Republicans kill people with malice aforethought

This 32-Year-Old Florida Woman Is Dead Because Her State Refused To Expand Medicaid

By Tara Culp-Ressler on April 9, 2014 at 10:21 am

Charlene Dill

Charlene Dill

Charlene Dill, a 32-year-old mother of three, collapsed and died on a stranger’s floor at the end of March. She was at an appointment to try to sell a vacuum cleaner, one of the three part-time jobs that she worked to try to make ends meet for her family. Her death was a result of a documented heart condition — and it could have been prevented.

Dill was uninsured, and she went years without the care she needed to address her chronic conditions because she couldn’t afford it.

Under the health reform law, which seeks to expand coverage to millions of low-income Americans, Dill wasn’t supposed to lack insurance. She was supposed to have access to a public health plan through the law’s expansion of the Medicaid program. But Dill, a Florida resident, is one of the millions of Americans living in a state that has refused to accept Obamacare’s Medicaid expansion after the Supreme Court ruled this provision to be optional. Those low-income people have been left in a coverage gap, making too much income to qualify for a public Medicaid plan but too little income to qualify for the federal subsidies to buy a plan on Obamacare’s private exchanges.

Florida has one of the highest uninsurance rates in the nation, and is home to a disproportionately large number of residents who struggle to afford health services. Nonetheless, lawmakers have continued to resist accepting generous federal funds to expand Medicaid to an estimated 750,000 low-income Floridians like Dill.

Although Florida Gov. Rick Scott (R) initially indicated that he was in favor of accepting the funds for expansion, he’s since walked back that position. Meanwhile, Republicans in the legislature don’t even plan to schedule a vote to address Medicaid expansion during their current session, suggesting that the federal government won’t actually come through with the funding to support the policy.

Dill made about $9,000 annually by babysitting, cleaning houses, and selling vacuum cleaners. As the Orlando Weekly reports, she was optimistic about her coverage options under President Obama’s administration. She tried to sign up for Obamacare using the online calculator on HealthCare.gov, but quickly found out she fell within the coverage gap.

In the absence of health coverage, Dill’s best friend, Kathleen Voss Woolrich, occasionally turned to crowdfunding sites on the internet to raise the money Dill needed to pay for her heart medication. Last month, Woolrich crowdfunded to pay for Dill’s funeral.

In an emotional blog post published on the site Women on the Move at the end of last month, Woolrich blamed Florida politicians for her friend’s early death.

“You see the main argument Republicans use is that it’s some lazy person who needs Medicaid expansion. That those of us living without healthcare or dental care are lazy. But my friend, a single beautiful mother, worked three jobs,” Woolrich wrote. “I am burying my best friend because of the policies of the Republican Party. I am burying my best friend because had Medicaid expanded, her needs would have been met.”

And Dill won’t be the only one. A recent study conducted by Harvard researchers estimated that as many as 17,000 people will die directly as a result of their states refusing to expand Medicaid. In Florida, that translates to about six deaths like Dill’s every single day. This issue is exacerbated by the fact that the low-income residents in states that have resisted Medicaid expansion tend to have more health problems than the residents in other states.

Democratic officials in Florida have responded strongly to Woolrich’s story. Rep. Alan Grayson (D) — who told the Orlando Weekly that his colleaugues’ resistance to Medicaid expansion “has put the GOP’s appalling disregard for human life on full display” — entered Woolrich’s blog post into the Congressional record.

“I memorialized Charlene’s life and death in the Congressional Record, because the Republicans want to pretend that none of this is happening. That Charlene didn’t die as a result of their callous neglect — that no Floridians will die as a result of their willful refusal to expand Medicaid at no cost,” Grayson explained. “But I’m not going to let them forget. I’m not going to let them pretend. This is not a game; this is very real. This is life and death.”

n 1: What Happened to Canada?

(Ed Note: Just in case, I’m repeating this post from n+1 because I don’t want this to just ‘disappear’, a stunt the Harpercons might do more than daydream about.)
HARPER-STEPHEN-CANADIAN PM HEADSHOT-154X215-02“You won’t recognize Canada when I’m through with it.”
  –  Stephen Harper

 What Happened to Canada?

The left has long admired Canada as an enclave of social democracy in North America: for its openly socialist electoral parties, its robust welfare state, and its more moderate policy profile. Recent developments, however, have thrown that reputation into question. The country is helmed by a prime minister, Stephen Harper, known for his brazenly right-wing views and executive unilateralism. Both federal and provincial governments have embraced austerity and eroded public services. And Canada’s newly aggressive exploitation of its natural resources has it trampling on civil liberties and reneging on its international obligations like, as Foreign Policy put it, a “rogue, reckless petrostate.”

These are not changes born in the hearts and minds of the Canadian people, but an agenda designed and implemented from above, articulated in an imported conservative ideology, to abet the interests of private industry. Some of that agenda, like the shocking attack on Canada’s environmental research community, has been implemented so swiftly and unilaterally that the public is just now catching up. Other aspects, like the undermining of the country’s universal health care system, have been imposed more gradually, a death by a thousand cuts combined with a relentless propaganda campaign.

What is happening in Canada is part of a much larger trend: the formidable disciplinary forces of late capitalism are exerting themselves everywhere, including in other western democracies, where governments are scaling back social programs while lavishing tax concessions and subsidies on industry. The European Union and the United States are similarly absorbing market shocks on behalf of business while allowing downturns to undermine the poor and working class. If Canada is becoming indulgent of, even slavish toward, its resource industry (the biggest contributor to GDP), it is arguably no more so than the United States in relation to its banking sector, which was never brought to heel despite causing the 2008 collapse.

Still, the drastic turn in Canadian politics and policy raises some urgent questions. Why hasn’t the population stopped the attack on its public services? Why have left-leaning parties lost ground at the polls while Harper and his ilk continue getting reelected? Why, in a society with a more collectively oriented spirit, has the political discourse taken a sharp turn to the right?

The answers to those questions tell a story to which the left should pay heed, for the hijacking of Canada’s social democracy was made possible in part by the utter failure of its left parties, and the prospects for wresting the country from the current conservative agenda depend on the success of grassroots movements of resistance.

Canada’s public services, including health care and post-secondary education, the post office and the Canadian Broadcasting Corporation, are generally quite beloved. Unlike in the United States, where the government is viewed with some suspicion, in Canada government-administered and -funded institutions are understood to play an important nation-building role by servicing a population dispersed across a vast terrain. And the fact that all Canadians’ needs are provided for has become a point of pride.

Over the past few decades, however, private business interests and their neoliberal allies in government have led a concerted push to expand the role of the market and shift government expenditure away from social need. The assault on public services hasn’t been conducted by criticizing them on principle, but by manufacturing crises and then suggesting that the only solution is to expand the role of the private sector.

Such is the strategy playing out right now at the post office. Last December, it was announced that Canada Post would have to phase out home delivery within five years, requiring residential customers to retrieve their mail from nearby community boxes. The change would come along with a significant increase in the cost of postage (from 63 cents to one dollar for a single stamp) and the layoff of 8,000 postal workers.

The announcement was shocking, but calculatedly so. The recommendations were prepared by a think tank arguing for privatization. It claimed that the post office is unsustainable and uncompetitive, a burden to taxpayers, and poor at meeting consumers’ needs. In reality, Canada Post has netted a profit for sixteen of the last seventeen years, and, despite occasionally suffering losses, has yet to receive a single dollar in taxpayer bailout. All of the report’s recommendations were part of a larger and often-used strategy to “restructure” services so that user costs increase while services deteriorate, and then, in response to public frustration, suggest market-based solutions.

The same strategy has been exercised repeatedly in health care: crises are brought on by underfunding, and the alleged only solution is to expand the role of private profit. Services are “delisted,” i.e. taken out of universal medicare coverage, but private supplemental insurance becomes available to cover them. Public hospitals are closed but private clinics allowed to open. Wait times for services increase due to budget cuts, but patients are permitted to “jump the queue” and pay out of pocket for their own MRI. The public is thus softened for market-based solutions, although on an ideological level it remains staunchly committed to medicare and vocally resistant to efforts to introduce parallel private health insurance and private hospitals. The CBC, itself constantly menaced with cuts, recently held a months-long contest to select “The Greatest Canadian.” The population chose Tommy Douglas, the architect of Canada’s medicare system, ahead of Wayne Gretzky, Alexander Graham Bell, and Pierre Trudeau.

Continue reading

POETRY READING 2014 April 15 BLY, SMITH, MANFRED, JENKINS

On Tuesday April 15, 2014 Public Art St Paul Presents

CAROL CONNOLLY hosts READING BY WRITERS

at the historic University Club Saint Paul, 420 Summit Avenue

www.universityclubofstpaul.com 651-222-1751

MEMBERS and NON-MEMBERS are invited for

5:00 Dinner – optional – on your own. Reservations necessary.

Bar is open before, during and after the 7:30 reading.

7:00 P.M. Prelude music by violinist Mary Scallen and flutist Jim Miller.

On Tuesday April 15, 2014, 7:30, our featured readers are:

ROBERT BLY is rightly said to be the most significant American poet of our time. Early on, he launched the influential magazines THE FIFTIES; THE SIXTIES; THE SEVENTIES, and in his long and remarkable career, authored more than forty volumes of poems. Poet James Lenfestey says of Bly, “…poet, critic, social transformer, teacher, editor and translator, Bly has been invited to perform, read, recite and speak all over the world…. always drawing vast crowds.” Poet Lewis Hyde says of Bly’s antiwar poetry, which engaged only in mental combat, “I deeply believe that there are men and women my age who are alive today…” because of Robert Bly’s work in the sixties.”

THOMAS R. SMITH is the author of six books of poems, most recently THE FOOT OF THE RAINBOW and WAKING BEFORE DAWN, both from Red Dragonfly Press. He is editor ofAIRMAIL: THE LETTERS OF ROBERT BLY and TOMAS TRANSTROMER, Graywolf Press. Smith’s poems have been featured on Garrison Keillor’s public radio program THE WRITER’S ALMANAC and in Ted Kooser’s AMERICAN LIFE IN POETRY newspaper column. Smith lives in River Falls, Wisconsin, and teaches poetry at the Loft Literary Center in Minneapolis. He posts poems and blogs at www.thomasrsmithpoet.com.

FREYA MANDRED, poet, whose 6th book of poetry, SWIMMING WITH A HUNDRED YEAR OLD SNAPPING TURTLE, Red Dragonfly Press, won the 2009 Midwest Bookseller’s Choice Award for Poetry. THE BLUE DRESS, is her latest chapbook. A longtime Midwesterner who has also lived on both coasts, her poetry has appeared in over 100 reviews/magazines and over 40 anthologies. Her memoir, FREDERICK MANFRED, A DAUGHTER REMEMBERS, was nominated for a Minnesota Book Award and an Iowa Historical Society Award. Robert Bly says, “What I like in her poems is that they are not floating around in the air or the intellect. The body takes them in. They are brave…” Novelist Philip Roth says, “Freya Manfred always startles me by how close she gets to everything she sees. That’s her tough luck, but it makes her a wonderful poet.” Freya lives in Stillwater with screenwriter Thomas Pope. Their sons, artists Nicholas Bly Pope and Ethan Rowan Pope, have illustrated some of her poetry.

LOUIS JENKINS most recent book is TIN FLAG: NEW AND SELECTED PROSE POEMS,: from Will o’ the Wisp books, 2013. Recently, he and MARK RYLANCE, actor and former director of the Globe Theatre, London, co-wrote a stage production titled NICE FISH, based on Mr. Jenkins poems. The play premiered April 6, 2013 at the Guthrie Theater in Minneapolis and ran through May 18, 2013.

Readings last only one hour. Readers will have books to sell and sign at our well managed book sales table.