Beyond the Cusp

September 19, 2017

The Grand Healthcare Fiasco

 

Has anybody honestly thought the concept of “Single Payer Government Healthcare” through completely? Senators Bernie Sanders and Elizabeth Warren claim they have the entire thing sorted out. What is their solution, you ask? They will tell everybody that it is easy-peasy-lemon-squeezy. The answer is to simply give everybody a Medicare Card and presto-chango and you have universal healthcare. Nothing will change other than the government will now pay all your healthcare expenses. You actually do get to keep your doctor. Of course, you do not get to keep your healthcare insurance because the government will become your health insurance provider. Now, what could be any more simple? When you go to your doctor, you just show them your Medicare card, they take down the number, you sign that you received the care listed and the government pays your doctor. Well, you will need to press down when signing the paperwork because there are tons of copies being produced, at least five with an unknown upper end. Well, there will be a little more to your doctor getting his money, but your work will be finished. Your physician will then be required to also complete some additional forms further describing the services delivered and the resources used and any testing which was required and any other incidentals which might be required to satisfy the government regulations and specific other essential requirements to complete and satisfy every criteria which the government and Medicare requires. Then the entire package is wrapped-up and mailed using Fed Ex, UPS, DHL, USPS or other mode of delivery of your physician’s choice and after the government Medicare workers complete processing and approving the claim, then the check is in the mail. Well, actually, not necessarily.

 

Medicare requirements are very particular and it will probably take some adjustment in meeting their standards and style requirements as well as quantitative and qualitative requirements as well as making sure that you utilize the perfect and correct forms for each specific set of procedures as well as the right entries for items utilized and which form for each procedure and a million other vitally important minutia; all of which will take a little period for adjustments. Then, and only then, things will move along smoothly for you, your physician and everyone involved. Of course, there is a faster means your physician might consider in order to make their reimbursement less painful and less time consuming, they might actually consider trying hiring somebody with experience in government forms and government lingo with a specialty in Medicare forms and formulations. Once the wrinkles have been ironed out, then will come the initial shock for your physician, the fact that he will be receiving less for each visit and delivered medical services than he may have become accustomed. With some fine-tuning of how he represents each service rendered and supplemental services required and other technicalities, your physician will be able to rectify some of the deficit he first encountered. The one thing he should be forewarned is that the government may decide to audit his practice if they suspect they might be cheating the government to increase his profit margin by cheating the government by charging for things either he did not provide or for items he did not use. What adds to the overall confusion is that government processing of claims and auditing of these same claims are actually somewhat subjective just as much as objective. That leaves some wiggle room, often some very noticeable wiggle room. Much of that is due to regulations written in order to protect, favor or punish specific items, procedures and a variety of other items and even people which often lead to regulations which are all too often contradictory with all too often vague wording such that things depend upon the person reviewing the same procedural sequence coming out with very different results. This also means that what applied one time might not be acceptable the next which makes for some difficulty complying with every regulation and requirement.

 

Senators Bernie Sanders and Elizabeth Warren

Senators Bernie Sanders and Elizabeth Warren

 

But let us leave all this aside and pretend that every provider is fully capable of meeting every wrinkle and requirement in the paper jungle which is government forms and requirements and understand and interpret every regulation with the greatest of ability. So, your physician is now a professional at all things government requirements, what could be the problem now? But what about these HMO, PPO and the rest of the alphabet soup of group coverage? Well, their problem will be to completely standardize treatments for every scenario and also make sure that the physicians itemize and document with great accuracy such that their administrative professionals can accurately file with the government. Our bet is that very quickly the idea of having your own private physician will very quickly become a thing of the past and most physicians will run and hide behind the bureaucracy of some group healthcare facility be it a hospital, clinic or HMO, PPO styled health provider. Yes, there will always be the pay for service providers who will be required to at the least file the Medicare paperwork despite taking an additional fee from their patients. Whether such will be theoretically permissible under the single payer government Medicare for all healthcare packages which the law suggested by Senators Saunders and Warren are suggesting is debatable because, as we all know, the government hates competition when taking over an industry. But there is another item which might allow for such care to exist, the wealthy are unlikely to be kind to having to accept the same level of care as the average person. As the wealthy are the meat behind campaign financing, our government representatives are extremely sensitive to their desires, wishes and comfort, and that means that the wealthy will be permitted their own better healthcare, thus, paying an additional fee to your personal physician will very likely be permitted or opting to go your own way and paying your physician as long as you also pay for government healthcare despite not taking full advantage of their wonderful services. But even all of this is not going to be the biggest problem because to assure that the majority of people end up in the government healthcare system, private health insurance will need to be made illegal across the board, which is why the wealthy will be paying directly to the physician for services and not purchasing an insurance plan. Further, the government will very likely allow membership hospitals charge their flat entrance fee either monthly or annually and any additional fees per service as required to continue to provide their services as long, again, as their members pay their Medicare fees to the government plan.

 

Finally, the people who will be hurt by any government healthcare system, where all health insurance is replaced by government payment of healthcare fees, is the health insurance company employees and the independent health insurance agents. From what we have read, this would include somewhere from two and a half million to three million people losing their employment. I can hear your claim that most of these people would be required to be hired by the government to do pretty much the same jobs they perform now. Well, that might be true if the only thing that health insurance employees ever did was process insurance claims. But there are also the salespeople, accountants, executives and likely dozens of other positions other than claims processing. Further, as the government will be the sole provider, and there being a number of healthcare insurance providers, the majority of these people employed by these companies will be out of work. There will be some new employees, enforcement investigators who will be sent to investigate fraud, and there will inevitably be fraud just as there is fraud now in Medicare and Medicaid. Then there are the last two and most frightening truths. With time, this care system will run into the same problems the other government healthcare systems already in use in the United States have, namely the “Veterans’’ hospitals and the healthcare system providing care of Native Americans in the various Reservations. This may be the absolutely most frightening reality of the entire healthcare prospects. There has to be a better system than using Medicare for all or any of the other European systems plus Canada, Australia and New Zealand.

 

We might suggest the Israeli system where everybody is required to have coverage and pay the healthcare tax. Here is where the Israeli system diverts from the others. There are four separate healthcare systems which are required to provide basic services by the government. Each of the four offers this basic set of services plus each choose a few additional services for their basic coverage. They each offer additional levels of service, say bronze, silver, gold and platinum (used for example only) which each provide additional services and prescription and other service coverages each for an additional fee to your provider. Physicians are required to provide a set number of hours of their practice to one of the national providers. They can then offer for fee services outside the system and collect fees as they desire to charge, if they are so motivated. This is most often taken up by specialists and surgeons. This also allows for those who desire to choose their own physicians outside of the basic providers to pay only the basic fee the government requires and then get all of their care privately. The four separate providers each are kept providing their services, including their additional service levels, at a reasonable rate as they are competing against one another. They also each provide separate additional plans leading to people choosing whichever of the four provide the services they are most likely to require. So diverse coverages, competition keeping fees low and physicians providing service to the general good before they can sell their services on the open market to earn additional fees. It provides the most for the least for the people and allows for physicians to make as much salary as they are able to command from an open market system as well. Everybody gets their advantages and all receive basic health coverage. Major Medical where hospitalization is covered for all is part of the system which appears to be much of what the United States is aiming to cover. There is one problem with the Israeli system, it is Israeli and that appears to disqualify it for some idiotic reason.

 

Beyond the Cusp

 

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September 16, 2017

The Great American Nakba

 

The Great American Nakba just commemorated its sweet sixteen remembrances. The majority of Americans this past week commemorated the 9/11 attack on the World Trade Center and the Pentagon. But South Asian Americans Leading Together (SAALT), Council on American-Islamic Relations (CAIR) and probably a few dozen other Muslim rights groups and who knows how many Mosques, waited for the next day, September 12th, the day they claim the entirety of Americans turned on them for something they did not do, had no control over and rejected completely leading to innumerable hate crimes over the last sixteen years making their lives miserable and degrading them to second class citizens. We have to admit there has been an increase in crimes committed against Muslims which have been denoted as “hate crimes” starting the day after the World Trade Center attacks (see graph below). According to FBI reports, the hate crime attacks against Muslims showed peaks in 2001 as likely expected and again in 2015 for reasons unknown but at no point have these crimes exceeded one-hundred incidents nationwide. Still, any hate crime is one too many against anybody, Muslims or otherwise.

 

Total of Hate Crimes Against Muslims 2000 Through 2015

Total of Hate Crimes Against Muslims 2000 Through 2015

 

In response to what is usually the next question, there have been hate crime attacks on people of other religions as well and the FBI tracks these as well. The FBI has even been kind enough to provide a graph of the relationship between hate crimes against Muslim and other religious groups (see below). To take it one-step further, the next graph shows the hate crimes by religion from 1996 through 2014 and it is quite revealing. Where there was a spike in anti-Islamic hate crimes after 2001 but in all years in record the hate crimes targeting the Jews has been well above fifty percent of the total of hate crimes against any religion. If one were to believe the media reporting and one would believe that Islamic hate crimes outnumber every other form of hate crime and that they are being targeted well above any other group, and that is simply false. Looking at the graph one can see that the crimes against people of the Islamic faith are less than the crimes against even all other religions after excluding those against the Jews with the exception of 2001. Even in 2001, the numbers of crimes against Muslims were significantly less than those against those of the Jewish faith. But numbers mean nothing if the media reports only those who make the most noise and are organized to broadcast their message the loudest. Reports of anti-Semitism are considered old news and such attacks are not reported any further than locally for the most part as most of the groups which formerly reported such crimes against Jews to the media have moved on to other more important crimes. The Anti-Defamation League (ADL), from their web site, “Our Jewish values inform our work and the change we seek in the world.” From this description, we can inform you this means they have adopted the liberal Jewish value definition of Tikkun Olam which means that they are to fight all forms of injustice. This has led to their replacing their early concepts of fighting anti-Semitism to fighting all forms of bigotry which has had them join as an echo chamber thus amplifying every claim of Islamophobia and hate crimes against Muslims. The ADL has joined with CAIR and others in reporting every case as soon as reported and, needless to say, the media has usually jumped all over the story as Islamophobia and hate crimes against Muslims are the most important crimes needing reporting. When any of these reported crimes turns out to be a hoax, there is seldom as much reporting of that result. In addition to anti-Semitism, the ADL also is proud of their efforts at the following; Bullying & Cyberbullying Prevention, Criminal Justice Reform, Cyberhate, Education Equity, Hate Crimes, Immigrant & Refugee Rights, Interfaith & Intergroup Relations, LGBTQ Rights, Race & Racial Justice, Women’s Equity and numerous other areas. As you might guess, the staff at the ADL are very busy fighting virtually every inequality on the planet.

 

Hate Crimes Against Muslims Compared to Other Religious Groups

Hate Crimes Against Muslims Compared to Other Religious Groups

 

 

Hate Crimes by Religious Group 1996 Through 2014

Hate Crimes by Religious Group 1996 Through 2014

 

One thing making false hate crimes of every variety difficult to track is that the FBI does not track fake hate or false flag crimes, making them nearly impossible to quantify. Still, there have been some reporting of fraudulent hate crimes against Muslims of which we will provide a few sterling examples which were widely reported. A Muslim woman at the University of Louisiana at Lafayette was attacked and had her hijab ripped off, this was later found to be a false report and never happened. At the University of Michigan on Nov. 11, 2016, a Muslim female student reported being approached by an unknown man who threatened to set her on fire if she didn’t remove her hijab. This proved to be a hoax event. The NYPD said last week that Yasmin Seweid (pictured below) falsely claimed that three men taunted her aboard a subway train on Dec. 1, 2016, yelling “Donald Trump” and calling her a “terrorist” then tried to take off her hijab. Azhar Hussain, an assistant professor at Indiana State University, has been arrested on charges alleging he made false reports of anti-Islamic threats against him and even reported an attack authorities say did not happen. These are some of the recent false reports of hate crimes reportedly against people of the Islamic faith. These should not lessen the serious nature of any actual anti-Islamic hate crimes as these are as serious as any other hate crime and should be denounced and those responsible prosecuted to the fullest extent.

 

Yasmin Seweid

Yasmin Seweid

 

All things taken into consideration, the American Nakba should be treated in a similar vein as the Israeli Nakba which is the Arab response to the founding of Israel. There is an apparent nature that anything the Muslims considers an untoward act which they believe targets them and makes them lose face must be defined as a great tragedy. Their feeling of insult is more important and more worthy of forcing the world to regret with them and side with them against whomever or whatever they view as a challenge or insult. Israel is a reminder that they have proven incapable of wiping the Jewish State off the map. That is the true meaning of their Nakba the Arabs claim took place on May 15, 1948, which so happens to be the day Israel declared her independence and the same morning when half a dozen Arab armies crossed her every border in an attempt to eradicate not only the Jewish state but every Jew they could find. The Mufti of Jerusalem even went so far, in his prideful belief that the Arabs could not be defeated in their war, to demand that every Arab who valued their lives to evacuate and place themselves behind the Arab armies positions such that the invading armies could simply slaughter everybody they came across on their road to victory. After a year and a half of fighting, the Arabs finally reached agreements to end their invasion and settled for taking the areas of Gaza, Judea and Samaria (West Bank) away from Israel. They have tried twice more during the Six Day War and the Yom Kippur War to eradicate Israel and have not succeeded. They teach in their schools that all of these wars were great Arab victories and nobody questions why Israel still exists, they just accept that because they were Muslims they could not have lost, Allah surely gave them great victories. The American Nakba will eventually be flaunted in order to make claims of how the American people are wary that the Muslims are going to soon rule their nation, and this will also be taught in their Madrassahs and be accepted as fact. This will also be used as a rallying cry to energize their communities when the time comes for them to start their Jihad against the United States, and that day is not all that far away. Take that as a warning and the decree that September 12th becomes a day of Muslim demonstrations, parades and other celebrations of their superiority and their eventual conquest of the United States. That will be a barometer of their level of preparedness to begin their great American Jihad.

 

Beyond the Cusp

 

September 13, 2017

Is Hamas Being Merged with Hezballah?

 

According to the Head of the Shin Bet Security Service Nadav Argaman, the Gaza based terrorist group Hamas has been deepening its ties with Hezballah in Lebanon and thus becoming closer to Iran and the Shiite efforts to destroy Israel, the United States and the Western World. This is in line with recent developments in Iraq where Iran has been taking the officers and ranking core Islamic State fighters and converting most into Shia Islam while also building Sunni units to use as enforcers against what they view as renegade Shiite groups such as those who follow Muqtada al-Sadr as we reported in our recent post, “Sacrificing Kurds Along with Iraq to Iran.” We will ignore any possibility that Iran might use Hamas to free up more Hezballah forces to be used in Syria, as Syria will be placed once again under the oppressive fist of Bashir al-Assad no matter how long that takes. This is another reason to permit the Kurds to establish their own homelands of Kurdistan across both Iraq and formerly Syria lands in the northern regions. This would provide the world with a place more dependable than Turkey from which to slow the Iranian dreams of spreading into Turkey and on to Greece as the Persians had done over two thousand years ago. The Iranian Ayatollahs have repeatedly spoken of their destiny of reestablishing the Persian Empire and how, as their descendants, their destiny is world conquest. There is that pesky little concept that the Western World gave up on when they renounced colonialism and that will continue to come back to bite them.

 

Whatever the reason for Hamas spreading into Lebanon, it will also not prove favorable for Israel. Iran took a large percentage of the monies, the over one billion dollars and almost immediately resumed their support of Hamas while increasing their aid and support for Hezballah, Bashir al-Assad, the Houthis and started rebuilding their military including the IRGC. Iran has also began consolidating their position in Iraq and with support from the United States and the Kurdish Peshmerga Militias, the Iraqi military has defeated the Islamic State in Mosul and are now using IRGC along with the Iraqi forces to clear the remaining Islamic State holdouts. In less than two weeks, the Kurds will be taking a vote on whether or not to declare their independence from Iraq. Their vote intends to include the Kurdish population in Mosul and to include Mosul within their establishing of Kurdistan. The Iranians are claiming Mosul for Iraq, or at least Iraq is claiming all of what would become Kurdistan as Iraq and will, of course, be under the direct management by the Iranian Ayatollahs. The Kurdish hopes for their homeland, which was promised by the British during World War I, only to have the rug pulled out from under them when oil was discovered in the Mosul area. Now the Kurdish dream may depend on the United Nations and the world giving them the recognition they deserve. The United States State Department official position opposes the Kurdish liberation policy and have called on President Trump to refuse to back their vote should they, as expected, vote for independence. It may end up that the Kurds will need to fight to gain their independence, which will pit them against Iraq, Iran, the IRGC as well as Turkey. Their only hope will be the active support of the United States, something unfortunately unlikely as things now appear.

 

Meanwhile, the future for Lebanon as an actual nation is all but finished as with Hamas now being trained and stationed within their country and already being all but governed by Hezballah, their next elections, if they even have any, will almost certainly remove any semblance of Christian influence and the terrorists will have gained complete control. It would not be out of the question to see the Constitution of Lebanon rewritten so as to remove any requirement that Christians be represented, protected or anything other than Dhimmi as Lebanon will have been completely Islmisized. Additionally, Iran placing Hamas into Lebanon bodes poorly for the future wars against Israel being single front wars. Israel had been fortunate that they have never been forced to face Hezballah in Lebanon and Hamas from Gaza simultaneously. Iran moving some Hamas forces into Lebanon implies that Iran plans on forcing Israel to face a two front war when they next are attacked by terrorist forces with Hamas attacking from Lebanon as well as Gaza plus Hezballah attacking alongside Hamas in Lebanon and from the Golan Heights plus a potential of IRGC forces assisting the terror armies. There is little need to make this a long article but suffer us one last paragraph speculating on possible futures and one hope.

 

Coordinated Iranian Attack on Israel Including Potential Attacks from Jordan

Coordinated Iranian Attack on Israel Including Potential Attacks from Jordan

 

The hope is that President Trump will respond to the pressures from the State Department with stiff waving off of their advice and recognizes the independence of Kurdistan should that be the result of the vote, and all indications are that independence will win by close to three to one in favor. Should President Trump go one further and invoke the support of NATO, even or especially if that requires pressing President Erdoğan to support a Kurdish State or resign Turkey from NATO, something that would actually be good for NATO. Finally, Israel should be particularly watchful for Iranian efforts to take over the Palestinian Authority (PA) or for Hamas to force elections thereby taking over the PA democratically giving Iran three fronts against Israel. Currently, the only thing keeping Fatah in charge of Judea and Samaria is the IDF and Israeli intelligence thwarting the consistent attempts by Hamas to subvert Fatah rule and take over the area themselves. Now with Hamas flush with Iranian aid of weapons and money, their efforts will no doubt be redoubled for taking over the PA. Iran may even have plans to cause an uprising in Jordan and during such conflict, come in and take over Jordan making Israel truly surrounded. This would be the death knell for peace in the remainder of the Middle East. One can expect that Iran will also do all they can to complete their conquest of Yemen and thus complete their encirclement of Saudi Arabia and potentially have the ability to cut off oil and trade between Asia and Europe at the times of their choosing. Once they have Yemen, the world can expect increased piracy in the seas near the mouth of the Red Sea and into the Indian Ocean. Iran is about to surpass North Korea as the world’s primary problem with much of their actions performed by terror entities and through proxies. The end of the Syrian debacle will signal the beginning of the next stage for the Iranian attempts for hegemony of the entire Middle East and their reestablishment of the Persian Empire.

 

Beyond the Cusp

 

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