No mean tweets from Joe

No mean tweets from Biden. However, we do have soaring inflation, our enemies laughing at his failures, the whole nation, including Democrats having absolutely no idea who is in charge. But you’ve got to hand it to Democrats they are more clever by 10 and more evil by 5 than the Republicans who are acting like the Katzenjammer Kids (the comic strip, not the band). We all watched and sort of snickered during the primary campaign when Bernie and Mayor Pete and those fake ethnic ladies were all swinging so left it took our breath away, yet good old fumble bumble Joe seemed reasonable and moderate compared to them. Now they’ve unwrapped their plan and he’s “Uncle Joe” straight up bait and switch socialist heading for Communism or National Socialism with the help of his cronies in Big Tech. He’s making Bernie look like Ronald Reagan. What he has said and done in his 45 years has been so racist and misogynist, he can make Trump look like a 10 year old, yet the media just kicks it under the rug with, “Oh well, that’s just Joe”.

And Democrats got 9% for Covid out of the Covid bill, and 6% for infrastructure out of the infrastructure bill (because child care is infrastructure), and people making twice as much money to stay home as they’d get if they went to work, while he’s pushing an inflationary “stimulus” when there are 8x more jobs than unemployed looking

Promoting Gender Equity in National Priority Programs, Promote, a 5 year program which is failing

USAID program to promote gender equality in Afghanistan and help women find employment is costing taxpayers over $200 million but has only found jobs for 55 women.

This has the look and feel of some of the Obama stimulus programs in the ARRA that employed a few people at the cost of millions of tax dollars, while shutting down others that were working. However, the tone is definitely GW Bush. Bush freed more women than Lincoln did slaves, but he also believed in imposing western culture and norms on people still struggling to leave the 8th century. If Trump closes this down, the pink pussy hats will be out in force saying he's hurting women.

https://freebeacon.com/issues/usaid-spends-89-7-million-finding-jobs-for-55-afghan-women/

Stimulus Jr. as campaign fodder

“The president was out there, once again, promoting the American Jobs Act. This bill is basically a huge payoff to Democratic constituent groups – notably organized labor, which would benefit enormously from federal grants to states to keep government workers on the payroll, as well as construction projects to be completed by union job crews.

This bill has no chance of passing through the United States Congress. The Republican party is never going to vote to hike taxes to pay off Democratic client groups. It never has, and it never will. What’s more, the politics of this bill do not play very well with the middle of the country – as Republicans can always point out (correctly), the American Jobs Act is a watered-down version of the American Recovery and Reinvestment Act (i.e., the stimulus that the country thinks was a failure).”

http://www.weeklystandard.com/blogs/morning-jay-obama-s-problem-his-base_646967.html?nopager=1

How we got HITECH folded into the Stimulus Bill

Abstract from New England Journal of Medicine, Dec. 15, 2011, "Wiring the Health System--Origins and Provisions of a new federal Program, pt. 1, David Blumental, MD

In February 2009, the U.S. government launched an unprecedented effort to reengineer the way the country collects, stores, and uses health information. This effort was embodied in the Health Information Technology for Economic and Clinical Health (HITECH) Act, which was part of a much larger piece of legislation, the so-called stimulus bill. The purpose of the stimulus bill, also known as the American Recovery and Reinvestment Act of 2009 (ARRA), was to stimulate the economy and prevent one of the worst economic recessions in modern history from becoming a full-fledged depression. Congress and the Obama administration took advantage of the crisis to enact programs that might spur short-term economic growth as well as promote scientific and technical advances with potential long-term benefits for the American people. In the health field, one such program involved a commitment to digitizing the U.S. health information system. The HITECH Act set aside up to $29 billion over 10 years to support the adoption and “meaningful use” of electronic health records (EHRs) (i.e., use intended to improve health and health care) and other types of health information technology.

According to the article, which goes on for pages and has voluminous footnotes, there were only TWO arguments in favor of this program:

1) the conviction (i.e., no facts, no data, no research) that information technology could improve health and health care
2) a need for the government to remedy the perceived but unproven problems inhibiting the spread of health information technology

Looking further for statistics on why this was needed, I found in Blumenthal's puff piece a number of additional arguments for HITECH based on nothing more than intuition, lack of statistics, and a hunger of government officials for more or more.

3) it was “intuitive.” How’s that for hard evidence?
4) the lack of what they wanted--only 17% of physicians and 12% of hospitals had fully functioning electronic health records. (Wow! what a bonanza for the IT industry and its lobbyists!)
5) We already had the most expensive system without IT, and Europe had health IT, so if we heaped this cost on top of that, we could have a “fundamental technological breakthrough.”
6) It would be a benefit to “policy makers” (that means DC law makers) and
7) the “implied” need could improve care if information were shared, and paper records are difficult to share.
8) There was some empirical evidence from the Veterans Administration System and the Kaiser Permanent Health Plan (a tiny puddle in the overall sea of health records) for treating chronic illnesses.
9) The National Institutes of Health (a government agency) wanted it.

Just as the reasons HITECH was necessary to rush through in the stimulus bill in 2009 (to help the economy) were as fragile as a butterfly's wings and its movement of air, so the reasons not to do it were much more substantial.

1) economic--no reward for improved efficiency in medicine--except to patients and insurers--which in government talk means the markets have failed.
2) logistical and technical--it is so complex, that obviously the government needs to step in to help overcome this barrier.
3) the ability to do this is "underdeveloped," so therefore this huge challenge requires something even more huge--the federal government
4) privacy and security of records--no solution is even offered for this one except noting the health record industry is not currently regulated, so you know where they're going with that one.
Wiring the Health System — Origins and Provisions of a New Federal Program
Clever terms only a doctor on the government payroll (Blumenthal was national coordinator) could use:

• "meaningful use" of electronic health records
  
• meaningful use was a new idea with no precedent in law, policy, or the health care literature
  
• multiple major new regulations with far-reaching impact with a short deadline
  
• new programs had to be created from whole cloth (his exact words, folks!)
  
• targeted public investments
  
• encourage millions of health professionals and institutions to adopt and use
  
• justified intervention
  
• create the need for government remedies
  
• intuitive rationale
  
• experts agreed
  
• policy makers need
  
• bunches of vague statistics about quality, doctors, sharing information
  making available $27 billion
  
• federal government is correcting market failures
  
• EHR can create huge databases for local, national and international research
  
• If left to their own choices/devices providers would "never use them efficiently"
  
• Congress incentivized, with secretary of HHS allowed to define "meaningful use"
  create an opportunity
  
• the gov't dept charged with all the regulations for HITECH had never drafted a regulation or run a technical assistance or training program and had only 35 employees, so obviously the first job creation of ARRA was to add government staff!

This is only pt. 1, and I think Blumenthal has no idea he has made this sound like the Katzenjammer Kids on Parade. I can hardly wait for pt. 2.

Blogging break for Christmas

I'm never busy (by other people's standards) but I do get distracted by the computer's presence, so I'm taking a break. In addition, I'm gob-smacked by what's going on in Washington right now. I'm not a birther, but I'm beginning to believe our President is an alien, not from Africa but from outer space. A being no one, not the left and certainly not the right, knows how to deal with. This tax bill is by far the worst piece of legislation since Obamacare, and Republicans even with the help of the Tea Party, just can't stop this steamroller of debt and deception. And either his critics on the left are too dumb to catch on, or they are in on it for the media's benefit and are laughing at the Tea Party which has been defeated before the battle even started in Congress. In either case, I just don't even want to blog about it, so better I just enjoy the time of real peace, which is Jesus, not party, not politics, and not nation.

Maybe he can answer my question

Today I wrote to Patrick P. O'Carroll, Jr., Inspector General of the Social Security Administration. In September he wrote (or his staff did) a report on the dead people and convicts who received the $250 stimulus check back in 2009. 71,688 beneficiaries were deceased and received about $18 million and 17,348 beneficiaries were incarcerated and received $4.3 million. I always wondered why I received one because people with teacher's pensions aren't allowed to "double dip" so I don't get a Social Security check. If there's going to be a clawback, I don't want to wait until they've added a few hundred in interest. I won't hold my breath to see if he answers.

White House claims it met stimulus goal of 70% spent by Sept. 30

But no one knows how, unless they really goosed it that last month, because they weren't even close. For now, "if they said, it happend" is the rule of this administration. Here's one agency that didn't get its spent--Department of Homeland Security, one that you would think (if you thought like a conservative) would have no problem.

"•The Department of Homeland Security has spent less than $500 million of its $2.8 billion allocation. When the stimulus bill was passed, the CBO estimated that Homeland Security would spend more than $1 billion by now. The slow spending comes from nearly every part of the agency. For example, Customs and Border Protection has paid out less than $50 million, even though it was authorized to spend $680 million to modernize ports of entry and deploy other border technology. That program was halted briefly last fall as news media and members of Congress questioned the plan to modernize little-used border stations in Montana and North Dakota instead of busy crossings along the southwest border." Link

So some alert news media noticed the ND stations weren't as big a risk as Arizona and NM. Who knew!

The Obama Dependency Economy

". . . the U.S. economy has now lost a total of 3.8 million jobs since President Barack Obama signed his $862 billion stimulus plan. We are 8.1 million jobs short of the 138.6 million he promised the American people.

It is good to see the American economy finally recovering again. It demonstrates the resilience of the American entrepreneur in the face a punishing job killing agenda from Washington. And don't fall for any White House claims that this belated recovery is due to the stimulus."

Read the entire article here. Find out what the government coulda, shoulda, woulda do if economic recovery instead of more control of our lives were the goal.

And by the way, I'm still waiting to see what the ARRA funds will be doing on the Upper Arlington street just west of us. I drove the distance of the orange barrels, and don't even see a problem, let alone a worker. Meanwhile, the landscape company reworking our condo entrance (which included a Saturday and a brief snow storm) is finished.

Obama's stimulus is a dribble

It's awfully hard to find a WSJ news story critical of Obama's first year, or positive about Bush's 8 years. (Only the editorials are conservative in case you aren't a reader of this business periodical.) But today's U.S. News section (A2) is close--it actually points out the failures of ARRA without calling them that.

But think about the economy as if it were sex. Would you prefer the same old, same old (speaking of socialism here) that didn't work even when it was young, and now old and tired, dribbling out a little at a time? Or would you enjoy some focused attention with promises kept, not distracted by the condition of your health? And how well do you perform with constant threats and criticism?