bmagnus

Why Your Medical Bills Go Up Next Year

And, Why Your Doctor Won’t Get a Penny of That Money

Maybe some of you recall my posting a picture taken from the 3rd floor of the Clark County Courthouse. Perhaps you wondered why I was there. I had been called to jury duty. Now that the trial that I was in the jury pool for is over — except for appeals, of course — I think I can safely comment on the case.

There were 150 of us asked to fill out a 30+ page juror questionnaire, and when I saw it I immediately thought “Oh no, they do not want me on that jury!” When I got out and called my partner to let him know I was on the way home, he asked me about what had happened. I said “I can’t comment on the case, but I think I can safely say there’s a doctor who’s a witness, it involves propofol, and it doesn’t involve Michael Jackson.” He replied “Oh no, they do not want you on that jury!”

Sure enough I was called by the court and asked not to return.

Here are the facts of the story. Dipak Desai was a doctor who came to Vegas and built an “empire” on quickie colonoscopies. It all came tumbling down a couple of years ago when a cluster of Hepatitis cases was traced to his clinic. While hepatitis is a known possible complication of colonoscopy, this was an unusual number of cases. Six cases rapidly expanded to 114 cases (and counting), with tens of thousands of people needlessly exposed to disease while getting a screening exam in the name of staying healthy. Desai himself eventually declared bankruptcy, but not before a stroke, trying to flee the country (thwarted by the local Mercedes dealership!), and much handwringing over Nevada’s malpractice insurance “reform” and the fact that he only carried the $1,000,000 per incident and $3,000,000 per year coverage required by law. A small number of cases have been settled, but there are many more cases and not enough money to go around.

Now make no mistake: there are a lot of people who are very sick because of the actions of Dr. Desai, his colleagues, and his staff. But sometimes it is just not possible to make things right. So since you can’t get blood form a turnip, some very sick people and their lawyers started looking for the deepest available pockets.

The media has made much of the fact that the clinics used “single use vials” of medication more than once and may have re-used some syringes. If that’s how the Hepatitis was transmitted, then USA Today and the CDC are right that it’s the tip of the iceberg. Except that’s not how it happened; if it were, there would be clusters of blood-borne disease around every surgical center, vaccine clinic, and med-spa in the nation.

Enter the sad but true case of Henry Chanin, who at the time he was infected worked for the Mayor’s wife at the posh Meadows School. It’s the kind of place with multi-million dollar facilities, a waiting list as long as your arm, and a near 100% college admissions rate. His lawyers alleged that it was the fault of the drug companies that made the medication in the single use vials that was to blame for his hepatitis. And, since the drug companies were specifically not allowed to blame the doctors for “misusing” the product, the jury I narrowly missed being on found in Mr. Chanin’s favor and awarded him and his wife over $5,000,000.

Here’s the problem; it wasn’t the meds. My partner put it very well back in 2008 when this was a new story:

Consider that if a clinic’s management is so cheap and careless as to cut corners over a $.05 syringe which is essentially the accusation leveled at this clinic, how much risk are they willing to put patients at? Endoscopes require cleaning and disinfection. That takes time. In a busy center, there have to be enough scopes to do the procedures and still have the downtime for the devices to allow them to be properly cleaned and disinfected.

The scopes cost thousands of dollars which is a very likely place to cut corners if it’s all about the bottom line and patient care never really enters the equation. Couple that with a high volume clinic and violations of the cleaning guidelines for the endoscopes are certain to happen.

It was very likely the endoscope, not contaminated propofol.

Using “single use vials” multiple times is almost standard for many medications, and research has been done to clear a number of drugs for use in this manner. You could clog journals with thousands of studies like this and that. Re-using the syringe is not a good idea, but the drug companies didn’t tell clinic staff to do that. I think the one biggest thing in my questionnaire that got me off that jury was the fact that Allergan send representatives to my office to teach me how to sell Botox from vials that should theoretically have been single use. Well guess what, for what those vials cost, nobody is only using them only once. And strangely enough, not a single case of hepatitis or AIDS has ever been traced to a Botox party. Disclaimer: my partner used to work for the guy who filed this suit, who also happens to be quoted extensively in the link on Dipak Desai above. Yeah, sometimes it feels like the medical community in Vegas traces back to a very small number of people who all know each other.

While nobody can give Mr. Chanin his health back, blaming a drug company for a clinic that didn’t follow the instructions and according to many sources didn’t even properly clean the apparatus they put up people’s butts will only drive up everybody’s costs: drugmaker’s costs, malpractice insurance costs, liability insurance costs, doctor’s costs for drugs and insurance both. Your insurance company? They will raise your premiums. And your doctor? His costs will go up but he won’t make an extra dime.

In Closing: Natazia?; the tax revenue case for marijuana legalization; no more French Foreign Legion for American Boys if Senator LIEberman gets his blatantly unconstitutional citizenship forfeiture bill passed but you’re still clear to join Israel’s army; corporate America passing the expensive part of health insurance reform on to you (and I said something similar when??); educators can’t count; letting states protect citizens from banks must be part of financial reform along with “too big to fail = too big to exist“; on Social Security; deregulation disaster; all just a little bit of history repeating; 30 photos that that changed the world; employment is increasing, just not nearly enough; on terrorist attacks; Yoko Ono; and Happy I Suck Less Than Yesterday Day.

Happy Greenery Day!

Today is Midori No Hi, or Greenery Day. Originally celebrated in late April as the [previous] Emperor’s Birthday, Hirohito-sama’s love of nature prompted the current Emperor Akihito-sama to make it a permanent holiday celebrating the great outdoors. It is part of a “Golden Week” of holidays, so don’t plan on getting anything done with business associates in Japan this week.

Picture taken by the ShortWoman in April of 2007. It’s an Asian pear tree in blossom.

In Closing: Stuff you thought you would never hear the President say; the economy is a very different place depending on whether you are an American family or an American auto manufacturer; Tony Horton is the man (except when Henry Rollins is); the hole this school district is in keeps getting deeper; Would Jesus Be Accepted by the Conservatives?; Airline fees are out of hand; Just a few choice words about BP and the oil disaster in the Gulf; Porn Star saves man from prison; unHappy Mothers Day; look, it’s called the 5th Amendment and it applies to all Americans; Baseball players against racial profiling; Audit the Fed!; and two amusing items, I Shot the Serif and Nunderwear.

Oklahoma Shitbowl

I do try to avoid unnecessary profanity, but what Oklahoma is doing is profane.

Maybe by now you have heard that any woman unfortunate enough to be pregnant in Oklahoma will find great obstacles to her care. For one thing, her doctor is allowed to lie to her about whether he has reason to believe there are fetal anomalies that will become birth defects. After all, she may decide that carrying a baby who will die soon after birth or require expensive, time monopolizing care is not something she wants to do. To some people, that makes her a “selfish slut,” but to most people that makes her “normal.”

Moreover, any woman seeking an abortion in Oklahoma will have to get an ultrasound, look at the pictures, and listen to a description of the embryo or fetus. And fill out a privacy-invading questionnaire. No exceptions for victims of rape, incest, or women who already know there is something seriously wrong with the embryo/fetus.

The ever brilliant (and very sarcastic) Digby points out how this bill will fail:

Sure the dumb bitches can’t be allowed to make their own decisions about taking on a lifetime of care or consider implications for their own health and well being. What the silly little twits don’t know won’t hurt them, right? But you’d think that the important members of society like insurance companies and employers would have a stake in something like this.

Here’s the thing. Failing to note fetal abnormalities on the ultrasound and still billing the insurance company is called fraud. Fraud, unlike medical malpractice, is a criminal offense. Do that to a patient whose care is paid for under a Federal program and it’s a federal crime with federal time. Fine, Doc can’t be sued for malpractice; he can go to prison instead.

Doc is also subject to ethics rules, and those would include telling patients the truth. Doc can lose his license if someone makes an ethics complaint with the state board of medical examiners.

If enough big employers lose enough Edna Employees to the care of severely disabled babies, they will find a way to sue doctors who hid those conditions. After all, big employers often have an entire legal department. And that would fall under general liability rather than med-mal.

So believe it or not, I think the insurance companies will provide the work-around for this. Remember that under the health insurance reform that was just passed, they can’t exclude children with pre-existing conditions. They have a vested interest in preventing severely disabled babies from being in their pool of insureds. What they will do is insist that ultrasounds be done in an independent imaging facility — not the doctor’s office or an affiliated facility — and insist that a full copy of the report be provided both to them and the mother-to-be. This will outrage obstetricians because they make good money on ultrasounds and the equipment is not cheap.

Oh well, maybe they should have objected to this bill before it became law.

In Closing Arizona Update: the smartest thing you are likely to read about illegal immigration this week; let the lawsuits begin; polls, demographics, and the future; boycotts are already underway; even some prominent Republicans think Arizona has gone too far; gee, who could have seen harassment of day laborers coming??; Hispanics vow to fight this law.

In Closing For Real This Time: Tell us what you really think about Goldman Sachs, Barry! (And why doesn’t your blog read like this? Maybe you should dictate your posts); high school graduates going to college rather than competing in the dismal job market, but does anybody really believe that 70% of the jobs that will be available in 4 years needs a college degree?; a security expert from one of the most secure airports in the world calls full-body scanners a waste of money; The Vaccine War; America doesn’t rule the world and shouldn’t be allowed to say what other nation’s product labels can include; reduce the deficit by expanding Medicare; get rid of “too big to fail”; and finally, if you are in a position to do something nice for J.P., please do.

Arizona Follies

I hate to put up a “me too” post of “Arizona’s Papers Pleez Law is Bad mmkay,” so I prefer to consider this a roundup post of things others have said. I’ll start by reminding you that just last week I said “By the way, ‘reasonable suspicion’ means the cop doesn’t like you and/or you’re brown. I don’t think most people appreciate that most people don’t carry proof of citizenship in their pockets….”

So I can’t express any real shock that before the Arizona bill even hit the Governor’s desk, an Arizona trucker was asked to present proof of citizenship at a routine weight stop. Hell, I predicted such things would happen, I just didn’t think it would be a matter of days.

So frankly, it seems obvious for conventions to want to meet someplace other than Arizona, particularly if they have a lot of “brown” people who are planning to attend. After all, the last thing you want is for your attendees or speakers to be detained and possibly deported to unknown places for the “crime” of not slipping a birth certificate in their luggage! Boycotts are already underway, and an interesting array of figures have come out against the bill. Even Mexico is warning its citizens against travel to Arizona, despite the fact that surely Mexican tourists would come armed with legitimate passports.

Arizona authorities even have the unmitigated audacity to ask Federal officials for help training cops to harass Americans suspected of being non-Americans. But then again, this is the land of Bully-in-Chief and perennial civil rights defendant Sheriff Arpaio.

Just the same, it shouldn’t come as any surprise that this whole exercise boils down to race. Specifically, they want to discourage “brown” people from showing up to vote in November. Notice that all this came down right after those Census forms went back? Arizona cronies want the Congressional seats and other goodies that come from having all those Hispanic votes with no risk that those Hispanics will show up and vote… Democratic.

In closing: I am embarrassed for my local paper that they printed this “proof” that women prefer Democrats not because of say, policies that support women’s rights and needs but rather because they are “fickle“; speaking of local issues with national implications, don’t lose track of this lawsuit!; more local-is-national news, Harry Reid gets real; Japanfilter comes to you from the continuing controversy of American troops at Okinawa; loopholes in the health insurance reform bill; Haven’t I been telling you for 7 years that we never really had a recovery from the 2001 recession?; after all these years, rubella is a serious but preventable disease; stricter financial reform now; don’t let political adversaries define the problem you are trying to solve!; 30 years of sticky-notes; PowerPoint has its place, just not on the battlefield; I’m not sure I agree with the idea of a top tax bracket at 90% (which it was pre-Reagan), but it’s an interesting argument; and 6 important things humanity forgot.

Knitting Things

There was a witch who knitted things:
Elephants and playground swings.
She knitted rain,
She knitted night,
But nothing really came out right.
The elephants had just one tusk
And night looked more
Like dawn or dusk.

–Karla Kuskin

So much stupid has been committed by various Republicans in the last day that I thought about adding to yesterday’s post. But then I realized that things had merely come full circle.

Oh sure, it’s easy and fun to figure out how many chickens you should take with you to the doctor’s office for various services! Just punch it into the Lowden Plan Chicken Calculator! But please don’t forget to scroll all the way down. The amazing thing is that she’s not backing down one inch from her chicken-barter statement. She could have said she merely meant that we need to be flexible and think outside the box for solutions, anything other than suggesting it was really desirable to show up at Doc’s place with a truckload of chickens.

Of course it’s almost obligatory to point out that if the Democrats have a single functional brain cell, they will line up behind Senator Dodd and insist that every Republican choose to stand either with reform or with corruption on financial services reform (heck, we may have to make the Democrats do it too).

I suppose I did gloss over GOP Chairman and token “black man” Michael Steele admitting that African Americans really have no reason to vote for the Grand Old Party today. Why did I put “black man” in quotes? Because if he were either one he would have told *ahem* people like these where to shove their signs.

Right there is where we start knitting. We’re in the process of transcending mere Stupid Republican Tricks and tying them back to the racist, sexist claptrap that I railed about — with some resistance I might add — a few weeks ago. Racism? Check! Sexism? Huh, let’s see… sexism, sexism….

Oh here! I personally think it’s pretty freaking objectionable to send out a newsletter to your base suggesting “Let’s take [Congresswoman] Betty Sutton out of the House and put her back in the kitchen.”

Yeah. Since her previous job was not as a chef, that is offensive as hell. Can she at least keep her shoes, or would they like to see her barefoot and pregnant too? And [expletive] them for trying to make it somehow acceptable to say this. Oh, says the local official who approved the mailing, we haven’t gotten any complaints! And so, then, the donations are rolling in on that crap? What do his wife and daughters think of that rhetoric? Are they proud of what Daddy said?

Obviously this man doesn’t speak for the entire party. There are women Republicans. Former Secretary of State Condi Rice for example. Senator Kay Bailey Hutchison of Texas. Former Alaska Governor Sarah Palin. Senate Candidate Sue Lowden of Nevada.

Here’s some free advice to the Republican Party. You can’t continue to alienate the 51% of Americans who are women and the 12% of Americans who are black and actually keep winning free and fair elections. If they continue on their current path, they will more and more resemble a misshapen toy elephant made of yarn scraps, with only one tusk.

In Closing: on airlines; surely nobody expected the SEC to investigate anybody; I hope this movie doesn’t suck; speaking of movies, Food, Inc. streaming free for a limited time; Orcas are more than one species; what part of the Americans with Disabilities Act didn’t the school understand?; Japanese mechanical dolls; and Worst Person in the World, 33 AD.

Stupid Republican Tricks

Seriously, there has been so much stupid that I don’t know where to start.

I could start close to home with Senate candidate Sue Lowden, who thinks we should be able to barter with our doctors and pay with, for example, chickens!

I could go down the road a bit to Arizona’s new racial profiling illegal immigration law, which “requires state and local police to determine the status of people if there is ‘reasonable suspicion’ that they are illegal immigrants and to arrest people who are unable to provide documentation proving they are in the country legally.” By the way, “reasonable suspicion” means the cop doesn’t like you and/or you’re brown. I don’t think most people appreciate that most people don’t carry proof of citizenship in their pockets — NO a Driver’s License is NOT proof of citizenship! Never has been, shouldn’t ever be.

But wait, maybe that’s what Senator McCain was getting at when he said that illegal immigrants are deliberately causing car accidents! I certainly can’t think of any rational reason that anybody — particularly someone here illegally — would cause accidents. Insurance fraud?? What a dangerous way to make money!

It’s OK though, because Representative Bilbray says a cop can tell if somebody is illegal just by looking at their clothes! So tell me, what exactly is the difference between the shirt I buy at Target and the shirt that an illegal immigrant buys at Target? I don’t want to accidentally get the wrong one. And certainly you’d better not dress up for any ethnic festivals in Arizona without sticking your birth certificate or naturalization papers in your pocket!

Then again I could go to the horse’s mouth — Washington D.C. — and examine the party of NO!’s “Just scrap it and maybe start over” strategy on almost every initiative. Oh, and let’s not forget that it is at least partly thanks to the Republicans that the newly passed health insurance reform bill still allows rescission and still has no way to control wild increases in premiums.

Not that the Democrats are innocent, but certainly no wonder people are “fed up with political incivility.” Anybody who wants to be re-elected had better pay attention to public sentiment now.

In Closing: Freezing a 787 for science; look, putting twins in different homerooms to see which one learns to read better doesn’t prove that reading skills are 82% genetic, just that the teacher and classroom aren’t 100% to blame/praise for the results!; Homelessness, it’s not just for addicts and the mentally ill anymore (sadly, for some people, it’s what’s for dinner); a scathing truth about “successfully” parenting a crowd; high schools preparing kids for college without a thought of preparing them for work; if the Fed is going to print money, do you suppose they could send some my way?; congrats to GM on paying back the TARP money to the Feds; green Navy vessels on the ocean blue; the various watch lists and no-fly lists aren’t just an annoyance, they divert attention from real threats; on long term unemployment; oh waah, companies are having a hard time raising prices; let’s see how far the rotten banking practices extend; and school lunches have officially become a matter of national security.

Rosencrantz and Shorties Are Undead

Volcanoes!: Ok, the Eyjnafjallajökull eruption was bad, but usually when it goes the far more dangerous Katla volcano goes as well. Icelandic volcanic eruptions are blamed for temporary climate change that resulted in the Mississippi river freezing as far south as New Orleans and causing famines that eventually resulted in the French Revolution. Here’s 5 more great volcanic eruptions.

Real banking reform, now!: Mr. Reich presents what I consider to be a minimum regulatory laundry list. In the meantime, here’s some things you can do to figure out who really owns your mortgage. Oh, and if you are having trouble with your mortgage (or are in bankruptcy), pay extra close attention to this. Crap like that would not happen if it weren’t for “deregulation.” If you are a little lost figuring out the Goldmann Sachs story, here’s a nice analysis. Don’t forget that there’s a criminal investigation into what happened at Countrywide. Could it bring down Bank of America? We can only hope.

The recession is over? Like hell: The economy is very far from normal (and in my opinion will stay that way until the fundamental banking issues and certain insurance issues are solved).

Oh yeah, it’s 4/20: Did you know that a majority of Americans in the West support legalizing (and regulating) marijuana?

Stupid School Administrator Tricks: The story of a school district in Pennsylvania secretly using webcams in school issued notebook computers to spy on children gets deeper and weirder. They now admit to having some 56,000 pictures (and those are just the keepers and the ones they admit to having). Yet somehow, even though they have pictures of sleeping students, they miraculously don’t have any nudies? Yeah, I’m with Amanda on this one: suuuuure they don’t.

On the other hand: The Supreme Court isn’t amused by a SWAT officer who was reprimanded for texting his wife and girlfriend — both!? — on a police issued phone. Justice Stevens asked “Wouldn’t you just assume that the whole universe of conversations by SWAT officers who were on duty 24/7 might well have to be reviewed by some member of the public or some supervisor?”

Stupid Tax Tricks: Teabaggers who don’t know what they are talking about, and the myth that somehow corporations will pass on the cost of taxes on profits to customers.

Stupid Legislator Tricks: Apparently they are using some “new math” on Capitol Hill, as Senator Coburn is going on record as saying more money is “wasted” on Medicaid than is actually spent on it. Can’t he just admit he hates poor people and thinks any money spent on them is a waste? Either that or sign him up for Kumon.

Chemo sucks: but it is better than dying of cancer.

Almost makes me want to take up guitar: light-up guitar picks!

A cool cookbook, I hope: The Primal Blueprint Cookbook. Mine is on pre-order. So far all the recipes shared on Mark Sisson’s blog have been winners.

I will have more to say about this soon: Local interest lawsuit with nationwide ramifications.

Building a castle: In the Ozarks. Now. It’s a pretty cool project!

Star Wars Japan Filter: Did you know that Mark Hamill went to High School in Japan? He’s working on a new movie project, by the way. And just to wrap things up, here’s an artist’s impression of what Star Wars characters would look like as done by Akira Kurasawa.

Special Message on Health Insurance Reform

Blogger and activist Barbara O’Brien is someone whose work I have admired. In addition to being an editor for About.com, she is the owner of the Mahablog. She contacted me earlier this week and asked if I would please post a special message about the recently passed health insurance reform bill. While I certainly don’t support everything in it — the mandatory purchase of insurance, for example — I can’t deny that there are some good things it does. But I’ll let Barbara tell you about it!

Health Care Reform: The Morning After

Many politicians and pundits warned us that the health care reform (HCR) legislation that just became law will destroy America. Government bureaucrats will take over health care decisions, we were told. The old and infirm would be hauled away by death panels. Everything about the way we receive our medical care will change, and change drastically, they said.

Medicare recipients have been frightened by stories that their benefits will be cut. Middle-age people are worried they will lose their jobs when the law’s dreaded regulations, or taxes, or maybe regulations with taxes, would destroy their employers’ businesses.

The truth is, very little will change for most people. If you were insured by employee benefits before HCR, you will be insured by exactly the same policy in exactly the same way after HCR. You will have access to the same doctors on the same terms. “Government bureaucrats” will no more be involved in your health care than they were before.

And the same is true of Medicare, which of course is a government program, although many of the people who opposed the HCR bill don’t seem to know that.

Here are the “cataclysmic” changes to health care that are now in effect, or which will go into effect within the next six months for people who are already in group insurance plans:

The law says you can’t lose your insurance coverage because you get sick. Before, in many states, if you were stricken with a severe illness such as mesothelioma cancer that would be expensive to treat, your insurer could use just about any excuse to cancel your coverage. That is over.
HCR has ended lifetime limits on coverage. As long as you are receiving medical care, your insurer pays the bills.
Your children can be covered on your existing policy until they are 26 years old.
In six months, insurers cannot refuse to insure people under the age of 19 because of “pre-existing conditions.” This provision will go into effect for everyone in 2014.

And if you are on Medicare, you will be asked to struggle with the following:

You get a free annual checkup.
The co-pays and deductibles on many preventive care services are eliminated.
If you are in the Medicare D “doughnut hole,” you will get a $250 rebate check in a few weeks. The hole itself will be closed gradually and will be gone by 2020.

But what about all those terrible regulations and taxes that are about to drive businesses out of business? Um, there really isn’t much to report. Oh, wait, here’s one — a 10 percent tax on indoor tanning services that use ultraviolet lamps will go into effect July 1. That’s about it.
However, beginning this year a tax credit will be available for some small businesses to help provide insurance coverage for employees.

Soon the politicians and pundits will start trying to frighten you about the provisions that will go into effect after this year. I assure you they are about as scary as the provisions that go into effect this year, but I will discuss them in a follow-up post.

— Barbara O’Brien

Thanks much to Barbara for this information. Your regularly scheduled ShortWoman will have a post up in the next day or two. In Closing: the economy still sucks especially if you aren’t rich already, and banks are still a big part of the problem, so let’s put in place regulations that work and then — and I know this last bit is crazy talk — enforce them.

Requiescat in pacem

I hate to ask stupid questions, but if the President, a bunch of senior ministers, a lot of elder statesmen, the head of the banking system, and the head of every branch of Poland’s military were all killed in one plane crash, who exactly is in charge there now? Think for a minute if the President, several cabinet secretaries (including the Secretary of State and her former President husband), a few top Congressmen/Senators, all the top generals/admirals, the head of the FOMC, USDA, and [choose a dozen other random officials] all died at once. Here in the states I know that the Vice President would be immediately inaugurated — assuming he is not among the dead. But I haven’t the foggiest clue what Poland’s succession plan is, and even the best plan would be sorely taxed by such a massive scale of loss.

Thoughts of peace for Poland.

In Closing: how to be fair about employee salaries; on credit checks for prospective employees; and welcome to the plutocracy.

Musings of a Part-Time Feminist

I’m not very good feminist. I’m happily married and there’s very little I can’t do because of mere gender stereotypes. I’m no Amanda Marcotte. However, I know when I have to stand up for the fact that I am human even though I have no penis.

I recall being at work and a supervisor informing me that I should wear high heels. I politely asked if the guys would be wearing them as well. He made no reply and I never heard another word about it.

I do bristle when I get the “honey” and “little lady” treatment (it’s ShortWoman, Mrs. Magnus if you’re nasty!). I don’t like being told I’m a “smart cookie” and that “you’ll figure something out” when I ask for advice. I can detect a virtual pat on the head from a patronizing tone whether it is written or vocal. (Yeah, I’m talking to you, Senator Ensign’s office!)

Nevertheless, I am reluctant to ascribe to patriarchy what might just be stupidity.

However, that being said, I have to call stuff out when I see it. Consider this: in one week, two different men were arrested for making threats against two different members of Congress that both happened to be female. First, it was Senator Patty Murray — for whom I have had the pleasure of voting. Then mere days later it was Speaker of the House Nancy Pelosi.

Anybody see a pattern here? Anybody? Bueller?

I am forced to concede that the rambling idiocy of the ultra-conservative, far right wing, “wing nut” and/or “teabagger” communities can only be explained by misogyny and racism. It isn’t particularly that they have a problem with health insurance reform, or taxes, or “freedom”, or gun rights, or the global climate change “myth”, or whatever they are on about this week. If it was ever about those things, those days are gone. Their problem is that there’s a negro in the White House and that a damn broad is the Speaker of the House. And to be honest, I don’t know which pisses these highly insecure people off more.

Consider also the double standard about what women are allowed to discuss publicly, including on their blogs. A great number of normal, natural things are NSFW. Discussion of breast feeding — the most natural way to feed a baby, even condoned in the Bible — even becomes about sex and gender. We can’t show that! We can’t even discuss that! “Can’t baby have his dinner in the toilet??”

Variations of this also permeate every discussion of “pro-life” ideals that condemns contraception. When you scratch the surface, it rapidly turns into “if you don’t want babies, don’t have sex, slut!” Or in this case, “How dare poor women on public assistance want to have sex but still control the size of their families.” Indeed, shame on them for wanting contraceptives, then double shame on them for bringing children into this world that they can’t afford to feed.

As I said, I’m not much of a feminist, but when the bullshit is heaped this high, even I can smell the attitude of men who think women aren’t as good and certainly don’t deserve nice things like recreational sex and seats in Congress.

In Closing: $200,000,000 per air marshal arrest; I hope you never need the first contact help sheet; for that matter I hope you never need these emergency tips; many of us were Pheobe Prince; Cash for Clunkers worked??; and the Jobs Report has nothing to do with that new operating system for the iPhone.