Body Health, Mental Health, Politics

THE SENATE RELEASES THEIR HEALTHCARE BILL

Read my articles about the CBO analysis for the House bill here and the March AHCA bill here

In other news, before we get started—President Trump took to Twitter today to confirm that there were no tape-recordings of his conversations with former FBI Director James Comey; tapes he insinuated weeks ago he had.


Written when I was going to write about using self-tanner in preparation for New York Pride, and the realization that the healthy, sun-kissed glow I actually needed was for my soul—but more pressing matters have arisen.

This morning—Thursday June 22, 2017—the new healthcare plan was released after a cloud of mystery while it was being written in private by Senate Majority Leader Mitch McConnell and a small group of colleagues. The bill’s mystery was protested by Democrats and Republicans alike, who feared that this bill would be introduced and forced into a hasty vote before anyone had a chance to read it. according to CNN, the bill will have a one-week-turnaround, meaning that McConnell hopes to get it voted on within a week.

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Politics

YES, IVANKA TRUMP IS COMPLICIT

News has broken that Ivanka Trump, the First Daughter with security clearance and an untitled job in the West Wing, met secretly with Cecile Richards, the president of Planned Parenthood, in what Richards described as an “explainer” meeting. According to Politico, the First Daughter has been doing several of these meetings, having “quietly met with other leaders of the progressive women’s movement.”

 

In a recent interview with Gayle King, Ms. Trump has this to say about her critics: “If being complicit is wanting to, is wanting to be a force of good and to make a positive impact, then I’m complicit…I don’t know that the critics who may say that of me, if they found themselves in this very unique and unprecedented situation that I am now in, would do any differently than I am doing.”

The “complicit” of it all refers to the Saturday Night Live sketch were Scarlett Johansson played Ivanka in a perfume ad (“Complicit: The fragrance for the woman who could stop all of this—but won’t.”).

Ivanka assured Gayle and the public at large that just because she hasn’t been vocal doesn’t mean she hasn’t been active. “I would say not to conflate lack of public denouncement with silence,” she told King. “I think there are multiple ways to have your voice heard.” And how has Ivanka made her voice heard?

 

Since Trump has been in office, he has rescinded federal protection for transgender students re bathrooms, defended Bill O’Reilly (who is accused by multiple women of sexual harassment), accused President Barack Obama of wiretapping, voiced his support for the American Health Care Act and even tried to dispense with maternity and pediatric care as a bargaining chip, and told Planned Parenthood that he wouldn’t defund them if they stopped performing abortions.

If Ivanka Trump is truly a “moderate” influence on her father, then either she’s doing a horrible job of it, or he’s way more batshit than we think and this is him “moderated.”

Either way, make no mistake—Ivanka is complicit. Because to not be complicit would be to actively speak out for what she believes in. “Complicit” looks like secret meetings with Planned Parenthood or quietly reaching out to women’s movements—when you arguably have one of the biggest platforms in America right now, and unprecedented access to the president and the private sector.

I find issue with organizations like The Hill who tweet out headlines like “Ivanka Trump: “I don’t know what it means to be complicit”.” Yes, that is a quote, but it’s taken out of context. And in addition to being misrepresentative and clickbait-y, it paints Ivanka Trump as an idiot. And the dangerous part—she’s not an idiot. She’s deadly smart. That’s why she’s dangerous: because she’s incredibly smart and savvy and still won’t do anything. In the same way that Kellyanne Conway is portrayed as ditzy—it’s a mistake to underestimate them. Kellyanne Conway is incredibly smart—she was able to see something in Middle America that everyone else, including (and especially) the Clinton campaign, did not.

Don’t let her off the hook because in comparison to everyone else in the White House, she’s moderate and progressive. Because she’s pretty and slim and wealthy and white. Because she’s a “working woman.” She’s not your friend, she’s not my friend. She’s not with us.

Yes, Ivanka Trump is complicit because “quietly” and “secretly” meeting with progressive feminists does not seem to be mitigating her father’s harmful rhetoric and policy. Because when you’re the First Daughter (and de facto First Lady) and your husband is a senior adviser to the President, you don’t get to do anything secretly and quietly. Everything you can be doing needs to be loud and outward. Because while you quietly chat with Cecile Richards, who later blasted Trump on her silence, women are having their bodies debated over by cisgender, privileged white men, and trans kids are holding in their pee to avoid physical assault, and your father is protecting the reputations of those accused of sexual harassment.

If this is your moderating force, it’s not going that well.

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Politics

THE AMERICAN HEALTH CARE ACT GOES TO VOTE TODAY, FRIDAY MARCH 24

Update 3/25: the American Health Care Act was pulled from the floor and did not go through the voting process. Speaker Ryan has stated that the Affordable Care Act will be the law for the “foreseeable future.” President Trump has since stated that he will wait for the ACA to “explode” and then create a “greater healthcare plan.”

Today, Friday, March 24, 2017, the House of Representatives will vote on the Affordable Care Act replacement bill—the American Health Care Act—with significant changes having been made last night and without the Congressional Budget Office analyzing those changes. Previously the CBO offered projections of, despite a decrease of ~$337 billion in the deficit, roughly 24 million people without coverage by 2026. Even by just repealing the ACA leaves 18 million people uninsured.

The bill underwent multiple changes after receiving severe blowback from all Democrats and several factions of Republicans. GOP moderates felt that the plan was too ill-thought and would leave too many people uninsured. GOP conservatives felt the bill did not go far enough, and dubbed it “Obamacare-Lite.” Those divides postponed the vote, which was supposed to take place yesterday. Ryan and other proponents of the bill did not want to go forward without the votes.

 

The new bill would defund Planned Parenthood. The rationale for this is restriction of abortions. However, Planned Parenthood puts no federal funding towards abortions. They do put federal funding towards reimbursement for services like birth control, contraception, and cancer screenings. Patients use public health programs, like Medicaid and Title X, go to places like Planned Parenthood that take that coverage. They use the programs, Planned Parenthood sends the claim to Medicaid (for example), which reimburses them, and then Medicaid sends the bill to the federal government. Abortions, which account for roughly 3 percent of all PP services, do not get reimbursed.

So when the GOP says that they will defund Planned Parenthood, they are doing it out of spite, because what they’re actually doing is stopping people from being able to use Medicaid for non-abortion services.

Vice President Mike Pence, formerly the Governor of Indiana, recently posted a photo of himself and the President meeting with the Freedom Caucus. The Freedom Caucus is made up of the GOP conservatives who are dragging their feet about the bill.

To get them on the side of voting yes, those in charge of the bill—House Speaker Paul Ryan, VP Pence, and even Trump—have struck a deal with the Freedom Caucus. If the Caucus agrees to the bill, the Essential Health Benefits list will be removed from the bill.

What’s the Essential Health Benefits?

It’s a holdover from the Affordable Care Act. It requires insurances to cover—at the bare minimum—the following 10 items:

  • Emergency Services
  • Hospitalization
  • Ambulatory patient services
  • Maternity and newborn care
  • Mental health and substance use disorder services
  • Prescription drugs
  • Rehabilitative and habilitative services
  • Laboratory services
  • Preventive and wellness services
  • Pediatric services

There has been no analysis on the future consequences on striking off the Essential Health Benefits because the CBO has not been given enough time to conduct research.

Trump has put pressure on the GOP to push this bill through. It would solidify his stance as a deal-maker—something he ran on during the campaign—and would show his control over the rapidly dividing Republican party. He has also threatened that the Republicans will lose their majority if the bill does not pass. That pressure has forced massive overhauls to the bill. House Republicans and Democrats are set to vote on a bill that they haven’t read in full, or had sufficient or significant research on.

But perhaps the scariest part of this whole thing is that photo that VP Pence Tweeted out. Him and the President meeting with the Freedom Caucus. With the strength of the Freedom Caucus, the American Health Care Act is that much closer to being passed.

A circle of wealthy, privileged, heterosexual cisgender white men, deciding the fate of women, minorities, cancer patients, those with mental illness, and the vulnerable. We might not have seen the finished bill, but we have seen enough of the consequences. The AHCA would mostly affect the elderly and sick—premiums would rise due to declining assistance—while the young, healthy and wealthy would see tax benefits. In addition, according to Forbes, over the next decade, the plan outlines an $880 billion tax cut, with $274 billion going directly to the richest 2%.

If the AHCA, the new healthcare plan, only benefits the young, healthy and wealthy, while leaving premiums rising, care decreasing, targeting the elderly and the sick, and ~24 million uninsured—then it’s possible that this isn’t the best plan.

But this is the world we live in—the decision of this small cluster of white men, for whom this healthcare plan will only benefit, will impact the rest of us.

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