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From: Gregory Brown
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Subject: Greg Brown's Weekend Reading and Other Things.... 1/18/2015
Date: Sun, 18 Jan 2015 08:03:02 +0000
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DEAR FRIEND
Who Stole the American Dream?
The promise of a prosperous middle-class life with decent work, rising living standards, and the
potential for a better future has long been the foundation of the American dream. And it has been the
political, legislative, and corporate choices that have pushed the middle class to the brink of disaster.
As America continues to struggle to recover from the Great Recession, it has become clear that the
middle class is in jeopardy -- and many of the policies of the last 4o years are to blame. In his new
book, Who Stole the American Dream? — Pulitzer Prize- and Emmy Award-winning journalist,
producer, and bestselling author, Hedrick Smith analyzes how "pro-business" policies dismantled
the previous American social contract and tells the stories of the people who have been left behind. To
reclaim the promise of a thriving middle class, Mr. Smith proposes a "domestic Marshall Plan" based
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on infrastructure investment, a program to spur the revival of manufacturing, corporate tax reform,
and renewed support of our key social insurance programs.
Today income inequality is at an all-time high.
• Top 1.0% earn 48.8% of total income of the country
• Top i% earn 19.3% of total income of the country
• Top 0.196 earn 8.8% of total income of the country
• From 2009 to 2012 The Top i% captured 95% of the increase of national income. In other words
The Top 1% incomes grew by 31.4% while The Bottom 99% incomes grew by 0.4%.
In his book, Smith says that the Congress of 1978 was the watershed, first by the passing of the 401K
legislation, as a favor for the executives of Kodak and Xerox because they wanted a new tax shelter for
deferred compensation. And that it was never intended to be a retirement plan for the mass of
Americans. And the other major sea change was the change of culture in business. Prior to then there
were a number of populist movements on the 196os and 197os representing the sentiments of the
middle-class that were co-opted by lobbyist in Washington on behalf of business interest. In 197o
there were 170 businesses in America that had lobbying offices in Washington. A decade later there
were 2025. In 1971 there was no Business Roundtable which today is the most potent political force
for Blue Chip Businesses in America. By the 95th Congress in 1978 there were 13o registered lobbyist
for every member of Congress. Corporate lobbyist shifted power away from the populist movements in
favor or corporate interest using Wedge-Economics.
During this same period the notion of stakeholder capitalism changed to shareholder capitalism. The
stakeholder capital notion was, if you took care of your workers and paid them well, this not only
benefited the workers and corporation it benefited the whole economy, which economist labeled the
Virtuous Circle of Growth. The essence is that well-paid workers would spend creating consumer
demand and a strong economy with businesses expanding production, building new plants, buying
new equipment, hiring more workers to meet increasing demand and power the next cycle of growth.
And this is essentially what happened through the 4os, 5os, 6os, and 7os. This changed with the
change in business ethos "we are going to cut back to increase profits." The productivity of American
workers rose 97% for the mid-405 though the mid-7os and their incomes rose 95%. After that one
continued to rise while the other went flat. And the one that went flat was the wages and salaries of
workers since 1973 while productivity continue to grow to 8o% by 2011. During this period the
average hourly wage grew only 4.2% and corporate profits rising on average by 13% a year, resulting
with the Middle Class being cut out of the growth and profitability of American Enterprise. This was
the result of Wedge-Economics.
And if this was not enough, there was The Great Burden Shift. In 1980 84% of workers in
companies of more than 100 employees had a life-time pension. When they retired their employer
guaranteed them a monthly paycheck as long as they lived. Today that number is 35%. In 1980 more
than 70% of workers in companies of more than 100 employees had fully paid health benefits. Today
that number if 18%. In 1980 corporations paid 89% of health cost of employees by 2010 that number
had dropped to 49% and the percent that employees were paying rose for if% to 51%. This is The
Burden Shift. Hundreds of billions of dollars a year in costs have been shifted from the corporations
to employees at a time when wages have been flat. The U.S. Census Bureau said that the median wage
adjusted for inflation for a male worker is lower today than it was in 1978, while inflation has gone up
and cost are going up. This shift has devastated the Middle Class as they now have to use more of their
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incomes to cover these benefits that are no longer being covered by corporations. And with less
disposable income the economy has stagnated economically.
As for retirees the 401k plans have been a horror. First of all, because the risk has been shifted from
companies to the employees who for the most part are ill-equip to manage them, leaving it to Mutual
Funds that mostly float with the tide. But more importantly, is that the average 401k plan only has
$i8,000 and $85,000 at the time when most people retire. This is not nearly enough because one
needs at least ten to twelve times their salary as we are now living longer. As a result economists say
that 45% to 5o% of Baby Boomers do not have enough sock away in their 401k plans along with Social
Security to cover their basic economic needs when they retire. This spells poverty and poverty on a
mass scale. Think about it roughly half or the Baby Boomers might end up living in poverty. And this
is largely because of The Burden Shift.
Pay For Performance is probably the most egregious practice in business as it is a totally a rigged
game in favor of the management — who often manipulate the numbers and dates to enrich
themselves. And one of the most egregious companies abusing this practice was Apple, who under
Steve Jobs admitted to falsifying more than 4000 cases where they falsely changed dates and
documents to enable senior executives to enrich themselves. In the old days one would have
considered this insider trading, as executives not only do things for short-term benefit, it is a common
practice to make decisions that gooses the stock price prior to compensation review. Case in point:
the top five executives of Bear Stearns and Lehman Brothers received more than $2 billion is stock
options and cash compensation in the last two years including settlements when their companies
collapsed. There was no stockholder value yet ten executives received $2 billion in compensation.
Think about it if this had happen in China these guys would have gone to jail and their ill-gotten gains
confiscated.
Yet as bad as the aforementioned has been to squeeze the Middle Class, they don't come close to
rivaling the housing bubble and bust which did more to devastate the Middle Class than any other
development in American as millions of Americans were enticed to tale equity out of their houses to
maintain their living standards. There has been a massive transfer of wealth from the middle class to
the elite of the past 3o years and the most striking element of that is the $6 trillion lost by the Middle
Class during the housing bubble. Prior to the housing bubble roughly 70% of the assets of the housing
stock was owned by the homeowner and the other remaining 3o% owed by banks. By 2009 that figure
had dropped to 40%. Homeowners lost 3o% of the value of a $2o trillion housing markets. This was
an enormous erosion of Middle Class wealth. Championed by Allan Greenspan, this Equity Stripping
pumped $750 billion yearly into the economy but it devastated the Middle Class.
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The groundwork for these things to happen began in the 95th Congress in 1978. Because in 1978
Congress passed a federal law that over-ruled all of the states usury laws, enabling banks and other
financial institutions to charge 15%,18% and more on people who can least afford it and they know are
bad risk. This led to adjustable mortgages, t00% financing, negative amortization enabling borrows to
go further into debt every month. And the latest Payday Loans...
Let's remember, it is consumer demand that drives the American economy. So when we are being told
that we need to protect the tax rates of the Super Elite because they are the job creators this is not
true. The job creators is actually the Middle Class as consumers. And the reason why we are having
such a terrible time getting out of this long slow jobless recovery is because we have a weaker and
weaker consumer demand which is why as Head of the Federal Reserve Allan Greenspan championed
policies that pumped hundreds of billions into the economy to sustain a false consumer demand
bubble that eventually hurt tens of millions of American families. As a result we as a country have
almost no chance in hell to dig ourselves in the mess that we are in until we understand the real
problems that we have today. The public debate that we are having today is removed from reality
because we are not talking about the real issues that are hurting the Middle Class. And the only way
that we will be able to is for people to find the facts, use them to bring back populist movements that
change government policies away from business and in favor of the Middle Class.
For those who are interested here is the web link to a discussion by Hedrick Smith hosted by Managing
Editor of The Atlantic Steve Clemons and the New America Foundation's Economic Growth
Program Director, Sherle R. Schwenninger: http://youtu.be/4J5WRey()ITO
******
How inequality made these Western countries poorer
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Countries that have missed out on most
economic growth due to inequality:
1. New Zealand 2. Mexico 3 UK/ E:foarct
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Rising inequality holds back economic growth -- according to a recent report by the Organization for
Economic Co-operation and Development (OECD). The organization, which is primarily composed of
high-income countries, analyzed economic growth from 1990 to 2(mo and found that almost all 21
examined countries missed out on economic growth due to rising inequalities. (We take a closer look
at the countries that were hardest hit in the second half of this post.) "When income inequality rises,
economic growthfalls," the authors of the report concluded. They explained their findings by pointing
out that wealth gaps hold back the skills development of children -- particularly those with parents
who have a poorer education background. In other words: A lack of access to high-quality and long-
term education among poorer citizens in many OECD countries hurts the economy.
The authors did not examine the impact of a country achieving zero inequality (something that would
come close to idealized communism), but used inequality levels and economic growth in 1990 as their
reference, which they compared to data from 2010. The wealth gap in OECD countries is now at its
highest level since 3o years, as this chart below shows. (Inequality is measured with a Gini coefficient
which ranges from zero to one. Zero equals maximum equality, whereas one stands for maximum
inequality. Chart: OECD, Focus on Inequality and Growth Report)
Economically, the authors are particularly worried about the gap between low-income households and
the rest of the population. "In contrast, no evidence isfound that those with high incomes pulling
awayfrom the rest of the population harms growth," the authors wrote. "Since 2008, the argument
that inequality is causing economic losses has gained steam. But thefact that this study was released
by the OECD has surprised me," Dean Baker, co-director of the Center for Economic and Policy
Research, told The Washington Post. Particularly before the financial crisis, many economists
considered inequality as a useful corollary to economic growth -- an assumption the recent OECD
study tries to rebuke.
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Here are the countries that missed out on most growth, according to the OECD:
1. New Zealand: New Zealand's economy could have grown by 44 percent between 1990 and 2010, but
the country did only achieve 28 percent growth due to inequality. Hence, it lost 15.5 percentage points
-- more than any other country. This is particularly surprising, given that New Zealand was once
considered a paradise of equality, as Max Rashbrooke, the author of a book called Inequality: A New
Zealand Crisis, pointed out in the Guardian newspaper. "New Zealand halved its top tax rate, cut
benefits by up to a quarter of their value, and dramatically reduced the bargaining power — and
therefore the share of national income — of ordinary workers. Thousands ofpeople lost their jobs as
manufacturing work went overseas, and there was no significant response with increased trade
training or skills programs, a policyfailure that is ongoing," Rashbrooke writes in the op-ed. He also
blames New Zealand for a lack of AFFORDABLE HOMES which led to higher rents and unpaid
mortgages.
2. Mexico: Among all 21 examined OECD countries, Mexico has the highest level of inequality and
missed out on 11 percent of potential economic growth, according to the Gini coefficient, a commonly
used measurement method. In May, photographer Oscar Ruiz captured Mexico's inequality in aerial
footage. The subtitle that accompanies the photos reads: "This image has not been modified. It's time
to change that."
3. Britain, Finland and Norway: These countries missed out on nearly 9 percentage points of
economic growth. While Britain is among the OECD's most unequal countries, Finland and Norway
had low inequality levels in 1990 and CONTINUED to do so in 2010. Nevertheless, inequality
increased in both Scandinavian countries (and particularly in Finland).'
4. United States, Italy and Sweden: Between six and seven percentage points of potential growth were
knocked off by inequality between 1990 and 2010. The report does not offer individual explanations
why those countries rank among the nations that are hardest hit. Spain, France and Ireland, however,
are the only countries that did not miss out on economic growth. According to the authors of the
study, all three countries have decreased or maintained the extent of inequality and made economic
gains as a consequence. So, what do other countries have to learn from France, Ireland and Spain?
The study offers several proposals:
Besides improvements in access to and quality of EDUCATION, governments should work on fairer
labor-market policies, childcare supports and in-work benefits, according to the OECD experts. Taxes,
transfers and other redistribution policies could furthermore ensure that economic growth benefits
those who need it most.
What is Rich?
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The Breakers, built in 1892-1895 for Cornelius Vanderbilt
How much money do you have to make to be rich? This is a question that people ask all of the time
and in a Huffington Post article last month by David Sirota - That's rich! Why so many
wealthy Americans think they're middle class - based on recent remarks from Treasury
Secretary Jack Lew, to me it got more confusing instead of helping shed light on a troubling
phenomenon. Because according to Treasury Secretary Jack Lew's reckoning, being a millionaire does
not constitute living high above the ranks of ordinary people. Lew said that back when he was in the
private sector enjoying six- and seven-figure pay packages, "My own compensation was never in the
stratosphere." Lew made that pronouncement as he sought to defend President Barack Obama's
embattled Treasury undersecretary nominee Antonio Weiss from charges that as a financial executive,
he is out of touch with the interests of regular people. Lew was seeking to cast his own lot with the
ranks of ordinary Americans at a time of growing economic inequality.
But in doing so, Lew shed light on a uniquely American phenomenon — the tendency of
extraordinarily rich people to cast themselves as everyday members of the middle class. Earlier this
year, for example, Hillary Clinton made headlines when, in response to a question about her personal
fortune, she claimed her family was "dead broke"when they left the White House. That statement
followed New York Gov. Andrew Cuomo's top aide casting those making $500,000 a year as merely
upper middle class. According to IRS data, 99 percent of American households make less than
$388,000 a year, and 95 percent make less than $167,000 a year. The true middle in terms of income
— that is, the cutoff to be in the top 5o percent of earners — is roughly $35,000 a year.
While Lew claims his private-sector compensation was not "in the stratosphere," the data suggest
otherwise. According to New York University records, Lew was usually paid between $700,000 and
$800,000 a year as the school's vice president, while also receiving a $440,000 mortgage subsidy.
Lew also earned $300,000 a year from Citigroup, with a "guaranteed incentive and retention award
of not less than $.1 million,"according to an employment agreement obtained by Businessweek. That
agreement said that the seven-figure award would be terminated if he left for another job, but with one
exception: He would indeed get the cash if he accepted "a full-time high-level position with the United
States government or regulatory body." Lew was given a $940,000 bonus from Citigroup in the same
week the bank received a $300 billion bailout from the federal government.
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Then again, Lew is a pauper compared to Weiss. The Treasury nominee reported more than $15
million in compensation in the last two years at Lazard. Like Lew before him, Weiss would receive a
massive payout from his firm if he gets a job in government. Of course, there remains a bit of a debate
about what constitutes "rich" in America. A recent New York Times poll showed 27 percent of
Americans believe a family of four can be considered `rich" if its annual income is between $ioo,000
and $200,000, while another 20 percent say "rich" is defined as making between $200,000 and
$300,000 a year.
David Sirota: That said, there appears to be consensus that compensation like that paid to Lew and
Weiss constitutes "rich"- two-thirds of the country told the pollsters that making more than
$300,000 means a household is wealthy. While Lew's comments leave him open to charges that he is
out of touch with economic reality, he is not alone, as surveys show many Americans also have
misconceptions about income distribution. A recent study by Harvard University and Bangkok's
Chulalongkom University found Americans grossly underestimate the divide between CEO and
average worker pay. Such misperceptions were recently spotlighted by comedian Chris Rock in an
interview with New York magazine. Of inequality, he said: "People don't even know (about it]. Ifpoor
people knew how rich rich people are, there would be riots in the streets."
The truth about wealth is that one is not rich solely based on salary. Because I have a friend who was
making $600,000 a year ($350,000 after taxes in LA), who told me that he was having trouble
surviving with two children in Ivy League universities and another two in tony private high schools, all
with their own cars and allowances, as well a multi-million dollar mortgage, cars for himself and his
wife, domestic staff, accounts and attorneys and a vacation home. Does anyone really need all of that?
All of the time we see sport stars who sign eight-figure contracts and have to declare bankruptcy within
several years of retiring. When I was I kid I use to think that $12 million was rich, obviously that is no
longer true today. Because to be rich in economic wealth you probably need to have twice that and to
be seriously wealthy you are in the least nine figures bracket. The real truth is that you are rich when
you have enough to easily cover needs and desires. And you are really rich when in addition you have
an abundance of friends and family love and support. Because you are never really rich without them.
How Should Governments Deal With Returning
Jihadists?
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Western Allies Must Share Intelligence — Treat Them Like Parolees — Consider Why They Came Back — Be
Wary of Exploiting Public Fear — Expand and Strengthen Freedoms — Keeping Better Tabs on Suspicious
Persons
The recent tragedy in Paris has triggered a strong emotional response as events of this grisly nature
usually do. The depth of feeling across a wide range of persons and cultures owes much to its being an
act of terror in an age that has become largely defined as the "terrorism era." Since 9/11 Western
societies have lived in a state of anticipatory fear and that dread has been kept alive by occasional acts
of terrorism, as in London, Madrid and Boston. The rise of ISM has been accompanied by a spate of
anxious speculation that residents of Western countries who have been drawn to the new theater of
jihad could return home dedicated to committing mayhem. In this context, the Paris killings have
made tangible otherwise abstract fears. Emotional release follows - emotions of anger (revenge for
some), sympathy for the victims, a bond of solidarity across religious lines in an affirmation of shared
humanity as reflected in the march in Paris last week and other sympathetic events around the world.
Concurrently it is evident that a number of these heinous events in Western Europe, North America,
Middle East and elsewhere are the acts of home grown terrorist who after going abroad where they
were proselytized and trained radical clerics and seasoned harden fighter in Syria, Pakistan, Yemen,
Somalia, Afghanistan and elsewhere. Herein lies the dilemma of how should governments deal with
returning jihadists if they want to prevent more acts like the recent massacre in Paris and the bombing
of the Boston Marathon several years ago?
Although the media and others try ignore, terrorism in a number of Western countries has roots in
racism -- as well as the cultural distance reinforced by the inescapable callousness that comes with the
repetition of nothingness. It is easy to understand how a young unemployed person living in an ethic
ghetto with little or no prospects in a world of abundance that he is not a part of - and then he is told
that not only is he inferior but so is his religion to that of the dominant culture — can be seduced by
jihad
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As a result are seeing a growing influx of Europeans returning from Syria and Iraq having joined
terrorist organizations. This is a heterogeneous group: Some are highly traumatized and
disillusioned. Others return from a few months of "terror tourism" and post pictures of themselves
online, armed with guns and little more The dangerous individuals are those who return tasked with
carrying out acts of terror. They come back to recruit fighters or to spread propaganda; some have
military experience and want to live out their violent fantasies in Europe.
One of the things that we know is that the terror attacks in Paris highlight are a growing trend: Young
Western Muslims who enlisted for jihad in the Middle East are coming home. Denmark is trying to
rehabilitate them. In much of Europe, prosecutors have put them in prison, where they have found
kindred spirits. But sometimes, as with the Paris killers, they fall through the cracks.
At the same time we should remember that for generations, Americans have decamped to fight in
other people's wars, whether as freedom fighters, terrorists, colonists, or mercenaries. Sometimes the
U.S. Government supports these mostly young idealists or turns a blind eye. No one kept Americans
from volunteering to fight In the Lincoln Brigade against Franco or today stop Americans from joining
the Israeli army or the Western-favoring Syrian opposition groups.
Some decisions in life are irrevocable. Joining ISIS or Al Qaeda is one of them. Most people would say
that joining such terrorist organizations should be grounds for losing your citizenship which would
invalidate your passport. And that the US Congress should pass formal declarations of war against
these groups which in turn would formalize the declaration of members of these groups as enemies of
the United States. Then they can be dealt with accordingly.
Last week I started my weekly offerings with a letter by Dr. Ghada Mohamed appealing to everyone to
not paint all Muslims with the same brush as those who try to use the religion of Islam to impose their
beliefs on me either through intimidation or codifying such beliefs into civil law. Dr. Mohamed, "I will
oppose them and hold the "individuals" concerned accountable. It is not the religion itself that needs
to be held to account, it is those that pervert the religion to their own ends. Neither, ISIS or Al Qaeda
are Islam."
Obviously one can say that the one key to stopping domestic terrorism is to define which groups have
advocated for terror attacks on Americans, our Western allies or any democracies. And that joining
these groups is supporting a terrorist enterprise and should be dealt with by revocation of passports
and criminal prosecutions. But what of the young person who left a zealot but returned shaken and
disillusioned? What should we do to or for him? When these returnees number a handful, it is
politically easy to clap them in jail. But when a country has many such returnees, it necessitates a
nuanced, thoughtful, effective response to reintegrate them into civil, law-abiding society. You can't
just throw these people away, because they land somewhere and continue to cause misery, often
aiming their rage back at their countries of origin.
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Yes, I know it feels good to vent about throwing the book at these so-called traitors, even fantasizing
about bringing back the guillotine, electric chair and gas chamber. Heck, the French Revolution
supporters drowned thousands on boats in the river. Meeting terror with terror of our own making is
not justice, nor is it effective. But we as a society have to be cognizant that in our zeal to identify and
helm in the bad seeds that we do not paint all Muslims with the same brush. What is also absolutely
vital is that we devote our energy to the young people we have not yet lost: to those who are susceptible
to radicalization but can still be reached. By focusing on education, on teaching youngsters to think
critically, conveying democratic values and providing pathways to success many more young people
can be saved. Most of all we have to realize that terrorism is the consequence of a problem and to
prevent it we have to fix the underlying root/cause Especially in a country that turns a blind eye to
the deaths of 30,000 people who die each year from gun inflicted wounds in the name of the
Second Amendment, we shouldn't allow a few terrorist attacks undermine the tenets of our democracy
and way of life.
******
More Good News
The Uninsured Rate Just Keeps Falling, New Survey Shows
The share of Americans without health insurance has fallen more than 4 percentage points to 12.9
percent since Obamacare coverage began a year ago, according to a new Gallup poll. This is a clear
sign that one of Obamacare's primary mission is succeeding. In the fourth quarter of last year, 12.9
percent of Americans were uninsured, a steep drop from 17.1 percent a year before. The change was
driven mainly by increased coverage through the AFFORDABLE CARE ACT's HEALTH INSURANCE
EXCHANGES and by the expansion of Medicaid access in more than half the country, the Gallup-
Healthways Well-Being Index shows, based on more than 43,000 interviews conducted between Oct. 1
and Dec. 30.
President Barack Obama and the congressional Democrats who enacted the Affordable Care Act had
broader aims for the law than just covering the uninsured, including providing stronger consumer
protections for Health Insurance customers and curtailing unsustainable increases in national health
care spending. But extending coverage to uninsured people, especially those with low and moderate
incomes eligible for Financial Assistance, is the most tangible effect of the law, and survey after survey
shows its working. These gains are threatened, however, by the newly empowered Republican
Congress and the Supreme Court.
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Percentage of U.S. Adults Without Health Insurance, by Quarter
Do you have health insurance (Peerage?
Among adults aged 18 and older
%No
19
,8.0
18 '7.4 17.5 17.3
:6.9 17.1 17.1
17 I-f, 4 16.4 16.6
16.1 16.3
16.8
16 15.4 16.3 5.6
16.1 16.1
15
1446
144 13.4
13 Mal
12.9
12
Q1 QI Q1 Q1 Q1 QI
2009 2010 2011 2012 2013 2014
Quater 2008-Quarter 4 2014
Gallurpllealthways Well-Being Index
GALLUP'
'The Affordable Care Act has accomplished one of its goals: increasing the percentage of Americans
who have HEALTH INSURANCE COVERAGE," the Gallup report says. "The uninsured rate as
measured by Gallup has dropped 4.2 points since the requirement to have health insurance or pay a
fine went into effect. It will likely dropfurther as plans purchased during the current open
enrollment period take effect."
The second Obamacare sign-up period began Nov. 15 and ends Feb. 15. As of late December, 6.4
million people had enrolled into private Health Insurance policies for 2015, about 2 million of whom
were new to the Obamacare exchanges. The Department of Health and Human Services estimates that
more than 9 million people will be covered by private Obamacare exchange plans by the end of the
year. In addition, nearly 10 million more people are covered by Medicaid or the Children's HEALTH
INSURANCE PROGRAM, two joint federal-state benefits for low-income households, than were
covered before Obamacare enrollment kicked off in October 2013.
The new Gallup survey shows declines in the uninsured rate for all segments of the working-age
population, and the share of people ages 18-64 without coverage stood at 15.5 percent in the fourth
quarter of 2014. The largest decrease was among people ages 18-25, a population that experienced a
6.1 percentage point drop in uninsurance since 2013 to 17.4 percent. Almost all people 65 and older
have coverage through Medicare. Low-income Americans and blacks also saw disproportionate
declines in their uninsured rates, Gallup found. Still other surveys have shown the improvements in
the uninsured rate to be geographically uneven due to the fact that a number of Southern states with
higher-than-average uninsured populations, rejected the Medicaid expansion, which the Supreme
Court made optional for states in 2012, leaving millions of low-income residents uninsured.
More importantly Obamacare coverage is in grave jeopardy this year. Republicans newly in control of
Congress after the November midterm elections aim to dismantle the law, starting with a House vote
this week on a bill that would weaken the Affordable Care Act's requirement that large employers
provide health benefits or pay penalties. Obama has vowed to resist these efforts. But the more serious
danger for Obamacare, and for the millions who have gained coverage under the law, is King v.
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Burwell, a case now pending before the Supreme Court. The plaintiffs claim the federal government
lacks the legal authority to provide health insurance subsidies to people living in states that didn't
establish HEALTH INSURANCE EXCHANGES and allowed the Department of Health and Human
Services to do so instead. A ruling against the Obama administration would invalidate the tax credits
85 percent of exchange enrollees receive, making their insurance policies unaffordable and likely
causing most to drop their coverage.
One has to ask why Republicans and the Supreme Court would do everything that they can to gut and
dismantle the Affordable Healthcare Act when it has proven that it can give millions of Americans
needed healthcare insurance coverage, without death panels or substantially raising costs. Republicans
should also remember that Obamacare is essentially Romneycare, and the creation of the Heritage
Foundation, which is a Republican think tank. So why don't they accept partial credit for its success?
And if they truly feel it has problems why not come up with solutions to make it stronger? But we
know the answer. From day one the Republican leadership has made one of their major priorities that
the Obama Administration will be a failed Presidency and as such will do whatever they can to make
sure that one of his signature accomplishments fails no matter how many millions of Americans are
hurt in the process and this is my rant of the week....
WEEK's READINGS
7 Reasons The Cuba Embargo Needed To Go
The rest of the world hates it
The United Nations has voted for 22 years in a row to condemn the Cuban embargo in lopsided votes.
Last year only Israel and the United States itself voted against the resolution.
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It's ineffective
The idea behind the embargo is to topple the Communist government. More than five decades later,
the policy has led to the overthrow of zero out of two Cuban heads of state.
It's expensive
The embargo on Cuba doesn't just hurt the Cuban economy -- it costs U.S. businesses as well. The
United States loses out on $1.2 billion in forfeited earnings from lost trade with Cuba annually,
according to the Harvard Political Review.
It's undemocratic
A poll by the Atlantic Council, a non-partisan think tank, found that a solid majority of Americans
favors normalizing relations with Cuba. You'd never guess by looking at the behavior of the U.S.
government.
Cuba isn't a threat
The idea behind the embargo emanates in part from the Cold War-era notion that a Soviet-aligned
government 90 miles off the coast posed a grave security threat. That may have been true during the
days of the Cuban missile crisis in 1962, but it's tough to make a reasonable case that Cuba poses a
threat to the world's most massive military machine today.
It targets the wrong people
The embargo aims to cower the Cuban government into submission by engendering resentment among
a cash-starved populace. If one takes the U.S. government at its word that it aims to free a country
from an oppressive government, why punish the people you're supposedly trying to help?
Its time has passed
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While it's up for debate whether the embargo was ever a smart policy, today it's dearly anachronistic.
The United States now does business with China, Vietnam and Russia, but not Cuba. The policy, first
partially implemented in 1960, has survived 11 U.S. presidents with nothing to show. Give it a rest.
The Cold-Medicine Racket
If you are like me, when you have a cold and go to your local pharmacy you are confused by the rows
and rows of flashy 'Cold and Flu' products. As a result I ran across an article last month in The
Atlantic by James Hamlin — The Cold-Medicine Racket — that might be of interest to you.
Hamlin says that although there are now hundreds of products there are only a handful of simple,
cheap ingredients. Here's one new way to cut through the noise because one in four people, when
buying an over-the-counter medicine to treat a headache, will go for a brand name product. Unless
that person is a pharmacist. In that case, according to research from the National Bureau of Economic
Research, they'll almost certainly buy a generic version. The pharmacists know, and trust, that the
drugs are identical.
But Bayer aspirin costs $6.29 at CVS, while the same amount of CVS-brand aspirin costs less than a
third of that, $1.99. The two products are required by law to be "bioequivalent," and CVS even has
signs imploring shoppers to go for the cheaper option. Yet many people do no such thing. The
difference in price between brand names and generics accounts for tens of billions of dollars "wasted"
every year by Americans in pharmacies, according to the economics researchers. They also found that
more highly educated people are more likely to buy generic medications, concluding that
"misinformation explains a sizable share of the brand premiumfor health products."
Consumer confusion, or misplaced trust, is compounded by the fact that a drug store is likely to have
upwards of 300 cold-and-flu products. Some are generic, and some are branded concoctions with
increasingly opaque names. Remember when Mucinex was Mucinex? You could take Mucinex, and it
broke up your mucus, and you expectorated out some mucus and went about your business. Now
there is Mucinex Fast-Max DM Max; Mucinex Fast-Max Severe Congestion and Cough; Mucinex Fast-
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Max Cold, Flu, and Sore Throat; and on and on. Just thinking about all of that Mucinex is enough to
make you expectorate something.
It's a little underwhelming to learn that Mucinex Fast-Max DM Max, a name that seems to promise
instant invincibility, is just Mucinex plus a common cough suppressant. It's the same cough
suppressant that's in almost every other cough-suppressing elixir product: dextromethorphan.
Mucinex Fast-Max DM Max has the same active ingredients as Mucinex DM, only in liquid instead of
pill form. Mucinex Fast-Max Severe Congestion and Cough is identical to Mucinex Fast-Max DM Max,
plus a little phenylephrine (which is also sold as Sudafed). Fast-Max Cold, Flu, and Sore Throat is
identical to Mucinex Fast-Max Severe Congestion and Cough, plus acetaminophen (also sold as
Tylenol).
That's just the beginning of the compendium of Mucinex products, not to mention the Tylenol
products (Tylenol Sinus Congestion, Tylenol Cold Multisymptom Liquid, Tylenol Cold Multisymptom
Liquid Severe, etc.) and Sudafed products (Sudafed Congestion, Sudafed Pressure Pain Mucus, etc.)
that are simple reiterations of the Mucinex products. They are all just permutations of, at most, the
same five active ingredients.
There's a decongestant (usually phenylephrine), a cough suppressant (usually dextromethorphan), a
pain/fever reducer (usually acetaminophen), plus or minus an expectorant (usually guaifenesin), and
something that will put you to sleep (usually diphenhydramine). All of those can be purchased
individually, or in almost any combination, in cheaper generic forms.
In a frail attempt to address some of that misinformation, the Food and Drug Administration's web
site has a section titled "Myths and Facts About Generic Drugs." One myth is that "brand-
name drugs are made in modern manufacturingfacilities, and generics are often made in
substandardfacilities." But, the FDA counters with the reminder that it "won't permit drugs to be
made in substandardfacilities."And to be approved by the FDA, a generic version of a drug must
deliver the same amount of active ingredients into your bloodstream in the same amount of time as the
brand-name drug.
The FDA's myth page is 12 years old now, but apparently many people are still not buying generic.
Maybe another myth therein should be that people read the FDA's website. And so they remain
congested with misinformation that can be detrimental both economically and physically. But as the
packaging is getting more ornate, the brand names wordier, and the more-is-better mindset more
ingrained, consumer-health information tools are also getting more intuitive. A conceptually
promising one just launched this week from the fledgling health-information company Iodine—a
program aimed at helping everyone find exactly the right cold medication.
Amanda Angelotti, Iodine's head of product, is a medical doctor who has long been fed up with the
confusing brand propositions of over-the-counter cold medications. "I have a lot offriends who, if
they have a stuffy nose and a headache during a cold," she told me, "they'll just take DayQuil."
Like Angelotti, I am sure that you have friends who take NyQuil when they're not really sick, just to
help them sleep. So they're taking it for the diphenhydramine (Benadryl), which is much more cheaply
purchased alone and as a generic. DayQuil is dextromethorphan, acetaminophen, and phenylephrine.
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The actual ideal medication combination for her friends in this case, Angelotti noted, is simply the last
two: the decongestant and the pain reliever. Taking the extra dextromethorphan is a low-risk
proposition, but it's not without some side effects and a waste of money.
Most people will just walk into a drugstore when they have a cold and grab DayQuil or Tylenol
Multisymptom Cold, or whatever, because they know it's going to cover the symptoms that they have.
And Angelotti believes that there are a lot of people are taking more ingredients in these combination
meds than they actually need. That's going to put them at risk for side effects or overdose, especially
with Tylenol. And there are dangers, like for someone with high blood pressure who is taking
phenylephrine."
Angelotti, formerly at Google, has now co-created a program that can help people pare down their
options. On the Iodine site, you can click on the symptoms you're experiencing, and that will comb a
database of common cold-and-flu products and tell you which ones meet your needs. The results also
include product reviews (via Google, with over 100,0ot) medication reviews so far), dosage forms
(liquid or pill), active ingredients, and the names of generic versions at various pharmacies.
See Promo For Iodine.com: https://chrome.google.com/webstore/detailimedical-translator-by-
iodiemfpjawrbtafgenlainjafijjnpmh?h1=en-US
I
n October, Iodine released an extension for Google Chrome that will highlight any medical jargon on a
web page and translate it into plain language. It's cool and easy to use, as is this new cold and flu app.
Though I can't see myself using it, because I usually keep generic single-drug products around. A
family, or a sickness-inclined person living alone, could very reasonably keep the five aforementioned
individual generic medications in their medicine cabinet and address the symptoms as they arise. I
think that's easier than messing with combination products, and usually cheaper. Especially if you
consider that you're not taking medications you don't need.
Iodine's press release this week was similarly practical of expectation. It told the story of one patient
who had used the cold-and-flu tool, "Mary, a 69-year-old woman in the Pacific Northwest." She said,
"My husband now has a cold, and the Iodine app confirmed that the product he had chosen was a
correct one! The reinforcement was wonderful!" That's such a reasonable endorsement. Wouldn't it
be more powerful if your husband chose the wrong medication, though, Mary? And Iodine helped him
find the right one? It's a press release, Mary. The iodine algorithm saved your husband from the brink
of ruin. His newfound sense of consumer empowerment was so invigorating to his spirit that he no
longer needed any Mucinex at all.
With this I urge everyone check out Web Site: https://www.iodine.com/translate
Study Debunks Major Argument In Favor
Of Corporate Tax Breaks
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A banner reading 'Jobs' hangs on titre facade of the US Chamber of Commerce in Washington,DC on February 22, 2011. New claims
for US unemployment insurance rose for the first time in three weeks but continued to hover near a two-year low, official data
released on February 17 showed. The Labor Department said a seasonally adjusted 410,000 initial jobless claims were filed in the
week ending February 12, up 6.5 percent from the prior week when claims had fallen to their lowest level since July 200
The most popular argument for cutting corporate taxes -- that it helps create jobs -- doesn't seem to be true, a
new paper argues. According to a working paper by Alexander Ljungqvist and Michael Smolyansky,
economists at New York University, corporate tax breaks
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