An award from the American Institute of Architects is the latest bit of positive attention the new Focal Point Community Campus has received since the plan was announced December 2012.
Focal Point will serve the Little Village area as well as North Lawndale, Pilsen, Brighton Park, Back of the Yards and Archer Heights.
HDR Architecture, the firm behind the project, conceives the campus as "both an anchor and change agent" serving the neighborhoods surrounding the barren post-industrial area once occupied by Washburne Trade School.
The idea for a healthcare campus originated with Guy Medaglia, CEO of Saint Anthony Hospital and Chicago Southwest Development Corporation. According to Jacinda Adams, director of marketing and public relations at the hospital, Mayor Daley approached Medaglia wondering what Saint Anthony would do with the land once occupied by the Washburne. Rather than simply building a new hospital, Medaglia proposed the healthcare campus as a self-sustaining model in a time when state and federal resources are dwindling.
A new facility for Saint Anthony Hospital, which is currently located in a 118-year-old building at 2875 W. 19th St., will be one of many components of the project.
According to the American Institute of Architects, Focal Point stands out as a healthcare facility because of the multi-pronged approach to community health care it aims to accommodate -- the model includes retail space, an educational center, childcare facilities and areas for recreation. Adams said non-profit programs offered at Focal Point will be subsidized by the revenue generated from tenant spaces and other profit-making initiatives to ensure needed services will not falter due to a lack of funding.
In a culture where spare time is scarce and fast food is plentiful, healthy eating habits can be a bit tricky. This is especially true for young people.
Children today are constantly bombarded with flashy advertising and friendly mascots pushing chips, sprinkles, sugary beverages, and other generally non-nutritious food products. This rise of junk food has taken a considerable toll on children's health. Here in Chicago, nearly one-third of sixth graders and one-fifth of kindergarteners are clinically obese, putting them at risk for conditions like cardiovascular disease and type 2 diabetes.
Roseland is a safety net hospital, which means it is what the National Association of Public Hospitals and Health Systems describes as a hospital which provides "a significant level of care to low-income, uninsured, and vulnerable populations." A safety net hospital is not the same thing as a public hospital, which is operated by a government. Public hospitals can be safety net hospitals, but a safety net hospital is not a public hospital.
John H. Stroger Jr. Hospital of Cook County is a public hospital that is also a safety net hospital. Mount Sinai Hospital is a safety net hospital, but it is not a public hospital.
The unfortunate thing about the news regarding Roseland is it might be a sign of what's to come for safety net hospitals. As time progresses, safety net hospitals need to come up with solutions on how to stay afloat as they could lose patients as a result of Medicaid expansion.
Roseland Community Hospital announced today it will keep it doors open with $350,000 in state emergency assistance until a more sustainable solution is reached. These actions come two weeks after 100 staff members were laid off due to a $600,000 shortfall to pay employees. Administrators and aid experts will review a financial plan to salvage the medical center.
This week it was revealed that the state owes Roseland Community Hospital $6 million for its children's behavioral health unit. Hospital administrators have reduced the deficit from $9 million to $5 million. Governor Quinn claims the hospital board has a history of monetary mismanagement which has led them to the current situation. President and CEO Dian Powell who resigned this morning disregarded financial irresponsibility led to the mess and said, "They owe us money." Powell's resignation comes after allegations of unfairly blaming missing payments from the state as a critical factor in the hospital's fiscal demise.
On July 2, 16-year-old Jose Morales and some of his friends went into the abandoned Ravenswood Hospital, located at 1931 W. Wilson. According to the Tribune, while inside the building, Morales fell from the second floor to the ground floor. Morales died later that day at Advocate Illinois Masonic Medical Center.
The hospital is currently owned by Lycée Français de Chicago, which has plans to demolish the hospital and build a new school building. According to the Tribune, Lycée Français has applied for a permit for demolition in the wake of Morales' death.
Lycée Français would not comment on the situation with Ravenswood Hospital.
Today Wheaton College became the first Evangelical organization to join Catholics in filing suit over the HHS contraception mandate. At particular issue is the mandate's requirement that institutions provide their employees with access to contraceptive drugs, such as the "morning after" or "week after" pill. While these drugs do not terminate pregnancies once the egg is implanted, Catholics and some Evangelicals argue that preventing implantation is tantamount to abortion, making these pills abortifacients. While Catholics and Evangelical positions do not completely match on all aspects of contraception (views vary widely throughout Protestant denominations), they do agree on one thing — they want to right to have a position at all.
Wheaton College, in Wheaton, IL, is filing a lawsuit alongside the Catholic University of America in opposition to a birth-control-related mandate from the Department of Health and Human Services. The mandate requires most employers to provide health care that includes birth control coverage.
Mayor Rahm Emanuel's recent proposal to decriminalize the possession of small amounts of marijuana sparked wide debate in the media. The Chicago Tribunequestioned it, Ben Joravsky of the Chicago Reader called for full legalization, and Whet Moser of Chicago Magazine questioned whether legalization in Chicago was really possible.
The Illinois General Assembly is considering legislation, known as SB3261, to require hospitals that receive property tax exemptions to provide more than stabilization care (already required by the federal Emergency Medical Treatment and Active Labor Act, or EMTALA) to people who earn 125% or less of the federal poverty level in rural areas, and 200% or less in urban areas. The amount of free and subsidized care provided by hospitals has been a hot button issue in Illinois, and across the country, at least since 2007, when the U.S. Senate began a series of hearings on charity care, and in Illinois since a high-profile case involving Provena health care put hospitals' tax exemptions in limbo. The legislation is an interesting approach to solving the problem of health care provisioning for low-income residents, given the immense shortfalls in Medicaid funding states have been facing since the freefall in tax revenue brought on by the Great Recession.
So here's an interesting problem for students of how cities operate.
Public health and public transportation are two of the marquee issues for planners, and they're intertwined. Land use planners have recently turned towards policies that encourage walkability, bikeability, and "transit-oriented development." Mayor Emanuel's administration is currently undertaking an impressive, ambitious plan to introduce more than 100 miles of protected bike lanes, of the type found on Kinzie Avenue between Jefferson and Wells. Decreasing reliance on cars is a public health issue because it makes it easier for people to be active, and decreases vehicle emissions that pedestrians encounter as they move around the city. Similarly, the Affordable Care Act had provisions for public/private community health facilities with a focus on patient outcomes rather than fee-for-service models that merely encourage remedial care.
Two of the main sources of funding for public transportation and public health (particularly as the latter is undergirded by state Medicaid) are gasoline and cigarette taxes, respectively. You can see the immediate problem; the better transportation and health systems are designed, the more they must compromise the source of their funding. With transportation, this creates the most immediate problem: with increased volatility of gasoline taxes and a sharp increase in ridership, ill-equipped public transportation systems need more and more money to handle the increase (the fares are never enough to capitalize increased infrastructural capacity).
A brief by the American Public Transportation Association touches on this problem; as public transportation ridership increases, capacity needs increase even while revenues drop. Because fares will never be sufficient for real expansion of capacity, there's a systemic knot that can't be untied without a federal-state-local approach to overhauling the funding system.
Obviously, there's a similar problem with the vice-and-obesity taxes on things like cigarettes, alcohol, and fast and junk food. Where these revenues are meant to fund necessities--community health care in particular--the fact that the tax exists as a "disincentive" to unhealthy decision making implies the outcomes we want--healthier city living--are not really priorities. The addiction persists.
Politics. A candidate for office envisions his 30-second campaign commercial. He wants five solid accomplishments he can read as bullet points. At least one, he knows, needs to be about saving the taxpayers money. To look into the camera and say, "Faced with a budget deficit, I made the tough decisions and cut X million dollars from the budget."
The thirty second commercial is meant to drive a narrative. So the value of X is less important than the fact of savings. And the consequence of that X is even less so.
Despite what we've come to accept, that campaign commercial is not politics--it's the ephemera of politics.
Politics is what is happening at 63rd and Woodlawn, on the border between a rich neighborhood and a poor one. There, twenty Chicagoans, most of them consumers of mental health services critical to their ability to survive and function in society, have barricaded themselves in a city-run mental health clinic as a last-ditch attempt to save the facility from closure, to ensure they can keep getting the services that mean little to millions of Chicagoans but mean the world to them. Mean everything to them. Make the difference between quality of life and unbearable hardship.
In order to cut the budget, Mayor Emanuel moved to consolidate twelve mental health clinics into six, and privatize the city's six public health clinics. The closure of the Woodlawn facility means consumers of these services will be forced to travel longer distances, into unfamiliar neighborhoods, and seek services from unfamiliar caregivers faced now with more burdensome loads.The uninsured may face serious gaps in care.
Impassioned pleas to the Mayor to negotiate to mitigate anticipated consequences of this "cut" have gone unheeded formonths. So health care consumers--not some "special interest," not a political interest group, but people with serious mental health conditions--have done the only thing left to them, as they face the closure of their clinic at the end of the month: occupy it to force the Mayor to negotiate.
Despite assurances that there will be no change in quality care, the consumers of services have not been assuaged. One must assume that is not for no reason; that the closure of their clinic, the severing of their relationships with their care givers, will have some effect not accounted for. So they've thrust themselves physically into the bureaucratic machine to stop it and force those making decisions to deal on something of an even level with those who feel the consequences of decisions.
To do this, they entered the facility late Thursday afternoon, and beginning at 4 p.m., used cement, impromptu fencing, chairs, vending machines, and chains to barricade themselves inside the clinic, where they are prepared to stay.
Meanwhile, outside, nurses, clergy, local residents, and other allies--as many as forty as of 10 p.m.--sat in front of the doors to protect their friends within. No less than fourteen Chicago Police Department vehicles, along with several County Sheriff's department cruisers, had blockaded the section of Woodlawn between 63rd and 64th Streets. After the news media left around 10:15, plainclothes cops in hoodies and jeans arrived. The atmosphere began to feel a bit more tense, as those assembled outside began speculating as to when the police would move in and try to remove the occupiers by force.
A press event is planned for ten in the morning at the clinic. In the meantime, the Mayor has a decision to make about the politics of campaign commercials versus the politics of human need.
According to an article posted Tuesday by Crain's, Chicago was ranked 215th out of 306 health care markets by a report from the Commonwealth Fund. According to the article, it was ranked so low due to "high costs, high rates of uninsured, very high rates of potentially preventable hospital admissions and low rates of preventative care such as screening for breast and colon cancer."
For context, Boston, Philadelphia, Manhattan, Atlanta, Detroit and the Bronx ranked higher at 41, 101, 127, 166, 189 and 206 respectively. Among the cities that ranked lower were Los Angeles, Miami, Dallas and Memphis.
On Tuesday, the Cook County Board of Commissioners will vote on the upcoming budget for the Cook County Health and Hospitals System (CCHHS). Tensions have arisen In the weeks since the CCHHS Board of Directors released their budget and the Cook County Board President Toni Preckwinkle informed the CCHHS Board of Directors that they could not request the required county subsidy because of what is set in the planned County Budget.
As explained in a previous Gapers Block piece examining the Fantus Health Center, the CCHHS receives a county subsidy that helps with their funding. The rest of their funding comes from insurance, Medicaid, Medicare, and patients paying for their treatment.
The current budget that will go before the board would ask for a $283 million subsidy; Preckwinkle has said that the maximum subsidy the CCHHS can receive is $248 million.
This is Part Two of a series examining health care in Cook County.
The Fantus Health Center provides a stark contrast to its neighbor, Stroger Hospital, making the latter seem almost a paragon of quality public healthcare with its modern design and efficient organization. The clinic, named after Dr. Bernard Fantus, who started the world's first blood bank at Cook County Hospital, is about 50 years old and shows signs of age from grime on the floors of the entryway. Immediately upon entering, you're greeted by a cacophony of conversations between people waiting to pick up their prescriptions and the numbers of people being served constantly being called out like a Department of Motor Vehicles station. Because of the size of the waiting area and possibly the dark walls and lighting, the waiting area for the pharmacy seemed to be more crowded than the ER waiting area at Stroger Hospital.
"Fantus is probably what most people think our health system is like," Sonja Vogel, Communications and Marketing Director for Stroger Hospital and the Ambulatory and Community Health Network (ACHN), said while walking to the building.
The outpatient clinic is noisy, dim, grim, busy and pharmacy area has a smell reminiscent of processed cheese in boxed macaroni and cheese. On the first floor, the pharmacy is the first thing that patients and visitors are greeted by, before turning down a hallway where The Lifestyles Center and Ambulatory Screening Clinic (ASC) are located.
This is Part One of a series examining health care in Cook County.
The lobby for John H. Stroger, Jr. Hospital of Cook County, is a clean, bright, modern space. On the left side of the lobby are a gift shop and coffee counter run by the auxiliary board, which uses the money to help buy furniture for the hospital and gifts for mothers that give birth in the hospital. In the center of the lobby is an information desk where a sign telling visitors to get in line sits at the front of a roped off area to contain the line. The windows near the elevators are large, allowing those waiting to see greenery around the Stroger campus as well as the older Fantus Health Center building while sun streams through the windows.
What is the oddest thing about Stroger Hospital is that it does not seem to fit any conception of a public hospital most people hold.
The state of Illinois has been increasing pressure on not-for-profit hospitals to justify the consider tax breaks they enjoy. Specifically, in order to qualify for the property tax exemptions enjoyed by not-for-profits under the state tax code, hospitals have to provide a certain amount of so-called "charity care," or care provided to low-income patients. If hospitals cannot show that they have provided sufficient charity care, the state can move to revoke their tax exemptions. For small community hospitals, losing such exemptions could be devastating, leading to closure or absorption by larger, for-profit chains (which could limit or eliminate certain services).
Bruce Japsen of the Chicago News Cooperative reports on the results of this policy, and looks at increasing efforts by the Illinois Hospital Association to change the charity care standards:
The Illinois Department of Revenue moved last month to strip property tax exemptions from Prentice Women's Hospital, a sparkling new medical center in Chicago's tony Streeterville neighborhood; Edward Hospital, a rapidly expanding medical center in the western suburb of Naperville, and Decatur Memorial Hospital in central Illinois.
In anticipation of new tax challenges, hospitals in Illinois are preparing a lobbying push that would seek to redefine the qualifications for tax exemptions. The new definition would go beyond just charity care and expand to include patients' unpaid debts, costs of medical care not covered by Medicare health insurance for the elderly, Medicaid coverage for the poor, as well as direct costs that teaching hospitals pay to train doctors and conduct research.
It is a difficult policy area. Surely, since for-profit hospitals pay property taxes, not-for-profits should do something that differentiates them--they should, in a sense, compensate the public for their exclusion from property tax requirements. But these hospitals don't exist in a vacuum--they have built their business model and services around the assumption that they would be able to operate without paying the significant tax, and a sudden revocation could result in closure of these hospitals or elimination of non-profitable services (such as primary care, which is notoriously underfunded in health care, but critical to controlling long-term costs).
If these hospitals are forced to close or are absorbed into larger systems which then cut non-profitable services, the community not only doesn't get any charity care, it doesn't get care of any kind. Hampering not-for-profits from hampering and watching for-profit chains move into those markets could be disastrous for those communities.
Notably, the hospitals Japsen cites as being the most recent targets of the Department of Revenue are not in seriously under-resourced areas.
On August 25, Saint Francis Hospital in Evanston was fined $23,800 by the Occupational Safety and Health Administration (OSHA) for employees being exposed to patient blood.
According to Robert Malgieri, spokesman for HEART/AFSCME, the employees at St. Francis Hospital contacted OSHA due to their own concern for employee safety.
The 13-page complaint issued by OSHA states that St. Francis has failed to inform housekeeping staff of tasks that would result in exposure to bloodborne pathogens, have materials for bloodborne pathogen training in an appropriate language for the employees, explain what would be the plan for St. Francis Hospital if an employee was exposed to bloodborne pathogens, failed to explain what tasks would result in possible exposure to bloodborne pathogens, did not tell staff of methods that could prevent exposure, and that employees were not given a session to ask questions during the bloodborne pathogens training session.
Bloodborne pathogens include the Hepatitis B virus, Hepatitis C virus, and HIV as well as viral hemorrhagic fevers such as Ebola and Lassa fever.
This article was submitted by freelance journalist Samantha Winslow.
Reasheal Lehmann joined the line of people on East 59th Street in front of the University of Chicago Medical Center. An emergency room nurse at the hospital, Lehmann wore bright red scrubs emblazoned with her union's logo, National Nurses United; others wore raincoats and parkas, trying to stay warm on an unusually cold March evening. As the sun went down, the University buildings glowed with yellow light like a cathedral. More nurses ended their shifts and they also came outside.
Staff nurses at the medical center, which is affiliated with one of the nation's most prestigious universities, are in union negotiations with the hospital and one of their key issues is staffing levels. The candlelight vigil was intended to bring public attention to what they say is a crisis in emergency room care on the city's South Side.
"It's already a tough situation to begin with," Lehmann says, "We are seeing not only a bigger volume of patients but a higher acuity of patients." She says patients are coming in often with multiple illnesses, and a higher severity of illness. The risks of overcrowded emergency rooms are not having enough nurses and staff to assess and treat patients in a timely manner.
Many people say the status of South Side emergency departments has been grim for a long time, with seven area hospitals closing in the past 25 years. But for Lehmann, the situation in the emergency room is more critical now than ever. Provident, a county-run hospital less than two miles away, has downsized over the years and in February, closed its doors to admissions by ambulance.
"Since Provident closed, the situation has been exacerbated," Lehmann says.
SEIU Health Care Illinois-Indiana, an SEIU "megalocal" that emerged after the fusion of Locals 4, 880, and 20, is taking to the airwaves to remind people of the costs of cutting programs like home care:
The ad's message portends just how grievous the cuts to social services will be if the public attitude towards public spending--vilified by anti-public zealots for generations--aren't improved. More than 50,000 senior citizens in Illinois are cared for by home care workers, allowing them to stay out of (expensive) retirement homes and maintain some of the dignity of living in their own home.
On March 9, the same day that activists rallied in Washington DC to demand health care reform by making 'citizens arrests' of insurance company CEO's, a forum at the University of Illinois in Chicago School of Medicine showed the debates in the Left about whether or not the bills being proposed and voted on by Congress are worth being called reform.
While it was not billed as a debate, opinions about the bill came out. The big issue seems to be whether or not the health care bills in Congress would be an incremental step towards a universal single payer system (medicare for all), or simply a bailout for insurance companies.
Dr. Scheiner is one of the few doctors in the Chicago area who still does house visits and is a member of Physicians for a National Health Program. Scheiner simply stated, "I last saw [Obama] last 2 ½ years ago. Since that time, over a hundred thousand Americans have died due to lack of health insurance."
Dr. Schiener was deeply critical of the right wing and the present health care system, "one of the things you hear Republicans saying, 'you don't want government between you and your patient.' Medicare has never interfered with me... you can't get around the insurance companies. They're sitting in my room, the insurance representative is there telling me what tests I can get, what doctors I can send them to, what prescriptions I can give."
The IBCCP provides free screenings and treatment for breast and cervical cancer, however over 4500 women are on a wait list because of lack of funding for the program. While over 300,000 women are eligible for mammograms through the program, there is only funding for 33,000 women.
The Metropolitan Chicago Breast Cancer Task Force attempts to end the racial disparities in health care and was applying pressure before the governor announces his budget. An extra $8 million for the IBCCP would eliminate the waiting lists. Another $31 million would double the number of women served by the program.
While 20 activists rallied outside the Thompson Center shouting, "pay for screenings now or pay more later!" Shelia Rogers attempted to gain a meeting with Governor Quinn. Rogers was able to obtain the governor's scheduler's phone number and the group will continue to apply pressure.
Breast Cancer surviver Dorothy Warren works for the support line of the Breast Cancer Network of Strength, "we have a database where we recommend women to get free mammograms because they cannot afford it. without this resource [the IBCCP] we would be lost."
Warren said that the program "saves lives" and described it as a last line of defense for women. "Some women have lost their jobs, they can't afford it but they need screenings. This program is their only resource."
Rally attendee's hold signs to signify the number of people who die in Illinois everyday that health care reform is not passed.
The evening before President Obama's Health Care summit, over 300 Chicago activists rallied in the Chicago Temple to demand passage of a health care bill that would extend coverage and hold health insurance companies accountable. The rally was organized by Health Care for America Now! and was one of several rallies across the country.
The crowd at the rally challenged a representative from Senator Dick Durbin's office. Durbin has not yet signed a letter in support of the public option that is being passed around the Senate. The crowd began to shout, "Sign the letter! Sign the Letter!"
Andy Kurz, the former CFO for Blue Cross and Blue Shield of Wisconsin, told rally attendees that, "I'm not here tonight to convince you the bill is good, far from it. I am here to say that this bill is necessary." Kurz explained that while much was compromised in the bill, that abolishing prior conditions, extending dependent coverage and other reforms will reduce the cost of medical care and make it important to pass the imperfect bills in Congress.
On February 16, 2010, about 150 people attended a rally outside the Chicago offices of the death panel Aetna. While Aetna claims to be a health insurance company, the statistics tells a different and morbid tale.
The rally was organized by Health Care for America Now!, a project of Citizen Action Illinois, to publicize their report "Health Insurers Break Profit Records as 2.7 Million Americans lose coverage." The report publicized that the combined profit of the top 5 health insurance companies was up 56% to $12.2 billion in 2009. The companies were able to make such a sickening profit by literally allowing their paying customers to become sick. They dumped paying customers who became a liability, and denied coverage to those who apply. This ended up growing the number of people on public assistance and those without any coverage. The report claims that "people without health insurance coverage are more likely to delay care, to get less care, and to die when they fall ill."
The report cites one study which claims that 52 million Americans will be without coverage in 2010. That is 1/6th of the United States, with no realistic way to afford health care.
The Chicago Reporter's Amalia Oulahan details how medical bills continue to trigger more and more bankruptcies:
An examination of 2,314 personal bankruptcy cases found that medical expenses caused an estimated 62 percent of the bankruptcies filed nationwide in 2007, according to an August study published in the American Journal of Medicine. In the same year, more than 40,000 nonbusiness bankruptcy cases were filed in Illinois, according to the American Bankruptcy Institute.
The study's result, compared with findings from a similar 2001 study, shows that the share of bankruptcies caused by illness and medical bills increased by almost 50 percent between 2001 and 2007.
Of the medical bankruptcies studied in 2007, three quarters of the filers had health insurance when they became sick. "For most people, the issue is that they have insurance but it's nearly worthless," said Dr. David Himmelstein, associate professor of medicine at Harvard University and one of the study's authors. "You have this insurance card, but it still leaves you with bills."
Consider this a shout out to my "personal responsibility" friends out there who think the working class is in so much credit trouble because they're buying Dodo egg-yolk fueled ski-doos and genital-massage equipped flatscreens.
In retrospect, I should've continued my COBRA coverage.
Most bad government has grown out of too much government.
-John Sharp Williams in a speech about Thomas Jefferson
I have a friend who is in the process of obtaining a student visa in order to attend an a university here in Chicago. The loopholes that they require you to jump through are extensive and often ludicrous, but nothing has been quite as amusing in its absurdity as the questions on a mandatory questionnaire. I've included some of my favorites:
Do you have a communicable disease of public health significance such as tuberculosis (TB)?
Have you ever violated, or engaged in a conspiracy to violate, any law relating to controlled substances?
Are you coming to the United States to engage in prostitution or unlawful commercialized vice or have you been engaged in prostitution or procuring prostitutes within the past 10 years?
Do you seek to engage in espionage, sabotage, export control violations, or any other illegal activity while in the United States?
The political world is abuzz about Chicago's own Congressman Mark Kirk, who tried to get a "Death Panels"-style meme going but failed miserably. You can read the history here, here, or here. There isn't much more to say on the facts of this story.
I do have some thoughts, though. One aspect of this that hasn't been focused on enough is that Kirk actually thought twisting the truth the way Palin does was worth the risk; he thought it was an effective political strategy. What Kirk didn't realize is that Sarah Palin gets attention more because what she says is unbelievable, outrageous and weak in the truth department than because she is arguably a politician was a politician. Palin is more entertainment than serious policy. Kirk is still regarded--comparatively--as a more serious politician with a better track record and a more promising future. (Let's be real here--Palin will never be president. Period.). Because of that difference, and the fact that Kirk is in a state that remains blue and hesitant to Republicans' accusatory statements about healthcare reform, he will receive more serious scrutiny and less attention, even proportionately, to Sarah Palin.
Mark Kirk is trying to walk a thin line here. He doesn't want to be Scozzafavaed, but he doesn't want to come off as too conservative either. Take this excellent piece by Mike O'Brien (a former classmate of mine) in The Hill. O'Brien reports that Kirk is criticizing the "Pelosi healthcare bill" on its policy, not its ideology. That's enough to make a moderate Democrat in Illinois pause. A Republican who's actually criticizing the bill because of what it does and not because of who proposed it? Well, maybe I'll take a listen. Kirk also keeps his conservative cred by criticizing the bill at all. Problem is, Kirk's criticism is so ridiculous, what he's really doing is just pandering to the base:
Kirk outlined core elements of Republicans' health reform proposals in the address, arguing that the healthcare bill passed a week ago by the House would do little to reform the system, and result in higher taxes.
What about reducing prices? What about insuring millions of Americans? What about stopping insurers from rejecting consumers based on preconditions? That's all nothing?
Representative Alan Grayson Owns Republicans on Health Care
Representative Alan Grayson (D) - FL said that Repubs "want you to die quickly if you get sick" and called government's inaction on health care a "Holocaust". Republicans, of course, want to slap him on the wrist for his comments, by using the same mechanism used on ol' boy Ragin' Joe' Wilson.
Earlier this week, Roland Burris (D-IL) became the first member of the Senate to definitively say he'll vote against health care reform legislation unless it includes a public option.
That's an important development, but, looking at the math in the Senate, it would be a really important development if Burris was saying he'd help filibuster the bill if it omitted a public option. So I asked for a bit of clarification from Burris' staff, and his spokesman Jim O'Connor said "the Senator was very serious in saying he will vote against any bill that doesn't include a public option."
But, he added, "[h]is goal is not to be an obstructionist, but as his statement said, to build consensus among his colleagues for a public option."
So it doesn't seem likely that he'd block a health care bill from coming to the floor for a vote over this issue. But he could still pave the way for other liberal senators to take a similarly strong stance. We'll keep an eye out for that.
From Burris's statements it sounds like he's interested in doing whatever it takes to have a public option included healthcare bill. Let's hope that's the case.
So I was at the post office the other day, mailing something to my special lady friend. It's long distance so you really have to send letters and what not to keep points on the scoreboard, so to speak. I had tried FedEx and UPS, but their prices were astronomical - $60 bucks versus $10 - $20 for USPS.
There I was, putting some stuff in a box and filling out all the appropriate forms, when some girl came in to ship something. It was only the two of us there at the Post Office, so I could easily hear her conversation with the USPS employee. The girl was trying to pay for her purchase with a credit card that said "See I.D." where the signature bar is on the back. The USPS employee was not down with that. You see, their policy is that you have to sign your cards. "You can sign your card right now, but we won't take it if it's not signed," the employee told the young lady - the damsel in distress, you might say.
"I work at a bank," the girl protested. "We tell all of our customers to write 'See I.D' on the back of their cards because it's more secure. Your I.D. has your signature and your picture on it. It helps protect against theft."
As we said over and over again during the budget fight, politics eventually ends up on the streets. The activists, professionals, and politicians who duke it out in the halls of power are usually fairly insulated from the actual effects of their policies. We feel those out on the streets. We, the public.
So when Mayor Daley makes a move to close down mental health centers, some will celebrate "cutting waste", where waste = any social spending. Others will attack the Mayor's callousness, in the abstract. The local media will pick one of those tunes, typically, and sing in that chord. Meanwhile, the Chicago Justice Projectmakes the connection between the streets and politics that we rarely see anywhere else:
Anyone who pays even a minimal amount of attention to the Chicago media is constantly bombarded with evidence of our society's failures. This week is different in that we have proof of the fallout of a past failure (the shooting of a mentally disturbed homeless man in the loop) mixed with a forecast of what is to come based on decisions currently made by our political leaders (the closing of numerous area mental health clinics). Confused? Allow me to explain with examples drawn from the last seven days of Chicago's history.
Former Congressman Dan Rostenkowski (once the chairman of the US House's Ways & Means Committee) back in 1989 was chased down by some senior citizens protesting legislation, Medicare Catastrophic Coverage Act. They complained that they had to pay more taxes for the additional benefits. Rostenkowski seemed more rattled by the citizens than some of the Senators facing their own angry mobs in the current health care debate.
If only we had those types of contentious townhalls here. I can't argue about the people putting their politicians to the fire!