Jimmy Kimmel Again Becoming Major Defender Of Preserving Obamacare

If the latest Republican effort to strip people of their healthcare coverage fails, I Jimmy Kimmel just might become the front runner for the 2020 Democratic nomination. Jimmy Kimmel has once again been speaking out against the Republican efforts. First he had this monologue two nights ago:

Kimmel showed how Bill Cassedy was lying about his health care bill passing the “Jimmy Kimmel Test” with problems including failing to guarantee coverage of pre-existing conditions and failure to have a life time cap as are present under Obamacare. See the full monologe in the video above, with transcript here. Kimmel concluded:

But don’t take my word for it. Here are just some of the organizations that oppose this Graham Cassidy Bill: the American Cancer Society, the American Diabetes Association, the American Heart Association, the American Lung Association, the Arthritis Foundation, Cystic Fibrosis, the ALS Association, the March of Dimes, Multiple Sclerosis Society, Children’s Hospital of LA. Basically, any group you’ve ever given money to thinks this is a bad idea. Do you trust them, or do you trust him? OK?

So if this bill isn’t good enough for you, call your congressperson. That’s the number, go to your congressperson — whoever he or she is — (202) 224-3121. You have to do this; you can’t just click like on this video. Tell him this bill doesn’t pass your test.

And Senator Cassidy, you were on my show, you seemed like you were a decent guy. But here’s the thing. Nobody outside of your buddies in Congress wants this bill. Only 12% of Americans supported the last one, and this one is worse. Right now there’s a bipartisan group of senators working to approve the healthcare system we have. We want quality, affordable healthcare. Dozens of other countries figured it out. So instead of jamming this horrible bill down our throats, go pitch in and be a part of that. I’m sure they could use a guy with your medical background. And if not, stop using my name. Because I don’t want my name on it. There’s a new Jimmy Kimmel test for you. It’s called the lie detector test. You’re welcome to stop by the studio and take it any time.

When Republicans attacked, including their mouthpieces at Fox, Kimmel responded last night:

While other late night comedians are frequently making jokes about Donald Trump and the Republicans, it is unusual for a late night talk show host to get into the details of policy to the degree that Kimmel has with health care. Dean Obeidallah says he is also doing a better job than the Democrats:

Jimmy Kimmel has done again what Congressional Democratic leaders cannot: thrust the debate over how disastrous the GOP’s proposed healthcare plan would be for Americans with pre-existing conditions back into the national headlines. Sure, Democrats in Congress are objecting to the GOP proposal via press releases and on Twitter, but Kimmel has been clearly more effective at attracting media coverage on this issue…

Maybe if the Democrats had done as good a job selling the Affordable Care Act in the beginning, instead of going on the defensive, they wouldn’t be in this position. Fortunately Bernie Sanders is speaking out forcibly about an even more comprehensive alternative, Medicare for All.

Reading “What Happened” So You Do Not Have To

Reading Hillary Clinton’s memoir, What Happened, is like reading a memoir from Jesse James which makes no admission that he ever robbed a bank. She talked about trivial matters from her life, repeated her excuses blaming everyone else for her loss, and gave virtually no recognition of her dishonest actions and lifelong opposition to liberal values behind the opposition to her. What Happened  was previously used as a book title by former Bush press secretary Scott McClellan. Maybe she reused this title because Jeff Flake beat her to reusing the philosophically more honest choice, Conscience of a Conservative. Of course that would assume that she has a conscience, but she showed no signs of having one.

It is hard to see the point in this book beyond finger pointing. Clinton wrote:

At first, I had intended to keep relatively quiet. Former Presidents and former nominees often try to keep a respectful distance from the front lines of politics, at least for a while. I always admired how both George H. W. Bush and George W. Bush avoided criticizing Bill and Barack, and how Bill ended up working with George H. W. on tsunami relief in Asia and Katrina recovery on the Gulf Coast. And with George W. in Haiti after the earthquake in 2011. That’s how it’s supposed to work.

She should have ended the book right there.

In a rare moment of honesty, Clinton showed how clueless she is in writing, “in terms of fighting the previous war, I think it’s fair to say that I didn’t realize how quickly the ground was shifting under all our feet.” The only shifting Clinton has shown with the times has been to move on from blaming everything on the vast right wing conspiracy to blaming the vast left wing conspiracy against her.

She might briefly admit to a mistake, but it is quickly followed with a major but as she places the blame on Russia, James Comey, Joe Biden, Bernie Sanders, or others. If she did mention something she did wrong, it was passed over as a minor tactical error, ignoring the magnitude of her ethical lapses.

This week Bernie Sanders has been pushing for comprehensive, affordable health care for all Americans. Hillary Clinton is pushing a book which attacks the left and questions the validity of our electoral process (which she previously attacked Trump for threatening to do). She has opposed Medicare for All based upon false claims, continuing her long history of working to undermine liberal ideas.

While she launched numerous bogus attacks against others, she feels that her mistakes are too trivial to be considered. She wrote, “The truth is, everyone’s flawed. That’s the nature of human beings. But our mistakes alone shouldn’t define us. We should be judged by the totality of our work and life.”  Judging Clinton by the totality of her work and life, we must include her repeated push for neoconservative wars and regime change, her repeated advocacy of violating our First Amendment rights, her social conservatism, her support for the corrupting influence of money in politics, and her use of her position for personal financial gain–including violating the ethics agreement she entered into before being confirmed as Secretary of State.

Hillary Clinton wrote about her concern for children. In the real world, Hillary Clinton has shown her concern for children in other countries by dropping bombs on them and defending the use of cluster bombs in civilian areas. There are also those who suffered from Bill’s welfare reform at home. However, “It was a hard call. Bill and I lay awake at night talking it over.”

Clinton shows no understanding of liberal or progressive values. While she mischaracterized Bernie Sanders’ platform as offering everyone a pony, it is actually Clinton who sees liberalism as little more than government giving out ponies, even if smaller ones than she believes Bernie Sanders would. She has no understanding of how true liberal and progressives would change the status quo, no concept of the human rights we defend, and no concept of what is wrong with her interventionist views.

Her ignorance of liberal concepts of human rights would explain how she totally misunderstood the warnings of George Orwell. To an authoritarian such as Hillary Clinton the lesson of 1984 is that we should not question our political leaders, the press, or experts:

Attempting to define reality is a core feature of authoritarianism. This is what the Soviets did when they erased political dissidents from historical photos. This is what happens in George Orwell’s classic novel Nineteen Eighty-Four, when a torturer holds up four fingers and delivers electric shocks until his prisoner sees five fingers as ordered. The goal is to make you question logic and reason and to sow mistrust toward exactly the people we need to rely on: our leaders, the press, experts who seek to guide public policy based on evidence, ourselves.

On the other hand, Clinton is quite skilled in using Orwellian techniques to attack her political enemies. She uses the same types of distortions against Bernie Sanders as she did during the campaign, and as she used against Barack Obama in 2008. I have already responded to some of the attacks against Sanders here, and also recommend this rebuttal of Clinton’s arguments by Les Leopold. While reading What Happened I came across another fallacious attack on Sanders. Clinton wrote, “After the election, Bernie suggested that Democrats should be open to nominating and supporting candidates who are anti-choice.”

No, that is not what happened at all. On the other hand, the Democratic establishment has shown how they are willing to ignore reproductive rights. Clinton herself has also been to the right of Sanders on the issue, including her support for parental notification laws and expressing a willingness to compromise with Republicans. This is not surprising in light of her personal social conservatism on the issue and her mantra of keeping abortion”safe, legal, and rare,” stigmatizing women who have had an abortion.

Her attempts to falsely portray Sanders as being to the right of her on abortion are similar to her claims of being to the left of Sanders on gun control, despite having run in 2008 as a “pro-gun churchgoer.” Of course while attacking Sanders and blaming him for her loss she overlooked the degree to which Sanders campaigned for her after the primaries were over. Her antipathy towards a fair democratic process includes a visceral objection to being challenged for political office.

Clinton was no more honest in discussing the scandals which rightfully harmed her campaign. For example, she misquoted from the State Department Inspector General report to falsely make it look like the report supported her actions in the email scandal. In reality, the Inspector General report said exactly the opposite in showing how she violated policy. As we saw during the campaign, she keeps repeating the same lies about the scandal, including the statements from James Comey, regardless of how often the media fact checkers show that she is outright lying.

She attempted to open up personally, but even then wasn’t entirely honest. Among the more unbelievable lines, Clinton wrote, “For me, fund-raisers were a little more complicated than other campaign events. Even after all these years, it’s hard for me to ask for other people’s money.”

Among the other personal discussions in the book, Clinton wrote, “Bill and I bought our home in 1999 because we loved the bedroom.” Now try to get that image out of your mind.

Actually what she wrote after this was quite tame, including a description of the vaulted ceiling, windows, and photos. And then, “After waking up, I check my email and read my morning devotional from Reverend Bill Shillady, which is usually waiting in my inbox. I spend a few minutes in contemplation, organizing my thoughts and setting my priorities for the day.” The rest of us will not be able to see the writings of Bill Shillady as his publisher has pulled his planned book, entitled Strong for a Moment Like This: The Daily Devotions of Hillary Rodham Clinton, due to plagiarism.

Of course, as was inevitable, I am seeing defenses of What Happened claiming that disagreements with Clinton’s book are based upon misogyny. What an intellectually and morally bankrupt viewpoint. Do such Clinton supporters have even a shred of integrity? I am just relieved that Hillary Clinton is not in the White House, leaving us to contend with claims that our objections to whatever war she wanted to start, or whatever violation of the First Amendment she was advocating, was based only on sexism.

Bernie Sanders Brings Us One Step Closer To A Single-Payer Health Plan

Bernie Sanders has introduced legislation to establish a single-payer health care plan, as he promised during his run for the Democratic nomination. In an op-ed in The New York Times he wrote Why We Need Medicare for All beginning with describing the problem we face:

This is a pivotal moment in American history. Do we, as a nation, join the rest of the industrialized world and guarantee comprehensive health care to every person as a human right? Or do we maintain a system that is enormously expensive, wasteful and bureaucratic, and is designed to maximize profits for big insurance companies, the pharmaceutical industry, Wall Street and medical equipment suppliers?

We remain the only major country on earth that allows chief executives and stockholders in the health care industry to get incredibly rich, while tens of millions of people suffer because they can’t get the health care they need. This is not what the United States should be about.

All over this country, I have heard from Americans who have shared heartbreaking stories about our dysfunctional system. Doctors have told me about patients who died because they put off their medical visits until it was too late. These were people who had no insurance or could not afford out-of-pocket costs imposed by their insurance plans.

I have heard from older people who have been forced to split their pills in half because they couldn’t pay the outrageously high price of prescription drugs. Oncologists have told me about cancer patients who have been unable to acquire lifesaving treatments because they could not afford them. This should not be happening in the world’s wealthiest country…

This has divided the Democratic Party. Hillary Clinton ran a dishonest campaign against Medicare for All during the primaries, and remains opposed. Much of the Democratic leadership, which badly needs to be replaced, is also opposed. Several of those being mentioned as candidates in 2020 are supporting the plan, showing that they realize this is where a leader of the party must be.

Al Franken has blown apart Hillary Clinton’s arguments against Sanders, showing that supporting Medicare for All is not an attack on Obamacare or Medicare as Clinton falsely claimed. Politico reported:

Sen. Al Franken (D-Minn.), who has been mentioned as a possible 2020 candidate, also expects to sign on to the single-payer bill, a spokesman said Tuesday. Franken noted that his cosponsorship reflects the bill’s status as a long-term goal while the party continues short-term work on Obamacare.

“This bill is aspirational, and I’m hopeful that it can serve as a starting point for where we need to go as a country,” Franken said in a statement. “In the short term, however, I strongly believe we must pursue bipartisan policies that improve our current health care system for all Americans — and that’s exactly what we’re doing right now in the Senate Health Committee, on which both Senator Sanders and I sit.”

Yes, we can defend Obamacare and support improvements, including a Medicare buy-in and a robust public option if that is something more quickly obtainable, while also understanding that a single-payer plan must be the ultimate goal.

Many centrists, both within and outside of the Democratic Party, remain opposed. Jonathan Chait misses the point when he argues that Bernie Sanders’s Bill Gets America Zero Percent Closer to Single Payer. This is not the first time Sanders has introduced legislation to promote a single-payer plan. This is also not the bill which will ultimately establish it. What Sanders has done has made single-payer the goal of the left and many on the center-left. This is analogous to making support for same-sex marriage the expected position of a Democratic leader to the degree that even Hillary Clinton had to alter her position prior to running in 2016, no matter how much this conflicted with her socially conservative beliefs.

The Affordable Care Act was a tremendous improvement over the system we had before, for the first time providing access to coverage which could not be taken away based upon one’s medical condition. However it did very little to change the reality that coverage on the individual market is expensive. Ironically, Republicans are pushing the inevitability of a single-payer plan without realizing it. This includes Republicans in state governments who have denied access to the expanded Medicaid plan to those in several states, and Donald Trump who is trying to destabilize the marketplace plans.

With the limitations of Obamacare, a single-payer plan is the only idea which makes long term economic sense. A majority of doctors have come around to realizing this. Bernie Sanders is now making the Democratic Party acknowledge this. When Obamacare was first being considered, discussion of single-payer plans was blocked. Bernie Sanders has made single-payer part of any discussion of further health care policy.

Bernie Sanders Winning The Battle On Health Care, Now Max Baucus Caves On Opposition To Single Payer

Bernie Sanders’ proposal for single-payer health care was viciously attacked by Hillary Clinton during the 2016 campaign, but now Sanders is winning the debate in the Democratic Party. Kamala Harris already joined on as a co-sponsor, indicating how she sees this as the expected position for a serious contender for the 2020 nomination. It came as no surprise when Elizabeth Warren also decided to co-sponsor the legislation. The real surprise was when former Senator Max Baucus changed his position:

It’s time for America to consider seriously a single-payer, government-run health system, says Max Baucus, Montana’s longest serving U.S. senator, former ambassador to China and one of the chief architects of Obamacare.

“My personal view is we’ve got to start looking at single-payer,” Baucus said Thursday night at Montana State University. “I think we should have hearings…. We’re getting there. It’s going to happen.”

This is significant as Baucus was a chief author of the Affordable Care Act, and was strongly opposed to even considering a single payer plan eight years ago. David Weigel provides this history lesson:

Eight years ago, as a once-in-a-generation Democratic Senate supermajority debated health-care reform, Sen. Max Baucus (D-Mont.) kept their focus narrow. As the chairman of the Senate Finance Committee, Baucus was focused on passing a reform bill that moderate Republicans could support. At one point, he had single-payer health-care supporters removed from a hearing; Sen. Bernie Sanders (I-Vt.), an advocate for Canada-style universal coverage, set up a meeting to tide them over. But he did not expect much from Baucus.

“[Is he open] to single-payer?” Sanders asked rhetorically. “Not in a million years.”

His estimate was just 999,993 years off. At a Thursday night forum in his home state, a now-retired Baucus suggested that single-payer health care could pass, and not too long from now.

It gets worse per this account from Common Dreams:

Baucus declared single payer “off the table” and had single-payer proponents arrested after they disrupted a committee hearing. Those arrested were later called the “Baucus 8.”

Dr. Pat Salomon, who was arrested alongside other physicians and activists, explained why the protests were necessary:

When we looked at the list of 41 people testifying in the three days of the Finance Committee’s roundtable on healthcare, we saw that not a single witness was an advocate of the principle that healthcare should be a fundamental human right for all in America, nor was there anyone to speak for the majority of the American people who support single-payer Medicare for All.

Maybe this is a case of a politician speaking more honestly once out of office, or perhaps it is a sign of how much Bernie Sanders has moved the discussion of health care reform. Just to raise Peter Daou’s blood pressure further in case he happens to read this, I’ll also point out that Bernie Sanders is the most popular politician in America, while Hillary Clinton’s favorability has continued to fall since the election, and is below that of Donald Trump. Sanders being right, and Clinton being wrong, in supporting Medicare for All is just one of many reasons for this.

After September It Will Be Even Harder For Republicans To Repeal Obamacare

Donald Trump has, fortunately, been able to accomplish very little as president. Obstacles have included his complete lack of understanding of how government works and widespread opposition to his plans. He has already had considerable difficulty keeping his campaign promise to repeal Obamacare. Should Senate Republicans try again, repealing the Affordable Care Act will become even harder as the ability to pass this with fifty-one as opposed to sixty votes ends September 30.

Bloomberg News reports:

The Senate parliamentarian told lawmakers that Republicans’ ability to pass an Obamacare replacement with just 51 votes expires at the end of this month, Senator Bernie Sanders said Friday.

The preliminary finding complicates any further efforts by Republican leaders in Congress to pass a comprehensive GOP-only replacement for the health-care law.

Sanders, a Vermont independent, in a statement called the determination a “major victory” for those who oppose repealing Obamacare.

Senate Republicans, who control the chamber 52-48, failed to win enough support for their Obamacare replacement in July as three GOP lawmakers joined Democrats to oppose the measure. Republican leaders haven’t ruled out reviving their effort, and some party members — including Lindsey Graham of South Carolina, Bill Cassidy of Louisiana and Ted Cruz of Texas — say they’re talking to colleagues about a possible broad-based bill.

Earlier guidance from Senate Parliamentarian Elizabeth MacDonough dogged Republicans in their Obamacare replacement effort throughout the summer. In late July, she issued a preliminary finding that key parts of a proposal drafted by Senate Majority Leader Mitch McConnell didn’t qualify for the fast-track procedure, dramatically complicating the already slimming prospects of passing a bill.

After the 2017 budget resolution which allows for the repeal of the Affordable Care Act expires at the end of September, both houses would need to pass a new budget resolution to enable repeal to pass with only fifty-one votes. It is considered unlikely that Congress would be able to deal with both health care and rewriting the tax code at the same time this fall, but we are also seeing a lot of things lately which we would have previously considered to be unlikely.

New York Magazine has more on this.

Meanwhile Democrats are attempting to take health care reform further with Bernie Sanders introducing legislation promoting a single payer plan, with Kamala Harris co-sponsoring the legislation. This has no chance of passing the Republican-controlled Congress. It is a favorable sign that a moderate Democrat such as Harris with presidential ambitions finds it more expedient to be on the side of a single-payer plan, in comparison to last year when Hillary Clinton vigorously opposed the idea.

Study Shows Trump Responsible For Double Digit Increases In Health Insurance Premiums

Donald Trump inherited the Affordable Care Act in sound financial shape according to reports by the nonpartisan Congressional Budget Office and other independent studies. Republican attempts to abolish Obamacare have been unsuccessful, but a newly released study from the Kaiser Family Foundation shows that Donald Trump’s actions are resulting in double digit increases in premiums for many people, potentially destabilizing the plan. AP reports:

“Actions by the Trump administration are triggering double-digit premium increases on individual health insurance policies purchased by many people, according to a nonpartisan study.

“The analysis released Thursday by the Kaiser Family Foundation found that mixed signals from President Donald Trump have created uncertainty “far outside the norm” and led insurers to seek higher premium increases for 2018 than would otherwise have been the case.”

From the Kaiser Family Foundation report:

“Insurers in this market face new uncertainty in the current political environment and in some cases have factored this into their premium increases for the coming year. Specifically, insurers have been unsure whether the individual mandate (which brings down premiums by compelling healthy people to buy coverage) will be repealed by Congress or to what degree it will be enforced by the Trump Administration. Additionally, insurers in this market do not know whether the Trump Administration will continue to make payments to compensate insurers for cost-sharing reductions (CSRs), which are the subject of a lawsuit, or whether Congress will appropriate these funds. (More on these subsidies can be found here).

“The vast majority of insurers included in this analysis cite uncertainty surrounding the individual mandate and/or cost sharing subsidies as a factor in their 2018 rates filings. Some insurers explicitly factor this uncertainty into their initial premium requests, while other companies say if they do not receive more clarity or if cost-sharing payments stop, they plan to either refile with higher premiums or withdraw from the market. We include a table in this analysis highlighting examples of companies that have factored this uncertainty into their initial premium increases and specified the amount by which the uncertainty is increasing rates…

“Insurers assuming the individual mandate will not be enforced have factored in to their rate increases an additional 1.2% to 20%. Those assuming cost-sharing subsidy payments will not continue and factoring this into their initial rate requests have applied an additional rate increase ranging from 2% to 23%. Because cost-sharing reductions are only available in silver plans, insurers may seek to raise premiums just in those plans if the payments end. We estimate that silver premiums would have to increase by 19% on average to compensate for the loss of CSR payments, with the amount varying substantially by state.”

Most people enrolled in plans on the exchange receive subsidies and will be at least partially protected from these increases, but this is an extra burden on tax payers, along with those of us who do not qualify for subsidies. Double digit increases in premiums were commonplace on the individual market prior to the passage of the affordable care act, but this trend could have been avoided if not for the actions of Donald Trump and Congressional Republicans.

In May, Mario J. Mario Molina, M.D., former CEO of Molina Healthcare, wrote an op-ed for US News and World Report which also pointed out how Republicans are responsible for higher premiums due to their actions to sabotage the law. He concluded:

“One common thread in all these efforts is that Americans who purchase their health coverage through the individual market are the ones harmed, not insurance companies. The administration and Republicans in Congress want you to believe that insurers raising premiums for their plans or exiting the marketplaces all together are consequences of the design of the Affordable Care Act instead of the direct results of their own actions to sabotage the law. Don’t let them fool you.

“If you think Obamacare is failing, I have one simple message for you: Open your eyes and stop being the emperor.”

Repeal And Replace Fails–Perhaps Congress Had The Wrong Target

The Republicans have failed to repeal and replace Obamacare, primarily because they never had a sensible replacement plan. It took three Republicans to block the final attempt, with John McCain casting the deciding vote. Now that he will not be on the ballot again, it was easiest for McCain to do this, allowing other Republicans who opposed the bill to cast a politically safer party-line vote. McCain might have also felt some satisfaction in thwarting Trump’s agenda after Trump’s past attacks on McCain, claiming McCain was not a war hero because he was captured.

Hopefully attempts at repealing Obamacare are dead–at least until a more liberal Congress has the votes to pass a single payer plan to replace it. Some are still claiming that they can propose a new bill which can achieve fifty-one votes, but any new efforts will have the same problems trying to please both wings of the party.

A more hopeful sign is a bipartisan group in the House which claims to be working together to improve Obamacare rather than repeal it. So far there has been no sign of bipartisan cooperation on health care, but there is a remote chance that matters have changed now that the Senate has been unable to pass any of its attempts at repeal. Sensible Republicans should realize that they will be held accountable for the success or failure of health care. Obamacare is the law of the land. Donald Trump and the Republican Congress now own it.

Maybe repeal and replace isn’t such a bad concept after all, except that Congress had the wrong target.

How about repealing the authorization to go to war and replacing our failed foreign policy? How about repealing the Patriot Act and replacing it with a policy which provides for needed security while respecting our Constitutional rights? How about repealing the drug war and replacing it with treatment where needed?

Of course this will never happen as there will be too much opposition from both parties. Can we just repeal and replace our current dysfunctional two-party duopoly?

Joint Chiefs Ignoring Trump Transgender Ban As Twitter Not Part Of Chain Of Command

Why are Republicans so obsessed with other people’s genitals, who they have sex with, and which bathroom they use? The latest example was Donald Trump’s proclamation via Twitter that transgender individuals will not be allowed to serve in the military. Of course the Constitution does not provide for changes in policy via Tweets, and neither Congress nor the Joint Chiefs of Staff were prepared for this. Not surprisingly, they are insisting upon following the conventional change of command before making such changes. CNN reports:

The Joint Chiefs of Staff, including chairman General Joseph Dunford, were not aware President Donald Trump planned to tweet a ban on transgender service members, three US defense officials told CNN — the latest indication that top military leaders across all four service branches were blindsided by the President’s announcement.

For now, Dunford has informed service members that there will be “no modifications to the current policy until the President’s direction has been received by the Secretary of Defense and the Secretary has issued implementation guidelines.”

“In the meantime, we will continue to treat all of our personnel with respect,” Dunford wrote in a memo to the military that was obtained by CNN. “As importantly, given the current fight and the challenges we face, we will all remain focused on accomplishing our assigned missions.”

Army Chief of Staff Gen. Mark Milley said Thursday that, to date, he has not received “directives on implementation” for a ban and learned about the President’s decision through the media.

We will work through the implementation guidance when we get it and then we’ll move from there,” he added while speaking at the National Press Club.

Maybe next Donald Trump will Tweet that Obamacare has been repealed and leave it at that, satisfying himself with no actual changes affecting anyone else.

Trump Tweeted that the military “cannot be burdened with the tremendous medical costs and disruption that transgender in the military would entail.” Conservatives have complained about the cost of surgery for transgender members of the military, although not all even undergo surgery. Military Times reports that the “Defense Department spends 10 times as much money on Viagra and other erectile dysfunction medications than it spends on healthcare services for transgender troops.”

USA Today also noted this, along with comparisons of the cost of transgender surgery to the cost of Donald Trump’s trips to Mar-A-Lago:

A report for the Pentagon last year found that transition-related care would cost between about $2.4 and $8.4 million per year — less than 0.14% of the military’s medical budget.

That’s roughly the cost of four of Trump’s trips to Mar-A-Lago, GQ noted, even using a conservative estimate of $2 million per trip. And it’s way less than the $84 million spent on Viagra and similar meds by the Department of Defense in 2014, as others also said.

With cost not providing a good justification for this policy change, late night comic James Cordin had another explanation:

At this point, it just seems like Trump wants to do the opposite of everything Obama did. He is like, “Oh, Obama pardoned a turkey on Thanksgiving? Well I’m going to slaughter a turkey with a chainsaw on the front lawn.”

Vogue noted the lack of Ivanka Trump’s influence on Donald Trump in an article entitled, Look, It’s Time to Collectively and Officially Give Up on Ivanka Trump. They think that there are people who still think that Ivanka Trump is of any value in stopping her father? Really?

American Psychoanalytic Association Gives OK To Call Trump Nuts

It is customary to do an exam on a patient actually in their presence for psychiatrists to make a diagnosis. This led to what has been known as the Goldwater Rule prohibiting psychiatrists from giving their opinion about the psychiatric state of public officials they have not examined. The American Psychoanalytic Association has released an emailed statement freeing its members to give opinions on the mental state of Donald Trump:

The impetus for the email was “belief in the value of psychoanalytic knowledge in explaining human behavior,” said psychoanalytic association past president Dr. Prudence Gourguechon, a psychiatrist in Chicago. “We don’t want to prohibit our members from using their knowledge responsibly.”

That responsibility is especially great today, she told STAT, “since Trump’s behavior is so different from anything we’ve seen before” in a commander in chief.

STAT also reports:

In October, a book titled “The Dangerous Case of Donald Trump: 27 Psychiatrists and Mental Health Experts Assess a President” will be published.

“When the book comes out, there will be renewed furor about the Goldwater rule, since it is precisely about what is wrong with him,” said psychiatrist Dr. Lance Dodes, a retired professor at Harvard Medical School who is now in private practice in Los Angeles.

The Goldwater Rule got its name after some psychiatrists answered a survey on whether Barry Goldwater was fit to serve as president in 1964. His slogan, “In your heart, you know he’s right” was mocked by the Johnson campaign with the alternative, “In your guts, you know he’s nuts.”

There have always been exceptions to this rule. It has been customary for the State Department and other federal agencies to ask psychiatrists about the psychological state of foreign leaders based upon public behavior and speech. The rule also carried no penalties, and enforcement by government officials, including license boards, would likely violate First Amendment rights to freedom of speech.

Fortunately other medical organizations have not had such restrictions, as long as it is made clear when a medical opinion is being made without having examined the person. With that in mind, pointing out that I have never examined Donald Trump and that my opinion is based upon observing his public actions alone, in my professional opinion he should also be tested for early Alzheimer’s.

The opinion that Trump might be nuts is not limited to the psychiatric profession. The Washington Post reports on two Senators, Susan Collins (R-Maine) and Jack Reed (D-R.I.), being caught by an open mike questioning Donald Trump’s sanity:

“Yes,” Reed replies. “I think — I think he’s crazy,” apparently referring to the president. “I mean, I don’t say that lightly and as a kind of a goofy guy.”

“I’m worried,” Collins replies.

Finally something we have bipartisan agreement on.

Clinton’s Popularity Continues To Decline, Possibly Affecting Democratic Voter Enthusiasm

Democrats lead in the generic Congressional polls, but there are warning signs for Democrats. A new Washington Post-ABC News poll shows that by a 52 to 38 percent margin voters want Democrats to control Congress to be a check on Trump. However, 65 percent of Republicans and GOP-leaning adults say they are “almost certain to vote,” only 57 percent of Democrats and Democratic-leaning voters say they are likely to vote.

There are probably many reasons why Democratic-leaning voters are less likely to vote, but the damage to the Democratic brand caused by the nomination by of Hillary Clinton in 2016 cannot be underestimated. For those who have voted Democratic in protest against the policies of the Bush administration, it was a great disappointment to see the Democrats nominate a candidate with essentially the same agenda. The undemocratic manner in which the party establishment essentially picks the nominees, despite the charade of a primary system, creates further disenchantment with the party. As bad a choice as Donald Trump was, at least he was nominated due to beating the establishment candidates in a year in which many voters from both parties did not want another Bush/Clinton, with the Republican establishment accepting the decision of its voters.

Normally losing candidates do better in the polls after the election. With Donald Trump doing such a terrible job and dropping in the polls, if she followed traditional patterns Hillary Clinton should be seeing a boost in her support. Instead a Bloomberg National Poll shows that Clinton’s support has declined and that she is even more unpopular than Donald Trump.

This is not based upon opposition to the party in general  as Barack Obama and Joe Biden’s popularity has increased since they left office, and Bernie Sanders has become the most popular politician in the country.

The poll doesn’t provide reasons for Clinton’s further decrease in popularity. Just losing to a candidate as terrible as Donald Trump further highlights how weak a candidate she was, with reports such as those in Shattered providing further confirmation. I would also bet that many people expressed positive views of Clinton in the context of an election campaign against Donald Trump, but now that the campaign is over have no reason to hide their distaste for her.

Clinton’s actions following her loss give additional reasons for an already unpopular politician to now receive even less support. Her frequent statements blaming others for her loss, while downplaying the serious mistakes she made, shows her lack of character. While her far right wing views on civil liberties has received too little attention, her call for Congressional action against fake news, which amounts to censorship of material critical of her, is alarming in light of her long standing support for restricting freedom of speech and dissent.

Clinton’s anti-Russia hysteria, going well beyond what has been proven in the investigations to date, might be fooling some Democratic partisans, but is alarming to others. Clinton does not benefit politically from the revelations involving the Trump administration and Russia when fear of world war with Russia was a motivating factor for some who voted for her. A recent study suggests that her ultra-hawkish views might have played a significant role in her loss. News out of Syria provides further reason to oppose Clinton, considering her push for greater interventionism, even to the point of risking direct conflict with Russia.

Clinton has been out of step with more liberal voters on other issues, including economics, trade, the drug war, and health care policy. While many Democratic leaning voters support a single-payer system (as promoted by people including Bernie Sanders and Al Gore), Hillary Clinton also showed she was out of step in campaigning against  Medicare-for-all.

It is hard for many independents, along with principled Democrats, to be enthusiastic about the Democrats after nominating a candidate which so many dislike for good reason. The attacks on liberals and progressives opposing Clinton from partisan Democrats, showing a gross lack of respect for the basic principles of democracy in thinking that those who oppose her had some obligation to vote for her, further alienates potential Democratic voters. If Democrats are to expand their base and win elections, they need to show more respect for the views of those who oppose their move to the right.

Democrats have done poorly in 2010, 2014, and again in 2016 after moving to the right and running as a Republican-lite party. Bloomberg reports that Democrats are again looking at promoting more conservative candidates in 2018, failing to learn that voters see no reason to turn out to vote for candidates who do not stand for anything. The Democrats should do well in 2018 in response to the Trump disaster, but they also appear capable of pulling defeat again out of what should be sure victory.