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>Richard J. Codey : "I think it’s time for you to consider stepping down"

>Secretary Janet Napolitano
Department of Homeland Security
U.S. Department of Homeland Security
Washington, DC 20528

Dear Secretary Napolitano:

I’m writing to you today to express deep concerns with the direction of the nation’s homeland security response, especially in regards to the handling of terrorist Umar Farouk Abdulmutallad in the months prior to – and days since – his Christmas Day attack on a Northwest Airlines Flight 253 landing in Detroit.

Based on the handling of this entire affair, I think it’s time for you to consider stepping down and making room for an individual with more law enforcement and counterterrorism experience to take the reins at the Office of Homeland Security.

The entire episode was handled poorly, from start to finish. Indications that Mr. Abdulmutallad may pose a danger to the nation’s security were not acted upon, despite the existence of intelligence suggesting that he may be dangerous, and working alongside Al-Quaeda operatives in Yemen. His name was put into a database with other suspected terrorists, but he was still allowed to fly freely and enter and exit the U.S. on a nonrevoked, multiple-entry U.S. visa.

After the Christmas Day near-miss, your public statements seemed more focused on public relations than closing the gaps in our nation’s security safety net that allowed a terrorist to board an international flight for the United States. You said on ABC’s “This Week” program on Sunday, “I think the important thing to recognize here is that once this incident occurred, everything happened that should have. We trained for this. We planned for this.” On CNN’s “State of the Union” program, you said, “One thing I’d like to point out is that the system worked.”

Public relations spin to the contrary, I believe there are 300 airline passengers who were onboard Flight 253 and would disagree with your assessment on how well the system “worked.” It was by sheer luck and mechanical malfunction of the bomber’s equipment that the United States was able to avoid tragedy, not through homeland security training and planning.

We live in dangerous times, when enemies foreign and domestic are planning attacks that will cost American lives. One mistake is too many, and while we were lucky to evade tragedy in this instance, without an experienced person in charge of the Office of Homeland Security, we may not be so lucky the next time.

While I recognize that you are a dedicated and well-meaning public servant, I believe that you simply do not have the proper law enforcement qualifications and counterterrorism background to head the nation’s very delicate homeland security operations. It’s time that the United States move away from political appointees and former governors, and put the Office of Homeland Security in the hands of individuals with real law-enforcement and counterterrorism experience.

I know you are committed to protecting Americans, and I hope that you will recognize that the responsible thing to do at this point would be to resign, in order to allow President Obama an opportunity to appoint a more qualified individual to the position of Secretary of Homeland Security. We cannot rely on dumb luck and mechanical malfunctions to keep our fellow Americans safe from terrorist threats and attempted attacks.

I thank you very much for your consideration.

Sincerely,
Richard J. Codey
New Jersey Acting Governor

CC: President Barack Obama
The White House
1600 Pennsylvania Avenue NW
Washington, DC 20500

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>Ridgewood Recycling Program – A Sham?

>Is Ridgewood’s Recycling Program A Sham?

Early this morning, The Fly observed ALL curbside placed recyclables (newspapers, high quality paper, bottles, cans, cardboard, etc.) in his neighborhood being dumped together into a Village sanitation vehicle that was not equipped with content dividers.

This prompts The Fly to ask a simple question: “Is Ridgewood’s recycling program for real, or is it just another Village Hall perpetuated sham?”

Can anyone at Village Hall explain to The Fly why taxpayers are mandated by ordinance to segregate recyclable materials for curbside pickup, only to have everything mixed together in the same refuse removal vehicle and taken to a landfill?

Mr. Frank Moritz, Director of Operations; are you asleep at the switch?

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>We want to hear from you …

>If your looking to run ads or get in touch with the Ridgewood Blog please send all correspondence to [email protected]

thank you for your support!!!!

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>A Christmas Story: Washington’s Forces Cross the Delaware

>

https://www.ushistory.org/washingtoncrossing/history/index.htm

In the winter of 1776, General George Washington and his ragged army had experienced only defeat and despair. The War for Independence was going badly, with failure following failure. In the preceding months, Washington’s campaign in New York had not gone well; the Battle of Long Island ended in a loss when the British troops managed to out-maneuver the Continental Army. A series of defeats settled around Washington as he was forced to retreat across New Jersey to Pennsylvania on December 7th and 8th.

As the harsh Pennsylvania winter set in, the morale of the American troops was at an all time low. The soldiers were forced to deal with a lack of both food and warm clothing , while Washington watched his army shrink due to desertions and expiring enlistments. Now, more than ever, a victory was desperately needed.

The original plan called for the three divisions to cross the river under the cover of darkness. The boats to be used for the crossing were gathered earlier in the month in compliance with General Washington’s orders, primarily as a defensive measure. Various types of boats were collected; most notable were the large, heavy Durham boats used to carry pig iron down the Delaware.

Fully expecting to be supported by two divisions south of Trenton, Washington assembled his own troops near McConkey’s Ferry in preparation for the crossing. By 6 PM. 2,400 troops had begun crossing the ice-choked river. The operation was slow and difficult due to the condition of the river. There was an abrupt change in the weather forcing the men to fight their way through sleet and a blinding snowstorm. These obstacles proved to be too much for the supporting divisions led by Generals Cadwalader and Ewing, ultimately preventing their crossing at southern points along the Delaware.

Against all odds, Washington and his men successfully completed the crossing and marched into Trenton on the morning of December 26, achieving a resounding victory over the Hessians.

By moving ahead with his bold and daring plan, General George Washington re-ignited the cause of freedom and gave new life to the American Revolution.

Washington Crossing Historic Park was founded in 1917 to perpetuate and preserve the site from which the Continental Army crossed the Delaware River. This purpose is achieved by interpreting the historical significance of this site for thousands of Park visitors each year through tours, exhibits and various special events. The spirit of the 1776 Crossing is recreated every year on Christmas Day when the annual reenactment of Washington Crossing the Delaware takes place on December 25. In this annual reenactment the visitor can see reenactors in Continental military dress cross the river in the replica Durham boats.

But that isn’t all! Washington Crossing Historic Park also preserves and interprets the early 19th century history of Taylorsville, the area in which the crossing of the Delaware occurred. This small ferry crossing of the 18th century developed into a quintessential village of the next era, reflecting progress, American ideals and the new industrial age. As the Delaware Canal came through, a fully fleshed out community bravely looked to the future while remembering its past.

https://www.ushistory.org/washingtoncrossing/history/index.htm

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>Movement to Recall Democrat Senator Menendez.

>Dear Patriots,

Are you tired of being constantly on the defensive? It’s time to bring the fight to them!

This news is just breaking. As many of you are aware there is a movement in NJ to Recall Senator Menendez. The New Jersey Secretary of State has failed to legally comply with our Notice of Intention. A civil action has been filed in the Essex County Superior Court of New Jersey on behalf of the “Committee to Recall U.S. Senator Robert Menendez,” sponsored by the Sussex County Tea Party, a fellow member of, and supported by, NJ Tea Parties United.

The full press release is attached in PDF format. It will also be posted later this evening on our website: www.njteapartycoalition.org

WE NEED YOUR HELP!

Take time to enjoy the Christmas holiday, then beginning on Monday, please call and pressure the Secretary of State and the Director of the Division of Elections to respond immediately to the Committee’s Notice of Intention citing that to date, the Secretary of State has ignored the Notice and Complaint in violation of state law…they are servants of the people, not of the Senators.

Please disseminate this information to as many interested parties as possible. It is important that the Secretary of State is aware that the “We the People” know she is in non-compliance with the law. At some point in the future, we will need all of you to help as we collect signatures, but first we must overcome these legal hurdles.

Contact information is below:

Nina Mitchell Wells
Secretary of State
State House
125 West State Street, P.O. Box 300
Trenton, New Jersey 08625-0300
URL https://www.state.nj.us/state/
609/984-1900 FAX 609/777-1764

Robert F. Giles, Director
Division of Elections
225 West State Street, 3rd Floor
P.O. Box 304
Trenton, New Jersey 08625-0304
URL https://www.njelections.org/
E-Mail: [email protected]
609/292-3760 FAX 609/777-1280
TTY 1-800/292-0039

On behalf of our Committee,
Tim, Michele, Rae and myself,
Brian

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>With more and more people fleeing the state ,New Jersey is projected to lose one House seat

>With more people fleeing the state ,New Jersey is projected to lose one House seat

By the latest estimates from the U.S. Census Bureau New Jersey’s population stagnated and the state is likely to lose one congressional seat for the 2012 election. New Jersey’s estimated population is 8,707,739 only up 3.5%, not enough to keep the state’s thirteenth seat. That would increase the size of each district from 647,258 in 2002 to 725,645 in 2012 and unless someone retires, New Jersey will either see an incumbent vs. incumbent general election, or an incumbent vs. incumbent in a primary.

Congratulations to the folks in Trenton for continuing to drive working families out of the state !Bookmark and Share

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>Merry Christmas from The Ridgewood Blog

>l 53dd93ee0ad62c3c5a1ca94f2b9c7bc8*this is a Christmas Tree

Dear Friends , Wishing you and your family lots of health ,wealth and happiness for the new year .

I want to take this opportunity to personally thank you for all the referrals and new business that we have received this year. And I look forward to working with you in the future and hope we can continue to grow our businesses at an even faster pace.

Warmest regards ,
James Foytlin

aka PJ Blogger

the Ridgewood Blog Staff

the Ridgewood blog

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>Budget Office Rebuts Democratic Claims on Medicare

>Budget Office Rebuts Democratic Claims on Medicare (Update1) Share Business
By James Rowley and Nicole Gaouette

https://www.bloomberg.com/apps/news?pid=20601087&sid=ackCRQU57HhY&pos=9

Dec. 23 (Bloomberg) — The Congressional Budget Office challenged claims by health-care overhaul proponents that Medicare savings in Senate legislation would help finance expanded coverage and postpone the bankruptcy of the medical program for the elderly.

The nonpartisan agency said the $246 billion it projected the legislation would save Medicare can’t both finance new programs and help pay future expenses for elderly covered under the federal program.

Nor could those savings be used to extend the solvency of Medicare, set to run out of money in 2017, the budget office said in a letter to Senate Republicans.

“What we’ve seen is a colossal manipulation” by Democrats “of the accounting scores of CBO” and the independent actuary of the Centers for Medicare and Medicaid, said Alabama Senator Jeff Sessions, the Republican who requested the analysis from CBO. He called the letter “a potential game-changer.”

The estimated Medicare savings in the legislation overstate “the improvement in the government’s fiscal position,” the CBO said in the letter.

“The true increase in the ability to pay for future Medicare benefits or other programs would be a good deal smaller,” the budget office said.

https://www.bloomberg.com/apps/news?pid=20601087&sid=ackCRQU57HhY&pos=9

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>I wish all a happy Christmas, not just a select few

>OK – so let’s get this story right. Mr. Clifford Holmes, a homeless man, found refuge in a Church and he decided to have a bit of a rest and he fell asleep in this “Christian” Church. Because he was homeless, which is totally uncommon in this town, his presence was not wanted and so somebody at the Church decided to call the police to have him removed.

He wrestled with the police and went to grab the gun of a police officer, not a very smart move on Mr. Holmes behalf, but look at the over all picture here. The guy is homeless, and he sought refuge in a Church during one of the coldest weeks that we have had this year. What was the Church thinking? Calling the police to have a homeless person removed? If Mr. Holmes was asleep, it is obvious that he was not causing any harm nor was he a danger to anybody while he slept in the warmest shelter he could find. The police officers in this town are not accustomed to dealing with homeless people, most, if not all of whom have many underlying issues, including drug and alcohol addiction or mental illness. While probably not reflective of everybody’s views, these people should command care, sympathy and tolerance by us “Christians” if they are causing us or our property no harm.

We are supposedly celebrating Christmas this week and this whole story doesn’t have that feeling of Christmas spirit in it. For those Christians amongst us that know the story of the birth of Christ and how his own parents were turned away by numerous inn keepers until they were directed to a manger, primarily used as an eating trough for animals, I now believe that Mr. Holmes has found his modern day manger, i.e. Bergen County Jail. In his manger, Mr. Holmes will be given food, clothes, and shelter, much more than was offered to him by this “Christian” Church in Ridgewood.

Let’s look at the recent past of our Christian leaders in this area and surrounding towns and counties. We had a Church leader who mowed down a pedestrian and her young child while crossing at an intersection in Ridgewood. That specific Church leader tried to blame the victims of that incident and I wouldn’t be surprised if that Church leader tried to use the influential status of the Church to get away with some very serious crimes, including the use of a vehicle that had not be properly registered in this state.

Then we had a priest charged with sexual assault of an elderly woman when he made her fondle him. That issue was dealt with by the state judicial system but the Catholic Diocese of Newark has not formally moved to have that animal defrocked.

Then we have the Mr. Holmes saga – enough said on that.

Is it any wonder why we now have our town’s holiday tree decorated with garbage? Based on the recent lack of Christian fundamentals as shown by our Christian spiritual leaders I think that garbage on the town’s holiday tree is an appropriate reflection of those leaders’ personal teachings and behaviors this year.

I wish all a happy Christmas, not just a select few.

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Happy Festivus Everyone

>Airing of Grievances will begin at 5pm

The celebration of Festivus begins with Airing of Grievances, which takes place immediately after the Festivus dinner has been served. It consists of lashing out at others and the world about how one has been disappointed in the past year. Every household has its own traditions; in one house, the Airing of Grievances consisted of writing the grievances on the fridge in marker.

add your Grievances in the comment section of this post!

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>Still in Denial : N.J. Leads Municipal Bond Downgrades as Aid Shrinks

>https://www.bloomberg.com/apps/news?pid=20601109&sid=apo6dN1UXF54&pos=11

Dec. 22 (Bloomberg) — Bond ratings of New Jersey towns and cities are being reduced faster than in any other state as property values slide 11 percent and Governor Jon Corzine lowers municipal aid to cope with a $1 billion budget deficit.

Moody’s Investors Service cut ratings on $592 million in general obligation debt issued by 14 municipalities since October, about four times the rate for neighboring New York, the second-most indebted state, according to data compiled by Bloomberg. New Jersey’s per-capita personal income of $51,358 last year was exceeded only by Connecticut, according to the U.S. Commerce Department’s Bureau of Economic Analysis.

With the U.S. jobless rate hovering around 10 percent and tax revenue dwindling, the downgrades in New Jersey, the most- densely populated state, may be the start of a national trend, according to Richard Ciccarone, chief research officer at McDonnell Investment Management in Oak Brook, Illinois. Nine of 10 finance officers polled by the National League of Cities in September said it would be difficult to meet their fiscal needs in 2010, the worst outlook in 24 years.

“In many of the large states, this is going to become the norm: California, New York, New Jersey and Illinois,” said Ciccarone, whose firm oversees $6.8 billion in municipal bonds, including New Jersey debt. “The stress levels have got to be very high right now for municipal fiscal officials.”

Strained Budgets

New Jersey’s downgrades reflect local budgets straining under a cap on property-tax increases and lowered state funding, according to Moody’s. The New York-based firm cited these factors, along with a drawdown of surplus cash, in cutting its rating Dec. 4 on $113 million in debt issued by Woodbridge Township, the state’s sixth-largest municipality. The grade was lowered one level to A1, the fifth-highest, from Aa3.

Moody’s also lowered its rating on $71.3 million in debt issued by Irvington, a suburb of Newark where a fifth of schoolchildren between five and 17 live in poverty and the unemployment rate is 1.4 percentage points above the state’s 9.7 percent rate.

The firm on Dec. 17 cut the debt rating to Ba1, one level below investment grade, from Baa3, and said it may lower it further, citing concerns over how the town will close a $12 million budget gap and make up for a $50 million, or 1.7 percent, decrease in its tax base over the past two years.

“This is a reality that cities are facing across the country,” said Irvington Mayor Wayne Smith, 52, a Democrat who serves as president of the state’s urban mayors association. He said the city plans to cut the deficit in half by furloughing about half of its 600 employees once a month until the end of the fiscal year and selling a shuttered hospital.

Highest Taxes

New Jersey’s average $7,045 property tax in 2008 was the nation’s highest and 25 percent above the 2004 average of $5,617, according to the state Department of Community Affairs.

The median sale price of an existing home dropped to $322,700 in the third quarter from $364,500 in the same period in 2008, according to data from the New Jersey Association of Realtors. The number of tax appeals by homeowners increased more than 50 percent this year to 17,704, from 11,677 in 2008, according to state data.

“New Jersey’s local governments are certainly under pressure right now,” said Elizabeth Bergman, the lead Moody’s analyst covering New Jersey’s municipalities. “They continue to have rising expenditures and falling revenue opportunities.”

https://www.bloomberg.com/apps/news?pid=20601109&sid=apo6dN1UXF54&pos=11

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>Health Care Update: Who Received Special Deals in the Senate Bill?

>Rep. Scott Garrett : Who Received Special Deals in the Senate Bill?

Washington, Dec 22 –

Yes we need a little Christmas, right this very minute, candles in the window, payoffs in the Senate…

Just when you thought secret deals with the industry, closed-door meetings and Chicago-style backroom politics couldn’t get any worse… they did. According to Reid, “A number of states are treated differently than other states. That’s what legislation’s all about: compromise.” Really? Rather than thoughtful policy, H.R. 3590 is the result of Democrat desperation and includes countless political handouts. In an effort to meet an artificial holiday deadline, the bill itself has come to look like a Christmas tree with goodies for all Democrat holdouts.

While over 10 states receive special deals, Senators from neglected states should be appalled, as their home state constituents will wind up paying for those “sweetheart deals” in other states, resulting in higher costs for their already-strapped Medicaid programs.

Below are highlights of the new special deals or earmarks bartered away to win Senate votes:

The bill contains unfunded mandates to states through the expansion of Medicaid but this time with new special treatment for the states of Nebraska, Vermont, and Massachusetts. These states will receive Federal Matching Assistance Percentages (FMAP) bonuses such that:

Nebraska will receive 100% FMAP for newly eligibles indefinitely, making it the only state where the federal government will pay for all new enrollees. CBO estimated the cost to the federal government (additional funds to Nebraska) would be $100 million, which may look small compared to the other deals negotiated, yet over the long-term will cost far more, since funding continues indefinitely.

Vermont will receive a 2.2% FMAP increase for 6 years for their entire program, thus receiving an additional $600 million over ten years.

Massachusetts will receive a 0.5% FMAP increase for three years for the entire program, thus receiving an additional $500 million over ten years.

Despite $120 billion in Medicare Advantage cuts, the Manager’s Amendment found a way for Florida residents, as well as some individuals in Pennsylvania and New York, and potentially Oregon, to be grandfathered out of receiving the cuts.

Dorgan and Conrad’s “protections for frontier states” provision would, starting in 2011, establish a 1.0 hospital wage index and geographic practice expense floors for hospitals and physicians located in states where at least 50% of the counties in the state are “frontier”. Not surprisingly, states that qualify and benefit from this increase in Medicare payments to hospitals and doctors are Montana, South Dakota, North Dakota, Utah, and Wyoming.

Of the many problems with these “sweetheart” deals, is the door it leaves wide open for more federal involvement and financing of state-based entitlement programs. Sen. Harkin said it best when he stated “In 2017, as you know, when we have to start phasing back from 100%, and going down to 98%, they are going to say, ’Wait, there is one state that stays at 100?’ And every governor in the country is going to say, ‘Why doesn’t our state stay there?’…When you look at it, I thought well, god, good, it is going to be the impetus for all the states to stay at 100%. So he [Nelson] might have done all of us a favor.”

Changes for Sen. Ben Nelson (Nebraska):

Nelson secured more than just 100% federal funding for Nebraska’s Medicaid expansion, the list of “sweeteners” (also called the “Cornhusker kickback” by Senate Republicans) includes:

An exemption from the insurance tax for Nebraska non-profit insurers, with language written in a way that only applies to Mutual of Omaha Insurance Company and Blue Cross Blue Shield Plans (BCBS) of Nebraska (and Michigan). According to news reports, Nelson’s office states that BCBS “would pay between $15 million and $20 million less in fees under the Senate bill than it would have without a change.”

An exemption from taxes for Medicare supplemental (“Medigap”) insurance providers. Specifically, Mutual of Omaha, will not have to pay taxes on Medigap insurance, while reports also indicate that this tax break will be extended to other companies.

Some changes requested by Nelson would benefit people across the country, such as the inflation adjustment to the $2,500 cap on tax-exempt contributions to Flexible Spending Accounts (FSAs) and exemptions for nearly 55 physician-owned hospitals that have a provider agreement to participate in Medicare by August 1, 2010 (pushed back from February 1, 2010).

Changes for Sen. Levin (Michigan):

According to reports, Like Nelson, Levin sought an exemption from the $6 billion annual fee for non-profits, as non-profit insurers make up 76% of industry profits, but drew opposition from liberals. Ultimately, Levin got an exemption from the insurance tax for Michigan non-profit insurers, with language written in a way that applies to Blue Cross Blue Shield Plans (BCBS) of Michigan (and Nebraska).

Furthermore, the amendment changes the extension of section 508 hospital provisions so that hospitals in Michigan (as well as Connecticut) have the option to benefit under them if it means higher payments.

Changes for Sen. Landrieu (Louisiana): Landrieu was one of the first Senators to secure a sweetheart deal, aptly nicknamed the “Louisiana Purchase”; she traded her support for bringing the bill to the floor for a $300 million increase in Medicaid funding for Louisiana. The underlying bill was cryptically written to increase federal Medicaid subsidies for “certain states recovering from a major disaster” during the past 7 years that have been declared a “major disaster area” — and is meant to replenish the decrease in federal money resulting from an “abnormally inflated” per capita income in Louisiana following Hurricane Katrina. This was due to an influx of insurance dollars, federal grants and increased labor wages.

Changes for Sen. Sanders (Vermont): In addition the Vermont FMAP increase, the amendment includes a provision pushed by Sanders to provide an additional $10 billion in funding for community health centers and the National Health Services Corps which he argues would provide primary care to 25 million more people.

Changes for Sen. Bill Nelson (Florida): As noted above, Nelson was able to secure a deal to keep Medicare Advantage plans enrollees in Florida grandfathered in. Notably, when McCain tried to offer an amendment to allow all enrollees to be grandfathered in, 57 Democrats voted against it.

Changes for Hawaii: The Manager’s Amendment singles out Hawaii as the only state to receive a Disproportionate Share Hospital (DSH) extension.

Changes for Sen. Lieberman (Connecticut): It amends the extension of section 508 hospital provisions so that hospitals in Connecticut (as well as Michigan) have the option to benefit under them if it means higher payments.

Changes for Sen. Dodd (Connecticut): It was a mystery until just revealed that Chris Dodd’s state will benefit from a cryptically awarded $100 million for a “Health Care Facility” at a public research university that contains a state’s sole public academic medical and dental school—criteria designed to apply to the University of Connecticut.

Changes for Sen. Baucus (Montana): Baucus secured a pilot program in the amendment to “provide innovative approaches to furnishing comprehensive, coordinated, and cost-effective care” to certain qualified individuals. A qualified individual “is an environmental exposure affected individual…who resides in or around the geographic area subject to an emergency declaration made as of June 17, 2009.” And who might these select few individuals be? Well, according to EPA, “On June 17, 2009, EPA Administrator Lisa Jackson issued a Public Health Emergency (PHE) finding at the Libby Asbestos Superfund site in northwest Montana.” This provision would help residents of Libby by allowing them to sign up for Medicare benefits.

Rep. Scott Garrett

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>House Dem blames leaders for party switch

>https://www.politico.com/news/stories/1209/30896.html

By: Josh Kraushaar
December 22, 2009 10:57 AM EST

Democratic Rep. Parker Griffith announced Tuesday that he’s switching parties – saying he can no longer align himself “with a party that continues to pursue legislation that is bad for our country, hurts our economy and drives us further and further into debt.”

“Unfortunately there are those in the Democratic Leadership that continue to push an agenda focused on massive new spending, tax increases, bailouts and a health care bill that is bad for our healthcare system,” Griffith said in a statement. “I have always considered myself to be an independent voice and I have tried to be that voice in Congress – but after watching this agenda firsthand I now believe that the differences in the two parties could not be more clear and that for me to be true to my core beliefs and values I must align myself with the Republican party and speak out clearly on these issues.

https://www.politico.com/news/stories/1209/30896.html

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>Very Sick Healthcare Bill : Change Nobody Believes In

>
Change Nobody Believes In

A bill so reckless that it has to be rammed through on a partisan vote on Christmas eve.

https://online.wsj.com/article/SB10001424052748704398304574598130440164954.html

• Health costs. From the outset, the White House’s core claim was that reform would reduce health costs for individuals and businesses, and they’re sticking to that story. “Anyone who says otherwise simply hasn’t read the bills,” Mr. Obama said over the weekend. This is so utterly disingenuous that we doubt the President really believes it.

The best and most rigorous cost analysis was recently released by the insurer WellPoint, which mined its actuarial data in various regional markets to model the Senate bill. WellPoint found that a healthy 25-year-old in Milwaukee buying coverage on the individual market will see his costs rise by 178%. A small business based in Richmond with eight employees in average health will see a 23% increase. Insurance costs for a 40-year-old family with two kids living in Indianapolis will pay 106% more. And on and on.

These increases are solely the result of ObamaCare—above and far beyond the status quo—because its strict restrictions on underwriting and risk-pooling would distort insurance markets. All but a handful of states have rejected regulations like “community rating” because they encourage younger and healthier buyers to wait until they need expensive care, increasing costs for everyone. Benefits and pricing will now be determined by politics.

As for the White House’s line about cutting costs by eliminating supposed “waste,” even Victor Fuchs, an eminent economist generally supportive of ObamaCare, warned last week that these political theories are overly simplistic. “The oft-heard promise ‘we will find out what works and what does not’ scarcely does justice to the complexity of medical practice,” the Stanford professor wrote.

• Steep declines in choice and quality. This is all of a piece with the hubris of an Administration that thinks it can substitute government planning for market forces in determining where the $33 trillion the U.S. will spend on medicine over the next decade should go.

This centralized system means above all fewer choices; what works for the political class must work for everyone. With formerly private insurers converted into public utilities, for instance, they’ll inevitably be banned from selling products like health savings accounts that encourage more cost-conscious decisions.

Unnoticed by the press corps, the Congressional Budget Office argued recently that the Senate bill would so “substantially reduce flexibility in terms of the types, prices, and number of private sellers of health insurance” that companies like WellPoint might need to “be considered part of the federal budget.”

With so large a chunk of the economy and medical practice itself in Washington’s hands, quality will decline. Ultimately, “our capacity to innovate and develop new therapies would suffer most of all,” as Harvard Medical School Dean Jeffrey Flier recently wrote in our pages. Take the $2 billion annual tax—rising to $3 billion in 2018—that will be leveled against medical device makers, among the most innovative U.S. industries. Democrats believe that more advanced health technologies like MRI machines and drug-coated stents are driving costs too high, though patients and their physicians might disagree.

“The Senate isn’t hearing those of us who are closest to the patient and work in the system every day,” Brent Eastman, the chairman of the American College of Surgeons, said in a statement for his organization and 18 other speciality societies opposing ObamaCare. For no other reason than ideological animus, doctor-owned hospitals will face harsh new limits on their growth and who they’re allowed to treat. Physician Hospitals of America says that ObamaCare will “destroy over 200 of America’s best and safest hospitals.”

• Blowing up the federal fisc. Even though Medicare’s unfunded liabilities are already about 2.6 times larger than the entire U.S. economy in 2008, Democrats are crowing that ObamaCare will cost “only” $871 billion over the next decade while fantastically reducing the deficit by $132 billion, according to CBO.

Yet some 98% of the total cost comes after 2014—remind us why there must absolutely be a vote this week—and most of the taxes start in 2010. That includes the payroll tax increase for individuals earning more than $200,000 that rose to 0.9 from 0.5 percentage points in Mr. Reid’s final machinations. Job creation, here we come.

Other deceptions include a new entitlement for long-term care that starts collecting premiums tomorrow but doesn’t start paying benefits until late in the decade. But the worst is not accounting for a formula that automatically slashes Medicare payments to doctors by 21.5% next year and deeper after that. Everyone knows the payment cuts won’t happen but they remain in the bill to make the cost look lower. The American Medical Association’s priority was eliminating this “sustainable growth rate” but all they got in return for their year of ObamaCare cheerleading was a two-month patch snuck into the defense bill that passed over the weekend.

The truth is that no one really knows how much ObamaCare will cost because its assumptions on paper are so unrealistic. To hide the cost increases created by other parts of the bill and transfer them onto the federal balance sheet, the Senate sets up government-run “exchanges” that will subsidize insurance for those earning up to 400% of the poverty level, or $96,000 for a family of four in 2016. Supposedly they would only be offered to those whose employers don’t provide insurance or work for small businesses.

As Eugene Steuerle of the left-leaning Urban Institute points out, this system would treat two workers with the same total compensation—whatever the mix of cash wages and benefits—very differently. Under the Senate bill, someone who earned $42,000 would get $5,749 from the current tax exclusion for employer-sponsored coverage but $12,750 in the exchange. A worker making $60,000 would get $8,310 in the exchanges but only $3,758 in the current system.

For this reason Mr. Steuerle concludes that the Senate bill is not just a new health system but also “a new welfare and tax system” that will warp the labor market. Given the incentives of these two-tier subsidies, employers with large numbers of lower-wage workers like Wal-Mart may well convert them into “contractors” or do more outsourcing. As more and more people flood into “free” health care, taxpayer costs will explode.

• Political intimidation. The experts who have pointed out such complications have been ignored or dismissed as “ideologues” by the White House. Those parts of the health-care industry that couldn’t be bribed outright, like Big Pharma, were coerced into acceding to this agenda. The White House was able to, er, persuade the likes of the AMA and the hospital lobbies because the federal government will control 55% of total U.S. health spending under ObamaCare, according to the Administration’s own Medicare actuaries.

Others got hush money, namely Nebraska’s Ben Nelson. Even liberal Governors have been howling for months about ObamaCare’s unfunded spending mandates: Other budget priorities like education will be crowded out when about 21% of the U.S. population is on Medicaid, the joint state-federal program intended for the poor. Nebraska Governor Dave Heineman calculates that ObamaCare will result in $2.5 billion in new costs for his state that “will be passed on to citizens through direct or indirect taxes and fees,” as he put it in a letter to his state’s junior Senator.

So in addition to abortion restrictions, Mr. Nelson won the concession that Congress will pay for 100% of Nebraska Medicaid expansions into perpetuity. His capitulation ought to cost him his political career, but more to the point, what about the other states that don’t have a Senator who’s the 60th vote for ObamaCare?

***
“After a nearly century-long struggle we are on the cusp of making health-care reform a reality in the United States of America,” Mr. Obama said on Saturday. He’s forced to claim the mandate of “history” because he can’t claim the mandate of voters. Some 51% of the public is now opposed, according to National Journal’s composite of all health polling. The more people know about ObamaCare, the more unpopular it becomes.

The tragedy is that Mr. Obama inherited a consensus that the health-care status quo needs serious reform, and a popular President might have crafted a durable compromise that blended the best ideas from both parties. A more honest and more thoughtful approach might have even done some good. But as Mr. Obama suggested, the Democratic old guard sees this plan as the culmination of 20th-century liberalism.

So instead we have this vast expansion of federal control. Never in our memory has so unpopular a bill been on the verge of passing Congress, never has social and economic legislation of this magnitude been forced through on a purely partisan vote, and never has a party exhibited more sheer political willfulness that is reckless even for Washington or had more warning about the consequences of its actions.

These 60 Democrats are creating a future of epic increases in spending, taxes and command-and-control regulation, in which bureaucracy trumps innovation and transfer payments are more important than private investment and individual decisions. In short, the Obama Democrats have chosen change nobody believes in—outside of themselves—and when it passes America will be paying for it for decades to come.

https://online.wsj.com/article/SB10001424052748704398304574598130440164954.html

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