Defeating The Bully Mentality

 Popular Economics Weekly

"But nobody expects to see a lot of prominent Republicans declaring that rejecting Medicaid expansion is wrong, that caring for Americans in need is more important than scoring political points against the Obama administration. As I said, there's an extraordinary ugliness of spirit abroad in today's America, which health reform has brought out into the open." P Krugman

sfgate.com

We are now seeing what happens when the Republican Party has adopted what I have called a bully mentality, a state of mind so fixed on domination rather than negotiation that it has inflicted massive damage to the U.S. economy and the American people with its hatred of a government that serves all Americans.

Donald Trump is the latest result of Republicans’ attempts to capture as much wealth as possible. They have dumbed down their party to such an extent that they now have a government dominated by the least educated and less talented that threatens to cause another recession.

And what can we do about it?

I quoted Nobel Laureate Paul Krugman on Republicans’ “ugly” behavior as long

ago as 2014 when Republicans opposed Obamacare. Such an ugly state of mind has never prevailed in this democracy that was founded by vanquishing the biggest bully at the time, King George III.

"...while supposed Obamacare horror stories keep on turning out to be false, it's already quite easy to find examples of people who died because their states refused to expand Medicaid. According to one recent study, the death toll from Medicaid rejection is likely to run between 7,000 and 17,000 Americans each year.”

The Republican Party since President Nixon’s resignation has been a record of economic failures. The 27 Republican-dominated red states are the poorest states, with the greatest income inequality, lowest life spans and highest birthrate mortalities. They require the most assistance from wealthy blue states to balance their budget deficits. And they have the highest death rates, including suicides, from drug and gun use.

It is the reason we are experiencing a second Gilded Age, almost a repeat of the turn of the 20th century that created the robber barons. The enormous wealth generated by the digital age has created an economy dominated by the ultra-wealthy with a massive tax burden born by all Americans.

$trillions have been siphoned away from wage earners to the owners of capital since 1980, which most economists consider the start of the second Gilded Age. The result was a series of recessions leading to the housing bubble and Great Recession during GW Bush’s reign.

And did they learn from it?

No, Republicans then elected another bully to two terms who continues to wreak havoc on the American economy with illegal tariffs and an another unending war. Donald Trump is a convicted felon who has always been a bully preying on the weakest. His many bankruptcies (5) and lawsuits (+3500) attest to his methods of defrauding investors and stiffing his workers that he could not dominate.

But perhaps the saddest example of Republicans’ transformation to a party  is that they no longer protect the environment as they did when President Nixon created the Environmental Protection Agency in 1972 by signing the Clear Air and Water Acts.

When will Americans finally wake up to the suffering inflicted from such ugly behavior in a party that only caters to the richest and persecutes the poorest in upcoming elections, before inflation becomes uncontrollable, the air unbreathable, and the Iran becomes another unending war like Iraq?

Will it take another Great Recession and loss of millions of jobs before Americans stand up to such a bully mentality once again to end this Gilded Age?

Harlan Green © 2026

Follow Harlan Green on Twitter: https://twitter.com/HarlanGreen

Who Won the Shutdown?

 Financial FAQs

“What if conservatives succeeded in repealing Obamacare? “Republicans' Obamacare repeal bill would leave 17 million more people uninsured next year, and 32 million more in 2026, the Congressional Budget Office said in an estimate Wednesday. It also said premiums would double by 2026. …By 2026, three quarters of the population would live in areas with no insurers participating in the non-group market, due to upward pressure on premiums and downward pressure on enrollment, the report found.” Huffington Post

GETTYIMAGES

Republicans didn’t win the recent government shutdown because they don’t understand how important affordable healthcare has become to all Americans, not just the wealthy.

They were in fact attempting to take down Obamacare (ACA) once again by not including the subsidies in the continuing resolution that made it available for middle and low-income folk.

Republicans have proven time and again that they want non-senior Americans to pay for health care out of their own pockets, if not through their employer or business. Their extreme dislike of the federal government providing any public healthcare is most evident in Trump picking a very demented RFK, Jr. to lead the Department of Health & Human Services, while slashing Medicare and Medicaid benefits.

It reveals why they are the party of wealthy oligarchs. They are not at all interested in the health of their constituents. It’s why Republican administrations have attempted to repeal Obamacare more than 30 times and why many of the Republican red states haven’t enlisted in the Obamacare premium subsidies that would enable their own citizens to afford Obamacare

So I cited above a CBO estimate from my 2017 Huffington Post article of the benefits to Americans’ health from Obamacare resulting from its passage.

A 2016 Commonwealth Club study said “…evidence indicates that the ACA has likely acted as an economic stimulus, in part by freeing up private and public resources for investment in jobs and production capacity. Moreover, the law’s payment and other cost-related reforms appear to have contributed to the marked slowdown in health spending growth seen in recent years.”

Some of those benefits are:

· Health care spending growth per person—both public and private—has slowed for five years.

· A number of ACA reforms, particularly related to Medicare, have likely contributed to the slowdown in health care spending growth by tightening provider payment rates and introducing incentives to reduce excess costs.

· Faster-than-expected economic growth and slower-than-expected health care spending have led to multiple downward revisions of the federal deficit and projected deficits.

· These trends have also been a boon to state and local government budgets, as job growth has improved state tax revenues while cost growth in health care programs has slowed. At the same time, expanding insurance to millions of people who were previously uninsured has supported local health systems and enhanced families’ ability to pay for necessities, including health care.

We now must wait for the November 20 release of the delayed September unemployment report to learn just how much the shutdown hurt the American economy.

But the almost complete ignorance of Obamacare’s importance by Republicans during the shutdown enabled Democrats’ big win in the November elections.

Harlan Green © 2025

Follow Harlan Green on Twitter: https://twitter.com/HarlanGreen

Why Are Americans So Unhealthy?

 Financial FAQs

“Americans have just avoided another health care disaster in voting down the Senate’s ‘skinny’ Obamacare Repeal and Replace bill. Even though maintaining most of the taxes to pay for the Medicaid portion, it would have made insurance coverage prohibitively expensive for those older and sicker users with the removal of the private and employer mandate requirements that would cause younger and healthier people to leave the insurance markets.” Harlan Green Huffington Post

Graph: Last Tech Age

I wrote this in 2017 when Republicans had almost succeeded in repealing Obamacare, the Affordable Care Act (ACA) during President Trump’s first term.

And they are at it again by refusing to negotiate their continuing resolution (CR) with Democrats that has caused the latest government shutdown. The Democrats have been asking to keep the Obamacare subsidies in the CR that help to finance the Obamacare premiums for older and sicker folks. It’s 2017 all over again.

Republicans couldn’t repeal Obamacare then but they are about to succeed this time by allowing the Obamacare subsidies that keep premiums affordable for the 30 million users to lapse at the end of this year.

\Americans already have the worst health outcomes in the developed world, precisely because America is the only developed country—in fact, even of undeveloped countries—that doesn’t have universal coverage.

The result is one of the highest birth death rates, as well as diabetes, heart and other infectious disease rates—which are diseases usually associated with poorer, undeveloped countries and regions.

Why have Republicans been able to prevent a universal healthcare system that insures Americans that almost every other country in the world provides for their citizens?

I believe a major reason is because the U.S. has the highest income inequality in the developed world, as measured by the Gini Inequality Index that is accepted by economists. The U.S. is in 34th place of the 149 countries as ranked by the CIA’s World Factbook; with a Gini inequality index (41.8) like Bolivia and Djibouti. Whereas Denmark (29.3) and the European countries are at the top of equality rankings. The higher the index, the greater the gap between wealthy and poorer citizens of a country’s population.

Republicans have made more than 30 attempts to repeal President Obama signature achievement that required private health insurers to cover clients with existing illnesses for the first time.

A 2016 Commonwealth Club study listed Obamacare’s benefits. “…evidence indicates that the ACA has likely acted as an economic stimulus, in part by freeing up private and public resources for investment in jobs and production capacity. Moreover, the law’s payment and other cost-related reforms appear to have contributed to the marked slowdown in health spending growth seen in recent years.” Health care spending growth per person—both public and private—has slowed for five years.

· A number of ACA reforms, particularly related to Medicare, have likely contributed to the slowdown in health care spending growth by tightening provider payment rates and introducing incentives to reduce excess costs.

· Faster-than-expected economic growth and slower-than-expected health care spending have led to multiple downward revisions of the federal deficit and projected deficits.

· These trends have also been a boon to state and local government budgets, as job growth has improved state tax revenues while cost growth in health care programs has slowed. At the same time, expanding insurance to millions of poeople who were previously uninsured has supported local health systems and enhanced families’ ability to pay for necessities, including health care.

The benefits of Obamacare have become blindingly obvious since it was enacted in 2014, which for the first time required private health insurers to cover people with existing illnesses. So why have Republicans continued to oppose it?

Combined with RFK, Jr.’s cuts to the Department of Health and Human Services, Americans’ health outcomes will get even worse, making working Americans less productive.

Why shouldn’t affordable healthcare be a right for the poorest, as well as the wealthiest? Maybe even Republicans might begin to ask why?

Harlan Green © 2025

Follow Harlan Green on Twitter: https://twitter.com/HarlanGreen

Who Benefits From America's IOU's?

 Financial FAQs

WASHINGTON (AP) — The U.S. government’s gross national debt has surpassed $37 trillion, a record number that highlights the accelerating debt on America’s balance sheet and increased cost pressures on taxpayers. AP

FREDdebtGDP

Trump and his Republicans’ trade war and big, beautiful tax bill resemble a giant Ponzi scheme in several ways that has created the greatest wealth and income inequality in the developed world. 

It is in essence robbing Peter to pay Paul, by using the revenues from the highest tariff rates since the Great Depression, cutting $billions from Medicare, Medicare and Obamacare benefits, Doge-slashing important health and climate research departments as well as foreign aid spending, because Trump must pay down the record national debt that he has declared is a national emergency.

Yet it was generated by generations of mostly Republican tax cuts. President Reagan created the first major national debt in fighting the cold war and Central American contra wars, GW Bush created the first $trillion deficit with his war on terror largely based on fabricated intelligence, and Donald Trump will manage to add some $ 9 trillion to what is now a record $37 trillion from his trade war with almost no understanding or knowledge of foreign trade, as Nobelist Paul Krugman has pointed out several times.

And President Trump just fired the head of the Bureau of Labor Statistics so that he could replace her with someone who will cook the books on inflation and real job numbers.

The history of deficits is portrayed in the above graph of U.S. national debt calculated as a percentage of GDP.

Tump’s original Tax Cuts and Jobs Act (TCJA) had already added $5 trillion to the national debt that peaked at 132.8% as a percentage of GDP in Q1 2020 during the COVID-19 pandemic and it has since dropped to 120% because of the aid bills that the Trump and Biden administrations signed into law boosting economic growth to almost 3% annually.

The White House appeal to the foreign trade court to leave Trump’s tariff war in place is his attempt to keep the Ponzi scheme from imploding, rather than negotiating with congress that has the actual power to make foreign trade agreements.

Executive orders without congressional approval are illegal, unless there is a national emergency. And the soaring national debt could become one, if Trump succeeds in destroying the good faith and credit of the U.S. in renewing the TCJA.

On May 16, Moody’s Ratings downgraded the U.S. credit rating, citing an “inability of the nation to address large and growing deficits.” This downgrade means that for the first time ever, all three major credit ratings agencies have downgraded U.S. credit below their top AAA rating.

Trump is therefore begging an appeals court to allow the tariffs. It could lead to a “GREAT DEPRESSION” Trump said on social media, with Americans “forced from their homes” that will threaten social security and Medicare.

Yet the financial markets aren’t panicking this time, maybe for the wrong reasons, as I said in an earlier column. This is while the Final Demand Producer Price Index has jumped to 3.3% annually, the highest in three years since the COVID-19 induced supply shortages, lessening the chances of Federal Reserve rate cuts.

Wall Street’s over enthusiasm, which was first termed irrational exuberance by Fed Chair Alan Greenspan in the mid-1990s as a warning that stocks were overpriced, has created a new asset bubble much like the dot-com asset bubble, and housing bubble that led to the Great Recession.

And it has led to the greatest income inequality in the developed world which has impoverished Republican-led red states above all, whose citizens are most easily cowed by their policies.

And what will happen when foreign investors, mainly governments, realize a $37 trillion national debt isn’t sustainable indefinitely?

Harlan Green © 2025

Follow Harlan Green on Twitter: https://twitter.com/HarlanGreen

Why Kill Social Security?

 Answering Kennedy’s Call

“Let's say social security didn't send out their checks this month. My mother who’s 94, she wouldn’t call and complain. She'd think something got messed up, and she'll get it next month. A fraudster always makes the loudest noise, screaming, yelling and complaining.” Trump Commerce Secretary Howard Lutnick

It’s a sign of Republican Party and the Trump/Musk administration’s extreme incompetence (and naviete) if they believe Americans will buy Howard Lutnick’s story that only fraudsters would care if our seniors miss a social security payment when a major share of seniors list their monthly social security payment as their major (and only) source of income!

Commerce Secretary Howard Lutnick’s comments thereby reveal why Republicans and Trump want to  at least damage it enough that Republicans can privatize it for their Wall Street cronies.

It is an insane attempt to destroy social security in its current form, of course, and a reflection of Republicans’ efforts to dumb down its mostly red state electorate.

Even GW Bush attempted it, to no avail when the profit windfall that brokers would reap for managing it as a private pension fund was revealed ($5Billion at the time), which would come out of taxpayers’ pockets, of course.

Nobel Laureate Paul Krugman in a recent Substack column said why they are so blatant about it: the differences in education and the information media their red stater supporters have access to. Sixty three percent of Republican/Trump voters in 2024 were less than college educated.

Paul Krugman

Krugman also pictured who will be most harmed by his attempt to destroy social security. It will be our elderly and retired with a high school education or less, with 60 percent of their income comes from social security. And these are Republicans’ main red state supporters.

They tried something similar in Trump’s first term with more than 30 attempts to repeal Obamacare. It was a major reason Trump lost to Biden in 2020. It should be the main reason Republicans lose at least the House of Representatives in the upcoming 2026 midterm election.

The only real way to combat this wall of ignorance is with a better information infrastructure, or more effective propaganda machine, if we want to call it that. It will be necessary to expose the blatant ignorance Republicans have historically relied on to maintain their power in the red states and with swing voters that pay less attention to political news, polls have shown.

AOC and Bernie Sanders are having rallies in red and purple states like Arizona and Colorado talking what makes “common sense” to most American voters, and that have been effective in drawing up to 50,000 member crowds, for starters.

Trump/Musk are blindly rushing ahead with Musk’s so-called DOGE efficiency drive and Trump’s tariff wars that could cause horrendous damage to our economy, when there are much better ways to accomplish their stated goals of lowering regulations and decreasing the budget deficit and national debt.

Such haste is causing irreparable damage to lives and livelihoods; just as Musk’s failure to correct Tesla’s design flaws have killed people. There are better ways, and maybe the SCOTUS 5-4 ruling that Trump can’t indiscriminately fire federal workers without cause can begin to slow down the wholesale destruction enough to prevent a very large economic ‘fire’ and even a major recession, I said last week.

There is a lesson to be learned. The Tesla automobile’s sometimes fatal design flaws seem to be because of his lack of attention to details in his single-minded drive to invent new and better technologies, just as Trump’s pre-occupation with revenge and retribution clouds his thinking, and that of those that are tasked with carrying out his executive orders.

It's an opening that will combat the Republican Party’s nihilism, not to denigrate the less educated, but is common sense to most Americans—not tariffs that boost inflation and make enemies of our allies, or allow measles and bird flu epidemics to run their course rather than vaccinate, and bipartisan legislation that protects our borders rather than illegal deportations. The list goes on and on.

Common sense policies are something understood by all income groups and social classes that oligarchs and their enablers, the real fraudsters, don’t want Americans to know.

Harlan Green © 2025

Follow Harlan Green on Twitter: https://twitter.com/HarlanGreen

No Art of the Deal--Part II

 Answering Kennedy’s Call

“It’s 100 days into the Trump Presidency and looking more and more like President Trump is no more effective at running the country than his business interests. His book, The Art of the Deal was meant to tout his negotiating skills, but the results were never very successful.”

Huffington Post

I wrote this piece for Huffington Post in 2017, after President Trump’s first 100 days as president.

“And neither are his legislative efforts; with no repeal of Obamacare, or tax reform, an immigration ban, new trade policy, and sanctuary city victories in the offing anytime soon because of poorly thought out strategies. Instead, he threatens judges, sanctuary cities, Congress, and even other countries when they don’t support his various executive orders,” I said then.

President Trump’s real intentions are becoming clear on just his second day of his second term in office. He and his Oligarchs want to steal the US Government blind, as the saying goes, by keeping Americans and the media as blind as possible to what he intends.

Will he be more successful in passing his promises in his second term? We should ignore some of his most nonsensical executive orders, such as attempting to amend the 14^th Amendment by decree that guarantees citizenship for anyone born in the U.S. 50 states and territories, which he knows can’t be done by decree or executive order.

But the furor that it and the immediate release of 1500 January 6 Capital attackers from prison, mostly convicted felons, will generate enough attention that it will cloak his real intention; reduce or eliminate as many government programs as possible that make life better for ordinary Americans, such as Medicaid, in order to fund more tax cuts.

He has already rescinded the Biden executive order to cap Medicaid spending on drugs that would save Medicaid $billions in costs.

“In reversing the executive order Biden signed in 2022, Trump halted an effort to cap the copayment for generic medications at $2 for Medicare beneficiaries, along with another program that would see Medicare pay less for drugs that receive accelerated approval from the Food and Drug Administration,” according to MarketWatch’s Jessica Hall.

And there is also the question of what Trump will do with regard to the prescription-drug provisions in the Inflation Reduction Act, which would be substantially more consequential. Under the Inflation Reduction Act, Medicare can negotiate the prices of certain prescription drugs with the aim of making drugs more affordable for older adults and people with disabilities.

We can’t blame it just on Trump. Republicans have been trying to deprive Americans of affordable healthcare managed by the government for years. The efforts became serious in the more than 30 unsuccessful attempts to repeal Obamacare since it was passed during President Obama’s first two years in office. It became an obsession in Trump’s first term that I wrote about in Huffington Post at the time.

“What if conservatives succeeded in repealing Obamacare (ACA)? “Republicans' Obamacare repeal bill would leave 17 million more people uninsured next year, and 32 million more in 2026, the Congressional Budget Office said in an estimate Wednesday. It also said premiums would double by 2026. …By 2026, three quarters of the population would live in areas with no insurers participating in the non-group market, due to upward pressure on premiums and downward pressure on enrollment, the report found.”

The accrued savings in health care spending relative to their projected growth prior to the ACA are substantial: Medicare alone is now projected to spend $1 trillion less between 2010 and 2020.

The lobbies behind the Obamacare repeal effort have not succeeded in making more Americans ill. I don’t even want to imagine what the results would be if he and Republicas succeed in downsizing Medicaid benefits as well.

Harlan Green © 2025

Follow Harlan Green on Twitter: https://twitter.com/HarlanGreen

How Much Do We Care?

 ANSWERING KENNEDY’S CALL

“Robert F. Kennedy, Jr., the proposed secretary of the Department of Health and Human Services, would undo all of this.  On his watch, were his ideas implemented, millions of us would die.  Knowing that our lives will be shorter, we become nasty and brutish.”

NPR.org

This is a question I asked in 2017. What country had the second-highest mortality from noncommunicable conditions — like diabetes, heart disease or violence — and the fourth highest from infectious disease? Also, from adolescence to adulthood to old age, what country has the highest chance of dying an early death?

The answer is the United States of America. Where else, since the U.S. is the only developed country in the world without universal health care? Then why would Donald Trump nominate RFK, Jr., an anti-vaxxer and conspiracy follower with no medical background who is the least qualified person for guarding the health of Americans as Secretary of Health and Human Services?

Timothy Snyder said it best in looking at Trump’s cabinet picks to date:

“Taken together, Trump’s candidates constitute an attempt to wreck the American government.

“The foundation of modern democratic state is a healthy, long-lived population.  We lived longer in the twentieth century because of hygiene and vaccinations, pioneered by scientists and physicians and then institutionalized by governments.  We treat one another better when we know we have longer lives to lose.  Health is not only the central human good; it enables the peaceful interactions we associate with the rule of law and democracy. 

“Robert F. Kennedy, Jr., the proposed secretary of the Department of Health and Human Services, would undo all of this.  On his watch, were his ideas implemented, millions of us would die.  Knowing that our lives will be shorter, we become nasty and brutish.”

The Republican Party itself has been on the same path with their efforts to dismantle healthcare legislation such as Obamacare in the name of downsizing government.

A recent New York Times Business Insider article by Eduardo Porter highlighted a recent study by the Institute of Medicine and the National Research Council of 16 of the richest countries in the world that set out to assess our nation’s health.

The results are devastating and show how far America has fallen behind in caring for its citizens.

This problem should have nothing to do with ideology, and whether access to affordable health care should be a privilege or a right. Too many Americans are dying of drug overdose and violence. Too many Americans suffer from depression, a major cause of drug abuse.

And too many Americans are obese, making them less productive and more prone to accidents in the workplace. “The United States ranks in the bottom fourth among the 30 industrialized nations in the Organization for Economic Cooperation and Development in terms of days lost to disability,” says Porter. “Women will lose 362 days between birth and their 60th birthday: men about 336. Mental health problems like depression will account for most.”

But these statistics hide the real problem—rampant income inequality that has caused many of these unhealthy ouitcomes.

The U.S. ranks 106th of the 149 countries in income inequality as ranked by the CIA’s World Factbook; with a Gini inequality index of developing countries like Peru and Cameroon. Finland and the Scandinavian countries are at the top of equality, Germany and France are 12th and 20th, respectively. The higher the index, the greater the gap between wealthy and poorer citizens of a country’s population.

And the poorer the person, family, or community, the more prone to illness and drug use is that person, or family, or community. This is where the just defeated Senate version of repeal and replace Obamacare bill would have hurt the most—in the poorer red states that voted for President Trump.

“What’s more, the United States’ higher tolerance of poverty undoubtedly contributes to higher rates of sickness and death,” says Porter. “Americans at all socioeconomic levels are less healthy than people in some other rich countries. But the disparity is greatest among low-income groups.”

Finally contributing to our health crisis is the incredible amount of violence—both due to guns (33,000 per year killed by guns), workplace accidents, and drug abuse, that a universal health care system would treat via mental health coverages as well.

In other words, there are much higher costs because we don’t have a healthy healthcare system and we the citizens are paying those costs.

Harlan Green © 2024

Follow Harlan Green on Twitter: https://twitter.com/HarlanGreen

What's Next, Republicans?

 Financial FAQs

“What if conservatives succeeded in repealing Obamacare? “Republicans' Obamacare repeal bill would leave 17 million more people uninsured next year, and 32 million more in 2026, the Congressional Budget Office said in an estimate Wednesday. It also said premiums would double by 2026. …By 2026, three quarters of the population would live in areas with no insurers participating in the non-group market, due to upward pressure on premiums and downward pressure on enrollment, the report found.”

I wrote a Huffington Post piece in July 2017 during President Trump’s first term that could predict what we might look forward to with Republicans, and Donald Trump’s healthcare policy in his second go-around as president.

Huffington Post

The result for working Americans of Republicans’ repeated attempts to repeal Obama that I wrote about then is shown in the above graph. It compares the soaring death rates of 45-54 white American males with other developed countries (red USW line). Obamacare is the only American universal healthcare plan that covers workers with pre-existing conditions if no employer healthcare, and yet Republicans can be expected to again attempt to replace it with a “concept” in Trump’s words.

Americans had just avoided another health care disaster in voting down the Senate’s ‘skinny’ Obamacare Repeal and Replace bill in 2017. Even though maintaining most of the taxes to pay for the Medicaid portion, it would have made insurance coverage prohibitively expensive for those older and sicker users with the removal of the private and employer mandate requirements that would cause younger and healthier people to leave the insurance markets.

This is just the latest precipice that’s been avoided. Americans already have the worst health outcomes in the developed world, precisely because America is the only developed country—in fact, even of undeveloped countries—that doesn’t have universal coverage.

The result is one of the highest birth death rates, as well as diabetes, heart and other infectious disease rates—which are diseases usually associated with poorer, undeveloped countries.

The last time Republicans swept the presidential election in 2017, it was the very white, male Tea Party reacting to our first Black President. But they didn’t replace it with something new. They went back to their base of wealthy Oligarchs formed during the Reagan era, still fighting labor unions and resisting more social programs to help the less fortunate, as Trump’s MAGA nation has promised to do.

Trump’s electorate has been good at wanting to tear down the old institutions, but not good at replacing them with a newer, better system. And if Elon Musk becomes the efficiency czar in Trump’s new administration, and he continues to brag he can cut $2 trillion in waste from the federal budget, we know social programs and maybe much more will suffer in the name of reducing the national debt.

There is another, better way to replace what hasn’t worked for working Americans; but that must be based on science and new technologies that can come from our educated elite (rather than our political and wealthy elite).

If Republicans want to be part of that future, they can’t follow a con artist who doesn’t believe in the future, only the past.

Harlan Green © 2024

Follow Harlan Green on Twitter: https://twitter.com/HarlanGreen

The Tariff Bomb

 Financial FAQs

Getty

Now that Elon Musk, the world’s richest man, is doing all he can to elect Donald Trump the next American President with his $Billions; because there are too many regulations (read environmental), which means he might never otherwise get to Mars; it’s time to ask what a Trumpian economy would look like if Elon succeeds in his quest.

It would be a big win for wealthy oligarchs such as Musk.

Trump’s biggest lie is that a 20 percent tariff on almost all imports is a tax paid by the exporter, not American users of those imports. Common sense tells us that we can only tax foreign products after they arrive on our soil, not in the country of origin.

Any tax on imports arriving in the U.S. is therefore an American tax, so that the product’s final price charged to American consumers includes the import tax added to whatever the exporter is charging for said product, a price increase.

The results would do horrendous damage to our economy just out of the worst pandemic in 100 years that killed one million Americans. In fact, it would precipitate another recession because past history has shown Americans the damage wrought by high inflation on the working classes that pay taxes on a larger proportion of their income, than the one percent of earners and corporations.

A recent report by the Peterson Institute for International Economics, a serious non-partisan think tank, asserted that the labor shortages and higher tariffs on imports Trump proposes would return inflation to pandemic levels of 6 to 9 percent, not to mention the damage to employment and the USDollar if Trump exceeded in deporting immigrants, or hamstringing the Federal Reserve in its inflation fight.

“We find that all the policies examined could cause a loss of production and employment, especially in trade-exposed sectors such as manufacturing and agriculture.”

CPI consumer inflation rate reached the astronomical height of 14.6 percent during the 1981 and 1982 recessions, 5.5 percent during the Great Recession (2008-09), and rose as high as 9 percent in 2022 during the COVID-19 pandemic.

Trump’s tariff lie exposes an even larger lie beneath it. He can only pay for the tax cuts, such as were enacted in his Tax Cuts and Lobs Act (TCLA) on wealthy individuals and corporations, with a consumption tax that all Americans pay.

It lets corporations and the wealthiest off the hook on paying for the necessary programs that fund Medicare, Medicaid, and defense, which is what the TCLA did that is about to expire and was the only major legislation during his four years in office.

A Brookings Institute analysis of his TCLA was even more damaging, and he intends to renew it if elected: “The new law will reduce federal revenues by significant amounts, even after allowing for the impact on economic growth. It will make the distribution of after-tax income more unequal. If it is not financed with concurrent spending cuts or other tax increases, TCJA will raise federal debt and impose burdens on future generations.”

So, it’s also time to ask exactly what policies have made the U.S. economy the stronger than any other developed countries since the COVID-19 pandemic. Is it by Republicans or Democrats, since it’s become and election issue?

Former president Obama claimed in a recent Detroit campaign speech that it was his eight years—2008-2016, during the recovery from the Great Recession—that his administration was responsible for creating what became almost 11 years of positive GDP growth, longer even than President Clinton’s record recovery streak of 10 years.

That recovery continued into the Trump administration from 2016-2020 and the onset of the COVID-19 pandemic that briefly stopped all growth, but recovered quickly due to the government aid that flooded into the economy (before the supply-chains recovered) and inflation skyrocketed.

The Fed has finally tamed inflation and even more importantly, job growth returned to pre-pandemic unemployment levels. And that was due to President Biden’s Bidenomics policies that are modernizing the American economy for future generations.

Yet Trump has said climate change is hoax; so the increasingly frequent hurricanes and tornadoes must also be illusions. He has also said that he wants to eviscerate many of President Biden’s spending programs and policies, in the name of cutting the budget deficit, as well as once again attempt to repeal Obamacare, if elected.

It is what very wealthy oligarchs such as Elon Musk also say that they want.

Harlan Green © 2024

Follow Harlan Green on Twitter: https://twitter.com/HarlanGreen

Make Healthcare More Equal!

 Answering Kennedy’s Call

Healthcare is back in the news, and Republicans still don’t get its importance as an election issue in its continuing efforts to repeal Obamacare, the 2010 Affordable Care Act (ACA), enacted that I wrote about in 2017 in the Huffington Post.

The Republican Party is now Trump’s party, and nothing has changed. Trump’s failed effort in 2017 to repeal the health-care law was blasted at the time over the prospect of millions of Americans losing their health insurance. Senator John McCain killed Republican’s last attempt in 2017 when I first wrote about it.

“Americans have just avoided another health care disaster in voting down the Senate’s ‘skinny’ Obamacare Repeal and Replace bill,” I said then. “Even though maintaining most of the taxes to pay for the Medicaid portion, it would have made insurance coverage prohibitively expensive for those older and sicker users with the removal of the private and employer mandate requirements that would cause younger and healthier people to leave the insurance markets.”

“Republicans' Obamacare repeal bill would leave 17 million more people uninsured next year, and 32 million more in 2026, the Congressional Budget Office said in a 2017 estimate. Premiums would double by 2026…By 2026, three quarters of the population would live in areas with no insurers participating in the non-group market, due to upward pressure on premiums and downward pressure on enrollment, the report found.”

This is even “Although overshadowed in the national political discourse by discussions about the importance of the economy, immigration, or abortion, voters have expressed that health care continues to be one of their highest priorities,” said a recent Brookings commentary.

“In fact, a May 2024 poll by Pew found that health care was the third-highest issue priority for voters, garnering a robust 57% from respondents”, continued Brookings.

Yet former President Donald Trump on the 2024 campaign trail said once again that he is “seriously looking at alternatives” to the Affordable Care Act if he returns to the White House, reports the NYTimes, “reigniting his longstanding crusade against former President Barack Obama’s signature health-care law.”

Then why do Republicans continue to attack Obamacare when it is so popular? It’s total self-interest, the hubris of the entitled, now in stark relief. Republicans have opposed almost any government-run social welfare legislation. Remember Bush II’s attempts to privatize social security, which would have raised its cost astronomically and given his Wall Street backers a multi-billion-dollar windfall?

This first became evident in Ronald Reagan’s 1980 original campaign slogan, “government is the problem”, which was a ploy to divert at least $1 trillion from wage earners to the holders of capital by busting the labor unions and cutting taxes for the wealthiest. It was the start of a new Gilded Age that created great wealth for the top 10 percent and the great inequality we have today.

America now has the worst income inequality in the developed world, according to the CIA World Factbook. And studies have shown that those countries with the most inequality also rank lowest in healthcare benefits.

The U.S. was in 106th place of the 149 countries in income inequality as ranked by the CIA’s World Factbook; with a Gini inequality index of developing countries like Peru and Cameroon in 2017. Whereas Finland and the Scandinavian countries are at the top of equality rankings, Germany and France are 12th and 20th, respectively, as I’ve highlighted in past columns. The higher the index, the greater the gap between wealthy and poorer citizens of a country’s population.

Another June 2024 Hart Research And Protect Our Care Poll cited by Protect Our Care, a social welfare nonprofit, found that over 60 percent of voters view Obamacare favorably.

Its many features include pre-existing condition coverage and no-cost preventive care, as well as allowing young adults on parents’ insurance. There is also broad support (82% favor, 47% strongly favor) for permanently lowering the cost of premiums for people who buy insurance through the ACA.

ProtectOurHealth.org

A recent NY Times article reported that more than 45 million people are enrolled in Affordable Care Act-related coverage, according to a recent report from the Department of Health and Human Services. A record number of people — more than 20 million — have signed up for plans on the act’s marketplaces this year, according to the Biden administration.”

What would happen if Republicans return Donald Trump to power? Americans already have the worst health outcomes in the developed world, precisely because America is the only developed country—in fact, even of undeveloped countries—that doesn’t have universal coverage.

The result is one of the highest birth death rates, as well as diabetes, heart and other infectious disease rates—which are diseases usually associated with poorer, undeveloped countries and regions.

On the other hand, a 2016 Commonwealth Club study lists Obamacare’s benefits:

“…evidence indicates that the ACA has likely acted as an economic stimulus, in part by freeing up private and public resources for investment in jobs and production capacity. Moreover, the law’s payment and other cost-related reforms appear to have contributed to the marked slowdown in health spending growth seen in recent years.”

The accrued savings in health care spending relative to their projected growth prior to the ACA are substantial: Medicare alone is now projected to spend $1 trillion less between 2010 and 2020.

The lobbies behind the Obamacare repeal effort have succeeded in making more Americans ill. I don’t even want to imagine what percentage of the 32 million would ultimately lose their coverage, if Trump keeps his promise to repeal Obamacare.

Senator McCain said back then that now is the time for Republicans and Democrats to work together in “regular order” to craft something better, maybe a universal healthcare bill that insures all Americans?

That would truly make Americans healthier.

Harlan Green © 2024

Follow Harlan Green on Twitter: https://twitter.com/HarlanGreen

The Irrelevance of MAGA Republicans

 Answering Kennedy’s Call

This is another Huffington Post column I wrote in 2017 at the beginning of the Trump presidency. It’s about the irrelevance of his policies for most Americans that another Trump presidency would repeat, as well as further damaging our health and the environment, while making the world less safe.

“It’s sad that the President of the United States has become irrelevant to most of the problems facing Americans and the world. In choosing to return to a 1950’s that never was—the brief emergence of a white middle class—MAGA Trump is choosing to isolate himself and his constituency from the real world. Do we need a better definition of President Trump’s irrelevance?

Let’s start with his fiasco of an Asian trip, where he fawned over foreign leaders who gave him massive pageants, but no trade concessions, while abandoning the Trans- Pacific Partnership.

The remaining 11 countries, including Japan, Australia, Mexico and Malaysia, said they had revived the Trans-Pacific Partnership (TPP) deal, a multilateral agreement championed under the Obama administration.

The Guardian reported Ministers meeting in Danang, Vietnam agreed on the “core elements” of what was now called the comprehensive and progressive agreement for Trans-Pacific Partnership, a joint statement read.

And “American leaders from state capitals, city halls and businesses across the country have shown up in force” in Bonn, Germany, to discuss carrying out the 2015 Paris climate agreement,” said California Governor Jerry Brown and Michael Bloomberg in the New York Times.

This is when President Trump announced at the beginning of his Presidency that he was abandoning the Paris Accord in favor of supporting a return to coal and oil energy. But that isn’t happening for the rest of America, as some 50 percent of U.S. states and cities are represented in Bonn.

“California just extended its cap-and-trade emission program through 2030 and has adopted incentives that will help put 1.5 million electric vehicles on the road by 2025,’ said Jerry Brown, Governor of the sixth largest economy in the world.

Huffington Post

And the U.S. just released its latest congressionally mandated Climate Science Special Report that says 2017 wreaked the most catastrophic destruction in 90 years with an estimated $175 billion in property damage. Only the San Francisco Earthquake (1906), Chicago Fire (1871), and Great Flood (1927) caused more destruction.

What is Trump afraid of, that he fawns over Chinese and Russian leaders, while extracting no concessions from them? He was seen to spend more time with Vladimir Putin at the Asia-Pacific Economic Cooperation summit in Vietnam than any other leader.

Even his support of Republicans’ so-call tax reform bills is irrelevant, as he wants Republicans once again to attempt to repeal the Obamacare mandate, when more than 50 percent of Americans now support Obamacare, according to the latest Kaiser Family Foundations Health Tracking Poll.

That is irrelevance of the highest order, and as many pundits have noted, it is also the definition of insanity: Republicans attempting to repeal Obamacare more than 30 times and expecting a different result.

Another feature of the tax reform bill is that it requires taking away approximately $1.5 trillion in Medicare and Medicaid benefits to give the wealthiest an unnecessary tax cut. Therefore, it won’t help the shrinking middle class, or any income class, except to top 1 percent.

Harold Myerson voiced recently in The American Prospect, “The United States now has the highest percentage of low-wage workers – that is workers who make less than two-thirds of the median wage- of any developed nation. Fully 25 percent of all American workers make no more than $17, 576 a year.”

The irrelevance of this President is therefore a real danger to our health and standard of living in so many ways.

Harlan Green © 2024

Follow Harlan Green on Twitter: https://twitter.com/HarlanGreen

America's Ongoing Civil War

 Popular Economics Weekly

Alex Garland’s just released movie, Civil War, about a modern American civil war to unseat a Trump-like authoritarian president in the name of restoring democracy, is portraying an armed uprising that won’t happen today. The possibility of such a military rebellion ended 159 years ago when General Lee surrendered the Confederate Army at the Appomattox Court House in 1865.

Garland misses the point that Americans are fighting a different kind of civil war today as ugly and brutal in many ways but has morphed into an ongoing political and economic competition waged between red and blue states. There are still many casualties, however.

I had been writing about an ongoing civil war since 2013 when a contributing writer for Huffington Post. It caught the attention of Al-Jazeera-America, who interviewed me at the time for an article on the ideological war between Democrats and Republicans during the Obama Presidency.

I said then “…It (the Civil War) was about such men attempting to preserve slavery and state rights. Today, it is about not giving more rights to minorities and the poor.”

The ruling elites of the red states are mostly Republicans wanting to preserve their wealth with lower taxes and less federal government intervention. They want little or nothing to do with expanding such government programs as Obamacare. And the ultra-conservative Tea Party was formed to lead their movement.

A NYTimes 2010 poll had found18 percent of Americans who identify themselves as Tea Party supporters tend to be Republican, white, male, married and older than 45.

It was easy to see why the Tea Party was powerful at the time. Obama’s election in 2008 had reawakened the racism of the old south that was part of an economic apartheid system between the Haves and Have-nots remaining after the abolishment of slavery.

"You're here because now is the single best time we have to defund Obamacare," declared Senator Cruz, one of the Tea Party leaders in 2013. "This is a fight we can win." It didn’t happen, of course, because of a Republican Senator from Arizona after more than 30 attempts by Republicans to defund it.

But it has been conservatives’ battle cry ever since that has caused a tremendous economic toll on the red states, whose poverty levels remain much higher than in the coastal blue states; a distant echo of the carnage that ended 159 years ago.

Why is there another movie about an actual civil war? Maybe it’s because a former president and his supporters keep threatening to wage a new civil war, which might have happened if said former president had succeeded in stopping the Electoral College vote on January 6, 2021.

A better take on today’s uncivil, civil war are films about protests happening today, like an antiwar movie by docu-drama filmmaker Peter Watkins. It was a 1971 movie made during the Vietnam War I happened to be involved in called Punishment Park.

Peter Watkins, an English film director already acclaimed for The War Game, a movie about the devastating effect of a nuclear bomb attack on London, used a dry lake in California as the movie setting for a concentration camp to house those arrested for protesting the Vietnam War, because regular prisons were already overflowing with anti-war protestors.

The movie posited that President Nixon had decreed a State of Emergency under a little-known internal security act from the 1950s to tamp down opposition to the Vietnam War.

A kangaroo court made up of local citizens was set up to try those arrested. The convicted are then given the choice—a chance to escape across the desert without being recaptured for three days without food and water while being pursued by the National Guard, after which they would be released if they survived.

And Watkins added a European news crew in the mix to film the events within the film, highlighting the hostilities and brutality on both sides of the protests.

It bombed at the box office. But I heard it was more popular in Europe, where Peter Watkins was better known.

Why the continuing civil war between red and blue states? There are so many reasons. One can start with the innate tension between states’ rights and the federal government’s role in preserving universal rights that was baked into the constitution.

The constitutional debate then was between northern Federalists led by John Adams that wanted a strong central government, and southern states righters led by Thomas Jefferson, who by some miracle were able to agree on our constitution.

The only casualty at the time was the death of Treasury Secretary Alexander Hamilton from a duel with Vice President Aaron Burr.

In the name of lower taxes for the wealthiest and fewer government benefits for the less wealthy, red states have the same issues today, including the racial apartheid of blacks and minorities who receive much less of the economic pie in those states.

What happened on January 6 was a close call, of course, and maybe Garland was right to visualize a possible military outcome had the former president succeeded in stopping the Electoral College vote.

But the center held, as the saying goes, there has not been another civil war, because of our legal system, the third leg of government that provided the needed checks and balances.

Maybe the best description of what has preserved our democracy was President Lincoln’s reputed quote in the Lincoln Douglas debates of 1858: “You can fool some of the people all of the time, and all of the people some of the time, but you cannot fool all of the people all of the time.”

It is the best description of why citizens of democratic countries have a voice. The upcoming presidential election will be a test of how many citizens can be fooled, and whether we remain a democracy.

Harlan Green © 2024

Follow Harlan Green on Twitter: https://twitter.com/HarlanGreen

Trumpcare is Killing US!

Financial FAQs

It took 4 hours to coax Patricia Okoumou, a Congolese immigrant, down from the Statue of Liberty while wearing a t-shirt that said, “Trumpcare Makes Us Sick.” It was serendipitous timing. She was part of a group wanting the abolition of ICE, but her t-shirt also brought attention to Republican and Trump administration’s efforts to abolish Obamacare, when a just released HHS report states that  Obamacare is doing better than ever for those in most need of health insurance.

President Trump has to be aware that most Americans want to keep Obamacare, even with the latest Republican tax cut bill that also abolishes the Obamacare mandate in 2019 requiring Americans not covered to pay a penalty if they have no health care coverage. The result has been higher premiums for those above the federal poverty level not subsidized by the federal government.

The reason Obamacare is popular with a majority of Americans is that the alternative Trumpcare bills attempted by Republicans last year wouldn’t just make Americans sicker, they will kill more people. Approximately 17,000 people could have died if a House Republican health proposal endorsed by the Trump administration had become law in 2018, who otherwise would have lived. By 2026, the number of people killed by Trumpcare could have grown to approximately 29,000 in that year alone, according to ThinkProgress, progressive think tank.  It is backed up by a CBO estimate that 24 million more Americans could lose health insurance by 2026 under Trumpcare.

Trump’s assertion that he has “gutted” Obamacare in his attempt to sicken and kill more Americans simply isn’t true. In fact, those in most need of health care coverage, those earning less than the federal poverty line, $48,500 for an individual, and $100,400 for a family of four, are doing quite well, according to the latest assessment from the Centers for Medicare and Medicare Services that administers Obamacare.

 

Overall, according to the figures released by the agency, 10.6 million Americans had signed up for ACA coverage by February and paid their first month’s premium, according to the Los Angeles Times. That was about 3 percent ahead of the 10.3-million enrollment at the same moment in 2017, the agency sai

Unsubsidized customers responded to the challenge of higher premiums by abandoning their health coverage in droves, HHS reported. The trend began in 2017, after Trump’s inauguration. That year, subsidized enrollments fell by about 223,000, or 3 percent. But unsubsidized enrollments fell by 1.3 million, or 20 percent.

This is while subsidized enrollment (those receiving Advanced Premium Tax Credits, or APTC) was 23 percent larger than unsubsidized (non-APTC) in 2014 and 32 percent larger in 2016 — and reached 61 percent in 2017.

Trump’s answer to the premium increases caused by his own policies has been to undercut the law even further by eliminating the consumer protections that make health insurance worth buying. These include requirements that all policies cover essential health benefits such as maternity care, hospitalization and prescription drugs, and opening the marketplace further to short-term junk insurance that carries lower premiums but offers substandard coverage.

We are not even mentioning Trump’s efforts to abolish the exemption for existing illnesses, and take away the federal payments meant to subsidize states’ Medicaid programs, which will result in even higher health insurance premiums for everyone.

Who are President Trump and his Republican synchophants really killing with their heartlessness?  Those now above the poverty line—the increasing number of unsubsidized in the middle class.  And they can and will vote, on what has become the number one issue for voters in November.

A new Pew Research Center survey reports 60 percent of Americans say the government should be responsible for ensuring health care coverage for all Americans, compared with 38 percent who say this should not be the government’s responsibility. The share saying it is the government’s responsibility has increased from 51 percent last year and now stands at its highest point in nearly a decade.

So, Trump and your Republican supporters of big business, please go right ahead and keep up your efforts to repeal and replace Obamacare if you want to become irrelevant.  Voters in November will know what this means.

Harlan Green © 2018

Follow Harlan Green on Twitter: https://twitter.com/HarlanGreen

The Irrelevance of President Trump

Popular Economics Weekly

It’s sad for America that the President of the United States has become irrelevant to most of the problems facing Americans and the world. But it’s heartening as well, because in choosing to return to a 1950’s that never was—the brief emergence of a white middle class—Trump can’t do much damage to future growth by choosing to isolate himself and his constituency from the real world. Do we need a better definition of President Trump’s irrelevance?

Let’s start with his fiasco of an Asian trip, where he fawned over foreign leaders who gave him massive pageants, but no trade concessions, while abandoning the Trans- Pacific Partnership.

The remaining 11 countries, including Japan, Australia, Mexico and Malaysia, said they had revived the Trans-Pacific Partnership (TPP) deal, a multilateral agreement championed under the Obama administration.

The Guardian reported Ministers meeting in Danang, Vietnam agreed on the “core elements” of what was now called the comprehensive and progressive agreement for Trans-Pacific Partnership, a joint statement read.

And “American leaders from state capitals, city halls and businesses across the country have shown up in force” in Bonn, Germany, to discuss carrying out the 2015 Paris climate agreement,” said California Governor Jerry Brown and Michael Bloomberg in yesterday’s New York Times.

This is when President Trump announced at the beginning of his Presidency that he was abandoning the Paris Accord in favor of supporting a return to coal and oil energy. But that isn’t happening for the rest of America, as some 50 percent of U.S. states and cities are represented in Bonn.

“California just extended its cap-and-trade emission program through 2030 and has adopted incentives that will help put 1.5 million electric vehicles on the road by 2025,’ said Jerry Brown, Governor of the sixth largest economy in the world.

Graph: Marketwatch.com

And the U.S. just released its latest congressionally mandated Climate Science Special Report that says 2017 wreaked the most catastrophic destruction in 90 years with an estimated $175 billion in property damage. Only the San Francisco Earthquake (1906), Chicago Fire (1871), and Great Flood (1927) caused more destruction.

What is Trump afraid of, that he fawns over Chinese and Russian leaders, while extracting no concessions from them? He was seen to spend more time with Vladimir Putin at the Asia-Pacific Economic Cooperation summit in Vietnam than any other leader.

Even his support of Republicans’ so-call tax reform bills is irrelevant, as he wants Republicans once again to attempt to repeal the Obamacare mandate, when more than 50 percent of Americans now support Obamacare, according to the latest Kaiser Family Foundations Health Tracking Poll.

“When asked whether it was good or bad that the Senate GOP had failed to repeal ObamaCare, answers were more direct. Six out of 10 Americans say that Senate Republicans' failure to repeal the law was a "good thing," said the KFF poll, “compared to just 35 percent who disapproved and wanted the law repealed.”

That is irrelevance of the highest order, and as many pundits have noted, it is also the definition of insanity: attempting to repeal Obamacare more than 50 times, and expecting a different result.

Another feature of the tax reform bill is that it requires taking away approximately $1.5 trillion in Medicare and Medicaid benefits to give the wealthiest an unnecessary tax cut. Therefore, it won’t help the shrinking middle class, or any income class, except the top one percent.

Harold Myerson voiced recently in The American Prospect, “The United States now has the highest percentage of low-wage workers – that is workers who make less than two-thirds of the median wage- of any developed nation. Fully 25 percent of all American workers make no more than $17, 576 a year.”

The irrelevance of this President is therefore a real danger to our health and standard of living in so many ways.

Harlan Green © 2017

Follow Harlan Green on Twitter: https://twitter.com/HarlanGreen

Why are Americans So Unhealthy?

Financial FAQs

Americans have just avoided a health care disaster in voting down the Senate’s ‘skinny’ Obamacare Repeal and Replace bill. Even though maintaining most of the taxes to pay for the Medicaid portion, it would have made insurance coverage prohibitively expensive for those older and sicker users with the removal of the private and employer mandate requirements that would cause younger and healthier people to leave the insurance markets.

This is really the latest precipice that’s been averted. Americans already have the worst health outcomes in the developed world, precisely because America is the only developed country—in fact, of most of the rest of the undeveloped world—that doesn’t have universal coverage.

The result is one of the highest birth death rates, as well as heart, diabetes, and infectious disease rates—which are diseases usually associated with poorer, undeveloped countries and regions.

Why has this happened in the America? Because Americans have the worst income inequality in the developed world, according to the CIA World Factbook. And studies have shown that those countries with the greatest inequality also rank lowest in healthcare benefits.

Graph: Last Tech Age

The U.S. ranks 106^th of the 149 countries in income inequality as ranked by the CIA’s World Factbook; with a Gini inequality index of developing countries like Peru and Cameroon. Whereas Finland and the Scandinavian countries are at the top of equality rankings, as I’ve highlighted in past columns. The higher the index in the graph, the greater the gap between wealthy and poorer citizens of a country’s population.

This is while congress has even been attempting to take away Medicaid benefits for the poor, elderly and infirmed? It doesn’t compute. Just 3 Senators—Lisa Murkowski, Susan Collins and John McCain—were courageous enough to stand up to the conservative lobbies that would only worsen healthcare outcomes.

What if conservatives had succeeded in repealing Obamacare? “Republicans' Obamacare repeal bill would leave 17 million more people uninsured next year, and 32 million more in 2026, the Congressional Budget Office said in an estimate Wednesday. It also said premiums would double by 2026. …By 2026, three quarters of the population would live in areas with no insurers participating in the non-group market, due to upward pressure on premiums and downward pressure on enrollment, the report found.”

On the other hand, a 2016 Commonwealth Club study lists Obamacare’s many benefits. “…evidence indicates that the ACA has likely acted as an economic stimulus, in part by freeing up private and public resources for investment in jobs and production capacity. Moreover, the law’s payment and other cost-related reforms appear to have contributed to the marked slowdown in health spending growth seen in recent years.”

Some of those benefits are:

· Health care spending growth per person—both public and private—has slowed for five years.
 
· A number of ACA reforms, particularly related to Medicare, have likely contributed to the slowdown in health care spending growth by tightening provider payment rates and introducing incentives to reduce excess costs. 

· Faster-than-expected economic growth and slower-than-expected health care spending have led to multiple downward revisions of the federal deficit and projected deficits.

· These trends have also been a boon to state and local government budgets, as job growth has improved state tax revenues while cost growth in health care programs has slowed. At the same time, expanding insurance to millions of people who were previously uninsured has supported local health systems and enhanced families’ ability to pay for necessities, including health care.

· The accrued savings in health care spending relative to their projected growth prior to the ACA are substantial: Medicare alone is now projected to spend $1 trillion less between 2010 and 2020.

We can thank Senators Merkowski, Collins, and McCain that the so-called ‘freedom’ lobbies behind the Obamacare repeal efforts have not succeeded in making more Americans ill. I don’t even want to imagine the increased death totals due to lack of care of the 32 million aged and infirm that could ultimately lose their coverage.

So now is the time, in Senator McCain’s words, for Republicans and Democrats to work together in “regular order” to craft a truly bipartisan healthcare bill that could actually improve the health of Americans.

Harlan Green © 2017

Follow Harlan Green on Twitter: https://twitter.com/HarlanGreen

What Healthcare System Do Americans Want?

Popular Economics Weekly

This is a quiz. What country had the second-highest mortality from noncommunicable conditions — like diabetes, heart disease or violence — and the fourth highest from infectious disease? Also, from adolescence to adulthood to old age, what country has the highest chance of dying an early death?

The United States of America—where else, since the U.S. is the only developed country in the world without universal health care? A recent New York Times Business Insider article by Eduardo Porter highlighted a recent study by the Institute of Medicine and the National Research Council of 16 of the richest countries in the world that set out to assess our nation’s health.

The results are devastating, and show how far America has fallen behind in caring for its citizens. And the new Senate version of repeal and replace Obamacare strips even more benefits and money from Obamacare

This problem should have nothing to do with ideology, and whether access to affordable health care should be a privilege or a right. Too many Americans are dying of drug overdose and violence. Too many Americans suffer from depression, a major cause of drug abuse.

And too many Americans are obese, making them less productive and more prone to accidents in the workplace. “The United States ranks in the bottom fourth among the 30 industrialized nations in the Organization for Economic Cooperation and Development in terms of days lost to disability,” says Porter. “Women will lose 362 days between birth and their 60th birthday; men about 336. Mental health problems like depression will account for most.”

Graph: LastTechAge.com

But all of these statistics hide the real problem—rampant income inequality. The U.S. ranks 106^th of the 149 countries in income inequality as ranked by the CIA’s World Factbook; with a Gini inequality index of developing countries like Peru and Cameroon. Finland and the Scandinavian countries are at the top of equality, Germany and France are 12^th and 20^th, respectively. The higher the index, the greater the gap between wealthy and poorer citizens of a country’s population.

And the poorer the person, family, or community, the more prone to illness and drug use is that person, or family, or community. This is where the Senate version of repeal and replace Obamacare hurts the most—in the poorer red states that voted for President Trump.

“What’s more, the United States’ higher tolerance of poverty undoubtedly contributes to higher rates of sickness and death,” says Porter. “Americans at all socioeconomic levels are less healthy than people in some other rich countries. But the disparity is greatest among low-income groups.”

Finally contributing to our health crisis is the incredible amount of violence—both due to guns (33,000 per year killed by guns), workplace accidents, and drug abuse, that a universal health care system could treat via mental health coverages as well.

In other words, there are much higher costs because we don’t have a healthy healthcare system and we the citizens are paying those costs, rather than those that are pushing the $1.1 trillion in tax cuts that Obamacare utilizes to pay for many of those costs.

Harlan Green © 2017

Follow Harlan Green on Twitter: https://twitter.com/HarlanGreen

Republicans Are About to 'Make America Last'

Popular Economics Weekly

President Trump’s withdrawal from the Paris Accord on climate change is symbolic in more ways than one. In bringing back the white nationalist call to make America great again, he could set us back decades in bringing cleaner air and reducing global warming, not to speak of what would happen to economic growth.

In fact, he wants to Make America Last in the developed nations in caring for not only our environment, but economic growth as well. The agenda of Trump and his Tea Party supporters seem to want is to knock out the main pillars that grow the economy—a better social safety net (fewer workers lose work time), restriction of immigration and the importation of new workers needed for higher growth, as well as cutting huge chunks out of the budget for education and R&D, which are needed for a more educated workforce and the development of new products, the seed corn for future productivity and prosperity.

We currently have the second highest carbon emissions per capita after China, but could become the highest emitter if Republicans succeed in rolling back 30 years of environmental protection, becoming the country with the least amount of environmental protections.

Why leave the Paris Accord, when it is a voluntary accord to reduce carbon emissions? It was to help the coal industry, where Commerce Secretary Wilbur Ross is heavily invested in coal and has already made $millions with the 50 percent bumpup in coal stocks since Trump took office.

And the Koch Brothers $millions that were spent to elect Tea Party candidates is paying off as Trump initiated an immediate review of President Obama’s Clean Power Plan, which restricts greenhouse gas emissions at coal-fired power plants, the main vehicle for reduction of U.S. emissions that was promised in the Paris Accord.

Surrounded by coal miners, the president described that plan as a “crushing attack” on workers and vowed to nix “job-killing regulations. We’re going to have safety, we’re going to have clean water, we’re going to have clean air, but so many [regulations] are unnecessary, so many are job-killing,” he said.

The withdrawal process takes a total of 4 years, beginning in 2020 after the next congressional elections. It is totally voluntary, with all but 3 countries now on board, except the US, Nicaragua, and Syria.

But it’s symbolic in another way, as well. Trump and his Republican supporters seem to want to be left out of collective agreements of any kind, and this will hurt us economically as well as isolate US from future attempts to lower carbon emissions.

America will also be last in health care if Republicans succeed in repealing Obamacare, because Repubs want to slash spending on Medicaid and social security disability coverage, needed predominately by the poorer states that supported Trump. Why? So they can use the $1.11 billion is savings to pay for the repeal of the Obamacare taxes that benefit the wealthiest.

Need we say more of why the Trump Team wants to Make America Last? So their own wealthy supporters gain even more wealth, and Trump’s supporters—most of whom reside in the poorest states—will continue to suffer from his sleight of hand.

Harlan Green © 2017

Follow Harlan Green on Twitter: https://twitter.com/HarlanGreen

Has dismantling of American health care system begun?

Financial fAQs

We now know that the revised Republican repeal of Obamacare is really intended to dismantle and perhaps destroy any federally-funded health care program, which would return health care to either cash-starved states or private industry; to the high cost, broken healthcare system it was before Obamacare. And all this is to give the wealthiest among us a tax break they don’t need?

We know because the CBO and JCT estimate just out says that, in 2018, 14 million more people would be uninsured under H.R. 1628 than under current law. The increase in the number of uninsured people relative to the number projected under current law would reach 19 million in 2020 and 23 million in 2026.

We also know this because no public hearings were held on the House plan and none are planned for the still-secret Senate plan, something that Senator Diane Feinstein said has never happened before for major legislation in her 40 years in Congress.

And it is a very major bill. For instance, in 2026, an estimated 51 million people under age 65 would be uninsured, compared with 28 million who would lack insurance that year under current law, according to the CBO. Under the legislation, a few million of those people would use tax credits to purchase policies that would not cover major medical risks, but their costs would rise because no longer protected by the ACA prohibition against raising costs for those with pre-existing conditions, for example.

It therefore dismantles the possibility of affordable health care that covers pre-existing conditions for most Americans. It gives businesses and the wealthiest a juicy $664 billion reduction in taxes, which are the tax revenues needed to pay for the Obamacare state subsidies—mainly to reimburse states that cover their poorest Medicaid citizens. So, it’s to be paid for with a total of $1.111B in spending cuts for Medicaid and social security disability coverage.

 Graph: CBO

It is what the white racist agenda of Tea Party Republicans and President Trump is leading us towards. It is what they mean by making American great again. Let us hope there are enough intelligent Senators to block what is being done in secrecy, in the hopes that most Americans won’t notice there is nothing great about leaving a total of 53 million in 10 years—mostly the elderly and poor—without any healthcare options except the most expensive, and a budget that wants to continue to redistribute our tax dollars to the wealthiest one percent where it will do the least good.

And in a coda, Senate Republicans face increasing pressure to rescue health insurance markets and protect coverage for millions of Americans amid growing fears that the Trump administration is going to let the markets collapse, said the LA Times.

This is because President Trump has repeatedly threatened to withhold federal aid that helps millions of low-income Americans afford their deductibles and co-pays.  The aid, which reimburses insurers for lowering out-of-pocket costs for low-income consumers, was paid by the Obama administration. But it is now the subject of a lawsuit by congressional Republicans, who argue Congress must approve the payments.

In recent days, leading hospitals, physician groups, health insurers and the U.S. Chamber of Commerce have pleaded with the Senate to step in, effectively going around the White House.

“Congress must take action now,” the groups warned in a letter to Republican and Democratic Senate leaders. “At this point, only congressional action can help consumers.”

Can it be any clearer that health care coverage for many, if not most Americans, is in danger of collapse? 

Harlan Green © 2017

Follow Harlan Green on Twitter: https://twitter.com/HarlanGreen