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Weekly Pulse: Arrests over the Ryan Plan, and the GOP’s Kinder, Gentler Medicaid Cuts

12:39 pm in Uncategorized by TheMediaConsortium

Creative Commons, Flickr, BeInspiredDesignsBy Lindsay Beyerstein, Media Consortium blogger

This week marks the final edition of the Weekly Pulse. I have been writing the newsletter since 2008 and it has certainly been an exciting time to be covering health care in the United States. Thanks to all the Media Consortium journalists whose work I’ve featured over the years, and thanks to our loyal readers, tipsters, Tweeters, and Facebook fans.

As the Pulse winds down, we look ahead to some of the most pressing health care issues facing the nation: The Republican war on Medicare and Medicaid and the anti-choice onslaught.

89 arrested over Ryan plan

Eighty-nine disability activists were arrested following their occupation of the Cannon House Office Building rotunda, Alison Kilkenny reports in The Nation:

The disability rights group ADAPT staged the event to protest Representative Paul Ryan’s Medicaid cuts, which would force people with disabilities to live in nursing homes rather than in their own houses.

Additionally, the House-passed budget resolution would turn Medicaid into block grants and reduce the program’s spending by more than $700 billion over ten years.

Suzy Khimm of Mother Jones reports that the Republicans in Congress are putting forward some “kinder, gentler” proposed Medicaid cuts in the hopes that these less extreme proposals will have a better chance of passing that the more extreme cuts Ryan has been touting.

Kinder and gentler by Republican standards is still pretty radical. Republicans in both houses of Congress introduced bills that would make it easier for states to kick people off of Medicaid or erect new barriers to entry. Rep. Phil Gingrey (R-Ga.) claims that “only” 300,000 patients would be kicked off Medicaid rolls under his proposal, many fewer than those would be under the Ryan plan. Gingrey, however, admitted that he didn’t have an independent Congressional Budget Office (CBO) score to back up his claim.

The war on choice

Sadie Doyle of In These Times takes a closer look at proposed legislation in Ohio that bans abortion as soon as a fetal heartbeat is detectable:

Ohio’s “Heartbeat Bill” is part of a barrage of anti-choice legislation designed to circumvent the fact that abortion is legal by making it nearly impossible to obtain one. But, whereas other bills focus on cutting funding or creating obstacles to abortion, H.B. 125 takes a relatively new tactic: It aims to ban abortions outright if the fetus has a detectable heartbeat—which happens at around six weeks, before many women even realize they’re pregnant.

This bill is one of hundreds of pieces of anti-choice legislation percolating at the state level. Many of these bills seem deliberately engineered to provoke a challenge to Roe v. Wade. Anti-choicers seem eager to get their challenge to the Supreme Court as soon as possible, before Obama can appoint any more justices.

Meet the H.R. 3 ten

At RH Reality Check, Sarah Jaffe introduces us to another one of the 10 Democrats who co-sponsored the so-called “No Taxpayer Funding for Abortion Act,” Rep. Nick Rahall (D-WV). The bill, H.R. 3 would effectively end private abortion insurance coverage in the United States by imposing such onerous bureaucratic regulations on insurers that they would more likely to drop abortion coverage altogether rather than comply.

Michigan vs. teen moms

Pregnant teenagers are bearing the brunt of Michigan’s draconian new “fiscal martial law” bill that authorizes cities to appoint emergency managers with sweeping powers to take over cash-strapped cities, towns, and school boards. Students at the Catherine Ferguson Academy, a high school for expectant mothers, were arrested and manhandled by police as they protested the impending closure of their school.

Amanda Marcotte writes in AlterNet that the move to close the academy epitomizes the contemptuous attitude that so many conservative anti-choicers have toward teen girls who choose to give birth:

The imminent shut down of Catherine Ferguson demonstrates the emptiness of Republican claims that they oppose reproductive rights because they value life.  Instead, Republican policies are rooted in a sadistic desire to punish and control, and to deprive women—especially young women, poor women, and women of color—of any opportunities whatsoever.

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Weekly Pulse: Single-Payer Bills Pass Vermont Senate, House

8:03 am in Uncategorized by TheMediaConsortium

Creative Commons, Flickr, Jobs with Justice

By Lindsay Beyerstein, Media Consortium blogger

The Vermont state Senate passed legislation to create a single-payer health insurance system, Paul Waldman reports for TAPPED. Since the state House has already passed a similar bill, all that’s left to do is reconcile the two pieces of legislation before the governor signs it into law.

Waldman stresses that there are still many details to work out, including how the system will be funded. Vermont might end up with a system like France’s where everyone has basic public insurance, which most people supplement with additional private coverage. The most important thing, Waldman argues, is that Vermont is moving to sever the link between employment and health insurance.

Roe showdown

Anti-choicers are gunning for a Roe v. Wade showdown in the Supreme Court before Obama can appoint any more justices. At the behest of an unnamed conservative group, Republican state Rep. John LaBruzzo of Louisiana has introduced a bill that would ban all abortions, even to save the woman’s life. The original bill upped the anti-choice ante by criminalizing not only doctors who perform abortions, but also women who procure them. LaBruzzo has since promised to scale the bill back to just criminalizing doctors. This is all blatantly unconstitutional, of course,. but as Kate Sheppard explains in Mother Jones, that’s precisely the point:

The Constitution, of course, is exactly what LaBruzzo is targeting. He admits his proposal is intended as a direct challenge to Roe v. Wade, the landmark 1973 case in which the Supreme Court ruled that the constitutional right to privacy included the right to abortions in some circumstances. LaBruzzo says he’d like his bill to become law and “immediately go to court,” and he told a local paper that an unnamed conservative religious group asked him to propose the law for exactly that purpose.

Drug pushers in your living room

Martha Rosenberg poses a provocative question at AlterNet: Does anyone remember a time before “Ask Your Doctor” ads overran the airwaves, Internet, buses, billboards, and seemingly every other medium? Direct-to-consumer (DTC) drug advertising has become so ubiquitous that it’s easy to forget that it was illegal until the late ’90s. In the days before DTC, drug advertising was limited to medical journals, prescription pads, golf towels, and pill-shaped stress balls distributed in doctors’ offices–which makes sense. The whole point of making a drug prescription-only is to put the decision-making power in the hands of doctors. Now, drug companies advertise to consumers for the same reason that food companies advertise to children. It’s called “pester power.”

DTC drug ads encourage consumers to self-diagnose based on vague and sometimes nearly universal symptoms like poor sleep, daytime drowsiness, anxiety, and depression. Once consumers are convinced they’re suffering from industry-hyped constructs like “erectile dysfunction” and “premenstrual dysphoric disorder,” they’re going to badger their doctors for prescriptions.

That’s not to say that these terms don’t encompass legitimate health problems, but rather that DTC markets products in such vague terms that a lot of healthy people are sure to be clamoring for drugs they don’t need. Typically, neither the patient nor the doctor is paying the full cost of the drug, so patients are more likely to ask and doctors have little incentive to say no.

Greenwashing air fresheners

A reader seeks the counsel of Grist’s earthy advice columnist Umbra on the issue of air fresheners. Some of these odor-concealing aerosols are touting themselves as green for adopting all-natural propellants. Does that make them healthier, or greener? Only marginally, says Umbra. Air fresheners still contain formaldehyde, petroleum distillates, and other questionable chemicals.

This post features links to the best independent, progressive reporting about health care by members of The Media Consortium. It is free to reprint. Visit the Pulse for a complete list of articles on health care reform, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Audit, The Mulch, and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.

Weekly Pulse: DCCC Ad Shows Grandpa Stripping for Extra Cash to Pay for Medicare

7:58 am in Uncategorized by TheMediaConsortium

By Lindsay Beyerstein, Media Consortium blogger

[youtube]http://www.youtube.com/watch?v=5z7FiBsR8OQ[/youtube]

How will the next generation of seniors pay for health care if Republicans privatize Medicare? The Democratic Congressional Campaign Committee (DCCC) suggests some options in a darkly funny ad featuring a grandfatherly gentleman mowing lawns and stripping for extra cash. The ad will run in 24 GOP-controlled swing districts, Suzy Khimm reports for Mother Jones.

The ad is a riposte to Paul Ryan’s budget, which would eliminate Medicare and replace it with a system of “premium support”–annual lump sum cash payments to insurers. These payments would be pegged to the growth of the Gross Domestic Product (GDP) +1%, even though health care costs are growing much faster than the economy at large. That means that real benefits will shrink over time. Seniors will be forced to come up with extra money to buy insurance, assuming they can find an insurer who’s willing to sell it to them.

Josh Holland of AlterNet predicts that the GOP is committing political suicide with the its anti-Medicare budget. The more ordinary voters learn about Ryan’s budget, the less they like it:

A poll conducted last week found that, “when voters learn almost anything about [the Ryan plan], they turn sharply and intensely against it.” And why wouldn’t they? According to an analysis by the non-partisan Center for Budget and Policy Priorities (CBPP), the Republicans’ “roadmap” would “end most of government other than Social Security, health care, and defense by 2050,” while providing the “largest tax cuts in history” for the wealthy.

Holland interviews an economist who estimates that the Medicaid cuts in the Ryan budget alone would cost 2.1 million jobs.

Under the bus

The Democratic spin about the deal to avert a budget shutdown was that Democratic leaders held fast against Republican demands to defund Planned Parenthood. However, as Katha Pollitt explains in The Nation, the Democrats capitulated on other reproductive rights issues in order to save Planned Parenthood.

For example, under the budget deal, Washington, D.C. will no longer be allowed to use local taxes to pay for abortions. Democrats also agreed to $17 million in cuts to the Title X Family Planning Program, Planned Parenthood’s largest source of federal funding.

American women aren’t alone under the bus. Jane Roberts notes at RH Reality Check that the budget deal slashed $15 million from the U.N. Population Fund, and millions more from USAID’s budget for reproductive health and family planning. At least Democrats successfully rebuffed GOP demands to eliminate funding for the United Nations Population Agency.

Roberts observes:

And this is at a time when the whole world is coalescing behind the education, health and human rights of the world’s women and girls. What irony!

Blood for oil

Nearing the one-year anniversary of the explosion aboard the Deepwater Horizon oil rig that killed 11 workers, Daniel J. Weiss writes for Grist:

The toll of fossil fuels on human health and the environment is well documented. But our dependence on fossil fuels exacts a very high price on the people who extract or process these fuels. Every year, some men and women who toil in our nation’s coal mines, natural gas fields, and oil rigs and refineries lose their lives or suffer from major injuries to provide the fossil fuels that drive our economy.

Oil rigs are just one of many dangerous places to work in the fossil fuel industry, Weiss notes. Last year, an explosion at the Upper Big Branch mine in West Virginia killed 29 workers. Nearly 4,000 U.S. miners have been killed on the job since 1968.

Natural gas has a cleaner image than coal, but natural gas pipelines are also plagued by high rates of death and injury–892 natural gas workers have been killed on the job and 6,258 have been injured since 1970.

Cheers!

Ashley Hunter of Campus Progress brings you an exciting roundup of the news you need about college and alcohol, just in time for Spring Break. In an attempt to discourage rowdy off-campus partying, the College of the Holy Cross is encouraging its students to drink on campus by keeping the campus pub open later and allowing students under 21 inside as long as they wear different colored wrist bands to show they are too young to be served alcohol.

This post features links to the best independent, progressive reporting about health care by members of The Media Consortium. It is free to reprint. Visit the Pulse for a complete list of articles on health care reform, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Audit, The Mulch, and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.

Weekly Pulse: Florida Governor Wants to Drug Test All State Employees

7:20 am in Uncategorized by TheMediaConsortium

By Lindsay Beyerstein, Media Consortium blogger

Florida Republican Governor Rick Scott plans to force public workers and welfare recipients to undergo random drug testing every three weeks. Why? Because he doesn’t like either group, Cenk Uygur argues on the Young Turks. “It’s an attempt to stigmatize, demonize, and punish those people,” Uygur says:

[youtube]http://www.youtube.com/watch?v=9fhSYsb2Gtg[/youtube]

Suzy Khimm of Mother Jones explains why Scott’s plan is almost certainly unconstitutional. The Supreme Court has ruled that public employees cannot be forced to take drug tests unless public safety is at stake. The government can impose random drug testing for bus drivers, but not clerks at the DMV. Scott wants to spend millions of dollars testing all state employees. The only beneficiary of Scott’s plan will be the drug-testing industry.

From vitamins to purity balls

Martha Kempner of RH Reality Check profiles Leslee Unruh, the eccentric vitamin saleswoman-turned-crisis pregnancy center maven and abstinence crusader who is spearheading the drive for increasingly draconian abortion restrictions in South Dakota.

Unruh founded a crisis pregnancy center in 1997. Gradually, she became convinced that cajoling unhappily pregnant women to give birth was backwards. What she needed to do was save women from sex in the first place:

As Amanda Robb explains in her 2008 expose on Unruh published in MORE Magazine: “after working with hundreds of women who got pregnant unintentionally, she says she began to realize that this kind of counseling put the cart before the horse in women’s lives. To truly empower women, she became convinced, you have to ‘save them from sexual activity.’”

Unruh’s Abstinence Clearinghouse is famous for sponsoring “purity balls” at which fathers promise to guard their daughters’ sexual purity until marriage.

My uterus is a closed shop

Last weekend the Wisconsin AFL-CIO held a rally with Planned Parenthood in Madison, Wisconsin, Mike Elk reports for Working In These Times. Elk writes:

The labor movement, at its core, is about class struggle – the working class overcoming the power of the owning class in order to take control over their own lives. For women, class struggle historically has centered on overcoming the oppression of men who want to have control over their lives.

It makes sense that organized labor and the reproductive rights movement are being drawn closer together. Wisconsin Republican Governor Scott Walker has declared war on unions and reproductive health care. Walker’s notorious anti-collective bargaining bill also declared war on the state’s highly successful, money-saving family planning program.

The Walker administration declared the union-busting bill to be law last Friday, in defiance of a court ruling, Matthew Rothschild reports in The Progressive. A court had ruled that the legality of the bill was in question because it seems to have been passed in defiance of the state’s strong open meetings laws.

De-funding family planning

Some Minnesota Republicans are taking a page from Scott Walker’s playbook, Andy Birkey reports in the Minnesota Independent. A group of Republican state senators are working to de-fund the state’s family planning programs by cutting off state funding and refusing federal dollars to fund these initiatives. An estimated 40,000 people receive reproductive health care each year through programs that the GOP is trying to eliminate. Their position is surely not motivated by concerns about the deficit. Joint state-federal family planning programs have been shown to save money for the state and the federal government.

HIV/AIDS at 30

This year marks the 30th anniversary of the beginning of the HIV/AIDS epidemic. At Colorlines.com, LaShieka Purvis Hunter profiles a distinguished community leader in the struggle against HIV, Rev. Edwin Sanders of the Metropolitan Interdenominational Church in Nashville, Tennessee. Sanders and his congregation have been engaged in the struggle for 26 years, ever since one of the founding members of this predominantly black church died of the virus.

Saunders says that, as far as he knows, his is the only African American congregation operating an HIV/AIDS primary care clinic:

“There are other congregations with primary care clinics that do other things, but ours is exclusively focused on HIV/AIDS,” he explains. “We were really fortunate to get a planning grant from the URSA Institute about 10 years ago, and have a fully operating clinic four years after that. Now we are able to serve a population in our community that represents those who are truly disenfranchised.”

The URSA Institute is a non-profit social interest consulting firm which supports HIV/AIDS-related research and prevention programs.

Dig for victory

Spring is here. Ellen LaConte of AlterNet explains why gardening is good for your health and your pocketbook. Produce prices are rising, thanks to increasing oil prices, dwindling soil reserves, monoculture, and other factors. LaConte predicts that gardening and small-scale collective farming will become an increasingly important source of fresh fruits and vegetables for average Americans in the years to come.

This post features links to the best independent, progressive reporting about the economy by members of The Media Consortium. It is free to reprint. Visit the Audit for a complete list of articles on economic issues, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Mulch, The Pulse and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.

Weekly Pulse: Vermont Poised to Pass Single-Payer

7:39 am in Uncategorized by TheMediaConsortium

Creative Commons, Flickr, Lindsay Beyerstein

By Lindsay Beyerstein, Media Consortium blogger

Vermont is poised to abolish most forms of private health insurance, Lauren Else reports for In These Times. The state’s newly inaugurated Democratic governor, Peter Shumlin, unveiled his health insurance plan in early February. If the state legislature passes the bill, Vermont will become the first state to ban most forms of private health insurance.

The bill is getting support from some unlikely quarters:

On February 24, the Republican Mayor Christopher Louras, of Rutland, urged the state to adopt the single-payer legislation, noting that more than a third of the city’s $7 million annual payroll is consumed by healthcare costs. “The only way to fix the problem is to blow it up and start over,” Louras said.

A very bad doctor

In the Texas Observer, Saul Elbein tells the bizarre story of small-town huckster Dr. Rolando Arafiles and the nurses who exposed him as a quack and paid with their jobs.

Arafiles came to work at Winkler County Memorial Hospital in 2008. Nurses Anne Mitchell and Vickilyn Galle noticed that patients were walking out of his office with mysterious liquids. Arafiles was selling untested dietary supplements.

Sometimes, he even took patients off their real medicine and directed them to buy his cure-alls, which he sold online, and promoted in seminars at the local Pizza Hut. He prescribed powerful thyroid-stimulating drugs to patients with normal thyroid levels, a potentially lethal practice. He was also performing “unconventional” surgeries, even though he wasn’t a surgeon.

The hospital ignored the nurses’ complaints, so they reported Arafiles to the Texas Medical Board. After the board informed Arafiles that he was under investigation, Arafiles got his golf buddy, the local sheriff, to issue a warrant to search the nurses’ computers. The hospital fired the nurses. The local prosecutor indicted them for “misuse of official information” but these charges fizzled out. In 2010, the two women were awarded $750,000 in compensation from the county, but they still haven’t found new nursing jobs.

What are they doing out there?

Lon Newman is the executive director of Family Planning Health Services, a Wisconsin health clinic that offers birth control and other reproductive health care, but doesn’t provide abortions, or even abortion referrals. Anti-choice protesters picket the clinic anyway, Newman reports at RH Reality Check. They carry signs with misleading slogans like “The Pill Kills” and “Stop Chemical Abortion.”

Newman wonders why, given all the pressing problems in Wisconsin, the nation, and the world, some people make it a priority to hang out at Family Planning Health Services and badmouth birth control:

There are so many struggles for freedom, social justice, and disaster relief right now, that I do not think it is justifiable to be blocking access to health care for our uninsured neighbors who want to delay childbearing so they can finish school or take a new job or even wait to have children until they can afford them.

South Dakota institutes 72-hour abortion waiting period

The governor of South Dakota signed legislation this week that will force women seeking abortions in the state to observe a 72-hour waiting period. As Scott Lemieux argues in TAPPED, mandatory waiting period legislation is based on inherently sexist assumptions. By instituting a waiting period, the state is institutionalizing the stereotype that women seeking abortions are acting irrationally and must be coerced into waiting.

Body positive

Body hatred hasn’t been this popular since the days of the hair shirt. Hundreds of millions of women, and no shortage of men, spend billions of hours and billions of dollars despising their bodies. A new movement is afoot to find the political in this very personal issue, Sarah Seltzer reports in AlterNet. This year, the Women’s Therapy Center Institute will hold a series of  summits in New York, London, Sao Paulo, Buenos Aires, and Melbourne. In keeping with the theme of “Loved Bodies, Big Ideas” participants are discussing a range of ideas for helping to improve body image, including  a so-called “reality stamp,” a seal of approval that would indicate that a photograph hasn’t been digitally altered beyond the bounds of reason. Come to think of it, a “reality stamp” could be useful for all kinds of politics.

This post features links to the best independent, progressive reporting about health care by members of The Media Consortium. It is free to reprint. Visit the Pulse for a complete list of articles on health care reform, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Audit, The Mulch, and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.

Weekly Pulse: 911 Is a Joke (Because It’s Broke)

8:19 pm in Uncategorized by TheMediaConsortium

By Lindsay Beyerstein, Media Consortium blogger

As the Great Blizzard of 2010 blanketed New York City, most residents were blissfully unaware that their city’s 911 system was on the brink of collapse. The system fielded 50,000 calls in a single day, and at one point the backlog swelled to 1,300 calls. The mayor was called to account for the slow service and promised that it wouldn’t happen again.

But David Rosen and Bruce Kushnick report in AlterNet that New York’s close call is an example of a much broader and deeper problem. Cash-strapped state and local governments are raiding funds set aside for 911 service, and the system is hurting badly:

Hundreds of millions of dollars are collected annually by states and localities to support 911 services and much of it is diverted to plug state budget holes and meet a host of other demands. Most disturbing, 911 services are technologically bankrupt, held together by duct-tape and workarounds.

States siphoned nearly $400 million earmarked for 911 between 2001 and 2004. The law demands that the money, raised by a tax on every phone line, has to be set aside for 911-related services. Some states fudge the definition of “911-related” to fund things that had nothing to do with emergency services, like raises for courthouse staffers. Others just brazenly redirected the money into their general funds. New York collected $82.1 million in 911 taxes on phone lines in 2007, but only 19 cents out of the $1.20 monthly fee was spent on 911.

At least New York can account for its misdirected funds. South Dakota simply has no idea where its 911 money went, Rosen and Kushnick report.

Walker: Hurry up and die

Seemingly determined to cast himself as a Dickensian villain, Wisconsin Governor Scott Walker presented a budget last week that would slash millions in funding for health care for the poor and the elderly. However, as I reported in Working in These Times, Walker recommended an increase in funding for a program that buries Wisconsinites who die destitute.

Medicaid roulette

Some governors are clamoring for more control over Medicaid, the joint state/federal health insurance program for the poor, Suzy Khimm reports for Mother Jones. Currently, Medicaid funding is allocated primarily by a matching system, with the federal government kicking in a certain number of dollars for every dollar the state spends. The states must abide by federal rules in order to qualify. Now, some Republican governors want to see Medicaid funding doled out in block grants. The states would get a fixed amount of money, which they could spend as they saw fit.

Rep. Cathy McMorris Rodgers (R-Wash.), the fourth highest-ranking Republican in the House, is a leading proponent of this new scheme. She claims it would increase “flexibility” for states. In this case, flexibility is a euphemism for “massive cuts.” Washington’s Democratic governor, Christine Gregoire, has already convinced the Obama administration to exempt her state from certain Medicaid rules. McMorris Rodgers applauds the move.

Crisis Propaganda Centers

New York City City passed a landmark “truth in advertising” bill last Wednesday that would force so-called crisis pregnancy centers (CPCs) to disclose that they are not health care facilities. CPCs are anti-choice ministries posing as reproductive health clinics. Among other things, the law will require city CPCs to inform potential clients that they do not refer for abortions or emergency contraception, Noelle Williams reports for the Ms. Magazine blog.

The logic of our sex laws

The cover story of this month’s Washington Monthly is a provocative analysis of Dan Savage, America’s most influential sex advice columnist, as an ethicist of contemporary sexual mores. The author, Benjamin J. Dueholm, is a Lutheran pastor and a longtime fan of Savage’s syndicated column “Savage Love.” Dueholm does a good job of summarizing some of the core principles of Savage’s ethos: disclosure, autonomy, mutual pleasure, and personal commitment to achieving sexual competence. His central critique is that Savage’s attitude is too consumerist and businesslike.

I would argue that there’s nothing inherently capitalist about Savage’s ethics. Yes, Savage’s ideal sexual world is based on consensual, mutually beneficial exchanges, like an idealized free market–but that doesn’t mean that realizing one’s sexual identity, or finding true love, is on par with picking a brand of laundry detergent. In consumerism, the customer is always right. Savage is constantly urging his readers to be active participants in a mutually satisfying sex life, not passive consumers who expect their partners to cater to them without giving anything in return.

USDA hearts Michael Pollan

Every five years, the U.S. Department of Agriculture issues guidelines for healthy eating. Parke Wilde of Grist explains why this year’s edition is, in many ways, a radical and surprising document:

The new edition has a fascinating chapter on eating patterns, focusing on real foods and not just nutrients. This chapter on eating patterns provides a nice counterpoint to the reductionism — what Michael Pollan calls “nutritionism” — of scientific discussion of diet and health. The guidelines’ healthy eating patterns may or may not include meat. For example, the USDA Food Patterns and the DASH diet each include moderate amounts of meat and plenty of low-fat dairy. At the same time, the guidelines explain clearly that meat is not essential, and near-vegetarian and vegetarian diets are adequate and even “have been associated with improved health outcomes.”

This is a big departure for an agency that has historically been criticized for acting as a propaganda outlet for the livestock and dairy industries. But Wilde notes that, despite its enlightened discussion of the perils of “nutritionism,” the USDA hasn’t broken the habit of referring to nutrients rather than foods. The guidelines still recommend that Americans eat less saturated fat, without dwelling at length on which foods actually contribute most of the saturated fat to the American diet.

As nutritionist Marion Nestle explains in her seminal book, Food Politics, this mealy-mouthed advice is measured to avoid offending any lobby group that might take offense at the suggestion that Americans eat less of their product. There is no saturated fat lobby, but there are plenty of lobby groups representing the interests of industries tied to the major sources of saturated fat in the American diet, which include cheese, pizza, bakery products, ice cream, chicken, and burgers.

This post features links to the best independent, progressive reporting about health care by members of The Media Consortium. It is free to reprint. Visit the Pulse for a complete list of articles on health care reform, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Audit, The Mulch, and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.

Weekly Pulse: The Republicans’ War On Women

9:22 am in Uncategorized by TheMediaConsortium

By Lindsay Beyerstein, Media Consortium blogger

The entire federal government might shut down over birth control. Yes, birth control. This special edition of the Pulse is about the ongoing war against women being waged in Congress and in state legislatures nationwide.

Cutting birth control

Last Friday, the House voted to amend the continuing resolution to fund the federal government to defund the $317 million Title X Family Planning Program, a major beneficiary of which is Planned Parenthood. None of this money funds abortions. Instead, it goes to birth control, cancer screenings, and other reproductive health services for 5 million low-income Americans.

This kind of preventive care is highly cost-effective. Every federal family planning dollar saves an estimated $4 tax dollars on unintended pregnancy costs alone. Saving money by de-funding contraception is like “saving money” by not paying your rent. It’s not savings if you end up staying in a hotel that costs even more.

As Nick Baumann reports for Mother Jones, Senate Democrats are confident that they can defeat the measure. However, if that happens and the House Republicans won’t pass an acceptable alternative, the federal government will run out of money and shut down until the impasse is resolved.

Julianne Hing, blogging at TAPPED, wrote of last Friday’s House vote to de-fund Planned Parenthood:

I find it difficult to summon the energy to be angered or even shocked by the news anymore. I wouldn’t describe my reaction on Friday as either of those two. It felt like something much deeper — like an attack on women and women’s access to health care. I took it personally.

The vote was just the latest assault on women’s health care by House Republicans. H.R. 3 initially proposed to redefine rape as “forcible rape.” That provision was withdrawn amid public outcry, but the bill would still effectively eliminate private health insurance coverage for abortion. H.R. 358 would give hospitals a loophole to not refer women for abortion, even if their lives are in danger.

The miscarriage mafia

Georgia state Rep. Bobbie Franklin (R) has introduced a bill that would investigate unsupervised miscarriages as potential murders, Robin Marty reports for Care2.

Here’s the relevant text of the bill, H.B.1:

When a spontaneous fetal death required to be reported by this Code section occurs without medical attendance at or immediately after the delivery or when inquiry is required by Article 2 of Chapter 16 of Title 45, the ‘Georgia Death Investigation Act,’ the proper investigating official shall investigate the cause of fetal death and shall prepare and file the report within 30 days[.]

The bill opens with the familiar anti-choice tactic of defining a fetus as a person and declaring abortion to be murder. Even fervent anti-choicers may regard this as something of an overreach on Franklin’s part. Historically, anti-choicers have sought to pass discrete “personhood amendments” while maintaining the polite fiction that these laws have nothing to do with restricting abortion. Franklin is not a fan of the incremental approach. He is seeking to redefine a fetus as a person and abortion as murder in a single piece of legislation.

As Marty notes, one third of all pregnancies end in miscarriages. In early miscarriages, the woman may never even know she was pregnant. So, Franklin essentially wants to criminalize unauthorized vaginal bleeding in Georgia. Setting aside the basic human rights of women, as Franklin is only too happy to do, his miscarriage bill is about as practical as his bid to make Georgians pay their state taxes in gold and silver coins.

State legislatures all over the country are weighing ever more draconian restrictions on abortion. Republican lawmakers in Ohio have proposed legislation to ban abortion of any fetus with a heartbeat, Daniel Tencer of Raw Story reports. South Dakota Republicans were forced to back off a proposed law that appeared to legalize the murder of abortion providers.

Scott Walker’s anti-abortion crusade

You probably know Wisconsin Gov. Scott Walker as the Tea Party favorite who wants to take collective bargaining rights away from the state’s public employees. You may not know that Walker is also a longtime anti-abortion crusader. Andy Kroll of Mother Jones reports that Walker, a former president of his college’s chapter of Students for Life, has a long history of campaigning against abortion, contraception, and sex ed. As a gubernatorial candidate, Walker won the endorsement of the hardline Pro-Life Wisconsin, which even opposes abortion to save the life of the woman.

As I reported in RH Reality Check, Walker’s anti-union “budget repair” bill also contains an all-out attack on a popular and successful Medicaid program to provide birth control to Wisconsinites whose incomes would qualify them for Medicaid if they became pregnant. The program saves Wisconsin an estimated $45 million a year in maternal and infant health costs alone and brings in 9 federal dollars for every on dollar spent by the state.

The Republicans swept to power with promises of limited government and fiscal conservatism. Now that they’re in office, their true agenda appears to be restricting women’s freedom at taxpayers’ expense.

This post features links to the best independent, progressive reporting about health care by members of The Media Consortium. It is free to reprint. Visit the Pulse for a complete list of articles on health care reform, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Audit, The Mulch, and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.

Weekly Pulse: South Dakota’s Legislative Attack on Abortion Providers

1:21 pm in Uncategorized by TheMediaConsortium

By Lindsay Beyerstein, Media Consortium blogger

The South Dakota House of Representatives will soon vote on a bill that would expand the definition of justifiable homicide to include killing to protect the life of a fetus. The plain language of the bill would appear to legalize the murder of abortion providers for performing legal abortions on women who request them.

Kate Sheppard explains in Mother Jones:

The bill, sponsored by state Rep. Phil Jensen, a committed foe of abortion rights, alters the state’s legal definition of justifiable homicide by adding language stating that a homicide is permissible if committed by a person “while resisting an attempt to harm” that person’s unborn child or the unborn child of that person’s spouse, partner, parent, or child. If the bill passes, it could in theory allow a woman’s father, mother, son, daughter, or husband to kill anyone who tried to provide that woman an abortion—even if she wanted one.

“The bill in South Dakota is an invitation to murder abortion providers,” Vicki Saporta, the president of the National Abortion Foundation told Mother Jones.

The bill’s sponsor, Rep. Phil Jensen, vehemently denies that his bill would legalize the murder of abortion doctors, Sheppard reports in a follow-up post. Jensen did not return Mother Jones’s calls for comment before the original story ran, but he now claims that he simply wants to update the state’s fetal homicide legislation.

Jensen’s stated intent is irrelevant, however. The plain language of his bill expands the category of “justifiable homicide” to protect certain people who kill to save a fetus.

There is no question that many radical anti-choicers will interpret this legislation as a license to kill. If this bill becomes law, it is only a matter of time before one of these terrorists travels to South Dakota to test that interpretation.

As Jodi Jacobson of RH Reality Check notes, the bill codifies the same legal argument that anti-choice terrorist Scott Roeder deployed unsuccessfully at his trial for the assassination of the prominent late-term abortion provider and pro-choice activist Dr. George Tiller. Technically, the bill would only protect people who killed to “protect” a fetus being carried by their partner or family member, not strangers like Roeder who killed to “protect” fetuses in general, but the veiled threat to abortion providers is clear.

The bill cleared the legislature’s judiciary committee by a party-line vote of 9-3. The legislation is co-sponsored by 22 state legislators and 4 state senators. The full state house is scheduled to vote on the bill on Wednesday.

Steve Benen of the Washington Monthly sees the legislation as a sign of a “radical turn” in the culture war.

“Birth or Die Act” advances

Meanwhile, at the federal level, the anti-choice bill H.R. 358 passed the House Energy and Commerce Committee, Miriam Perez reports for Feministing. H.R. 358 is controversial on two fronts. First, it appears to create an opening for hospitals to refuse abortion care and abortion referrals, even when a woman’s life is at risk. Second, the bill would effectively end private insurance coverage for abortion as we know it.

Fruitwashing

You’ve heard of “greenwashing,” the marketing trend where companies repackage their old polluting inventory as planet-healthy products? The latest corporate marketing gambit is to convince consumers that sugar, starch, and red food dye are good for us, a process dubbed “fruitwashing,” by Brie Cadman of change.org.

Cadman takes food giant Kellogg’s to task for touting the “real fruit” in its frosted mini Pop Tarts, now available in 100-calorie packs. Of course, these rosy toaster pastries contain only a minuscule amount of fruit.

Kellogg’s is a repeat offender when it comes to fruitwashing. The box of the company’s Frosted Mini Wheats Blueberry Muffin cereal features photos of real blueberries, but the actual “blueberry crunchlets” in the box are made of sugar, soybean oil, red dye #40 and blue dye #2.

Play with your food

In an article called “Why Playing With Your Food is Serious Business,” Carol Deppe of Grist argues that processed fare is driving us to overeat by cheating us out of our instinctive drive to interact with our foods before we eat them:

I also tend to overeat the delicious bean soup on that day I effortlessly thawed a portion from the freezer, compared with the day that I made the soup from scratch myself. The act of preparing food seems to actually be one of my satiety mechanisms. That is, to avoid overeating, to feel satisfied with normal, healthful amounts of food, I have to play with my food.

A highly processed diet enables us to practically inhale our calories, leaving us unsatisfied.

This post features links to the best independent, progressive reporting about health care by members of The Media Consortium. It is free to reprint. Visit the Pulse for a complete list of articles on health care reform, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Audit, The Mulch, and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.

Weekly Pulse: New Anti-Choice Bill Suggests More #DearJohn Letters Needed

3:23 pm in Uncategorized by TheMediaConsortium

By Lindsay Beyerstein, Media Consortium blogger

Health advocate Eesha Pandit and blogger Sady Doyle join GRITtv host Laura Flanders for a discussion of the House GOP’s draconian abortion bill, H.R.3. The bill, which Speaker John Boehner (R-OH) has called a top priority, would permanently restrict federal funding for abortion, even beyond the already stringent guidelines set out in the Hyde Amendment.

Doyle launched the #dearjohn Twitter campaign to channel public outrage over H.R. 3, particularly its clause that changed the existing “rape and incest” exception for Medicaid funding for abortion to an exception for “forcible rape.”The GOP ultimately removed the word “forcible,” but the bill’s other far-reaching restrictions remain in place.

Getting the “forcible” proviso removed from the bill was a small victory, but Doyle notes the fight is far from over. H.R. 3 isn’t the only radical anti-choice bill on the GOP’s legislative agenda. Carol Joffe reports at RH Reality Check that H.R.358 (the so-called “Protect Life Act”) would give hospitals unlimited discretion to turn away women who needed abortions, even to save their lives.

Insure pregnant women

A California state senator is taking on insurance companies for denying pregnancy-related health care coverage, Brie Cadman reports at Change.org. State senator Noreen Evans has introduced a bill that would protect insurance coverage for pregnant women in the individual health insurance market. Unlike group insurers and HMOs, private plans in the state are currently not required to cover maternity care. In 2004, 82% of individual health insurance plans in California covered maternity care; by 2009, only 19% of individual plans did so.

Irony alert

The individual mandate component of health care reform, which will impose a tax on people who don’t buy health insurance, is the bete noire of conservative Republicans, and the target of multiple constitutional challenges working their way through the courts. Ironically, as Simeon Talley explains at Campus Progress, the mandate was originally proposed by a Republican as a bulwark againstsocialized medicine:

Indeed the individual mandate has its genesis on the right. Ezra Klein interviews ‘Father of the Mandate’ Republican Mark Pauly: “We did it because we were concerned about the specter of single-payer insurance, which isn’t market-oriented, and we didn’t think [that] was a good idea. One feature was the individual mandate.”

Medicine and the public good

At truthout, Dr. Andrew Saal remembers what he said when a medical colleague asked him to sign a petition to repeal health care reform:

I centered myself and spoke in calm, measured phrases, with a warm smile. “I believe that the status quo is unsustainable. I believe that caring for those unable to pay is a matter of civic duty and professional honor. And while a pinch of free enterprise may keep the system nimble and foster innovation, at the end of the day, medicine is a social commodity similar to police and fire services.”

Saal’s colleague argues that he should be entitled to charge as much as the market will bear for medical services. After all, he studied hard and went to medical school. Saal sees things differently. He argues that, while doctors are entitled to fair compensation for their skilled services, medical knowledge is social. The doctor who places a cardiac stent didn’t invent the procedure. Saal notes that federal tax dollars fund the basic research that makes medical breakthroughs possible. While the stent itself may have been developed by a private company, the company couldn’t have invented it if the government hadn’t invested untold millions of dollars on basic research.

What’s more, Saal notes, doctors don’t pay the full cost of their schooling. The federal government subsidizes medical education through low interest federal loans, the university system itself, and Medicare reimbursements for interns and residents (doctors in training).

Nail salon hazards

Nail salon workers are exposed to a miasma of formaldehyde, toluene, and other known and suspected chemical hazards. The National Radio Project takes a closer look at the potential health effects of working long hours in poorly ventilated salons.

In California, the issue is of special concern to the Vietnamese community. An astonishing two-thirds of nail salon workers in the state are Vietnamese immigrants, most of them women in their childbearing years. Epidemiologists have yet to definitively prove a link between nail salon exposure and chronic disease, but the suspect chemicals have been shown to cause cancer in laboratory animals.

The bottom line is that safer chemicals are available. Activists say that regulators should mandate healthier alternatives now.

This post features links to the best independent, progressive reporting about health care by membersof The Media Consortium. It is free to reprint. Visit the Pulse for a complete list of articles on health care reform, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The AuditThe Mulch, and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.

Weekly Pulse: #DearJohn, Does Banning Abortion Trump Job Growth?

2:25 pm in Uncategorized by TheMediaConsortium

by Lindsay Beyerstein, Media Consortium blogger

With millions of Americans out of work, House Republicans are focusing in on real priorities: decimating private abortion coverage and crippling public funding for abortion, as Jessica Arons reports in RH Reality Check.

In AlterNet, Amanda Marcotte notes that the No Taxpayer Funding for Abortion Act, or H.R. 3, also redefines rape as “forcible rape” in order to determine whether a patient is eligible for a Medicaid-funded abortion. Under the Hyde Amendment, government-funded insurance programs can only cover abortions in cases of rape and incest, or to save the life of the mother. Note that the term “forcible rape” is  legally meaningless. Supporters of the bill just want to go on the record as saying that a poor 13-year-old girl pregnant by a 30-year-old should be forced to give birth.

Feminist blogger Sady Doyle has launched a twitter campaign against the bill under the hashtag #dearjohn, a reference to Speaker John Boehner (R-OH). Tweet to let him know how you feel about a bill that discriminates against 70% of rape victims because their rapes weren’t violent enough for @johnboehner, append the hashtag #dearjohn.

Everybody chill out

A federal judge in Florida ruled the entire Affordable Care Act unconstitutional on Monday. However, as political scientist and court watcher Scott Lemieux explains at TAPPED, the ruling is not necessarily a death blow to health care reform:

[T]his ruling is less important than the controversy it will generate might suggest. Many cornerstone programs of the New Deal were held unconstitutional by lower courts before being upheld by the Supreme Court. This ruling tells us nothing we didn’t already know: There is a faction of conservative judges who believe the individual mandate is unconstitutional. Unless this view has the support of five members of the Supreme Court — which I still consider very unlikely — it won’t matter; Vinson’s reasoning would have a much greater impact if adopted by the Court, but for this reason it is even less likely to be adopted by higher courts.

In a follow-up post, Lemieux explains the shaky legal reasoning behind Judge Robert Vinson’s decision. The judge asserts bizarrely that being uninsured has no effect on interstate commerce. That premise is objectively false. Health insurers operate across state lines and the size and composition of their risk pools directly affects their business.

Given the glaring factual inaccuracies, Judge Vinson’s decision may be overturned by a higher court before it gets to the Supreme Court.

Scamming Medicare

Terry J. Allen of In These Times win’s the headline of the week award for an article entitled “Urology’s Golden Revenue Stream.” She reports that increasing numbers of urologists are investing millions on machines to irradiate prostate cancer in the office. The doctors can bill Medicare up to $40,000 per treatment, but they have to use the machines a lot to recoup the initial investment. So what does this mean for patients? Allen explains:

Rather than accessing centralized equipment and sharing costs, physicians are concentrating their own profits by buying expensive in-practice technologies that pay off only if regularly used. One result is overtreatment, which is driving up health care costs, exposing patients to unnecessary radiation and surgeries, and is frequently no better than cheaper approaches.

One third of Medicare patients with prostate cancer undergo the expensive IMRT therapy, as the procedure is known. In 2008, Medicare shelled out over a billion dollars on a treatment that has not shown to be any better for patients than less expensive therapies.

Obstetric fistula in the developing world

Reproductive Health Reality Check is running a special series on the human rights implications of obstetric fistula. Fistula is a devastating complication of unrelieved obstructed labor in which the baby’s head gets stuck in the birth canal and presses against the soft tissues of the pelvis. If labor goes on long enough, the pressure will starve the pelvic tissues of blood, and they will die, creating a hole between the vagina and the bladder, and/or between the vagina and the rectum. Fistula patients face lifelong incontinence, chronic pain, and social ostracism.

The condition is virtually unknown in the developed world, where women with obstructed labor have access to cesarean delivery. However, an estimated 2 million women, primarily in sub-Saharan Africa and Asia, have untreated fistulas with an estimated 50,000 to 100,000 new cases occurring each year. Without reconstructive surgery, these women will be incontinent for life.

Sarah Omega, a fistula survivor from Kenya, tells her story. Omega sustained a fistula when she delivered her first child at the age of 19. She suffered for 12 years before she finally obtained the surgery she needed. As Agnes Odhiambo explains in another installment in the series, fistula is a symptom of a dysfunctional health care system. Women suffer needlessly because they can’t get access to quality health care.

The most likely victims of fistula are the most vulnerable members of their respective communities. Early childbearing increases a woman’s risk of fistula. Pregnant rape victims may face even greater barriers to a safe delivery, thanks to the social stigma that accrues to victims of sexual violence in many societies. (Not to mention any names, House Republicans…)

Preventing and repairing obstetric fistula is a major human rights issue. The U.S. should make this effort a high priority for foreign aid.

This post features links to the best independent, progressive reporting about health care by members of The Media Consortium. It is free to reprint. Visit the Pulse for a complete list of articles on health care reform, or follow us on Twitter. And for the best progressive reporting on critical economy, environment, health care and immigration issues, check out The Audit, The Mulch, and The Diaspora. This is a project of The Media Consortium, a network of leading independent media outlets.