Obamacare will add 7 million insured in CA

March 14, 2013

By Katy Grimes

0704OBAMACARE_SPARKL

SACRAMENTO — With Obamacare implementation looming, and California’s open-arms embrace of what’s officially called the Affordable Care Act, as many as 7 million new people will access healthcare in the state by 2014. The new patients will worsen the existing shortage of primary care physicians, and will undoubtedly drive up health care costs even more.

California legislators are looking at one possible solution: Expanding the “scope of practice” for California’s para-professional medical practitioners — nurses, licensed vocational nurses, nurse practitioners, and physician assistants — along with optometrists and pharmacists.

This solution is not new and also came up in hearings last year.

California’s Obamacare legislation

State Sen. Ed Hernandez, D-West Covina, an optometrist and chair of the Senate Health Committee, introduced three “scope and practice” bills Wednesday to address the doctor shortage. But it was quickly evident there will be a battle with physicians over this “scope of care,” and what the role of professionals versus para-professionals will be in the future.

“Here in the state of California, we have a capacity issue. We have a work-force shortage,” Hernandez said at the hearing. He warned the problem is already at a breaking point in inner-cities, as well as rural parts of the state. Up to 7 million uninsured Californians will be required to be insured as of next year.

“How is it that we’re going to be requiring somebody to purchase health insurance, but yet they won’t have access to a doctor?” Hernandez asked at the hearing. “This is what we need to address.”

“We are working hard at the state level to ensure every Californian has access to affordable, quality health coverage, but what good is a health insurance card if you can’t get into see a health care provider when you need one?” said Hernandez, “We need to make better use of the trained healthcare workforce we already have if we are ever going to meet demand.”

Joint Senate hearing

Wednesday’s joint committee hearing was held with the Senate Health Committee and Business and the Professions and Economic Development Committee. The joint committee heard from a medical doctor representing the California Medical Association, an attorney for the University of California, San Francisco’s Center for the Health Professions, a physician assistant, a pharmacist and an optometrist. Each speaker was compelling and supported expanding the scope of practice in order to accommodate the massive increase in patient access.

Hernandez said he invited representatives from these areas of practice to speak because “they have rigorous training standards, are evenly distributed across the state, have a proven record of providing quality care, and are regulated by independent boards that will make certain patient safety is not compromised.”

Catherine Dower with UCSF warned that the implementation of Obamacare in California will put additional strain on the primary care physician workforce, particularly in the poorer inner-city areas and rural locations. Dower referred to a study by the Institute of Medicine which found the barriers should be removed from the nursing “scope of practice,” allowing more nurses to expand responsibilities.

Dower said a diverse mix of healthcare providers will be needed, and referenced former U.S. Sen. Tom Daschele’s blog post last week. Daschele, now a lobbyist,  recommended expanding the “scope of practice” for all primary care providers, including nurses.

Daschele also recommended giving the government more power over decision making. “As a better understanding of the appropriate mix of additional providers is acquired, the National Health Care Workforce Commission that is called for in the Affordable Care Act should make specific recommendations to the Secretary of Health and Human Services,” he said. The Secretary should then be empowered, subject to Congressional review and legislative veto, to raise or lower the ceiling based upon an annual assessment of workforce availability and the long-term projected demand for health care services.”

Physician recommendations

The highlight of the hearing was Jeremy Fish, M.D. Fish, the residency director for the Contra Costa Family Medicine Residency, had some realistic recommendations for dealing with the primary care physician shortage, including expanding some nursing responsibilities. Fish explained the importance of a team approach to family practice medicine, which includes doctors, licensed vocational nurses, nurse practitioners, physician assistants, mental health providers and pharmacists. And Fish said the need for more medical residency programs in counties throughout the state was crucial.

Fish explained that most doctors either set up practice where they grew up or near where they went to school. “We practice close to where we trained,” Fish said. “Fragmentation is causing problems even within physician groups.”

He explained it would be relatively easy and less expensive in the long run to set up medical residencies in outlying areas, as well as urban areas which do not have teaching hospitals. This would not only help physicians get the medical training they need, it would serve an already underserved area.

Additionally, he said, using the Kaiser Permanente model, more medical practices need to be in one building, not spread out all over a city or county. “If we lock ourselves in the same space, we get along much better,” Fish said. “The Mayo Clinic found that putting mental care providers in the same office as primary care practices improved the quality of care for the patient.”

State Sen. Cathlene Galgiani, D-Livingston, told about a program U.C. Merced is using in conjunction with U.C. Davis Medical School to get trained doctors to do residencies in the Merced area. The UC Merced San Joaquin Valley Program in Medical Education allows students to complete their first two years of medical school at U.C. Davis, then do the last two years in the rural parts of Merced County, while attending classes at U.C. Merced. Galgiani said it is a much lower cost program, and fills the gap of medical providers in the area.

High medical costs, lower reimbursements

While there is clearly much need for more primary care physicians in California, doctors expressed concern that lawmakers’ embrace of Obamacare will create even more problems, including higher costs. The cost of medical school is extreme. Students graduating with massive debt often look to medical practices which are more lucrative in order to pay off the debt.

Dr. Ruth Haskins addressed the low reimbursement rate of primary care physicians’ Medicare and Medicaid costs. She said the state needs to work more to keep such physicians living and working in California. “Medi-Cal reimbursements are so low in California, and we are facing a drop,” she said.

“This isn’t a hearing on economics,” retorted Sen. Bill Monning, D-Carmel, “but they are linked.”

Hernandez has introduced Senate Bills 491, 492 and 493, and Sen. Fran Pavley will be introducing Senate Bill 352, which would expand the “scope of practice” for physician’s assistants.

Another bill that’s returning is by Sen. Christine Kehoe, D-San Diego, to allow nurse practitioners, physicians assistants and certified nurse midwives to perform abortions.

48 comments

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  1. Ted Steele, Navigator
    Ted Steele, Navigator 14 March, 2013, 10:15

    Jeeeez— We shouldn’t help the poor like this! What would Jesus do?

    Reply this comment
  2. StevefromSacto
    StevefromSacto 14 March, 2013, 10:29

    If you’re sick and not insured and can’t pay for a doctor out of your own pocket, you either go to the emergency room for care, with taxpayers ultimately picking up the tab, or you get sicker and die. Of course, the Watchdog crowd would much prefer the latter “to decrease the surplus population.”

    Except in the bizarro world of right-wingery, giving seven million more Americans the ability to obtain health insurance is a good thing.

    Reply this comment
  3. us citizen
    us citizen 14 March, 2013, 10:42

    The medical profession keeps its numbers LOW so they can charge outrageous rates at the doctors office. Also known as supply and demand. As long as the med schools only allow so many to go to school, no matter what you do, this will continue with shortages. This is the MED SCHOOLS fault.

    As far as lefties………..why in the hell should “I” pay for your medical bills????!!! Give me one damn good reason. Pay for them yourselves. Lifes a bitch and unfair………suck it up. I dont ask you to pay for my bills……….of any kind.

    Reply this comment
  4. CalWatchdog
    CalWatchdog Author 14 March, 2013, 11:32

    Actually Steve, “the bizarro world of right-wingery” are scary individualists who believe in self-reliance with minimal government interference. “Right wingers” believe in paying their own bills, even if it means making payments.

    Dr. Linda Halderman, the recent former Assemblywoman from Fresno, has spent a career treating the indigent and low-income folks. She says that everyone needs to have some skin in the game and pay something for medical care, even if they are poor. She’s taken as little as $1, to a chicken for payment, or low monthly payments for her services. Without skin in the game, it’s just another form of welfare.

    Katy

    Reply this comment
  5. Ted Steele, Navigator
    Ted Steele, Navigator 14 March, 2013, 13:36

    Katy— You are describing the non bizzaro world of right wingery-true enuf.

    But Steve is also correct. There is a HUGE world of bizzaro right wingery where NO regulations can occur with guns, abortion doctors live in fear of death,NO cooperation with the President occurs, teabaggers parade around in funny costumes and hate filled agendas, on and on it goes. That’s the world most of us see. So far, conservatives have done almost zero to repair the brand so that we civilians can see your non bizzaro world.

    When do you think we’ll see some improvement in the GOP right?

    Reply this comment
  6. CalWatchdog
    CalWatchdog Author 14 March, 2013, 14:30

    Ted, the world where no regulations can occur may exist in the fanatical imaginations of a few extremists. What you are describing are nothing more than raving DNC talking points, and you know it.

    Republicans, not Conservatives, have done almost zero to repair the brand. Much of the party is run by corrupt consultants and people making a great deal of money on maintaining things just the way they are.

    If you think you know how Conservatives see the world, why don’t you ask, instead of spreading DNC talking points.

    As for Tea Party members, are you referring to those patriotic Americans deeply concerned about our nation’s future? Their “hate filled agendas” include lowering taxes, cutting regulations and big government spending programs, and getting the government out of private industry. Whoa… that’s really hateful. And these groups always clean up after themselves at rallies. There is no violence at their rallies, unlike the Occupy Wall street crowds which hate rapes, assaults, drug charges, theft, and the filth left behind when many cities finally extracted the young thugs, could be smelled for miles.
    (And please stop using the expression “tea baggers,” or we will delete those comments.)

    As for “improvement in the GOP right”… don’t hold your breath. Until there is a government pension meltdown, Americans and Californians will continue to enjoy their government subsidies and benefits, and nanny politicians. The moderate, liberal-leaning Republican-in-name-only placeholders in many Republican offices need to be weeded out. This will take time, of which I am sure there is not enough.

    Katy

    Reply this comment
  7. Ted Steele, Navigator
    Ted Steele, Navigator 14 March, 2013, 15:47

    Wow Katy— a pension meltdown is a condition precedent to improvement in the GOP right? Hmmm…curious. I have never heard that one before. You may be on to something, you might call Beck or one of the other high school drop out conservative ignorata on that one– good tip!

    You all used to just call yourself Republicans, these days the soft rebranding moniker is “conservative”. Nice.I wonder what you’ll call it after you tank in another natinal election?

    I guess the tea party represents you from your comments above, I assure you, the occupy lads don’t represent me anymore than the Hell’s Angels or the Automobile Club do. So I don’t defend em. But you clearly do defend the tea party folks. And, I guess once again you’ll live with the consequences of that identification as more and more Americans in this changing electorate voice their fears of the tea party crew as just another closed minded, hate filled extremist group. While I am certain there are some tea party folks who are not hate filled, I guess, the images broadcast of rallies and positions taken on many social issues make many think they pack a very negative view of imigrants, the poor, people of color etc. Now I am sure you’d say that these folks are simply wrong, that and 99 cents will get you a cup of coffee. As for the expression many use to describe the tea party crowd involving placing raw tea in permiable bags and the prior retraint you chillingly threaten here, aren’t you glad that the Constitution only proscribes government infringement on freedom of speech and that you can employ rank censorship out here as much as you need to bolster your rhetoric and struggle to prop up your untethered and unintegrated positions?

    As for a world of little to no government regulation existing in only the minds of a “few extremeists”, I would have to salute you and agree that ANYone who thinks THAT, is indeed a fanatical extremist. At least we can all agree on that. Pheeeeew.

    Reply this comment
  8. Donkey
    Donkey 14 March, 2013, 20:15

    Teddy Steals, there is going to be a pension and service melt down, it is getting closer everyday. Wait until the QE spikes inflation, it will be a short trip from there. 🙂

    Reply this comment
  9. The Modified Ted Steele Methodologies (tm)
    The Modified Ted Steele Methodologies (tm) 14 March, 2013, 21:02

    …lol….yes– the melt down MUST be drastic! No medium adjustments…..I must drink the Fox News Kool Aid ™ LOL—– any idea of the date on this Duncey? Rex the Poodle used to male predictions….lol…..0 for 14 ™ !

    Reply this comment
  10. Ted Steele, toilet cleaner
    Ted Steele, toilet cleaner 14 March, 2013, 21:26

    Oh—–Current Calpers value? 256 billion.

    Oh my.

    Reply this comment
  11. BobA
    BobA 14 March, 2013, 21:34

    Donkey:

    Don’t expect Ted or the greater majority of Americans to understand the Feds QE program and the consequences thereof. One has to have a firm grasp of macroeconomics and it’s unfortunate but never the less true that the average American doesn’t understand basic economics outside of their own wallets.

    The great depression is a great example. FDR (who was an avowed racist and communist sympathizer) is revered by a lot of people but when you try to explain how his domestic policies exacerbated a recession and turned it into a long depression, the particulars sails right over their heads and their eyes glass over.

    What Ben Bernanke is doing is unconscionable. The US dollar is already a fiat currency printing $85 billion dollars a month in new money every month to prop up the stock market and finance our debt has serious consequences down the road for the US economy once the interest rates inevitably go up.

    Plus there are an increasing number of countries in the world seriously discussing removing the dollar as the world’s reserve currency. If and when that happens, forget Greece and say hello Somalia of today or the Wiemar Republic of yesteryear.

    Americans aren’t ready to countenance the idea of the US dollar being worth less than a Mexican Peso but the possibility is not out of the question.

    Those who fail to heed the lessons of the past, are doomed to repeat them. America is headed done that road.

    Reply this comment
  12. Ted Steele, toilet cleaner
    Ted Steele, toilet cleaner 15 March, 2013, 06:44

    Wow you’re right Boba—– its so difficult for us little people to understand things. Thanks for the lesson. You’re so brainy.

    Looks like the increased money has truly lowered liquidity with the central banks! LOL— bummer……we’re doooooomed I tell ya!

    Reply this comment
  13. stolson
    stolson 15 March, 2013, 09:04

    Currency devaluation in the works by the international corporatists, bankers and some governments? Is a New World Order a detriment to the US dollar?
    Not much talk about this in main stream media. This could be a big blow to the US economy and citizens–hyperinflation?

    Reply this comment
  14. BobA
    BobA 15 March, 2013, 09:40

    stolson:

    It’s beyond those in the main stream media to talk about it because they don’t understand it. The field of journalism requires no mathematical or scientific aptitude beyond what is necessary to get through high school.

    People who are math and science challenged as a rule tend to gravitate towards college degrees that do not require a comprehensive understanding of such so when stories come up that involve those skills they just repeat what they’re told with no understanding of what they’re told whatsoever. Thus the label “blow-dried” talking heads on TV is justified.

    However, I do acknowledge that print journalists are a breed apart from TV journalists. They may not be versed in the sciences but they’re skilled at researching facts, asking questions and reporting the story. That can’t be said about the news “readers” on TV.

    Reply this comment
  15. stolson
    stolson 15 March, 2013, 10:05

    Basically, I agree with what you have written. Knew some of the big journalists when on east coast, and they were not the brightest, but were able to recite facts(whether slanted or not) and usually followed the agenda of the print owners.

    Reply this comment
  16. stevefromsacto
    stevefromsacto 15 March, 2013, 11:38

    “As far as lefties………..why in the hell should “I” pay for your medical bills????!!! Give me one damn good reason. ”

    The reason… is that you are already paying them. People without insurance and who can’t afford to pay for the outrageous cost of medical care generally go to the emergency room, where they are treated. The hospital picks up the cost. When the state reimburses the hospital, we taxpayers ultimately pick up the tab. When it does not, we still pay in the form of higher prices.

    So please give me one …good reason why giving these people the opportunity to purchase insurance coverage is a bad idea.

    Reply this comment
  17. stevefromsacto
    stevefromsacto 15 March, 2013, 11:43

    Katy, I can’t believe that someone with your intelligence really thinks that when some people are unfortunate enough to be poor or sick and need our help, it’s because of their moral shortcomings. Drugs, gambling, divorce, laziness-something they did. Something they therefore could have avoided doing. If they are unemployed through no fault of their own or if they are sick, it’s on them for not being “self-reliant.”

    BTW, it is comforting to know that even when the people at the Tea Party rallies have placards with racist insults and threats about the President of the United States or with calls for the overthrow of the government, it’s OK because they clean up after themselves.

    And I’m truly sorry that you are so upset about the use of a certain term for members of the Tea Party. Maybe we’ll take you seriously when you also denounce the use of terms like “left wing scum,” “union thugs”, etc., etc. Otherwise, if you can’t stand the heat, stay out of the Tea Room.

    Reply this comment
  18. Ted Steele, Navigator
    Ted Steele, Navigator 15 March, 2013, 12:53

    LMAO well said Steve—At least Katy is open about her need to control the rhetoric, free speech would be spooky.The actual brewing of tea should only be reffered to in the most most general of terms. I would assume that a proper refrence could be made to it’s steeping in one of those less offensive metal containers laced with small holes. I’m not sure about that, but it seems more pol. correct? And heaven knows PC is VERY important out here what with all the left wing communist scum, oinkers, union thugs, left wing police cabalistas, firewhiners,etc etc etc…..

    Reply this comment
  19. CalWatchdog
    CalWatchdog Author 15 March, 2013, 13:04

    StevefromSacto: You keep saying this: “Tea Party rallies have placards with racist insults and threats about the President of the United States or with calls for the overthrow of the government.”

    Cite your source. All the references I’ve seen on other sites have been disproven. And the rallies have included all races, creeds and colors of people who just want cheaper, more efficient government.

    — John Seiler

    Reply this comment
  20. SeeSaw
    SeeSaw 15 March, 2013, 13:05

    Think I read something on one of these stories yesterday–the “journalist” referred to the ilk that works in my former sector, as union slugs who make a living by taking other people’s money. If that isn’t a pot calling the kettle black, what is?

    Reply this comment
  21. stevefromsacto
    stevefromsacto 15 March, 2013, 13:28

    Katy:

    Here is an example of someone who’s personal experience took him beyond the “self-reliance” mantra and helped him to understand what’s going on in the real world:

    Republican Senator, Mark Kirk of Illinois was hit by a stroke and before he returned to the Senate earlier this year, the experience left him rethinking health care for the poor. “Had I been limited to [Medicaid] I would have had no chance to recover like I did. So unlike before suffering the stroke, I’m much more focused on Medicaid and what my fellow citizens face,” he told the Chicago Sun-Times. “I will look much more carefully at the Illinois Medicaid program to see how my fellow citizens are being cared for who have no income and if they suffer from a stroke.”

    It is sad that it take something like that to get people to understand that people’s problems are not always of their own doing.

    Reply this comment
  22. stevefromsacto
    stevefromsacto 15 March, 2013, 13:36

    John: Regarding Tea Party rallies placards with racist insults and threats about the President of the United States

    Here are some examples: http://www.youtube.com/watch?v=nCpwjvVaqyE

    Here’s another: http://www.motherjones.com/files/imagecache/node-gallery-display/photoessays/teapartyniggar2.jpg

    But wait, there’s more: http://i.huffpost.com/gadgets/slideshows/1398/slide_1398_20069_free.jpg

    Oh, yeah, I know, it was the Democrats who made up all these signs just to give the Tea Party “members” a bad name.

    Reply this comment
    • CalWatchdog
      CalWatchdog Author 15 March, 2013, 14:27

      StevefromSacto:

      1. For the first one, a YouTube: http://www.youtube.com/watch?v=nCpwjvVaqyE

      It’s not clear where about 90% of those pictures in the video were from. Might not be Tea Party. And about 80% of those were political invective that presidents always get. Is it surprising that people object to Obama’s positions on abortion and same-sex “marriage,” and have strong opinions on those matters?

      2. For the second one, a picture: http://www.motherjones.com/files/imagecache/node-gallery-display/photoessays/teapartyniggar2.jpg

      It’s not clear if the guy in the picture is a Tea Partier. And his use of the N-word was for himself, although extremely distasteful. He was saying he was a black slave, and Congress was the slave owner.

      3. For the third one: http://i.huffpost.com/gadgets/slideshows/1398/slide_1398_20069_free.jpg

      It shows Obama as Hitler, which is reprehensible. During Bush’s time in office he much more often was compared to Hitler by the Left. Did you complain about that? (As you know, I was against almost everything Bush did in office.) I think it’s unfortunate, but for a long time it’s been common to compare political opponents to Hitler. Do a Google search for “Bush” and “Hitler” and you’ll find hundreds of Left-wing pictures from the Bush era. It’s also not clear if that was a Tea Partier holding the sign in your example.

      You wrote, “Oh, yeah, I know, it was the Democrats who made up all these signs just to give the Tea Party ‘members’ a bad name.” No, the Democrats didn’t make up those signs. But except for maybe two of the non-radical ones in the YouTube, we don’t know if the signs were made by Tea Partiers, either.

      I’m going to need a lot more evidence than that before I condemn a large, diverse, basically unorganized group of anti-tax protesters.

      Meanwhile, here’s a story about a black Tea Party activist inviting Morgan Freeman to a Tea Party rally: http://themoderatevoice.com/123810/black-tea-party-activist-invites-morgan-freeman-to-rally/

      — John Seiler

      Reply this comment
  23. Stevefromsacto
    Stevefromsacto 15 March, 2013, 15:04

    Gee, John, you have no problem condemning a large, diverse, basically unorganized group of anti-Wall Street protestors.

    And for the millionth time, I respect ALL presidents even though I may disagree with their policies. I did not condone the left wing nuts who disrespected President Bush. So maybe it’s time to stop ignoring or making excuses for the right wing nuts who do the same and worse to President Obama.

    Do you agree with the statement “You can disagree with President Obama without hating him.” Former Republican Senator Lugar said that, and your Tea Party “patriots” defeated him
    because of it.

    Reply this comment
    • CalWatchdog
      CalWatchdog Author 15 March, 2013, 15:12

      StevefromSacto: Yes, I certainly agree with: “You can disagree with President Obama without hating him.” I think he would be an interesting person to know. A nice man. I have liberal friends whose views are similar to his and we discuss things.

      My main objection to Obama is that he continued and extended the civil rights abuses begun under Bush. I read Obama’s book “The Audacity of Hope” back in 08 when he was running. He decried Bush’s abuses and said they should be changed. Instead, he has continued the abuses, and even signed the NDAA last December (after it was passed mainly by Republicans).

      If you don’t already, check out Glenn Greenwald’s continuing revelations about Obama’s attacks on the Bill of Rights: http://www.guardian.co.uk/profile/glenn-greenwald

      Greenwald is a liberal Democrat and constitutional lawyer. He also revealed Bush’s attacks on the Constitution.

      We now seem to have the worst of all possible outcomes: police-state Republicans running the House and a power-hungry liberal Democratic president. Who is nice in person.

      — John Seiler

      Reply this comment
  24. Ted Steele, Navigator
    Ted Steele, Navigator 15 March, 2013, 15:08

    John– You seem like a good person.

    You lose ALL credibility trying to defend these clowns. A HUGE portion of the Nation sees the same tea brewing in tiny permiable bags party and see hate, racism and ignorance. At least they report that to us in the way they vote, poll and speak. The internet is rife with well cited pieces on the odd signs, whacky interviews out on the mall etc etc etc. You are correct, it is reprehensible. I watched about an hour of cpac on line today. i watched almost an hour of a panel of younger folks, women, talking about the Presidnet. It was very sad. I NEVER once heard any of them refer to him by title, just, “Obama”. I spent some time in the 60’s working for a fed law enforcement organization on a tdy assignment in a civil rights mater in the deep south. The Presidnet is refered to in tones and ways I can only tell you reminds me of the worst of those days and by the most ignorant of people.

    THE primary reason that your Republican party in the doghouse is the image created by the ultra right spooky movement of the tea brewers. I have no problem with you folks living in denial, but it is pathetic to witness. What has been lost is the GREAT brand conservatives used to have with the electorate. It’s gone amigo. You folks still have time to wake up.

    Reply this comment
    • CalWatchdog
      CalWatchdog Author 15 March, 2013, 15:20

      Ted: 1. Which “clowns” do you mean? The black and Latino Tea Partiers?

      2. You wrote, “A HUGE portion of the Nation sees the same tea brewing in tiny permiable bags party and see hate, racism and ignorance. At least they report that to us in the way they vote, poll and speak. The internet is rife with well cited pieces on the odd signs, whacky interviews out on the mall etc etc etc.”

      Send me a link to check it out. Until then, it’s just innuendo.

      3. You wrote, “I watched about an hour of cpac on line today. i watched almost an hour of a panel of younger folks, women, talking about the Presidnet. It was very sad. I NEVER once heard any of them refer to him by title, just, ‘Obama’.”

      CPAC is not the same as the Tea Party. CPAC is put on by the conservative/Republican establishment in D.C. and has been around for more than three decades. I used to attend it when I lived in D.C. in the 1980s.

      When Bush II was president, liberals just called him “Bush.” Same with Reagan and Nixon: called just by their names. I remember my mother complaining c. 1970 about the liberal commentators on TV referring only to “Nixon,” not “Mr. President.”

      (For the record: I am not a fan of either Bush I or Bush II, or Nixon. I like Reagan, although not in everything.)

      4. You wrote, “THE primary reason that your Republican party in the doghouse is the image created by the ultra right spooky movement of the tea brewers.”

      I’m not a Republican. In 2010, the Tea Partiers helped elect Rand Paul, a libertarian, in Kentucky; and Ted Cruz, a Latino conservative, in Texas. The Tea Partiers didn’t have much influence in 2012. One thing always to remember is that they never have been well organized. There’s no central movement, no doctrine they all subscribe to. Tea Partiers in California have little in common with those in Ohio or Florida, except they want lower taxes.

      — John Seiler

      Reply this comment
  25. Ted Steele, Navigator
    Ted Steele, Navigator 15 March, 2013, 15:38

    John–

    1. All tea brewing folks I don’t see any racial distinction.

    2. A link to the national election you just lost? Truly? The electuion where you lost the people of color? The poor? Gay people? You want a link to that event?

    3. I am asserting to you that there is a palpable diference with Preident Obama, he is treated as a lower caste employee by the right, almost always. I won’t try to convince you of it. It demonstrates a lack of respect. If you don’t see that, so be it. It is obvious to me. And I hate the way some lefties called President Bush by his last name as well but this reminds me of my first hand experience in the deep south in the context of the white majority in matters of civil rights— it is very obvious to me, I lived it.

    4. I find more in common with tea brewers from dif. areas than a desire to lower taxes. I find a pervasive ultra right point of view in social issues, a very provincial point of view about immigration and a collection place for low information voters.

    But do carry on.

    Reply this comment
    • CalWatchdog
      CalWatchdog Author 15 March, 2013, 16:17

      Ted wrote: “2. A link to the national election you just lost? Truly? The electuion where you lost the people of color? The poor? Gay people? You want a link to that event?”

      Again, I am NOT a Republican. So I didn’t “lose” the election.

      “3. I am asserting to you that there is a palpable diference with Preident Obama, he is treated as a lower caste employee by the right, almost always.”

      No. America doesn’t have castes, although it does have an increasing class divide. By definition, you can’t be in a lower class — or “caste,” if you prefer — if you are president and control 10,000 nuclear weapons and a $4 trillion budget.

      He seems to be treated some on the right with the contempt they also gave Clinton. And look at American history. Elections usually have been rough, beginning with Jefferson vs. Adams.

      “4. I find a pervasive ultra right point of view in social issues, a very provincial point of view about immigration and a collection place for low information voters.”

      “social issues”: On Prop. 8 in 2008, Latino and black majorities voted in favor; white and Asian majorities voted against.

      “a provincial view about immigration”: Actually, they have an international view. All 200 other countries in the world control immigration tightly. Only America doesn’t. Democratic Party headquarters has a fence around it.

      “a collection place for low information voters”: I’d say that anybody who voted for Romney OR Obama needed more information.

      But do carry on.

      — John Seiler

      Reply this comment
  26. Ted Steele, Navigator
    Ted Steele, Navigator 15 March, 2013, 15:41

    There are a dozen of these kicking around John– This is why you lost the elction. And an election you CLEARLY should have won.

    Reply this comment
    • CalWatchdog
      CalWatchdog Author 15 March, 2013, 16:09

      Ted,

      1. Which part in that video is objectionable? The guy pointing out that 45% of abortions are of black babies, which is true (Check the Guttmacher Institute numbers)? Yet blacks are only 13% of the population. There’s a lot of stuff in that video, a compilation, some of which might not even be Tea Partiers. Indicate a time segment and I’ll check it out.

      2. How many times do I have to tell you I am NOT a Republican? So I didn’t “lose” the election? I wrote a couple dozen articles here criticizing Romney, a socialist like his father, who was gov. of Mich. when I was growing up in the 60s and wrecked the state.

      — John Seiler

      Reply this comment
  27. BobA
    BobA 15 March, 2013, 16:09

    CalWatchdog:

    I’m an active member of my local Tea Party and the only doctrine, if you will, we subscribe to is the Constitution of the United States of America.

    The liberal Progressive movement have a problem with the constitution as written because the constitution limits the government role in our lives. Their problems with the constitution goes all the way back to president Woodrow and many other progressives from that period (as a side bar, the progressives of that period started the eugenics movement, i.e., eliminate inferior races. There was a book written by a proponent of eugenics during that that Adolph Hitler read and fashion Nazism after. It is far to say that the idea behind Nazism and extermination of the Jews originate right here in America.))

    I’ve heard more than a few liberal intellectuals suggest that the IS scrap the constitution for something that broadens the powers and scope of the of government while at the same time limiting the freedom and liberties of the American people.

    If you delve into the history of the progressive movement you’ll find that it is rooted in Marxism. Interestingly enough, the biggest proponents of the liberal/progressive movement are, with no exceptions, the rich & powerful and those ensconced in the ivory towers of academia.

    As a member of the Tea Party, I believe in small and limited government and a government that stays within the frame work of the US constitution. People who oppose the Tea Party stands are either ignorant of what it stands for or support the idea of doing away the constitution altogether. That is to say, they prefer a government for the people by the elite ruling class. Personally, I think it’s because the want to be absolved of any responsibility for their own lives.

    When the government fears the people, that is freedom. When the people fear the government, that is tyranny.

    Reply this comment
  28. stevefromsacto
    stevefromsacto 15 March, 2013, 16:36

    BobA, isn’t it true that the overwhelming majority of Tea Party “members” support restrictions on gay marriage, abortions, etc.? Y’all hate government intrusion in the economy, but you have no problem with government intrusion in the bedroom.

    A relative of mine is a Constitutional scholar. He points out that the Constitution and Declaration of Independence were both crafted after compromise by delegates with widely divergent ideological viewpoints. He believes that had the Tea Party philosophy–any one who dares compromise and cooperate with the other “side” to help solve our problems is a traitor or worse–been in effect in the 1700’s, neither of these sacred documents might have ever been created.

    Our greatest patriots throughout the years–from Jefferson to Reagan–have all agreed that we all need to work together to make this a better nation. It’s time for the Tea Party to adopt that philosophy or get out of the way.

    Reply this comment
    • CalWatchdog
      CalWatchdog Author 15 March, 2013, 19:34

      StevefromSacto: Restrictions on abortion protect the lives of unborn children. As to same-sex “marriage,” it doesn’t exist. In any case, government shouldn’t be involved at all in marriage. Since government took over marriage about 200 years ago from families and religions, the divorce rate has risen from close to zero to 50%. It’s another institution the government ruined.

      — John Seiler

      Reply this comment
  29. Ted Steele, Navigator
    Ted Steele, Navigator 15 March, 2013, 16:47

    I would call you more of a defacto R then John. Did you vote for ANY R’s last time John?

    If you read that post with more care you’d see that I wrote “as” a member of the lower caste. It’s an analogue John.He is the first black president and from day one, the ultra right treated him with disrespect. The electorate sees it even if you don’t.

    Nothing in that video is “objectionable ” to me John. I find the video , and the others like it, informative and useful. What you do , and did yet again, is defend it. Bully for you. I don’t think it’s too wise John.
    You live in denial, it’s ok with me.

    Carrying on and trying to be pc, I remain your servant,

    The Ted

    Reply this comment
    • CalWatchdog
      CalWatchdog Author 15 March, 2013, 19:31

      Ted: I’ve always been a de facto “Decline to State” since I first registered to vote in Michigan in 1973. In the last election, I did join the Republican Party to vote for Ron Paul in the primary, but then quickly switched back to “Decline to State.” That’s because he’s really a Libertarian. Then the Republicans stole his delegates at the convention. So even that vote was worthless. In the general election, I didn’t vote for any Republicans. I voted Libertarian or some other party, or just skipped the office. For president, I actually voted Democratic. I wrote in Grover Cleveland, the last president who really respected the Constitution.

      As to your contention, “the ultra right treated him with disrespect,” they did the same thing with Clinton and Jimmy Carter. It’s part of politics. And I remember how the Left treated Reagan with disrespect. I lived in Washington, D.C. 1982-87, and attended the Left’s anti-Reagan rallies. They were a lot more hateful than the videos I’ve seen of the Tea Partiers.

      At Woodstock in 1969, Joan Baez sang a song with Jeffrey Shurtleff introduced by him as being about “Ronald Ray-gun-zap,” California Gov. Ronald Reagan. The lyrics included, “He’s the head of the Klux Klan…. When summer comes rollin’ around, we’ll be lucky to get out of town.” It was on the 1970 LP soundtrack bought and heard by tens of millions. YouTube: http://youtu.be/5K2OZUgGqkw

      — John Seiler

      Reply this comment
  30. stolson
    stolson 15 March, 2013, 17:33

    NoBamacare was written by insurance co. and lobbyists applied pressure to get it passed–with no one reading it, nor even understanding the details.
    The UK, France, Canada have govt care. In France, it has been good–the others finding it a loss. In order to work the older patients receive less care, and this allow dollars for the so-called poor and uninsured. Please remember, that welfare, food assistance, rental assistance, first time home buyers aid, tanf cash doled out,etc adds up to quite a bit. In addition, the fraud of those working and receiving a paycheck and also collecting–in addition–to using the IRS for listing and getting money for scads of children (even living in S.A. countries) also adds to income. I have met these and they are doing JUST GREAT. They prefer the emergency rm as they don’t pay. Now, this group will get free healthcare off the backs of the older folks who paid taxes etc. All for a VOTE and cheap labor.
    This is a true picture. Where will the money come from?? Eventually, there will be a problem to fund this, unless people not on these doles pay twice as much as they did before, social security recipients (who paid in–a pension plan–not an entitlement) will be forced to accept no increase (unlike the opension plan recipients of public sector unions), medicaid will be pitiful, and medicare will be expensive. This is a real mess. Politicians know it, but don’t know how to defund it. As far as the poor, there are state programs which cover them and the children.

    Reply this comment
  31. BobA
    BobA 15 March, 2013, 19:48

    stevefromsacto:

    I have yet to meet anyone like that at the Tea Party meetings I go to. Further more, myself and other organizers have made it clear that anyone with a religious agenda is free to attend our meetings as long as the keep it to themselves. Our members are democrat, republicans and libertarians and we only talk about constitutional issues and small and limited government.

    Personally, who marries who is none of my business and not the government’s business either. If a woman wants to get an abortion, that’s her business and you & I and anyone else should be forced to pay for it.

    By the way, throwing out the term constitutional scholar does not impress me. Anyone who has read the constitution and the federalist papers can call themselves a constitutional scholar.

    90% of the American people have never even read the constitution so the bar for claiming to be a constitutional scholar is rather low.

    By the way: you might want to ask you relative how would they characterizes the participants in the Boston Tea Party. Would they claim that America would’ve been better under the British crown and that the American freedom fighters were actually terrorists?

    I am always amazed at how liberals react at any perceived threat to the growth and dominance of government. A government that is big enough to give you everything you want is also big enough to take everything you have. When government expands, freedom must necessarily contracts. That is the way of government the world over and America is no exception.

    What liberties and freedoms are you willing to part with in order to aide and abet an increasingly omnipotent government? A government that, out of necessity and expediency, will eventual snuff out liberty and freedom for its own sakes and ostensibly, for our security?

    Losing freedom is easy; but it costs a lot of blood, sweat and tears to get it back. Our country’s founders have already purchased our freedom with their blood, sweat and tears. We should not be so cavalier as to hand it over to a government that increasing disdains its constitutional limits.

    Reply this comment
  32. Ted Steele, toilet cleaner
    Ted Steele, toilet cleaner 15 March, 2013, 21:37

    John–ipso facto requitarum– You ARE a defacto R amigo. Your whacky vote for a long dead Grover was a vote for Mitt. Sorry.

    Joan Baez, Gram Parsons and other anecdotal examples do nothing to convince me what I have seen and still do. The ultra right media, pols, and cash whores own a palpable hatred of the President that is obvious to even the casual observer. Within that population is a certain amount of conscious and pre conscious racism. You may feel that the amount is small. I think it’s not as small as you might think.

    People have been bitching about Presidential usurpation of power vis the Constitution since the Adam’s administration and the alien and sedition act. Zzzzzzzzzz== about 80% of the whining is underwhelming. I think another defining aspect of the tea brewing contingent is the self inflated Constitutional scholar syndrome. (SCS)

    Reply this comment
    • CalWatchdog
      CalWatchdog Author 15 March, 2013, 22:49

      Sorry, I’m not a Republican. Grover Cleveland was a Democrat. In California, voting for president was pointless because it was obvious Obama would win by more than 2 million votes, which he did. Actually, voting of any kind probably is pointless. I didn’t see any difference between Obama and Romney. So, if you voted for Obama, you really voted for Romney — and are a Republican yourself!

      “Joan Baez…anecdotal example.” Baez is not an anecdotal example, but a real person. I even provided the YouTube. And the Woodstock album sold millions. That was the attitude of a whole generation of LSD-saturated hippies that now run everything during flashbacks.

      “Within that population is a certain amount of conscious and pre conscious racism.” No. Don’t see it. Pre consious? what’s that?

      “self inflated Constitutional scholar syndrome.” So we shouldn’t read the Constitution ourselves but only obey Our Masters in Government. And we should ignore that it begins, “We the people….”

      — John Seiler.

      Reply this comment
  33. Douglas
    Douglas 16 March, 2013, 04:23

    ” Baez is not an anecdotal example, but a real person”

    LOL

    That’s what an anecdotal example is.
    ( See also: Confirmation bias and Cherry picking (fallacy)

    Anecdotal evidence is considered dubious support of a claim; it is accepted only in lieu of more solid evidence. This is true regardless of the veracity of individual claims.

    I don’t know what pre- conscious is, but I do recognize racism. Lots of it. Sadly, much of it is from a branch of my family in Mississippi. It’s lighting up Facebook like a beacon.

    “I’m not a racist, I hate Biden too” is just fooling yourself.

    Of course, that’s just anecdotal evidence.

    Reply this comment
  34. Douglas
    Douglas 16 March, 2013, 05:15

    Back to the Affordable Care Act:

    Rush Limbaugh, among many others, kept repeating that it was not NEEDED because there was no such thing as seven million uninsured. ANYONE could walk into an emergency room and be treated.

    NOW they say we can’t afford it and we don’t have enough doctors. Who was treating all these people before? And who was paying for it?

    Reply this comment
  35. BobA
    BobA 16 March, 2013, 08:31

    Douglas:

    “Who was treating all these people before? And who was paying for it?” Are you suggesting that you don’t know?

    Here’s a clue: Patient A, who’s uninsured, goes to the hospital with a broken arm and has it treated by a doctor. Their cost? nothing. Patient B, who has health insurance, goes to the hospital with a serious gash on their arm that requires 20 stitches. There cost? $5000 dollars. The point here is that hospitals charge insured patients a lot more than uninsured patients because they can bill the insured person’s insurance company to make up the difference. It’s a simple analogy but it’s pretty much the way the system works.

    The insurance company invariably pays without question because they can always raise the insured person’s premium to recoup their costs. The way the laws are written, the insurance companies are all but guaranteed a profit. Plus it is the law that hospitals have to provide emergency treatment to all comers.

    But don’t believe me. A little research of your own will confirm what I am saying. The more you research, the more shocking and angry you will get at how our health care system works. Moreover, you will be disgusts at why it works that way.

    Suffice it to say, follow the money and see who’s hands it ends up in. You’ll like politicians, lobbyists and overpaid CEOs even less.

    BTW: The more illegals we allow in the country the higher health care costs will go.

    Reply this comment
  36. Ted
    Ted "Eddy Baby" Steele, Associate Prof. 16 March, 2013, 08:46

    John– Happy to help you learn.

    http://en.wikipedia.org/wiki/Preconscious

    “LSD saturated hippies now run everything during flashbacks”? —John, you live in a strange world. I know you’re a bit prone to hyperbole (which is fun) but this one seems a little over the top even for you.

    Hey–RE your status as Con Law scholar—Abraham Lincoln was a fine self taught lawyer. I knew Abraham Lincoln, John, you’re no Abraham Lincoln.

    Ted

    Reply this comment
  37. Douglas
    Douglas 16 March, 2013, 10:11

    BobA:

    I’m suggesting Rush and others were being disingenuous.

    Coincidentally, I had a cut in my finger last month that wouldn’t stop bleeding. Emergency room cleaned and x-rayed it and put in two stitches. Billed my insurance company $3,700. (Doctor’s fee not included)

    Twenty years ago the Heritage foundation and other conservatives were proposing an individual healthcare mandate. So that previously uninsured patient would not piggy back on my insurance.

    Now they call it Obama care and socialism and say we cant afford it and all the doctors will quit medicine.

    Reply this comment
  38. StevefromSacto
    StevefromSacto 17 March, 2013, 13:00

    “Patient A, who’s uninsured, goes to the hospital with a broken arm and has it treated by a doctor. Their cost? nothing.”

    You can’t be serious. This is delusional. One of two things happen with Patient A. 1. The government reimburses the hospital for the cost of treatment; so we taxpayers wind up paying for it. Or 2. the hospital eats the cost and makes up for it by raising prices for the rest of us.

    And gee, Boba, since you are so concerned about insurance company profits, you ought to be supporting a single-payer health care system like all but three of the world’s industrialized nations. But I ain’t holding my breath.

    Reply this comment
  39. StevefromSacto
    StevefromSacto 17 March, 2013, 13:04

    Boba compares our democratic form of government to the British crown. He accuses President Obama of being a Socialist (or is it a Monarchist). Shows you all you need to know about his grasp of political history.

    Reply this comment
  40. Mary
    Mary 25 June, 2013, 13:05

    I’m an optometrist and I’ll quit the profession entirely if I’m forced by the government to be a primary care practitioner. I was trained from the neck up and that was about it. We didn’t even work on cadavers. My training of full-body anatomy and physiology ended my first year of undergrad college. Beyond that it was very specific training: anatomy and physiology of the eye, etc… I never took A and P of the entire body systems at the graduate level.

    I chose to become an optometrist. I could’ve gone to med school but I faint at the sight of blood, so I figured optometry was a clean para-medical profession.

    Over the years, however, the American Optometric Association has pushed and pushed and pushed for more and more medical privileges for optometrists to the point of requiring us to be certified to excise lid lesions and do injections!

    This wasn’t the profession I signed up for!!!

    No one should ever have their optometrist be their PCP for diabetes or hypertension. It’s dangerous because we’re not trained to treat those conditions.

    Reply this comment

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