The No-Brainer Healthcare Reform, Or, The Importance of a “Real” Job

Back when AB 8 passed, I said it didn’t accomplish everything I would like it to do.  And I think that’s abundantly clear to everybody, from every which way you look at it.  The obvious failure in the healthcare system is the employer-based system itself. It is now falling apart, and the individual healthcare system is not yet robust enough to be a replacement.  So, you end up with people, even perfectly healthy people like myself, denied coverage.

But the no-brainer in there? A state health insurance pool. The state needs to organize a pool that will allow people to buy insurance, at a reasonable price, backed up by the power of the state. There are thousands, probably millions, of people who would be happy to pay for health insurance, if they could just get it.

So, without getting too personal about my situation, I’m going to tell you my story. Not that being too personal has really stopped me in the past, but oh well.  All future Oppo researchers, flip the page.

As many people who read Calitics regularly know, I’m a recent graduate of the Goldman School of Public Policy at the state’s premier institution of higher learning, the University of California Berkeley. (Yeah, take that, UCLA!) My student health insurance terminated in the middle of August, and so I tried to apply for Kaiser.  But, you see, the questions are not so easy to answer no to.  In essence, to get coverage you either lie or get denied.  I told the truth, and I got denied.  For example, check out Blue Shield’s application questions. I don’t want to pick on Blue Shield, or even Kaiser, because there are worse companies, but well, the whole system stinks, so I’ll pick on everybody.

So, tell me you can answer the favored choice on some of those applications.  For example, how about the “skeletal system” question:

Musculo-skeletal system — such as: pain, injury, sprain, or other problems of the neck, spine, or back; sciatica; herniated or bulging disc(s); curvature of the spine; scoliosis; pain, injury, or other problems of the joints, bones, or muscles; arthritis; rheumatoid arthritis; temporo-mandibular joint syndrome (TMJ); Lyme disease; broken bones or retained hardware; dislocation of joints; bunions; hammertoe; carpal tunnel syndrome; physically handicapped; polio; amputations?

So, they group back injuries with sprained ankles? Of which, I have had one within recent memory. So, I answer yes. But there is no room to explain that you injured your ankle in a basketball game, and it’s not been a problem since.  Same thing with several other sections of the application. They give you these massive groups of disorders, major and minor, and then expect you to answer with no explanation. It’s pretty much a joke. If you tell the truth they deny you now. If you lie, they rescind coverage, and you end up even worse than square 1. 

And then if you do lie on the healthcare application, you have to make sure you keep lying to your doctors. So, say I had another ankle sprain, had I lied, I guess I would have had to say to my doctor, “Uh, yeah, never had anything wrong with my ankle, doc.” That kind of dishonest doctor/patient relationship helps nobody. It increases costs, by requiring additional tests and what not, and delays necessary treatment.  But for many in California, it’s either “Lie or Die.” That’s no way to run a healthcare system.

The funny thing here? I’m extremely healthy. I run several times a week and haven’t been to the doctor for several years. Even if you were going to cherry pick, you would want to cherry pick me. I mean, I hate the doctor, and certainly don’t go there for kicks and giggles.  Yet as somebody who is trying to build a career slightly out of the traditional mold, I am discouraged at every corner.  In other words, this health care system is a way to discourage small business growth in a way that is far more pernicious than any tax.  You are left with a crap shoot, or worse, left living your life based on how you can get health insurance. It’s wrong, it’s bad for our economy, and it’s bad for Californians.

But a state health insurance pool wouldn’t even be that hard to organize, and should be a no-brainer. Sure, Blue Cross will fight it, but they fight everything.  So, all you Legislators out there, how about this as the first course of business? Get a state health insurance pool passed as the first order of business in the special session, separate of any other grand insurance reform. And then get on to the grand notions of reform (and hopefully to single payer) during the rest of the session.

Or, hey, anybody want to hire me and get me on your health insurance group? Maybe we can provide insurance one blogger at a time.

Chemerinsky Redeemed

This deserves far more than a quick hit.  Erwin Chemerinsky, the esteemed legal scholar who was unceremoniously dumped as Dean of the new UC Irvine Law School after catcalls from the conservative noise machine, has been rehired by the school.

UC Irvine Chancellor Michael V. Drake and Erwin Chemerinsky have reached an agreement that will return the liberal legal scholar to the dean’s post at the university’s new law school, the university announced this morning.

With the deal, they hope to end the controversy that erupted when Chemerinsky was dropped as the first dean of the Donald Bren School of Law.

Drake traveled over the weekend to Durham, N.C., where Chemerinsky is a professor at Duke University, and the two reached an agreement about midnight Sunday, sources told The Times.

Practically the whole faculty was going to walk out if they didn’t set this right, so it’s not surprising.  Apparently LA County Supe Mike Antonovich and OC Republicans won’t get their way on this one.

But I still think the point is valid that if Chemerinsky has to jump through this many hoops to get a UC job, why exactly is John Yoo still employed at Berkeley?

Blue Shield Application Questions

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  1.     Brain or nervous system — such as: migraine headache; seizure disorder; loss of consciousness; epilepsy; paralysis; muscular dystrophy; multiple sclerosis; stroke; cerebral palsy; mental retardation?   
  2.     Cardiovascular system — such as: heart or valve problems; coronary artery disease; heart attack; heart murmur; pericarditis; mitral valve prolapse; heart valve regurgitation; rheumatic fever; palpitations; high blood pressure; shortness of breath; chest pains; elevated cholesterol and/or triglycerides?   
  3.     Circulatory system — such as: varicose veins; peripheral vascular disease; phlebitis; blood clots; stroke; disease or disorder of the blood (except HIV infection); anemia; enlarged lymph nodes?   
  4.     Respiratory tract — such as: asthma; reactive airway disease; bronchitis; allergies; sinusitis; disease, disorder or injury of the lungs or respiratory system; emphysema; tuberculosis; spitting or coughing up blood; shortness of breath; pneumonia; cystic fibrosis; pulmonary fibrosis; chronic obstructive pulmonary disease; sleep apnea?   
  5.     Musculo-skeletal system — such as: pain, injury, sprain, or other problems of the neck, spine, or back; sciatica; herniated or bulging disc(s); curvature of the spine; scoliosis; pain, injury, or other problems of the joints, bones, or muscles; arthritis; rheumatoid arthritis; temporo-mandibular joint syndrome (TMJ); Lyme disease; broken bones or retained hardware; dislocation of joints; bunions; hammertoe; carpal tunnel syndrome; physically handicapped; polio; amputations?   
  6.     Metabolic system — such as: diabetes; gout; thyroid or adrenal disorders; hormone or growth hormone deficiencies; immune system disorders (except HIV infection) such as: lupus, Raynaud's, acquired immune deficiency syndrome (AIDS), AIDS-related complex (ARC), treatment for AIDS/ARC with AZT, HIVID or Pentamidine therapy?   
  7.     Cancer (malignancy) — such as: leukemia; Hodgkin's; malignant melanoma; tumor/cyst; lymphoma?   
  8.     Congenital abnormalities, birth defects — such as: Down's Syndrome; cerebral palsy; cleft lip or palate; clubfoot; developmental delay; or other neurological or physical abnormalities?   
  9.     Alcoholism, drug dependency or substance abuse?   
  10.   Counseling or treatment for symptoms of depression; manic depression; anxiety; panic attacks; nervousness; mental or emotional disorders; schizophrenia; behavior problems; hyperactivity; attention deficit disorder; eating disorders; bulimia; anorexia; alcohol or substance abuse; or for any other reason?   
  11.     Male reproductive system — such as: prostate problems; impotency; male breast problems; gynecomastia; infections, herpes, syphilis, gonorrhea, or other venereal disease (except HIV infection); or is either the applicant, spouse or domestic partner whether or not listed on the application, being treated or been treated for infertility within the last 24 months?   
  13.     Digestive system — such as: disease or disorder of the mouth, tongue, esophagus or stomach; ulcer; gall bladder disorder; liver disease; cirrhosis; jaundice; ascites; pancreatitis; colon, intestinal or rectal problems; colitis; chronic diarrhea; hemorrhoids; hernia; weight or eating problems; hepatitis?   
  14.     Urinary tract — such as: renal colic; gravel or stones; urethra, bladder, ureter or kidney problems; urinary tract infections; stricture; pyelonephritis?   
  15.     Skin conditions — such as: skin cancer; melanoma; psoriasis; keratosis; acne; herpes; warts; birthmarks; severe burns?   
  16.     Diseases or problems of the eyes or sight, ears or hearing, nose or breathing, throat or swallowing — such as: any infections of eyes, ears, nose or throat; crossed eyes; glaucoma; cataracts; detached retina; polyps; deviated nasal septum; excessive snoring; problems with tonsils or adenoids; sleep apnea?   
  17.     Abnormal laboratory results — such as: blood work, x-rays, EKG, nerve conduction, blood flow studies, MRI, CT, PET or other scans(s) (except HIV antibody detection tests)?   
  18.     Prosthesis, implant, or retained hardware?   
  19.     Have you or any applying family member taken or been written a prescription for medication(s) in the last 12 months?   
  20. A.   In the past five years, have you or any applying family member been an inpatient or outpatient in a hospital, surgical center, sanitarium, or other medical facility, including an emergency room, or had surgery, including angioplasty, cosmetic/reconstructive, bypass or transplant surgery?   
  20. B.   In the past five years, have you or any applying family member had any illness, physical injury, persisting or new physical symptoms and/or health problems not mentioned elsewhere on this application that have not been evaluated or that you plan to have evaluated by a licensed health practitioner?   
  20. C.   In the past five years, have you or any applying family member been advised to have, or been referred for, a medical exam, further testing, treatment or surgery which has not yet been performed by a physician, dentist, or other licensed health practitioner?   
  20. D.   In the past five years, have you or any applying family member had any application for health or life insurance revoked, declined, deferred, postponed, or restricted in any way?   
  21.     Are you or any applying family member presently a member of a support group?   
  22.     Males only:  Are you expecting a child with anyone, even if the birth mother is not listed on the application?   
  23.   Males and females: Is either the applicant, spouse, domestic partner or dependent, whether or not listed on the application, currently pregnant, or in the process of adoption or surrogate pregnancy?   
  24. A.   Have or do you or any applying family member requested or received a pension, benefits or payment because of any injury, sickness, disability of workers' compensation?   
  24. B.     Have or do you or any applying family member smoke(d) cigarettes?   
  24. C.     Have or do you or any applying family member drink alcoholic beverages?   
  25.   Have you and/or any applying family member visited a physician, psychiatrist, chiropractor, physician assistant, nurse practitioner, physical therapist or other licensed health practitioner in the past five years?   
  26.     Did you or any applying family member have other health coverage (insurance) within the last 63 days?   
  27.     Did you have a prior health plan that covered any of the conditions you checked “Yes” for on this page?   

 

 

Mark Leno’s Gender Neutral Marriage Bill

It is widely expected that Schwarzenegger will again veto Mark Leno's Gender Neutral Marriage Bill.  And if he does, he will claim that the bill violates the homophobic “will of the people,” as expressed in the 2000 Proposition 22. 

Leno's intellectual response on the flip.

Mark Leno responded to this argument in an article in the SF Chronicle.  He said:

Civil rights for any group should never be put to a vote of the people. This is how we prevent the tyranny of the majority over the minority.

 Looking back through history:

In 1964, voters overwhelmingly overturned the state's Rumford Fair Housing Act, which banned racial discrimination in home sales and apartment rentals. In 1959, when the Legislature voted to allow interracial marriage in California, Leno said, it came in the face of a nationwide 1958 Gallup Poll that showed better than 90 percent of white voters were opposed to allowing blacks and whites to marry.

If only we had a Governor who was sophisticated enough to know that you don't put civil rights to a popular vote.  Leno for Governor 2010!

Drinking Liberally San Diego Attends the National DL Conference and Harkin Steak Fry

(I was there as well, representing the West LA Drinking Liberally. We’re going to have our Calitics Q3 Quarterly in association with DL on September 26. I was going to write this up but Jesse does an excellent job here. I did post my thoughts on the Harkin Steak Fry at my personal site here. – promoted by David Dayen)

Drinking Liberally’s 3rd Annual National Convention was held in Des Moines Iowa over the weekend.  It was a fabulous weekend for many reasons, but I’d have to say that the Des Moines chapter was the highlight of the trip.  The city leaders and their members are not only great people but they are amazing liberals who absolutely get it.  Future DL national conferences have a lot to live up to due to their effort and hospitality.  In addition to the productive meeting environment the DL National Organizers created and the great guest speakers they lined up for us, we attended the Tom Harkin’s Annual Steak Fry fundraiser.  Most of the Democratic Presidential candidates were there to meet, mingle and speak to Iowans (and some of us out-of-towners too). 

Please flip

More than anything, the national conferences are in place to get the people who run Drinking Liberally, the city leaders, together once a year.  The national leaders intentionally have a light touch on the direction of the organization.  The cities leaders are the ones really driving where Drinking Liberally ultimately goes.  The first portion of the weekend summarized where we came from, where we are today, where we want to go next and how we plan on getting there.  The “getting there” section was supplemented by guest speakers from the Center for Independent Media, Young People For and Open Left.  The panel was asked to focus on where Drinking Liberally fits into the progressive and liberal community and the value we bring.  Tom Harkin’s online communications point person (and DL member) also spoke to the group on how to engage elected officials and candidates in coming to a Drinking Liberally event.  The Harkin Steak Fry was a perfect end to the weekend.  Most of the candidates in attendance were accessible for a handshake at the very least and in some cases a casual conversation about the Drinking Liberally button they were just handed.

For those of you not familiar with Drinking Liberally you’ve obviously been working way too hard promoting the progressive/liberal agenda and haven’t enjoyed the benefits you are entitled to as a member of the community.  Flip liberally to hear more about Drinking Liberally and its parent organization Living Liberally, how to get involved or starting your own chapter.

Drinking Liberally is a national organization with more than 200 chapters where progressives and liberals come together to regularly “water the grassroots” in cities across the country.  It’s a place where progressives and liberals come to recharge our batteries, let our hair down, not work, recruit or be recruited, and generally feel at ease with others who have similar values, goals ambitions.

Drinking Liberally is the oldest and most well known group of larger umbrella organization, Living Liberally which also includes Laughing Liberally, Eating Liberally, Reading Liberally, and Screening Liberally.

Thriving communities require culture to sustain and nourish the members of the community, and Living Liberally has become a major part of the culture of the progressive and liberal community.  Living Liberally is also evolving into the face-to-face social networking component of the liberal and progressive community.  While Facebook, MySpace and Google groups are great for finding people with common interests, Living Liberally provides the in person contact and networking where real relationships are formed and can be capitalized upon. 

It all starts with an individual making the decision that their city or town needs a place where progressives and liberals can meet, can find others who share similar interests, can get a better feel for what is being done in the community or want to have a place where people can learn and engage in discussions focusing on progressive and liberal politics.  The city leader chooses a location, day, time and frequency of the “meeting.”  The meetings won’t start with an official call to order or include a meeting agenda with recorded minutes.  A social gathering is probably better a definition of the events. 

But don’t let the informality fool you.  Drinking Liberally chapters all over the country have been known to attract elected officials and candidates from all offices of city/county/state/federal government, great guests, best selling authors and prominent members of the online community.  New Mexico Governor Bill Richardson came to our National Conference party in Des Moines just this weekend.

On Wednesday, September 19th members Drinking Liberally San Diego will be attending the Calitics Quarterly Fundraiser in San Diego at the Firehouse American Eatery.  You can contact Lucas O’Connor ([email protected]) for more information.  *As an organization, Drinking Liberally does not support or endorse political parties, candidates, or issues. 

Sound appealing?  Visit www.drinkingliberally.org and look for a chapter near you.  Don’t see a chapter in your area?  Start one, it’s easy.  Running a DL chapter doesn’t take much time and is very rewarding knowing you are building the infrastructure of the progressive and liberal communities.

Feel free to email me with any question or comments.

Jesse Rubin
Drinking Liberally San Diego City Leader and National Field Organizer
[email protected]

Reminder: Constitution Day Conference Call With Glenn Greenwald and Cenk Ugyur at 4pm PT

Today is Constitution Day.  Calitics and the ACLU Southern California are partnering on a Campaign for Our Constitution.  Today we’ll hear from Glenn Greenwald and Cenk Ugyur of the radio program “The Young Turks” talking about the need to restore our Constitutional freedoms in the age of Bush.  The details are here.  You need to sign up for the call at OurConstitution.net.

Thanks.

Bill Clinton San Diego Fundraiser Tonight

Bill Clinton is in San Diego tonight hosting a fundraiser and I won’t be there.  Can’t afford it. $500 to get in the door.  Unless I suddenly don’t need to pay rent next month, it ain’t gonna happen.  Maybe you’re like me, and you constantly wish that someone would hold a kickass fundraiser that you can afford?  Well now somebody is.  If you’re in driving distance of San Diego, we expect to see you at the Calitics Quarterly Fundraiser.

We’ve got office seekers and holders at the federal, state and local level.  We’ve got the beloved local blogger Terry Williams (terryfaceplace) and notoriously non-prolific blogging gadfly Lucas O’Connor.  We’ve got the San Diego Drinking Liberally crew led by founder Jesse Rubin, so you know it’ll be a party.  And most importantly, we have tireless, brilliant and criminally underappreciated activists from throughout the San Diego area.

We don’t have Slick Willie, but we have a chance for you to pitch in and have a great night for $20, $40, or whatever it is you can afford.  We don’t quibble over pennies.  What we’re after is the passion.  See you Wednesday.

Proposition 63, a success with failures

We all know mental health care in California has always been a pretty important issue. And in November 2004 California voters passed Proposition 63 in an attempt to take care of some of the mental health care shortages that were occurring throughout the state. The proposition was brought forth by Assemblyman Darrell Steinberg in an attempt to rectify almost 40 years of inadequate mental health care across California.
This editorial from the September 27, 2004 San Francisco Gate gives a pretty good background as to the reasons why Prop 63 was needed.
The California Department of mental Health has a website detailing the planned implementation of the program.

The Los Angeles Times is taking a look at how the program is working. Yesterday’s paper had New funds, enduring ills, and today’s Rural areas reap little from Prop. 63.
And the results seem, currently, to be a mixed blessing.

The L.A. Times says that Prop 63 will generate $1.5 billion this fiscal year.
Prop 63 pays for new, premium programs. It was specifically prohibited from backfilling budget shortfalls in already existing programs.
The programs that it is funding appear to be doing very well. And show progress for the people they are helping.

(CA-45) Hey, Big Spenders, spend a little $$ on us

Photo Sharing and Video Hosting at PhotobucketMy friend Carole, a terrific Democrat who knows how to work a room, had the ear of a Major Insider at the Magic Johnson party for Hillary this past week (I’m still listening to everyone and leaning Obama).  She was pushing for DC attention to the CA-45th, as she often does, because we have two Democratic candidates (so far) to challenge Mary Bono, and our Dem candidate will need some real support.  Mr. Major Insider thought our GOP/Dem breakdown was 80/20ish, a common misconception, and one which drives Carole right up the wall.  Our actual numbers are

Dem (35.85%) * Rep (45.53%) * Other (18.62%)

Not only that, the CA-45th has a high growth rate with newcomers trending Democratic, a weak Bushbot incumbent, a bargain media market (for California), and last year’s race was the first potentially competitive one in thirty years.  But the DCCC gave Roth no tangible support.  So why no love from Washington?  Follow me past the flip for the many reasons why the Democratic Party needs to start playing to win in the CA-45th.

The CA-45th is an ideal prototype for the Democratic Party to show how we can turn more red districts blue.  It’s time to take advantage of the national mood, our local demographic shift, and a laughably weak incumbent.  Once the playground of Presidents flips to the Democrats, just imagine the impact nationally.  It’s closer than you think.

The CA-45th got serious attention last election cycle, just not from the DCCC.  21st Century Democrats endorsed David Roth and sent a fantastic staffer to work the district.  Barbara Boxer’s PAC for a Change and the Blue America PAC endorsed Roth.  The Calitics team frontpaged several Roth diariesGeorge Miller, Barney Frank, Maxine Waters, and Loretta Sanchez stumped for Roth.

Roth raised over 700K, which was a universe apart from previous efforts.  He forced Mary Bono to raise twice as much.  Despite a virtual blackout from the GOP-owned local papers, he drew unprecedented crowds for a Democrat in the area, and heard from countless Republicans who craved a change.  But Mary Bono had the money she needed for a media blitz during the last two weeks of the campaign.  Roth got nothing from the DCCC but a late designation as an Emerging Race, and Cheesecake Factory cake on election night.  He had no media presence to speak of, despite the most dynamic campaign by a Democrat in this district in thirty years.  This simply can’t happen again, because the district is ripe to flip.  NB:  Barbara Boxer, recent addition to Rancho Mirage, received 49% in the CA-45th  in 2004. 

In DC, “everyone knows” that the CA-45th is a bastion of conservatism, with a presumed 80/20 advantage for the GOP.  The actual registration as of October 23, 2006 is:

Dem – 115,874 (35.85%)
Rep – 147,158 (45.53%)
Other – 60,214 (18.62%)

2.5% of the Other are registered American Independent/Green, so subtract that, you still have 16.12% unaffiliated voters.  The total of Democrats plus unaffiliated-  (51.97%).

That was last year, but what of the future?  The Press Enterprise says that Republicans are losing their grip on the Inland Empire.  According to the study last July by UC-Riverside researcher Karthick Ramakrishnan, Department of Political Science:

“The results from our survey reveal a roughly equal proportion of eligible voters who identify with the Democrat(ic) and Republican party..  ……

….Naturalized citizens, who have the least experience with the U.S. political system, are least likely to identify with either of the major political parties.  By contrast, second-generation immigrants (those born in the U.S. to immigrant parents) are more likely than the rest of the population to identify as Democrats

Finally, there are clear differences in party identification between newcomers and long-term residents in the Inland Empire. Newer residents are less likely than long-term residents to identify as Republicans (27% vs. 37%), and more likely to identify as Democrat or Independent.  Even taking into account those independents who lean towards either party, there is a noticeable difference between recent residents who favor Democrats and more established residents who split nearly evenly between the two parties.”

It would be sheer negligence to allow this district to remain Republican.  Current conventional wisdom on the CA-45th also overlooks the politically active gay population in Palm Springs, and the increasingly powerful generation of progressive leaders taking over in the East Coachella Valley.  Eduardo Garcia’s successful mayoral race in Coachella registered 15,000 new voters, and he is widely regarded as a rising star in local politics, as is Manuel Pérez, candidate for the California 80th Assembly District.  The political energy here is blue. 

Mary Bono has a solid Bushbot record, no capacity to face a serious challenger in a debate, and her sympathetic image as the widow of Sonny Bono is now one divorce and one engagement past its shelf date.  With a serious voter education effort (and there’s a lot of bang for the buck in this media market), Bono’s support among Republican environmentalists and moderates is vulnerable, and the potential support from middle and working class residents for a Democratic challenger is huge. 

The Democratic votes are here if we are willing to go get them.  And let’s not forget that even though the California Republican Party is in disarray, the 2008 presidential race is in jeopardy if the GOP dirty tricks/electoral votes grab initiative gets on the California ballot.  The Democratic Party needs to play to win in the CA-45th.  There is simply no excuse not to.

P.S.  As soon as I know more about our Democratic challengers, I’ll post it.  One is not ready to surface, and the other is still processing his FEC paperwork.  But hallelujah, they exist at last!

xposted to Daily Kos & OpenLeft