Month: February 2012

Mitt Romney: Can You Help Us, Mr. Fix It? (Part 2)

Posted by – February 10, 2012

Continuing my comments on Mitt Romney’s “very ample safety net” statement on CNN; see the first half of my post: Mitt Romney: Can You Help Us, Mr. Fix It? (Part 1)

So, as I said in Part 1, it’s very important to assess presidential candidates in a just and fair manner, and too often the news media is blaring the one sentence “not concerned about the very poor” sans context. But, to be honest, Romney’s answer is even worse when examined in its full context and nuance. Gail Collins over at the NYT wrote an excellent line-by-line breakdown of Mitt’s full statement. I won’t reprint her words here but I highly recommend you take a look.

Romney’s statement (read it here in full) singles out the 95% of Americans in the middle as his main concern. He’s not concerned about the top 1% and that leaves the bottom 4% he isn’t concerned about. Basic arithmetic shows the bottom 4% are those earning under $5,000 annually, a group politicians barely notice exist, much less spend time helping. This category would probably encompass mostly the elderly and disabled, and the homeless, including a lot of homeless veterans.

The most intelligent and spot-on post I’ve seen on this so far in the sprawling blogosphere is from the Columbia Journalism Review’s Campaign Desk: Three Thoughts on Mitt Romney’s ‘Very Poor’ Day : CJR
What makes it great is it actually does what journalism should, dig beneath the noise and the claims and try and unearth the facts. It points out that when Romney says the bottom 4% have a “very ample safety net” and it’s the middle class that needs help, it reveals a deep misunderstanding about the safety net in his brain. The article points out that social programs, for example Medicaid, spend more on long-term care for the elderly and disabled than on any other line item, and plenty of those folks qualify under medical assistance and Medicaid keeps them perched barely on the edge of a middle class quality of life. The article also cites data showing that many beneficiaries of Medicaid are actually middle-class families—certainly families in that broad “90-95 percent of Americans” that Romney says he wants to help—who “would otherwise be stuck with the full tab for care for their elderly and disabled relatives.” Medicaid is life support for the middle class as much as it’s a “safety net” for “the very poor.” More people should be cognizant of this data. Paul Ryan is: he hates that Medicaid is benefiting the middle class.

When pressed by CNN’s Soledad O’Brien after his initial “very poor” remark, Romney went on to say “We will hear from the Democrat Party about the plight of the poor.”
Essentially, he’s saying that’s their job, not Republicans’ role.

This references a political balance that may have existed 30 years ago, when Tip O’Neill and outspoken liberals controlled the House of Representatives and made sure the concerns of the poor were heard sometimes, but most certainly doesn’t exist now. No Democratic party leader that would remotely try to balance the scales toward the poor has existed since the era Tip O’Neill clinked high ball glasses in the Oval Office with Ronnie after 6 o’clock, and spent all his working hours before 6pm standing up to President Reagan, fighting for his blue-collar, poor base. He was by the unions, for the unions, and that doesn’t exist anymore. That is over; Tip O’Neill died in 1994 and no one remotely like him has succeeded him. Nancy Pelosi, the longest-serving Democratic Speaker of the House since O’Neill (she served four years) spends more time cozying up to corporate interests than unions. Instead of O’Neill, a hardscrabble Catholic boy from a poor Irish district, fighting the good fight for every day blue-collar people, we have Pelosi, an aloof elite holding a net worth of approximately $58 million in real estate, stock, and businesses she and her husband own, and is now facing an insider trading scandal. Sadly, Chris Hedges is right about the death of the liberal class.

When was the last time you heard Pelosi or Obama, or even the Clintons talk about the very poor? About the impoverished elderly? About people with disabilities? About the marginalized and excluded bottom 4% of Americans who have no apparent “trampoline out of poverty”? If I had a nickel for every time I’ve heard “from the Democrat party [sic] about the plight of the poor” over the past 20 years, I doubt I’d have enough nickels to make a phone call. Democrats frequently speechify about “working families,” when the problem is American families aren’t working, they can’t find enough work to make ends meet; too much of our economic base has been off-shored, and there hasn’t been enough innovation to replace what’s been lost. Obama and Pelosi talk about the middle class, campaigning for that big demographic same as Mitt Romney is, minus mentioning the “very poor” at all.

So given the Democrats abdicating their past role as fighters for the poor, we have to ask the Republicans as well, Romney included, for assistance for those trapped at the bottom, for help fixing the safety net and the upward ladder.

Unfortunately, the video footage is coming out, showing that “the people who need the help most are not the poor” is a recurring theme in Romney’s stump speeches. This is really troubling stuff, particularly after all the data has again and again shown the U.S. to lead the developed world in poverty [Source]. Also, as Romney says “if [the safety net] has holes in it, I will repair them,” he’s simultaneously pushing forth a tax plan that would blow a hole in social programs’ funding like we’ve never seen: Romney Tax Plan Would Require Slashing Social Safety Net … Says Romney Economic Adviser. It is disturbing that Romney says we have a “very ample safety net” while the next minute pushing a tax plan that—based on the analysis of his own economic adviser—would require slashing the very social programs he’s saying he’ll “repair.” Yet another contradiction from Willard “Mitt” Romney, the human mystery wrapped in an enigma. I want to reform the system to revolutionize how it sees us and respects our individual freedom, we need a very big change, I like the possibilities in some of Senator Wyden’s ideas for replacing Medicaid—which he calls a “caste system”—with something better and more equitable; what we don’t need is to destroy the program, death from a thousand cuts.

Still, I hope for some kind of educational moment can come out of this. That’s why I’ve written Romney HQ a letter. I have nothing against Governor Romney as a person, I’m sure he’s a great, affable guy, and I’d love to meet him to work on bringing individualized funding, choice and competition to Medicaid/Medicare instead of “one size fits all.” We don’t really know what kind of Republican Willard is deep down or how he’ll really govern—is he a lefty Rockefeller Republican like his dad, a moderate pragmatist like George H. W. Bush, a hard-right Reagan-and-Ayn-Rand type?—we don’t know. So why not assume he can be very reform-minded like his dad; why can’t Mitt be the one to lead the way in revolutionizing Medicaid and Medicare to be completely different? Choice, competition, individualized budgeting, cash and counseling—let’s go!

After all, Romney supporters like to refer to Mitt Romney as “Mr. Fix-it.” I’ve seen dudes holding “Romney: Mr. Fix-it” signs prior to the debates on cable news. I found this image on mittromneycentral.com:

Mr. Fix- It, America needs a proven leader with a strong conservative message.
Fan art by MittFan12 (Steve Thomas)
In a bizarre interlude, me finding this “Romney Mr. Fix it” image led to me stumbling into the mittromneycentral.com chat room by accident. Most of the supporters in the chat were polite and cordial in answering my questions, and I left there with more respect for Team Romney than I came in with…

Mitt Romney, please fix the safety net.

Mitt Romney: Can You Help Us, Mr. Fix It? (Part 1)

Posted by – February 10, 2012

Editorial cartoon: Richie Rich, the Monopoly Man, the Simpsons' Mr. Burns and Scrooge McDuck tell Mitt Romney he's embarrassing the rich 'you're making us look bad'

 

So, there’s been a dust up over Mitt Romney’s “I’m not concerned about the very poor” comments on CNN.  A lot of the blogosphere is mindlessly blasting this quote sans context, and the TV news even worse, so Team Romney isn’t wrong to protest how this has been “taken out of context.”  Cable news has been bad.  So bad: stopping short of breaking it down into a few syllables and grunts between prescription drug advertisements.

But, to be honest, Romney’s answer is even worse when examined in its full context and nuance.

Here’s Mitt Romney’s “I’m not concerned about the very poor, I’m not concerned about the very rich, I’m campaigning for Americans in the middle” the relevant part of his interview with Soledad O’Brien, with all the context and nuance he gave CNN:

ROMNEY: You know, just let people get to know you better. The nice thing about what happened here in Florida is I got a chance to go across the state, meet with people. They heard what I am concerned about. They understand how I will be able to make things better.

I think people want someone who not just throws an incendiary bomb from time to time but someone who actually knows how it takes to improve their life, get home values rising again, to get jobs again in this country, and to make sure when soldiers come home they have a job waiting for them. And make sure people who are retired don’t have to worry about what’s going to happen at the end of the week.

This is a time people are worried. They’re frightened. They want someone who they have confidence in. And I believe I will be able to instill that confidence in the American people. And, by the way, I’m in this race because I care about Americans. I’m not concerned about the very poor. We have a safety net there. If it needs repair, I’ll fix it.

I’m not concerned about the very rich, they’re doing just fine. I’m concerned about the very heart of the America, the 90, 95 percent of Americans who right now are struggling and I’ll continue to take that message across the nation.

O’BRIEN: All right. So I know I said last question, but I’ve got to ask you. You just said I’m not concerned about the very poor because they have a safety net. And I think there are lots of very poor Americans who are struggling who would say that sounds odd. Can you explain that?

ROMNEY: Well, you had to finish the sentence, Soledad. I said I’m not concerned about the very poor that have the safety net, but if it has holes in it, I will repair them.

On CNN February 1st, Mitt Romney included a tangent about

O’BRIEN: Got it. OK.

ROMNEY: The – the challenge right now – we will hear from the Democrat Party the plight of the poor, and – and there’s no question, it’s not good being poor and we have a safety net to help those that are very poor.

But my campaign is focused on middle income Americans. My campaign – you

can choose where to focus. You can focus on the rich. That’s not my focus. You can focus on the very poor. That’s not my focus.

My focus is on middle income Americans, retirees living on social security, people who cannot find work, folks who have kids that are getting ready to go to college. That – these are the people who’ve been most badly hurt during the Obama years.

We have a very ample safety net, and we can talk about whether it needs to be strengthened or whether there are holes in it. But we have food stamps, we have

Medicaid, we have housing vouchers, we have programs to help the poor. But the middle income Americans, they’re the folks that are really struggling right now, and they need someone that can help get this economy going for them.

O’BRIEN: All right. Mitt Romney, congratulations to you on your big victory last night. Thanks for talking with us. appreciate it.

CNN, Transcript of Soledad O’Brien interview with Mitt Romney, Feb. 1, 2012

For me, the “not concerned about the very poor” comment is one of the least disturbing parts of his answer here.

First, it’s what he said immediately following that: “We have a safety net there. If it needs repair, I’ll fix it.” That anyone who has been a leader in government can still essentially wonder aloud IF the safety net needs repair astonishes me. After all the tragic deaths (like the 12-year-old boy who died for lack of a dentist to simply pull a tooth) and horrible suffering that’s been well-documented and displayed, how can anyone not know our safety net needs a major shoring up if not—my position—a total rethinking and restructuring?

To quote from a 2007 blog post I wrote:

For those with severe disabilities dependent on Medicaid, the Republican cuts from 1995-2007 have had horrible consequences. I’ve had to fight like hell to survive. In 1996 in Alabama, Medicaid started gutting EPSDT (the federally-mandated program providing nursing care for those in need) and sending out termination notices to families in the mail. Then in 1999-2001 we had more aggressive cuts. They changed the rules so it’s only a temporary program to train caregivers to stay with their child 24/7, and they keep repeating that it is not the government’s role to “babysit” your child at all (even if your child is on life support and routinely coding). And now it is 2007 and Alabama barely funds it at all. We’ve almost been rolled back into the 1970s level.
I’ve had friends die. I’m sick of tolerating this evil like it is a valid policy position. It is in no way valid nor deserving of our deference and patience. It is nothing but immoral…

I have seen too much suffering and death because of inadequate supports and invisible safety nets and I am frakking traumatized that people are still pushing this destructive right-wing mythology that if we chip away at government funding even further, that this will magically increase services. It has been tried for years and has failed every time.

Excerpted from my post Vigorously Insisting On A More Perfect Union: Fighting Cuts, Demanding Universal Health Care | Nick’s Crusade
This “Demanding Universal Health Care” post was published by the Greenhaven Press imprint of Gale Publishing in the 2008 edition of Opposing Viewpoints: Health Care, if anyone is interested.

I think Romney needs to hear these stories, hear the details of how our lives are effected by the swiss cheese safety net.

Some of my other blog posts may prove instructive:
Feds Fiddling While State Medicaid Programs BURN | Nick’s Crusade (a critique of how ObamaCare will impact Medicaid, amid a report of budget cuts in the South leaving people with disabilities in their own waste)
Government-Sponsored Ablism and Segregation Tears Families Apart | Nick’s Crusade (an essay against state-sponsored institutionalization, segregation, and oppression)
Medicaid: Why It’s Broken and How To Fix It | Nick’s Crusade (highlights the broken parts of Medicaid, including funding disparities, poverty mandates and the ultra-expensive and antiquated practice of unnecessarily institutionalizing people, and lays out some solutions)

I plan to drop Willard “Mitt” Romney a note, you could do the same. Let him know what problems in “safety net” programs need his help, concisely and politely. Appeal to his “Mr. Fix-it” rhetoric. I don’t know if anyone will be able to connect and begin a constructive dialogue with Team Romney, but if even one person did, it would have a wonderful impact.

info@mittromney.com

Mitt Romney for President
P.O. Box 149756
Boston, MA 02114-9756

More thoughts on Mitt Romney’s “very ample safety net” comments in Mitt Romney: Can You Help Us, Mr. Fix It? (Part 2)

Senator Schumer, Hands Off Our Meds Please

Posted by – February 8, 2012

People in chronic pain need help, more options, more understanding.

[the Institute of Medicine (IOM) report Relieving Pain in America:
A Blueprint for Transforming Prevention, Care, Education, and Research
] Issued at the request of Congress as part of President Obama’s health reform legislation, the report calls for a “cultural transformation” — an attitude shift on the level of that seen over the last 50 years toward smoking — to spur more coordinated action to help treat Americans’ pain. Pain patients have long been viewed with skepticism and suspicion, rather than understanding, presenting a barrier to care. Rising rates of prescription drug misuse, addiction and overdose have further led to the establishment of legal and regulatory barriers, such as prescription databases, that can prevent even legitimate pain patients from getting much-needed drugs.

Source: IOM Report: Chronic, Undertreated Pain Affects 116 Million Americans | TIME.com

It seems Congress is not on the side of transforming the way we help people in pain, they’re on the side of the “skepticism and suspicion” and “legal and regulatory barriers,” not to mention the fear mongering over pain medications.

Last month, my Senator, Chuck Schumer made local TV news headlines ranting, not just about abuse of prescription drugs, but “Rails Against FDA Testing Of Super-Potent Painkillers” as NY1′s headline blared atop their story at www.ny1.com. He doesn’t even want these new medications—extra-strong meds that pharmaceutical companies have created to help people in real pain—to be tested and approved for legal prescription and sale by the FDA for fear of abuse. He’s even saying that FDA approval of new pain meds will “add fuel to the fire” of crime and lead to increased robberies, playing up the recent armed raids for oxy and vicodin at two Long Island pharmacies. Absolutely the height of alarmist rhetoric here.

Since I moved to New York City in 2008, I’ve noticed that Senator Schumer tends to make local news across the state with big, scary headlines (in Mobile, AL where I’m from, the U.S. Senators show up as footnotes on the local news, if at all). Team Schumer probably realizes—rightly—that getting his name in the TV headlines that soccer moms and such (i.e. the community-minded folks who tend to vote most, “the likely voter”) might catch as they go through their morning routine or night-time winding down is crucial for his reelection. Schumer

Chuck Schumer, senior U.S. Senator from New York

has evidently always been a “tough on crime”-type of politician, a key supporter of the Violent Crime Control and Law Enforcement Act of 1994 (VCCLEA) that instituted a federal “three strikes and you’re out” life-imprisonment policy, and since the attacks on 9/11, he’s become a big “tough on terrorism”-type of politician. For example, last May, Senator Schumer similarly made the local news across New York State with his plan for a security crackdown on trains, especially pertinent to New York because New Yorkers are some of the train-ridingest people on the continent. See: Schumer calls for ‘do not ride’ list for Amtrak – NEWS10 ABC: Albany, New York News. These are the kind of headlines Schumer gets. People concerned about unnecessary, Fourth Amendment-crushing, possibly gropey, searches every time you board a train, including me, complained online.

His camera-hogging ways, I get it. Salon called him a “incorrigible publicity hound,” and that’s ok. Be what you are, man. Embrace it. But this time “going too far” is especially “too far” because it could accidentally hurt people with chronic pain who are already hurting.

Here are the local headlines I’m concerned with:
Schumer warns FDA on danger of newest painkillers | Democrat and Chronicle (Rochester, NY’s newspaper of record)
Schumer Rails Against FDA Testing Of Super-Potent Painkillers – NY1.com (NY1 is a 24/7 cable news channel for New York metro area news)
Sen Schumer: ‘Super Painkillers Could Lead To Violent Robberies’ « CBS New York possibly the fear mongeriest headline of the year, though it does present an alternative viewpoint in the video report if not the text summary.
Senator Charles Schumer warns FDA on danger of new painkillers | 7online.com (WABC-TV, the ABC affiliate for NYC.) Watch the video report embedded below, doesn’t provide an alternative viewpoint!

Only one of these scary headlines includes a balancing, alternate viewpoint within. That’s their most egregious journalistic failure: they only give audiences the scare monger’s viewpoint, they only offer shock words.

First, they are leaving out important context like these are MEDICINES for people in real pain. The context and tone treats painkillers as no different than street drugs, omitting the therapeutic intent and quality of life benefits (very real.) Note the language used by the ABC-7 reporter Lucy Yang, the term the streets repeated twice. “At least one [pharmaceutical company] is past the lab stage and now trying to get this super-drug on the streets by next year.” “Of course, before any such narcotic could hit the streets it would have to be approved by the FDA.” Stopping just short of calling pharmaceutical manufacturers street pushers, there.

More language to red-flag from the channel 7 report, including one of the opening lines, “officials report more deaths [from prescription drugs] than heroin, crack, and cocaine”—which officials, Ms. Yang? Please source such a shocking claim. “Despite that, we’re told attempts are underway to introduce a super-drug” “you don’t have to look far to see the violent and punishing reality of addiction to painkillers” “potent and enslaving” “pure painkiller”

Second, why do all these reports reference the robberies on Long Island?  I disagree that the all-too-common oxy and vicodin hold-ups (which are AWFUL, I don’t want to minimize that) would be effected either way whether the FDA approves new narcotics or not. They are linking two completely unrelated stories, echoing Senator Schumer, for shock effect. Journalists should be questioning the Congress critters, holding their feet to the fire, not mindlessly parroting their press releases. Tying past narcotics violence to the unrelated matter of future possible FDA approval of new narcotics seems like pure fear mongering to me.

Third, a look at Schumer’s own language: “the very same people who try to get our kids to use things like oxycodone and vicodin will start peddling this drug, which when abused is poison.” “It would instantly become the most sought-after drug by addicts and criminals.” From the CBSTV-2 story, Schumer said: “Crooks like Oxycontin and Vicodin, yet you leave the doctor’s office, the dentist’s office, the oral surgeon’s office after you have a root canal, they routinely give you 20 to 30 of these pills. That can’t happen with these new powerful drugs.” He’s simultaneously condemning new drugs and old drugs, and nearly finger-wagging at the whole concept of treating post-surgical pain with narcotics. Wow.

The drug in question, according to the CBS channel 2 video report, is Zohydro. Zohydro is hydrocodone like Vicodin, Lortab and Lorset is, but it’s the first long-acting timed-release capsule hydrocodone created. I have chronic pain; I can’t take any of the time release stuff. However, I know numerous people who could benefit from Zohydro and other new medications. This could be a miracle drug for people who’re allergic to—or for whatever reason can’t use—the only other time release painkiller out there, Oxycontin. I’m sure that, for many, this could be a life-changing medicine; long-acting squelching pain, giving people with chronic pain their quality of life back, liberating them to get out of bed. You don’t see that side of the argument on TV, but the benefits of effective pain management are huge, and important.

People can build up a tolerance to pain meds like bacteria can become resistant to antibiotics, and like humans need new antibiotics, humans need new painkillers. We need new pain meds developed and approved for prescription use. People in chronic pain need more options.
Zohydro is also a good step because it isn’t packed with liver-killing acetaminophen that is so commonly combined with opiates. I reported before on the FDA’s bizarre regulation making opioid-acetaminophen combination meds easier to get than purer alternatives because they figure if people know it can destroy their liver they won’t abuse it. This insanity has led to too many deaths, tragedies, and liver transplants, so the FDA itself has been reconsidering recently.

I’m saying consider another perspective (which the media won’t give you). Medication mostly does have a big positive impact. Don’t block or take away pain meds that are giving people quality of life.

Consider this nursing home and hospice facility perspective:

Timely access to controlled medications also continues to be a challenge in the long-term care setting due to drug shortages and what some consider excessively strict federal regulations.

“The Drug Enforcement Agency’s interpretation of the Controlled Substances Act is one barrier that’s impeding timely access to appropriate controlled medications for nursing facility residents and those enrolled in hospice programs,” notes Jennifer Hardesty, PharmD, FASCP, clinical services manager for Remedi SeniorCare.

There is no question that pain’s effects on quality of life are far-reaching. Not only does pain diminish pleasure and interfere with social relationships and one’s ability to stay active, it is also linked to other debilitating conditions, such as depression and anxiety.

Full article: No pain = all gain – McKnight’s Long Term Care News (disclaimer: only includes nursing home perspective)

In the New York metro area, there’s been an oxy crime wave; it has led to a law enforcement crackdown. Doctors are more reticent to prescribe. Visible DEA enforcement actions have created a very real chilling effect that is making it harder for those already having a hard time with chronic pain.

I have nothing against Senator Schumer as a person, I’m sure he’s a great, affable guy, and I’d love to meet him to work on bringing individualized funding, choice and competition to Medicaid/Medicare instead of “one size fits all.” I’m just saying let’s not accidentally snag people in real pain in the “war on drugs” dragnet, let’s be level-headed, let’s not fear monger.

Prior to his 2003 commencement address at the Rochester Institute of Technology, the RIT website lauded Senator Schumer: In the past 25 years, Schumer has become known as a leader on national issues and a tireless fighter for New York. The Rochester Democrat and Chronicle called him “an accomplished, far-sighted legislator,” while The New York Times wrote that he “is a more serious lawmaker with more rooted values, sounder policy positions and a deeper commitment to the common good.”

All I’m asking, Senator, is please live up to your reputation as a committed fighter for the “common good,” include ailing constituents with chronic pain in that common good, and please be “far-sighted” about how federal drug policy can impact the quality of life of the elderly, the terminally and chronically ill, and disabled populations who live with the most severe pain.

Thanks for reading.

Sincerely,

Nick

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