Collateral Damage

No American should be overly upset by this, one would have to reluctantly agree, particularly since there’s nothing anyone you or I know who can do anything about it.    The old prayer about having the serenity to accept the rape and murder of children if you can’t do anything about it comes to mind.  

In war civilians die, we now call it ‘collateral damage’ instead of murdered children, old people, regular law-abiding citizens.  ‘Collateral damage’ is so much more comfortable than ‘slaughtered civilians’, it’s just one of those inevitable, collateral things, right?

The current president, a man-child whose entire philosophy of life is “winning”, whatever that means and whatever means must be taken to achieve that ephemeral goal,  dropped the “mother of all bombs” on a section of Afghanistan the other day.  The GBU-43 Massive Ordance Air Blast, the largest non-nuclear bomb in the American arsenal, a giant weighing 21,600 pounds, the equivalent of  eleven tons of good old fashioned TNT, has a blast radius of one mile.  It creates a fire storm that sucks the oxygen out of the air in the blast zone.

The coverage of the bombing in the mainstream media, like the media’s reaction to the recent telegenic night-time cruise missile strike on the Syrian air field, has been one of almost unanimous praise.   We are asked by wealthy talking heads to see such violence as bold, decisive and ‘presidential’.   Here is a wonderfully modest quote from the man himself, “very, very proud” of the military might he manfully unleashed against America’s godless enemies:

“If you look at what’s happened over the last eight weeks and compare that to what’s really happened over the last eight years, you’ll see there is a tremendous difference. Tremendous difference.”

 

One tremendous difference is the dramatically increased number of dead civilians since this decisive new leader has taken over.  The dropping of the “mother of all bombs” follows the worst month for collateral damage in Syria and Iraq.  In March 2017 more than a thousand collateral damage losers were inadvertently taken off the books by the good guys due to the increased ferocity of a military unleashed by the candidate who won applause for vowing to “bomb the shit” out of those murderous fuckers who hate our freedom.  

Of course, you’re right, this is all very depressing and there’s not much any of us can do about it.   In a more decent world, we would be shouting, and marching, and calling our representatives in Congress (not that most of them are in a position to do anything, unless they’re members of the Grand Old Party that repudiated this current president, before his historic victory).  This is not a more decent world.  

At a time when this new administration is furiously turning the clock back to the good old days of segregation, women knowing their place, coal mining, no questioning of authority, no regulation of the environment, no government interference with employment, health, education or welfare, the open rule of the wealthiest citizens and our most powerful corporations, well, who could blame us for not getting worked up about a thousand more or a thousand less anonymous foreign dead in an area where a million or more have become collateral damage since our leaders launched their endless, heroic wars in the Middle East fifteen years ago?   The ingrates don’t even seem to appreciate the freedom we have brought them.  SAD!

 

Irv Loved Whippie the Slave Dog

My aunt, Irv’s brother’s wife, was a children’s librarian who sent my sister and me some wonderful books when we were kids.   She hated the word “kids” by the way, for reasons I don’t know.  When I was older, and perennially un or under-employed, she urged me, several times over the years, to write and illustrate a children’s book.  I appreciated her confidence in me but always felt my worldview might be a little dark for a children’s book.  I also fancied myself a serious artist/philosopher, I’m chagrinned to admit, and probably felt the child-centered commercial endeavor was beneath me.   My aunt’s suggestion also reminded me of the situation where you make a few good cracks at dinner and a well-meaning person tells you seriously that you ought to be a stand-up comedian.

“Well, aside from the fact that you need to be driven to survive the many times you might die on stage and the years of struggle and dues paying before you make any money as a professional comedian, the odds greatly stacked against you the whole time, and that you need to write routines, or pay professional comedy writers to supplement your weak-ass twenty minutes… wait, are you being funny?”    

“No, I’m quite serious, you are very funny,” says the person.  

“No, YOOOOO are very funny….” you say, with a half-hearted French accent, and then on with dessert.  

One day, thinking of my aunt’s constant faith that I’d write and illustrate an award-winning children’s book (I think it was the Caldicott she mentioned) I came up with an idea.   I don’t recall making so much as a single drawing, or putting anything in writing, but I kicked the idea around in my head for a while.  

Visiting my parents for dinner, a practice that always left me exhausted, I mentioned the idea to them.    My mother who was usually very supportive of my creative ideas probably gave a dismissive little laugh, assuming I was joking, but my father’s reaction has stayed with me.   He chuckled with mirth, and recited the name of the never-written children’s book from time to time long afterwards, laughing again each time.

“Whippie The Slave Dog,” chuckles the skeleton from his grave in Westchester, “I always thought that would be a great book.   Too bad you never worked on it.  Whippie the Slave Dog!”

Sekhnet reminded me of my father’s sadistic sense of humor.  She thought it was the idea of a whipped dog, a slave dog at that, that must have tickled my father.   I recall that he was greatly amused by the image of Sekhnet’s psychotic older brother chasing her swinging a garden hose to whip her with.   There is a decent argument to be made that my father was a sick fuck.  

“Hey,” said the skeleton, “don’t be so judgmental.  And don’t tell me you don’t get a laugh out of the image of that psycho greeting his now eighteen year-sister, returned from solo travels in Asia, with a garden hose whip.  Certain things are just funny, whether you or your beloved want to admit it or not.  You remember that kid in elementary school snarling ‘I’m going to take a whip and lash the skin off your backbone’?   Great shit, my man.”  

I don’t recall how much of the story  of Whippie the Slave Dog I laid out to my parents at dinner that night.  I remember only how much my father loved the title, the sick irony of naming the slave dog Whippie.   Years later he’d recite the name out of the blue, a look of happiness eclipsing his usual dreaded aspect as he recalled that potentially wonderful, unpublishable, children’s book.  

The story, as I recall, was part of my heavy-handed and ongoing attempt to impart my hard-won values to others.  Whippie was a talented and affectionate dog who was eager to please.  It emerged that she possessed the power to turn into whatever kind of companion her human benefactor preferred.   She had magical powers that were activated by whatever she was called, she would become that thing.  The boy who loved her would call her a dizzy bird and she’d sprout wings, cross her eyes, make a few lazy circles in the air above them and flap around when she landed.  Then they’d both fall on each other laughing.  That sort of thing.  Whippie was a dream dog, although, the somber fact remained that she’d been raised as a slave and literally whipped regularly.  

The idea was that we all have these inner lives, and the often untapped potential to do amazing things– some as simple as returning love with love and not mixing in any bad things — yet the world of humans constantly inflicts cruelties on children that obscure this plain fact.  What we are called when we’re impressionable stays with us, colors our lives, but we are far more than the misguided, sometimes plainly fucked up, names we are tagged with by sick people with their own insurmountable problems.

“I don’t remember any of that,” said the skeleton, “but it does make sense that you’d come up with that kind of story.  I mean, it’s consistent with your belief, as a kid and now as an old man, that few people nurture and cultivate their very best impulses, certainly not their creative side.  It underscores that other part, that love and strength are needed to recover from the many brutalities of childhood.  And that few people marshal those powers to recover.

“It’s also of a piece with your critique of capitalism, that people in a Free Market Society, so-called, generally don’t place any value on what isn’t sold. Your belief, unthinkable though it also is to most people, that the value of the work itself is often not related to the monetary value assigned to that work.  The hack who makes a good living by being an industrious hack, studying marketing demographics and pandering to the audience’s lowest impulses, is placed on a professional pedestal while people many times more talented, who don’t game the marketplace the same shrewd way, are losers, amateurs, hobbyists, wannabes, suckers, frustrated artists, confidence-lacking chumps, poseurs, failures, douche bags…”  

We get the idea.  

“By the way, Elie, do you recall the term I learned in the Army to describe the accent, reasoning and manner of a man like Jefferson Beauregard Sessions the Turd, and I use ‘man’ in the loosest, runniest sense of the word?”  

You used the word to describe the speaking style of Darius White, from Eagle Crotch, Arkansas, who often snorted ‘ah, batshit!’  An evocative term I couldn’t help thinking of just now myself as I watched the malevolent little cocksucker at a podium smugly describing our return to Nancy Reagan’s highly successful prosecution of Nixon’s war on drugs.  Shit-eater.  

“That’s the kindest way we can put it.   Why you find it necessary to disparage cocksuckers by including an unredeemed racist like Sessions in their number, I’m not sure.  But that he is malevolent, and little, nobody can deny.  ‘Piece of shit!’ as Sekhnet would say if Sessions was driving near her.   OK, Elie, that’s it for me today.  Take a walk down to Chinatown, would you?”  

Will do, sir.

New low for an attack on POTUS

Heard this just now, Amy Goodman stating that the president owns shares in Raytheon, the company that makes Tomahawk missiles, 59 of which were launched from a destroyer in the Mediterranean the other day in Operation Immediate Revenge for Killing Beautiful Babies.   Raytheon stock prices apparently surged after the attack.  Goodman noted that POTUS reaped an immediate, direct financial profit on the missile strike he ordered.

The reader should note, full disclosure, that this armament maker’s stock may have soared recently, but their own website informs us that Raytheon is making outer space a safer place and also remains committed to promoting the interests of women.

Hearing from Amy Goodman that each Tomahawk missile launched costs around $1.4 million (the actual sticker price is a debatable secret, of course, estimates I’ve seen range from $1M to $1.87M ) I took out my calculator.  The recent missile strike, with its fifty-nine Tomahawks, based on Amy Goodman’s middle number, cost an estimated $82,600,000 in fireworks.   That’s about twenty-five presidential trips to Mar-a-largo, which appear to go for around $3,300,000 each.  Or 165 days of protection for the First Lady, who lives in New York City, based on the $500,000/day number reported by the New York Times and adjusted down by Snopes [1].

Of course, conservative die-hards will counter that all this money pales next to the scale of the real cheating that has been going on for years, bleeding our great country dry.  Unscrupulous, immoral, lazy grifters with an unquenchable sense of entitlement who own multiple pink Cadillacs and milk the system like an industrial farm milks its thousands of cows.   Buying filet mignon with their food stamps while the children of other “poor people” belly up to huge free meals at school, climbing on the plush entitlement wagon early at liberal give-away programs like Head Start.

I have learned that it is fruitless to argue with a zealot.  In the long run the missiles blown up in Syria, and the money POTUS allegedly made from his decision, are only distractions from the much darker, deeper story, the “nuclear option” used to install a new Scalia on the Supreme Court, after the previous president was unscrupulously stripped of his Constitutional authority to nominate a replacement when Scalia died.

I saw Mitch McConnell interviewed the other day.  McConnell is the spokesman for partisans who refused to allow hearings on Merrick Garland and invoked the “nuclear option” on Friday to allow appointment, by filibuster-proof simple majority (exceedingly simple in this case) of a reliable right wing corporatist.  McConnell’s side of the interview was a collage of rabbit-faced two beat laughs.  In answer to every question about denying Obama a hearing on his moderate Supreme Court pick, or ramming this new Supreme Court justice through in record time, and changing long-standing rules to do so, McConnell gave that fake, two beat laugh, showing his radiant rodent smile.   Perhaps he was coming under the desk during the interview, that would explain the uncomfortable fake laugh.  He should be excited enough to ejaculate, one would think, after the giddy capers he’s pulled in recent days.  

Showing that he is a man with out-sized testicles, Mr. McConnell [2] has been quick to attack Democrats for “unprecedented” opposition to the new president’s pick, even as his party has taken radically unprecedented steps to thwart the former president, denying so much as a hearing on Garland and even shutting down the government and damaging the nation’s reputation and credit rating in the process (at an ongoing cost of billions of dollars) [3].

What say you about this, Mr. McConnell?  You guessed it, the two-beat, rabbit-faced laugh.  

NOTES

[1]  Police Commissioner James P. O’Neill lowered that estimate in a 21 February 2017 letter to the state congressional delegation, saying that it cost $24 million to protect the First Family between the election and the inauguration, or $11 million less than de Blasio’s request. The letter also included estimates for security costs for both the First Lady and the President:

On days when Mr. Trump is not in the city, the department estimates that it costs $127,000 to $146,000 a day “to protect the first lady and her son while they reside in Trump Tower.” On days when Mr. Trump is in New York City — he has not yet returned since his inauguration — the Police Department anticipates “an average daily rate of $308,000.”

That would come out to about $50 million a year if Mr. Trump avoided returning to Manhattan, or just over $60 million if he began returning on weekends.

source

[2]  The New York Times once referred to Bo Diddley and Eric Clapton as Mr. Diddley and Mr. Clapton.

[3]   I loved this line from FactCheck.org about the actual cost of the 2013 Republican shutdown of the government under Obama, a cost apparently wildly exaggerated by angry Democrats:   

But estimates for total economic cost only range from $12 billion to $24 billion.

source

A vision of hell

Waking up to an explosion, your home on fire.  Men with guns running, crouched like crabs, firing bursts of bullets.  As you shake your head a man grabs your mother from behind and expertly cuts her throat.  The car other members of your family are trying to flee in is hit by a shoulder launched explosive, becoming a fire ball.  You run, imagining how you are going to be killed.

Or a quiet, airless morning, no explosions, no gunfire.  No food.  Flies.  Dying children who expire without a murmur.   Hyenas and vultures casually dining together, no snarling and posing, there’s enough carrion for everyone, with left overs to drag home.

Or a person at a console, pressing a button and pumping a fist watching the screen as the targeted city is vaporized under a dramatic canopy of fire.

We lament all these hellish things even as we sigh at the inevitability of them, debate the correctness of employing them.  Homo sapiens are sometimes monsters, we reason, and sometimes there’s nothing for it but to use every weapon available to destroy these evil creatures.    Obama, who, in fairness to him, I must say I hate mostly for not being anywhere near as great a president as he was a candidate, did his share of this reasoning.  

He yielded to military advisors who agreed it was best not to put American “boots on the ground” but to instead use a top secret targeted killing program to assassinate suspected terrorist enemies with missiles launched from remote controlled pilotless aircraft called drones.  Not to do so, or stopping the program, he likely didn’t need to be reminded, would make him look weak.  The numbers of civilians killed would not be revealed.  All dead males of military age, in a generous range from young teenager to middle aged, are presumed to be enemies killed in action, or EKIA.  Fair is fair.  They could very well be!

Many are horrified when they learn that authoritarian governments use Death Squads to terrorize the opposition.   One photo of a pile of slaughtered nuns, their humanitarian mission cut short, is usually enough to get the world press howling.   The armies of freedom will sometimes march against such regimes, provided the regime is not allied with a huge business concern who has a say in the deployment of the armies of freedom.   Most authoritarian governments enjoy such alliances.   The armies of freedom have supported many such monsters over the years.   I realize I’m not going out on a moral limb saying any of these things.  Are you going to argue that Death Squads are cool?

Now the world shudders over videos of workers in a Syrian town desperately trying to save dying babies by hosing them off, in an attempt to wash away the irreversibly murderous nerve gas a power-crazed dictator attacked his own citizens with.  Dead children are carried off and respectfully laid out by stoic rescue workers.  

The current president of the United States, an angry and impulsive man, instantly does what the reflective, calculating Obama, who was lambasted as a weak and indecisive leader for refraining from massive retaliatory killing, did not do.  With the horrific images of the nerve gas attack against civilians, and the dead children, fresh in everyone’s mind, our decisive new leader does not hesitate or ask Congress or flinch in any way, he immediately orders two destroyers to launch more than fifty tomahawk missiles at Syria, presumably hitting some strategic asset of the Syrian dictator’s, the very air base he says the gas attack was launched from.  

Our president glares meaningfully at the camera as he announces he doesn’t need anyone to tell him what the right thing to do is.  After all, this is not some drone-launched missile fired by the well-meaning army of freedom that inadvertently kills a wedding party, severely maiming the few survivors, this is a targeted, proportional response to a regime using poison gas against it’s own children.

I don’t want to jump on this president, who gets so little love from most Americans, who is routinely mocked and ridiculed by every late night comedian.  I am writing this simply to underscore how routine such state violence is, and how little we concern ourselves with it, even abstractly.  

If there is a better way, we reason, there is nothing we can do about it anyway.  Powerful forces, often at the command of raging psychopaths, are regularly unleashed to slaughter anybody who stands in the way of valuable natural resources or anything else the powerful forces want.  Innocence or guilt has little to do with who will live and who will die.  This world is not a meritocracy, after all, nobody but those closest to you gives a rat’s tutu about how moral, kind, empathetic you are.

The guy who is launching the missiles, named after the close fighting weapon of the people slaughtered by the armies of freedom, certainly doesn’t give a shit.  It enrages him that a dictator would kill babies in such an inhuman way and he takes decisive action.  

Thirty-six children are said to have died in the poison gas attack.  Yesterday our ambassador to the UN asked rhetorically “how many more children have to die before Russia cares?”  We note here that according to one source over 700 children have been killed by US and Coalition airstrikes in Iraq and Syria since August 2014.  The recent SEAL raid in Yemen killed a bunch of children, at least one of whom, a pretty little girl, was allowed to writhe in agony, untreated, for hours before she finally died of the American bullet in her spine. 

In fairness to our current president, why should he care what his critics have to say about his unauthorized use of millions of dollars worth of deadly missiles against an unabashedly evil regime?  What are you going to fucking do about it anyway, big shot?

The Skeleton checks in

“About time,” says the neglected skeleton of my father from his sopping grave outside of Peekskill.    

Well, you’ve been reading my blahg…   

“When I get a chance,” said the skeleton.   “Look, I have to say, and you’re not going to like to hear it, but you’re doing the same thing you always did.  You know what Moms Mabley said ‘if you do what you always did, you’ll get what you always got.’   I know you want to highlight how maddening it is to be at the mercy of a merciless system, but, in the case of this dermatology fuck up, all you have to do is pick another fucking doctor….”  

Or five more fucking doctors…  

“or however many fucking doctors you need to call.  Are you going to prove your point about the murderous state of American health ‘care’ by dying of too late diagnosed melanoma?”  

You make a not unreasonable point.  

“No, YOOO make a not unreasonable point.  Don’t forget how immature I was most of my life.  You’re giving yourself this advice, Elie, and my two cents is ‘take it’.  Seriously, you don’t know this young, conveniently located dermatologist from a weirdly-shaped mole on your ass.   Call another one.  Make a goddamned appointment.  If the doctor turns out to be an unredeemed asshole like that Russian-speaking one a block from your apartment is reputed to be, go see another one.  Everything in life is the roll of the dice.   You might get lucky, you might get unlucky.  Keep going forward, my son.  Don’t be like me.”

The skeleton rose from his grave, gracefully extended his arms over his head and did a slow, perfect pirouette.   He danced for a while in the pissing rain, surprisingly well, while I searched for something more for either of us to say.

Happy Day for Motherfuckers

It’s pouring outside, rain gurgling merrily in the air shaft, a perfect day to do a little writing.  I’m working on a book about my father I’ve been neglecting recently and I thought of a great little chapter about his generosity.  I am also working on a book proposal for a much easier to complete book that I have more than half-written.    I’m also working on a letter to the New York State Attorney General, to convince him to propose legislation to regulate the out-of-control fraud of unregulated health insurance companies who do their lucrative business, sometimes enhanced by sharp practices they are not accountable for, in our state.  

But first, I needed to make two key medical appointments.  These having been hanging over me for months; in the case of the dermatologist, for three or four years.  The new kidney doctor (the excellent one I saw a few months ago is not on any QHP I could find) needs to tell me if my membranous nephropathy has yielded to my low-sodium diet and ban on non-steroidal anti-inflammatory drugs (ibuprofen) or if I need to go on an auto-immune drug regimen to avoid the worst case scenarios of dialysis or a kidney transplant.   The skin doctor needs to look at a variety of odd things growing on my skin and tell me which, if any, I have to worry about.  

A nurse friend found me a nephrologist the other day and in a relatively short time today I was able to make an appointment.  I’ll see the new doctor in a few weeks.  Thank God for friends in the field.  

I have the number of a young dermatologist I’ve been trying to make an appointment with the last few days.  I was referred to her by my current insurance company.  I am paying literally ten times what I was last year, for a “higher” level of medical insurance and better care than I was able to get last year.   This doctor’s name came up, and as I found nothing bad about her on-line, I’ve been calling her office to make an appointment.   Although she’s listed as in-network on the “provider” list for my specific silver-level QH fucking P, her office doesn’t think she’s in-network.  They were going to get back to me, but you know how that goes.  When I called yesterday Melanie had no update for me, so today I asked Norma, an extremely nice woman at Healthfirst, to make the appointment for me.  

Norma laughed when I asked if she could put me on hold without the Dr. Mengele String Quartet, and she was able to do so.  I heard only a few notes of their infernal nerve-jangling sawing.  We soon had another receptionist at the dermatologist’s office on the line.   We learned, about 40 seconds in, that the dermatologist was not able to see new patients because she didn’t have an NPI number yet.

If you live in the cocksucking United States of America, and do not have insurance through work, or enough money to buy an expensive but good private plan, and sign up for the PPACA’s mandated product, you quickly learn about things like NPI numbers, which are site specific (the doctor with multiple offices apparently has multiple NPI numbers, or maybe not) and CPT codes, which, if not perfectly transcribed, prevent treatment.  Wrong NPI number?  You pay.   Incorrect CPT code?  No service.  

You want to call someone to fix this?  Call your insurance company, baby, they work for you.   New York State, is there any state agency I can call to get this straightened out?   Uh, no, first work this out with your insurance company, everything’s going to be fine.  Or call this 800 number for the New York State Department of Financial Services which puts you into a cul du sac from the hell our smiling former commander-in-chief, and our glowering present one, for that matter, ought to be frying in.

“Norma, I’m sorry to be venting like this to you…” but Norma was fine, so many customers are experiencing similar horrors.   She worries for her kids, living in an out of control plutocracy with two working parents, a country where it’s no national scandal that tens of thousands die every year for lack of decent medical options, while billionaires compare taxation to Auschwitz.  She worries about the increasingly demonstrative boa constrictor that is life for working people in our great nation.  She is fine with my complaints, interested in my analysis.  But it helps neither of us, helps nobody.  

When I venture my opinion on the precedent, created by our recent two-term chief executive, of killing American citizens without trial or charges, passed on to this angry, unstable fellow occupying the oval office now, she becomes quiet.  It is horrible, she agrees.  Then I cross the line, as one ranting and venting while caught in a chafing trap often does.  

“When we droned a sixteen year-old American citizen, not charged with anything, and the press secretary said, in response to a question at a televised news conference,  ‘he should have been more careful about who his father was’, the proper response for the reporter was to break the press secretary’s nose.  To show that unaccountable violence by the State, in our names, is an unacceptable answer– wipe up your blood and try again.  The American people will no longer accept that kind of crap… our government is not a reality TV show where anything flies that makes people tune in and the cash registers cah-ching.”

Now Norma was silent, and I didn’t blame her at all.  A patient and empathetic woman, she’d been wonderful throughout a long, frustrating chat.  This was more than she was being paid for.  I told her as much, thanked her for her kindness.  She told me, gently, that it had been her pleasure, wished me luck and I sat down to type.  I figured that was as good an option as going to fuck myself.  

I’m going to call my nurse friend and ask her to get me a recommendation for a dermatologist.  If I have to travel an hour from my place to get my skin scanned, as I will to see this nephrologist to have my urine and blood re-tested, so be it.  Now just sit back and enjoy the rain, it’s another happy day for motherfuckers.

 

 

45,000 dead Americans

What do you call 45,000 uninsured Americans who die every year for lack of medical care in the wealthiest country on earth?  

The price of freedom.  The cost of doing business in the Free Market, bitch.

At the risk of seeming to pile on the president I voted for twice, a charismatic man beloved by millions even as he killed American citizens by remote control without trial or charges (and gave that power to his unstable successor), even as he repeatedly lied about “transparency” and prosecuted those who exposed government abuses under a draconian law drafted in the hysteria leading up to American entry in World War One, a law designed to crush dissent, even as he did much for the wealthiest among us and little for the rest, while delivering inspiring speeches at every turn– I have to say, I really do hate the motherfucker.  Someone with his intelligence, expressed ideals and talent as an eloquent and convincing salesman should not be such a tool of the status quo— in my opinion.   Yes, I know, half of Congress are not unsympathetic to the Klan and all that, rabid partisanship and racism are off the hook and so on, but, still.

“If you like the doctor you have, you can keep your doctor,” was, of course, POTUS-speak for “I won’t come in your mouth.”  Most of us make promises in the heat of the moment, sometimes it’s hard to keep them, I certainly understand that.   The side-effect of this untruthful statement, for me, the deal sealed by the immensely complicated PPACA drafted by the affiliated American medical industries, is that I’ve had to change doctors several times, pursuant to changes in the ACA in New York State in recent years, though for years I had good doctors I liked and was able to easily see.

Slipping through the cracks the last couple of years, as I’ve been forced to change networks and doctors more than once, and largely my own fault, was a visit to a dermatologist for a skin scan.  I almost saw one a year ago, paid for the visit out of pocket, though I also had insurance.  What scared me were the unforeseeable lab costs and possible follow-up surgery costs.  In hindsight, very stupid.   I’ve already had skin cancers removed from my nose and my arm.  Why am I fucking around?

In less than an hour yesterday I was able to find the names of dermatologists (“providers”) who accept my current QHP (“qualified health plan”) and rule out one who appeared, by the many similar comments about him on the web, to be something of a complete asshole.   A young woman dermatologist in a nearby office seemed like a good bet, nothing good or bad about her on the web.  Clicked on her office to make the appointment, typed in my insurance and was notified:

 

out of network.JPG

After only twenty minutes on the phone with the insurance company I was assured that the doctor is definitely in-network for my QHP.  The woman at the insurance company sounded very confident, offered to call the doctor’s office for me and make an appointment, but it was already after hours.  

I called today to make the appointment.  I gave all my information and when it came to insurance there was a pause.  The doctor is not enrolled in the QHP with that insurance company.   I explained that I’d been referred to the doctor by the insurance company’s provider look-up, verified with the insurance company that the doctor was in the plan.   She asked me to hold and as I did, the Dr. Mengele String Quartet sawing away at an adrenaline-fueled classical piece scored for the highest registers of their instruments, I felt my blood begin to boil.

I calmed myself with the thought that it is truly nothing personal.  45,000 Americans will die this year for lack of medical treatment.  Some are fuck ups who just don’t go to doctors until their symptoms are overwhelming and by then it’s too late.  Some have no health insurance and are scared by doctor and hospital bills.   Some are just fucked.  No reason to take any of it personally.  There is nothing personal here.   I am no more special than any of the other tens of thousands of Americans who will die this year because profit for a few is deemed much more important than the lives of  enough American losers to fill a large stadium.  Fair enough.

The thought didn’t calm me that much, though.   When Melanie came back on the line she told me she’d contact the office that coordinates the dozens of insurance companies and QHPs the provider group currently participates in.   She said it was possible that the doctor had recently been added and that they hadn’t updated the system yet.  

I was relatively restrained in giving Melanie a succinct and dispassionate version of what I have written here.  Melanie was nice, she has offered to call me tomorrow to follow-up.   As I sit in the chair tomorrow on the last day of a multi-visit root canal I will think of Melanie, ready to call her as I stagger from the dentist’s office.  I will keep my fingers crossed that none of these things growing on my skin are anything to worry about.  Then I will continue my search for a participating nephrologist for follow-up about the progress of my kidney disease. 

Repurposing “The Deep State”

Because Americans live, increasingly, in echo chambers where our own views are endlessly confirmed– and there is no overestimating the power of the confirmation bias– the same term can quickly become a weapon for each side.   During the recent presidential election much was made of “Fake News”.  Both sides used calculated untruth and incendiary stories composed largely of bullshit to stir their troops,  though the right seemed to use it more, and to more galvanizing effect.

I saw a stat right after the 2016 election, fake news skewed something like 2:1 right, but that’s still a lot of outright bullshit from the left side.  I couldn’t find the original cite for the statistic, but here’s the Grey Skank and Steve Bannon/Robert Mercer’s own Breitbart on the well-known phenomenon.   I must say, both accounts read well and appear to be, without more research that most news consumers don’t have time to do, plausible.  Let us assume for our purposes today, and to avoid the typical distracting argument, that the left and right were equally guilty of lying during one of the ugliest campaigns in our history.

My point is that Mr. Trump and his people, who set new standards for untruth during the campaign and since (hah, so much for my fairness caveat directly above) , introducing us to “alternative facts” and so forth, quickly co-opted the term “fake news” to increase skepticism toward the corporate mass media.  One should be very skeptical of corporate media driven entirely by advertising dollars and the bottom line of shareholder profits and enormous compensation packages for its executives.  But look how quickly the term “fake news” was pointed back at the exposers of right wing ‘fake news’ and neutralized.   Who owns fake news now, bitches?   Two wrongs do make a right, yo.

Now the same has happened to the term “The Deep State”.   This description of the powerful forces that profit mightily from our globalized “Free Market” and the endless wars we are now embarked on, has been captured by the right.  To the right the Deep State is the liberal-biased intelligence community, fanatically determined to bring the new president down. Trump’s people now openly deplore the “Deep State” and everyone is right to deplore it.

A former long-time Republican government budget analyst, Mike Lofgren, spoke to Bill Moyers a few years back about the Deep State.  The permanent shadow government is not a new thing, the interests it represents go back to our original one percent, the Founding Fathers, but it’s entrenched and protected in ways we couldn’t have imagined generations ago.  Lofgren described The Deep State as ‘a hybrid association of key elements of government and parts of top-level finance and industry that is effectively able to govern the United States with only limited reference to the consent of the governed as normally expressed through elections.’  

Lofgren set out the workings of our current deep state*, now organized largely around, and justified by, the so-called War on Terror, that bold war against fear itself.  It operates by deregulation, privatization, deindustrialization, financialization of the economy, Wall Street as the only casino in town, widening wealth disparity,  permanent war, surveillance state, etc.  It all takes on the air of the inevitable, a massive conspiracy, but its only deliberate design is to maximize profits for our wealthiest citizens. 

Like the deal-makers in the administration we have now.   Exxon-Mobil was the first company to research the effects of carbon on our planet’s climate.  They made alarming discoveries, decades ago, about what became known as Global Warming and later was re-branded as the less alarming Climate Change.  Exxon scientists learned that carbon emissions, like the ones from burning millions of barrels of fossil fuel, were indeed making the world a less habitable place for human and other life.  

Then Exxon spent decades funding Climate Change Skepticism. To their credit, and against a mountain of evidence from most reputable climate scientists, they created a sizable block of Climate Change Skeptics including, apparently, our current president.

Exxon knew the lucrative product they were selling was choking the earth to death, but they were making too much money to stop.  You know the old dilemma.  It’s easy to be critical, but don’t forget, Exxon is about the most profitable corporation in the history of the world.  Now their CEO is our nation’s Secretary of State.  How’s that for transparency in government?   You’ve got to love these guys we’ve got now.   They will not let the Deep State get any deeper, despite all the fake news to the contrary.

 

 

*   Lofgren describes the Deep State as “the red thread that runs through the war on terrorism and the militarization of foreign policy, the financialization and deindustrialization of the American economy, the rise of a plutocratic social structure that has given us the most unequal society in almost a century, and the political dysfunction that has paralyzed day-to-day governance.”

 

Consumer info for people screwed by The New York State of Health

I post this as a public service for New York State health insurance consumers at the mercy of the merciless New York State of Health Marketplace.  

The identity of the person responsible for the public “marketplace” where otherwise uninsured New York State consumers are mandated to buy health insurance is a closely guarded secret within that public agency.  Representatives of the agency are forbidden to disclose the identity of the executive director they work for.  I have confirmed many times over that this is the actual policy of this public agency.  

The likeliest reason for this policy of secrecy is that she doesn’t want 1,000 overwrought letters a day complaining of the mind boggling, blood boiling, heart attack inducing inefficiency of the bureaucracy she oversees.  And who could blame her?  Would you want your secretary bogged down with an endless tray of badly written complaints?

Fortunately there was a letter to this elusive public official posted on the internet.  Here is the unaccountable political appointee’s contact information:

Ms. Donna Frescatore 
Executive Director 
New York State of Health 
New York State Department of Health 
Corning Tower 

Empire State Plaza Albany, NY 12237

Drop her a line, please give her my best.  

And as they tell you at the New York State of Health Marketplace, after a long call that fixes nothing, thanks for calling and have a nice day!

And as I answered today, through gritted teeth, after a 20 minute exercise in self-control to pronounce the word “yes” to the person in the proper office to confirm that I still wanted the appeal I asked for a month or two back, “it was my pleasure.”

politics smells like meat

Back in the days when I still thought “artists’ books” were cool, I entitled one Politics Smells like Meat.  Still a good, and accurate, title, since politics decides who will eat steak and whose ass will be served as that steak.  The smell of grilling meat is often delicious and easily overcomes any hesitation to eat what was, until recently, a living, sentient creature.

From the excellent Jane Mayer, investigative journalist and author of the definitive story of our secret torture program, this paragraph, in a profile of reclusive billionaire libertarian Robert Mercer, friend and sponsor of Steve Bannon:

Private money has long played a big role in American elections. When there were limits on how much a single donor could give, however, it was much harder for an individual to have a decisive impact. Now, Potter said, “a single billionaire can write an eight-figure check and put not just their thumb but their whole hand on the scale—and we often have no idea who they are.” He continued, “Suddenly, a random billionaire can change politics and public policy—to sweep everything else off the table—even if they don’t speak publicly, and even if there’s almost no public awareness of his or her views.”

The rest of the New Yorker article is here.