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You are here: Home / Archives for 2020

Archives for 2020

I Know It Don’t Thrill You, I Hope It Don’t Kill You

by @heymistermix.com|  December 22, 202011:40 am| 275 Comments

This post is in: Open Threads

Kevin Drum looks at election demographics and concludes that Democrats are in a long-term pickle:

To put this more simply, recent evidence suggests that Democrats don’t just have a problem with the white working class anymore, but, increasingly, a problem with the working class, period. Unfortunately, this inevitably brings us around to the tedious—but important—question of whether liberals need to move toward the center on social issues.

Needless to say, the progressive wing of the party is massively resistant to this idea. During the election, my Twitter feed was jam packed with quixotic ideas for expanding the Democratic map: eliminating the Electoral College; admitting Washington DC and Puerto Rico as states; packing the Supreme Court; etc. This is all pie-in-the-sky stuff, a desperate attempt to propose anything other than the obvious: embracing social policies that appeal to more people, especially those without college degrees. That’s Politics 101. I don’t know how this is all going to turn out, but I’ll bet it’s going to be a helluva fight.

Feel free to argue with Kevin’s conclusion but let’s just assume he’s right and Democrats need to embrace more appealing social policies, whatever that means. Here’s my first question: how do we find working-class voters who will listen? As I’ve argued before, there’s a major swath of rural voters who are lost to any form of persuasion because they are in a Fox/Facebook bubble. The same may be true for the voters identified in the pieces Kevin quotes in his post, which are white, latino and asian working-class male voters in cities as well as rural areas. Normally, one would talk message before talking how to deliver that message, but I think the smart move in the current political climate is to understand these voters’ media diet first, then talk about messaging. If COVID has taught us anything, it’s that voters beliefs about the Republican Party can withstand a heavy onslaught of reality and remain unchanged.

My second question is what it means to move to the center on social policy. My view is that it’s easy to say and hard to do, because two of the biggest social issues, guns and abortion, are almost completely black-and-white for those who are moved by them. If you say that abortions should be “safe, legal and rare” (which makes me want to puke, frankly) you’ve done nothing to appease a single-issue anti-choice voter. Similarly, saying that you’re for reasonable limits on gun ownership does absolutely nothing to appease someone for whom any limit on gun ownership is too much. Abortion, gun control, LGBTQ (especially trans) rights and a host of other social issues don’t really have a “center” from the perspective of the voters who care about them.

It may well be that there’s a group of male working-class voters who could be swayed by changes in messaging. But I also think Democrats need to do a hell of a lot more research on how to reach those voters before we just accept that moderating our message is the way to do it. And, if we find these voters are unreachable, we need to come up with other strategies to find reachable voters. I see people despairing because 67% of voters turned out in 2020 and Democrats didn’t cruise to victory. My take is that we have another third of the population to work on if we can’t convince working-class males to vote our way.

I Know It Don’t Thrill You, I Hope It Don’t Kill YouPost + Comments (275)

Surprise billing ban in the Corona-bus

by David Anderson|  December 22, 20209:02 am| 40 Comments

This post is in: Anderson On Health Insurance

Loren Adler of the Brookings Institute has good reason to be happy; he and his team and colleagues have been working on the surprise billing problem for years now.  And they have Congressional action.

 

(1/17)

Today’s surprise billing fix is a huge win for consumers!

As of 1/1/2022, it will be illegal nationwide for an out-of-network provider to surprise bill a patient for more than their standard in-network cost-sharing obligations.

THREAD based on the final language https://t.co/82h6YfCklF

— Loren Adler (@LorenAdler) December 21, 2020


 

Surprise billing occurs due to market failure. Clinicians who are not able to be chosen and therefore do not face the normal steering tools an insurer can use such as increased cost sharing and network designation, may choose not to sign in-network contracts and perform all of their services out of network (OON). These clinicians are effectively “invisible” to the patient. Once the PEAR (Pathology, Emergency, Anesthesiology, Radiology) service is performed, the clinician bills the insurer and the patient for full charges that can be more vivid than most fantasies. And if the PEAR provider wants to sign an in-network contract, they can wield a very credible threat of balance billing to get a higher rate.

The balance billing ban relies on a two step process. The first step is that an out of network PEAR clinician bills the insurer and the insurer pays something. If the clinician is happy with the amount, the process ends. If the clinician is unhappy, there is an arbitration procedure which can consider local contracted rates, history of rates in the commercial market but not Medicare or Medicaid rates. The arbitration process produces a number and then everyone goes back at it again in the future.

This bill primarily benefits people insured through private insurance. Medicare, Medicare Advantage, and Medicaid don’t have a balance billing problem as there are administratively set rates that remove the business case for surprise billing.

On first thought, I think this is mostly going to be a transfer of costs from individuals who are insured but receive OON emergency services and air ambulance transports who are currently bearing most of the costs of unanticipated, unplanned OON use to the insurers. And when I say “insurers”, I really mean all premium payers. I expect premiums to increase a little bit and out of pocket cost sharing for outliers to decrease notably. On first glance, I’m having a hard time seeing how PEAR providers will be taking significant pay cuts as the arbiter is not allowed to look at benchmarks based on administrative set rates. Instead median in-network rates will be a big component of the decision-making process.

(1/17)

Today’s surprise billing fix is a huge win for consumers!

As of 1/1/2022, it will be illegal nationwide for an out-of-network provider to surprise bill a patient for more than their standard in-network cost-sharing obligations.

THREAD based on the final language https://t.co/82h6YfCklF

— Loren Adler (@LorenAdler) December 21, 2020

If we think that current in-network rates are a partial reflection of increased leverage that has enabled rent collection by PEAR providers, I can see the most extortionate and aggressive surprise billers lose money but PEAR providers as a class should do pretty well for themselves.

From a consumer standpoint, not worrying about a surprise bill is quite valuable, but we’ll be paying for that in the form of generally higher premiums, I think.

Surprise billing ban in the Corona-busPost + Comments (40)

Tuesday Morning Open Thread: Stimulating

by Anne Laurie|  December 22, 20206:50 am| 174 Comments

This post is in: Biden-Harris 2020, C.R.E.A.M., Open Threads, Show Us on the Doll Where the Invisible Hand Touched You

Vice President-elect Kamala Harris campaigned in Columbus, Georgia, for Democratic Senate candidates Jon Ossoff and Raphael Warnock pic.twitter.com/jIMzHXrqH9

— Reuters (@Reuters) December 22, 2020

show full post on front page

Tuesday Morning Open Thread: StimulatingPost + Comments (174)

COVID-19 Coronavirus Updates: Monday/Tuesday, Dec. 21-22

by Anne Laurie|  December 22, 20205:32 am| 54 Comments

This post is in: COVID-19, Foreign Affairs

I’m not going to let it impact my safety precautions, and I realize we will be in a pandemic through summer, but damn, this is exciting. Know hope. https://t.co/KPamTgYV98

— Mig Greengard (@chessninja) December 21, 2020

show full post on front page

COVID-19 Coronavirus Updates: Monday/Tuesday, Dec. 21-22Post + Comments (54)

On The Road – Albatrossity – New Zealand #2

by WaterGirl|  December 22, 20205:00 am| 10 Comments

This post is in: Albatrossity, New Zealand, On The Road, Photo Blogging

Albatrossity

The next set in this series is non-native animals in New Zealand. And there are a lot of those, from insects to fish to birds to large mammals, thanks to the intervention of the so-called Acclimitisation Societies in the 19th Century. It is almost directly across the globe from England, and the early European settlers missed their native land, so they set about to make it as much like England as possible. Besides clearing forests and planting crops and fighting with the Maori, they imported English and North American creatures. Some were to be hunted (moose, deer, quail, turkeys), some were to provide native birdsong (thrushes), some were to provide good fishing (salmon and trout), and some merely escaped or went feral (rats, cats, stoats, etc.).

All of these animals, if they persisted in this strange part of the world, had a deleterious effect on the native birds. In fact, the only known specimens of an endemic (and now extinct) NZ bird, the Stephens Island Wren, were collected by a single cat that belonged to the lighthouse keeper. Stoats and rats were the primary predators that nearly exterminated the Takahe. And the non-native birds and insects compete for nesting habitat, insect food, nectar, and other items that are important to the survival of the native birds. This scenario has been repeated on islands around the world, but nowhere was it as purposeful and widespread as it was in New Zealand.

Map of places mentioned in this post. 

On The Road – Albatrossity – New Zealand #2Post + Comments (10)

On The Road - Albatrossity - New Zealand - #2 8
AucklandDecember 29, 2013

European birds were imported many times, and although not all of them became established, enough did so that the English settlers could hear birdsong reminiscent of their native England in woods and gardens throughout New Zealand. This European Blackbird (Turdus merula), photographed in Auckland, was introduced multiple times in multiple locations starting in 1862, and is now probably the most widespread bird in the country. Four-and-twenty of them are needed to make a pie, I recall.

Late Night Grifter-on-Grifter Violence Open Thread: Reverend Robertson Clotheslines Golden Donny Dumpster Fire

by Anne Laurie|  December 22, 20201:31 am| 47 Comments

This post is in: C.R.E.A.M., Grifters Gonna Grift, Trump Crime Cartel, Schadenfreude

Televangelist Pat Robertson declares that Biden will be president and that Trump "lives in an alternate reality," "is very erratic," and should not run again in 2024: "You've had your day and it's time to move on." pic.twitter.com/2WYCZOSNTO

— Right Wing Watch (@RightWingWatch) December 21, 2020

It is one of the foundational documents of America that all men are endowed with the right to expend their lives, their treasure, and their sacred honor in support of whatever cult best satisfies their needs and their insecurities. Donald Trump has had an amazing four years working the kafaybe to vacuum up the rubes’ money and attention, but he’s never made much effort to spread the wealth among the more established performers. Now he’s just embarrassing, not to mention a threat to all of them — once the Outsiders start taking apart the Trump fantasies in broad daylight and on national media, what certified non-profit is safe from the backsplash?

Not least among Trump’s woes, as he is turfed unwillingly out of the Oval Office, will be discovering how much support he does not have among all those ‘very fine people’, Talibangelical and otherwise, who have publicly slavered over his ‘Man of God’ stature for the cameras. Let. Us. SAVOR!

Late Night Grifter-on-Grifter Violence Open Thread: Reverend Robertson Clotheslines Golden Donny Dumpster FirePost + Comments (47)

It’s that time of the year

by DougJ|  December 22, 20201:05 am| 8 Comments

This post is in: Absent Friends

From friend of the blog Batocchio….you can nominate anything you wrote on your blog, whether it’s this one or someone else.  Al Weisel was a great wit who died too soon, so I always like to remember him.

******************************************

It’s time once again to continue a tradition started by Jon Swift/Al Weisel, the “Best Posts of the Year, Chosen by the Bloggers Themselves.” Jon/Al left behind some wonderful satire, but was also a nice guy and a strong supporter of small blogs. (Here’s Jon/Al’s massive 2007 and 2008 editions. Our smaller revivals from 2010 through 2019 can be found here.)

 

If you’d like to participate, please write to me (Batocchio9 AT yahoo DOT com) with your best post of the year before 12/25:

 

Blog Name

Title of Post

Link

Author of Post

Brief Description/Pitch of the Post (1–2 sentences)

 

(If it’s not a reply, adding “best post” in the subject line would also help.)

 

To modify Jon Swift’s 2008 solicitation:

 

I would be very honored if you would participate and send me a link to what you think was your best post of [2020], along with a short description of it.  Please make the hard choice and send me only one link.  I would like to post it before the end of the year, so if you could get it to me before Christmas, I would really appreciate it.

 

One submission per blog, please, otherwise things can get messy. Group bloggers can pick a piece among themselves, but are also welcome to submit their work via their individual blogs, if they have them.

 

As usual, I’m aiming to find the right balance between “inclusive” and “manageable.”  If you know a few excellent blogs (preferably on the smaller side) that you suspect might not be on my radar, feel free to send me their website address (and contact info, if you have it).

 

Thanks,

 

Batocchio

It’s that time of the yearPost + Comments (8)

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