The Hits Keep Coming…

A few weeks ago, I asked one of my sons if he’d read my blog that morning; he said he hadn’t, because most of my posts depressed him. I completely understand that reaction; I have begun “skimming” the headlines rather than reading the “doom and gloom” reporting and punditry that constitutes the overwhelming majority of items delivered to me each morning.

I’m convinced that–if one can take a sufficiently “removed” perspective–there is evidence  that Americans are moving toward a more inclusive, democratic future. But the day-to-day reporting doesn’t reflect broad social movements–for one thing, bad news and dire predictions are today’s iteration of the media’s longtime devotion to “if it bleeds, it leads.” Negative and shocking stories capture eyeballs, and it isn’t only Facebook that focuses on “engaging” readers.

It’s hard to keep a balanced view–let alone a positive one–when we hear more every day about the extent to which (mostly Republican) officeholders have descended into behaviors that range from financial self-dealing to unashamed bigotry. Two recent examples are illustrative.

Propublica has reported

Former President Donald Trump empowered associates from his private club to pursue a plan for the Department of Veterans Affairs to monetize patient data, according to documents newly released by congressional investigators.

As ProPublica first reported in 2018, a trio based at Trump’s Mar-a-Lago resort weighed in on policy and personnel decisions for the federal government’s second-largest agency, despite lacking any experience in the U.S. government or military.

While previous reporting showed the trio had a hand in budgeting and contracting, their interest in turning patient data into a revenue stream was not previously known. The VA provides medical care to more than 9 million veterans at more than 1,000 facilities across the country.

Patient data–which veterans have every right to expect will be subject to doctor/patient privacy rules– could be sold to major companies for hundreds of millions of dollars. The trio–described by Propublica as “the Mar-a-Lago crowd”–obviously knew their plans were improper. One of the emails obtained by the publication demonstrated that the group took efforts to conceal its activities. It read “We are still unsure what can be put in emails and what to discuss verbally,”

New evidence that the former administration was essentially a gang of grifters won’t surprise anyone who isn’t a brainwashed MAGA partisan. Despicable as such behaviors are, theft and self-dealing are longtime human transgressions, and understandable albeit reprehensible. Less comprehensible is the GOP’s eagerness to flaunt their bigotries.

As the Religion News Service has reported,

The Republican members of the Senate’s Small Business Committee have failed to attend confirmation hearings for Dilawar Syed, the Biden administration’s pick to be the deputy administrator of the Small Business Administration.

Syed’s first confirmation hearing was scheduled for April 12, but on that day and three subsequent dates — the latest on Sept. 21— the Republicans have effectively boycotted the nominee, who, if confirmed, would be the highest-ranking Muslim in the administration.

 A number of religious groups, including African American Ministers In Action, Sojourners, the Reconstructionist Rabbinical Association and the National Council of Churches, have  accused the GOP of “anti-Muslim animus” for its opposition to Syed, whose nomination is also supported by the U.S. Chamber of Commerce.

A report from Huffpost notes the changing excuses for opposition to Syed, who is clearly well-qualified for the position.

He is a businessman ― currently president and CEO of Lumiata, a health care analytics company ― who has also stepped into public service roles in both California and at the federal level, leading engagement with small businesses after the passage of the 2009 stimulus package for President Barack Obama’s administration. He is also co-founder of AAPI Victory Fund, a super PAC dedicated to mobilizing Asian American voters.

When Jewish organizations demonstrated the falsity of accusations of anti-Israel activity, Republicans shifted their argument…to Planned Parenthood.

Instead, they all pointed to a joint statement saying they will oppose filling the deputy SBA job until the Biden administration commits to taking back loans given to some Planned Parenthood affiliates under the Paycheck Protection Program. The loans, handed out during President Donald Trump’s administration, were meant to help small businesses keep employees on their payroll during the pandemic…

“It has been a successive series of things. And if one didn’t stick, they found another one. And if that didn’t stick, they found another one,” said Shekar Narasimhan, a friend of Syed’s and co-founder of AAPI Victory Fund.

It is glaringly obvious that the Republican Senators’ real objection is that Syed is Muslim.

It isn’t just the ever-growing looney-tune caucus composed of the likes of Marjorie Taylor Greene and Louie Gohmert. The once Grand Old Party is currently composed  almost entirely of conspiracy theorists, grifters and bigots.

it can’t crash and burn soon enough.

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Elementary Ethics

Yesterday, I posted about generalized social trust–its importance, and some of the reasons for its recent decline. Today, I want to focus on the role played by ethical behavior–in this case, the lack of ethical behavior–in the distressing and accelerating erosion of social trust.

One of the most obvious ethical principles is avoidance of conflicts of interest. I believe it was John Locke who noted that a person (okay, back then he said “a man”) could not be the judge in his own case, and that is really the heart of the rule against conflicts. Elected officials are not supposed to participate in decisions that will affect them personally and directly.

If a state official approves a purchase of land for a highway, and that highway will run through land owned by members of his family, that’s a conflict of interest. If a United States Senator relies upon information not yet shared with the public to sell stock holdings before the news gets out, that’s a blatant conflict. (And yes, Senator Perdue, we’re all looking at you.) When a President refuses to divest himself of business interests that will be directly affected by his decisions in office, that’s a huge departure from ethical behavior.

It is hardly a secret that the Trump Administration has been brazenly unethical. Last year, Pro Publica noted that the administration itself had reported (quietly) numerous ethical breaches. The report noted that President Trump’s ethics pledge had been considerably weaker than previous pledges, but that the government ethics office found violations of even those watered-down rules, particularly at three federal agencies: the Environmental Protection Agency, the Department of the Interior and the National Labor Relations Board.

Just one example: At the NLRB, Republican board member William Emanuel improperly voted on a case despite the fact that his former law firm, Littler Mendelson, represented one of the parties. (The firm represents corporations in labor disputes, and he also voted to eliminate regulations protecting unions.) Conflicts at the EPA have been widely covered by the media; numerous EPA officials chosen by Trump have come from fossil fuel companies and/or the law firms that represent them, and those officials have rolled back nearly 100 environmental regulations.

Then there’s former Interior Secretary Ryan Zinke, who is being investigated by the Justice Department’s public integrity section over allegations he lied to his agency’s inspector general’s office. There are also two separate probes by the Department’s inspector general about Zinke’s ties to real estate deals in Montana and a proposed casino project in Connecticut. 

As for Trump, there is at least one lawsuit charging violations of the Emoluments Clause still working its way through the courts–although the current composition of the Supreme Court doesn’t bode well for the outcome. 

The White House has refused to impose any sanctions for officials found to have committed ethical violations. That–as observers have noted–has sent a message of tacit approval, not just to the officials violating ethical standards, but to citizens who are aware of the breaches.

It isn’t just government. Cable news companies and social media giants routinely behave in ways that violate both journalism ethics and strictures against conflicts of interest. Facebook employs a rightwing internet site, The Daily Caller, as a “fact checker” despite the fact that the site is supported financially by the GOP. A story originally published by Salon reports that “The Daily Caller has taken tens of thousands of dollars to help Republican campaigns raise money while performing political fact-check services for Facebook.”

The Caller, a right-wing publication co-founded by Fox News personality Tucker Carlson, has also since 2016 sent dozens of emails “paid for by Trump Make America Great Again Committee,” a joint fundraising vehicle shared by the Trump campaign and the Republican National Committee, according to Media Matters.

Media Matters also revealed that The Daily Caller has sent sponsored emails on behalf of a number of Republican candidates this year. Media Matters posted screenshots of the emails, from Sen. Lindsey Graham, R-S.C; Rep. Jim Jordan, R-Ohio; the Senate Conservatives Fund; and the Bikers for the President PAC.

Asking the Daily Caller to fact-check political posts is like asking a wife-beater to evaluate spousal abuse cases.

When ethical principles are routinely flouted by a society’s most powerful institutions, is it any wonder that Americans don’t know who or what they can trust?

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Dishonesty And Healthcare

As the blizzard of political television ads becomes ever more annoying–and less informative–one thing about them has become very interesting. Even Republicans who have previously made it clear that they don’t want government involved in healthcare are airing advertisements touting support for Medicare and willingness to protect pre-existing conditions.

I’ve been particularly struck by the U Turn in Indiana’s Fifth District, where a radically-reactionary, pro-Trump Republican noted for opposing “socialism” (which she has defined to include pretty much anything done by government) has begun running commercials supportive of Medicare and coverage of pre-existing conditions. Evidently, her polling has overcome her previously expressed belief that government should have no role in health care.

She’s not alone.

When the Affordable Care Act (aka Obamacare) passed, several Republicans went on record with their concern that its trajectory would mirror that of Medicare and Medicaid: despite initial resistance, the public would come to expect/demand/approve of the program. Survey research has confirmed those fears, which is why GOP officeholders continue to pretend that they will protect access to healthcare at the same time as they are feverishly working to eviscerate it.

The Brookings Institution recently published a report detailing six ways Trump has sabotaged the ACA.The report began by stressing that its authors did not use the term “sabotage” lightly.

For analytic purposes, the term “sabotage,” should not be used lightly. Presidents upon taking office typically have priorities that trigger executive actions strengthening some programs while weakening others. The losing programs often face resource reductions, pressure to deemphasize certain goals, directives to alter their administrative approaches, and other measures that can undermine their effectiveness. In doing so, a president often pays lip service to the program, claiming it has been “modernized” or otherwise improved. In contrast, Webster’s defines “sabotage” as efforts to foster “destruction and obstruction” and to “cause the failure of something.” In the context of the administrative presidency, it reflects a commitment to program emasculation and termination through executive action. As such, it sharply departs from the constitutional requirement that the president “take care that the laws be faithfully executed.”

There were six actions detailed in the report.

1) The administration dramatically reduced outreach about, and opportunities for enrollment in, the ACA’s insurance exchanges. The administration sharply reduced support for advertising and exchange navigators and reduced the annual enrollment period to about half the number of days. 

2) Together with Congressional Republicans, it reneged on commitments to private insurance companies. Those insurers had been offered various subsidies that reduced the risks of participating in the exchanges. The GOP failed to honor those commitments.

3) The administration has constructed what the report calls “off-ramps to cheaper, lower-quality insurance.” One goal of the ACA was to improve the quality of health insurance by specifying essential benefits, guaranteeing coverage of those with preexisting conditions at reasonable rates, and prohibiting insurers from imposing certain spending caps. The Trump administration expanded access to coverage that was cheaper because it didn’t meet these standards and that siphoned off the healthier enrollees whose participation is needed to make the ACA work.

4) It allowed–indeed, promoted– a variety of state waivers that decreased ACA enrollments and undermined its regulatory structure.

5) It discouraged legal “aliens” from enrolling in Medicaid. In a particularly evil move, Homeland Security promulgated a “public charge” rule authorizing officials to treat Medicaid enrollment as a negative factor when reviewing the requests of legal non-citizens to extend their stays or change their status (e.g., from temporary to permanent resident).

6) And then there’s the existential threat. The Trump Administration brought the lawsuit that is now pending at the Supreme Court, attacking the constitutionality of the ACA. If that suit is successful–despite a legal argument that has been widely characterized as ridiculous, despite its endorsement by an appellate court composed of Trump-appointed judges– millions of Americans will lose access to health care.

As a student once reminded me, the United States doesn’t have a health-care system; we have a health-care industry. As a result, millions of Americans remain underinsured or completely uninsured, other millions are bankrupted each year by medical costs, and our health outcomes are among the absolute worst in the developed world. 

Deeply dishonest political rhetoric to the contrary, the current Republican Party wants to keep it that way.

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Distraction

Note: Apologies for the extra and misleading email yesterday. The blog referenced (to which the link would not work) will post on the 16th. (I sometimes work ahead–and in those cases, obviously don’t know what I’m doing…)

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I know that many of you who read this blog also subscribe to Heather Cox Richardson’s  Letters from an American. That almost-daily letter is particularly valuable for those who are trying to just keep up with the daily outrages and indignities coming from the White House, since she tends to focus on updating readers to the fire hose of improprieties that exhaust so many of us.

The other day provided an example: from continued fallout over Trump’s “suckers and losers” insult to America’s soldiers, to documentation of his continuing buildup and corruption of the Military-Industrial Complex, to not-so-surprising revelations in Michael Cohen’s new book, to the absolutely unprecedented, legally-appalling effort of Bill Barr’s version of a Justice Department to assume Trump’s defense against Jean Carroll’s defamation suit, it was just another day in TrumpLand.

On the off-chance that you missed that last offense, here’s a brief background: Carroll is one of the many women who have accused Trump of sexual assault. She alleged that he raped her some 20 years ago, and when he responded in true Trumpian fashion that he’d never even met her (as usual, there are contemporaneous photographs to the contrary) and she “wasn’t his type,” she sued him for defamation.The courts have thus far refused to dismiss or halt that lawsuit.

Now, lawyers with the Department of Justice (presumably with straight faces) are arguing that Trump was acting in his official capacity as president when he denied knowing her and thus should be defended by the DOJ, which is funded by taxpayer dollars. As Richardson reported,

CNN legal analyst Elie Honig called this “a wild stretch by DOJ…. I can’t remotely conceive how DOJ can argue with a straight face that it is somehow within the official duties of the President to deny a claim that he committed sexual assault years before he took office.” He continued: “This is very much consistent with Barr’s well-established pattern of distorting fact and law to protect Trump and his allies.”

(I am at a loss to understand Barr, who–unlike Trump– is not stupid. My operating theories since he began acting like the President’s consiglieri vacillate between mental illness and blackmail, since he clearly knows that history will not be kind…)

All this is, in a fashion, beside the point. 

Much has been made of Trump’s ability to distract—to point to the “shiny object” (squirrel!!), to create a new outrage in order to distract attention and media from his most recent crimes and misdemeanors. It’s true that the media turns its attention to the most recent example of norm-and-rule breaking, but what makes this constant misbehavior a really effective distraction is simply the “fire hose” rate of discoveries of the administration’s corruption and incompetence.

It becomes impossible to keep up–and it exhausts those of us who continue to try.

The sheer volume of the misbehavior prevents the sort of continued, in-depth reporting of  a single incident of unethical or criminal behavior–the sort of ongoing media attention that would be paid to such incidents occurring in past administrations. Think of the amount and duration of reporting on Clinton’s dalliance with Monica Lewinsky, or the Watergate break-in. Substantial research has shown that it takes numerous repetitions of news items before they “sink in” and become common knowledge.

Historians will undoubtedly have a field day with the literally hundreds of examples of this administration’s criminal, unethical and deeply disturbing behaviors, but the rapidity with which these incidents come to our attention and then vanish means that they barely have time to make an impression on the significant number of citizens who do not follow political issues closely.

There’s an analogy here to that old joke to the effect that, if you have run over someone with your car and maimed them, you’d do well to back up and finish them off.  A few corrupt transactions will attract sustained attention, but the daily trashing of laws and norms will simply wear us out. 

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Why Competence Matters….

I’m so tired of writing about the Coronavirus pandemic, and I’m sure most of you are equally sick of reading about it–or receiving updates to the monumentally-long list of ways the Trump administration continues to commit malpractice–or worse.

But the hits keep coming…

You know we are in uncharted territory when a Republican governor admits that he is hiding protective gear and testing supplies from the federal government.

Not only is the administration not helping states navigate this pandemic, it is appropriating critically needed supplies and according to multiple reports, doling them out in ways that favor political allies and punish states seen as insufficiently enamored of “dear leader.”

Now, a report from the Inspector General of the Department of Health and Human Services has again highlighted the multiple failures of the administration. (There’s a reason Trump is constantly firing or otherwise neutering Inspectors General…) Update: Yesterday, Trump–reportedly furious– fired the IG who submitted this report.

NBC News reports that the HHS IG found that hospitals across the United States are lacking supplies as basic as thermometers, even as they’re being undercut by their own federal government in trying to acquire new supplies.

 “Vendors have told us that they need to send whatever they have to the national stockpile,” said Ruthanne Sudderth, senior vice president for the Michigan Health & Hospital Association.

Additionally, the report found that supplies delivered to states by the federal government were either inadequate or defective.

“One hospital received two shipments from the Federal Emergency Management Agency with protective gear that had expired in 2010,” NBC News writes. “Another hospital system received 1,000 masks from federal and state governments, even though it expected a much larger delivery, and ‘500 of the masks were for children and therefore unusable for adult staff,’ the report said.”

Professionals have characterized these and other failures listed in the report as “unprecedented.” (One hospital administrator reported sending his staff to auto part shops,  home supply stores, beauty salons and art supply stores in an effort to find gloves and masks.)

Hospital administrators around the country also complain that conflicting guidance from federal, state and local governments is causing confusion.

A report on the situation from NBC News  met with a response directly out of that “alternate reality” Trump inhabits.

President Donald Trump on Saturday said hospital administrators speaking to his administration were “thrilled” about their situation.

“Many hospital administrators that we’ve been in touch with, even in the really hotspots — you know what they are — are communicating directly with us that their level of supplies are meeting essential needs. And at the current time, they’re really thrilled to be where they are,” Trump told reporters.

All of the other failures reported pale in comparison to the shortage of testing supplies. The inability to test sufficient numbers of people and to get the results of those tests promptly delays the day the nation can reopen, and further strains an already inadequate system.

Diagnostic testing kits to identify patients or staff members with the virus were also in short supply, according to the inspector general. Hospitals said they were struggling with “a severe shortage of test kits,” limiting their ability to monitor the health of patients and staff members, the report said. There were also problems with incomplete testing kits missing nasal swabs or reagents to detect the virus.

“Across the industry millions are needed and we only have hundreds,” a hospital administrator was quoted as saying.

The shortage of testing kits was aggravated by delays in testing results, straining hospital resources and bed capacity as doctors waited for the results, the report said. One hospital reported test results’ taking as long as eight days, it said.

Hospitals said that presumptive patients waiting for test results took up bed capacity needed for other patients, according to the report, and that staff members were forced to use personal protective equipment, or PPE, as a precaution because of the slow pace of test results, wasting precious resources.

The armed idiots storming state capitols to demand an end to measures that are saving lives should be storming the White House and demanding competent governance.

But of course, that would require another possession that is apparently in short supply, at least in their ranks: cognitive capacity.

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