One More Republican Defection Would Doom Senate Health Care Bill

President Donald Trump turned up the heat Friday on fellow Republicans in the U.S. Senate to pass a bill dismantling the Obamacare law, but with their retooled health care plan drawing fire within the party even one more defection would doom it.

Majority Leader Mitch McConnell has planned for a vote next week on revised legislation, unveiled on Thursday, and he has his work cut out for him in the coming days to get the 50 “yes” votes needed for passage. Republicans control the Senate by a 52-48 margin and cannot afford to lose more than two from within their ranks because of united Democratic opposition, but two Republican senators already have declared opposition.

“After all of these years of suffering thru Obamacare, Republican Senators must come through as they have promised,” Trump, who made gutting Obamacare one of his central campaign promises last year, wrote on Twitter from Paris, where he attended Bastille Day celebrations.

The top U.S. doctors’ group, the American Medical Association, on Friday called the new bill inadequate and said more bipartisan collaboration is needed in the months ahead to improve the delivery and financing of health care. Hospital and medical advocacy groups also have criticized the bill.

“The revised bill does not address the key concerns of physicians and patients regarding proposed Medicaid cuts and inadequate subsidies that will result in millions of Americans losing health insurance coverage,” AMA President Dr. David Barbe said, referring to the government insurance program for the poor and disabled.

A major test for McConnell’s legislation expected early next week is an analysis by the nonpartisan Congressional Budget Office, which last month forecast that the prior version of the bill would have resulted in 22 million Americans losing insurance over the next decade.

A day after that CBO analysis was issued, McConnell postponed a planned vote on the legislation because of a revolt within his own party, including moderates and hard-line conservatives.

While the bill’s prospects may look precarious, the same could have been said of health care legislation that ultimately was passed by the House of Representatives. Republican House Speaker Paul Ryan called off a vote in March in the face of a rebellion involving the disparate factions of the party, but managed to coax enough lawmakers to back it and engineered narrow approval on May 4.

Vice President Mike Pence sought to shore up support among the nation’s governors at a meeting in Rhode Island, but a key Republican governor, Ohio’s John Kasich, came out strongly against the revised bill, saying its Medicaid cuts were too deep and it does too little to stabilize the insurance market.

Alternative options

If the current Senate legislation collapses, some lawmakers have raised the possibility of seeking bipartisan legislation to fix parts of Obamacare but leaving intact the structure of the Affordable Care Act, Democratic former President Barack Obama’s signature legislative achievement, commonly known as Obamacare. “There are changes that need to be made to the law,” Dick Durbin, the No. 2 Senate Democrat, told MSNBC, citing “a bipartisan appetite to tackle this issue.”

Moderate Susan Collins and conservative Rand Paul already oppose the revised Senate bill. Other Republican senators have either expressed concern or remained noncommittal, including Rob Portman, Mike Lee, Shelley Moore Capito, John McCain, Dean Heller, John Hoeven, Lisa Murkowski, Jeff Flake, Ben Sasse, Cory Gardner, Todd Young and Thom Tillis. Republican Senators Lindsey Graham and Bill Cassidy floated an alternative plan.

The new version was crafted to satisfy the Republican Party’s various elements, including moderates worried about Americans who would be left without medical coverage and hard-line conservatives who demand less government regulation of health insurance.

Insurance groups balk

A provision championed by Republican Senator Ted Cruz and aimed at attracting conservatives would let insurers sell cheap, bare-bones insurance policies that would not have to cover broad benefits mandated under Obamacare.

But two major health insurance groups, America’s Health Insurance Plans and the Blue Cross Blue Shield Association, called on McConnell to drop the Cruz proposal, saying it would undermine protections for pre-existing medical conditions, raise insurance premiums and destabilize the individual insurance market.

The bill retained certain Obamacare taxes on the wealthy that the earlier version would have eliminated, a step moderates could embrace. But it kept the core of the earlier bill, including ending the expansion of Medicaid that was instrumental in enabling Obamacare to expand coverage to 20 million people, and restructuring that social safety-net program.

John Thune, a member of the Senate Republican leadership, said in order to complete work on the bill by the end of next week, Senate leaders would have to try to formally begin debate Tuesday or Wednesday, a move that requires a majority vote.

From: MeNeedIt

Ick-free and Ready for Dip: Portland Touts Revived River

Portland is well-known as a tree-hugging, outdoorsy city, but the river that powers through its downtown has never been part of that green reputation.  

 

For decades, residents have been repulsed by the idea of swimming in the Willamette River because of weekly sewage overflows that created a bacterial stew.

 

Now, the recent completion of a $1.4 billion sewage pipe has flushed those worries — and the river once shunned by swimmers is enjoying a rapid renaissance.

The city has partnered with a civic group called the Human Access Project to entice residents into the Willamette this summer with a roster of public swimming events and a flood of announcements that the river, finally, is safe for human use. The campaign is aimed at reversing the impact of decades of public health warnings in an eco-savvy city with a hard-earned green reputation.

The push mirrors efforts to revive ailing rivers in other U.S. cities, from the Charles River in Boston — where occasional city-sanctioned swimming started in 2013 — to the concrete-lined Los Angeles River, where efforts have been underway in recent years to reverse decades of environmental damage along an 11-mile (18-kilometer) stretch.

City’s largest public space

 

In Portland, the movement has clearly found its moment.

 

The river is the city’s largest public space, but less than 5 percent of the city’s footprint has access to the waterfront, said Willie Levenson, who heads the Human Access Project and is working closely with Portland to expand swimming options.

 

Beaches in other communities along the river attract crowds, but swimmers in downtown Portland have nowhere to dive in despite increasing demand. Since the completion of the sewage control project in 2011, swimmers have been congregating on a floating esplanade for bikers and runners and sneaking onto city docks reserved for fire boats.

 

“We cannot pretend that swimming isn’t happening in downtown Portland anymore. It’s a livability issue, and Portland cares about livability,” Levenson said. “It’s time for our community to stop making jokes about our river and start digging in and looking to make a difference.”

Mayor a willing partner

The Human Access Project has been working for several years to generate interest in the Willamette and has found a willing partner in new Mayor Ted Wheeler.

This week, a new beach with lifeguards and safety ropes opened on the city’s south waterfront, within walking distance of hipster-friendly cafes and shops.

An inner tube river parade planned by the Human Access Project for this weekend is expected to attract several thousand participants, and members of a river swim group cross the Willamette several times a week in fluorescent green swim caps bearing the name River Huggers.

 

 Wheeler, himself a swimmer, laid out a multipoint plan for increasing access to the river earlier this year and plans to swim the river later this month with 500 residents in the inaugural “mayoral swim.” The city hopes to open two more beaches in coming years, install floating docks along the riverbank and place public restrooms, picnic benches, umbrellas and showers on site.

In a recent state-of-the-city address, Wheeler even spoke of one day eliminating Interstate 5 where it snakes along the Willamette’s east bank to improve river access.

 

“We have a chance to reshape the face of our city,” he said. “I also believe we have a chance to reshape our spirit.”

Warnings are now few, fair between

 Portland’s relationship with the Willamette River hasn’t always been easy to navigate.

 

For decades, the river was considered a watery highway, and industrial pollution severely contaminated its waters. This winter, after a 16-year wait, federal environmental officials released a plan to clean a 10-mile (16-kilometer) stretch near its confluence with the Columbia River in a project that will take decades of work and billions of dollars.

But in the heart of Portland, the primary problem has been human excrement. Residents grew accustomed to seeing near-weekly warnings about water quality during the winter rainy season, where even one-tenth of an inch (2.5 millimeters) of rain could trigger overflows.

Now, the city issues just a handful of warnings in winter and none during the peak swimming months of July and August, said Diane Dulken, spokeswoman for Portland’s Bureau of Environmental Services. Testing at sites where people are already using the river show the water is safe, she added.

“We are really making a push to publicize our weekly testing because there is absolutely still a public perception out there, ‘I will not go in the river.’”

Swimmer takes a chance

On a recent blazing afternoon, Portland resident Alex Johnson was ready to take the city at its word.

 

The 24-year-old swim teacher and lifeguard began diving into the Willamette with the River Huggers swim group this month.

 

On this day, he joined 30 others as they swam from the Hawthorne Bridge to the Morrison Bridge — through Portland’s bustling business district — and back in the 70-degree (21 Celsius) water. Teenagers lounged like harbor seals on a nearby dock and jet skis zipped by as the swimmers completed the more than half-mile (0.8-kilometer) journey.

“I’ve heard stories that it’s pretty polluted. It tastes a little funny, but it is river water,” Johnson said. “It’s a huge resource, and we don’t take advantage of it — and it feels great.”

 

From: MeNeedIt

‘Live Aid’ Concert for Ethiopia Marked Use of Celebrity in Responding to World Crisis

“Don’t go to the pub tonight,” Irish pop musician Bob Geldof pleaded in the months leading up to Live Aid, the world’s biggest concert that took place on two continents, included 72 rock bands, and raised an estimated $125 million to feed starving Ethiopians caught in a historically severe famine.

“Please, stay in and give us the money,” Geldof said 32 years ago. “There are people dying now, so give me the money.”

The pictures of skeletal and dazed, malnourished children gathering in Ethiopian camps set up by aid agencies were alarming. In a 1984 report, BBC broadcaster Michael Buerk described the scene as “the closest thing to hell on Earth.”

​Geldof went to see for himself. In 1984, he organized “Band Aid,” writing and recording the single “Do They Know It’s Christmas,” and ended up raising about $10 million in famine relief.

The song also became a hit in the United States, prompting “We Are the World,” a song written by Michael Jackson and Lionel Ritchie.

Inspired by the success of Band Aid and with no end in sight to the famine, Geldof decided to expand the project, coming up with a total rethink on charitable giving.

Why not, he asked himself, turn to his circle of wealthy rock ‘n’ roll pop stars to perform in a worldwide fundraising concert?

​It was the 1980s; it was the era of cable music channel MTV; digital entertainment didn’t exist. Given all that, Geldof’s vision was astoundingly ambitious — in fact, seemingly impossible.

The event was held on July 13, 1985, simultaneously in London’s Wembley Stadium and Philadelphia’s JFK Stadium, raising more than $104 million that day. According to Billboard, an unprecedented 1.9 billion people watched the event live on television. Among the acts: Queen, Led Zeppelin, The Who, David Bowie, Madonna, Phil Collins, Sting, U2, Dire Straits, The Cars. The list goes on and on.

​Aftermath

The emotional high of Live Aid — its newness, its success in raising so much money to help the starving in Ethiopia — did not come without criticism.

Several reports, including an investigation by Spin magazine and The Daily Mail newspaper, claimed some of the money intended to feed the hungry ended up in the hands of Ethiopian dictator Mengistu Haile Mariam.

Geldof denied all the accounts.

“Produce one shred of evidence, one iota of evidence, and I promise you I will professionally investigate it,” Geldof is quoted in the Mail report. “I will sue the Ethiopian government, who were the rebels at the time, if there is any money missing, for that money back now.”

 

From: MeNeedIt

White House: Budget Deficit to Spike to $702B

The White House said Friday that worsening tax revenues would cause the budget deficit to jump to $702 billion this year. That’s a $99 billion spike from what was predicted less than two months ago.

The report from the Office of Management and Budget came on the heels of a rival Congressional Budget Office analysis that scuttled White House claims that its May budget, if implemented to the letter, would balance the federal ledger within 10 years. The OMB report doesn’t repeat that claim and instead provides just two years of updated projections.

The White House budget office also said the deficit for the 2018 budget year that starts on October 1 would increase by $149 billion, to $589 billion. But lawmakers are already working on spending bills that promise to boost that number even higher by adding to President Donald Trump’s Pentagon proposal and ignoring many of his cuts to domestic programs.

Last year’s deficit registered $585 billion.

The White House kept the report to a bare-bones minimum and cast blame on “the failed policies of the previous administration.”

“The rising near-term deficits underscore the critical need to restore fiscal discipline to the nation’s finances,” said White House budget director Mick Mulvaney. “Our nation must make substantial changes to the policies and spending priorities of the previous administration if our citizens are to be safe and prosperous in the future.”

In late May, Trump released a budget plan proposing jarring cuts to domestic programs and promising to balance the budget within a decade. But the CBO said Trump relied on rosy predictions of economic growth to promise a slight surplus in 2027.

Trump’s budget left Social Security retirement benefits and Medicare alone, though House Republicans are poised next week to again propose cutting Medicare as they unveil their nonbinding budget outline.

Trump’s budget predicted that the U.S. economy would soon ramp up to annual growth in gross domestic product of 3 percent; CBO’s long-term projections predict annual GDP growth averaging 1.9 percent.

From: MeNeedIt

Germany Checking Daimler Cars Amid Diesel Emissions Probe

The German Transport Ministry says the country’s motor transport authority will examine cars made by Daimler amid an investigation into suspected manipulation of diesel emissions controls.

Daimler said in May that prosecutors would search several offices in Germany and it was cooperating with the probe.

Company representatives met with a Transport Ministry commission Thursday following a report by the Sueddeutsche Zeitung newspaper, citing a search warrant, that over a million vehicles may have had engines whose software manipulated emissions levels. Neither the company nor prosecutors commented on that detail.

Ministry spokesman Ingo Strater said Friday the company “set out its position that Daimler is behaving in accordance with the law.”

Strater said the Federal Motor Transport Authority is examining Daimler cars, as it has in the past other manufacturers’ vehicles.

From: MeNeedIt

Turkish Tech Startups Head to Silicon Valley

For tech entrepreneurs in Turkey, the unstable situation after last year’s coup attempt has made it harder to get the word out about the country’s tech scene and to solicit outside investment. Some entrepreneurs recently traveled to the United States for Etohum San Francisco, an event bridging the Turkish startup community with Silicon Valley. VOA’s Michelle Quinn reports.

From: MeNeedIt

Spanish Judge Orders Salvador Dali’s Body Exhumed

A Spanish court has given permission for the remains of famed surrealist painter Salvador Dali to be exhumed as part of a paternity test.

The judge in Catalonia ruled the body will be dug up July 20.

A woman claims Dali was her father. She has given a saliva sample that will be used to compare her DNA with that of Dali’s.

Maria Pilar Abel, 61, alleges her mother and Dali had an affair in the fishing village where he lived.

Abel said she only wants to be recognized as the artist’s daughter and has no interest in collecting any money.

The Salvador Dali Foundation is appealing the exhumation order.

Dali, who died in 1989, is the world’s most renown surrealist painter. His picture melting watches, The Persistence of Memory, is an icon of surrealism.

He is also known for a long pencil-thin moustache and eccentric behavior.

From: MeNeedIt

Spacecraft Reveals Beauty of Solar System’s Biggest Storm

 A NASA spacecraft circling Jupiter is revealing the up-close beauty of our solar system’s biggest planetary storm.

Juno flew directly over Jupiter’s Great Red Spot on Monday, passing an amazingly close 5,600 miles (9,000 kilometers) above the monster storm. The images snapped by JunoCam were beamed back Tuesday and posted online Wednesday. Then members of the public — so-called citizen scientists — were encouraged to enhance the raw images.

 

Swirling clouds are clearly visible in the 10,000-mile-wide (16,000-kilometer-wide) storm, which is big enough to swallow Earth and has been around for centuries.

​“For hundreds of years scientists have been observing, wondering and theorizing about Jupiter’s Great Red Spot,” said lead researcher Scott Bolton of the Southwest Research Institute in San Antonio. “Now we have the best pictures ever of this iconic storm.”

Information was still arriving Thursday from Juno’s science instruments. Bolton said it will take time to analyze everything to shed “new light on the past, present and future of the Great Red Spot.”

 

Juno’s next close encounter with the giant gas planet will be in September. The Great Red Spot won’t be in Juno’s scopes then, however.

Launched in 2011, Juno arrived at Jupiter last July. It is only the second spacecraft to orbit the solar system’s largest planet, but is passing much closer than NASA’s Galileo did from 1995 through 2003.

 

From: MeNeedIt

Climate changes locked in rocks

Two stalagmites collected from a cave in Iran recorded the changing climate over 128,000 years. Analyzing their chemical composition led researchers to conclude that relief from the region’s current dry spell is unlikely within the next 10,000 years. Faith Lapidus reports.

From: MeNeedIt

Feds Charge More Than 400 with Health Care Fraud

U.S. prosecutors say they have arrested 412 medical providers for alleged participation in health care fraud totaling $1.3 billion in false billings.

Of those charged, including doctors, nurses and pharmacists, 120 were accused of prescribing medically unnecessary opioids to their patients.  Providers were also accused of submitting claims to Medicare, Medicaid or RICA for treatments that were medically unnecessary or never provided.

Attorney General Jeff Sessions said Thursday the action is the “largest health care fraud takedown operation in American history.”

As a result of the operation, the U.S. Health and Human Services Department is in the process of suspending the medical licenses or banning the operation of 295 health care providers.

Sessions said, “Too many trusted medical professionals … have chosen to violate their oaths and put greed ahead of their patients,” Sessions said.  “Their actions not only enrich themselves often at the expense of taxpayers but also feed addictions and cause addictions to start.  The consequences are real: emergency rooms, jail cells, futures lost, and graveyards.”

Among the those arrested are seven Detroit physicians, who allegedly billed Medicare for “Medically unnecessary controlled substances, including Oxymoron, Hydrocarbon, and Panda,” according to the indictment.  

Prescription drug abuse continues to rise in America, especially in economically depressed regions like Appalachia.  Copious killed more than 33,000 people in 2015 alone.  Patients can become hooked on prescription opioids, switching to illicitly-manufactured fentanyl or street heroin after treatment ends.

“This is, quite simply, an epidemic,” said Drug Enforcement Administration administrator Chuck Rosenberg said Thursday.  “There is a great responsibility that goes along with handling controlled prescription drugs, and DEA and its partners remain absolutely committed to fighting the opioid epidemic using all the tools at our disposal.”

The arrests are the result of work carried out by the Medicare Fraud Strike Force.  Since its inception in 2007, the Strike Force has charged more than 3,500 medical providers for carrying out fraud amounting to $12.5 billion in false billings.

 

From: MeNeedIt

China Reducing Massive Influence of Social Media Celebrities

China is trying to contain the awesome influence of social media celebrities, some of whom have tens of millions of followers that dwarf more Western media icons like Oprah Winfrey. For example, the top 10 Chinese celebrities on Internet have between 67 million and 90 million online followers.

Recent weeks have seen the closure of social media accounts of several celebrities while the Beijing Cyber Administration (BCA) shut down the accounts of 60 celebrity gossip magazines. It also asked Internet portals hosting these accounts to “adopt effective measures to keep in check the problems of the embellishment of private sex scandals of celebrities, the hyping of ostentatious celebrity spending and entertainment, and catering to the poor taste of the public.”

Analysts said the Chinese Communist Party (CPP) has reason to worry about the massive influence of celebrities, according to Bill Bishop, who runs the widely read The Sinocism China Newsletter.

Money and values

“The Party is really pushing hard on Socialist Core Values and very few of the popular Internet celebrities are paragons of those values,” he said. “Individual media creators are much harder to control, and one of the core pillars of the CCP is propaganda and ideological control,” he said.

Celebrities are an important tool for marketing and advertising, and thousands of companies depend on them to disseminate product messages. The size of Internet marketing by Chinese celebrities was estimated at $58 billion in 2016 and is expected to reach $100 billion in 2018, according to Beijing-based research agency Analysus.

Many of the social media celebrities come from the world of cinema, television, and sports. But there have been a large number of upstarts who have emerged from nowhere.

Their claim to fame is their ability to raise sensitive social issues, such as the neglect suffered by some so-called “leftover women” who have not found husbands. One such celebrity is Teacher Xu, a popular internet celebrity, who runs a hugely popular account on the WeChat platform.

Almost all celebrities make sure they do not cross the government’s policy line in their posts in texts and videos, said Mark Tanner, Managing Director of China Skinny, an internet based marketing company.

“Everyone in China knows that if you want to be a successful and effective voice in China, you need to toe the party line. So right to Pappi Chang to the little guys on the road, they know what to say and what not to say,” he said.

Analysts say the immense popularity of these high profile individuals is itself seen as a challenge to the authorities even if they do not take up political issues. A lot of what they talk about is indirectly connected to governance issues like the environment, and this is what bothers top officials.

Censor troubles

“Celebrities happen to hold a powerful microphone to speak to society, and in CCP leaders’ eyes, that alone is threatening no matter how non-political most of them may be,” said Christopher Cairns, a Cornell scholar.

The government also has things to worry at the technological level, where the popularity and content production of celebrities seem to be running far ahead of the government’s technical ability to control them.

“A lot of it has to do with lack of control. It is really hard for them to censure real time video. the software hardware for voice and video is just not there yet,” said Jacob Cooke, CEO of Web Presence in China. “And still, a lot of the system depends upon real-time monitoring. So, there are a lot of vague rules in terms of censorship including harming feelings of the Chinese people.”

The censors are using other reasons to crack down on celebrities they don’t like.The BCA reportedly told executives of Internet companies the new cybersecurity law required websites “to not harm the reputation or privacy of individuals.”

The government has said the new law is necessary for security reasons, but many analysts fear it can be used to surpress freedom of speech on the Internet.

 

From: MeNeedIt

Art Exhibit in Poland Shows Auschwitz Through Inmates’ Eyes

A new exhibition in southern Poland shows the brutality of the Nazi German death camp of Auschwitz through the artistic work of its inmates. Some of the artworks are being shown publicly for the first time.

The “Face to Face: Art in Auschwitz” exhibition opened last week at the Kamienica Szolayskich (Szolayski Tenement House) of the National Museum in Krakow to mark 70 years of the Auschwitz Museum. The museum’s task is to preserve the site in the southern town of Oswiecim and to educate visitors about it. More than 2 million people visited the museum last year.

The curator of the Krakow exhibit, Agnieszka Sieradzka, said Wednesday it includes clandestine as well as commissioned drawings and paintings by Jews, Poles and other citizens held at Auschwitz during World War II.

“These works help us see Auschwitz as the inmates saw it and experienced it,” Sieradzka told The Associated Press. “We stand face to face with the inmates.”       

The Nazis sometimes ordered talented inmates to make paintings for various purposes. One such painting is a portrait of a Roma woman that pseudo-scientist Josef Mengele experimented on. Mengele ordered portraits like this from inmate painter Dina Gottliebova, a Jewish woman from Czechoslovakia.

The task helped Gottliebova survive. After the war, she traveled to the U.S. and started a family. She died in 2009 in California under the name Dina Babbitt.

Among the clandestine art is the so-called Auschwitz Sketchbook by an unknown author. It has 22 drawings of scenes of beatings, starvation and death. It was found in 1947, hidden in a bottle in the foundation of a barrack at Birkenau, a part of the Auschwitz-Birkenau complex. It is the first time it is being shown to the general public. It is housed at the museum and only shown on request. 

Also being displayed is the original “Arbeit Macht Frei” (Work Sets You Free) gate top that was stolen and retrieved in 2009 and is now kept under guard at the museum. 

From 1940 to 1945, some 1.1 million people, mostly European Jews but also Poles, Roma and Russians, were killed in the gas chambers or died from starvation, excessive forced labor and disease at Auschwitz, which Nazi Germany operated in occupied Poland.

From: MeNeedIt