Category Archives: Health

In public life, you have to feel well to do well

I don’t know whether Michele Bachmann is physically fit enough to be president or not. As others have said here, she has other problems that concern me more.

But her aside, running for and holding public office takes an awesome amount of physical vitality. I’ve always sort of marveled at it. And I’m not talking just about the pace of a president, with the astounding schedules they keep (which is why they age so much in office). It’s true right down to county council.

Yeah, you can see out-of-shape slackers in public office, especially in some of the less visible offices. But I don’t notice them as much as I do the people who just never seem to stop. Since I wouldn’t want to run for office without knowing I’d do it well, I’ve always found the idea of going to all those night meetings — governmental, neighborhood associations, etc. — sort of overwhelming. I like to work hard all day, but then I like to rest. The idea of having to put in an appearance at all those events can put you right off of political power.

You wouldn’t mistake Joe Wilson, for instance, for a triathlete — or consider him to be a legislative dynamo, either. But he is EVERYWHERE. And always filled with enthusiasm, just thrilled to be there. Ditto with lots of legislators, and others you don’t hear about as much.

Some of it is personality type; getting a charge from something that would fill others with boredom. But there’s something physical there as well.

This morning, I got a late start on my day because I turned on the TV at about 7:20 to check something I’d tried to record last night on a new DVR, and there was the House of Commons grilling David Cameron, live on CSPAN2, about the hacking scandal. A remarkable exhibition of energy. (Not up to Tony Blair standards, but pretty good.) It went on for hours after what I saw.

Actually, that’s one thing I think I could do, and not get tired during the event itself. I’ve always liked fielding multiple questions from a crowd on a topic with which I’m well familiar, even when the crowd is trying to trip me up. It causes the adrenaline to flow, and I can feel my brain getting into the zone. It’s actually pleasurable. I’m not crazy about conventional public speaking, but I love taking questions, to the point that it’s hard to shut me up on the answers.

But after that exhilarating experience, he has to sit in a debrief on the South Africa trip, or a meeting with a constituent group, or a state dinner, or all of the above, plus grinding stuff I can’t even imagine. That’s what I wouldn’t have the energy for.

You ever sit through a city council meeting that goes on and on for hours? I know some of you have. I certainly have, in spades. When I was young and full of energy, I had days when, on account of having a beat covering five counties, I would attend three or four such meetings in different towns, then stay up all night writing about them. It was an afternoon paper, so deadlines were in the morning. I’d get to work at 7 a.m. Monday morning, work through deadline, then start with the meetings and interviews, finishing them by 10 or 11 p.m. then write in my office all night, and file multiple stories Tuesday morning, finally slowing down around lunchtime on Tuesday. Then I’d go home for a nap and start again. Then I’d probably take off later in the week, say on Friday.

Spread that out a bit, with more regular sleep time, and make it 7 days a week, without any real vacations, and you have the schedule of a POTUS.

So yeah, you have to be in freaky-good health.

Red Cross needs O neg (and other types) ASAP

Got this urgent appeal today:

NATIONAL BLOOD APPEAL – JULY 2011

The American Red Cross is issuing an appeal for blood donors to roll up a sleeve and give blood right now because there is currently a critical blood shortage across our nation. Many donors are busy or traveling, school is out of session and donations have dropped dramatically.

In May and June, donations were at the lowest level the Red Cross has seen in this timeframe in over a dozen years, while demand for blood products remained steady. Because of that, the Red Cross needs blood donors now more than ever. All types are needed, but especially O negative, which can be used to treat any patient.

Since April, the Red Cross has responded to more than 40 major disasters across more than 30 states.  “As a meteorologist, I know that there is a chance of tornado, flood, fire, earthquake or hurricane somewhere in our country almost every day,” said Jim Cantore, Meteorologist and member of the Red Cross National Celebrity Cabinet. ”Any one of these natural disasters can bring pain and heartbreak to those affected. Similarly, a critical blood shortage like the one we’re experiencing right now could have the same effect on someone in need.”

Someone like Brian Boyle, a 25-year-old whose life changed instantly when a dump truck plowed into his vehicle on his way home from swim practice in 2004.  Brian lost 60% of his blood, his heart had moved across his chest and his organs and pelvis were pulverized.  If Brian survived, doctors predicted that he might not be able to walk again and certainly would not swim.  Against all predictions, Brian now competes in marathons and triathlons.

“When I needed it, the American Red Cross was there with 36 blood transfusions and 13 plasma treatments that saved my life in a situation where time was of the essence,” said Boyle. “Amazing medical care and volunteer blood donors helped make my recovery possible. By giving just a little bit of their time, blood donors helped give me the chance at a lifetime.”

Brian’s story highlights just how important each and every blood donation can be. The Red Cross is reaching out to eligible blood donors, sponsors and community leaders to ask them to recruit people to help meet the needs of patients in communities across the United States.

The Red Cross provides lifesaving blood to nearly 3,000 hospitals and transfusion centers across the country.  Every two seconds, someone in America needs a blood transfusion. Accident victims, as well as patients with cancer, sickle cell disease, blood disorders and other illnesses receive lifesaving transfusions every day. There is no substitute for blood and volunteer donors are the only source.

Individuals who are 17 years of age (16 with parental permission in some states), meet weight and height requirements (110 pounds or more, depending on their height) and are in generally good health may be eligible to give blood. Please bring your Red Cross blood donor card or other form of positive ID when you come to donate.

Eligible blood donors are asked to please call 1-800-RED CROSS (1-800-733-2767) or visit redcrossblood.org to find a blood drive and to make an appointment.

I can’t really help with the O negative. Actually, I can’t help at all right now, since I just gave.

But you can. And you should.

And yes, I dig having the moral standing to tell other people that. Giving blood makes you smug, which is enjoyable (for you). It also rectifies the gross humours. All sorts of advantages.

But the big one is that it saves lives.

A bloody triumph at the convention center

Well, once again, I forgot to tell you about a blood drive beforehand so you could participate.

But this time, it didn’t matter. I am happy to report that the American Red Cross’ Famously Hot Blood Drive at the Columbia Metropolitan Convention Center today was hugely successful.

The goal was 100 donors. Red Cross Donor Recruitment Representative Kelly Moore told me late this afternoon that when it was all over, 160 had given.

You’ll note the row of seated Columbians above waiting their turn. There was another full row behind them, and it was like that much of the day.

Of course, I did my bit (come on, you knew that you wouldn’t get all the way through this post without a little self-aggrandizement from your humble correspondent). I gave double-red cells, because I’m just that sort of overachiever. Also, I think it’s cool the way they take the blood out, remove red cells and put it back (quite literally cool, because it’s not as warm as it was when it went out, having been mixed with a bit of saline to replace volume). I was a little worried that I couldn’t. You know how I occasionally fall short on the iron standard. Well, my ruse of buying some iron pills and taking a double-dose last night, and that much again this morning, worked — I scored a 14 on the test. Yes! Aced it, by cramming.

Anyway, I’ll try to remember to tell y’all ahead of time next time. But this time it worked out great anyway. Congratulations, and thanks, to Red Cross Blood Services, to the Columbia Rotary Club (quite a few members showed up), and to all those other folks who showed up to give.

I got stabbed in the back today — literally — so I’m temporarily out of action

I’m sure you can see the problem right away…

It’s OK — I asked them to do it. It was done with a needle.

I had my reasons. It all started about 40 years ago…

Recently, I had this old problem with neck and shoulder pain — and numbness, all down the right arm, which is the most disturbing part — crop back up for the first time in about a decade. It started when I was on the high school wrestling team in my senior year (1970-71). Burl was there (not on the wrestling team, but at the school), but he didn’t really know me yet.

We used to do these drills that would probably get a coach fired today (let’s hope so), designed to “strengthen” our neck muscles, but which caused an injury to mine that caused me to quit the team after my right hand started going numb and I had trouble holding a pen in class. My favorite: We’d pair off and one guy would stand on his head on the mat and the other guy would hold his legs and bounce him repeatedly on the mat — the illegal piledriver, essentially. Oh, but that wasn’t all. We had this other drill — also done in pairs — where one guy would stand with his legs a bit apart, and you would come up behind him, bend double, stick your head between his legs, and pick him up, using your neck to lift his full weight, until you were fully standing with him sitting on your shoulders. (You have to be pretty strong to be a wrestler — and stupid.) Then, finally, we’d get in a bridge — you know what a “bridge” is? Here’s what it looks like (but it’s not a FULL bridge until you roll back so that your weight is on your forehead). And while we were in a bridge, the coach, walking around amongst us, would suddenly and without warning drop down onto our chests with his knees, his full weight from the knees up testing the strength of the bridge — a position in which the main stress is on your unnaturally bent-back neck. Fortunately, he was a little guy, smaller than most of us. Probably didn’t weigh 125 pounds. Which is probably why I can still walk.

The coach’s picture is on this page of the Virtual Yearbook Burl created years ago. I’m not going to point him out, though — although you may be able to pick him out because he looks the part, the little fascist. No, really, he’s all old and decrepit if he’s still alive, and probably sorry for all he’s done, and no point picking on him now. Hey, I’m feeling kind of old and decrepit — thanks to him…

Anyway, I recovered the feeling on my right side and sort of forgot about it mostly until 1993. I was in pretty good shape just before I had emergency major abdominal surgery that year, which kept me from working out for a couple of months. The first day I started back, the very first shoulder press I did made something go crunch, very painfully, amid the cervical vertebra.

I dealt with pain and numbness from that off and on for years until doing something about it about 10 years back. The MRI then showed one vertebra sort of cockeyed and squeezing bundles of nerves both above and below. I went through all kinds of things to try to fix it — home traction, chiropractic, massage, muscle relaxers — but nothing really worked until a specialist sent me to the hospital for cortisone injections next to the spine. That reduced the inflammation around the area for long enough for me to relax (muscle tension always exacerbated the problem) and heal up.

And I did really well for a decade.

The problem came back suddenly on April 13 — no trauma, it just came on gradually over a couple of hours. Next morning, I called my internist to ask for a prescription of Soma — not the Aldous Huxley kind, but carisoprodol, a muscle relaxer. I’ve taken it pretty much every night to enable me to sleep the last couple of months. More than once, I’ve waked up in the middle of the night and taken another, if it’s been long enough. Along with ibuprofen. Lots and lots of ibuprofen. That eliminated most of the pain. But my whole right arm goes numb in certain routine positions that can’t be avoided in the course of a day, and two of my fingers are numb and itchy ALL the time.

So I went back to the same doc, and today I got another shot of steroid next to my spine — between C6 and C7. It’s not bad enough for surgery — in fact, the neurosurgeon was very encouraged that he didn’t see much deterioration from last time. Just the rather disturbing experience of having a long needle inserted next to my spine and stuff injected into there. Feels really weird.

I was ordered to take it easy. So I sit at home, trying to take it easy with the frickin’ telephone ringing every five minutes. Everything from Mike Huckabee auto-calling me to enlist me in the Kulturkampf (something about atheists and the National Day of Prayer) to my auto-insurance calling NOT to check on my tree-falling claim (I’m already set to take it to the body shop on Monday), but to routinely check all the data on all the cars on my account. Took forever, and made my neck more sore.

Tomorrow I can return to normal routine. Driving and everything. And in 3-4 four days, I’ll know whether it helped.

Anyway, the last few days I’ve blogged less than usual on account of trying to get real work, the kind I get paid for, out of the way to take today off. And today, sitting at the laptop is sort of uncomfortable. We’ll see how it feels tomorrow.And once it’s all better, I’m definitely going to start exercising again, which I think might have prevented this onset. Y’all hold me to that.

Poor Mitt Romney, having to flee his strength

How weird has it gotten in the GOP presidential field this year? This weird:

Mitt Romney is making it official. No, not that he’s officially running for the White House. (That will come soon enough.) That he really, really doesn’t like the health care reforms President Obama signed into law last year.

“If I am elected president, I will issue on my first day in office an executive order paving the way for waivers from ObamaCare for all 50 states,” Romney writes in an op-ed in Thursday’s USA Today. “Subsequently, I will call on Congress to fully repeal ObamaCare.”

The former Massachusetts governor will take his show on the road later Thursday, when he lays out his five-part health care alternative in person at an afternoon speech at the University of Michigan’s Cardiovascular Center.

The event is Romney’s most direct attempt yet to address what is widely seen as his biggest political liability: his work as governor to establish universal health-care coverage in Massachusetts…

Poor Romney. His chief virtue is that he tried, way out ahead of most of the country, to address our chief domestic challenge. And he showed that he understood one of the fundamentals of ANY reform with a chance of doing any good, that a mandate would have to be part of it. And now, to remain viable in a party that has charged over a cliff into an irrational vacuum on the issue, he has to run from that achievement.

Pretty sad.

It appears she’s not Mark Sanford after all (at least, not on this). Good for Gov. Haley!

At least, not on this point.

Assuming that Nikki Haley actually does sign the ATV safety bill today, she deserves a huge “Huzzah” from rational South Carolinians everywhere.

His repeated vetoes of this bill stand as the most malicious, harmful instances of his bloodless application of ideological abstractions to governance. His stance shocked the sensibilities of even some libertarians.

It’s ridiculous that something so common-sense as this bill should be “progress” in this state, but it is. And we must celebrate what little we get in that regard, because sometimes we go backwards.

Case in point: Myrtle Beach expects to be flooded with bikers this year because it has rescinded its “controversial” ordinance requiring that helmets be worn.

Where else would such a no-brainer (pun intended) be regarded as “controversial”? OK, maybe some places out West. Or wherever large numbers of bikers gather. But it’s still very us.

March for Babies coming up Saturday

The above video, posted this week by Alan Cooper on his Midlands Biz site, reminds me that the March of Dimes March for Babies is happening at the fairgrounds on Saturday.

I got sort of peripherally involved with this worthwhile endeavor because Geoff Osborne, an attorney at Rogers Townsend & Thomas (the law firm is a client of ADCO) was involved. He has a deep personal commitment to the organization because his twins were born prematurely, making him acutely aware of the importance of the work March of Dimes does, in this community and across the nation.

When Alan showed interest in having someone from the organization on one of his podcasts, I offered to do the interview for him. Alan and I had been talking about my doing that for Midlands Biz at some point — as viewers of “The Brad Show” can attest, I need all the video experience I can get — and this seemed to be a good one to start on. I’ve also done another interview for Alan, which hasn’t aired yet, with Michael Fanning, a comprehensive tax reform advocate. I’ll show you that one when it’s available. (I hope I didn’t do in that one what I did in this one — note that after noting that I was a guest interviewer, I failed to say who I was …)

But all that aside, I wanted to bring the March on Saturday to your attention. You can still register online here, individually or as a team. For that matter, you can just show up by 8 a.m. on Saturday and sign up, according to Jacki Apel, local March of Dimes communications director — although she points out that you might have to wait in line then, so it’s best to sign up now…

Click these links for more information on the March of Dimes, and the March for Babies.

Additionally, here’s a recent report WACH-Fox did publicizing the event:

Is Gov. Haley doing something responsible on health care? (If so, ssshhhh! I don’t want to get her into trouble with her base!)

Down in this story about how Jim DeMint is putting hurting Barack Obama ahead of good health care or saving millions of dollars (and is it supposed to be news that DeMint places ideology over sound policy?), was this bit:

S.C. Gov. Nikki Haley has shared DeMint’s national spotlight in opposing health care reform, challenging President Obama, first, to repeal the legislation and, later, to speed up a judicial review of its constitutionality.

Outside the spotlight, Haley also is using a $1 million federal grant to see how South Carolina might enact the law if it has to.

Wait, run that by me again? She’s doing what?

But even as she pushes against the health care law, Haley has instructed key agency heads to get ready for its implementation.

“We don’t know what the outcome will be, but for the citizens of South Carolina, we have to be prepared for whatever happens,” said Tony Keck, Haley’s new director of the state Department of Health and Human Services.

“Right now, the law of the land is health care reform,” Keck said. “Although we’re fighting it and looking to produce our own alternatives, we also have to prepare to implement it to meet the deadlines. The risk of not preparing for any eventuality is simply too high in the form of penalties from the federal government and interruption to care.”

The state is using a $1 million grant under the law to evaluate whether it will set up and run its own health insurance exchange or turn that function over to Washington, an option under the law.

Keck and new S.C. Insurance Commissioner David Black are heading up a task force, formed by a Haley executive order and to include members chosen by the General Assembly.

With its first meeting scheduled for April 15, the panel will call in experts from states that already have insurance exchanges, among them California, Massachusetts and Utah….

Normally, this would not be news, either. Away from the TV cameras, most elected officials — regardless of the wacky ideological stuff they may crank out publicly — quietly go about their duty, obeying the law and administering the government as responsibly as they are able.

It’s just that with Nikki Haley, she has gone so far out of her way to irresponsible that are NOT consistent with good stewardship — the Darla Moore fiasco comes to mind — that I find this tidbit reassuring. It may not be much, but I take comfort where I can.

Good for you, governor…

Most Wanted “Health Care Fugitives”

Today, Anton Gunn brings to our attention the HHS Most Wanted Health Care Fugitives List, so you don’t have to go to the Post Office any more.

This is for Doug, who loves to talk about fraud and abuse in government health care programs. What I think Doug ignores, of course, is that the reason he hears about such cases is that this is the public sector. Government programs, unlike private ones, are directly accountable to the public, and there is therefore greater transparency. That’s why you have an Office of the Inspector General. (You don’t tend to find, say, an Internal Affairs division in the private sector — that’s very much a gummint thing.) What I suspect he also misses is that these are not cases of the government defrauding private citizens (which might argue against having such programs). They are cases of private citizens, and private companies, trying to defraud the government. At least, the ones I called up were. And in these cases, being detected doing so.

Still, Doug should thank me for giving him this today. In fact if you click on one of the newest cases on the list, you find that this Etienne Allonce is not only the head of a private company that is allegedly defrauding us, but he has been charged with being an illegal alien! A twofer, Doug! Of course, he’s not from Mexico, but you can’t have everything. I mean, whaddya want, eggs in your beer?

But whatever political points y’all derive from this, I thought it was interesting. So thanks, @AntonJGunn!

Breathtaking euphemism: Cutting health care payments in SC

Catching up on my e-mail, I ran across this release from our friend Wesley over with the Senate Republicans:

Senate passes bill giving DHHS budget flexibility

The state Department of Health and Human Services needs to crawl out of a $228 million hole for this fiscal year, alone. Next year, deficit estimates top $500 million. But, it doesn’t have to stay this way. That’s why Senate Republicans led the fight today to pass S. 434 — it removes budgetary constraints on the actions of agency director Tony Keck and gives him and his department more flexibility as it comes to this fiscal crisis.

The legislation, chief sponsored by Senate Majority Leader Harvey Peeler and cosponsored by Senators Kevin Bryant and Lee Bright, requires the ability to purchase generic drugs instead of more expensive name brands. Most importantly, it repeals part of a proviso that stopped any DHHS director from modifying the schedule by which doctors and hospitals were paid through the state’s administration of Medicaid.

“This bill is all about untying Mr. Keck’s hands and allowing him to do his job as effectively as he can,” Peeler said following the vote. “That doesn’t mean he has to cut programs, it means he can cut. With such a huge deficit, we need Keck to be running his own agency, not micromanaged by the legislature.”

The bill’s passage is also seen as a win for Gov. Nikki Haley. It both invests more power to an executive branch agency and hands those reigns over to one of her recent appointments. The budgetary problems within DHHS — and Medicaid in particular — have been high on issues to address for both the governor and the legislature as they entered this session.

Keck has said that he’s looking at making health care providers modify their staffing ratios, increasing patient co-pays and taking a hard line in favor medical tort reform. Senate Republicans are ready to help him in any way possible fix the agency’s financial problems.

“Flexibility.” I like that. It reminds me of when people who want to increase taxes call what they’re doing “revenue enhancements.” When conservatives in SC want to cut spending on life-and-death essentials, they call it “flexibility.” As euphemisms go, it’s sort of breathtaking.

I especially liked this part, so I’ll repeat it:

“This bill is all about untying Mr. Keck’s hands and allowing him to do his job as effectively as he can,” Peeler said following the vote. “That doesn’t mean he has to cut programs, it means he can cut. With such a huge deficit, we need Keck to be running his own agency, not micromanaged by the legislature.”

Translation: We’re going to flat make these cuts, but we are not going to take the responsibility. That’s what the governor hired Mr. Keck to do. Interesting how sometimes, the Senate sees granting power to the executive as a good thing. Take note, boys and girls. Take pictures, and remember so you can tell your own children, because this doesn’t happen often. Normally, as Cindi wrote on Wednesday, or Legislature is “fixated… on micromanaging the most mundane minutiae of state government…”

But flexibility — that’s a good thing, right? Sounds good, anyway.

Here’s the way what the Senate did was described by a neutral party (which is why we have the MSM):

The S.C. Senate gave key approval Thursday to a bill allowing immediate cuts in state payments to doctors and hospitals that treat patients in the state-run health care program for the poor and disabled.

Gov. Nikki Haley and the Department of Health and Human Services have sought to cut those payments in order to make up part of a $225 million deficit at the state’s Medicaid agency. Agency director Tony Keck said the state could save $2.4 million between now and June 30 for every percentage point that it cuts those payments.

The bill also requires HIV, AIDS, cancer and mental-health patients to use generic drugs or get prior approval from the state’s health agency to use more expensive, non-generic drugs.

So you’ve seen it described two ways — by the perpetrators and by the news media. Now, here’s the assessment of someone at the other end of the spectrum. Samuel Tenenbaum, the head of Palmetto Health Foundation, came to my table at breakfast to make sure I knew what was going on from the perspective of health care providers. He said it’s not a fiscal issue, but a moral issue, for this reason: Cut back on payments for care, and “people will die.”

This, of course, will be dismissed by folks at the first end of the spectrum who will describe Samuel as a bleeding-heart liberal Democrat whose ox is being gored. They’ll tell him to get out there and work harder raising money for the hospital, if he’s so concerned. But you know, I don’t distrust the judgments of people who are actually involved in the complex business of paying for health care. I tend to think that they, the involved parties, more than anyone else, may actually understand the situation. Call me crazy.

Later in the day, Samuel sent me this set of more formal talking points, elaborating on his stark assessment at breakfast:

• The Problem
Former Governor Mark Sanford originally requested $659 million to fund the Medicaid program for fiscal year 2011-12. Governor Nikki Haley and her Medicaid director Tony Keck reduced that request by over $200 million. More than half of that reduction would be made up by reducing Medicaid payments to hospitals, physicians and other healthcare
providers.
• South Carolina Hospital Association Proposal
SCHA member hospitals support a temporary increase in the $264 million hospital contribution to the state’s Medicaid fund as opposed to a cut in hospital provider rates.
• Why contribute rather than cut?
• A 10 percent reduction in the rate paid to hospitals will “save” $47 million in state funds but “cost” the state almost $170 million in federal matching funds. As Mr. Beaman has stated, a 10 percent cut for Palmetto Health will result in a $22 million loss to our system.
• Over 2600 South Carolina hospital jobs will be put in jeopardy.

So there you have it, a sort of Three Bears approach — perspectives on the issue from both ends and the middle. See what you think.

Here’s where that path leads, Lindsey

Just to elaborate a bit on that last post, in which I wrote about how once-sensible Republicans are dancing with madness these days…

I’d just like to point out to Sen. Graham where all this “hate Obamacare to the point that we’ll hurt actual South Carolinians by blowing it up” stuff leads.

Continue down that path, and you cease to be that voice of reason you’ve always been in Washington, that Gang of 14 guy, the guy who took a bullet for comprehensive immigration reform, the guy who at least for a time fought for the Energy Party platform at great personal political risk, the guy who could get President Obama to listen to reason on national security. You cease being all that (which is a national tragedy, because the nation NEEDS you to play that role), and you end up being state Sen. Lee Bright. I mean this guy:

Sen. Lee Bright: SC should coin its own money

Continuing a pattern of attempts to assert South Carolina’s independence from the federal government, State Sen. Lee Bright, R-Roebuck, has introduced legislation that backs the creation of a new state currency that could protect the financial stability of the Palmetto State in the event of a breakdown of the Federal Reserve System.

Bright’s joint resolution calls for the creation of an eight-member joint subcommittee to study the proposal and submit a report to the General Assembly by Nov. 1.

The Federal Reserve System has come under ever-increasing strain during the last several years and will be exposed to ever-increasing and predictably debilitating strain in the years to come, according to the legislation.

“If there is an attempt to monetize the Fed we ought to at least have a study on record that could protect South Carolinians,” Bright said in an interview Friday.

“If folks lose faith in the dollar, we need to have some kind of backup.”

The legislation cites the rights reserved to states in the Constitution and Supreme Court rulings in making the case that South Carolina is within its rights to create its own currency…

Thank Bud for bringing that to my attention. I hadn’t seen coverage of it. But the Boston Globe has noted it. And these guys are applauding it. (This really embarrassing stuff tends to come to my attention this way. While SC media is trying to look the other way — or rather spending its time covering legislation that might actually pass, which sounds better — the rest of the country is chortling. When Mike Pitts proposed doing away with the Yankee dollar and replacing it with gold and silver, I first learned about it from Burl Burlingame and The Onion.)

Sen. Bright, by the way, was last seen pushing broader legislation to protect South Carolina’s “rights” (which rights were under siege was unclear, but then it usual is) from encroaching federal power in general. You may or may not recall that I wrote about it in a post headlined “These guys cannot POSSIBLY be serious.” I led with a reference to that scene from “Gettysburg” with the Confederate prisoners speaking nonsensically about fighting for their nonspecific “rats.” You know how I like movie allusions.

Anyway, that’s where you could end up.

You don’t want to go there, do you, Lindsey? I didn’t think so. But that’s where this “seceding from Obamacare” stuff leads…

If SC “opts out” of Obamacare, you will definitely have stepped over the line

I say that because, between the two of them — him and Nikki Haley — I figure he’s the one more likely to listen to reason. At least, I would normally think that, although his recent behavior on this subject injects a large measure of doubt.

Here’s what I’m on about:

U.S. Sen. Lindsey Graham and Gov. Nikki Haley on Monday opened the S.C. front in the Republican Party’s battle to roll back health care legislation signed into law by President Barack Obama last year.

At a State House news conference, Graham and Haley took turns blasting the law as an expensive federal takeover of the nation’s health care system. Graham said the law, which won 60 votes in the 100-member U.S. Senate, was passed through a “sleazy” process that offered no opportunity for GOP input.

Graham also said he has introduced legislation to allow South Carolina and other states to “opt out” of the law, which is being challenged in federal courts.

“I’m confident that, if given the chance, a large number of states would opt out of the provisions regarding the individual mandate, employer mandate and expansion of Medicaid,” Graham said, referring to requirements in the law that individuals buy insurance, companies offer it and Medicaid be expanded to cover those without insurance. “As more states opt out, it will have the effect of repealing and replacing Obamacare.”

Last time, I was sort of seriocomic in warning Sen. Graham that he was goin’ to messin’, with my “Lindsey, fill yer hands; I’m a callin’ you out” post.

It’s not funny any more.

In fact, this is the one thing that leading Republicans (or anyone else who got such a notion) could do that would be totally beyond the pale, truly unforgivable.

Look, I get it: You don’t like Obama. No, scratch that: What I get is that your constituents don’t like Obama (in some cases for reasons that don’t bear a lot of scrutiny), so you’re playing to that. I doubt Nikki has any strong feelings toward the president one way or the other (she never even had occasion to think about him until she decided to become the Tea Party’s Dream Girl last year) and for his part Lindsey is perfectly happy to work with him in a collegial manner. But they’re trying to stay in the game with Jim “Waterloo” DeMint, and this leads to trying to fake the symptoms of Obama Derangement Syndrome.

I fully get the fact that since the defeat of November 2008 (when, it you’ll recall, I endorsed both John McCain and Lindsey Graham), the Republican Party has gone stark, raving mad, having concluded that its problem in ’08 was that it wasn’t extreme enough, not wacky enough, causing it, as it wandered lost in the post-apocalyptic landscape, to embrace the Tea Party in its lonely desperation. I get all that.

But that is a disgusting, absurd, inexcusable, disgustingly irresponsible reason to try to prevent the people of South Carolina — who have perhaps more need for health care reform than people in any other state — from deriving any benefit that might accrue from the federal health care legislation.

No, the thing dubbed “Obamacare” doesn’t accomplish much; it’s a bit of a Frankenstein of a bill. But it actually would do SOME people SOME good. And it at least has the one essential element that one would have to have in any attempt to address the crisis in paying for health care in this country, the national mandate — which, absurdly, is the ONE thing you object to most vehemently. (We’ve discussed in the past how there’s no point in talking about “reform” unless you start with the premise that everybody has to be in the game for it to work, so I won’t go on and on about it now.)

Yep, Obamacare is pretty inadequate. But you have NOTHING to replace it with, nothing in the wings (with any chance of passing, or any chance of doing any good if it DID pass) to do what little good Obamacare will do.

So trying to tear it down is nothing but an act of pure destruction. And the thing you’re destroying is the ONE thing that’s been done lately to address the one greatest domestic need in this country.

I expect this kind of nonsense from Nikki Haley (the Tea Party Nikki Haley that is, not the promising young House member I used to know). But Lindsey Graham is fully smart enough to know better.

Fine, have your little press conferences and make your symbolic gestures. But if you actually start to make this “opt-out” thing a reality, that will be unforgivable.

The irony in the Lexington Medical/Duke deal

Something about this development perplexes me:

Now after a 10-year struggle to receive a certificate of need from the S.C. Department of Health and Environmental Control to provide heart surgeries, Lexington Medical has signed an agreement with Duke Medicine to provide cardiovascular services at the hospital.

Lexington Medical Center will affiliate with Duke’s internationally recognized heart program to begin procedures including open heart surgery and elective angioplasty at Lexington Medical Center in 2011.

Through its affiliation, Lexington Medical will benefit from Duke’s clinical expertise and services to build a comprehensive heart program. Duke University Hospital, recognized as one of the top 10 heart hospitals in the nation by U.S. News and World Report, will help recruit cardiovascular surgeons and cardiac anesthesiologists to work at Lexington Medical Center.

Duke will assist with the recruitment and training of nurses and staff, design of the open heart surgery operating room, implementation of policies and procedures as well as comprehensive oversight of quality and development for all cardiovascular services at Lexington Medical.

Marti Taylor, associate vice president of cardiovascular serviced at Duke University Health System, said Duke had been in discussions with Lexington for about six months. It currently has affiliations with 11 other hospitals from Florida to Virginia.

She said Duke comes into a collaboration with three objectives: to expand its cardiovascular services; expand the Duke brand; and to provide patients access to tertiary services available at university hospitals.

Dr. Peter Smith, professor and chief of cardiothoracic surgery at Duke University, is charged with getting the heart program up and running. He has been involved with opening six other heart surgery programs, he said…

That sounds great and all, and I wish everyone concerned the best, but I can’t help remembering… all those years that LexMed was arguing, fussing and fighting with Providence, Palmetto Health, DHEC and the editorial board of The State over whether it would be allowed to do open-heart, there was a consistent refrain we heard from folks in Lexington County, which went something like this:

Lexington Medical is a great hospital. We have the expertise to do open-heart. We’re ready to do open-heart. You people on the other side of the river are acting like we in Lexington County aren’t good enough, or smart enough, to run a heart hospital. You’re dissing us, and we’ve had enough of it.

This sentiment, oft expressed, packed the full weight of the painful identity divide that runs down the middle of our community.

Of course, we were doing nothing of the kind. We (at the newspaper, anyway, and I had no indications anyone else thought anything different) that LexMed was indeed a wonderful hospital. It wasn’t about good enough or smart enough or being ready. It was about the fact that with such procedures, a team needs to be able to do a certain number of them to be and stay proficient, and if open-heart got spread and scattered across THREE local hospitals (when it really shouldn’t even have been spread across two), NONE of those facilities are likely to be doing enough procedures to be as good as they should be.

So now that Providence quit fighting this, now that LexMed is poised to move forward… it has to call in the Pros from Dover to take the next steps?

Very ironic, it seems to me.

Lindsey, fill yer hands; I’m a-callin’ you out

Did you get the “True Grit” reference? I do try to be topical (although I have no idea whether that line is in the remake)…

Back on this post, Doug Ross said, “So will Brad call out Lindsey for wasting resources?”

That kind of stuff makes me tired. You know why bloggers and sure-enough journalists avoid ever saying anything nice about anybody in public life? Because they never hear the end of it. They’re constantly getting this Well I hope now you see what a jerk your buddy is, and see the error of your ways stuff.

Let’s be clear. There is no one I respect in the U.S. Senate more than Lindsey Graham, so stuff that in your pipe and smoke it, you cynics. There are good men in public life, and Graham is highly intelligent, principled and hard-working. He has proved this time and time again. He is good for South Carolina, and good for the country. I am proud that he is our senior senator. Now that John Spratt is gone, I think Lindsey is clearly the best member of the SC congressional delegation.

But you know what? Sometimes, even on an important issue, he’s dead wrong. That happens. It happens with the best of men. (Women, too, probably, but far be it from me as a gentleman to reflect negatively upon the ladies.) And there’s one that he and two of my other favorites in the Senate, John McCain and Joe Lieberman, and that’s the one Doug and I were talking about — national health care policy.

He’s really, really wrong on it. I mean, Jim DeMint just wants it to be Obama’s Waterloo, but I get the feeling that Lindsey Graham really means it. He really wants to gut Obamacare. And he doesn’t just want to vote on a purely symbolic “repeal;” he want to hang it, draw it and quarter it, slice and dice it, by passing legislation that deprives it of its central elements, the only things that give it any chance of having a good effect on the health care crisis in this country.

Here’s the release he put out today:

Barrasso, Graham Introduce Legislation Allowing States to ‘Opt-Out’ of Obamacare

WASHINGTON – U.S. Senators Lindsey Graham (R-South Carolina) and John Barrasso (R-Wyoming) today introduced S.244, The State Health Care Choice Act, to repeal and replace Obamacare by allowing states to ‘Opt-Out’ of its major provisions.  Under the legislation, states could choose to ‘Opt-Out’ of:

  • Individual mandate – the requirement to buy government-approved health insurance coupled with a financial penalty for not doing so.
  • Employer mandate – the requirement for businesses to provide government-approved health insurance coupled with financial penalties for not doing so.
  • Medicaid mandate – the forced expansion of state Medicaid programs.
  • Benefit mandates – defines what qualifies as a health plan as well as new federal requirements for regulating health insurance.

“As a doctor in Wyoming, I witnessed regularly how Washington simply didn’t understand the needs of the people of our state,” said Barrasso.  “After Obamacare, Washington is more out of touch than ever.  Instead of requiring states to follow Obamacare’s one-size-fits-all health care policy, our bill lets states decide what works best for them.  We will fight to repeal the President’s bad health spending law and provide states with flexibility, freedom and choice.”
“Our legislation opens up a third front in the fight against Obama health care,” said Graham, noting the other ‘fronts’ include legal challenges moving through the courts and the House-passed repeal.  “Our bill takes the fight out of Washington and puts it back in the states.  I would hope every Senator, regardless of party, would give the people of their home state a chance to be heard.  I’m confident that if given the chance, a large number of states would opt-out of the provisions regarding the individual mandate, employer mandate, and expansion of Medicaid.  As more states opt-out, it will have the effect of repealing and replacing Obamacare.”

“Medicaid expansion under Obama health care will be devastating to many states, including South Carolina,” continued Graham.  “We are already facing a severe budget shortfall this year.  The future expansion of Medicaid – which adds an additional one billion dollars of state matching funding requirements and will result in nearly 30 percent of South Carolinians being eligible for Medicaid – only adds to our budget problems.  This combination of Medicaid expansion and increased state funding makes it virtually impossible for South Carolina to pull out of her economic woes.”

The Senators noted the Obama Administration has already issued 733 waivers to businesses allowing them to continue offering insurance to their employees and questioned why states should not have the same ability to obtain relief.

#####

To read the text of the bill, click here.

Note that this masquerades as a substitute for Obama care — not mere repeal, but replacement. What a mockery. It is most certainly nothing of the kind.

The absolute worst thing you could do to last year’s health-care bill — which is deeply flawed, but would at least take a step or two in the direction of real reform — would be to let anyone opt out of it, much less entire states.

Either we’re all in it, or it will not work. It may not work anyway. I still firmly believe that simple, straightforward single-payer is the way to go. But hey, critics of Obamacare say it’s a back-door way to get us there, and maybe they’re right. One thing I know for sure is that there isn’t a plan in the wings to replace it. I mean, if this is the best that a smart guy like Lindsey Graham can come up with, we’d better cling to Obamacare as though it were our last chance to avoid drowning.

And this fantasy that states can in any way affect this mega-economic hole that we are in — or that they would (especially if they are South Carolina). Again, either we come up with a national solution and we’re all in it — a risk pool of 300-plus million people — or there’s not much use talking, because you really don’t get the problem. Sen. Barrasso says Washington doesn’t get it. He may be right; I can certainly point to one guy in Washington who doesn’t get it. No, make that two. (And for that matter, the Dems don’t either, or they’d have gone for single-payer. So I guess he’s right; it’s a majority.)

This is just sad. So sad, that I marvel at it.

I’m going to issue another invitation to Sen. Graham to join me on “The Brad Show” and explain this. He always has good explanations for what he does, and I’d love to hear this one.

In the meantime, satisfy yourselves with this video of him and Barrasso talking about this abomination…

Getting the glory that is my due (or so I’m told)

Walking into Seawell’s yesterday for Rotary, I ran into Hal Stevenson, who was complimenting me on my newfound marketing savvy as I have transitioned into a new career, and I was modestly brushing the praise aside, saying “Tut-tut,” or “My dear fellow, how you do go on…” or some such (between my recent trip to England, too much BBC-America, episodes of “Inspector Lewis” on Netflix and the fact that I’m reading Three Men in a Boat, a copy of which I bought at Blackwell’s, my diction has been somewhat altered lately).

At that moment, we stepped up to the sign-in table, and there was a hard copy of this picture from my blog, blown up, mounted, and standing in front of a display urging Rotarians to sign up for the upcoming Red Cross blood drive. This, of course, only impressed Hal the more. I shrugged — whaddyagonnado?

So we went in, and the meeting began, and then Lanier Jones (president of ADCO, former president of Rotary) got up to urge folks to give in the upcoming Columbia Lifesavers Blood Drive.

And then he called on me to come up to be recognized as the club’s ideal, the very model of the heroic donor, the Single Combat Warrior whom all should emulate, the guy who willingly laid down his life’s blood (some of it, anyway) even before the actual drive — sort of like those heroic aviators who went to Canada to join the RAF before Pearl Harbor. OK, so some of those analogies are mine, but Lanier was pretty laudatory. He even, at Kathryn Fenner’s urging (in preparing these “effects,” I carefully place allies in key positions — Kathryn was at the head table because she had given the invocation, and a fine blessing it was, and didn’t cool the food off none the way I seen some of them interruptions do), mentioned the blog: “that’s bradwarthen.com…”

And then the lovely Kelly Moore from Red Cross came up and gave me a T-shirt — not one of those cheap white ones, either, but a nice deep blue with “LIFESAVER” on it in big letters, a play on the shirt being designed like a lifeguard’s, and Kelly told me that’s what I was, a real lifesaver, and I grinned maniacally, and Bob Ford took our picture.

Just tons of glory.

Now, I’m not saying that all this will happen to YOU if you give, but you never know. And here’s one chance to be a hero like Brad. See the details below, or at this link. Of course, you can make an appointment at the Red Cross ANY time.

So much energy devoted to tearing down, to no good end

Speaking of stuff I’m seeing on Twitter today, this just came in from Jim DeMint:

Jim DeMint

@JimDeMintJim DeMint

All Republican Senators have now joined to cosponsor the bill to repeal ObamaCare, S.192

And this reminds me…

Today at the Columbia Rotary Club, our speaker was George Zara from Providence Hospital. He started off by asking the 300 or so Rotarians whether they thought Obamacare was going to be repealed.

Let’s just say that there wasn’t exactly a sea of eager hands reaching for the Seawell’s ceiling. I saw a few, very hesitant, hands half-raised — as in, not above shoulder height. Most people knew better.

I wonder why Jim DeMint et al. don’t.

What a lot of energy spent just to make a make a point. What destructive energy. Personally, I don’ t have great hopes for Obamacare solving our problems, but I know that the solution’s not coming from people who don’t WANT a solution.

And it really ticks me off that they are trying to do everything they can to tear this effort down before it even takes effect. What else would be the point of making such a huge political gesture, when you KNOW you’re not actually going to repeal it?

Couldn’t they spend some of this energy trying to accomplish something, rather than trying to make sure no one else accomplishes anything?

I hope the Tea Party, for whom this is being done, appreciates this. Because I don’t.

Iron Man 3, that’s me: At the Red Cross, giving blood

Here I am trying to look casual while I do something that used to terrify me. See the snacks on the table in the background? They're free, to donors.

There’s always a bit of suspense for me when I go to give blood. My otherwise stunningly magnificent body has a problem storing iron, and you have to have a certain iron level to give double red cells (higher than the requirement for whole blood), and once or twice my levels haven’t been up to snuff. So I toss back iron pills daily, especially when I’ve got a date to donate coming up.

But today, I blew the socks off that iron-measuring device. Or would have, had it been wearing socks. I had to have a score of 13.3, and my blood hit 15.5. Yeah, baby! That’s what I’m talking ’bout! Just call me Iron Man 3. Somebody call Jon Favreau; I’m ready for my close-up.

As always, this experience fills me with cocky self-righteousness, seeing as how I used to be so terrified to give (I once described it as my “Room 101” in a column). So I tend to show off. Just before this picture was taken, I Tweeted this with my left hand:

I’m @ Red Cross, typing w/ left hand while I give blood. Double red cells. Feeling self-righteous: You should be here, too, you know. #adco

Then, I asked the tech to take my picture. I’m just insufferable when filled with the idea that I’m bravely doing the right thing.

More people should feel this way. Especially in the Midlands, where we have a constant challenge meeting the demand for blood, and have to import it.

You, too, can be an insufferably smug, self-promoting prig. Give blood.

Another funny from Robert

It’s been awhile since I’ve shared one of Robert Ariail’s cartoons with you (I’m mindful that you are free to check them out on robertariail.com, and I hate to be repetitive). But this one cracked me up, so here you go.

And as is often the case, I may disagree with Robert’s dismissal of the importance of the health care issue, but I don’t judge a cartoon by whether I agree with it. It’s just a good cartoon.

And I can laugh even though, as you know, Robert and I know all about needing a job. You have to be able to laugh. I’ve used unemployment for comic effect myself.

A few thoughts on the State of the State

Watch the full episode. See more SCETV Specials.

EDITOR’S NOTE: THERE IS A SERIOUS ERROR BELOW, WHICH I HAVE NOW CORRECTED. PLEASE SEE THE CORRECTION POST.

Been trying all day to get to Nikki Haley’s speech last night. Here are a few quick observations:

  • First, the style: Nikki is a WAY better speaker than Mark Sanford. She, at least, can read a speech that’s right in front of her (and do it in a fairly engaging way). Her predecessor could not, or would not. Every year, I’d get my copy of the speech over lunch on the day of. I’d read it, mark it up, and ask questions about it. I would have completely digested it by the time of the speech itself. Then came speech time, which I generally watched from the comfort of my office on the tube. And then I had to suffer through his hems and haws, and “I would says” and “at the end of the days,” and flat-out off-script digressions, all of them awkward, pausing to search for words, ignoring the speech in front of him. Nikki, with her teleprompter, was MUCH better. But I expected no less.
  • This is not to say that her style is without its irritating characteristics. There’s her prim, smug, I’m-the-girl-with-the-most-gold-stars-in-the-class tone that she too often affects. Watch, for instance, when she extols the blessings of having “a chief executive willing to lead the charge and make the tough decisions” — speaking, of course, of herself. I guess someone who came from the back bench to governor in a year is bound to be a bit self-congratulatory. Human nature. But she could tone it down a bit. And often, she does.
  • Do you know why she can only suggest $120 million worth of cuts toward the $719 million shortfall? Because she hasn’t suggested anything that her political base might object to. And it’s hard to come up with cuts that deep and still do that. She hit programs for those worthless, lazy poor people, of course. And when she got to the middle class, she only went after the stuff that those wicked, decadent liberals like — such as ETV. But the truth is, everybody will have reason to gripe when all the cuts are in. Because believe me, this state’s leaders will never pull an Illinois. Not that they should; I’m just assuring you that they won’t. It’s going to be cuts all the way. And that has nothing to do with Nikki Haley; that’s just the way our State House does things.
  • The ETV thing, of course, is nothing new. Back during the GOP runoff last year, I went over to tape an interview at ETV. They had already talked with Gresham Barrett for the same show. But Nikki wasn’t even calling them back. Scuttlebutt in the ETV corridors was that she didn’t want to talk to them because she was going to back Mark Sanford’s veto of their entire budget. Don’t know whether they were right, but I could see how they’d get that impression.
  • Don’t you love the way she blithely suggests that if you kill ETV (excuse me, “When you release government from the things it should not be responsible for…”), it has this miraculous effect: “you allow the private sector to be more creative and cost efficient.” Remarkable, the things these ideologues will say as though they believed them. Love or hate ETV — and I see it as what it is, one of those few things that South Carolina can point to as something it has done as well as, or better than, other parts of the country (at least in past years) — the notion that the private sector will fill the gap is laughable. You know, this private sector… (Remember when Bravo was known for high-quality arts programming. Not anymore, baby.)
  • I’m definitely with her on asking for quick confirmation of her appointees. She’s made some good picks, and they deserve the opportunity to get to work. Advise, consent, but let’s do it quickly.
  • That little nonsensical (to all but Tea Party ideologues) lecture about how federal funding is inherently a BAD thing was painful to listen to. See, the trouble with the feds sending us money to fund services is that “federal money comes strings, and with those strings come limitations.” The alternative, of course, in South Carolina is that those needs don’t get funded at all. But they’re not really needs, are they? Say that often enough, and you start to believe it. Apparently. In my book, it’s offensive nonsense to say “my cabinet will stop the practice of working the system to get increases in federal funding simply for the sake of expanding our budgets” — as if agencies have sought such funding for any other reason that to fund important services — services they are charged with providing — that the state won’t fund. But yeah, I get it: Her base believes government shouldn’t do such things anyway.
  • I love, love, love that she’s starting out asking for ending the separate election of constitutional officers. Of course, I’m disappointed that she’s only pushing to do two of them — Gov Lite and superintendent of education. But it’s a start, and maybe that’s the smart way: Isolate a couple, so lawmakers can’t hide their votes to kill them. Then do the others later. Remember what they did last time there were votes on the whole shebang? The senators swapped votes, with just enough voting against putting each constitutional change on the ballot to kill it, but each senator being able to say he voted for some (or most) of them. So in this case, maybe piecemeal is smart. And, we hope, a substantive move toward the greater accountability Nikki says she wants to foster.
  • NOTE: THIS BULLET POINT IS COMPLETELY WRONG. I MISREAD WHAT THE GOVERNOR SAID. IN FACT, I THINK WHAT SHE SAID WAS PRAISEWORTHY. I’VE WRITTEN A SEPARATE POST TO SAY SO, IN NO UNCERTAIN TERMS. How’d you like this part? “The state of South Carolina pays more than $16,000 annually to incarcerate a single prisoner. We spend more each year on a prisoner than we do on a student. Think of the savings we’ll realize if we aren’t constantly welcoming back behind bars those prisoners who finish out their initial terms.” Usually, when a politician says that, he or she is suggesting that we need to do more to make sure kids get a good education so they don’t end up in prison, which IS more expensive. Nikki says it to justify spending less than our current lowest-in-the-nation amount per prisoner. One way she’d do this? Well, we’re already spending rock-bottom per meal, so we’ll just serve fewer meals. If you think this is a great idea, there’s nothing I can say to you. Except that there is a danger to all of us in running undermanned, underguarded prisons full of starved prisoners. But let’s move on.
  • I very much like that she’s started off her tenure on the Budget and Control Board by helping it work well together. She’s right to be smug about that. I like even better that she sound MORE determined last night than she has to insisting that the board be replaced with something more answerable to the governor. For years, lawmakers were able to shrug off this reform (and cling illegitimately to executive power) by saying you just couldn’t work with that Mark Sanford (which was true, but it was still just an excuse). Now, with the cooperative tone she’s set, they can’t say that. Let’s see some action. Stay on them on this, and keep pouring on the honey — since vinegar didn’t work.
  • This morning, I saw tweets from SCRG touting her speech. But there was no getting around the fact that she did not mention their signature issue — diverting funding from public education to private schools. Good for her. That was a welcome relief from the distracting nonsense of recent years.

Finally, a bit of a digression of my own: On the day that the U.S. House engaged in one of the most offensive partisan gestures I’ve seen in many a year — their farcical “repeal” of health care reform, demonstrating yet again that these yahoos who have taken over the GOP don’t give a damn about health care in America, they just want to cock a snook at Barack Obama at every opportunity — it was just as offensive to see the governor of our state take ANY time in a 34-minute speech to say that HER Cabinet will do all it can to opt out of that same reform. Because, you know, we don’t want South Carolina reaping any benefits that might accrue. If she hadn’t done that, I might have been able to take the fact that she wants to make the lion’s share of her cuts to Medicaid. But paired with that ideological statement, there was no way to put a positive spin on the cuts to care for the poor. Together, those gestures said, “We’re not going to help these people get health care, and we won’t let anyone else do it, either.”

There was good and bad in this brief, brisk, well-delivered speech. But that one thing kind of cast a pall over it all for me. Maybe it wouldn’t have bothered me so much if not for what the House had done that day. After all, while she couched it in ideological language (which is the only way to say the things she was saying, since pragmatism doesn’t enter into such an equation), and while her 1860-flavored digression about the rights of states to resist federal initiatives was kinda creepy amid the celebrations (as opposed to mere observances) we’re seeing related to that period, was downright creepy… still, I was pleased with the respectful, nonpartisan way she described her interaction with the president. But in the end creepy is creepy. And playing ideological games with the lives of sick people is inexcusable. No, we can’t pay for everything we’d like. And no, that federal legislation is far, FAR from perfect. But it’s the only live preserver that’s been thrown, and our governor has no business trying to yank it away.

It just seems to me that we have enough challenges here in South Carolina, more than enough for the governor to say grace over. I can see NO good reason to use any of our limited time, energy or resources mixing into these national partisan fights — especially if we don’t have a better plan for accomplishing what the feds are trying to accomplish.

Lie of the year: “Gummint takeover of health care”

A Tweet from the WashPost brings to my attention this item:

PolitiFact’s Lie of the Year: ‘A government takeover of health care’

By Bill AdairAngie Drobnic Holan
Published on Thursday, December 16th, 2010 at 11:30 p.m.

In the spring of 2009, a Republican strategist settled on a brilliant and powerful attack line for President Barack Obama’s ambitious plan to overhaul America’s health insurance system. Frank Luntz, a consultant famous for his phraseology, urged GOP leaders to call it a “government takeover.”

“Takeovers are like coups,” Luntz wrote in a 28-page memo. “They both lead to dictators and a loss of freedom.”

The line stuck. By the time the health care bill was headed toward passage in early 2010, Obama and congressional Democrats had sanded down their program, dropping the “public option” concept that was derided as too much government intrusion. The law passed in March, with new regulations, but no government-run plan.

But as Republicans smelled serious opportunity in the midterm elections, they didn’t let facts get in the way of a great punchline. And few in the press challenged their frequent assertion that under Obama, the government was going to take over the health care industry.

PolitiFact editors and reporters have chosen “government takeover of health care” as the 2010 Lie of the Year. Uttered by dozens of politicians and pundits, it played an important role in shaping public opinion about the health care plan and was a significant factor in the Democrats’ shellacking in the November elections….

And indeed, it’s tough to think of a bigger lie recently propagated than the idea of the lame, tepid, timid health care bill that Dems crammed through over Repubs’ kicking and screaming was anything in the same universe as a government takeover of anything.

If only it were. That is, if only it were a takeover, not of “health care,” but of the mechanism for paying for it. A few minutes ago on the radio, I heard ol’ Henry McMaster rumbling in that distinctive old-Columbia drawl of his about that mean awful nasty mandate, and again found myself wondering how he or anyone can even begin to imagine that we could address health care expense in any meaningful way without a mandate of some kind. Not THIS mandate, but a real one — a mandate for all of us to be in the same system, the same risk pool. Nothing else would really work.

I experienced actual gummint-run health care when I was a kid, because my Dad was in the Navy. Navy doctors, Navy hospitals. And let me tell you something: It was great. My Dad devoted his career to his country, frequently (at sea, and in the Rung Sat Special Zone of Vietnam with the river patrol boats) putting his life on the line. And in return, my family’s health care was taken care of. Made all the sense in the world to me. Way I see it, we should all pay into the system one way or another — for most of us, through taxes or premiums or whatever you choose to call them — and then everybody’s in the pool and we achieve maximum economies of scale.

But essentially, even that wouldn’t be a gummint-run health-care system, but a government-run (actually, I don’t care who runs it, as long as we’re all in it and nobody’s adding cost by building profit into the transaction, and the way you usually accomplish that is with a public approach) medical insurance program.

But we never even considered THAT. No one dared, from the beginning of the debate, breathe the two words that should have been nonnegotiable — “single payer.” Which is idiotic. No, we started with a premise far short of that, and negotiated farther and farther away from it until we ended up with something that bore no resemblance to anything even within that universe.

And still, people like Joe Wilson went around saying “government takeover of health care” as if the words coming out of their mouths bore some relationship to reality.

Talk about a big lie. Yeah, you lie, Joe. Whether you understand that you’re doing that or not. Even if you believe it, which you most likely do.

But I find myself wondering — when he said it, did anyone actually believe it? I mean, besides Joe? I find that hard to fathom, if anyone did…