it has gone out of control, abused by powerful interests who hire people to collect signatures and ram through bills that no ordinary citizen can be expected to comprehend. By sidelining elected officials, it achieves the worst of both worlds: It gives ordinary citizens, who lack requisite expertise, institutional memory and accountability, too much power, and then forces legislators to clean up their mess -- except that because of ideological gridlock and the supermajority requirement, they can't.

"the most momentous initiative was Prop. 13, which slashed property taxes. By voting for Prop. 13, while not demanding a reduction in public services, Californians were in effect saying they wanted to have it all: low taxes and social services, subsidized public education, infrastructure and the other things provided by government.

"This was, in effect, a mass outbreak of cognitive dissonance, an up-yours delivered to government with the public's left hand, while its right hand reached out for Sacramento's largesse. Now, 31 years later, the bill has finally come due. There is no free lunch. If you want good roads, parks, decent schools (California's schools, once the best in the nation, are now among the worst) and adequate social services, you have to pay for them.

"For some reason, Californians have never come to grips with this fact..."

Mark Weisbrot at The Guardian asks if the US backs the Honduran coup given its tepid condemnation of the coup compared to the rest of the world.

"The first statement from the White House in response to the coup was weak and non-committal. It did not denounce the coup but rather called upon "all political and social actors in Honduras to respect democratic norms, the rule of law and the tenets of the Inter-American Democratic Charter".

"This contrasted with statements from other presidents in the hemisphere, such as Lula da Silva of Brazil and Cristina Fernandez of Argentina, who denounced the coup and called for the re-instatement of Zelaya. The EU issued a similar, less ambiguous and more immediate response.

"Later in the day, as the response of other nations became clear, US secretary of state Hillary Clinton issued a stronger statement that condemned the coup – without calling it a coup. But it still didn't say anything about Zelaya returning to the presidency.

"The Organisation of American States, the Rio Group (most of Latin America) and the UN general assembly have all called for the "immediate and unconditional return" of Zelaya.

"Why such reluctance to call openly for the immediate and unconditional return of an elected president, as the rest of the hemisphere and the UN has done? One obvious possibility is that Washington does not share these goals.

"The coup leaders have no international support, but they could still succeed by running out the clock – Zelaya has less than six months left in his term. Will the Obama administration support sanctions against the coup government in order to prevent this? The neighbouring governments of Guatemala, Nicaragua and El Salvador have already fired a warning shot by announcing a 48-hour cut-off of trade.

"By contrast, one reason for Clinton's reluctance to call the coup a coup is because the US Foreign Assistance Act prohibits funds going to governments where the head of state has been deposed by a military coup.

"Many press reports have contrasted the Obama administration's rejection of the Honduran coup with the Bush administration's initial support for the 2002 military coup that briefly overthrew President Hugo Chávez in Venezuela. But actually there are more similarities than differences between the US response to these two events.

"In the Honduran coup, the Obama administration claims that it tried to discourage the Honduran military from taking this action. It would be interesting to know what these discussions were like. Did administration officials say, "You know that we will have to say that we are against such a move if you do it, because everyone else will?" Or was it more like, "Don't do it, because we will do everything in our power to reverse any such coup"? The administration's actions since the coup indicate something more like the former, if not worse.

"The battle between Zelaya and his opponents pits a reform president who is supported by labour unions and social organisations against a mafia-like, drug-ridden, corrupt political elite who is accustomed to choosing not only the supreme court and the Congress, but also the president. It is a recurrent story in Latin America, and the US has almost always sided with the elites."

Tom Klammer at Consortium News and Wendell Potter at Counterpunch shed more light about who was sitting at Obama's Q&A last week on health care reform.

Klammer: "The president of the AMA, which opposes single payer, nowadays representing about a 19 percent minority of doctors, was prominently on display.

"Ron Williams, CEO of Aetna, the health insurance company that in the 1850’s provided insurance to slave holders for their slaves, was part of the discussion too. In 2007, Ron Williams received $19,924,027.00 in total compensation as CEO of that health insurance company.

"But the part of the healthcare problem that caught my eye was a woman in a bright yellow jacket, seated on the front row in the East Room of the White House. "Dr. Gail Wilensky, who ran Medicare in the Bush Administration," gushed ABC's Diane Sawyer by way of introduction.

"It is worth noting here that CBO, the Congressional Budget Office, has 'scored' other plans, but not single payer. If the single payer numbers were run by CBO, she might have the answer to her question.

"Under the Balanced Budget Act of 1997, besides cutting Medicare funding, Congress formed the Medicare Payment Advisory Commission with 17 commissioners, a full-time director and a staff of 30 analysts.

"The commission, charged with advising Congress on how to spend Medicare money, is headed by Gail Wilensky, former chief of the Health Care Financing Administration under President George Bush. Sound like a good idea?

"She also serves on the boards of United Health Group (an HMO and other health companies), Pharmerica Inc. (which provides medications to nursing homes), Advanced Tissue Sciences Inc., Neopath Inc., Quest Diagnostics Inc., St. Jude Medical Inc., Shared Medical Systems Corp. and Syncor International."

"One wonders whose interests she considers when making her recommendations to Congress."

Potter states in his article:

"If you watched the president's televised Q&A on ABC last Wednesday night, you probably noticed that one of the people in the audience was Ron Williams, the chairman and CEO of Aetna, Inc., the nation's third largest health insurer, and currently one of the most profitable. But there are a few things that you should know about Williams.

"Back in the '90s, Aetna set out on an acquisition binge in its quest to become the biggest health insurer in the country. It got there by the end of the decade after spending billion of dollars for several competitors. By 1999 it had 21 million health plan members, the most any insurer had ever had at the time.

"But, as often happens after buying sprees, Aetna soon came down with a bad case of buyers' remorse. As it turned out, some of the customers it had paid top price for were not as profitable as Wall Street analysts and the big institutional investors who owned most of Aetna's stock expected. When they took a closer look at what Aetna had bought, investors started deserting the company in droves. As a result, the company found its stock price in a free fall.

"As the Wall Street Journal reported on August 13, 2004, Aetna's pretax profits as a percentage of revenues began falling dramatically after peaking at about 12 percent in 1998. By 2001 the company was a basket case as far as Wall Street was concerned. It had to do something, and fast.

"Probably the most important thing it did to turn itself around was recruit Williams from rival WellPoint, the ambitious for-profit company that was gobbling up Blue Cross and Blue Shield plans from coast to coast.

"As the Journal reported, Williams promptly ordered a $20 million revamp of Aetna's data systems. Health care analyst Joshua Raskin told the Journal that the new system that emerged from that investment, which Aetna dubbed the Executive Management Information System (EMIS for short), was "the single largest driver of the Aetna turnaround." Why? Because it helped Aetna "identify and dump unprofitable corporate accounts." How did it do the dumping? By jacking up premiums to unaffordable levels.

"By the time the dumping -- or purging, as it is frequently called in the industry -- was done, Aetna had shed eight million of its 21 million members. It shrank so much that by the time it emerged from the Ron Williams-led turnaround, it had fewer members than when the company started out on its multi-billion dollar buying binge.

"While Aetna was shedding those eight million men, women and children, by the way, it also reportedly shed 15,000 of its employees. Wall Street likes it when insurers dump employees, too, because the workers who don't get the ax have to assume the responsibilities of their laid-off colleagues. That theoretically boosts productivity, which Wall Street likes. And reducing the payroll leaves more money for profits.

"The next time you hear someone from the industry talking about how much they are committed to reform, remember that just a few years ago, the CEO of one of the biggest health insurers was the mastermind behind a business strategy that cost thousands of workers their jobs and millions of other people their insurance coverage. That's the real "solution" the industry is bringing to the table -- and the kind of reform Wall Street can really get behind.

"Ron Williams has been richly rewarded by Aetna's board of directors for leading the company back to a level of profitability suitable to Wall Street. They tapped him to succeed Jack Rowe as CEO when Rowe retired in 2006. And they rewarded him with compensation totaling nearly $65 million over the past two years."

 

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