Friday, December 27, 2013

Security vs Privacy

Thursday, Jan. 2, 2014, 9am to 10:30 in the Meeting Room (behind the fireplace)

In January, we will explore the good and the bad of new technology. We will start the month with a discussion of how data mining used to increase our security has cost us our privacy. Here the two TED Talks that will be used as a basis for our discussion:


These videos will be shown at the meeting, but the speakers provide a lot of information so seeing they videos before the meeting will help.

Please come with suggestions on other fearful technologies that you would like to discuss in January.

Saturday, December 21, 2013

Schedule for 2014Q1

We will try something different in 2014. Instead of spending two weeks on a topic, we will dedicate each month to a theme. That way we can announce the theme in advance but have some flexibility to change the topic as we go along. Here is what I am proposing for the first three months of 2014.

  • January - New Technology, the Good, the Bad and the Ugly
  • February - Challenges for the next generation
  • March - "A Republic, if you can keep it"

January has five Thursdays, so we could let Skye give her presentation on Afghanistan on one of the Thursdays that meets her schedule. Certainly one of other topics covered in January will be on how the new technologies affect privacy.

Vince wanted a discussion to help of understand what the kids today are interested in. We certainly can cover that during one of our meetings in February. Remember, I will be away on the third week in February, so I am looking for a volunteer to lead the discussion, on Feb. 20.

I will also be away on the first week in March. Tim will lead the discussion that week. He will be looking for topics on how we have strayed from our Democratic principles. This would be the time for Bill's topic on gun control, Ken's topic on local politics and Al's topic on religion in politics.

As for the topic of Education, it fits nicely under all three themes. So we may have several sessions on Education.

If I missed any of your favored topics please let me know.

Thursday, December 12, 2013

Planning for Next Year

Thursday, Dec. 19, 2013, 9am to 10:30 in the Meeting Room (behind the fireplace)

As we look back on our first four months and plan for next year, we should think of what worked and what we could do differently. To make our group successful, I need your input. You can make suggestions at our next meeting, or even better, share your ideas as a comment on this blog. You can make suggestions or comment on past meetings, including:

  • New topics or themes
  • Old topic we would like to revisit
  • Showing a movie
  • Using many short You Tube videos 
  • Using a few TED Talks
  • Using read aloud Kindle books
We need suggestions on how to make it easier to give people the opportunity to lead discussions. In any case, I will be away on travel on 2/20/14 and 3/6/14, so there will be two opportunities coming up.

If you feel that the group should set goals, here is your chance to start a discussion. As for my goals, they are best expressed in this TED talk.



Friday, December 6, 2013

Drones and Robots, Part 2

Thursday, Dec. 12, 2013, 9am to 10:30 in the Meeting Room (behind the fireplace)

We have examined  the use of drones and robots in war, so for next week we will look at how the same technology is being used in peace. There were three TED Talks about this subject which came out in the just last few months.

  1. Lian Pin Koh: A drone's-eye view of conservation: As you watch this video see if you can count all the military technologies that are being used in this conservation effort. Contrast how drones are used in world collaboration as opposed to world conflict.
  2. Andreas Raptopoulos: No roads? There’s a drone for that: Do you think this technology developed for sub-Saharan Africa was the inspiration for Bezo's proposed drone delivery system? Is there a delivery drone in your future?
  3. Henry Evans and Chad Jenkins: Meet the robots for humanity: Why is this quadriplegic so happy? How important was the drone's "coolness" factor?

Friday, November 29, 2013

Drones and Robots

Thursday, Dec. 5, 2013, 9am to 10:30 in the Meeting Room (behind the fireplace)

For our next two meeting, we will explore the use of drones and robots, starting with the military and then migrating to commercial applications. The first meeting will focus on the increasing use of drones in combat and the possibility of autonomous drones that can kill without a human operator.  We will use the following TED Talks to start off the discussion:
Here is an excerpt from P.W. Singer's book, Wired for War:
When thinking about all this in the context of war, it is easy to see the attraction of building increasing levels of autonomy into military robots. The more autonomy a robot has, the less human operators have to support it. As one Pentagon report put it, “Having a dedicated operator for each robot will not pass the common sense test.” If robots don’t get higher on the autonomy scale, they don’t yield any cost or manpower savings. Moreover, it is incredibly difficult to operate a robot while trying to interpret and use the information it gathers. It can even get dangerous as it’s hard to operate a complex system while maintaining your own situational awareness in battle.

Wednesday, November 20, 2013

Look Ahead

After tomorrow's meeting, here is the schedule for the rest of the year:

  • Nov. 28 - No meeting, Happy Thanksgiving
  • Dec. 05 - Drones and Robots, Overview
  • Dec. 12 - Drones and Robots, Zoom-In
  • Dec. 19 - Open, Plan for next year
  • Dec. 26 - No meeting, Merry Christmas

We can start a conversation on what we can do next year. Using the blog as a forum will let everybody participate. Tim has suggested the following:

    PROPOSAL FOR “ZOOM-IN” DISCUSSION:

    Title : Precursors to an Effective Democracy (aka. A Representative Democracy)

    Freedom of Religion
    Freedom of Speech
    Freedom of the Press
    Electoral System integrity
    Literacy beyond just functional literacy
    Universal Education (i.e. Ability to think and discern)
    Skills training
    Willingness to Compromise (essential to a democracy)
    Sense of Community (E Pluribus Unum)
    Economic System that promotes opportunity for all citizens
    Justice System that is impartial

    Propose a discussion to determine:
    The accuracy and completeness of the Title.
    Judge the contemporary “health” of each precursor.
    The essential dependence of each precursor to each another.
    A consensus concerning which combination of precursors needs to be addressed first.
    Formulate an argument for such an effort.

Friday, November 15, 2013

Zoom-In on Tax Reform

Thursday, Nov. 21, 2013, 9am to 10:30 in the Meeting Room (behind the fireplace)

In our last meeting we discussed the need for tax reform, but there are many barriers. The law makers are beholden to moneyed interest for campaign contributions. Lobbiest can weaken laws by adding hidden loopholes. Tax attorneys can help the rich exploit many tax shelters. Congress can cut the budgets of tax enforcement agencies.

Even if we were to pass the laws, close the loopholes and fund tax enforcement, we need international cooperation because of the global nature to the economy. Certainly other developed countries have similar problems and should want to cooperate, but many poor nations are willing to let their national sovereignty by used to setup tax havens. No tax reform will be effective unless the problems of tax havens are addressed.

For our Zoom-In meeting on tax reform, we will take a closer look that offshore tax havens. Here are four videos which will be used as background material for our discussion. As always, anyone is welcome to lead the discussion on any of these videos or any other videos that they find.



Thursday, November 7, 2013

Tax Reform

Thursday, Nov. 14, 2013, 9am to 10:30 in the Meeting Room (behind the fireplace)

Certainly our tax system has been a primary driver of wealth inequality. But until recently, it has been taboo to suggest that we should raise taxes on the wealthy. But times have changed. Listed below are several YouTube videos which try to make the case for a more progressive tax code.

For next week's meeting, we will try something different. Instead of showing a single video followed by discussion, we will have a series of short video/discussion mini-sessions. We will do as many as we can fit in our 90 minute meeting. So here is your chance to lead a mini-session on one of the videos listed below or another video you may have found. You can put your dibs on a video by email or by adding a comment to this blog.

  1. Tax the Rich: An Animated Fairy Tale
  2. Elizabeth Warren: You Didn't Build That
  3. Nick Hanauer: Banned TED Talk on Inequity
  4. David Cay Johnston: Moral Argument for Progressive Tax
  5. Warren Buffet: Taxes are Too Low for the Wealthy
  6. Robert Reich: Tax the Rich


Saturday, November 2, 2013

High Health Cost, Part 2

Thursday, Nov. 7, 2013, 9am to 10:30 in the Meeting Room (behind the fireplace)

We will be showing the second half of the movie, Escape Fire. We will have 45 minutes after the movie for discussion. Don't worry if you missed the first half of the movie, the second half stands on its own. For those that want to see the whole movie, I have recommended to movie to be added to the Friday Bain documentary movie schedule. However, it cannot be scheduled before January. For those that want to see the movie now, I think that it is being offered free for Amazon Prime members, HERE, and there is a free one month trial membership.

We will use the issues on the website as guide for the discussion.
  1. An Entrenched System
    1. Employer-sponsored health insurance premiums are rising 4 times faster than workers’ earnings 
    2. In 2007, General Motors & Ford spent $1500 on healthcare for each of their cars. BMW & Honda spent $600 combined.  
    3. $1.1billion was spent lobbying Washington on behalf of healthcare between 2009 and 2010.
  2. Overmedication
    1. Only the U.S. and New Zealand allow pharmaceutical companies to advertise straight to consumers.
    2. Soldiers’ use of prescription drugs has tripled in the past five years.
    3. In the U.S., the more a drug is marketed to physicians, the more likely it is to be prescribed.
  3. Overtreatment
    1. Unfortunately, 30% of healthcare costs don’t improve health.
    2. Only 1 in 16,000 Americans’ lives were saved or significantly extended by improvements in healthcare technology
    3. 187,000 people die from medical error a year. Could this be the 3rd largest killer in the U.S.?
  4. Paying more getting less
    1. Within 6 years, U.S. healthcare costs are predicted to reach $4.2 trillion, 20% of our GDP.
    2. Average cost of healthcare is about $3,000 per person in the Developed World. In the U.S. it’s $8,000.
    3. For the first time in the history of our country, life expectancy is going down for many Americans.
  5. Preventing Disease
    1. 20% of patients account for about 80% of healthcare costs.
    2. 75% of healthcare costs are spent on preventable diseases.
    3. Fast food is given to U.S. patients in almost 40% of American hospitals.
  6. Reimbursement
    1. American daily hospital costs are $1,666. 4 times more than the rest of the world.
    2. 20-50% of medical scans performed in America were unnecessary.
    3. The average cost of 1 cardiac rehab session is $100. The average cost of a medicated stent procedure: $40,000.
  7. Treating the whole person
    1. In 2008, primary care physicians earned about half as much as specialists.
    2. 1 in 5 Americans die from smoking.
    3. ½ of Americans with chronic illnesses aren’t receiving optimal care due to short doctor visits.

Saturday, October 26, 2013

High Medical Cost

Thursday, Oct. 31, 2013, 9am to 10:30 in the Meeting Room (behind the fireplace)

There is an excellent 90 minute movie about high medical cost, Escape Fire. This is an opportunity to try something different. The first half of the movie will be shown at our next meeting. This will give us 45 minutes of discussion time. We will show and discuss the second half of the movie in the followup session on Nov. 7.

The movie website has an issues page, HERE.


Thursday, October 17, 2013

Income Inequality Followup

The Bain Center will be closed in the morning of Thursday, Oct. 24

Here is the local inequality for near Howard County. This was emailed by Ken and added as a comment to the previous post. Remember, from Norm's presentation, that the Gini Coefficient is between zero and one, where zero is perfect equality and one is perfect inequality.



First, here’s Howard County vs. nearby counties and other jurisdictions:
RankCountyMedian Household IncomeGini Coefficient
1Loudoun County VA$117,8760.3670
2Howard County MD$108,8440.3909
3Fairfax County VA$107,0960.4229
5Arlington County VA$100,4740.4294
11Montgomery County MD$94,9650.4504
12Prince William County VA$93,7440.3710
15Charles County MD$90,8800.3937
18Anne Arundel County MD$89,1790.4119
19Calvert County MD$87,4490.4090
21St Marys County MD$86,3580.3779
38Alexandria city VA$81,1600.4404
39Frederick County MD$80,7650.3827
42Carroll County MD$80,0280.3858
90Prince Georges County MD$69,8790.3951
116District of Columbia$66,5830.5343
148Baltimore County MD$62,4440.4396
713Baltimore city MD$39,2410.5008
and then Maryland vs. other high-income states and the U.S. as a whole:
RankCountyMedian Household IncomeGini Coefficient
1Maryland$71,1220.4473
2New Jersey$69,6670.4718
3Alaska$67,7120.4232
4Connecticut$67,2760.4915
5District of Columbia$66,5830.5343
6Hawaii$66,2590.4257
7Massachusetts$65,3390.4813
8New Hampshire$63,2800.4298
9Virginia$61,7410.4661
10Minnesota$58,9060.4441
United States$51,3710.4757

Thursday, October 10, 2013

Income Inequality

Thursday, Oct. 17, 2013, 9am to 10:30 in the Meeting Room (behind the fireplace)

Next week, we will start a new topic, Income Inequality. Norm will lead the discussion. Here is his preliminary list of issues we can talk about:


THE  FOLLOWING ARE TYPICAL QUESTIONS THAT WILL LIKELY BE DISCUSSED DURING THE SESSION ON October 17, 2013.

What is income anyway? 

What type of people are in the top and bottom income brackets?

What is a fair wage and how is it determined?  Do market forces matter?

Does income affect life expectancy? obesity? infant mortality?

Does income inequality affect our attitude, philosophy, ideology, health?

What advantages result from income inequality?  Disadvantages?

What is the Gini coeffieient and how is it calculated?

Can we reduce income inequality in a capitalist economy?  Should we? How?  Have other countries done so?  Is the US such an outlier we have no peers?

Why do portions of the lower 90% vigorously resist any effort to increase additional taxes on the top 0.1%’s?  Are the rich really job creators? Is it a fairness issue?  Undemocratic?  Would the additional tax diminish our entrepreneurial incentive to be 0.1%ers some day?


Suggested videos:





Books on Inequality:


  • The Price of Inequality, 2012, Joseph Stiglitz (Nobel Laureate)
  • The Great Divergence, 2012, Timothy Noah
  • Inequality and Instability, 2012 James K Galbraith
  • Falling Behind, 2007, Robert H Frank


Friday, October 4, 2013

Zoom-In on Israel Palestine

For the Zoom-In session of the Israel-Palestine conflict, we will focus on two issues, US involvement and the way forward.

1) A good summary of US involvement in Israel can be found HERE in Wikipedia. I was surprised to learn that the US did not really get involved Israel until the 1967 war. Before then the Arabs look favorable on the US primarily because of its role in the Suez Crisis of 1956.

2) The best hope for the way forward seems to be in the growing non-violence movement in Palestine. The referenced article is about non-violent resistance advocated by the Palestinian National Initiative which is independent from Fatah or Hamas.

------------ 10/5 Update ----------

Michael, here are some of the things I would like to emphasize on Thursday (probably more than you had in mind:
    1.  Re article “Obstacles to Peace – Israel’s Duplicity” (which everyone should have received either by blog or in print):  A CHALLENGE:  If you can find one important agreement which Israel has made which it has not reneged on, I will take you to lunch (at McDonald’s or somewhat better); au contraire, if you can find nothing, you take me to lunch.  (Please re-read this article.)
    2.  Zionism vs Judaism (see “Hidden History of Zionism” and quotes from several prominent Jews.  The power of the Christian Zionists
    3.  Arab League Peace Plan of 2002.  Why did Israel not respond to this?
    4.  Is there something more insidious than US-Zionist organization (i.e., AIPAC, etc.) which makes the US so subservient to Israel?  (Ref. “Eisenhower’s Secret Wars,” in which he threatened Britain “ .. with a run on the pound which would drive it into the ground” PBS 3-  -13.  Can one country have that much control over another’s currency?
    5.  The US failure to stand up for its citizens who have been killed by Israel, including the USS Liberty victims
    6.  Hedges quote re “enticing children like mice into a trap.”  I will never forget this.
    7.  Non-Zionist Jews
    8.  US a “dishonest” broker – even though the US should have a lot of clout with Israel, it appears always that Israel is calling the shots.  (George Ball gives many instances of this.)
    9.  Zionist questionable practices in recruiting Jews to Israel (see Zionist Connection).  “False flag” operations
    10.  Palestinian demand, not so much for a “literal” right of return,  but rather a recognition that a wrong has been done them, and that they should have the right to travel freely within Palestine/Israel.
    11.  Israel’s power worldwide
    12.  designation of  “terrorist”(Palestinian) vs “freedom fighter”  (Zionist) e.g., assassination of Count Folke Bernadotte
    13.   US media bias
Dory

Monday, September 30, 2013

2013 Schedule for Zoom-In Discussion Group


Held on Thursday, 9am to 10:30 in the Bain Senior Center Meeting Room behind the fireplace.

Zoom-In is a Howard County SPRING group open to all who come to the Bain Senior Center. Seniors get together to discuss a preselected topic of interest. Two consecutive sessions are devoted to each topic. In the Overview Session, group members raise questions and give options on various issues related to the topic. Issues of special interest are selected for the follow-up Zoom-In Session for more detailed discussion.

The following topics were suggested by the members and selected based on a survey.


Topic
Overview Session
Zoom-In Session
Obama-Care
Sept. 19
Sept. 26
Israel and Palestine
Oct. 3
Oct. 10
Income Inequality
Oct. 17
Oct. 24
High Medical Cost
Oct. 31
Nov. 7
Tax Reform
Nov. 14
Nov. 21
Drones and Robots
Dec. 5
Dec. 12



For more information send an email to mhirasuna@gmail.com.

Friday, September 27, 2013

Background for Israel-Palestine Discussion

Thursday, Oct. 3, 2013, 9am to 10:30 in the Meeting Room (behind the fireplace)

Dory will be leading the discussion on Israel-Palestine. You can share your thoughts and background material on this blog post. I found two interesting YouTube videos which take opposite sides of the issue. I'll let you guess which side is which.

Video 1,   Video 2

----------------------------------------------------------------------------------------------------------

From Dory:

    This article, which I wrote, was printed in the Frederick News-Post on February 26, 2011
Dory
 
 
Obstacles to peace:  Israel's Duplicity
    Apologists for Israel are frequently heard to complain that Israel is held to a different standard than other countries.  Well, this is certainly true, but not in the way they mean.
    Israel's violation of international laws is almost always totally overlooked, while focusing instead on comparing Israel favorably with "rogue" states.  Were Israel to be held to the same standards as we expect of most other countries, you would find that it falls far short of holding the high moral ground which it claims.  For example:
    1)  Zionists accepted with alacrity the portion of the Balfour Declaration of 1917 which "... viewed with favor the establishment in Palestine of a national home for the Jewish people," but ignored the stipulation that "...nothing shall be done which may prejudice the civil and religious rights of existing non-Jewish communities."
    2)  Israel, in its 1948 Declaration of Israel's Independence, agreed to "... uphold the full social and political equality of all its citizens, without distinction of race, creed, or sex."  Instead, Israel's currently announced goal of being a "Jewish" state, with its insistence on being recognized as such, would preclude recognition of the equality of all its citizens, which would in effect establish the fact that Israel is in fact an ethnocracy, not a democracy.  (This is a primary reason for Israel's failure to draft an internationally-accepted Constitution, as it promised to do by October 1948.) *
    Even though Israel appeared to support the borders as prescribed by the United Nations in 1948, in reality it has never accepted them, even though the partition gave proportionally a much greater area of the Palestine Mandate to Israel than to Palestinians.  In fact, to date, Israel has not defined its borders, but has persistently aggrandized the territory it controls.  Ironically, most of the expansion of Israeli-controlled territory has occurred during the various peace "processes" which have been convened over these many years.
    Israel agreed with the provision for Jerusalem to be a UN-controlled open city, with access for all.  Israel (Netanyahu) now claims that Israel will never give up Jerusalem as an undivided Jewish city.
    3)  Israel is a signatory to the Fourth Geneva Convention adopted in 1949 which specifies:
      a) "The Occupying Power shall not deport or transfer parts of its own civilian population into the territory it occupies."  Ironically, this was done " ... to ensure that abuses practiced by the Axis powers could not be legally repeated." ** p.182.  This position has been supported  in principle by every U.S. president since then, but has been ignored by Israel.
         b) Israel is in violation of the prohibition against collective punishment, according to Amnesty International, Save the Children, B'tselem, and others.
        c) Israel is in violation of the prohibition against destroying real or personal property belonging individually or collectively to private persons.
    4)  Israel, in exchange for a seat at the United Nations, agreed to U.N. 194 as to the Right of Return of a people displaced by war, but has never abided by this agreement.
    5) Israel is in violation of U.N. 242, reinforced by U.N. 338, as to the prohibition against acquiring territory by war.
    6)  Israel is in violation of most of the 30 Articles of the 1948 Universal Declaration of Human Rights.  (www.hrusa.org)
 
    Israel has been cited for possible war crimes in its recent attack on Gaza.  The building of the "separation" wall which encroaches severely into Palestinian territory has been condemned by the International Court of Justice.  The apartheid system practiced by Israel has been condemned by Nelson Mandela and Bishop Desmond Tutu as being even more brutal than that of South Africa.***
 
        I think it is obvious that, were Israel to be held to the same international laws as is expected of other countries, that there would be no problem in arriving at a just solution to the Israeli/Palestinian conflict.
 
Notes:
*Declaration of Israel's Independence 1948
**"The Passionate Attachment, America's Involvement With Israel, 1947 to Present," by George S. Ball and Douglas B. Ball, W.S. Norton, 1992.
        UN 181 reference. p.38-39, and others - Ball
        UN 194, p.39, p. 231 - Ball
        Geneva Convention, p.182, - Ball
        Other U.N. resolutions - Ball, p.308
Universal Declaration of Human Rights 1948
 "The Other Side of Israel," by Susan Nathan, Doubleday 2005.
"The Problem with Israel." by Jeff Halper, Israeli activist against demolition of Palestinian homes
"The Ethnic Cleansing of Palestine," by Ilan Pappe, Oneworld Publications, 2006
"The Catastrophe (Al Nakba): How Palestine Became Israel," IfAmericansKnew.org
"Palestine Peace Not Apartheid," Jimmy Carter, 2007  "[T]he plight of the Palestinian people represents one of the most abhorrent cases of human rights oppression on Earth.  Forced from their homes and land and surrounded by walls, they live under a system of mandatory segregation, with passes required to reach their jobs, schools, pastures and fields.  A unique system of military justice deprives them of any legal ability to alleviate their suffering."
***"I am a black South African. If I were to changes the names, a description of what is happening in the Gaza Strip and West Bank could describe events in [apartheid] South Africa."  Archbishop Desmond Tutu
Many other books and articles
 

 

Wednesday, September 25, 2013

Zoom-In Topic Survey


Please indicate your interest by placing an H, M or L in front of each topic

  H - for high interest
  M - for medium interest
  L or leave blank - for low interest


Also indicate if you would like to lead any of these topics or a new topic not listed.
The topic leader is not expected to be an expert, just to raise interesting questions.
If you volunteer, remember that each topic is given two weeks.
Topics with volunteer leaders will be given preference in scheduling.



1) Health Topics

    __ Increasing longevity, good or bad?
    __ High medical cost
    __ Amazing new medical technology


2) Foreign Policy Topics

    __ End of Arab Spring, Egypt and Syria
    __ Yemen and al-Qaida
    __ Rise of China


3) Security Topics

    __ NSA surveillance and Internet privacy
    __ Cyber Security
    __ Use of drones


4) Political Topics

    __ Tax reform
    __ Guns in America
    __ Voting rights


5) Education Topics

    __ More respect for the teaching profession
    __ Public education, funding and student discipline
    __ High education cost, Internet alternatives


6) Economy Topics

    __ Causes and effects of income inequality
    __ Short term business incentives
    __ Taxes, subsidies and laws which favor the rich


7) Social Conscience Topics

    __ Criminal justice, prison population, mandatory sentencing
    __ Social conscience in hard times
    __ How society can shape an individual's conscience

Sunday, September 22, 2013

Zoom-In on ObamaCare

Thursday, Sept. 26, 2013, 9am to 10:30 at the Meeting Room (behind the fireplace)


Three topics were selected from the 9/19 meeting for more discussion.

1) Free preventive care, a good thing or just more opportunity for over-diagnosis
Here is a TED Talk which explains the problem of over-diagnosis.

More diagnosis may make healthy people feel more vulnerable—and, ironically, less healthy. In other words, excessive diagnosis can literally make you feel sick. And more diagnosis leads to excessive treatment—treatment for problems that either aren’t that bothersome or aren’t bothersome at all. Excessive treatment, of course, can really hurt you. Excessive diagnosis may lead to treatment that is worse than the disease.

overdiagnosis can occur only when a doctor makes a diagnosis in a person who has no symptoms referable to the condition. While this can happen when a doctor stumbles onto unexpected diagnoses in the course of an evaluation of unrelated conditions, generally it happens because doctors seek early diagnoses—either as part of an organized screening effort or during routine exams. Thus, overdiagnosis is a consequence of the enthusiasm for early diagnosis.

As we expand treatment to people with progressively milder abnormalities, their potential to benefit from treatment becomes progressively smaller.
ObamaCare mostly ignores the warnings of this book, but has tried to curtail two of the most egregious examples of over-diagnosis, mammograms for women under 50 and prostate PSA screening for men. Both have met resistance, but the women were more successful then the men in reversing these recommendations.

Here is a list of current free preventative services based on recommendations from the US Preventive Service Task Force and the Institute of Medicine. The USPSTF gives grades, A to D, on the effectiveness on preventative services. Services with a grade of A or B are free under ObamaCare. Mammograms for under 50 was given a C, while PSA screening was given a D. Under political pressure, free Mammograms were extended to women of age 40. PSA screenings are still disallowed. Eight additional services for women, in the IOM report but not recommended by the USPSTF, were also given free status. This includes the infamous free contraceptions.


2) The 30 million Uninsured, do we need Single Payer?

The Kaiser video that we saw in our last meeting brought attention to the 30 million left uninsured even when ObamaCare is fully implemented. We thought that these were undocumented immigrants, but we were wrong. From a Kaiser Foundation report on the uninsured:
The majority of uninsured people (80%) are native or naturalized U.S. citizens. Although non-citizens (legal and undocumented) are about three times more likely to be uninsured than citizens, they account for less than 20% of the uninsured population. Non-citizens have poor access to employer coverage because they likely have low-wage jobs and work for firms that do not offer coverage. Further, until recently, states were precluded from using federal dollars to provide Medicaid or CHIP coverage to legal immigrants who have been in the U.S. less than five years. In 2009, states were given the option of extending Medicaid coverage to children and pregnant women who previously would have been subject to the five-year ban. By January 1, 2012, 24 states had adopted the option to eliminate the waiting period for lawfully-residing immigrant children, and 18 states had adopted the option for lawfully-residing pregnant women.18 Undocumented immigrants will remain ineligible for federally funded health coverage under the health reform law.
Regardless, of who the uninsured are, the group expressed a support for Single Payer, presumably because it would give universal coverage. But this is not necessarily the case as explained in this report on Single Payer:
Importantly, the term “single payer” is different from “socialized medicine” and “universal health care.” Socialized medicine refers to a system like the National Health Service of the U.K., in which the mechanisms of delivery of health care are owned by the government.

The term “universal health care”, in a general sense, refers to providing every citizen of a country with health insurance. Although universal health care connotes a national public insurance program to some people, there are in reality a variety of ways of achieving universal health care, some of which are predominantly public, and others of which use a mixture of public and private elements. Single payer is one way of achieving universal health care, but other ways include the multi-payer systems of Germany and Japan.
We already have Single Payer without universal coverage; it is called Medicare. The few politicians that have backed Single Payer use US business competitiveness as justification. Our politics is such that Universal Health Care for humanitarian reasons is a harder sell. If universal coverage is the true goal, it might be easier politically to give insurance companies a role in a multi-player system.


3) ObamaCare politics

So why are the Republicans so willing to tank the economy to end ObamaCare? Paul Krugman says that the Republicans has become the Crazy Party because it lost control of its base. But then why is the base acting crazy. Here are my guesses, you can add your own:
  • They are really just crazy
  • They are not crazy, but act crazy to win a game of Chicken
  • They want to create financial panic to recover the loss in their gold investments

Thursday, September 19, 2013

Determining topics for future meetings

After last week it became obvious that we needed a better way to select our future topics. Norm, Ron and I were joined by Vince and Tim after today's meeting and came up with this approach.


1) Each topic will be given two weeks. It seems that the first discussion is just a warm-up. We would not really dig into the topic unless we had a follow-up week. We could vote to continue a topic for a second week, but the voting process is problematic. Since all of our topics are broad, it was decided that it would be easier just to give each topic two weeks, an Overview Week and a Zoom-In Week.

We just finished the Overview for ObamaCare. We had several discussion points that we could have reserved for the Zoom-In. I picked three which seemed to resonate with the group. So here is the plan for next week:

Topic for 9/26 Zoom-In Meeting
Zoom-In on ObamaCare with focus on:
1) Free preventive care, a good thing or just more opportunity for over-diagnosis
2) The 30 million Uninsured, do we need Single Payer?
3) ObamaCare politics

Just as in the first meeting, other ObamaCare related topics or general health topics are on standby if we need more material. But it seems that should not be a problem for our group.


2) Future topics will be selected by the facilitator from a candidate list The decision will be based on a survey. Here is our draft list of candidate topics. You can suggest changes to the list by commenting on the blog or by sending me an email. The list will be final on the day before the meeting and be printed as the survey sheet. At the next meeting, members can indicate their preference by ranking the topics that they care about.

On the survey, you can also indicate if you are willing to be the topic leader. If you volunteer to be the topic leader, your topic will be given preference. As the topic leader you can do what I did, which was just create as list of talking points to stimulate discussion, or you can define your own format. Those not able to attend the meeting can indicate their preference and willingness to be topic leader by sending an email.

Four topics will be chosen to cover the following eight weeks. This will allow us to publish a schedule. If this process is satisfactory, we can repeat it every eight weeks.





Saturday, September 14, 2013

ObamaCare and Other Health Topics

Thursday, Sept. 19, 2013, 9am to 10:30 at the Meeting Room (behind the fireplace)

ObamaCare Topics
The Patient’s Bill of Rights:

ObamaCare Issues of Interest

  • Changes to Medicare
  • 30 million still uninsured
  • Tax increases on some
  • Individual mandate
  • Employer mandate, delayed to 2015
  • Medicaid expansion blocked in some states
  • ObamaCare in Maryland and Howard County
  • Needed fixes
  • Politics of ObamaCare in 2014
  • Free preventative care, good or bad?
  • End of life care reform avoided


Background Information

1) A quick explanation of ObamaCare. This video was from the Kaiser Family Foundation website which is devoted to explaining healthcare reform.


2) The long explanation, Bill Clinton explains ObamaCare


4) There was some concern about the Oct 1 date. It seems that this date pertains to the opening of the Healthcare Exchanges, which probably does not pertain to us. But here are the websites setup for enrollment, Maryland WebsiteFederal Website.

5) Health Reform information on the White House website.

6) How many are uninsured

7) ObamaCare politics (from Ken)

8) NPR answers ObamaCare questions from listeners (from Ken)

9) FPL for 2013 (Federal Poverty Level)

10) MAGI, income to determine ObamaCare tax credits (Modified Adjusted Gross Income)

11) ObamaCare subsidy calculator