No Reason to feel like a Chump, Chump

My bad, really, in not beginning that letter to the NYS Attorney General’s office with an unmissable disclaimer:  THIS IS NOT A BILLING COMPLAINT.

No wonder that a healthcare-related letter, complaining of the lack of any sort of government agency to resolve health insurance-related problems NYS patients have in New York State, would be dropped promptly on to the Healthcare billing dispute desk of the A.G.’s office.   My letter, foolishly, began:

Dear Mr. Attorney General:

I am appealing to you for assistance, on behalf of many thousands of New Yorkers caught in a sometimes life-threatening situation regarding their healthcare.  As described more fully below, citizens of our state have no government agency that intervenes in cases where patients are mistreated by the corporations we buy health insurance from.   This is true even in cases of apparent fraud.  

An idiotic idealism had me send it, for myself and on behalf of other people many Americans believe are lucky to have any health insurance at all– and who are in danger of losing the shit care they currently have.  I am not a campaign donor, or an Ivy League classmate of anyone close to the A.G., why would I expect my letter to reach such an important man?   If I was a wealthy, connected person, what would possess me to write such a letter in the first place?  Not being one, what did I fucking expect?   Perhaps anything but the mistaken response I received:

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But still.  And although the letter is non-responsive to anything in my letter, it is easily enough straightened out.  I could do it in couple of lines:

Dear Mr. Bockstein:

Thank you for your prompt reply to my long letter to the Attorney General, though it was clearly sent to me in error.   My correspondence did not involve a billing dispute (though one section contained examples of a couple), and I never heard of St. Joseph’s Physicians or Oneida Healthcare, let alone had a billing dispute with either of them.   Please transfer my letter, and the attachments, to the assistant for Mr. Schneiderman who reviews policy-related correspondence.  Or let me know to whom I should address a new copy, to avoid a similar fate to copy number two.

Thank you, and have a blessed day.

No need to point out the obvious irony to the overworked Mr. Bockstein — that his idiotic ‘response’ to my letter is yet another stunning example of the administrative cul du sac I described in my letter as so infuriating and soul crushing to aggrieved low income patients of New York who have no government agency protecting them from the predations of the health insurance companies they are mandated to purchase healthcare through.

Or that bureaucratic responses such as his are particularly dangerous to patients being treated for serious major organ disease and already suffering treatment-related extreme high blood pressure.   When your blood pressure is dangerously close to hypertensive crisis range, a letter like that, though polite, is the last fucking poison you need.  Although it is good for me to keep in mind that the preventable death of an American who is not at least middle class is, as the law styles it, a trifle, truly.  Nothing personal.

I rest my case, Mr. Bockstein.  I’d make an idle threat to rest it in a venomous letter to the editor of the Grey Skank, but we all know how silly that would be to threaten.  Theoretically, a tart letter to the editor quoting the AG’s response would momentarily embarrass your boss, who appears to be one of the few good guys, and who is tirelessly making a good name for himself with clear future ambitions.   On the other hand, a short description of the callous, or at best, inept, functioning of his progressive office would only serve to provide more ammunition to the powerful and well-funded forces of reaction bent on returning this country to its former greatness.

I am left idly threatening to unearth my Louisville slugger, Joe Pepitone model.  And fiercely pointing out that I can be up in Albany in the time it takes Mr. Bockstein to crank out a few dozen of these fine letters, man of peace and reason though I always aspire to be.  At the same time urging Mr. Bockstein, for purely legal reasons, not to construe this as any kind of physical threat– I mutter it mildly and abstractly, for expressive purposes only, through a haze of monoclonal antibody side effects.  Though, even in my asthenic state, I recognize that, truly, the many vexations of Americans with a low income, even the most theoretically easily preventable vexations, are strictly their own affair and attributable only to their poor choices in life.

You Can’t Make This Shit Up…

Which doesn’t mean, of course, it doesn’t make you want to smash the responsible parties in the face with a baseball bat, just once.   As a man who tries to practice Ahimsa, non-harm to fellow creatures, the feelings this can produce are complicated.

Many things are complicated, granted.  Our exceptional country, we can stipulate, has a sometimes spotty history for doing the right thing.  We know liberals are always banging on about the extermination of the native people, slavery, atomic bombs dropped on Japanese civilians after back-channel surrender talks were in the works, segregation,  a century of lynching, the “pre-emptive” invasion and destruction of Iraq, torture, drones, imprisonment of more than a million Americans for arbitrary crimes that harm nobody, a powerful, wealthy gun lobby that makes sure tens of thousands of Americans are free to kill tens of thousands of other Americans every year, blah blah blah– as if liberals never do anything wrong.   

Our world’s most expensive health care system, its expense inflated by fabulously paid private insurance middleman as much as by high tech medical interventions and Big Pharma, vital industries which are sometimes judgmentally called ‘predatory’, allows tens of thousands of Americans to die every year over money issues, even under Obamacare.   Oh, and intergenerational poverty and racism, and not paying women as much as men and not fixing that.  OK, we’re not perfect, but we’re always trying to form a more perfect union.   

Once in a while someone who thinks they’re smart tries, in the face of odds that say, overwhelmingly ‘shut the fuck up, anonymous, powerless asshole’, to write a cogent letter to someone in power who might be moved enough to address at least one systemic, institutional injustice.   I was one such person recently, and I exerted myself mightily over many months, to craft a letter that was readable and proposed solutions to the institutional problems it detailed.  I sent it to our activist, progressive,  not publicity-shy NYS Attorney General.   You can read the final version of my letter here, and the attachments to it here. 

To my relief, I got a prompt response, from the Attorney General’s Division of Social Justice, no less.  Here it is.  You truly can’t make this shit up.

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Of course, it would seem churlish of me to note that I’ve never heard of St. Joseph’s Physicians/Oneida Healthcare, nor, to my knowledge ever had a billing dispute with either one.   

Hopefully I can remain calm and relatively civil tomorrow when I call this steaming pile of distracted dung, Health Care Bureau Intake Specialist Alexander Bockstein, and inform him that my letter reached his desk in error, as his did mine.   I will need to strike just the right tone to get my letter into the hands of someone who will thank me for it in a manner a bit more on point, indicating they may even have read a paragraph or two of it.  You know what I’m saying?

Transparency is Crucial to Understanding

The lack of transparency, so prevalent in our unapologetic, commercial win-at-any-cost culture, is a bone crosswise in my throat.   It comes up again and again, from the secret “dark money” that decides our elections, to secret national killing policies, to toxic family relations rooted in shameful secrets, and it gets to me every time.   Shameful secrets shamefully kept usually create more shame, lack of trust and other serious ills.  Doubt this at your peril.   

Without transparency we do not have enough information to make informed decisions, our conversations are about what we suspect is the case, rather than what we can actually see and understand.  Without a truthful report of the actual, verifiable facts, all we know are the rumors we suspect are most likely true.  We then act accordingly.

I offer a petty but recent example to stand in for the damnable reflex toward opacity, which is also a reflex toward small-mindedness and obstinate certainty.   The certainty of the lynch mob.

A baseball player, born in Cuba, hits a home run off a top pitcher in the World Series.  The pitcher is of Japanese/Iranian ancestry and grew up in Japan.  The hitter circles the bases, gets back to the dugout, flushed and laughing, and, sitting on the bench makes a ‘racially insensitive gesture’ which instantly becomes national news and results in the player’s five game suspension (longer than the usual suspension if he’d literally charged the mound and tried to punch the pitcher in the face).   

After the game Yu Darvish, the pitcher who gave up the home run (and was knocked out of the big game not long after) and then was victimized again by racism, was surrounded by reporters after the game, under bright lights.  He had just pitched terribly in the biggest game of his career.   The reporters wanted to know how he was feeling about the racist gesture.   Through an interpreter he made an admirable reply, under great pressure:

“Including him and I, nobody’s perfect. Everybody’s different. We’ve just got to learn from it. He made a mistake, and we’ve just got to learn from it. We are all human beings. It’s just learn from it, and we’ve got to move forward.”

Remarkably mature comment, I thought, particularly under the pressure he was under at the moment.  The Cuban player apologized immediately, expressed great respect for Darvish, said he could never get a hit off him, regretted what he had done after the home run.  He released this statement:

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I did a search to find a video of the racially insensitive gesture.  I found it immediately.  I had to scroll through the video to find the gesture, two talking heads were clucking at length over how terrible what we are about to see was.   As though they were preparing us for grainy footage of a klansman tying up a terrified child he was about to string up in a tree.   Trigger warning:  please be advised, what you are about to see may really, really hurt. 

Then, I saw it.

The player is on the bench, smiling from ear to ear, excited after his World Series home run.   He appears to be sitting by himself on the bench, there is no other player in the shot.  He turns his head, shakes his ridiculous hair-do, lifts his forefingers to the sides of his eyes, laughs.   The micro-gesture takes a nano-second, literally.   

Luckily, since this happened during an internationally televised sporting event, we have multiple camera angles and slow-motion so we can get a good long look.  Let’s slow it down and show it from the left, look, Bob, both hands.  He used both hands, yeah, you see that left forefinger?  Definitely a two handed racially motivated attack on the Japanese pitcher.  I did see that, Kyle, both hands, yeah, he used two hands, definitely.    The fingers didn’t actually touch the eyes, Bob, but you could see the intent there, clear as day, here, let’s see it from another angle.  Yep, it’s racially insensitive, all right, Oh my Lord, yes it is.

I watched as it was replayed several times in slow motion thinking “what the fuck?”   It was unlikely that Darvish, the intended victim, even saw the gesture, unless he was staring, unblinking, at the Houston bench instead of pitching.  The full mockery was done and over, based on the video which showed the same horrible gesture over and over, in the matter of perhaps three quarters of a second.   Then the mob of reporters investigate, put Darvish on the spot to act like a mensch after the worst outing in a big spot in his distinguished professional career, shelled and out of the game in less than two innings.   The new baseball commissioner later gets big praise for a prompt Solomonic decision:  the racially insensitive player will be suspended for five games, without pay, next season, but will be able to play the remainder of the World Series.   

I sent the video clip to a friend who wrote back, with characteristic slyness:

I was triggered by that gesture, so I’ve been in my safe space. I may come out tomorrow.

I sent the clip to another friend a few hours later.   He emailed me back that the clip was unavailable.  It had apparently been taken down by the copyright holder, or the account terminated by youTube, or both.   See for yourself.

So we are left, without the ability to judge the offensive act itself, with the instructive moral lesson that we do not tolerate racial insensitivity in our great nation.   Which, of course, is true, self-evident, in fact.  America is a land of exceptional equality where race is never a factor in anyone’s behavior.  The proof is our president, if you need proof.   Never a less racist person in that Oval Office, except, arguably, Woodrow Wilson, maybe. 

Seriously, how about we make the author of that racially insensitive gesture do a sincere public service announcement about how hurtful racism is, show it during baseball games.   The lost five games of salary that is part of his punishment, let’s put those tens of thousands of dollars to good use by donating it to an organization that fights racism.   How about something meaningful?  Instead of this pious fucking feel good bullshit.

Those Americans killed earlier this month in Niger, what’s the deal with them?  They are part of the now thousand American force initially placed in Niger as advisors in the War on TERROR by… oh, gosh, Barack Obama.   We never heard about that.   We never heard about the drone strikes in Yemen, until disloyal Americans like Jeremy Scahill investigated and revealed that American, not Yemeni, drones had launched those murderous, if mistaken, strikes.   How many countries are we doing that in?  Top secret, commie.  Campaign donors who give more than $5,000 to a political non-profit are granted anonymity in the exercise of their First Amendment right to political self-expression.  They’ve earned it.   

Well, we have to take our symbolic victories where we can.  Thankfully, that fucking racially insensitive Cuban motherfucker got what was coming to him.

NOTE:

Gurriel will lose $322,581 of his $12 million salary next year, which the Astros will donate to charitable causes. He also will be required to undergo sensitivity training during the offseason.

Darvish said he couldn’t decide whether Gurriel’s suspension was appropriate, but he said that he understood why commissioner Rob Manfred didn’t impose it during the World Series.

Darvish said a Dodgers employee informed him about Gurriel’s gesture, which was caught on television, after Game 3.

“I didn’t think it was going to be this big of a deal,” Darvish said. “But to me I wasn’t that frustrated at that point when I saw it the first time.”

 

source

Insightful discussion of drug addiction and the destructive “war on drugs”

This guy, Johann Hari, wrote an excellent, comprehensive and very readable book called Chasing The Scream, about the almost unimaginable horrors of the misguided century-long WAR ON DRUGS.  His book lays out what he learned about the nature of drug addiction and the best policies to help addicts.  He contrasts these successful programs with the endless War on Drugs which winds up killing addicts, and many others.   Here he delivers a talk that distills the book (which I highly recommend) into a smart 14:42.   

Mala in se vs. mala prohibita

I was once friends with a judge, a very smart man, who hipped me to this important distinction, which goes back to to the roots of Common Law– the principles our legal code is based on.   There are two kinds of crime: the malum in se— a common sense crime that is morally wrong and hideous in and of itself (cutting the limbs off a healthy baby only to cause agony comes to mind) and the malum prohibita, a crime that is a crime only because a law makes it so.   

It is a distinction most people never even consider.   For purposes of sometimes racist law enforcement in America, for example, by those who cry out for “Law and Order!”, no distinction is visible between these two very different kinds of law.   It is part of the ignorance and self-righteousness of fucking racists who rail against criminals and it’s the driving force behind America’s world leadership in mass incarceration and criminalization of the poor.

In 1925 in America it was illegal to buy or consume whiskey or beer.  That was Prohibition, when the Constitution was actually amended to make that the law of the land.   The experiment went badly and was abandoned about 13 unlucky years later when the Constitution was amended again to repeal that disastrous attempt to “legislate morality.”   

What was the moral issue being legislated?    Not that it was wrong to have a drink of alcohol once in a while, but that it was a grave social ill for masses of poor men to spend all of their pay getting drunk, starving their family and beating them.  There had been a widespread epidemic of drunkenness and violence among mobs of underpaid American working men in the decades before there were any labor laws in the country.  It was a massive social problem, the unfortunate synergy of hard work, poverty and alcohol. 

It turned out not be a crisis that could be cured by banning alcohol and locking up people who wanted to drink it.  After a bloody criminal reign of terror that made millionaires of criminals who organized into national syndicates to circumvent the law, and a social problem only made worse by an ill-designed law that criminalized a popular form of recreation and punished everyone (while causing millions of Americans to hold the law itself in contempt), the nation came to its senses and the law was changed.

During Nixon’s first term as president he needed a harsh law to enforce against a generation that hated him.   Nixon is on tape referring to his many enemies by words I shouldn’t write here unless I put them in quotes: “fags”, “homos”, “kykes”, “niggers”, “spics”, etc.   Nixon could not make a law to imprison these despised minorities directly, so he targeted something many of his more outspoken enemies enjoyed: marijuana.   The Controlled Substances Act criminalized the use of certain drugs according to their “dangerousness”.  Marijuana was placed in the most dangerous category of drug: highly addictive and with absolutely no medicinal value.  It remains there today, in spite of its many known medicinal uses and a wide consensus that it is no more harmful, is even far less harmful, than alcohol.  The Controlled Substances Act, enforced strictly, allows the police to arrest people en masse, under a federal law, if they are smoking pot, say, during an otherwise lawful political protest.

Remember mala in se and mala prohibita.   If you criminalize something, like marijuana, it gives you license to stop and frisk someone you suspect might be carrying it.  If they resist a search, a policeman can legally use a bit of force.  If things escalate, and the suspect (suspected of a malum prohibitum) tries to run, rarely, if ever, will a cop be prosecuted for shooting the fucking defiant criminal in the back.  

I am thinking of this in context of the current president’s most recent noise about doing something about the opioid crisis in the United States.  The crisis was created largely by overprescription of deceptively marketed, highly addictive prescription opioids sold in a lying, multibillion dollar pharmaceutical scam orchestrated by a very rich executive of dubious morality, a person who will never be held accountable anywhere, a scumbag named Richard Sackler.   Trump spoke of the opioid crisis, during his campaign, to audiences in poor areas where hopeless people were turning to opioids in despair, and they cheered, because the lying Reality TV superstar was promising people in the rust belt and coal country that he’d give them their shit jobs back when he was president.   

Tens of thousands died of opioid overdoses last year, about 150 Americans are dying opioid caused deaths daily now, according to the CDC.   Trump signed an executive order in March, scrawling his name bigly on an order creating a commission to study how to best end this crisis.  We heard little more about it (the super-qualified Jared Kushner was at one point tasked with ending the crisis, remember) until he once again rightly called it a National Emergency in an August speech, and promised, with his usual sincerity, to take immediate steps to deal with it.

The other day he ordered his Health Secretary to get busy fixing the opioid crisis, calling the crisis a National Public Health Emergency.  A man with a shaky grasp of nuance, the president may or may not have known that the funding for a National Emergency (which his own commission urged him to declare in July) can tap into billions, while funding for a Public Health Emergency can tap into a fund of only $57,000, at present.   You can read about that here, if you have the stomach for a short article.

Here is the official position of the Trump administration on our nation’s overall drug crisis, voiced by Jeff Sessions, a man deemed too racist to be confirmed as a federal judge (imagine how fucking racist you have to be not to hop over that bar):

AMY GOODMAN: Earlier this year, Attorney General Jeff Sessions vowed a major revival of the so-called war on drugs. This is Sessions speaking at the Department of Justice headquarters as he rescinded two Obama-era memos that encourage prosecutors to avoid seeking inordinately harsh sentences for low-level drug offenses.

ATTORNEY GENERAL JEFF SESSIONS: Going forward, I have empowered our prosecutors to charge and pursue the most serious offense, as I believe the law requires, most serious, readily provable offense. It means that we’re going to meet our responsibility to enforce the law with judgment and fairness. It is simply the right and moral thing to do. … And we know that drugs and crime go hand in hand. They just do. The facts prove that so. Drug trafficking is an inherently dangerous and violent business. If you want to collect a drug debt, you can’t file a lawsuit in court. You collect it with the barrel of a gun.

(the rest of an excellent discussion  is here)

Now let’s parse Sessions’ statement for just the ten seconds it deserves.  We have laws that allow us to punish people for a legislatively created crime.  Let us harshly punish these criminals who are, by definition, committing crimes, and often deadly crimes in furtherance of their other crimes.  “It is simply the right and moral thing to do,” says the moral dwarf, simply, citing irrefutably circular logic based in an unamended Nixon era law. 

I’ve often thought the proper term to refer to an outspoken homophobe is, simply, “fucking homo,” though I know it would not be politically correct to do so — as well as offensive to my gay siblings.  Think about it, though.   A loud anti-Semite should be publicly referred to (by Jews, of course, only by Jews, yo) as often as possible as a “fucking kyke”, I think.    What would hurt these hateful types more than constantly being referred to as what they hate? 

Tempting as it is to call the racist Attorney General, our nation’s top law enforcement official, a “nigger” (and what could be a crueler blow to the pride of this prissy, racist bitch of the southland?) I’ll refrain in the interests of not alienating anyone who would be offended by the objectively offensive term.   What would be the point of my giving such offense, suh?  It would simply not be the right and moral thing to do. 

Then again, right and moral are such problematic terms, as we see every day.   And mala in se and mala prohibita are often two very, very different things, the latter often driven by political calculation, preservation of privilege and perpetuation of lack of same.   Look at our prison population for a moment, and see the disproportionate lock down and disenfranchisement (another desired outcome by the Sessions crowd) of minority criminals who pled guilty to selectively enforced mala prohibita involving randomly criminalized substances. 

Makes me wanna holler.

Cross section of a piece of shit (a few pieces, actually)

Richard Sackler worked tirelessly to make OxyContin a blockbuster, telling colleagues how devoted he was to the drug’s success. The F.D.A. approved OxyContin in 1995, for use in treating moderate to severe pain. Purdue had conducted no clinical studies on how addictive or prone to abuse the drug might be. But the F.D.A., in an unusual step, approved a package insert for OxyContin which announced that the drug was safer than rival painkillers, because the patented delayed-absorption mechanism “is believed to reduce the abuse liability.” David Kessler, who ran the F.D.A. at the time, told me that he was “not involved in the approval.” The F.D.A. examiner who oversaw the process, Dr. Curtis Wright, left the agency shortly afterward. Within two years, he had taken a job at Purdue.

source

USA! USA!!!

I got a kind solicitation from a bot/person recently who wrote, of a fairly incoherent first draft of an ambitious recent post on this blahg:  

Would it be OK if I cross-posted this article to WriterBeat.com? Therev is no fee; I’m simply trying to add more content diversity for our community and thought this was insightful. I’ll be sure to give you complete credit as the author. If “OK” please let me know via email.

I visited the site, and read this insightful piece:

How to debate the subject of inequality with liberals

Of all the issues that separate liberals from conservatives, I’d argue inequality is the one where the two sides are the furthest apart on.  Typically liberals vent about the pay of corporate CEOs or bankers and compare their salaries to minimum wage workers, teachers or anyone that gets paid less.  Then they advocate for higher taxes on the rich or higher minimum wages as the means to fix inequality.  Conservatives usually counter with something along the lines of “the free market should decide what we make for what we do.”  Many than add “In America we promise equal opportunity not equality of outcome.”

If you’re a conservative, never say something like that!

It’s impossible to have equal opportunity for all.  The rich will send their children to the best schools, their children will then exit without the burden of debt and be handed a good paying job from a successful relative.  In other words, opportunity to succeed for the wealthy is bound to be far superior to the opportunity of success for the poor.

My advice to all Republicans/conservatives is to embrace inequality as being something completely healthy and natural within any capitalist system.  Only under socialist governance is the liberal dream of equality possible and we all know what socialism does to economic growth.  Of course liberals will counter by saying that “inequality has gotten worse” but they’ll fail to count the increase in food stamps, unemployment, housing assistance, EITC payments.   But now we’re into the weeds, stick with the concept that equality isn’t something to be celebrated and there is no such thing as equality of opportunity.

Good point, avoid the specifics and stick to the fact that some people just have to be brutally fucked so that others can have obscene wealth in a society whose laws are written by their paid hacks.   Made me hope Ari isn’t Jewish, reading this, though, his name suggests otherwise.   We Jews have enough trouble being a light unto the nations without this kind of insight.  (I’m only glad he didn’t get paid for the article).

I’m also hoping the philanthropic Sackler motherfuckers who have profited so handsomely from the opioid addiction/overdose crisis are not Jewish.  I guess I may have to read the rest of this article. 

Oh fuck:

Arthur and his brothers, the children of Jewish immigrants from Galicia and Poland, grew up in Brooklyn during the Depression

Oy yoy yoy…

In 1997, Arthur was posthumously inducted into the Medical Advertising Hall of Fame, and a citation praised his achievement in “bringing the full power of advertising and promotion to pharmaceutical marketing.” Allen Frances put it differently: “Most of the questionable practices that propelled the pharmaceutical industry into the scourge it is today can be attributed to Arthur Sackler.”

Snapshot of a Complete Asshole

I should not let myself be distracted, I should not let myself be distracted…

A couple of weeks ago four U.S. servicemen were killed in Niger.  Two were named Johnson, one black, one white.  One was named Black; he was white.  Why they were killed in an unarmored vehicle in Niger, although the military is still actively investigating the weeks’ old the incident,  is obvious — fighting a secret worldwide war on TERROR.  Duh!  

We must, we are told, wage a relentless and borderless war against TERROR and be eternally vigilant until we have killed all of those violent extremists who hate us enough to resort to TERROR.  Our leaders have kept us all aware of this terrible, uh, fact since the World Trade Towers came down and the Pentagon took a hit in the fall of 2001.  

The WAR ON TERROR, although plainly impossible to win with military force alone, has been used as the excuse for a lot of inexcusable mischief, mayhem, murder and manipulation, but that is another story for another time.

The body of one of the four dead Americans, Sgt. La David Johnson, was apparently not found until 48 hours or so after the ambush.   When the four dead Americans were eventually sent back to the U.S., their coffins draped in American flags, the widows, at least in the case of La David Johnson’s wife, Myeshia, were not allowed to see the dead bodies inside the coffins.   Maybe it was because they were beyond recognition, I don’t know.    La David Johnson’s widow cried that she was prevented from seeing so much as his hand, to be sure it was really him in the box.

Our president called the widow of La David Johnson.  A condolence call, of a certain style.  The widow was apparently not consoled by the call.   Our president called the widow a liar, claiming angrily that he had fucking consoled her.  (In fairness to the president, he claimed only that he’d been very respectful, that she was lying about him not remembering her husband’s name and that a “wacky” congresswoman who’d SECRETLY listened in on the call was a fucking liar). *

He had his four star general Chief-of-Staff John Kelly make a long televised speech, during which Kelly lamented the lost dignity of our society, the mistreatment of women included, how nothing is sacred anymore.  Kelly then surrendered the shaky moral high ground he was shifting on, claiming that the self-aggrandizing Democratic politician listening in to the president’s call to the widow had been eavesdropping, that the nosy Representative had deliberately distorted the president’s words of condolence (Kelly neglected to mention that the widow and the representative were in a car together, or that the call was on the widow’s speakerphone, creating the impression that the Florida representative had a sinister ability to wiretap at will), was an “empty barrel”, talking shit, a lying partisan viciously trying to politicize a tragedy, someone who had falsely claimed credit for securing funding for a new FBI headquarters in South Florida.   

(Although, in fairness to everybody, and not that it’s a gigantic detail in the overall hideous picture — except coming from the mouth of a general speaking in the context of respect for the fallen, and perhaps to the family and colleagues of Jerry Dove — the second murdered FBI agent referenced by Kelly was named Jerry Dove, not Duke as Kelly said.  You’d think somebody on the general’s staff could have hit Google to fact-check the speech before Kelly gave it, wrote the correct names of the two dead heroes on a card for him.  No attention to detail in President ADHD’s post-reality administration. SAD!). [1] [2]

The widow was interviewed shortly after Kelly’s news conference.  She explained that the congresswoman, a long time mentor to the family, had been in the car when Trump called and had reported the president’s remarks accurately.   

Our thin-skinned, bottomlessly needy president attacked Myeshia Johnson vigorously on Twitter for not being grateful for something that had been very difficult for him.   He might as well have called her a lying cunt.   We would expect no less from the man, but still.

 

* Screen Shot 2017-10-26 at 12.53.42 PM.png

Adroitly done, Lyin’ Don. 

Facts?

Politics in America

Americans, it is said, are like children when it comes to politics.   We are not really children, we are consumers continually sold snappy, brand-name products, including politicians.  We are marketed to around the clock, from the cradle to the grave, and our political system reflects this.  There are powerful reasons for this sad state of affairs.

I was often critical of President Barack Obama, a genius on the campaign trail, a perfect political product, a man I voted for twice.   I criticized him, in part, because I’ve been personally victimized, many times, by his compromise that left rabid corporate foxes in charge of the healthcare henhouse– not to mention many millions still uncovered by health insurance, and the tens of thousands who continue to die preventable deaths each year in the wealthiest nation on earth.   

Obama, like all presidents, did many bad things, quietly, as he gave inspiring speeches about our values.   Tragically, he lulled much of progressive America to sleep with his beautiful oratory, giving stirring speeches that often directly contradicted his actions; like when he told the correspondents at the annual dinner that they had been his partners in transparency, in keeping American democracy well-informed and robust.   We know, if we look at all, that Obama’s administration was not transparent; it was as opaque as the secretive, aptly named, Dick Cheney’s.   

That said, Obama was one of the better presidents of my lifetime, perhaps the best, sad to say.  A friend with a brilliant talent for argument beat me down thoroughly in a long comparison of the presidents of our lifetime.  He drove the point home.  Sure, Obama did some fucked up, inexcusable things; massive secret “signature strike” drone killing in multiple countries, repeated use of the 1917 Espionage Act to punish “traitors” who revealed shameful government practices, the secrecy about the actual terms of the Trans-Pacific Partnership, but on the whole, may have done less harm, and attempted to do more good, than many of his predecessors.  The scale of presidential atrocity is now being re-calibrated by an insane idiot, as he scrambles to dismantle everything positive that Obama managed to accomplish, in the face of massive, organized obstruction.  All future presidential comparisons will be skewed by this petulant outlier we have in there now.     

The first test for an American presidential contender is one that should disqualify them:  that he or she truly believes they should be the most powerful person in the world.   They must secure massive financial backing and sell that sincere, if grandiose, self-belief to voters on television (and, increasingly, via social media) while at the same time assuring the most powerful entities in America that they will do nothing to affect the bottom line.   This process self-selects a certain egotistical, telegenic, born politician.  Branding and marketing, and skillfully deployed soundbites, will decide the battle.

The successful American presidential candidate must be prepared, and demonstrate a willingness, to do unspeakable things.   I’ve often thought there is a psychopath test for any serious American presidential contender.  Maybe  it’s a kid, strapped to a chair in some secret room, that the candidate has to kill, in front of the most powerful CEOs in the nation, to demonstrate he or she has what it takes, won’t hesitate to do what must be done.  

Presidential candidate Bill Clinton rushed back to Arkansas to oversee the execution of a brain-damaged death row inmate.  Candidate Dubya mocked the final plea of the brain-damaged Born Again death row inmate he famously refused to pardon.  They had to, politically.   America needs its president to be tough.  Look how many kudos Trump got, from everyone, when he made himself “presidential” by launching tons of senseless missiles at a Syrian airfield, or when he dropped the Mother of All Bombs in Afghanistan.  How jealous Saddam would have been!   Imagine how presidential Trump will be if he gets to drop nukes on Little Rocket Man’s people.

The world is dangerous, mobs of people are maniacs, murder is rampant all over the place.  As sea levels rise and natural disasters grow dramatically more devastating, the danger from and for humans is getting worse.  Maybe we need a president who can kill, who will not flinch, when the situation demands it.  But let’s look for a moment at the rest of the picture.  

Obama’s winning personality, clear intelligence, gift for the felicitous phrase, encouraged those of us who voted for him to believe he was a decent person, a man of conscience.  He played one on TV, and perhaps he truly is.   He came off as thoughtful and fairly honest, to those of us who didn’t hate him, telling us early on that we have to push him to accomplish the hope and change he promised.  We can’t expect any elected official to do the right thing unless we push him relentlessly, he pointed out.  On the one side some people quietly tried to push, on the other side a few very powerful “persons” representing gigantic market forces generally prevailed.   Good, individually powerless people didn’t band together into a mass movement and push hard enough, Obama chided us when he was criticized from the left, while the people with all the power paid powerful experts who pushed harder to influence public policy.  

There is a sickening truth to this lack of American political will, except among extreme right-wing zealots, it seems.  We, who don’t share their values, have been reduced to a nation of handwringing spectators, waiting for our leaders to do the right thing.  Historically, this hopeful passivity has not been a good bet.  There were literally thousands of labor strikes during FDR’s first and second terms, when an uncommonly bold president seized the momentum for change to create a social safety net to save the country from Communism.   

Frederick Douglass hit the nail on the head in 1857:   

Power concedes nothing without a demand. It never did and it never will. Find out just what any people will quietly submit to and you have found out the exact measure of injustice and wrong which will be imposed upon them, and these will continue till they are resisted with either words or blows, or with both. 

A century and a half later our first “post-racial” president presided over a nation as divided as on the eve of the Civil War, surrounded by in your-face racists intent on rendering him powerless, while membership in white supremacist hate groups rose dramatically and, mobilized, carried the president we have now into office.  With all of the threats we currently face, as a nation and a planet, are we still really watching wealthy talking heads argue over whether racism is bad and whether men and women are really equal?  While a global climate catastrophe gathers steam, no less.

Americans are trained from our earliest days to be consumers, to consume politics and culture as well as everything else.  We are trained to want, to feel a stimulated need, to buy, to binge.  Imagination and creativity is the realm of a small group of professionals who make huge sums to create the content we are all the audience for.   We are numbed now when it comes to our own powers, and overwhelmed with monetized distractions.  We leave the heavy lifting to the professionals, that’s why they get paid the monster bucks.

There is a deep sense of futility in America.  We have an opioid crisis that kills tens of thousands a year, Americans overwhelmed by hopelessness.  One person with a powerful argument, a hundred people, a thousand, a million, are often outmatched by a single billionaire who can spend whatever it takes to have their free speech heard everywhere.  We watch the results time after time and it beats us down.   Not only can’t you fight City Hall, you can’t fight one very rich asshole with a giant twenty or fifty million dollar megaphone and a skillful top-shelf media team.  Free speech, baby, take all you can afford to buy.

Yet we have Bernie Sanders, energizing millions with a real critique of the  indefensible status quo here in a wealthy nation that leads the world in death by gun violence, incarceration,  military spending, health care spending and annual preventable deaths by citizens too poor to afford the world’s most expensive health care.   With his average campaign contribution of, chant it with me, crowd, “$27”, Sanders reached millions and made himself a legitimate presidential contender.  

He did this based largely on his vision of a better, more fair America, as opposed to promising incremental change as the best we can hope for, or idiotically vowing to turn the clock back to the days when America was great, when you could openly wish everyone a Merry Christmas, when women were not so disgusting, when you could call an assertive black person a “nigger” without fear of losing your job for not being politically correct, where traumatic brain injuries to football players was not an issue, they knew what they signed up for and should be allowed to hit and be hit as hard as possible, where military widows respectfully shut the fuck up, etc. 

I don’t really fault this piece of shit we have in the Oval Office now, in a way.  I fault myself.   I fault everyone else who is addicted to the opiate of American celebrity.  What is this spoiled man-child in the White House celebrated for?  Being a born-rich, vulgar, relentlessly self-promoting jackass who made 185 million dollars producing a long-running “reality TV” show where he fired people every week.   That show was his only purely successful business venture, in a long, public career of mostly fuck ups, but it was more than enough to create his brand. 

He became a celebrity mega-brand as he decanted gallons of toxic kool-aid during the presidency of Obama, insisting, to the end, with no evidence whatsoever, that Obama was an illegitimate president, born in Kenya, a secret Muslim and a liar.  Today we’ve got the 1% president our system deserves, America’s racist, self-regarding, entitled chickens coming home to roost.  

The percentage that put him into power, and continues support him in spite of his performance in a job he is completely overmatched by, seems to be around 39%.   Like their president, they know only how to “double down”.  In my recollection 39% was also the high-water mark for German voter support of the energetic, no-holds-barred Nazi party.  Of course, once they had that 39% in Germany, the rest, as they say, is history.  It was 100% soon after that, no matter how many Germans may have opposed it.  

We need to get off our couches now and back into the streets.   We must be vigilant and take nothing for granted in the Age of Trump.  American political arguments are not won with logic, they are won by masses of people doing the hard work.

You sound a bit… insane, sir

I am scheduled to have the first of two five hour infusions of a drug called Rituximab on Friday.  This drug is usually used for lymphoma patients, as far as I can tell, after a visit to the manufacturer’s website.  Nephrologists have recently found Rituximab is often helpful in curing the kidney disease I have, membranous nephropathy.  I am resigned to being hooked up to a slow dripping bag of this miracle drug, which seems to have a fraction of the side-effects of the steroid-based chemo regime I was being pressured into a few months back.   My current nephrologist recommended three vaccines before I start, as the Rituximab will suppress my immune system.  

I had a flu shot, and a pneumonia shot.  I’ve spent the last ten days or so trying to get the third — an immunization against shingles.  From everything I’ve heard, shingles is something to be avoided.    I am prone to skin troubles, I am over sixty, I have an auto-immune disease, had chicken pox:  I am a good candidate for this potential side effect of the immunosuppressive regime.  

My primary care doctor, for whatever bureaucratic reason, could not order the pneumonia and shingles vaccines.  He gave me a prescription to fill.  The pneumonia vaccine was easy to find, the shingles vaccine, not easy.  I have been to seven pharmacies so far.  My local pharmacy, for whatever reason, could not order the vaccine.  Two chain pharmacies had the vaccine, RiteAid ordered and quickly procured it, and DuaneReade had it in stock, but they do not accept my insurance.    

It costs about $300, if I wanted to plunk down my credit card.   Four pharmacies that accept my insurance, CVS branches, did not have the shingles vaccine. The CVS closest to my apartment has been waiting months for it to come in. The pharmacist at the last place, the one that had the vaccine, but doesn’t accept my health insurance, suggested I call Healthfirst, the corporate gatekeeper of my health care.

It was not a terrible suggestion, but past experience whispers now that I should not have made the call.   For one thing, the inviolable policies of corporations are not something mere mortals can question, let alone contest. For another, there is the psychological angle — I cannot separate the practices of one homicidal legally-created psychopath from those of another homicidal legally-created psychopath, and I hate them all.  

“Homicidal” sounds so judgmental, I know, but do the math.  I live in the USA, where tens of thousands die every year for lack of affordable access to adequate health care.  It’s a cost of doing business here in the Land of the Free and the Home of the Bankrupted by Cancer.  We don’t bat an eye about the annual preventable deaths, more than tenfold the death toll of September 11, 2001, every year.  We have reality TV, social media, a big American Dream, evil people to hate– so people die here, like the tens of thousands of Americans who died of oxycodone and heroin overdoses last year, what’s your point?  Your little problem?  Fuck you, asshole.  Get a better life, make enough money to buy whatever you want, including good health care, and shut the fuck up about ‘injustice’, boner breath.

In fairness, and we should always strive to be fair, insurance companies do not make money paying out claims, the profit is in paying out as little as possible.   In a nation that was not insane, stoned beyond reason on “free market” kool-aid, it would not be a patient’s problem to figure out how to get a needed inoculation paid for by the insurance company he pays a premium to every month.  

My trouble is that I can’t separate the frustration and the indignity from the injustice any more.  I get angry, though I control my language, and I cannot help but remind the helpless representative, reduced to meaningless apologies, that she works for a corporation, something we pretend is a “person”, but is the kind of person incapable of conscience, empathy or anything but naked self-interest.   This does not sit well with some of the reps.   They are not being paid enough to listen to this kind of shit from someone who is angry that he has to keep calling a murderous psychopath for help with healthcare.  Murderous psychopaths do not give a fuck, what kind of idiot does not know that?  What kind of moron tries to argue with representatives of an artificial “person” who is also, by definition, a murderous psychopath?

By the end of yesterday’s marathon 40 minute chat with an excessively polite woman named Ilene, the obstacles escalated considerably.  Not only, did she inform me, (after two long holds for consults on how to deal with an insane raging asshole, and a sickeningly articulate one), would Healthfirst not pay for a shingles vaccine administered in a pharmacy, assuming I could even find the drug anywhere, the shot must be given by your doctor, in his office, after he receives pre-authorization from Healthfirst.   

As for how long that pre-authorization might take, nobody has any idea. Could be fast, could be very slow.  Ilene, after all, is on the membership side of Healthfirst’s corporate brain.  Pre-authorizations come from the provider side.  These two sides have no way to communicate with each other.  I have experienced this before.  It was a kind of last straw yesterday.  I remarked that it was handy, for an artificial “person” without conscience,  to have a divided corporate brain that could not communicate between the halves in order to answer a simple question.  Before I could utter a stream of horrible curses nobody would be able to unhear, I thanked Ilene in an acid tone and wished her a good day.

The pharmacist in Sekhnetville, who has ordered the vaccine, assured me that they give shots to Healthcare customers all the time, that it should be no problem, once the vaccine comes in, to shoot me up right there.  In hindsight, I suspect that Ilene, being a polite and hardworking girl, probably from the mid-west, had found a way to tell an insane asshole to go fucking fuck himself, in the politest, most vicious possible terms.

The latest call to the pharmacist in Sekhnetville, who promised the vaccine would be in today, revealed that… oops, the manufacturer does not seem to be currently shipping the vaccine.   It appears to be on back order.  Could be weeks, or even months.  So, sorry.   Have a very nice day.  Unexplained is why RiteAid was able to procure the drug within a couple of days, or why the shot was available at DuaneReade.

Looks like I’d better reach for my credit card and just have the fucking shot at one of the “out-of-plan” pharmacies that currently have the shit.

USA! USA!!!!  Nice work, Barack, rocking that big, lucrative corporate boat as gently as possible while making some small, long-overdue improvements for more folks who couldn’t previously afford health care.  Good luck with your book sales and paid speaking tours, my man.