Monthly Archives: May 2017

Medicaid Transfers

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It’s well understood that Medicaid badly wants reform.  My own view is to give it back to the States by reducing Federal fund transfers to them until the transfers are zero, which also would eliminate Federal strings jerking the States to do everything the same way, the Federal way.

There are lots of paths to that end, and there are a number of other reforms that would help the situation at least a little.  The House plan for repeal and replace of Obamacare, the first step of which was the American Health Care Act, has one such step, the repeal of Obamacare’s Medicaid expansion.

Expanding State participation in Federally provided—with those strings attached—funds—expanding Medicaid—as a number State governors have done, is not one of those reforms.  Not even for Republican governors.

Sixteen GOP governors represent states that expanded Medicaid under the Affordable Care Act, and they are generally loath to see the program cut back.

Nobody forced these persons to mainline the Federal funds drug. They stuck that needle in their veins and addicted themselves, with no outside pressure at all.

These guys are badly mistaken, and they’ve only made things worse for the constituents for whom they claim to work.

Michigan Governor Rick Snyder, one of those 16, thinks the expansion is just peachy keen; he’s still riding the high from his needle.  He says that “600,000 Michiganders have gained coverage and the state’s hospitals have saved about $300 million.”

What he’s carefully ignoring, though, is how much money Michiganders and those hospitals sent to the Federal government in various taxes and fees to contribute to 49 other States’ Medicaid program participation.  How many of those Michiganders could have been helped and how much money could Michigan’s hospitals have saved had the State kept those monies, instead?  How much would those Michigan citizens and those Michigan hospitals have benefited, had they been able to keep their money—their money, not the State or Federal government’s money—instead of paying all those taxes and fees to the Federal government?

Tepid Sanctions

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The G-7 showed real courage in agreeing to maintain existing sanctions against Russia over its invasion and occupation of Ukraine.

Sure.

The nations agreed at a summit Saturday to maintain sanctions on Russia for its interference in Ukraine until the conditions of a peace process negotiated in Minsk, Belarus are fulfilled.

It’s too bad they didn’t strengthen the sanctions and set them to be predicated on fulfilling the conditions of the Budapest Memorandum.

Disingenuosity

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At the State level, more and more legislatures are succeeding in ceasing to send taxpayer money to Planned Parenthood.

Planned Parenthood recently announced the shuttering of four of its 12 Iowa’s clinics in Iowa [sic] after the Hawkeye state’s Republican-led legislature voted earlier this year to cut funding to clinics that performed abortions. Also last week, the health care nonprofit announced it was closing its only clinic in Wyoming and three of its clinics in New Mexico in what it called a “realignment of resources.”

Texas and other States have similarly acted, and Congress is moving to stop transfers of taxpayer money to Planned Parenthood, also.  Of course pro-abortion folks are up in arms about this.  Raegan McDonald-Mosley, Chief Medical Officer at Planned Parenthood Federation of America:

This is hardest on people who already face barriers to accessing health care—especially people of color, young people, people with low to moderate incomes, and people who live in rural areas.

And hold-overs from the Obama administration:

Estimates by the Congressional Budget Office indicate that defunding Planned Parenthood would save roughly $200 million in federal spending while reducing health care for as many as 390,000 people.

These claims are disingenuous at best.  If the reductions or removals of taxpayer money to abortion providers like Planned Parenthood are “hardest on people who already face barriers to accessing health care,” if pending cuts really would “reduc[e] health care for as many as 390,000 people,” it’s only because abortion providers insist on allocating the monies they have away from providing health care to needful women toward providing abortions instead—thereby denying health care to those needful babies as well as to the needful women, pregnant and otherwise.

Organizations like Planned Parenthood really do provide valuable health care services to needful women, and to their families.  They could continue to do so largely unabated if only they’d use the funds they bring in for that instead of for abortions.

Mandatory Minimum Sentencing

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Heather Mac Donald, in an opinion piece in a recent Wall Street Journal argued that Attorney General Jeff Sessions is getting a bad rap over his decision to reinstate emphasis on mandatory minimum sentencing and that those minimum sentencing requirements themselves get a bad rap.  She’s right on both counts.

Sessions is being smeared as being a racist over his decision because most of the criminals impacted are black—never minding that most of the crimes involved are committed by blacks, and against blacks to boot (another part that’s carefully elided by the smearers).  The sentencing guidelines (for that’s all that they are; they are not mandatory, for all that timid trial and appellate judges make them so out of their loathe to sentence based on the actual circumstances out of rank fear that they might get overruled by a higher court) also get a bad rap because Sessions’ decision is aimed at serious and violent crime commissions, not the small fry.  The ones aimed at with Sessions’ ruling are the drug dealers, murderers (acknowledging the considerable overlap between the two), assaulters, home invaders, and the like.  Not at risk from minimum sentencing “requirements” are the non-violent, the petty, the drug users, and so one.

As Mac Donald put it in defense of minimum sentence requirements,

Mandatory minimum sentences are a valuable tool for inducing drug dealers to cooperate with prosecutors in identifying fellow members of large drug-trafficking networks.

One small aside on that: mandatory minimum sentences also are valuable tools by prosecutors for intimidating an unconvicted defendant into plea-bargaining independently of his guilt or innocence.  Both sides of this question are supported only by extensive anecdotes, though, not demonstrated trends.

For all that, say Mac Donald is right on her main point.

But her point is irrelevant.  Mandatory minimum sentences are wrong on their face.  Sentences should be handed up by juries, not by judges or by sentencing checklists in a computer.  If I beat my wife and sell drugs to a friend a few blocks away, I’m committing crimes against our two neighborhoods—mine and my wife’s and that of my friend’s—not against New York City or Washington State, or even my home State of Texas.

My crimes are against the local communities in which my friend and my wife and I live, and I should be sentenced like I’m tried: by a jury of my peers drawn from my community and my friend’s, the communities against which my crimes were committed, i.e., the district wherein the crime shall have been committed.

Sentencing requirements, whether mandatory or guideline, destroy that capacity, they destroy the local community’s ability to decide for itself what is the appropriate punishment to be meted out for any crimes committed against it.

Memorial Day Celebrations

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I first posted this in 2012.  It bears repeating.

Enjoy this holiday.  Take the time to kick back, relax from the hard work you’ve been doing, and just goof off for a bit.

While you’re doing that, though, do something else, also.  Invite that veteran in your neighborhood, who came back from his service wounded or maimed, and his or her family, to your celebration.  Invite the family in your neighborhood whose veteran was killed in his or her service to your celebration.  They need the break and the relaxation and the support, also.  And they’ve earned your respect and remembrance.

To which I add this, excerpted from Alex Horton’s remarks on the significance of the day to him and his:

I hope civilians find more solace in Memorial Day than I do.  Many seem to forget why it exists in the first place, and spend the time looking for good sales or drinking beers on the back porch.  It’s a long weekend, not a period of personal reflection.  At the same time, many incorrectly thank Vets or active duty folks for their service.  While appreciated, it’s misdirected.  That’s what Veterans Day is for.  Instead, they should take some time and remember the spirit of the country and the dedication of those men and women who chose to pick up arms.  They never came home to be thanked, and only their memory remains.

 

h/t Spirit of Enterprise