Wall Street wants to make money off “urgent care”

If there’s profit involved in some aspect of the human condition, America’s big money investors will try to find a way to inflate the price and take a cut. The latest profit-from-suffering scheme is to try to grab a slice of the revenue stream from urgent care clinics that are not part of hospitals.

But what is happening here is also playing out across the nation, as private equity investment firms, sensing opportunity, invest billions in urgent care and related businesses. Since 2008, these investors have sunk $2.3 billion into urgent care clinics. Commercial insurance companies, regional health systems and local hospitals are also looking to buy urgent care practices or form business relationships with them.

The business model is simple: Treat many patients as quickly as possible. Urgent care is a low-margin, high-volume proposition. At PhysicianOne here, most people are in and out in about 30 minutes. The national average charge runs about $155 per patient visit. Do 30 or 35 exams a day, and the money starts to add up.

Urgent care clinics also have a crucial business advantage over traditional hospital emergency rooms in that they can cherry-pick patients. Most of these centers do not accept Medicaid and turn away the uninsured unless they pay upfront. Hospital E.R.s, by contrast, are legally obligated to treat everyone.

 
I suppose it would be too much to suggest not trying to introduce a profit motive into every single thing — or to treat every citizen as a potential cash cow. Too much to ask that people only be asked to pay the actual cost of their urgent health care without having to pay extra to make billionaires wealthier. Don’t even suggest that this could be made a public function.

Detroit still shutting off water to poor families

In a deeply wrong-headed and immoral approach to close a budget gap, the water authority for the City of Detroit is still shutting off thousands of households’ public water access, claiming they have not paid up. In many cases the landlords have not paid through the rent contribution to the water bill, but either way, it’s reprehensible to shut off water to low-income families who are already barely scraping by. Now they can’t cook full meals, wash dishes, bathe, or stay hydrated. There’s no drought or natural disaster. It’s just budgetary.

We covered this crisis in depth on Arsenal For Democracy Episode 90
Part 2 – Bill and Persephone on Detroit Water Shutoffs:
Part 2 – Detroit – AFD 90

As an update, activists are now engaging in civil disobedience to try to halt the public water shutoffs, which have been condemned by the United Nations office for Human Rights.

See also: “Detroit’s Water Cutoffs: Counterproductive and Coldhearted” by Detroit-area U.S. Rep. John Conyers, on why this strategy makes no sense in addition to its basic cruelty.

Unaccompanied minors forced to defend themselves in court

America is a special place where we make 6-year-olds who can’t speak English and don’t understand the concept of international borders represent themselves in court because the right to a court-appointed attorney does not include immigration court and they were abandoned by smugglers without adult accompaniment in the country.

Juan David Gonzalez was 6 years old. He was in the court, which would decide whether to expel him from the country, without a parent — and also without a lawyer.
[…]
The young people, mostly from Mexico and Central America, ride to the border on the roofs of freight trains or the backs of buses. They cross the Rio Grande on inner tubes, or hike for days through extremes of heat and chill in Arizona deserts. The smallest children, like Juan, are most often brought by smugglers.

The youths pose troubling difficulties for American immigration courts. Unlike in criminal or family courts, in immigration court there is no right to a lawyer paid by the government for people who cannot afford one. And immigration law contains few protections specifically for minors. So even a child as young as Juan has to go before an immigration judge — confronting a prosecutor and trying to fight deportation — without the help of a lawyer, if one is not privately provided.

So far this year, more than 11,000 unaccompanied minors have been placed in deportation proceedings, nearly double last year’s numbers.
[…]
Judge Achtsam postponed Juan’s proceedings, but he warned the boy and other minors in the courtroom.

“If you do not have a lawyer,” the judge said, “you need to be ready to speak for yourselves at your next hearing.”

Juan left holding the social worker’s hand, grinning proudly when she told him he had done well. But his case was just beginning. Most likely it would end with a final order for his deportation.

July 9, 2014 – Arsenal For Democracy 91

AFD-logo-470

Topics: NSA foreign political surveillance, students challenge voter IDs under 26th Amendment, Hobby Lobby ruling. People: Bill, Persephone, Sasha. Produced: July 6, 2014.

Discussion Points:

– Is it wrong for the NSA to spy on non-allied governments and foreign politicians?
– Are state voter ID laws unconstitutional under the 26th Amendment (the right to vote at age 18)?
– What are the implications of the Hobby Lobby ruling?

Part 1 – NSA:
Part 1 – NSA – AFD 91
Part 2 – 26th Amendment:
Part 2 – 26th Amendment – AFD 91
Part 3 – Hobby Lobby:
Part 3 – Hobby Lobby – AFD 91

To get one file for the whole episode, we recommend using one of the subscribe links at the bottom of the post.

Related links
Segment 1

– NDTV: US Hopes National Security Agency Surveillance on BJP Not to Impact Bilateral Ties
– AFD: Australia was spying on Indonesia

Segment 2

– NYT: College Students Claim Voter ID Laws Discriminate Based on Age

Segment 3

– Politico: Supreme Court rulings 2014: SCOTUS sides with Hobby Lobby on birth control
– Mother Jones: Are You There God? It’s Me, Hobby Lobby
– FAIR: The Deeply Held Religious Principle Hobby Lobby Suddenly Remembered It Had
– NBC: Female justices issue searing dissent over new contraceptive case

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And don’t forget to check out The Digitized Ramblings of an 8-Bit Animal, the video blog of our announcer, Justin.

Maine Gov. Paul LePage’s special friends (i.e. possible domestic terrorists)

Maine’s Republican Governor Paul LePage is continuing his crusade to dismantle the state’s reputation for moderate, reasonable, centrist politicians.

People often don’t believe it when someone says Maine’s Gov. Paul LePage is a political loon, but he’s almost indescribably far outside the mainstream, especially when one considers that that he occupies a governorship. Even deeply off-color jokes, vindictive mural attacks, and a strange belief that wind turbines are actually turned by motors because wind power couldn’t possibly work … all of those things are just the tip of the iceberg.

In a “revelation” (via in-depth investigative reporting) that surprises essentially no one who has been following his tenure as governor, except perhaps in its depth, Maine journalist and author Mike Tipping uncovered that in 2013 the governor met 8 times (almost monthly for a while) for 16 hours total with members of a super ultra fringe movement associated with small acts of domestic terrorism, various cop-killings, and the Oklahoma City Bombing.

Gov. LePage’s buddies this time are the very dangerous “sovereign citizen” wingnuts (the same people who don’t believe the government — state let alone Federal! — can issue license plates or passports or enforce traffic laws … or exist). They’re the king of unhinged American conspiracy theories but are also on various FBI watchlists for specific plots.

Here is an excerpt from the condensed summary Maine journalist Colin Woodard — whose incredible book, incidentally, I’ll be posting a review of soon — contributed to Politico on the stunning findings by Tipping:

he had met with an obscure circle of particularly nutty conspiracy theorists at least eight times for a total of 16 hours last year, despite the objections of his staff.

Some of the members of the circle have previously identified themselves as “Sovereign Citizens,” [skip to 17:00], a movement the FBI considers a domestic terrorist threat, though at least some of them now deny any such association. Members have espoused the belief that the Sept. 11, 2001, attacks and the Sandy Hook school shootings were perpetrated by the U.S. government, which engages in “mind control” and is preparing a “holocaust” against America’s Christians. They think the government is illegitimate and that top state officials are guilty of treason.

And last February, one recounted on his pirate radio broadcast [19:00] a meeting he had just attended with Governor LePage in which he said the execution of the top leaders of the Democrat-controlled state legislature was discussed. “They’re talking about hanging them,’” Jack McCarthy, host of the Aroostook Watchman radio show, recalled LePage saying in the meeting with McCarthy and his colleagues. McCarthy shared his response to LePage with his listeners: “Praise the Lord, let’s hang a few. We’ll be done with this crap.”

Although he admits these meetings took place, LePage has denied the conversations turned to eliminating his political opponents. “It never happened,” he said in a spontaneous call to the managing editor of the Bangor Daily News, whose paper he also threatened to sue. “We did not discuss execution, arrest or hanging.”

Hanging the Democratic leadership or no, the governor’s sustained interest in the conspiracy theorists’ ideas has stunned Maine’s political class, especially as LePage had famously refused for months to meet with the very legislative leaders the extremists accused of treason.
[…]
The conspiracy theorists, variously organized as the Maine Constitutional Coalition and We The People of Maine, warned the governor and the small number of other people who would listen that all lawyers are “foreign citizens” and associated with the Communist Party, that Maine’s government was unlawful on account of using paper currency and associating with the United Nations to deprive Mainers of their property rights, and that legislators and other officials were guilty of treason, a crime punishable by death.
[…]
Eventually, LePage’s legal counsel—apparently concerned about the governor’s credulity regarding the extremists’ constitutional theories—took the time to prepare a five-page legal memo for him […] reminding him that “the power of the executive [doesn’t] extend to providing a mechanism for private citizens to declare laws to be unconstitutional.”

 
If you follow through to Tipping’s report, the governor also claimed to them that he feared for his life if he did not accept Federal funding for something. He only stopped the meetings, apparently, after Tipping’s Freedom of Information Act request began ringing enough alarm bells.

Governor LePage faces re-election this November. Our analysis from May remains essentially unchanged up to this scandal:

Maine: Paul LePage (R) is also a terrible and very unpopular governor, who is also (ideologically) a crazy person. He was only elected in a 3-way race in 2010, where the sane people made the mistake of splitting their votes between the other two candidates. Maine isn’t planning to repeat that mistake this year. Haha, just kidding: It’ll be a 3-way race again and probably a nail-biter to the end, between LePage and Congressman Mike Michaud (D). LePage is doing better (somehow) in polls more recently than he was for most of last year.

 
We’ll see how things develop from here.

flag-of-maine

Central American toddlers are existential threat to USA, say militias

Red areas denote the degree of presence of MS-13 (Credit: Gabagool - Wikimedia)

Red areas denote the degree of presence of MS-13 (Credit: Gabagool – Wikimedia)

In a new fusion of irrational hatreds, American “militia movement” members are now rushing with all their guns to the U.S. border to fend off a flood of unaccompanied young children from Central America, whom they believe to be members of MS-13.

In addition to the orchestrated hate rallies in Murrieta CA capturing national headlines as screaming fanatics force U.S. government buses full of the undocumented children to divert, a militia leader has called for members “To Go Armed” to the border in Texas.

The main purported concern for the Texas operation is the rising tide of Central American immigrants they believe are tied to the group the FBI once called “America’s most dangerous gang”, MS-13:

A spokeswoman for the group, Denice Freeman, told the Brownsville Herald the operation is a call for civilian militia members to guard private property in Laredo and other parts of Texas where owners feel threatened by “drug cartels and from gangs, particularly MS-13 gangs,” referring to a Salvadoran street gang with Los Angeles roots that now has a presence in 46 states.

 
Interesting. What’s the typical profile of the recent wave of undocumented Central American immigrants?

Questioned by the agents, a boy from Honduras said his name was Alejandro and that he was 8 years old.

“Who are you with?” asked Raul L. Ortiz, deputy chief of the Border Patrol for the Rio Grande Valley, speaking in Spanish.

“By myself,” Alejandro said, looking up at the man in the olive uniform and pulling a birth certificate, carefully folded, from his jeans — the only item he carried.

“Where are your parents, Alex?” Chief Ortiz asked, using a nickname to put the boy at ease. “In San Antonio,” he said.

But the child had no address for his family in the Texas city 250 miles to the north, or for an aunt in Maryland, which he thought was just as close. The agents gave him water and the boy smiled gratefully…

 
Look at these manly men playing dress up bringing assault weapons to fend off unaccompanied Central American children because MS-13.
militia-against-unaccompanied-minors

In a bit of mixed messaging, alternate proclamations have advised members to “avoid violence” while protecting local property from the roving gangs of Honduran 8-year-olds … and to use lethal force to stop people crossing the border unlawfully:

“This is not a ‘go-in-guns-blazing’ kind of thing,” Freeman said. “This will be handled with the utmost professionalism and security and safety for everyone involved.”

But in a YouTube video posted June 14, a man who identified himself as commander Chris Davis said militia members “need to go armed” and incited them to “start the next 1776 right there on the border” if they are confronted by local law enforcement and federal agents.

In the 21-minute video, the man also accused “illegal immigrants” of “invading” the country and said, “It is time that we start taking back our national sovereignty.”

“How?” the man asked. “You see an illegal. You point your gun right dead at him, right between the eyes, and say, ‘Get back across the border or you will be shot.’”

 
I believe this loophole of threatening lethal force while avoiding violence is known as the “Some People Aren’t People Doctrine.” Not violence if you believe the people you shot aren’t human. It’s very convenient for white supremacy.

It’s also a demonstration that they have no understanding of why most of the current wave of immigrants has been fleeing to the United States. Hint: they’re not trying to join MS-13 here; they’re trying to escape MS-13, which we exported there.

Many gang members living in the United States have been deported back to El Salvador, Honduras and Guatemala.

To Americans, that may look like a problem solved. In reality though, it only adds to the already serious social problems in those countries.

The returning gang members bring back with them crack cocaine. Predictably, drug-related crimes are soon on a steep increase.

Those gang members deported from the United States enlarge the local groups and find easy recruits among the local disenfranchised youth. Today, most of the members are in their twenties, while their leaders are in the late 30s and 40s.

The gangs’ battles with the police for control of working-class neighborhoods involve in each case heavy-handed tactics by the police.

They also prove unproductive, since they unleash more random violence and terror.

 
Another short-sighted U.S. policy comes home to roost and the militia crowd decides to blame the desperate, foreign, ethnic minorities instead — as usual, but this time the targets are under 10 years old.

Oh and: Good plan about giving one single warning in English to Spanish-speaking children before you shoot them in the head.

“You see an illegal. You point your gun right dead at him, right between the eyes, and say, ‘Get back across the border or you will be shot.’”

Seems really compassionate and logical.

‘MURICA.