CBO Issues Devastating Report On Effects Of GOP Obamacare Replacement

The nonpartisan Congressional Budget Office has projected that twenty-four million more Americans will wind up uninsured under the Republican health care plan (which calls into question whether this should be called a health care plan at all). The plan would provide inadequate funding for Medicaid, and risks destabilizing the individual market–unless you believe Republican predictions that the free market would respond with better products. This is rather hard to believe considering the failure of the market to handle insurance for those not receiving it through employer or government programs prior to the Affordable Care Act.

To put this in perspective, studies have projected that the loss of insurance by twenty million people (which is less than is predicted under the Republican plan) will result in 24,000 more deaths per year. This backs up the statement from Bernie Sanders that “thousands of Americans will die” if the Republican plan becomes law

Remarkably, a White House analysis projected that the plan will result in an even higher number losing insurance–26 million over the next decade. This is hardly consistent with what Donald Trump promised on the campaign trail. The plan also contradicts Trump’s promises that he would not cut Medicaid and would expand payment for treatment of opiate dependence.

The Center on Budget and Priorities notes how millions would be paying more for less coverage, along with facing higher out of pocket expenses. Aaron Blake points out:

According to the CBO, 64-year olds making $26,500 per year would see their premiums increase by an estimated 750 percent by 2026. While they are on track to pay $1,700 under the current law, the CBO projects the American Health Care Act would force them to pay $14,600. Even if you grant that inflation will allow them to make slightly more money by 2026, that’s still about half of their income going to health care.

There is additional information of significance. Despite Republican claims of a death spiral, the CBO report showed that the ACA is not “imploding.” As other studies have also found, it is stabilizing as more people obtain coverage:

Under current law, most subsidized enrollees purchasing health insurance coverage in the nongroup market are largely insulated from increases in premiums because their out-of-pocket payments for premiums are based on a percentage of their income; the government pays the difference. The subsidies to purchase coverage combined with the penalties paid by uninsured people stemming from the individual mandate are anticipated to cause sufficient demand for insurance by people with low health care expenditures for the market to be stable.

The Washington Post has fact checked White House press secretary Sean Spicer’s spin regarding the CBO report.

Quote of the Day: Conan On Trump’s Muslim Travel Ban & Health Care Plan

Disney has announced that its upcoming live-action “Aladdin” movie is going to feature Middle Eastern actors. Filming will begin in May, or whenever the actors are no longer detained at the airport.

Bonus Quotes

New research says that Neanderthals used to relieve pain by chewing on a plant containing the main ingredient in aspirin. Or as that’s now being called, “the Republican healthcare plan.”

Hawaii is suing President Trump over his latest travel ban. In response, President Trump is suing Hawaii for “being hard to spell.”

SciFi Weekend: Last Man On Earth Kills Off Pence Administration; SNL Does SciFi Skit On Trump; Riverdale Renewed; Doctor Who; Broadchurch Season 3; Passengers; The Night Manager; The Americans

The Last Man on Earth returned with an episode which barely involved the regular cast. The, staring Kristen Wiig and Laura Dern. goes back to before the virus killed off virtually everyone. In a news report Mike Pence was referred to as the president. Wiig’s character was shocked that there was no vaccine for the virus, arguing that the president must have a vaccine. That led clips from news reports showing a series of funerals for President Pence, followed by President Paul Ryan, President Rex Tillerson, President Jefferson Beauregard Sessions, and finally President Betsy DeVos:

There was no explanation as to why Donald Trump was not mentioned, with Mike Pence president at the time. This might suggest that Trump was impeached before the virus struck.

The episode progressed to having Kristen Wiig move to a bunker with only her dog for company. She gradually went crazy, including trying to get the dog to say “milk.” She turned out to be the person who sent out the drone shot down by Melissa (January Jones) in a previous episode. Kristen Wiig might be interacting with the regular cast as she left the bunker to search out the people she saw via the drone. Of course they have all moved on from the home where they were spotted by the drone, and we don’t know if she is immune to the virus.

While Donald Trump was not recognized as president on Last Man On Earth, he was portrayed once again by Alec Baldwin on a science fiction themed cold open on Saturday Night Live (video above). The New York Times recapped this and other political skits on the show:

Sure, “Saturday Night Live” has offered ample criticism of President Trump and his young administration. But in its latest episode, the program expressed confidence that he’ll be in office until at least 2018, long enough to see America decimated by an alien invasion force from the planet Zorblatt 9…

A military officer played by the cast member Kenan Thompson told him, “The aliens are killing us, sir. They have the most advanced weaponized technology we’ve ever seen. What should we do?”

The Trump character responded, “Here’s what we’re going to do. We are going to bring coal back, O.K.? We’re going to have so much coal, you’re going to say, ‘Where did all this coal come from? I never knew there could be so much coal.’”

Informed that the aliens had already vaporized the state of California, Mr. Baldwin answered, “So then I won the popular vote?”

As Mr. Trump, he explained that the aliens had already been secretly living in the United States for hundreds of years. “Look, there’s one right there,” he said, indicating Leslie Jones. “And so is the woman next to her, right there,” he said, pointing at Sasheer Zamata.

Asked where he was getting his information, Mr. Baldwin replied, “From a very reputable source, Infowars. It’s a radio show hosted by Alex Jones. You know he’s legit because he’s always taking off his shirt.”

When the aliens at last overrun the base and learn that Mr. Trump is president, one creature (played by Bobby Moynihan) declares, “Really? This is going to be so easy.”

Riverdale has been renewed for a second season. I wonder if the season finale is already set, or if knowing that there is a second season will  affect when we find out who killed Jason Blossom. Screener looks at the major suspects. On the one hand, viewers might be disappointed if there is not some answer in the foreseeable future after following the show. On the other hand, ending the mystery requires them to come up with something new to hook the viewers.

The series is sort of a Twin Peaks light with its murder mystery in a small town. Twin Peaks quickly went down hill after it revealed who killed Laura Palmer, and we found that they didn’t have much more story to tell. (Hopefully they have come up with more story for the upcoming Showtime revival). There certainly is plenty of potential in Riverdale for additional stories, and not everything going on this season is centered around the murder of Jason Blossom. Perhaps it will be more like Veronica Mars in having a different mystery each season.

The CW Network has also renewed The 100 for a fifth season.

We are down to less than a month until the start of series ten of Doctor Who. The Gallifrey Times has an updated episode guide with what is known so far about every episode. The final two episodes feature the original Mondasian Cybermen seen on The Tenth Planet in 1966. New Who created an alternative time line in which the Cybermen were created on earth.

In other Doctor Who news, Radio Times looks at the question of Time Lords aging, or “why did Matt Smith’s Doctor look so young on his ‘farewell tour’ (the 200 years he lives through in series 6), but become an old man while defending the town of Christmas on Trenzalore for 300 years in The Time of the Doctor?” Plus we learned last week that a CIA hacking tool revealed by Wikileaks is called the Weeping Angels.

Broadchurch was of special interest to Doctor Who fans from the start with a cast which includes David Tennant and Arthur Darvill. It became even more significant when show runner Chris Chibnall was picked to replace Steven Moffat. After two episodes of Broadchurch, it is showing promise to surpass the second season and be more like the first. While the murder of the first season still is having an impact, the second season is concentrating on a different crime, a rape. There are already multiple suspects, and more are likely to be added. Beth Lattimer, a key character from the first season, remains a significant part of the story, having become a rape counselor.

It looks like, as usual, the story is as much about the effect on the town as the crime itself, plus the show has already gotten into other topics including the challenges to the small town newspaper. I would suggest that even those who gave up the show in its second season give it another chance. Broadchurch is currently on Mondays on ITV. BBC America will be carrying the show in the future but has not posted a date yet.

Similarly I would recommend that those who gave up on Homeland give the current season a chance, but beware it does start out slow. The payoff the last few episodes makes it worthwhile.

Nerdist looks at the Easter eggs in the Deadpool 2 trailer (video above). This includes posters for Firefly, presumably due to Morena Baccarin being in both Firefly and Deadpool.

Netflix releases Iron Fist this week, with early reviews not being very favorable.

A premiere date for season seven of Game of Thrones has been announced. The seven-episode season will start on July 16.

Passengers will never become a classic science fiction movie, despite a cast led by Jennifer Lawrence and Chris Pratt.  It is best to go into in looking for mindless escape and ignore how creepy the actions of the male lead were. Despite its flaws, the movie was actually enjoyable and even good for some unintentional laughs, such as with the resuscitation scene. Look at it more as a rom-com about the dangers of waking up a woman too soon in order to have sex with her. Or, if you are looking for comedy, you could just watch the blooper reel above (which some are arguing is far better than the actual movie).

The Night Manager was one of the top shows of 2016, but the miniseries completed the events of the John le Carré novel. A second season is being written, but has not yet been picked up. There is no information on what it will be about. It might take other elements from le Carré’s books, especially as some of the characters do appear in other novels. I imagine they could also come up with an original story based on elements and characters from the first miniseries. As I posted previously, the producers of The Night Manager are also working on a miniseries based on  The Spy Who Came In From The Cold.

The Americans returned last week and is receiving additional media attention due to Russia being in the news recently. This includes articles in USA Today and Entertainment Weekly. The Americans has consistently been one of the best shows on television since it premiered.

How Donald Trump Has Hurt American Democracy, And How The ACLU Plans To Fight Back

Brian Klaas, a fellow in comparative politics at the London School of Economics, and author of The Despot’s Accomplice: How the West is Aiding and Abetting the Decline of Democracy, has written about five ways in which President Trump has already hurt American democracy — in just 50 days These include Trump’s attacks on the integrity of voting, the integrity of his own election, flouting ethics guidelines without consequence, attacks on the independent judiciary, causing tens of millions of Americans to further lose faith in basic institutions of American government, and his attacks on the free press. More on the final point:

Trump has attacked a cornerstone of every democracy: the free press. He has called legitimate media organizations “fake news” no fewer than 22 times on Twitter in the first 50 days — and many more times in speeches. Worse, Trump called the press the “enemy of the American People,” language that echoes Mao and Stalin rather than Ronald Reagan or John F. Kennedy.

Trump only views the press as a legitimate player in American democracy insofar as it is willing to affirm his narrative. To Trump, negative polls are fake. Unfortunately, his attacks are working. A recent Quinnipiac poll showed that 81 percent of Republicans agree that the media is “the enemy of the American people.” Eighty-six percent of Republicans trust Trump to tell the truth rather than the media (up from 78 percent just two weeks earlier). Throughout history, the blurring of the line between fact and fiction has been a critical precursor to the breakdown of democracy and the creeping advance of authoritarianism.

Klaas concluded:

The Constitution and checks and balances are not magical guardians. Documents don’t save democracy — people do. American democratic institutions are only as strong as those who fight for them in times of duress. This is one of those times, and this is just the beginning. It will be a long fight. To win it, Democrats and Republicans must set aside policy divides and unite in the defense of democracy.

The American Civil Liberties Union is preparing to engage in this defense of democracy, including learning from tools used by Bernie Sanders’ campaign. Reuters reports:

The American Civil Liberties Union is launching what it bills as the first grassroots mobilization effort in its nearly 100-year history, as it seeks to harness a surge of energy among left-leaning activists since the November election of Republican Donald Trump as U.S. president.

The campaign, known as PeoplePower, kicks off on Saturday with a town hall-style event in Miami featuring “resistance training” that will be streamed live at more than 2,300 local gatherings nationwide.

It will focus on free speech, reproductive rights and immigration and include presentations from legal experts, ACLU Executive Director Anthony Romero and “Top Chef” television star Padma Lakshmi.

Membership in the civil rights organization, which was founded in 1920, has tripled to more than 1 million since Trump’s election, the group says…

Suggested tactics, like the use of text messages as a mass mobilization tool, will mirror some of those employed by the insurgent presidential campaign of U.S. Senator Bernie Sanders, who mounted a surprisingly robust challenge to Hillary Clinton for the Democratic nomination.

“It’s completely unprecedented,” Romero said of the response since Trump’s victory. “People are wide awake right now and have been since the night of the election.”

Republicans Out Of Step With Majority On Transgender Bathroom Laws

Texas is considering following North Carolina in passing conservative legislation regarding transgender bathroom use, but Republicans remain out of step with the majority of the country in caring about which bathroom people use. Reuters reports:

Fifty-three percent of the Americans surveyed oppose laws requiring transgender people to use bathrooms that correspond to their sex at birth, according to the national poll by the Public Religion Research Institute.

The survey showed that 39 percent of respondents favored such laws, and almost one in 10 of the 2,031 adults surveyed in February by telephone had no opinion.

The issue of transgender bathroom rights has become the latest flashpoint in the long U.S. battle over lesbian, gay, bisexual and transgender rights.

Significant partisan divisions remain, the survey found. While 65 percent of Democrats and 57 percent of independents oppose laws limiting transgender bathroom rights, 59 percent of Republicans support the laws, according to the poll. Thirty-six percent of Republicans oppose them.

“This is a case where it really is Republicans kind of pulling away and being more of an outlier to the rest of the country,” said Robert P. Jones, chief executive of the Washington-based group.

Public opinion also has gone heavily against conservative Republicans on same sex marriage with  63 percent in support, increased from 52 percent in a 2013 poll. Even a majority of Republicans under the age of 50 support legal same-sex marriage.

The Republican Health Care Plan Screws Many To Help Very Few

It looks like Republicans think that America has been demanding a new health care plan which will greatly reduce the number of people who are insured, increase costs for poor and older Americans, destabilize the individual insurance market, and cut taxes for the wealthy. While waiting for the CBO scoring, the Brookings Institute has made their calculations as to how terrible the Republican health care bill is, predicting that at least 15 million people will lose health care coverage:

There is significant uncertainty about exactly how CBO will model these provisions and how it will expect the various provisions to interact with one another. Nonetheless, we conclude that CBO’s analysis will likely estimate that at least 15 million people will lose coverage under the American Health Care Act (AHCA) by the end of the ten-year scoring window. Estimates could be higher, but it’s is unlikely they will be significantly lower.

 

Many will suffer from the cuts to Medicaid. Many of those who purchase private coverage on the exchanges will suffer because of how the subsidies are restructured, based on age as opposed to income and the actual costs of insurance. The Kaiser Family Foundation has posted projections regarding this.

Medical organizations and those representing the elderly including AARP, the American Medical Association and the American Hospital Association have objected to the Republican plan. AARP issued a statement opposing the “House plan that would make changes to our current health care system, such as shortening the life of Medicare, hiking costs for those who can least afford higher insurance premiums, risking seniors’ ability to live independently, and giving tax breaks to big drug companies and health insurance companies.”

The less affluent voters who backed Trump will be hurt by the changes. Of course some people do benefit. “Nearly everyone in the Top 1%, who earn more than $774,000 a year, would enjoy a hefty tax cut, averaging $33,000, according to the non-partisan Tax Policy Center. Those in the Top 0.1% would get an average tax cut of about $197,000.” Insurance companies also benefit:

Obamacare allowed insurance companies to deduct only $500,000 of their executives’ pay as a business expense. The GOP bill would repeal that limitation, starting in 2018.

Top insurers pay their leaders millions in compensation every year so this provision could mean a nice tax savings for the companies.

One excuse given by Republicans for repealing Obamacare is the increased cost of premiums. However, most people receive health care coverage through either government programs or employer programs, which have not had major increases in premiums. The individual market had frequent jumps in premiums, and that has continued, except under Obamacare most people receive subsidies to help cover this. As a consequence, only about three percent of the country is actually facing the increases in premiums which Republicans are using to justify their plan. In return, we receive more comprehensive coverage which cannot be denied based upon medical problems.

As one of the three percent who purchases health insurance without qualifying for subsidies, I certainly do not see the Republicans as doing me any favors. My premiums will be higher under the Republican plan than they are now, and the even bigger problem is that the plan may “threaten the stability of the individual market” per the Brookings report, possibly making it impossible to obtain coverage.

 

Three Reports Demonstrate How It Was A Horrible Mistake For Democrats To Nominate Hillary Clinton

Since Hillary Clinton’s loss to Donald Trump, many Clinton supporters and partisan Democrats have blamed her loss on sexism, Russia, James Comey, and even Barack Obama. They repeatedly fail to acknowledge that the real problem was that Hillary Clinton was a terrible candidate who ran a terrible campaign. Of course the exact same thing could be said about Donald Trump, but when two terrible candidates are running, only one can lose, and Clinton was even more out of touch than Trump. With many Democrats failing to acknowledge why they have lost badly in 2010, 2014, and now 2016, and some even speaking of nominating Clinton again in 2020, it is important for Democrats to face reality. Three recent studies shed some light on the election.

While perhaps not the most consequential, the most interesting was an experiment to look at sexism performed by Maria Guadalupe, an associate professor of economics and political science, and Joe Salvatore, “a Steinhardt clinical associate professor of educational theatre who specializes in ethnodrama—a method of adapting interviews, field notes, journal entries, and other print and media artifacts into a script to be performed as a play.”

After watching the second televised debate between Donald Trump and Hillary Clinton in October 2016—a battle between the first female candidate nominated by a major party and an opponent who’d just been caught on tape bragging about sexually assaulting women—Maria Guadalupe, an associate professor of economics and political science at INSEAD, had an idea. Millions had tuned in to watch a man face off against a woman for the first set of co-ed presidential debates in American history. But how would their perceptions change, she wondered, if the genders of the candidates were switched? She pictured an actress playing Trump, replicating his words, gestures, body language, and tone verbatim, while an actor took on Clinton’s role in the same way. What would the experiment reveal about male and female communication styles, and the differing standards by which we unconsciously judge them?

…Salvatore says he and Guadalupe began the project assuming that the gender inversion would confirm what they’d each suspected watching the real-life debates: that Trump’s aggression—his tendency to interrupt and attack—would never be tolerated in a woman, and that Clinton’s competence and preparedness would seem even more convincing coming from a man.

While Salvatore and Guadalupe were surprised at the results, I was not. Audiences did not like the character portraying Hillary Clinton, even when played by a man. The entire argument based upon sexism, with Clinton supporters finding absurd ways to blame any disagreement with Clinton on sexism, has always been absurd.  This is especially true on the left, where many opponents of Clinton had initially backed Elizabeth Warren, and some wound up voting for Jill Stein. Those on the left who opposed Hillary Clinton also object to Bill Clinton and other DLC Democrats for similar reasons, regardless of gender. For many, the choice of a running mate as conservative as Tim Kaine was the last straw. There are many reasons to oppose Clinton based both on her policy positions and her gross ethical misconduct in using her position to exchange influence for wealth which have nothing to do with gender.

Wesleyan Media Project study elaborates on what I have discussed previously on how Clinton ran a poor campaign, including in states such as Michigan which cost her the election. They noted that Clinton’s loss came from states in which she did not advertise until the last week. When I did start seeing ads for Clinton in Michigan, I questioned the judgement of her campaign. While Trump was advertising with promises (regardless of whether he could keep them) of creating more jobs and a brighter future, Clinton’s ads were based upon personal attacks (even if valid) against Donald Trump. The Wesleyan Media Project study showed that  “Clinton’s message was devoid of policy discussions in a way not seen in the previous four presidential contests.” They found that this strategy may have backfired badly.

Throughout the campaign, Clinton gave little reason to vote for her beyond her gender and it being her turn. Her own negatives, both on her record and her character, despite the denials of partisan Democrats, where on a level comparable to those of Donald Trump. It is no surprise that third party candidates Jill Stein and Gary Johnson did three times as well against Clinton and Trump than they did against Barack Obama and Mitt Romney four years previously.

Finally, Huffington Post ran yet another article making a case that the letter from James Comey cost Clinton the election. Many factors were involved in the loss, and it is simplistic to blame it on a single factor, but to blame it on Comey is actually an admission that it was a mistake to nominate Clinton.  There would have not been a criminal investigation of Hillary Clinton if Clinton had not violated the rules regarding handling email, as documented in the State Department Inspector General report, and then go on to repeatedly lie about the situation. This included her lies about the initial FBI report.  Clinton’s statement that, “Director Comey said my answers were truthful” was the first lie listed by Glenn Kessler (listed in no particular order) in his listing of The biggest Pinocchios of 2016. Hillary Clinton’s frequent lies during the campaign negated any advantage she might have had over Donald Trump, who has also shown very little regard for facts or reality.

I argued before the nomination that it would be a mistake for Democrats to nominate Clinton in light of the email and Foundation scandals. Beyond the details of these scandals, this emphasized Clinton’s dishonesty. An argument might be made that the coverage of Clinton’s scandals distracted from discussion of the issues, except for the fact that Clinton’s own campaign avoided discussion of the issues.

The lesson here is that it was a mistake for the Democrats to nominate a candidate who acted improperly in her last major government position, including grossly violating the ethics agreement she entered into before being confirmed as Secretary of State, and was already distrusted by voters before the nomination.

Democrats were lucky to come as close as they did in the 2016 election with a candidate as weak as Clinton, and would have probably lost by a far greater margin if not for the many problems with Donald Trump. Running Republican-lite candidates have also cost them control of Congress and many state governments in the 2010 and 2014 elections. Democrats were in a strong position during the Bush years, but squandered this by moving as far right as the Republicans of circa 2002 on far too many issues, and engaging in exactly the same types of unethical behavior as they have attacked Republicans over. Democrats had an alternative in Bernie Sanders in 2016 who could have both motivated voters to turn out for him, and brought in the votes of many independent voters. By rigging the system for a more conservative candidate such as Clinton, and ignoring her major ethical failings, very likely cost Democrats both the White House and control of the Senate.

Alec Baldwin Says He Will Not Do Trump Impersonation Much Longer

Alec Baldwin has said in an interview with Extra that he is not going to portray Donald Trump on Saturday Night Live much longer:

Baldwin said he hoped things would have changed once Trump took office. “Trump just overwhelmingly lacks any sportsmanship, he remains, bitter, and angry, and you just want to look at him and go, ‘You won!’”

He continued, “His policies aside, which you can hate, I thought he would have just relaxed.” Alec added, “The maliciousness of this White House has people worried… that’s why I’m not going to do it much longer, the impersonation, I don’t know how much more people can take it.”

The actor also isn’t sure the White House Correspondents’ Dinner is the place for him to showcase Trump. “I don’t think it’s going to happen, I don’t think they want that, for their [prestige] and their integrity, I think a lot of people are thinking if Trump himself doesn’t come and face the music as it were… I don’t know what kind of program they’re going to have.”

He went on, “If they wanted me to do it, I would probably do it, but I’m not quite sure they’ll do. I think they may have a whole other idea.”

Baldwin’s impression of Trump has been a highlight of SNL recently, and is probably a major factor for its increase in ratings. It is doubtful anyone on their regular cast could do an impression which is anywhere as good as his. Hopefully he will reconsider and continue on SNL for the good of a country which is desperately in need of such comic relief in response to the Trump administration.

Discussing Obamacare Replacement With A Republican Congressman

House Republicans have finally released their plan to replace Obamacare. I have a lot of concerns about the plan, such as whether the tax credits will be sufficient for low income families to afford health insurance, and their attack on Planned Parenthood.

I am going to wait until I have a chance to look at the details of the plan to discuss it in depth, but for other reasons I have found it a good day to blog about health care. Hours prior to the release of the plan, I met with my conservative Republican Congressman, Bill Huizenga, along with a few colleagues, to discuss health care. I figured it would be futile to change the mindset of a conservative Republican, but when I received the invitation I also thought I should make the attempt to try to explain how health care really works. After all, there is zero chance of changing anyone’s mind if no attempt is made to persuade them. I was also appreciative that he was willing to meet with a group which strongly disagreed with him on the issue, while many Republicans around the country are reportedly hiding from their constituents.

The first time I spoke today I made a point of explaining how I am self-employed and have purchased health care on the individual market for my entire life. Therefore I could definitely state that high premiums and high out of pocket expenses, often cited as a failing of the Affordable Care Act by Republican, have always been a characteristic of the individual market–and are not something created by Obamacare.

Discussion got bogged down for quite a while over philosophical issues, especially when someone referred to health care as a right. Congressman Huizenga disagreed. While I managed to get out most of what I wanted to say today, in a conversation with multiple people present, sometimes the topic changed before I got a chance to speak. I didn’t get a chance until after the meeting while speaking to a colleague that I can understand a Republican’s position in not seeing health care as a Constitutional right in the same way as civil liberties specifically expressed in the First Amendment. After all, the Founding Fathers would have never conceived of health care being as expansive, and expensive, as it is now. However, regardless of whether you want to call it a right, access to affordable health care is both highly desirable, and something which is expected in a modern, advanced, industrialized society such as the United States. We should do it regardless of whether you want to label it a right.

The limited nature of assured coverage in the United States, compared to the rest of the world, was an underlying thought in many of our comments. It did come up that 1) the sick can show up to the Emergency Room and will not be turned away and 2) a significant portion of the Medicare population consists of the disabled. In typical Republican dodging of the issue, the Congressman at one point tried to claim that this does provide some form of basic health care as people can go to the Emergency Room. I pointed out that it is one thing to receive coverage in the Emergency Room, but this does not mean that people will receive necessary follow up medical care, especially for the types of chronic medical conditions I typically treat, such as diabetes, heart failure, and emphysema. Initial stabilization in an Emergency Room is both costly and not adequate health care. Plus an Emergency Room physician present pointed out that being seen does not mean patients do not receive large bills, which could be well beyond their ability to pay.

Congressman Huizenga responded that the disabled can receive coverage on Medicare, but I pointed out that people with chronic medical problems are not necessarily disabled, especially if they receive adequate medical treatment. Someone with diabetes, for example, can live and work for many years with the condition. However, without adequate care, twenty years down the road they are far more likely to develop problems such as heart attacks, strokes, and renal failure.

The Congressman’s philosophy on limited government (which, like most Republicans, is terribly selective, ignoring everything from infringements on reproductive rights to today’s revised anti-Muslim travel ban), also influenced his responses. Before his arrival I had discussed with others how market solutions have not worked well, with insurance companies having developed a business strategy based upon collecting premiums and then finding ways to deny care. Congressman Huizenga brought up irrelevant matters such as restrictions on choice present in Canada and other countries which Americans might not tolerate. The typical Republican scare stories. My response was simply that we do not have to adopt the restrictions which he mentioned, regardless of what other countries have done. One point I did not manage to get in was that in the United States, private insurance plans are often far more restrictive on the choices which patients and physicians can make than the government Medicare program is.

The physicians present generally saw Obamacare as an improvement over the previous system, but not going far enough, with Medicare for All being seen as a preferable solution. As a couple of us discussed afterwards, this is a far easier sell for physicians, who see first hand the amount of time and money wasted in having to deal with multiple different insurance companies, with  multiple different sets of rules. Plus this has the huge advantage of taking the astronomical profits received by the insurance industry, and using that money to actually provide health care. (Medicare for All was promoted by Bernie Sanders in the 2016 nomination battle, leading to politically-based opposition from Hillary Clinton.)

If Medicare for All is too hard a sell immediately, I, and others, suggested phasing it in. I also mentioned ideas such as the public option and the Medicare buy-in which were considered when the ACA was being written, but died when the two most conservative Senators voting with the Democrats (Joe Lieberman and Ben Nelson) opposed the ideas. Either would help with the high costs on the individual market.

The  higher cost for caring for older individuals, with some of that cost spread to the premiums of younger purchasers, is a major problem in health care coverage.  I doubt insurance companies even want to cover their older customers, who are responsible for the bulk of their costs. Either outright lower the Medicare age (even if gradually, such as initially to 50 or 55, and ultimately to around 40) or allow a Medicare buy-in.

After the Congressman left, his Legislative Director remained for a brief time and suggested that Americans would not go for expanding a government program such as Medicare. While a typical Republican thought, it does not hold up. I pointed out that we all do wind up on a government program, with most people going on Medicare at age 65. Not only are Americans failing to rebel at the though of going on Medicare at age 65, many look forward to the opportunity. Remember all those tea party protests with signs like “Keep Government Out Of My Medicare.”

My parting comment to Congressman Huizenga before he left was that Republicans must move beyond their anti-Obama rhetoric and actually address the problem. I related how for the past eight years I have often heard patients blame Obama for anything wrong with the health care system, even if it was over matters not even related to the Affordable Care Act. However, in early January, before Donald Trump even took office, I started to hear patients blame Trump for their healthcare problems. Republicans now “own” healthcare and must deliver.

I have my doubts as to whether the plan released today does deliver, but I do want to take a look at the details beyond what is in the initial news stories I have read.

SciFi Weekend: Time After Time; Arrow; X-Men Casting News; Dark; Sense8; Santa Clarita Diet; Shows From Matthew Weiner and Amy Sherman-Palladino on Amazon; Doctor Who; Star Trek Discovery Air Date; Saturday Night Live

Time After Time is the next network time travel show to premiere. TV Guide answers some questions about it:

Is this really about Sexy Jack the Ripper and Sexy H.G. Wells? Boy, is it! You see, back in the day, before H.G. Wells wrote any of his now legendary novels, he apparently built a real time machine. He was showing off this game-changing piece of machinery to his good friend John — who, as it turns out, is actually the notorious anonymous serial killer Jack the Ripper. And once John discovers the authorities were hot on his tail, he uses the time machine to hightail it to modern-day New York City. Realizing he’s the only one who can stop John from killing again, H.G. follows his old friend to the future, where the world’s sexiest cat-and-mouse game begins!

Is it weird to feel attracted to Jack the Ripper? Yes and no. It’s totally weird to be sexually attracted to a serial killer, but the charismatic power of Josh Bowman is also impossibly hard to deny. Plus, this version of Jack the Ripper isn’t completely evil. There is a part of John that does want to change and leave his psychopathic, murderous tendencies behind. It’s a small part, but it’s big enough that you should feel slightly less confused by your newfound crush on the legendary murderer…

Don’t we have enough time-travel shows on TV right now? While time-travel is definitely one of the TV trends of the season, Time After Time isn’t exactly a time-travel show. In its second episode, the drama establishes its rules for time travel – ones which make it very dangerous to actually travel through time too often. That’s why H.G. Wells doesn’t simply go back in time to stop John from ever taking the time machine in the first place. It’s also why the show only time-travels four times in the first season.

Instead, Time After Time is far more interested in exploring how H.G. Wells’ adventures in modern-day Manhattan eventually inspire him to write The Time Machine, The Invisible Man, The Island of Dr. Moreau and War of the Worlds, which is a fun way to fully take advantage of having H.G. Wells as the show’s dashing protagonist.

The identity of Prometheus has been revealed on Arrow. TV Line spoke with the show’s producer and actor who played him, noting how this differs from the comics:

In the comics, Chase’s alter ego is Vigilante, but the producers chose to flip the script “because everybody would be thinking, ‘Of course he’s going to be Vigilante,’” executive producer Wendy Mericle explains. “We thought it would be a really fun twist to… take the comic-book mythology and turn it on its head and see what kind of story we can mine from a surprise like that. It was also something different for this season. We wanted to change up how we introduced the Big Bad and when we did it.”

…Although viewers are now aware of Prometheus’ true face — he exposed his mug to the audience when he took off his mask following a fight with Vigilante — Team Arrow will remain in the dark for the time being. As a result, the show gets to have “fun” as the characters continue to “interact with Adrian Chase in City Hall and elsewhere without knowing his real identity,” Mericle describes. “We’re going to play around with that for a little while before we let Oliver and the team find out.”

And find out they will, possibly sooner rather than later. “We’re not going to leave it to the end of the season,” Segarra promises. “We’re going to get to watch the pot get stirred a little bit. It’s hard because I already know how [Oliver] reacts, and I love the way it goes. You’re going to see Chase just kind of trying to burn the world around him.”

While we no know the identity of Prometheus, we will probably not learn the identity of the person under the vigilante mask this season.

Regardless of whether they are able to use the X-Men name, we will be seeing a lot of the X-Men in some form on television. ABC will be getting an Inhumans show. FX already has premiered Legion (which is highly recommended). Fox has some casting news on their upcoming untitled show. This includes Natalie Alyn Lind of Gotham:

Written by Matt Nix and directed by Bryan Singer, the pilot focuses on two ordinary parents who discover their children possess mutant powers. Forced to go on the run from a hostile government, the family joins up with an underground network of mutants and must fight to survive. Lind will play Lauren, one of the children at the center of the story. Smart, pretty, popular, organized and already ahead on her college applications, Lauren is the model of a perfect kid.

Amy Acker, who has a lot of genre experience in shows including Angel, Dollhouse, and Person of Interest, will play the other female lead:

Acker will star as Kate Stewart, a woman who is struggling with her separation from her husband, Reed (True Blood‘s Stephen Moyer), and her increasingly challenging teenage children. When her family situation takes a dark turn, she finds that she’s stronger than she thinks.

As noted above, Stephen Moyer has been cast as the male lead:

Moyer will play Reed, an ambitious attorney trying to balance the demands of his job at the DA’s office with his responsibilities to his family.

Patrick Stewart recently announced his retirement with regards to playing Professor X, but now states he might reprise the role in a Deadpool sequel. As I posted on Friday, he has also announced plans to become an American citizen to help fight Donald Trump. Make it so!

Netflix has released a teaser for Dark, an upcoming show being made in Germany, which appears somewhat like a darker version of Stranger Things. The description reads, “A missing child sets four families on a frantic hunt for answers. Their search for a culprit unearths a small town’s sins and secrets.”

Netflix is reassembling the cast for a potential third season of Sense8. The second season will be released May 5.

While reviews have been mixed, I’ve been  hearing a lot of great buzz from viewers of Santa Clarita Diet. We binged a large portion of the season last night and, while certainly not a hard-core zombie show, it was very enjoyable.

Mathew Weiner’s next show, The Romanoffs, to be on Amazon Prime, sounds nothing like Mad Men:

“Romanoffs” will consist of eight hourlong episodes, each of which will tell a standalone story with no recurring plot elements or actors. The only common thread is that each episode will tell the stories of people in contemporary times who believe they are descendants of the imperial family that ruled Russia from 1613 until the Bolsheviks seized power in 1917…

Weiner came up with the notion for “Romanoffs” about a year ago, after a long break following the end of his work on “Mad Men” in late 2014. He had the chance to watch other TV shows “in a non-competitive atmosphere,” and he realized that there was room for a show of this nature. “The rise of (Netflix’s) ‘Black Mirror’ made it easier for me to explain it, even though this show is not in that genre,” he said.

Amy Sherman-Palladino also has a pilot for Amazon:

After venturing into streaming TV with Gilmore Girls: A Year in the Life on Netflix last fall, the show’s creator Amy Sherman-Palladino is trying her hand with Amazon this spring. The site announced today that Palladino’s pilot, The Marvelous Mrs. Maisel, will be among the batch of programs up in pilot season starting on March 17. The one-hour pilot stars Rachel Brosnahan (House of Cards, Manhattan) as the titular Miriam “Midge” Maisel, a 1950s housewife who starts a career in stand-up comedy. Monk’s Tony Shalhoub will play her father; Michael Zegen (Boardwalk Empire) will play her husband. Alex Borstein (the original Sookie!) is also in the cast.

Speculation this week about the replacement for Peter Capaldi on Doctor Who includes Kris Marshall and Anthony Head. Doctor Who returns on April 15 with DoctorWho TV recapping everything which is known about the series so far.

After having been delayed twice, CBS is now saying that the premiere of Star Trek: Discovery will be in late summer or early fall.

The election of Donald Trump has been fantastic for the ratings of the late night comedy shows. Having Donald Trump as a regular target has improved the material on shows including The Late Show with Stephen Colbert and Saturday Night Live. The cold open on SNL last night had Kate McKinnon portraying Jeff Sessions as Forest Gump. Of course Donald Trump will likely be upset about him being portrayed by a woman, as when Melissa McCartney played Sean Spicer.

Last night’s episode of SNL has also received a lot of buzz for the above skit:

“Saturday Night Live” just ran a nearly two-minute liberal’s dream sequence disguised as a movie trailer.

The trailer — which promises a Republican “patriot who will put country over party” — features a notable omission: a title character. The point is that no Republican has really stood up to President Trump. You get it.