Protection from Fraud under the Patient Protection and Affordable Care Act

The short answer: there is none.

The longer answer:  

The NYS Department of Financial Services, any health insurance consumer’s logical first stop for answers about Health Insurance Fraud, had a longer than expected hold time (16 minutes).  There was nobody available at their fraud office today, they took my contact information and promised me an eventual call back.  They also have an online complaint form that you can fill out and, presumably, print, fold and insert into a body part exempt from your health insurance coverage.  

The kind woman I spoke to there, Norma, did not know of any place except the U.S Department of Health and Human Services that possibly oversees any aspect of the Patient Protection and Affordable Care Act.  Twenty-nine minutes after I’d placed the call  to her I was dialing 877-696-6775.

There was no wait at the federal agency, though also no option to speak to a human.  The voice prompts were limited, it seemed the best bet was being connected to my state Department of Health and Human Services.   I tapped in the requested information and was connected to the New York State agency.    

Unfortunately, it was the New York State agency that handles temporary or disability assistance.  I could press various numbers to get information about child support and other programs, but none related to health insurance.  

I eventually tried the administrative office options and spoke to a sympathetic woman at the office of legal affairs.  While her sympathy was solid, she did not have unlimited patience or time, and after five or ten minutes commiserating she connected me, without further ado, to the Fraud Hotline.  This number is 877-873-7283.

Sadly for me, it was the Medicaid Fraud Hotline, and as my program is not administered by Medicaid, I had to make a human appeal to an even more sympathetic woman, who, after twenty minutes or so, worked with her supervisors during a short twelve-minute hold, and was able to  give me two more promising, and seemingly self-evidently logical, numbers to call.  

One is the NYS Department of Health, Office of Health Insurance, apparently an unlisted secret number: 800-343-9000.  I surmise that it’s an unlisted help line because it took several long calls, ninety minutes of sleuth work today alone, and almost cat-like patience on my part, to have a supervisor at the Medicaid Fraud office think of searching for this particular number.  

She told me the number used to be on-line but they removed it from the website, presumably too much traffic on that line, too many strangled, inarticulate cries for help, too much rage and despair for New York State’s limited allotment of representatives to handle.

The other number is the New York State Insurance Department, which, while seemingly a logical number to give to someone with a complaint about insurance in New York State, is apparently equally obscure.  This office can, hopefully, be reached at 800-342-3736.

I don’t know why, but barely two hours into the calls now, I suddenly ran out of steam to tell my story to another person who agrees that there ought to be an ombudsperson or help-line to oversee problems with a federal health law administered by the states, particularly one that consumers are mandated to buy on pain of a tax penalty for refusing to participate in.  

Even though health insurance and pharmaceutical companies wrote the PPACA, and their liberal one-sided exemptions therefrom, even as the despicably corrupt right wing Democrat Max Baucus (recipient of millions in contributions from those lobbies — the fucking scion is now Ambassador to China– a little ‘thank you’ from smiling Obama) oversaw the process, even as health insurance/pharma industry lifer Liz Fowler wrote the law, you would think there’d be some oversight involved somewhere.  

You would apparently be wrong to think that.  Nowhere in the 2,700 pages is there any provision for a mechanism to protect patients from fraudulent denial of services under their one-sided contracts with the private corporations.

The last well-meaning woman I spoke to suggested I call Empire Blue Crucifix and talk to their internal complaint department about my accusations of fraud against them.  She assured me there had to be a number on the back of my insurance card for complaints.  I checked.  There was not.  I read her the options.  “Customer Service!” she announced hopefully.  I gently dashed her hopes.

Maybe I am thinking about the condolence call we are going to be making in less than an hour for Sekhnet’s old friend whose mother died the other day and I want to clear my head.  Or something like that.  I certainly do want to clear my head, I can tell you for sure.

And the minute the talented Mr. Obama is a former president, make like Robert De Niro wanted to do with Trump, which he can’t do now, obviously, because of Secret Service Agents and the private security contractor army that surround the new most powerful and important man in the world.

Writing in “Public”

Here’s the thing about being one of the fifty million “content creators” out here, opining in the public space that is the internet: it feels like taking a stand.   I put my stories and arguments out here to give the several people who read them, friends and strangers, my honest thoughts and feelings, set out as clearly as I can set them out.  

The craft, writing clearly and, when called for, choosing the right words to move the reader, is the same for the blahgger as for the professional writer.  Standards vary, of course, but good writing is the same whether you read it in a book or here on the ‘internets’.  

The problem with reading things on the internet is that you are often in the hands of people who are, how to put this delicately, contemptible morons.   It may be easy or hard to click away, sometimes they suck you in by the sheer shock of their violence, like the tweets of our new troll-in-chief.

Writing “in public” serves another important purpose for me, someone who feels a rising urge to be paid for writing.  It holds me to a higher standard than writing emails, or keeping a notebook.   Before I hit “publish” I have to carefully consider every word I’ve set down.  I also have to comb through the words several times to make sure they are disentangled and say exactly what I mean them to.

Are they all in the right order?  Are there extra words that are not only unnecessary but distracting, or disruptive to the flow or mood? Typos?  Have I ended at exactly the right place?  Included all the detail to make the story understandable without burdening the reader with unneeded side-stories?   When I feel the piece is clean, and says clearly what I intended to say, I put it up for others to read.

The next question, and one entirely distinct from writing well and the considerations involved in doing that, is: how to build a wide enough internet audience so that I have a “platform”?   Publishers nowadays want an assurance that you are already popular enough to invest in before they publish your work.  

If your blog is read by 100,000 people a day, and you have that many “followers”, you have a robust platform and are well on your way. Having a million followers means, no matter how well or badly you may write, that you have the ability to get people to click on your words, which sounds exactly like “cah-ching!”  If your blahg is seen by a handful of people a week, a publishing corporation would be foolish to give you a large advance, no matter how intriguing or compelling your book might otherwise seem to be.

I am not writing this piece to whine about the obstacles in front of me as I try to reorganize, cut and prepare the next draft of the 750 page monster memoir of my idealistic monster dad.  There will be plenty of time for that whining when the time comes.   I am explaining some of the reasons I, and many others, write on the ‘internets’.  

There is love of writing, a good in itself.  There’s the satisfaction of having communicated something clearly, a nice feeling to have every day.  Then there is the pursuit of a livelihood from writing, also an excellent  thing– the livelihood more than the pursuit, of course.  These are three different things– love of writing, writing well and selling writing– none dependent on the others, and it is good to keep that in mind.

I heard two very clever English chaps, reading their own audiobook about how they sell a million words a year on the internet, between them, and make very good money following the principles that made them the tireless and successful self-promoters they are. Being a good writer, says this smooth-talker, is but one part of the equation; the other part, astute business sense and energetic and ingenious self-promotion, being the more crucial part for making money as a writer.  

These fellows had a solid, and perhaps indispensable, grounding in professional advertising, copy-writing, did it freelance for years, made enough money to keep them going until they cracked the lucrative fine art storytelling market they are wizards in now.  Writing ads and writing wildly popular fiction are different genres of writing of course, but the principles are the same. 

These ingenious chaps put together a solid “platform” based on catering to the demographics of their target audience– fans of a certain type of fiction.  They then built a thirsty, twelve-mouthed “funnel” to draw others into their network and soon were creating daily interest for over a million people.  Now they had something publishers were drooling for a piece of.  But not so fast!   They were able to keep virtually all the profits by monetizing their platform themselves, as well as half of their dozen voracious funnels.  $0.005 a hit on one their funnels comes out to $1,500 a day, money that comes in handy for cross-platform promotion.

You see, old boy, this is how we do it, and with a bit of verve and elan, you can do the same, no matter how well you might think you write.  We cater to the buyers in a professionally engaging way, we build the infrastructure to produce and distribute our virtual wares, we have professional designers create beautiful covers for our virtual works– and don’t skimp on this part, readers DO judge books by their covers, at least at the cash register, and we publish what we want them to devour, leave the story at a dramatic cliff-hanging spot at the end of each book to create a frenzy for the sequel, and we keep all the profits.  This is how you do it.  

Or, you can sit alone tapping out the most beautiful prose your talent allows.  You might be an amazing writer with fantastically rich stories to tell, even valuable stories, who can say?  If this is the case, and you are not devoting as much time to monetizing your talent as you are to writing every day, you are like the batter who can consistently hit a 95 mph fastball 500 feet– in a batting cage somewhere in suburbia, with nobody to jump up and cheer or offer you the million dollar bonus your rare, work-honed skill and god-given ability would otherwise command in the marketplace of sluggers.

May I Vent a Bit Here, Mr. Obamacare?

I’m having a stressful day so far, as I wait for President-Elect Fuckhead’s latest publicity stunt to hit the wires.  I can’t keep it to myself.  Poor Sekhnet was bawling uncontrollably just now at my frustration before I could calm her enough to let her off the phone.   I need to vent, so if you’re not up for it, I understand, click away, click very away.

I went to an accountant who made a few minor errors on my taxes.  The first would have cost me almost $300, the second a little less than $500 in tax liability I apparently didn’t have.   I don’t hold this against her, going forward it won’t happen again, and, fortunately, I avoided both of those costs, as far as I know.   She told me to wait for the IRS to bill me on another matter, and I waited, and they billed me.

I paid this bill to the IRS.   Then two weeks later I received two certified letters from the IRS, threatening me with a levy or garnishment to satisfy the debt to them they claimed I hadn’t paid.  Their threatening certified letters were dated 12/12/16.  The payments to them were made on 12/5/16, confirmed on date of posting and the backs of both cancelled checks.   I wonder what their next letter will say.

But that’s nothing to get upset about, it’s easily resolved.  Just print out the images of checks, front and back, put stamps on their fucking IRS mailer and enclose the proof of payment with their certified mailed notice that they will begin collection efforts against me for a debt already paid.  Or better still, just wait for their next letter.

What I’m upset about is the Obama news conference I made the mistake of listening to just now, in the context of my ongoing horrors with his signature program, Obamacare.  

It’s true he’s killing people with drone-launched missiles in at least seven countries, off of a secret kill list.  Many of these people might be terrorists, no doubt, and hopefully few are innocent children and old women, or innocent men, for that matter.  His successor will have the same top-secret kill-lists presented to him for his approval.  

It’s also true that Obama has reserved, for himself and any future president, the right to kill American citizens without the need for any sort of process at all, with or without charges.   Tidying up afterwards is just book-keeping, most Americans are not paying attention, seriously.   Just pose with Kanye West or Kim Kardashian until the news cycle is over, done.    

I have plenty of beefs with Obama, who I voted for twice, but let me just give you the details of one I know better, and more personally, than anybody else I know.  Most people I know are comfortably middle class and work jobs where their health insurance is not at the mercy of the industry-written compromise called the Patient Protection and Affordable Care Act.  

You are assigned a level of health insurance based on your income as reported on your tax return.  If you don’t file tax, no Obamacare.  Fine, fair enough– the State Health Insurance Marketplace automatically gets all your proof of income statements anyway.  Submit your income numbers, get the level of insurance coverage your income entitles you to.  Choose any participating company to provide your care, at the assigned level, and start paying your premiums.  

I had a diagnosis of a slightly dilated left atrium over the summer.  The left atrium is one of the four chambers of the heart.  I asked my doctor how serious this was and he pantomimed a strong man pose, the healthy atrium muscle flexing, and then a limp armed pose, the same atrium, only flabby and weak.  He promised to refer me to a cardiologist, one who was joining his practice any day.  That was in August.

In September I began having pains in my chest when I did a strenuous bike ride.   I discontinued riding and kept following up to find out about the cardiology referral.  By November 17th I still had no referral and the doctor, returning my late night call about chest pains, agreed it might be best if I went to the E.R. to rule out a possible heart attack.  

Reclining on a bed in the Emergency Room, I learned the medical jargon meaning of “a good story”.  My EKGs had come back fine, my blood work was clear of markers for recent heart events, but as I was taking medication for hypertension, high cholesterol, and was 60– I had three of the five major risk factors and was, thus, “a good story.”  

I smiled, relieved, ready to go home, until the doctor explained that a “good story” was a bad thing, not a good thing.  I was a good story for possible heart disease and they’d better admit me to the hospital to rule out some deadly event that might soon befall me.

More out of shape than I’ve ever been, since I’d done no aerobic exercise in a few months since the chest pains while biking, I did OK on the stress test and was given a clean bill of heart health, cleared for all activities, though I was also diagnosed with an abnormality in one of my ventricles as well.

After payment for my visit to a neprhologist was denied as out-of-network since I had not pre-submitted the referred doctor’s location-specific NPI number and made sure he was in my plan at that location, I called Empire Blue Crucifix to make sure the next specialist I saw was in network.  

Empire gave me the name of a cardiologist and his office address.   I took pains to read back the site-specific NPI number for the provider and send his office the front and back of my insurance card.   I verified the doctor’s NPI number and was told by Maria at his office that we were good to go.   Ten minutes into my interview with the cardiologist’s assistant she was called away.  It annoyed me that she left the room mid-sentence, cutting me off without saying so much as “excuse me”.  

That annoyance would turn out to be a rather trivial.  Ten minutes later I was called back out of the consult room to the front desk.   The cardiologist himself was sitting at reception, very apologetic. He literally couldn’t have been nicer.  He told me that unfortunately the insurance company had informed his office that he was out-of-network.  We spoke for a few minutes, and I thought this was a person I could be good friends with, if circumstances were different.

I mentioned the importance of restraint as a musician and he raised his eyebrows.  “I should write that down: ‘restraint’…” he said, and we went on to talk about a master of that subtle and indispensable art, George Harrison.   The doctor gave me a print-out of all the materials from the hospital visit, with the intimate details and scientific names for my two or three heart irregularities.  We shook hands.  

My right hand, which has regained much of its strength six months after I injured it in a fall, is still stiff.  The P/T I began in November made it feel immediately better.  When I returned for my second appointment I was told that, unfortunately, I was out of network.  

I got a referral from my insurance company, complete with site-specific NPI provider number, for another P/T provider two blocks from the cardiologist.  I walked over with my referral form after my aborted visit to the cardiologist to set up an appointment to resume P/T.

I was surprised that I’d walked into what looked like an Old Age Home.  I checked the address, I was in the right place.   The receptionist was surprised that I was there for outpatient P/T.  She wasn’t aware they offered that.   The director, over the phone, told me they did offer P/T, but only if I checked into the nursing home as an inpatient.

I walked home 0 for 2 on referrals given to me by my insurance company.  I thought of the third notice of a $1,324 medical bill I’d received the day before for a sonogram I’d had months earlier.  I’d had an x-ray of my hand and two sonograms that day.  The x-ray and one sonogram were both covered, the other was not.  $1,324, please.

 After the second notice demanding $1,324 I straightened things out, on October 19th, with the insurance company and the provider, it took less than an hour.  Daniel at the provider told me I’d been billed in error and actually only owed a $25 co-pay.  I told him I’d pay it when they billed me.  Then, six weeks later, I got the third notice to pay $1,324.    

This time, I was told by the insurance company, that I was responsible to have read all of the fine print in my contract and that it was clearly spelled out which body parts were not eligible for coverage.  She was not able to explain the reason for this, but assured me it was the law, all described clearly in the contract.  She then called the provider and confirmed that I owed the entire $1,324.  Daniel had no recollection of having spoken to me, on October 19th or any other day, she said.  

It was a purely futile conversation and there was no supervisor available for me to whine to.  Empire’s position was that it was my responsibility to familiarize myself with the arbitrary and random bodily exclusions from coverage under the specific policy I had under the newly-created Essential Plan.

Tired of making Sekhnet cry, I thought outside the box just now and had a very pleasant twenty-five minute chat with a thoughtful and intelligent man named David at 311, the NYC information hotline.  

David had only one number for complaints about medical insurance, the New York State Department of Financial Services, naturally.   You can reach them Monday to Friday from nine to five at 212-480-6400.   He doesn’t know if they investigate medical insurance fraud, or oversee any agency responsible for assigning and administering health care in New York State, but it was the only thing he could find, though he searched long and hard.   He recommended I contact a local politician for help, they usually know how to do these kinds of things.

He agreed that the new norm of corporate opacity in government is very troubling.  I told him how the New York State Health Marketplace would not divulge contact information for its director, when I was erroneously denied health insurance for two months earlier this year and called many times trying to get the error corrected and have my health insurance reinstated.  

“Sir, we are not required to provide you that information,” one of the New York State of Health representatives told me from their call center in Albany.  

“Why is that?  Are you a private corporation?” I asked.  

She admitted that they are a public agency, but reiterated that  a member of the public is not entitled to know the identity of the director. They have specific instructions not to provide their boss’s contact information.  Their supervisor will not provide that information either, nobody will.   As for an ombudsperson, or someone available to help distressed customers, they are not required to have one under the Patient Protection and Affordable Care Act.  

They have an appeals process for all disputes.  I initiated an appeal and was told I’d hear within two weeks.  I heard nothing, nobody could give me an explanation for the delay.  Two months later my health insurance was back in effect and I began paying my premiums.

Two months after that I had a call from an appeals ‘hearing officer’.  He asked me if I was ready for my appeal over the phone.  I asked him why I’d received no notice of the hearing.  He told me a notice had been sent to me thirty days earlier. He directed me to where I could find it on line.  

There was no notice there.  He saw it on his end, he told me.  I pointed out that if the person who is entitled to notice doesn’t receive any notice it really doesn’t matter if a form was prepared or not.  

He was not the sharpest knife in the drawer, and had a shit job, no doubt,  but he was on point, I’ll say that for him.  No matter what I said he returned to his single question: are you prepared to go forward with your appeal or do you wish to abandon your appeal?

I explained, in vain, as it turned out, that since I had been appealing a denial of benefits for January and February, and it was now May, that we would need a time machine in order to have a meaningful appeal of the wrong I had appealed.  

“Do you want to abandon your appeal or go forward, you have to tell me one thing or the other, sir,” he said.  

I went out on a limb and used a word many people mis-correct as “mute”.  I told him it was academic, since the controversy was now moot — the harm was done and could not be corrected any more due to the passage of time.  He asked his single question again.   I explained the concept of mootness to him.  I might have been explaining it to my own sonogram-exempt body part.

Obama was surrounded by organized, determined, ruthless enemies, no doubt.  He had very wealthy donors in the industry that, in fairness, he had to consider as well as the public his law was designed to protect.   However you slice it, Barack Obama is the Obama of Obamacare, and I hope he will not be too offended if I point out again that he’s a sell-out and a bit of a dick.

“He don’t hev it in the blutt”

Eli told me with pride, more than once, in the context of a story of what a tough son of a bitch he’d always been, what his father had said about him.  

“My father used to say ‘he would have been a gangster, but he don’t hev it in the blutt’,” and he would laugh, possibly at the thought of how much wealthier and more powerful he might have been if he’d had that criminal gene pulsing in him somewhere.  

I never knew if the pride was because his father recognized his basic goodness or because his father saw what a bad ass his first born was.

“Interesting question,” said the skeleton alertly. “hard to say which he would have been prouder of.  You know, as far as you, I always said you were extremely ethical, and had a good, if idiosyncratic, character.” 

Yeah, I remember that.  Didn’t help much when it came time to have your rage discharged on me, but I do recall you saying that I was a highly moral person and all that.   Strikes me about the same now, years later, as the remarkable chat we had during your last night on earth.  

“Think of it like this, Elie, you were a much better instrumentalist that I ever was (I didn’t play an instrument, after all), and as good an improviser, and you stood by my bed as I expressed my regrets and didn’t indulge yourself to play even a single note of a solo.  That’s called restraint.  You kept the beat and adjusted the accompaniment to whatever mood I struck, backed my vocals seamlessly.  The mood was the blues all the way, but sometimes very dark.  And you were like Django’s rhythm section, just pumping that heartbeat of a pompe, as the frogs call it.”

What the fuck, man?  I know what you’re saying, but you would never talk like this.   

“I know, Elie,” said the skeleton.

Theme: Forgiveness & Change

“You know, Elie,” said the skeleton, “in a way, the more compelling you make this manuscript, the more aggravating it’s going to be for you as you try to find an agent to help you find a publisher so you can both get paid for it.” 

I’ve thought about that, obviously, but I’m not going there right now.  One of the big themes of this story is your tireless and exhausting insistence that people cannot change their nature in any fundamental way.  Intimately related: your belief that, once a line is crossed, one can never forgive.

“Well, there are times never to forgive.  You’ve done the same thing yourself, numerous times, you know where that line is, you know exactly where it is,” the skeleton said quickly.  

There are times not to forgive, we learn through aggravating experience, but there are also, most importantly, times to forgive.   When someone truly repents, we should forgive.  As we grow and change we learn the difference.  

“Well, I’ll grant you that this argument was a major theme of our relationship, and one I was pretty much on the losing end of, as it turned out. It really did make me feel like shit as I was dying.   I have to tell you, I was surprised and impressed by how you stood by my deathbed and heard my confession like a compassionate priest.   I had still been a little afraid of a fight,” said the skeleton.

 There never was a point to all the fighting.  

“You had every right to be angry at me, God knows I did enough damage to you and your sister’s lives,” said the skeleton.

Pointless, truly.  

“Well, at least you got to hear, right before the buzzer, that you’d been pretty much right all along and I’d been the intractable asshole, not you,” said the skeleton.  

Yes, very comforting, as you can imagine.  

“Well, not ideal, I’ll grant you that, but, as they used to say when I was alive ‘better late than never,'” the skeleton gave a smile that could also have been a silent scream.  

One more conversation would have been nice, I suppose.  

“Well, that’s true.  Now you’re stuck writing this book.  I guess the joke is on you,” the skeleton turned his head.  “I’ll get to have the last word after all.”  

Sure you will, dad.

A Focus on Money (part 2)

The skeleton sat back up, burning with a few thoughts to add.

“You remember me telling you how I felt I never had enough money to make sure mom would be taken care of?  She’d look at the statements, our monthly expenses, the Social Security and pension checks, and tell me I was crazy, that we had plenty of money.  To me it was never enough.  I was always trying to somehow get more money for her so she’d never have to worry about anything after I died,” said the skeleton.

“Turned out she didn’t have anything to worry about, except for loneliness and the cancer that was eating her from the inside out.   But leaving aside the deeper question of what humans ultimately really have to fear, versus what we spend our time worrying about, is there an amount of money that we can say is enough for our every need?  You know, once we have X amount we stop worrying about our physical safety and comfort?

“Poverty is growing in our country, the richest country the world has ever known.   The income for a family in poverty is kept artificially low, for statistical and ‘entitlement’ purposes.  You don’t want to say 45% of the country lives in poverty, if you can define poverty very precisely and have the number come out much lower.  

“If your family tried actually living on that poverty line income they would either be hungry all the time or eating as many empty calories as they could swallow at emporiums of fat, salt and sugar like Mickey D’s, as black customers nattily rebranded the international fast food mega-chain.  A diet of junk food and a shortened life of obesity, heart disease, diabetes– or delay gratification and save your fucking tofu marshmallow so the experimenter will give you two as a reward.    

“We’re programmed to believe that someone who has a billion dollars is literally worth more than someone who has a few thousand dollars, is worth infinitely more than a person who has no dollars.  This programming happens in many ways.  You have, for example, the occasional high profile billionaire philanthropist, like the current pick for Secretary of Education, Betsy DeVos.  She got her billions the old fashioned way, she married the son of the founder of Amway, a guy worth 5.1 billion dollars.  

“Her baby brother, by the way, is described in Wikipedia as an American businessman, philanthropist and former Navy SEAL.  Erik Prince is the philanthropist’s name.  His primary philanthropy appears to be founding the benevolent outfit formerly known as Blackwater, the expensive private mercenary army that protected our troops and diplomats in Iraq and also patrolled the streets of flooded New Orleans after Hurricane Katrina to make sure there was no looting.

 “Anyway, his big sister, Betsy DeVos, is a firm believer in the right of people to choose the schools their children attend and an advocate of vouchers, transferring tax money from public schools to the private ventures that compete with the failing public schools.  What is her expertise in education?   5.1 billion dollars and unflagging support of her party’s political campaigns and their freedom agenda.  

“It’s like Bill Gates and his initiatives in the same direction– the arrogant monopolist never set foot in a public school as a student.  But he knows best, look at how much money he made!  Could the best principal of a public school ever do anything like that?  No, not if their life depended on it, so shut up.”  

Jesus, dad, calm down.  

“Or, what?  I’ll have a heart attack?  You know you want me to lay this out here.  Somehow you feel it will carry more force, coming from a dead man, than from a live man.  If you can call what you’re doing living,” the skeleton approximated a wink.  

“Best I can do without an eyelid, Elie,” said the skeleton.  

“The question of how much money does even the greediest person need is rnever asked.  It’s an American right to have unlimited wealth, it’s the American Dream.  Nobody but an angry class-warrior crank would suggest that a billionaire is greedy, or selfish, or in any way not praiseworthy, just for trying to double their fortune, as any rich person would naturally try to do, as anyone has the right to do.  

“Your new president, the richest in history, if not also the most selfish and childish, is proposing a cabinet whose total wealth is over $14,000,000,000, that’s fourteen billion, with a ‘b’. The best cabinet money can buy, you might say,” said the skeleton, through gritted teeth.  

Really, dad, you have to calm down.  

“As he has every right to appoint, as the president who won three key swing states, Wisconsin, Michigan and Pennsylvania and their 46 deciding Electoral College votes, by a total of 40,000 votes, or 1/30th of 1% (like him and his cabinet) of the total votes cast in an election he lost by 2,700,000 votes.   They keep adjusting these numbers, and it appears the final tally may be closer to 76,000 votes in those three states– or 1/15 of 1%.   A victory ‘mandate’ he calls ‘historic’ and a ‘landslide’.  America, America, God shed… whatever.   He said the election was rigged, and that America is a laughing stock.  Right and right.   You’re the one who has to live with it, Elie, I’m just sayin’….”  

I don’t say you’re wrong, but Jeez.  

“Jeez, indeed.  How is it you’re not hollering, snarling and howling?” said the skeleton.

I am, it’s just that, like in a horror movie, my mouth is open, but no sound is coming out.

A Focus on Money Simplifies Life

“Acquisition and hoarding are human instincts that go back to our earliest forebears,” said the skeleton.  “The ones who survived acquired and hoarded as a hedge against the terror of want. Relative abundance meant survival in dark, cold days when other humanoids were willing to kill you to take the haunch you were about to eat.

“Longing for luxury was tied in to that, the physically bolstered illusion of being rich enough not have to worry about your security. Those who were best at acquiring and holding on to things became rich and lived the easiest lives.

“Life, which is frequently a tightrope walk under the best of  circumstances, is eternally fearful in poverty, like the insecurity of the cave in  a world of hungry predators.  The constant press of needs you can’t meet goads you to a hopeless, gnawing desperation.  Hoarding isn’t an option when you’re poor.   Picture the terror of night time in any favela, ghetto, inner city, rural area.   The least principled will never hesitate to bash your skull for that $300 that might be in your pillow case.  No point saving a cookie when it will only be stolen from you as soon as you let your guard down.

“Your sister told you about that experiment where they demonstrated that the ability to delay gratification was the biggest single predictor of future success.  They’d give young kids a marshmallow and tell them that if they waited five minutes, and didn’t eat the marshmallow, they’d get two marshmallows.  The experimenters then left the room and watched from behind a one- way mirror as many of the kids ate their marshmallow.  

“When the scientists went back into the room, a lot of the marshmallows were gone.   The kids who’d had the restraint to not eat the marshmallow all got another.  Some kids now had no marshmallows, others had two.  They gave each kid without a marshmallow another one and repeated the process.  

“After the second five minutes the kids who’d been able to save the marshmallows the first time each had four.   A couple of the kids, having seen it done in the first round, managed not to eat their marshmallow in the second round and they each now had two.   The rest of the kids had eaten two marshmallows, had none, and were done. 

“They tracked these groups of kids through school, the best gratification delayers versus the kids who needed instant gratification.   As one might expect, across the board the kids who’d had the discipline to not eat the marshmallow, for the sake of future gain, avoided self-destructive behaviors, did better in school, went on to get college degrees and better, higher paying jobs.  

“So some of this is hard-wired, Elie, a part of survival.  Those better able to strategize, and roll smartly with contingencies, always have a better chance to survive and thrive than those who are at the mercy of their immediate needs.  That’s one of the true horrors of poverty, how it bends the will toward instant gratification.  The children of the poor are rarely taught how strategically important it is to delay gratification sometimes.  Their parents and grandparents have no idea how it’s done, have no wisdom in this regard to impart to their offspring.

“After a childhood like mine, and my brother and I were hungry a lot, believe me, being in the Army was like being at a great buffet for every meal.  I couldn’t believe how much food there was.  There’d be signs over the counter that said ‘Take All You Want but Eat All You Take.’   So I did.  I must have gained thirty pounds in the army, and none of it was fat.  It went on from there, eating whatever I wanted was a sign of my freedom from poverty, from want, from hunger.  

“I had mom buy steaks for dinner every night, we usually had steak, if you’ll recall.   I didn’t care for chicken that much, so when you guys ate chicken, or lamb chops, or fish sticks, mom would broil me a steak.  Eating steak was a sign of my success, it was, literally, the taste of success.  A chargrilled steak from my barbecue under the cherry tree in my own grassy backyard there on a quiet, tree-lined street in suburban Queens?  Man, oh man!  

“As a kid in Peekskill, I never allowed myself to dream of such wealth.   I used to resent you and your sister as spoiled little middle class fucks complaining about nothing while I was busting my ass working two jobs to give you, compared to what I was given, a castle to grow up in, and a steak dinner every night.  Do you know how many times I had steak before I went into the Army?  

“Which made it all the more traumatic when I shoved that raw chopped meat into Paul’s mouth.   That was our equivalent of steak, and we’d have it almost never — chopped meat served in a patty.  You can be sure Paul’s drool was wiped off that meat and it was cooked.  I didn’t get to eat any of it that night.

“But anyway, Elie, the point I was making is that everyone knows if you’re working for money, if you’re getting a check at the end of the job, whatever else you may be doing, you’re not wasting your time, you’re being productive.  Everybody understands working for pay. It’s a necessity and, besides, there’s morality attached to making an honest living.

“Let’s leave aside for now soul-fulfilling work people truly love to do, or work that saves people’s lives, or does something equally important, most people don’t get that.  I’m talking regular, stinking work.  But, whatever the work, while you’re doing it for money you have nothing to worry about except for the job you’re doing.  It all makes sense, focuses the mind away from the self to the demands of the paying work.  It’s the most reasonable possible way to spend your time.

“I know that’s part of why this is bugging you so much now, how long and hard it is trying to write this book with no assurance that, however good it might turn out to be, you’ll ever see a dollar for these hundreds and hundreds of hours of work.  You want to get paid already.  I get that.  But here’s something else to think about, and it ties into our longtime historical and political conversation– two areas where we have virtually no essential disagreement.  

“We are given opportunities sometimes, even ones that may be impossible to see at the time, and they either make it or break it for us, depending on how they shake out.  You recall when your mother and I forbade you to go see Fail Safe with Michael Siegel when you were about eight?  It was a controversial adult movie that ended with the nuclear destruction of the world, in gritty black and white.

“You were a kid who had nightmares about the natives from Tarzan movies and were terrified of dying in a flood like all the people Noah didn’t allow on the ark.  You’d just vomited from seeing those Nazi clips of the death camps.  I think your mother and I made a reasonable call on not letting you see a movie that was going to give you nightmares.  

“But, of course, our opinions didn’t mean anything to you, you always knew best, and Michael Siegel had the money, I guess, since your allowance wasn’t enough to afford a ticket to the Utopia, and you said ‘screw you,’ and left the house to go across the street to Michael’s.  Then you two walked down to the Turnpike and went to the movies.  

“I guess it was a double feature, and you lost track of the time, and by the time you got home for dinner, dinner was long over.  Your mother and I were furious.  Your mother was actually in a rage.  We punished you harshly.  Do you remember the punishment?  

Yeah, it was the best thing you and mom ever did for me: no TV for a year.    

“Well, you turned the lemons into a lemon pie, then.  At the time the year-long TV ban really was the equivalent of a torture, as far as we could see.   With no TV you spent more time in your room, more time throwing a ball off the side of the house, more time outside, more time reading and drawing.  I guess it taught you that TV is mostly bullshit.  Very addictive and sometimes compelling bullshit, but mostly bullshit really.  

“You soon discovered that nothing happened to you if you missed Gilligan’s Island, or Mannix, or My Mother the Car, or Ronald Reagan as a maudlin Grover Cleveland Alexander on the Million Dollar Movie, or whatever precious must-see, advertising-laden gem was being broadcast at any given time.”

It was like a year off the grid.  It taught me a lot, now that you mention it.  One thing it instilled in me was the conviction that I have the inner resources, and love of things like drawing and writing, to engage myself almost all of the time.  A side note: I never had a bad dream about the nuclear destruction of the world after Fail Safe.

“Good for you, then.   Here’s the point I’m trying to make.  Most of us have to work, it’s a simple fact of life.  In addition to the need to earn a livelihood, a lot of people are terrified of not feeling ‘productive’, which is how they feel if they’re not making money.  They don’t feel right, even if they can otherwise afford it, indulging their imaginations instead of buckling down and taking care of real paying business.  

“Some work well into their retirement years to avoid their dread of all that leisure time, idle hands and all that.  I was like that to a large extent. My brother put on a suit every morning years after he retired, sat in an office chair in front of his computer reading the paper.   Some people win the lottery and still go to work every day.  They need it, and it’s seen as virtuous to work, even if you have millions of dollars in the bank.  Others, usually mocked as lacking ambition and character, are content to live their life without making a living, if they can manage to.

“You fall into the latter camp, and you stay busy, I’ll say that for you.  It could have still gone well for you.   You could have inherited a half a million dollars when your mother and I died, if things had gone differently on Wall Street in 2008.  Of course, you could also have inherited a million, or, like some of your friends, three million or twenty million.  Your unhappy friend Friedman probably got two or three million when his mother, your friend Sophie, died at 98 a couple of years back, not that it made him any happier.

“On the other hand, Florence Siegel, artist, intellectual and Leftist, one of your big role models, didn’t leave her daughters anything– Mike had never made much money, he worked for his father-in-law then taught people how to play Bach– they didn’t care about money.  They had a reverse mortgage at the end, but continued to live into their late nineties, so they outlived their money.  Poor people never leave any kind of inheritance, they’re lucky to have a burial fund when they die.

“Most middle class people in our ruthless capitalist system are driven, not unreasonably, by fear of a desperate future.  Many are obsessed with, or at least very disciplined about, making, saving, investing and maximizing the interest earned by their money.  For a variety of reasons.  

“The point is, if you feel like you have things to do every day, you’re willing to live modestly, aren’t envious of what others have, and you have life-sustaining values beyond making money and acquiring the things money buys, even a fairly modest inheritance can make you feel rich.  You may not be secure from a horrific wipe-out on the crooked roulette wheel that is modern financialized capitalism, but then, neither are your friends who have ten times more.

“I’m not setting this up as the old Philosophy 101 trick hypothetical– which would you rather be a pig satisfied or Socrates dissatisfied? If you choose the pig, in that moment of satisfaction, as the question suggests, you lose.  How about if we take away all the things a pig loves?  With Socrates, he has his amazing mind to keep him occupied, even transfixed, even if he was locked alone in an empty room.  The pig, with fewer inner resources, is screwed without the things that make him happy.  It’s catnip for twenty year olds looking for wisdom.  It’s not my point here, though.  

“There is, I think you’d agree, a talent for happiness, like there are talents for all sorts of thing.  The source is mysterious, some have claimed recently that there’s a genetic component, what you refer to as ‘the fucking happiness gene’.  Talent is always a mystery.  A talent for conversation, for example, which comes largely from being a good listener with a wealth of empathetic, sometimes humorous, ways to respond — where does the ability to listen well and empathize come from?

“The talent for happiness, I suppose, can be cultivated, like other skills, or it may be mostly innate, or instilled– or not– early in life.   You see some people have it to a larger degree than others, the ability to be excited about life, engaged with the people and things they love.  With a talent for happiness, a small gift can make a deep impression.   Without that talent, even the largest gift will never do much but increase the emptiness, most likely.

 “As the last part of this thought experiment, and to illustrate the limitations on wealth as a solution to any fundamental human problem, outside of hunger, shelter and medical care, let’s imagine that when you turned twenty-five your mother and I had released a ten million dollar trust fund to you.  

“We would also have appointed a smart financial advisor to work with you on managing the portfolio.  You’d visit this guy periodically and get whatever you needed for your living expenses.   Think of how you would have lived.  Not that much differently from the way you live now, most likely.  You might have a nicer guitar, a couple of fine calligraphy pens, a nicer winter coat, a couple more pairs of good shoes, but I’m certain you wouldn’t suddenly crave a life of luxury.  I’m also sure you would be generous with charitable contributions.

“You would’ve hired a couple of experts to get funding for your non-profit and seen your student-run workshop alive in the world as a sustainable program.  You might have started writing a far inferior version of a book like this thirty years ago, if you hadn’t been scrambling to pay the rent, repay student loans and so forth.

“Now imagine you’d grown up with a grandfather who made many millions of dollars in a bare knuckled way.  Your father had taken his modest fifty million dollar inheritance and, with a single minded focus on increasing his wealth, parlayed it into a billion dollars.   You were born the son of a billionaire and grew up in an elite world with other very rich kids.   Would you have any reason to understand any of the things you know now, the understandings you value the most?   You would understand only one thing for sure: you had done very wisely not to have been born to some poor fuck and you were very wisely living accordingly.”  

“You can take that to Goldman Sachs, Elie,” said the skeleton, collapsing back into his dirt bed.

I’ll See You in My Dreams

Stop me if I told you this one already, dad.  It starts with my love for soul music, which I got from you.  It’s impossible to overestimate the value, to me, of those flat Sam Goody bags you’d bring home from downtown Brooklyn with the latest Sam Cooke record inside.

“Mister Soul,” said the skeleton of my father. 

You’d put that new disc on the turntable in the living room and I’d groove to each new track, before I even had the words to describe a groove, the feel, the voice, the thrilling freedom of a guy playing with time the way Sam Cooke did.

“Yeah, and of course, he had to be shot for that, for good old American values,” said the skeleton.  

Like Patrice Lumumba.  

“Lumumba died for freedom,” said the skeleton, raising a bony fist.

We’d listen to those Sam Cooke records in the living room and they would transport us. Mom would play Johnny Mathis, and I dug that music too, and the way his voice was drenched with reverb, a thing I also couldn’t identify, but loved from the start.   Love of music is no small thing.

“Well, your mother and I both loved music.  Somebody, maybe Nietzsche, said without music life would be a mistake,” said the skeleton.  

It would certainly be as mistaken as a life without sex, something many millions don’t need to imagine.

“True enough,” said the skeleton. “But I know all about your love for Sam Cooke and how big a favor I did to your musical taste by marinating you in Sam Cooke when you were but a tadpole.  What’s the story you said you may have told me already?”

Oh, yeah.  One afternoon, as mom was getting close to her first and last trip to Hospice By The Sea, which was a lovely place but actually miles from the nearest sea, I heard her groaning from her bed and went in with my guitar.  I don’t know if she was asleep or awake.  She might have been in pain or having a bad dream about death, an eventuality she was determined not to talk about.  

I sat by the bed and played a gentle samba-like vamp with my fingertips.  It was the most soothing thing I’d come up with in my life and I thought it would calm her.  She became quiet and I figured I’d lulled her back to sleep.

She opened her eyes, lifted her head off the pillow and said irritably “what IS that?  It sounds terrible.  It always sounds like you’re tuning your guitar.”  

I never understood that.   Here was a woman who loved music, pop music, opera, show tunes, country music, every kind of music. What was this “it always sounds like you’re tuning your guitar” shit?   We finally had a conversation about it.  

It turned out, much to my surprise, that she was no fan of instrumental music, had never liked it.  When she listened to music she listened to the singers, their passion, the stories their songs told.  That’s why, once she discovered it late in life, she loved country music: the big personalities of the singers and the great stories apparently told in many of the songs.  “I never liked jazz, I love the melodies, I don’t care for improvisation.  I listen to music like I read books: for a good story told in a great voice.”

I remember thinking, damn!  I always assumed she was just being a dick, out of unhappiness with her own life, crapping on something I loved to do– play the guitar.  I never sang, I wanted to play well enough to be an instrumentalist– a thing my mother, weeks before she died, told me she had no understanding of.  In fact, she told me explicitly that she often had a hard time recognizing a song just by hearing the melody played on a guitar.

“Damn…” said the skeleton.

A year earlier mom began crying at the thought that she’d never hear my singer friend Joe sing again.  I had Joe over to my apartment, opened garageband — a program that allowed me to accompany and record Joe and overdub other instruments afterwards–  and accompanied him on a dozen or so songs from the Great American songbook.  After he left I recorded a few more instrumental parts, but left the accompaniments spare, his voice front and center, with a nice dollop of reverb.  

I brought the CD down to Florida, popped it into the computer and played it for her.  She was painfully polite about it, how sweet of us it had been to try to make some music for her, but the music had clearly not done anything for her.

About a month later I was talking to her on the phone and she reported “the most amazing thing!”   She’d been lying in bed listening to her iPod and suddenly Joe was singing and it was so beautiful she couldn’t believe it, she had no idea how the song had even got on her iPod.   It sounded like he was singing in a big hall.  It was gorgeous!  

“Which she pronounced ‘gawgiss’,” said the skeleton.  

Yeah.  I explained to her that I’d put the tunes on her iPod from the CD, and if she found a playlist called Joe DiSalle Trio she could hear all dozen or so tunes we’d recorded for her.   I coyly asked her what she thought of the trio (which was me on guitar, keyboard and bass) and she said they were good.  I explained that the big hall sound was a kind of reverb, called “big hall”,  that I’d added to Joe’s voice to give him that Johnny Mathis sound.  I told her I wasn’t surprised it sounded so much better on the iPod, as it was mixed to be heard in stereo through headphones and not over the crappy speakers of the computer in the den.

“Nice story,” said the skeleton.  

Yeah, but that’s not the story.  So a couple of days after cracking up a room full of hospice women in her bedroom in your apartment, she’s suddenly feeling like shit.  She often said “I don’t know why I feel so goddamned shitty all the time!” in the months before she finally died.  I knew not to make any linkage to her approaching death from a painful and wasting cancer that had spread to her whole body.

“Which was kind of you,” said the skeleton.

Anyway, they finally took her, on a gurney, down to an ambulance to take her to Hospice by the Sea.  One of the magpies that used to sit with Ed Pulley and his dim girlfriend on those benches in the parking lot, a woman mom always hated, a nosy ignoramus and a racist, called out “they’re taking another one to die!”  In that case she was right, but what the fuck?  

At the hospice mom lingered for a few days.  I brought my ukulele and I was working on a solo version of I’ll See You in My Dreams, which I played many times while I sat in the room there.  Not long before the end, as I continued to play it, mom turned to me with a big smile and said “I’ll See You in My Dreams!”

A Note on Eli as My Father’s “Father”

Eli was the closest thing my father ever had to a father and the source of 95% of what little I know about my actual paternal grandfather.  Eli described my enigmatic grandfather as being completely deadpan, his face ‘two eyes, a nose and a mouth’.

“Well, that’s about right, Elie,” said the skeleton.  “Eli was the closest thing I had to a role model in that house full of frightened shtetl Jews, the only survivors of massacres they avoided by sheer accident.  Eli, whatever his other faults, would not hesitate to stand up to someone who wanted to knock him down.  That was an amazing thing to see, as a kid, a tough American-born Jew who lived on his own and didn’t take any shit from anybody.  Of course, it had its dark side, as any of his kids will gladly detail for you.”

I remember the faces of his three children, all in their fifties by then, sitting in the front row at his funeral as I began to read my notes.   They knew I was his good friend, and in some ways the child he’d never had.   They all smiled and nodded gratefully when I ad libbed that had Eli raised me I most certainly would not have been able to say, without hesitation, all the good things I was about to say about our departed, sometimes savage, loved one.

“Well, he was pretty much hated by his kids, and not without good reason. He was a tyrant to them all, it was always his way or the highway.   He was also pretty much shunned by his grandchildren too.  You remember when he told you ‘just what the world needs, another goy…’ when his half-Christian grandson was named Connor Steven?   He was a very black and white fellow, our cousin Eli, and he loved few things more than a good fight.” The skeleton sniffed the air and chuckled.

You know how we act as unconscious surrogates in many cases, finding and serving as the family members and needed confidants we lacked as kids?

“Yop,” said the skeleton, picturing himself and others in those roles over the course of his eighty year life.

I realize in some essential way that I served as the interactive kid Eli never had, someone who didn’t reflexively dismiss him, and that he, in some odd way, was the father I’d never had, someone who actually considered the things I said.  He and I could fight bitterly without becoming enemies.  

“Well, I’d say that’s true.  Your mother and Eli had love at first sight, and they fought constantly, bitterly, gave no quarter.  Their fights were violent slug fests, no holds barred.   Afterwards they’d laugh, and hug and kiss, and say they’d never forgive each other, and their eyes would twinkle as they looked forward to their next knock down drag out battle to the death.

“In fact, your mother was about the only person who could ever go that far with Eli.  You saw how threatening he got when anyone crossed him, even at 85, 86.  His face would turn magenta, white foam would instantly form on his lips, his grey hair would stand up like porcupine quills.  He’d become, like you said at his funeral, savage as an angry panther.  

“Like when he backed into that car in a parking lot, and the driver jumped out, and he snarled ‘you’d better get back in your fucking car, bub, before I forget that I’m 85 years-old and come out there and beat the shit out of you!’ The other driver got right back in his car, as anybody not insane would have done.  

“But your mother had absolutely no fear of Eli.  My brother and I, even as adults, had some healthy fear of him.  When we sat down to eat as kids he’d yell ‘go run and wash your goddamned dirty hands!’ and we’d run, boy.  It was run wash your hands or get a smack, and it wouldn’t be a love tap, either.” 

My cousin and I were in Peekskill a couple of months back, when you gave me the cold shoulder at the grave.  

“Surely you didn’t really expect me to talk in front of Sekhnet and your cousin.  The game would have been up if I’d started speaking from my grave,” said the skeleton.  

Of course.  Anyway, the point is that when we stopped by your house at 1123 Howard Street I recognized the place from the home movie Dave’s son had transferred on to a DVD that I watched at the Nursing Home with my uncle shortly before he shuffled off this mortal coil.  In one scene Azi, at around thirteen, is smiling on the porch, and your mother and Aren are there as you pass by, crew cut and tanned, looking healthy and fit in your yellow t-shirt.  

“Well, why wouldn’t I look healthy and fit?   I was probably 28 or 29 when that was shot,” the skeleton thought for a moment. “I have no idea who shot that home movie.  Oh, of course, it must have been David.  Nehama was on the porch at one point, she came out of the screen door with a big smile and did a turn for the camera.  Dave was the only one not in the movie, and he was also the first one to get new technology, because he was rich.  He had the first nice car, the first television set, the first home movie camera, an 8 mm, probably from Germany.”

I mention 1123 Howard Street because when we stopped by it was a two family house, with a separate door and stairway to get to the second floor.  It seems this was likely a later addition to the place, along with the siding, but it made me wonder about the living arrangements at 1123 Howard.  

The house must have belonged to your Uncle Aren, who must have lived on the first floor with his second wife, Tamarka, and their children Nehama and Dave.  Which makes it likely that you lived upstairs, with your parents and Paul, and above your living space there was some kind of attic where the Jewish transients would stay, and piss out the windows, and shit in paper bags.  

“That is a mystery I cannot give you a definitive answer to, Elie, since, as you may have realized yourself by now, I can only really tell you things that you have already discovered for yourself.  Hopefully Azi will answer that question since you emailed it to him just a couple of hours ago,” said the skeleton quietly.

Commie Bastard

“Basically, you’re a commie bastard, Elie,” said the skeleton of my father, with very little judgment.  “You know, you’re animated by that ancient, hard to extinguish Jewish spark of longing for Justice.  A CEO in Japan makes 11 times what the average Japanese worker does, in Britain and Canada it’s 20 times.  Here in the ‘USA! USA!’, as you call it, the average CEO makes 435 times more than the average worker, because, fair is fair.  You know, you’ve always had a rage against this kind of logic.”  

Well, in fairness to the CEO class, I had the same reaction when Cheney and Dubya started torturing people in my name, when Obama, years later admitted that “we tortured some folks” and, historically, when my family was lined up by that ravine in Vishnevitz, or simply disappeared without a trace two hundred miles north.  

“You don’t really expect those who live on a million dollars a week to suddenly have to make due with only a few hundred thousand, do you?” said the skeleton, his facial expression matched perfectly with his words.

“The super wealthy are not like you, Elie.  They go to bed dreaming about wealth and they wake up thinking about it.  You are a… how to put this in a way that won’t hurt your feelings?… a fucking idiot swimming against the prevailing tide of your time.  Is any of this confusing to you?  America is run by wealthy people and the lucrative interests they own.

“Much of history is interpretation, as we’ve discussed, but certain lines can be drawn between events– causes and effects shown with reasonable reliability.  A doddering, beleaguered, probably senile Ronald Reagan, oversaw the abolition of the Fairness Doctrine in 1987.  Why allow opposing views to be presented to the public when the free market can best decide what views the masses of Americans will see?  

“So you have, in short order, the rise of Rush Limbaugh, FOX TV and the rest of the well-oiled Right Wing echo chamber.  If they are laughable nuts to some, they are also the voice of America to wide swaths of our population who get all their information from these avowedly fair and balanced sources.   Whose interests does the end of the Fairness Doctrine serve in the end?  It doesn’t take a PhD in the History of the Fairness Doctrine to figure that one out.

“When Obama became the first presidential candidate in decades to opt out of public election financing he was able to outspend John McCain two to one.   He was charismatic, a great campaigner, McCain had to run on the dismal record of his party during eight terrible years, etc. but the 2:1 spending didn’t hurt either.

 “All of those twenty dollar internet contributions Obama had quickly multiplied when the big money started pouring in from the financial services, fossil fuel, health insurance and pharmaceutical industries.

“Then, you know, when crafting the Affordable Care Act, fair is fair, take the only effective solution—the public option—off the table from the start and let the private health insurance industry write the law. 

“In the Patient Protection and Affordable Care Act, as you’re fond of calling it, the mandate is all one-sided, the consumer is forced to pay for health insurance, in exchange for CEOs holding the line at their seven and eight digit annual compensation packets and giving the insurance companies the option to opt out at any time if their profits are adversely affected by the new law.  

“The pernicious myth of the ‘free market’ is so pervasive that the alternative to any profit-driven enterprise is unthinkable, downright un-American. That said, your critique of this rogue form of bare knuckles capitalism makes you, and let’s be honest about this, Elie, a fucking commie.”