Archive for the ‘Politics’ Category

The health care jiggle?

Thursday, January 25th, 2007

As some of y’all know, the Shrimp and Grits family grew in October. Now, the bills are starting to roll in. Health care bills, that is – bills from the hospital, where my wife gave birth. Bills from the doctors at the hospital. Bills from the anesthesiologist. Bills from the pediatrician. More bills from the hospital.

In short, never-ending medical bills – and none of them cheap.

So, when I heard that President Bush was going to address health care in his State of the Union address, I was interested. Health care costs in this country are ballooning.

Over the past few years, I’ve seen

  • my premiums go up (and up, and up)
  • my deductible go up along with my premiums
  • my out-of-pocket maximums go up
  • my copays go up, especially for prescription drugs. (To add insult to injury, almost every time I’ve gotten a medicine prescribed that wasn’t an antibiotic, I’ve had to go through trying to fill the prescription, having it denied by insurance, then having to get the doctor to call the insurance company and essentially beg them to cover the medicine.)

Any kind of meaningful health care reform is going to have to address a lot of things. We need to find ways to control costs, ways to reduce the "red tape" people go through to get care, ways to make sure that all Americans can get the care they need, ways to ensure that families won’t lose everything if a member gets a long-term illness, et cetera. That’s a tall order.

Here’s what Bush said:

A future of hope and opportunity requires that all our citizens have affordable and available health care. When it comes to health care, government has an obligation to care for the elderly, the disabled, and poor children. We will meet those responsibilities. For all other Americans, private health insurance is the best way to meet their needs. But many Americans cannot afford a health insurance policy.

On what basis does Bush assume that private health insurance is the best way to meet the needs of most Americans? I have private health insurance. It seems to be more a part of the problem than part of the solution. The private insurer takes my money, provides me with little or no care without me paying even more for it through deductibles and other out-of-pocket expenses, and hassles me when my doctor prescribes medicines that they think cost too much. Plus, they don’t pay one cent towards any preventative care.

Bush continues:

Tonight, I propose two new initiatives to help more Americans afford their own insurance. First, I propose a standard tax deduction for health insurance that will be like the standard tax deduction for dependents. Families with health insurance will pay no income or payroll taxes on $15,000 of their income. Single Americans with health insurance will pay no income or payroll taxes on $7,500 of their income. With this reform, more than 100 million men, women, and children who are now covered by employer-provided insurance will benefit from lower tax bills.

Say what? Bush’s proposal to fix the health care system in this country is … a tax cut???

(I’ve since seen that it’d be a tax increase or at best a wash for some – those who have decent employer-provided insurance.)

I need some help here. I’d like someone to explain to me how jiggling the tax code this way is going to stop the upward spiral of health care costs and get Americans hassle-free access to quality care. How does this proposal address the rising prices of prescription drugs? How does it cut through the massive piles of paperwork and bills that those who are lucky enough to have insurance deal with?

Assuming it gives a few people a temporary financial boost (which will probably correct itself within a few years), how is this not the equivalent to putting a Band-Aid over a severed arm?

Bush again:

At the same time, this reform will level the playing field for those who do not get health insurance through their job. For Americans who now purchase health insurance on their own, my proposal would mean a substantial tax savings – $4,500 for a family of four making $60,000 a year. And for the millions of other Americans who have no health insurance at all, this deduction would help put a basic private health insurance plan within their reach. Changing the tax code is a vital and necessary step to making health care affordable for more Americans.

So what’s "basic" health insurance? Extremely high deductibles and exremely limited coverage? ("Safe Auto" for health?) Wouldn’t this proposal simply lead to people buying this "basic" insurance to get the tax break, driving the prices of halfway decent insurance plans even higher?

My second proposal is to help the States that are coming up with innovative ways to cover the uninsured. States that make basic private health insurance available to all their citizens should receive Federal funds to help them provide this coverage to the poor and the sick. I have asked the Secretary of Health and Human Services to work with Congress to take existing Federal funds and use them to create "Affordable Choice" grants. These grants would give our Nation’s Governors more money and more flexibility to get private health insurance to those most in need.

Thinking back on this part of Bush’s speech, this thought struck me: Those most in need do not need private health insurance. What those most in need do need is health care.

There are many other ways that Congress can help. We need to expand Health Savings Accounts … help small businesses through Association Health Plans … reduce costs and medical errors with better information technology … encourage price transparency … and protect good doctors from junk lawsuits by passing medical liability reform. And in all we do, we must remember that the best health care decisions are made not by government and insurance companies, but by patients and their doctors.

I’m all for upgrading the archaic information technology systems in use in the medical field. On the patient side, the reams of paperwork are a major hassle. Every time I’ve seen a new doctor, I’ve had to fill out a brand new set of papers. I don’t imagine it’s any better for the doctors, who must be positively buried in paperwork. And these mountains of paper do lead to error. Not too long ago, my records at one doctor’s office got mixed together with someone else’s. Luckily, the doctor caught on – it wsa pretty obvious that I wasn’t being treated for a stroke. (I was being treated for hay fever.)

And I’m all for price transparency. Getting an itemized bill out of the local hospital is almost impossible (but it’s needed to get reimbursed by pre-tax plans like MoneyPlus). It’s pretty obvious, though, that the hospital simply doesn’t want to you know what you’re being charged for. (We’ve been double-billed several times.) Sigh. Only in America do you go into the hospital for one service, then get a two dozen bills for it afterwards.

Medical liability reform? I might be able to get behind that with some evidence that "junk" malpractice suits really are a major reason health care costs are so high today.

In summary, I’m pretty underwhelmed by Bush’s new health care tax jiggle. Maybe some of y’all can enlighten me on what good is supposed to come of this?


Edited to add:
Stephen Colbert weighs in on the Bush health care plan. It’s all so clear to me now.

Certified: Science wins in SC … for now

Friday, November 17th, 2006

Well, it’s official. Anti-science candidate Karen Floyd has been defeated by Jim Rex for the post of SC Superintendent of Education.

This, of course, assumes that there aren’t legal challenges to the vote. We shall see.

Updated on 11/21/06: Floyd has conceded.

[Rena: It made me a little happy.  From Star Ocean: The Second Story (Playstation)]

Why only a little happy? Well, the margin of victory was only 455 votes! Rex’s opponent was not only unqualified for the office but also said such mind-bogglingly foolish things as

More and more scientists are publicly coming out in favor of an Intelligent Design Theory because that is what the evidence is telling them is true.

Long gone are the days when God was excluded from scientific circles. If we ignore that reality, we will only limit our children’s scientific knowledge.

Clearly, the theory of the politically-correct minority has been allowed to dominate our classrooms to the point where not only is evolution being taught as a scientific truth, but the public address system cannot be used to say a prayer for the safety of athletes before a football game – this is wrong.

(Source: SC PIE)

455 votes … out of a million. We’ve got a long way to go in South Carolina.

What I wish they had said, and what they actually said

Thursday, June 15th, 2006

We’re going to have an election soon to choose the new education superintendent. This is potentially important for the future of education here in the Palmetto State, and as all three readers of this blog know – science education is one of my big issues.

The main thing I look at to see whether someone supports quality education is the evolution issue. It’s not because I’m a biologist (my wife teaches biology, while I teach chemistry). It’s because evolution is such an established part of one core science that it allows you to see what a person things of science in general. A person that rejects evolution without looking at the science will reject any other areas that the don’t like – and that leaves science education stranded on some extremely thin ice.

Here’s what I’d really like our two education superintendent candidates to say when asked about whether evolution should be taught in schools:

“Well, I’ve looked at the issue, and I think the theories taught in the high schools should be the theories that help our scientists gain new knowledge in their fields. Biologists use evolutionary theory to give us new insight on how living things work. It’s a fundamental and well-supported idea in biology, much like the concept of the atom is a fundamental and well-supported idea in chemistry. We’d be doing out children a disservice to avoid evolutionary theory in the classroom.”

Here’s what they actually say:

Karen Floyd, Republican, who won a close primary election

There are a growing number of prominent scientists who are “poking around” in the foundations of evolutionary theory. Irreducible complexity is just one issue that causes heartburn for the evolutionists.

As science evolves, so do the opinions of the scientists. More and more scientists are publicly coming out in favor of an Intelligent Design Theory because that is what the evidence is telling them is true.

Long gone are the days when God was excluded from scientific circles. If we ignore that reality, we will only limit our children’s scientific knowledge.

Clearly, the theory of the politically-correct minority has been allowed to dominate our classrooms to the point where not only is evolution being taught as a scientific truth, but the public address system cannot be used to say a prayer for the safety of athletes before a football game – this is wrong.

Source: SC PIE – State Superintendent of Education candidate supports Intelligent Design

Jim Rex, Democrat

South Carolina is a very spiritually active, involved state. … I believe there are other venues for supporting and nourishing religious beliefs outside and inside our schools. There are more appropriate places to deal with that (subject of alternative theories) than in the biology classroom

Source: The State: Veteran educator kicks off campaign

Which one are you more comfortable with setting the science agenda for your kids?

(Hat Tip: SC-SCIED)

They’re taking over our minds!

Sunday, April 2nd, 2006

While doing a little research on South Carolina education, I came across a group called SC PIE, a “a grassroots organization committed to excellence in the public schools of South Carolina through the meaningful involvement of parents in children’s education”.

Their website suggests that they’re mainly a group interested in two things – putting religion in the science classroom and giving tax money to private schools. But this is the wtong blog for serious discussion of issues. You came here for funny stuff!

You can access this group’s newsletters online, as PDF documents. Here’s a sample, from December 2004.

[PIE Logo]

[Mind seige]

Looks to me like the writer’s mind was decimated before she finished the headline!

It’s not the standards

Thursday, March 23rd, 2006

PZ Myers has a post up about how Arkansas sutdents aren’t being taught evolution even though it’s in the state standards.

Arkansas is not alone.

An editor at The State tells us to not worry about science teaching challenging some religious beliefs because teachers aren’t teaching the science anyway.

Dr. Woodall [Union High School principal] learned about Charles Darwin’s origin of life theory at Furman University, when it was still a Baptist school. She didn’t buy the idea that life evolved randomly, or that human beings can be traced back to single-cell organisms. But that didn’t limit her as a teacher, because biology teachers in South Carolina don’t have to teach that; she doesn’t know of any who do.

Well, I guess that explains something about South Carolina’s test scores. The standards aren’t the problem. We’re just not using them.

Scientists are a bunch of liars?

Wednesday, March 8th, 2006

The State (Columbia SC newspaper) is running a letter from Rep. Bob Walker that essentially calls scientists liars.

Currently we teach only the science that supports evolution. Much of this science has unanimously been considered outdated, false, and even fabricated to show evolutionary strengths, while actually leaving out science that exposes weaknesses in the theory.

(emphasis mine)

Fabricated? There you have it – according to Bob Walker, science folks are a bunch of liars. Not what I wanted to read before teaching my science classes this morning…

Edited to add:

This just in: SC’s board of education doesn’t fall for it, rejects EOC changes to the science curriculum.

Comments are closed on this post due to spambot abuse

Let standards evolve?

Monday, March 6th, 2006

Steve Reuland has already posted about this, but since I have just finished grading lab reports (which makes me even more annoyed than usual at attempts to dumb down science education), I’m going to take a stab at this letter from a member of SC’s "Education Oversight Committee", too.

Karen Iacovelli (which I’ll abbreviate as “KI”), the letter’s author, begins by supposing that the science community does not want SC students to learn.

It has appeared from the onset of first attempts to revise the standards that a well-rehearsed group of opponents do not want South Carolina students to venture beyond what is currently prescribed.

[…]

Simply put, do we want our students to engage in intelligent debate?

Sure. But at the level we are teaching in high schools, there really isn’t a whole lot of scientific debate out there. In introductory courses, we teach the foundations, while the scientific debate lies on the fringes.

Perhaps in the “evolution debate”, we might let students discuss the relative importance of different the various mechanisms of evolution? Somehow, though, I do not think that this is what KI has in mind.

So, I began with Darwin himself. In an 1858 letter he wrote to a colleague, Darwin lamented that “evolution will be grievously too hypothetical.” I concluded reasonable doubt from there, but was unaware of the lies and more damn lies that lay ahead.

Aside from the fact that this Darwin quote is misquoted and out of context, the date alone tells us something. “On the Origin of Species” was published in 1859. Darwin’s proposed a rather radical idea, and it would take a long time for all the details to be worked out. Is it any wonder that Darwin would admit that he didn’t have all the answers?

What this has to do with modern evolutionary theory I can’t fathom.

I want the Board to understand why I voted to revise the biology standards to include critical analysis, and why I believe we will utterly fail in our intellectual and ethical obligations to our students if we deny them an expanded learning environment, where the goal is, indeed, critical thought and intelligent debate.

Sounds good, right? But why single out evolution? All scientific theories are constantly being evaluated by scientists. (Scientists do this every time they conduct an experiment, if you want to get technical.) A basic understanding of the scientific method already includes critical analysis (how does KI think something becomes a “theory”, anyway?) – so why single out evolution for special treatment unless you have some sort of axe to grind?

Online I went, ordering books and more books, reading both sides of the issue, asking lots of questions, receiving interesting answers and becoming more frustrated and confused. Was it really my purpose as a mere creature of the EOC to decide if evolution is valid science?

Apparently you seem to think so, KI. And it’d really help if you listed some of the evolution or biology books you read.

Books mentioned by name in the letter:

  • James Perloff, Tornado in a Junkyard (the title should give this one away)
  • Jonathan Wells, Icons of Evolution (creationist/ID book)
  • John Wilson / William Dembski, Uncommon Dissent (creationist/ID book)
  • What The Bleep Do We Know? (seems to me to be a bizarre choice, but … haven’t read this one, but it doesn’t seem to be very relevant)

So much for studying “both sides”…

There on the internet were thousands upon thousands of pages of intelligent, scientific debate regarding the science or nonsense of evolution.

Now, how much of that debate is actually scientific? You can find darned near anything on the internet, but that doesn’t make it scientific.

KI goes on and starts rambling at this point about a conspiracy of scientists (she calls it the “internal thought police” at colleges). She’s essentially making excuses for running to the Discovery Institute (the Intelligent Design group) for speakers when South Carolina scientists wouldn’t do.

Thirty-nine years later in an interview at Berkley, Townes called upon all scientists and students to “explore as much as we can.” It was those 5 words that convinced me that everything else I had read by self-anointed experts in the field of high school biology and evolution was nothing more than scientific arrogance.

Must … resist .. urge … to … point … out … counting … mistake …

Now, these “self-anointed experts” you have read. Did any of them happen to be, perhaps, biologists? You know – peoiple who have studied the field?

I am saddened by the efforts of some university professors to personalize this issue, using, especially Senator Fair as a target.

Well, I can certainly see why science types are a bit peeved at Fair, what with his constant attempts to water down science education. (S.909 ring a bell?)

KI’s about to go off the deep end again…

Is censorship at work? I must also ask if basic First Amendment guarantees of free speech are not only being blatantly violated on university campuses, but will be violated should The State Board of Education deny free speech to high school biology students.

So … not wanting to teach bull at the expense of science is now a free speech issue? What next, equal time in chemistry class for atom-deniers?

What happens when a student conducts the same kind of search I did on my computer and locates, not hundreds, but thousands of books and articles that contradict what he is taught in the classroom?

A good opportunity for a learning experience, I think. There’s plenty of bull on the internet. Hopefully, the student will have learned enough about the workings of science to tell science from bull.

What do opponents of critical analysis intend to do? Burn all of the books, except the ones they choose? Ban internet searches? Because that is what the opponents of revised biology standards are asking us to do with every written opinion that opposes their view of science.

A more accurate phrase would be “opponents of bull masquerading as critical analysis”. Regardless, we don’t oppose banning internet searches or books. True, we don’t want to waste money buying every high schooler a copy of “Of Pandas and People”, the creationst turned intelligent design textbook, but we don’t think it should be burned.

And let’s talk about Intelligent Design. Even those outside of science know that Intelligent Design has no “scientific model” by which to measure, falsify, apply, analyze and tweak against the ongoing abundance of new scientific discovery. Intelligent Design has never been on the table for any discussion in regards to our state science standards.

Ahh … that explains why the Discovery Institute was involved! Thanks for clearing that up, KI, and also for reminding us that creationism / intelligent design has no place in the science curriculum. Now would you please tell Mike Fair?