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Sunday, March 26, 2017

Trust the God-Emperor

An insightful comment on Gab by American Nationalist:
Trump's handling of the AHCA went from questionable to spectacular the moment Jeanine Pirro laid the smackdown on Paul Ryan after he tweeted to watch her show tonight.

It was as I hoped - Trump pledged his support for Ryan's catastrophe so he could isolate and destroy him - publicly.
Whether that was his original intent or whether this is an example of the God-Emperor adroitly turning lemons into lemonade is irrelevant. The former may be more comforting, but the latter is actually more encouraging; it's nice when things go according to plan, but it's even better when one is able to turn setbacks into advances.
Fox News host Judge Jeanine Pirro, whose show President Trump urged his followers on Twitter to watch earlier in the day, opened her program at 9pm on Saturday by calling for Speaker Paul Ryan's resignation.

"Ryan needs to step down as Speaker of the House. The reason, he failed to deliver the votes on his healthcare bill, the one trumpeted to repeal and replace ObamaCare, the one that he had 7 years to work on; the one he hid under lock and key in the basement of Congress; the one that had to be pulled to prevent the embarrassment of not having enough votes to pass." Pirro said in her opening statement. "Speaker Ryan, you come in with all your swagger and experience and sell them a bill of goods which ends up a complete and total failure and you allow our president, in his first 100 days, to come out of the box like that, based on what?"

What made Pirro's fiery comments about Ryan especially notable is that they came hours after Trump tweeted to encourage his followers to watch "Justice with Judge Jeanine."
Another reason I find the "lemonade" theory to be more convincing is that Obamacare was never a particular focus of Trump's, which was why I didn't understand how it had somehow become a supposed priority when it was, and is, primarily a legislative priority for the House and Senate Republicans. Of course, we all know they're more or less useless, and the Ryancare debacle is only the latest example.

Regardless, I hope Trump has learned that he's got to work with the more conservative legislators and isolate the mainstream moderates if he's going to get anything through the House and Senate. The moderates will cave under pressure, the conservatives are much less likely to do so, having successfully resisted most moderate Republican pressure since the first Bush amnesty attempt.

Frankly, I'd like to see him stop getting pulled into these conventional battles and stay totally focused on the strategic ones, such as neutralizing the anti-Constitutional judiciary and making sure the wall is built before the end of his first term. War, Trade, and Repatriation are the three presidential priorities, everything else is trivial in comparison.

Meanwhile, Scott Adams notes that his model for the dynamic media narrative is actually running ahead of schedule:
With the failure of the Ryan healthcare bill, the illusion of Trump-is-Hitler has been fully replaced with Trump-is-incompetent meme. Look for the new meme to dominate the news, probably through the summer. By year end, you will see a second turn, from incompetent to “Competent, but we don’t like it.” I have been predicting this story arc for some time now. So far, we’re ahead of schedule.

Labels:

87 Comments:

Anonymous John Hancock March 26, 2017 8:36 AM  

The fact is Republicans have no more of a clue how to create universal coverage from the insurance model that isn't astronomically expensive than do the Dems. Killing O-care was good campaign politics because it was symbolic of revoking all thing Obama, since it was his signature legislative accomplishment. But it was terrible actual politics. I'm sure Trump is breathing a sigh of relief.

Blogger Johnny March 26, 2017 8:38 AM  

Best not to get the wall done too soon. The voters are ingrates and will forget. So, get real progress for the two year election cycle and be finishing up or done in four years.

What really counts is how this AHCA thing plays out in the political arena and we don't know that yet. It could easily turn out that letting Obamacare blow up will be the best option. From a political standpoint this whole healthcare issue is not one I would want to embrace. People have unrealistic expectations, plus all the graft from the industry side of it.

Anonymous Fran March 26, 2017 8:46 AM  

I wonder how was it that Paul Ryan was in charge of the redo of the health care. Most conservatives thought it was just obamacare light and that's why it didn't get the votes needed.
I would have thought the president and his advisers would have been the one to rewrite it.

Anonymous Bob Ramar March 26, 2017 8:48 AM  

The problem isn't insurance. The problem is lack of transparency in cost and collusion in pricing. Karl Denninger (The Market Ticker) has the right idea on how to deal with Obamacare and the federalization of health care, in my opinion.

http://market-ticker.org/akcs-www?post=231928

Single payer is certainly not a solution, but it is what Congress is pushing for (both parties)and has been for a long time. It comes down to power, money, and control, the unholy trinity of politics.

Blogger Otto Lamp March 26, 2017 8:52 AM  

Hear a self proclaimed leftwing, anti-trumper on the radio complaining about the RyanCare failure.

His wife is self employed and on ObamaCare. They finally got a plan that had reasonable premiums (didn't say how much they were), but the deductible was $6,000.00 annually. He was ranting about how he might as well not have any insurance, because he was paying out of pocket for everything.

This is the kind of lefty, libtard that will come begging the Republicans on their hands and knees to repeal ObamaCare...eventually.

It may take ObamaCare hitting rock bottom before the GOP has the will to do something other than make changes on the margins (which is all RyanCare did).

Let's hope the GOP is in charge when it happens, because if it's the Democrats, it will be a straight shot to single-payer, govt run healthcare (which was their plan all along).

Anonymous citizen-Pepe March 26, 2017 9:00 AM  

It seemed like Ryan was getting blamed because other Republicans and democrats didnt vote for it. He cant control them. I would blame the Republicans that didnt vote for it and the democrats that didnt vote for it for the bill not getting passed. It could still have been amended in the Senate. It was just a rough sketch not the end product.

Blogger Cataline Sergius March 26, 2017 9:03 AM  

President Trump needs a strong parliamentary leader in the House, if he is to get anything done.

Ryan is absolutely not that man. He never was. Hell, that was a big part of the reason Boehner picked him.


John Boehner was a nobody. He was a couple of rungs down on the House leadership ladder when the roof caved in. He was the picture perfect example of the GOPs cargo cult of care takers who wandered endlessly in a circle chanting, "Reagan-Reagan-Reagan."

When Boehner finally bowed to the reality that the Right wing base hated him too much for him to continue to function as Speaker, he was tragically in the position of vetoing any potential successor with the profoundly terrifying threat of refusing to leave office.

Like called to like and now we are for the moment stuck with Ryan as Speaker.

Except that now he has a major failure on his hands with his name on it. This isn't enough to end him but it is enough to have everyone muttering about Boenher Junior. And now Obamacare is free to continue it's collapse all on it's own. When it does the Democrats will have to deal then.

And on the Golden Lion Throne the God Emperor quietly smiles. The important thing to remember about a good strategy is that it makes certain that any path taken leads to your desired result.

Anonymous Undocumented Civilizationalist March 26, 2017 9:07 AM  

Trump just now went after the House conservatives on Twitter, blaming them for it all:

@realdonaldtrump: Democrats are smiling in D.C. that the Freedom Caucus, with the help of Club For Growth and Heritage, have saved Planned Parenthood & Ocare!

Blogger seeingsights March 26, 2017 9:09 AM  

It is reasonable to suppose that Republicans should want to ditch Obamacare. Its been said that Democrats suffered Congressional losses because of it. Democratic strategist James Carville actually would have liked to see SCOTUS overturn it, to get this albatross off the Democrat's neck.
As to political consequences, I don't think that the defeat of Ryancare is going to hurt Trump. I remember that in Bill Clinton's first term, Clinton was unable to get health care legislation passed, even though both houses of Congress were in Democratic control. Clinton still got re-elected.
Also notice that neither in Obamacare nor in Ryan's proposal, insurance companies were not allowed to compete across state lines. The competition would put a downward pressure on insurance premiums, which is good for consumers but bad for the insurance companies. Insurance companies are an forceful interest group, alas.

Blogger Timmy3 March 26, 2017 9:11 AM  

The repeal was the campaign promise although I question the replacement which no conservative wanted. Replacement was the bonus that Trump wanted. Trump must still promise to repeal before the end of his first term or it looks like an unfulfilled and broken promise.

Blogger Timmy3 March 26, 2017 9:17 AM  

The difficult of repeal is Medicaid reliance is worse than ever. "In 24 of the nation’s 50 states at least half of the babies born during the latest year on record had their births paid for by Medicaid"

Blogger J A Baker March 26, 2017 9:17 AM  

Trump should start vetting and endorsing candidates for 2018 elections.

Blogger Akulkis March 26, 2017 9:22 AM  

@6

No, Ryan is at fault, because he presented them with Obamacare-lite rather than GETTING THE GOVERNMENT OUT OF THE WAY and letting the market settle it. The root of the problem was FDR's WW2 wage-and-price controls.

As Walter Williams has noted -- despite the fact that veterinarians have to have SUPERIOR expertise to medical doctors who only work on only one species (humans), veterinarians charge MUCH less for identical services compared to human doctors. Why? Veterinarians have almost no government regulations taking up their time and resources. Similarly, identical dosages of the same drug, coming from the same manufacturer, with both the active and other ingredients coming out of the same stockfeed lot numbers are substantially (10x or more) expensive for the human-designated tablets than the ones designated for, say, dogs or pigs.

Blogger seeingsights March 26, 2017 9:24 AM  

In Trump's recent twitter comment, I think he has a point.
Look, I would like to see drastically reduced government. But there are practical realities which some conservative groups miss.
These groups rejected a policy which would have meant less statism, because, as far as I can tell, it was still statism. So we still wind up with the same amount of statism as before. What is the logic in that?
These groups got to realize that their ideal is not realizable anytime soon.
And their ideal probably should not be realized anyway. In non normal circumstances, the government should step with assistance.

Anonymous Looking Glass March 26, 2017 9:25 AM  

Healthcare is one of those DC topics that cuts across ideological lines a bit. It's a lot more of "who's paying?". There are camps that want it burned with fire; there are other camps that want it to stay as is.

There's sort of a weird irony that if the Left ran on something like implementing either the Japan or Swiss models (i.e. still corporate insurance based, mostly), they'd probably be able to win on that, but note they've never really done that. It tells you both where their desires lie (Power & Control, it's got nothing to do with Healthcare) and where their paymasters want it to go (some Federal Level Cartel system). Congress doesn't write any of these laws, they're given them and then tweak things.

Trump was for single-payer back in 1999/2000 range, and if you spent enough time around Europe in that period, it's reasonable to see why. (I.e. big Economic Booms make a lot of things seem to work.) The finances at the national level don't work for something like that, especially with the Immigration problems. That doesn't mean there isn't a lot Trump can do, but he's going to need more leverage.

He'll have more leverage after 2018, and partially because the damn GOPe idiots wanted to push Healthcare first. Which they pretty much just dusted off something they passed in 2016 for Obama to Veto. This was not well planned, and Tom Price might have a good bit to do with that. (There's a LOT of background goings on that we don't know.)

Still, something has seemed off about this entire situation, and it might just be that the GOP really was not prepared.

Also, it's nice to see him taking shots at the House Freedom Caucus. They were clearly playing the Controlled Opposition in this run. This bill was DoA even when it was first released, regardless if the process might have worked. Someone still needs to kick in a repeal of the Mandate within the Budget Reconciliation, but that suggests the GOP has any tactical or strategic sense beyond their own bank book.

Blogger peter blandings March 26, 2017 9:25 AM  

don't forget about russia; it's not trivial. it is an egregious insult to send tillerson first. if vlad is on his game, he'll be out of town when rex arrives. he is a master of deflection.

Blogger Akulkis March 26, 2017 9:26 AM  

@11.

This is because we subsidize the unproductive and self-destructive. Want to see the illegitimacy rate drop through the floor -- pass legislation that tells young women that they won't get 1 red cent for out-of-wedlock births.

Blogger Akulkis March 26, 2017 9:28 AM  

Such a law would have the added benefit that this would put them on the side advocating family law reform (which currently screws men), because lately, young men do NOT want to get married, even to women who they have multiple kids with ... because they don't want to get screwed in divorce court.

Blogger Salt March 26, 2017 9:29 AM  

Trump incessantly said during the campaign, "We'll repeal Obamacare."

"And yet Paul Ryan walked straight into the Barzini trap that president Trump set for him. By insisting that the voters desired "Repeal and Replace" when in fact all anybody wanted was "Repeal, full stop," Ryan's inner wonk superseded his duties as the speaker of the House to ensure the votes were there for the "Replace" part of the equation. That they weren't should be the end of his speakership.

Apparently, Ryan had been listening to the die-hard never-Trumpers too much, and actually thought he could skate on his opposition to the insurgent outsider, whose entire campaign was based on his contempt for the Permanent Bipartisan Fusion Party and apparatchiks like Ryan. "

https://pjmedia.com/michaelwalsh/2017/03/24/paul-ryan-takes-the-barzini-meeting/

Blogger Orville March 26, 2017 9:30 AM  

@13 So true. Watching the show "Dr. Jeff" you can see that vet doing major surgeries on dogs and charge only in the low thousands of dollars (he does lower his prices on charity work), but the same level of major surgeries for a human would easily be in the hundreds of thousands of dollars.

The regulations and paperwork are horrible along with the truly insane "zero defects" approach to healthcare quality borrowed from Six Sigma.

Blogger The Z Blog March 26, 2017 9:37 AM  

A couple years ago I called Trump The Leverage Candidate: http://thezman.com/wordpress/?p=5029

Anonymous citizen-Pepe March 26, 2017 9:38 AM  

@922. Oh i see. So there was too little govt in the bill for the democrat's liking and too much govt in the bill for --the repubs that voted against it--'s liking. Perhaps Ryan should have figured out a way to make it more attractive or sell it better to majority of the house

Anonymous Looking Glass March 26, 2017 9:41 AM  

It would be interesting to look at donation/connection maps for those in opposition to the Bill. Ryan was also losing a lot of the Moderate Wing in the process. (Ignoring that the bill was DoA in the Senate.) There was clearly a LOT of pressure from a lot of camps to kill this.

And Trump isn't happy because he was going into Dealmaker Mode, and it was already clear that they weren't willing to budge. In the old days, I'd understand they were standing on some principle (it was just a slightly less terrible bill than Obamacare), but all of these bastards are for sale and they want Obamacare to survive.

Trump now has control of the Executive. It's time to have some fun with the Rule Making ability. Need to isolate and put the screws into a few groups. That's perfectly acceptable, says the Left.

Blogger Dave March 26, 2017 9:42 AM  

Pirro insisted in her first segment that the failure was on Ryan and not on Trump. "Folks, I want to be clear. This is not on President Trump," she said. "No one expected a businessman to completely understand the nuances, the complicated ins and outs of Washington and its legislative process. How would he know on what individuals he could rely?"

Judging by his tweet this morning (see @8) Trump still hasn't figured out he should be using the Freedom Caucus to push the moderates towards the positions that are aligned with the people who elected him. The Freedom Caucus has proven they will not bend over for the GOP leadership or the POTUS and they have the numbers to force their way to the table. I wouldn't be surprised if this doesn't lead to more Reps signing on with the Freedom Caucus. They don't publicly out their members so they can go incognito if they choose.

Blogger Salt March 26, 2017 9:58 AM  

Trump's Gambit: Getting Paul Ryan to take the lead as swamp drainage.

Anonymous Looking Glass March 26, 2017 10:13 AM  

https://theconservativetreehouse.com/2017/03/25/healthcare-controls-and-the-benefits-of-the-blame-game/

Sundance has seem to come back from the cliff a bit, which is good. But his layout of the Camps explains a bit of what Trump is going to be responding to. No one involved was willing to deal, which is probably what pissed Trump off the most, as a lot 10s of millions now pay a lot of Bankruptcy Insurance.

Trump wanted to get the ball rolling, he was given a bad bill & good framework to work with, then he had to deal with the Bought & Paid for. There was nothing Trump could Dealmake out of this. Now he's going to start producing Leverage. It should be interesting to watch. He's now put both major camps on notice.

I wonder if we get some interesting activities from Grand Inquisitor Sessions. There is Heresy to purge.

Blogger Elocutioner March 26, 2017 10:17 AM  

I read a lot about how principled the House Freedom Caucus is. Sure they are. That's why they voted for Ryan as Speaker AGAIN after he delivered the omnibus spending.

It's a Congress of actors. There are very few who aren't bought and paid for. I don't believe that more than a handful actually have ANY principles or who aren't fully controlled/blackmailed.

Anonymous BbigGayKoranBurner March 26, 2017 10:19 AM  

The fact is Republicans have no more of a clue how to create universal coverage from the insurance model that isn't astronomically expensive than do the Dems

It simply can't be done. Asians and whites need so much less medical care per capita, you can have really nice expensive things that don't get used often. But just like jews with their neurotic & nervous system problems everyone else is more medically needy. Deport enough of the illegals bringing their anchor baby into the ER for diaper rash & you need less staffing to cover people being stabbed by black/brown. Also the gene that lets blacks resist Sleeping sickness without whiteys meds also causes their kidneys to burn out.

They finally got a plan that had reasonable premiums (didn't say how much they were), but the deductible was $6,000.00 annually.

Plans with a $5000 deductible used to be considered "Catastrophic Coverage"

Similarly, identical dosages of the same drug, coming from the same manufacturer, with both the active and other ingredients coming out of the same stockfeed lot numbers are substantially (10x or more) expensive for the human-designated tablets than the ones designated for, say, dogs or pigs

Get fish antibiotics if you are stocking up for the nigapocalypse

e that vet doing major surgeries on dogs and charge only in the low thousands of dollars ... level of major surgeries for a human would easily be in the hundreds of thousands of dollars

Nurse anesthetists make more money than General Practitioner doctors.

Blogger Orville March 26, 2017 10:27 AM  

Oh yeah baby, gas passers are the worst.

Blogger Nick S March 26, 2017 10:30 AM  

This is the beginning emergence of the Freedom Party.

Anonymous weston March 26, 2017 10:34 AM  

re: "The moderates will cave under pressure, the conservatives are much less likely to do so"

It is Trump who wants to change things, not the moderates. Trump needs to get Democratic support, but will they respond to populist measures?

re: "War, Trade, and Repatriation are the three presidential priorities, everything else is trivial in comparison."

Yes, but medical costs are killing the country, and a large number of businesses and citizens - and it is structured to create a crisis within a few years.

It might be better for Trump to propose specific populist and nationalist ideas, such as allowing the purchase of pharmaceuticals from other countries or a bill to cut certain spending on illegal aliens by putting that money into something else, such as lowering Medicare to age 55. This would kill Democrats. How can you be against Medicare for those under 65?

Blogger Cassandros the Elder March 26, 2017 10:38 AM  

This comment has been removed by the author.

Anonymous E. March 26, 2017 10:39 AM  

I'm reminded when Bush 2.0 won re-election and proclaimed that this was a mandate for republicans - I believe he said "this is political capital and I'm going to spend it."

I can't think of a single accomplishment in his second term that comes close to being a political eff you to the left and a triumph for the right (although I am sure that the good folk here will correct any lapse in my memory).

Trump does have political capital. He does have a mandate. And that bill was bullshit. It was a waste of the Trumpslide. If voters wanted that, we could have had Jeb (Bush 3.0) or Romney or god forbid even McCain.

Trump was elected to be Trump and not a cuck. I await with anticipation his next move (besides ousting Ryan, as satisfying as that will be).

Blogger Polynices March 26, 2017 10:41 AM  

Maybe I'm crazy but I've been assuming that Trump is waiting for Gorsuch to get through the Senate before he starts really pushing hard. Once he can count on a 5-4 court and has weakened or eliminated the filibuster, I'd think his room for maneuver is much greater.

Anonymous weston March 26, 2017 10:43 AM  

5 Otto,

Liberals will want single payer, no matter what.

In any case, the US doesn't have an insurance crisis; it has a cost crisis. Everything in the medical world costs five or ten times as much as places like Japan or Singapore.

Because Congress and DC are swamps.

Blogger Mr.MantraMan March 26, 2017 10:46 AM  

Lot of handwaving to protect monopolies. And a lot of handwaving to protect the looting in the name of saving people who are the products of bad breeding.

Blogger Cassandros the Elder March 26, 2017 10:46 AM  

Ever learning, and never able to come to the knowledge of the truth.

Repubs seem to have forgotten, if they ever knew it, that the proper government role in health care is to get out of the central planning business and do a little anti-trust wrt big providers. They could also level the playing field for providers by mandating insurance and care across State lines. Let 1,000 Sugery Centers of Oklahoma bloom!

Anonymous weston March 26, 2017 10:48 AM  

33 E,

You do realize that Trump needed the big costs savings to do tax reform, right? At least if you want to play the budget neutral game.

Why would W. have wanted to FU the left? He was a globalist-fascist-corporatist-imperialist. There are very few in politics with any principles at all, and the few who do have to deal with the reality of spending half their time raising money and half providing favors to those who gave them money.

Anonymous Black and Gold March 26, 2017 10:53 AM  

@28

Do you actually work in medicine? Because General Practitioner fell out of usage in the 70's when the family medicine specialty was added to residency programs across the nation. One difference being that, at the time, a GP had graduated med school and only completed a one year internship, whereas a family doctor goes on after med school to complete another three to four years of residency. Another being that a GP back then didn't have to be board certified.

Blogger tz March 26, 2017 10:55 AM  

4D chess. Donkey takes Ryno.
Sacrificing a piece. Trump knows how to mitigate damage - it isn't the successes, but handling the failures that is the sign of business genius.

Anonymous Looking Glass March 26, 2017 10:57 AM  

I think the best way to read this, still, is that Trump ran into a wall of opposition and he also wasn't going to be getting a bill even he liked that much. He should have been able to play "Dealmaker" and find something that met basic objectives, but no one in the House was actually on his side.

Thus it's important to remember that Trump probably has 80% of Capital Hill against him, so certain Congressional Objectives will be delayed until they really need his help. 2018 is going to see most of the GOPe have to cuck to the Right, which gives room for Trump to get a lot done. Right now, it's Immigration, the Wall and Budget for a while. Taxes will be pushed until 2018, it seems. GOPe wants to run on that. Trump will bring up new candidates that are running against the GOPe. That should be fun.

Still, there are things that the Administration side can do. Maybe more than Congress, if we're frank. It'll be interesting to see what a fully operational Trump Star is capable of. I look forward to it, actually.

Blogger Roy Lofquist March 26, 2017 10:59 AM  

Donald Trump, "The Art of the Deal". Sun Tzu, "The Art of War". George C. Scott, as Patton, "Rommel, you magnificent bastard. I read your book".

Anonymous SaltHarvest March 26, 2017 11:04 AM  

Bob Ramar wrote:The problem isn't insurance. The problem is lack of transparency in cost and collusion in pricing. Karl Denninger (The Market Ticker) has the right idea on how to deal with Obamacare and the federalization of health care, in my opinion.


Single payer is certainly not a solution, but it is what Congress is pushing for (both parties)and has been for a long time. It comes down to power, money, and control, the unholy trinity of politics.


In the sense that single-payer both postpones and subsequently ensures a date with financial destiny, it is a solution that Dems and some Republicans are willing to live (and die) with rather than confront long-term unsustainability in the national budget. The single-payer side gets to run up the score with claims of saving lives with government intervention while Republicans who can't or won't articulate the economic danger struggle with finding an option that preserves the regulatory regime of the last few decades. Not having an actual plan leaves the field open for single-payer rhetoric about greed and charges that Republicans want people to die (technically true, but for sound incentivization reasons). Finding a plan might involve undercutting governmental 'accreditation' of medical expertise and loosening FDA constraints in research, and few Republicans are going to want to appear soft on quack medicine. The result is that single-payer is the path of lesser resistance, and that doing nothing from our current position is the path of least resistance.

Anonymous citizen-Pepe March 26, 2017 11:16 AM  

Given the fact that the republicans outnumber the democrats in the House of Representatives 292-241 Trump should have been like -Listen. I am going to lock you all in a room and i am not going to let you out until you make a healtcare bill you all agree on.

Anonymous citizen-Pepe March 26, 2017 11:29 AM  

Re 11:16. make that 237-193 in the Republicans favor with 5 vacancies...

Anonymous Just another commenter March 26, 2017 11:31 AM  

@44: Exposing congressional incompetence - they have already had *years* to write that bill - is nearly as good. Trump marginalized the cucks and dems in R-clothing as the feckless hosers they are. They are exposed and embarrassed. They know, or will soon figure out, that if they don't get in line Trump WILL target and Cantor some of them, which has to terrify them. Trump didn't lose the vote - Ryan did.

Anonymous Samuree March 26, 2017 11:32 AM  

Trump: Who knew healthcare was so complicated"

FAIL

Anonymous Just another commenter March 26, 2017 11:37 AM  

@11 - the scary part about that is it tells you how is having the next generation of kids.

Blogger Frank Brady March 26, 2017 11:39 AM  

It appears, unfortunately, that POTUS was more interested in making a "Deal" than in the content of that "Deal". Inasmuch as 80% of human disease is self-limiting, universal primary care insurance overage is a hideously bad idea. Clinically unnecessary primary care insurance is responsible for at least 40% of all health care costs. The nation and its "patients" would be far better off to pay for most hospital and medical care out of pocket and spend its insurance money on catastrophic coverage. Go to https://surgerycenterok.com/ and learn what the Free Market can do.

Blogger HanSolo March 26, 2017 11:41 AM  

Bill Maher (usually a douche but who raises the muslim issue often) asks Louise Mensch the following obvious question and she deflects, deflects, deflects:

"If a European country sometime in the future became 51% Muslim, would it be the same country? Would it have the same values, the same laws? Would the laws change?"

She immediately deflects to "would you ask that about Jews?" Bill says he would. She later deflects and talks about the Westboro Baptists.

Relevant portion starts at 5:40.

http://www.realclearpolitics.com/video/2017/03/25/bill_maher_on_london_terror_attack_i_never_hear_merry_christmas_only_allahu_akbar.html

Anonymous BBGKB March 26, 2017 11:41 AM  

Everything in the medical world costs five or ten times as much as places like Japan or Singapore.

Japan doesn't have middle easterners with nerve disorders & neuroses
Japan doesn't have 1/8 of US blacks with the sickle cell gene.
Japan doesn't have a population whose kidneys burn out at 4x everyone else's
https://www.nih.gov/news-events/nih-research-matters/gene-tied-kidney-disease-sleeping-sickness-african-americans
Japan doesn't have to pay for medical translation services at every hospital/clinic
Japan doesn't have family members (((Better call Saul))) the hospital when a 600lbs+ patient who can't breath without electrically powered machines dies because he wasn't evacuated before 600lbs of babies
Japan doesn't have DUI wetbacks
Japan doesn't have preg women squat out babies with no prenatal care whose moms jumped the border
Japan doesn't have NURSES who oppose drug screening for Medicaid prenatal care that could reduce crack babies
Japan doesn't have crack babies.
Japan doesn't have black/brown guys who think they are smart for using ambulances as free taxies
Japan doesn't have a population whose kidneys reuptake salt because they never evolved to eat salt as a preservative or just from ocean caught food.
Japan doesn't have a population that needs lab tests run differently or drugs that work for a segment of its population: see AA-GFR and Spirometry and Bidil
(interestingly enough both blacks and Asians have problems with Allopurinol which is bad because jews jewed Colchicine used by Asians for thousands of years it went from cheaper than dirt to hundreds of $$ a month in the US, just like they jewed bee sting kits from $12 to $700+))

Japan's first gang rape in living memory happened after they imported 30 strongly vetted moslems
Japan doesn't have any city that is over 40% functionally illiterate.
Japan doesn't have any need to have ERs that can be locked down because gang bangers are looking to finish what they were not smart enough to finish in the streets.
Japan doesn't have doctors from low trust cultures functioning as social security disability factories.
Japan doesn't have a population of inner city single moms that would put lead fishing lures in their kids mouth for a lead paint payoff.

Blogger Orville March 26, 2017 11:53 AM  

Great job Steve. Don't forget EMTALA. All hospitals that are certified to provide Medicare services, which is nearly all of them, MUST treat any patient that comes through the door regardless of ability to pay. Just like any other business, hospitals cannot survive on financial deficits long term.

If McDonald's was required by the government to provide a Big Mac to anyone who walked in the door regardless of their ability to pay for it then they would quickly go out of business. In talking about drug and device monopolies we should not forget the Medicare monopoly.

Blogger Were-Puppy March 26, 2017 11:58 AM  

@8 Undocumented Civilizationalist
Trump just now went after the House conservatives on Twitter, blaming them for it all:

@realdonaldtrump: Democrats are smiling in D.C. that the Freedom Caucus, with the help of Club For Growth and Heritage, have saved Planned Parenthood & Ocare!
---

I believe the Club of Growth was never trumpers.
Heritage i'm not sure about. Beginning to think they are controlled opposition.

Blogger Sevron March 26, 2017 11:59 AM  

I think Trump always saw this as win-win; either the Republicans would pass something that he hoped would look good to the base, or Ryan would have slit his own throat. Looks like it's the latter.

Blogger Were-Puppy March 26, 2017 12:01 PM  

Hey do you guys remember how somehow student loans got sucked into the ObamaCare legislation?

Perhaps that has something to do with them being unable to do a straight up repeal. I want to say that it was in one of Vox interviews that they were saying this was the next big economic crisis that will hit us, the student loans.

What would become of them if they did a flat repeal of Obamacare?

Blogger Some Guy March 26, 2017 12:01 PM  

Trump already has most of the moderates heads on platters. The freedom caucus isn't the way to go though. They are not the mainstream and their ideas will not be mainstream again for a long time. They need to choose if they want to be a third party or if they want to learn to govern. If it's the former, we will never see any repeal of Obamacare. If it's the latter, you don't govern without making concessions.

Blogger HanSolo March 26, 2017 12:04 PM  

http://www.nationalreview.com/article/446101/westminster-attack-khalid-masood-islamic-europe-mosques-no-go-zones

"But when we speak of Islam, as opposed to Muslims, we are not speaking about a mere religious belief system. We are talking about a competing civilization — that is very much how Islam self-identifies. It has its own history, principles, values, mores, and legal system.

Islam, thus understood, is not non-Western. It is anti-Western.

When the Islamic presence in a Western community reaches a critical mass, Islam’s hostility to Western mores and demands for sharia governance result in non-Muslim flight.

But the remorseless fact is that before ISIS and al-Qaeda and the Khomeini revolution and Hezbollah and the Blind Sheikh and the Brotherhood and Khalid Masood, there was the single thing that unites them all. There was Islam.

Western political and opinion elites remain willfully blind to this. They cannot help but project onto Islamic beliefs and practices their own progressive pieties — which take seriously neither religion nor the notion that there is any civilization but their own.

In their minds, and therefore ingrained in the media’s coverage, is the notion that a Muslim community is just like any other community. Same with the mosque — it is just a “house of worship,” no different from a church, a safe harbor from worldly concerns and hostilities. Islam, however, does not separate mosque from state; the mosque is every bit as much a center for sharia indoctrination, assimilation resistance, and anti-Western politics as it is a prayer venue. That is why al-Banna regarded the mosque and the Islamic community center commonly attached to it as the “axis” of the “movement” in every community where Islam takes hold.

The movement does not want cohabitation. It wants conquest. It starts with assimilation-resistant enclaves that nurture sharia supremacism today and thereby breed the jihadists of tomorrow."

Blogger Were-Puppy March 26, 2017 12:05 PM  

@13 Akulkis

As Walter Williams has noted -- despite the fact that veterinarians have to have SUPERIOR expertise to medical doctors who only work on only one species (humans), veterinarians charge MUCH less for identical services compared to human doctors. Why? Veterinarians have almost no government regulations taking up their time and resources. Similarly, identical dosages of the same drug, coming from the same manufacturer, with both the active and other ingredients coming out of the same stockfeed lot numbers are substantially (10x or more) expensive for the human-designated tablets than the ones designated for, say, dogs or pigs.
---

Several years back I got a kitten from a rescue. It had a terrible eye condition. Went to a vet, and she told me that the year previous the Govt had interfered with them getting a salve. I believe it was tetracycline.

I hunted around and found a local pharmacy that could create this salve. Vet called them up and I got something like 250 doses (smallest amount they could make) for peanuts. They saved my cats eye and then I donated the rest of the doses to the vet.

Why the govt got involved in a vet having this provided is unknown to me, but they tie the hands of medical and vets.

Blogger Were-Puppy March 26, 2017 12:11 PM  

@33 E. March

I can't think of a single accomplishment in his second term that comes close to being a political eff you to the left and a triumph for the right (although I am sure that the good folk here will correct any lapse in my memory).
---

Harriet Tubman Myers
Attempted to Sell our ports to rags

Blogger Were-Puppy March 26, 2017 12:13 PM  

@44 citizen-Pepe
Given the fact that the republicans outnumber the democrats in the House of Representatives 292-241 Trump should have been like -Listen. I am going to lock you all in a room and i am not going to let you out until you make a healtcare bill you all agree on.
---

It would be better if he locked Soros, the Saudi Princes, and some (((subverses))) in a room, and let the rest of them do their jobs w/out interference.

Blogger Were-Puppy March 26, 2017 12:14 PM  

*(((Subversives)))

Blogger Karl March 26, 2017 12:20 PM  

Great post. I agree Ryan and GOPe representatives own this week's 'setback.'

We must remember to be tolerant. Not all people want to Make America Great Again....

Anonymous weston March 26, 2017 12:33 PM  

51 BBGKB,

Yes, I know a few things about Japan, as I live there, and have for a long time. It may be sinking, but not nearly as fast as the US.

But you forgot to add a bigger thing:

-Japan doesn't have a swamp 1/10th as big as the one in DC.

Blogger Buybuydandavis March 26, 2017 12:44 PM  

VD: it's nice when things go according to plan, but it's even better when one is able to turn setbacks into advances.

Especially when you plan for it beforehand, so that all likely outcomes result in a win.

Blogger Salt March 26, 2017 12:48 PM  

I'd sat Breitbart got it right.

http://www.breitbart.com/big-government/2017/03/24/health-care-bill-failure-art-of-the-deal/?utm_source=facebook&utm_medium=social

Anonymous The OASF March 26, 2017 1:03 PM  

Ever the conspiracy theorist lol, I called it. He was setting Ryan up to fail all along.

Also brilliant, is that the Obamacare failure will be pinned squarely on the Democrats, where it belongs, further driving their already tanking political stock into the ground. For once, they won't be weasling their way out of this one.

As far as Trump nominating CFRers and Bilderbergers to his cabinet, well, I have concluded that it is akin to "training wheels" as he feels the need to surround himself with fellow insider buddies until he's ready to take the training wheels off and balance it on his own.

Whether intentional or not, the Obamacare repeal scenario, as it played out, was a big step for him in doing just that. I expect him to begin leaning much more heavily on Rand Paul and the freedom Caucus in the near future, with Rand maybe even getting the gavel once cucky Ryan is completely vanquished.

Anonymous Überdeplorable Psychedelic Cat Hair March 26, 2017 2:09 PM  

@13. A human's life is worth more than a cat's. That's in part why it costs more. Also do vets have to worry about malpractice and 3rd opinions? It's anecdotal but happened to my dad.

@29' 95% of the time they're bored and 5% they're freaking since they do nit know what's going on.

I'm glad Ryancare burned. It should never have existed. Paul Ryan needs to go the way of Boehner.

Anonymous a deplorable rubberducky March 26, 2017 3:04 PM  

If Democrats were being practical, they should have supported Ryancare. Their refusal signals the extent of their maniacal devotion to socialized medicine. The mentality must be, "We are this close! This close! We cannot lose heart now!" That, and SJWs always double down.

The fiscal destruction of the United States is all but guaranteed via Obamacare (we're on track to surpass $2 trill in federal health care outlies VERY soon). States got suckered. They expanded their Medicare programs on a lie, every state now paying over 50% of their budgets on health care. Small business are getting killed. Individuals are being forced to pay more than ever for policies they can't ever really use ($650 per month + $7000 deductible for the "Bronze Plans" here). Young people, who are supposed to be financing it all, can't. They don't have that kind of money! So, they get subsidized. Given money by the system, so they can pay for the system??? Only in Washington. Only in Washington!

It's going to be horrific when it blows up, it's going to be horrific if it doesn't blow up.

And there are the Dems, who set all of this up and single-mindedly push maniacally towards the inevitable tragedy.

If they think they can blameshift to Trump, or whomever, when this thing cracks up then they are sadly mistaken. This is their death baby. Trump has said the obvious thing to do politically, is stand aside and wait for the trainwreck. But that's not the morally right thing to do.

The morally right thing to do was to get in there, go to Congress, and get this thing fixed, slowed down, or somehow averted.

Well, he tried. You can't say he didn't try. Congress had their shot. But the Dems are moving in lockstep and the GOP is fractious. So inertia wins the fleeting day.

Blogger DonReynolds March 26, 2017 3:48 PM  

In this life, everyone gets what they want, if they actually want it.
This is especially true in legislative matters, such as in the US House and Senate.
Everybody wants something very badly, regardless of which party they claim to belong to, and they can trade their vote for what they want most.

The Trump Administration will soon find out that the Republican members are not going to vote in a block and figure out that there ARE votes they can win among Democrats. There is something they want very badly and they can have it if they are willing to trade. Do they want funding for Planned Parenthood? NPR and public television? Expanded Medicaid? High speed rail? Fresh-water project? Airport expansion? New highway? Come make a deal.

You get what you want and Trump gets what he wants. THAT is the Art of the Deal. Every president makes deals.

Blogger DonReynolds March 26, 2017 3:55 PM  

@66 The OASF
Rand Paul will never be Speaker of the House of Representatives. He is a US Senator.
The House will elect one of their own to be Speaker.

Anonymous A Former Spartan March 26, 2017 4:13 PM  

I've been pitching Denninger's analysis to all and sundry for years. I've never had anyone pay attention to it anf not come away thinking "Well I'll be damend. So 'that's' what's been going on." His argument is pretty tight and compelling.

Blogger DonReynolds March 26, 2017 4:14 PM  

I WISH that Congress had simply sunset Obamacare, with complete repeal, at the end of the current Federal fiscal year.....September 30, 2017.
That would drive a stake in the ground.

Then Congress can wrestle all they like and if they cannot pass a replacement for Obamacare by the end of the fiscal year, that the president can sign, then there will be none.

Which is fine by me.
Obamacare did not replace anything but a Free Market and we can easily go back to that same Free Market for health care. Those who want Freedom restored to health care will oppose ANY replacement of Obamacare.

Of course, an even easier solution to the Obamacare debacle is to do EXACTLY what Obama did for years. He passed out EXEMPTIONS to the requirements of Obamacare to his friends and supporters for YEARS. President Trump only needs to issue one more EXEMPTION.....for everybody else.
No need for Congressional Action at all.

Anonymous seeingghosts March 26, 2017 4:24 PM  

Japan's first gang rape in living memory happened after they imported 30 strongly vetted moslems
So, does the Junko Furuka case not qualify because 1989 isn't "living memory" or because the three boys tortured her to death in addition to raping her ~300 times?

Anonymous SciVo de Plorable March 26, 2017 4:26 PM  

John Hancock wrote:Killing O-care was good campaign politics because it was symbolic of revoking all thing Obama, since it was his signature legislative accomplishment. But it was terrible actual politics.

Yeah. Megan McArdle is frustrating because she often says too little --which I can't blame her for, giving a 14000-foot overview of a complicated situation -- but she is rarely (but sometimes) wrong. And Best health-care plan for Republicans? Wait is true.

Anonymous SciVo de Plorable March 26, 2017 4:31 PM  

Oh seeingghosts, stop sperging. Try to imagine a universe in which the answer to your question would matter.

And next time be confident and make a statement instead of a fake question.

Blogger Diego Destiny March 26, 2017 5:24 PM  

FYI, the GOP de-funding of Planned Parenthood in the new bill was a 1 year only provision, but they passed it off as permanent.

Blogger Eric Slate March 26, 2017 5:56 PM  

The entire problem is that the government started messing around with the hospital system, something clearly out of its Constitutional authority. It should step back and let the church have at it.

Blogger Erbo March 26, 2017 6:00 PM  

The fact is, Trump could solve the whole health care problem himself, right now, by directing Attorney General Sessions to prosecute the health care monopolies for violations of 15 USC Chapter 1 (the Sherman, Clayton, and Robinson-Patman Acts), as well as various state-level consumer protection statutes. Once a few health care companies get hit with whopping fines (up to $100 million per count, according to the Sherman Act), and a few health-care executives go to prison (up to 10 years per count, again, according to the Sherman Act), the rest will fall in line, let capitalism and competition work, and health care prices will sink like a stone, by 80% or more.

He doesn't need Congress to do this, and, in fact, Congress couldn't even stop him, because it's the Executive's job to see that the laws are properly carried out--and some of those laws have been on the books for over a century. And health care companies are not immune from those laws; there is Supreme Court precedent on this (Group Life & Health Ins. Co. v. Royal Drug Co., Inc., 440 U.S. 205 (1979)).

The downside is that there would be an immediate, sharp recession, as health care company valuations plummet and a lot of "health care administrators" are laid off...but it will be a relatively short one, comparable to 1920-21, as the money that is presently being stolen by the medical monopolies is reallocated to more useful and profitable pursuits. The result will be even greater prosperity.

With prices lowered by that much, you would no longer need "health insurance" as we know it today, because you would be able to pay cash for your routine needs...and for unexpected issues, you could buy true insurance, "catastrophic" coverage, for about as much as you'd pay for your car insurance. Medicare and Medicaid could stay, to help the elderly and the truly destitute...but their costs to the government would be vastly reduced as well. Obamacare would no longer be needed, and could be trivially repealed.

Karl Denninger has written extensively on this issue for many years. Check here for an example, and dig further into his "Health Reform" category for more.

Anonymous The OASF March 26, 2017 7:40 PM  

"Rand Paul will never be Speaker of the House of Representatives. He is a US Senator. The House will elect one of their own to be Speaker."

Was speaking symbolically. Otherwise they may actually try and find someone worse than Ryan as this seems to be the pattern.

Anonymous Mike Rock March 26, 2017 8:00 PM  

@78 Erbo

Thank you!! Karl Denninger has nailed it for years. He has a gift for communicating relatively complex thoughts in a concise way. Folks here should dig in to his writings again.

If one of you can get him on Hannity or another legitimate nationally heard show he can outline the facts in an hour or less.

Blogger Erbo March 26, 2017 9:19 PM  

@80 Mike Rock

See the post I linked. Denninger tried to talk to Hannity, but Hannity refused to take it on. So did Rush Limbaugh, Mark Levin, Glenn Beck, Michael Savage, Bill O'Reilly, Hugh Hewitt, Michelle Malkin, Laura Ingraham, Neal Boortz, Ann Coulter, and Tucker Carlson, among others. At the very least, he tried to pitch it to them, and got back crickets.

Blogger Francis Parker Yockey March 26, 2017 9:22 PM  

@seeingghosts

"So, does the Junko Furuka case not qualify because 1989 bla bla bla"

You do realize that when you have to go back 30 years for a single example of a gang rape in Japan, you're only underscoring his point, don't you?

Or don't you realize that "time since most recent gang rape" in vibrantly diverse countries like America is measured in hours, not decades?

Blogger Orville March 26, 2017 9:28 PM  

@80 Max Keiser has had him on several times, and about that specific topic. But of course it's RT Russian propaganda.

Anonymous simplytimothy March 27, 2017 1:23 AM  

Have you conveyed this to Bannon?

Anonymous SciVo de Plorable March 27, 2017 5:33 AM  

Undocumented Civilizationalist wrote:Trump just now went after the House conservatives on Twitter, blaming them for it all:

@realdonaldtrump: Democrats are smiling in D.C. that the Freedom Caucus, with the help of Club For Growth and Heritage, have saved Planned Parenthood & Ocare!


It's a win-win when he puts it that way, because then he can pivot and put all the blame on the Dems when Ocare collapses. And there is no universe where it succeeds. Brilliant.

Blogger Jimmy The Freak March 27, 2017 8:02 AM  

After watching all of this, I am beginning to think that the election of Trump will accelerate the Apocalypse. If the cucks spent half the energy working against liberals that they do working against the people that elected them. They would have sent the liberals running for cover years ago.

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