How Trump Could Better Spend $54 Billion Dollars

President Trump wants to increase our defense budget by $54 billion. I think we could probably use the money in other ways.

Boom. Under budget at $53.46b.

So, we have two options:

  • Add a marginal amount to our already massive defense budget and (likely) give Trump’s friends a bunch of fat government contracts to build more things we already have and may not need.
  • Or, we could fix the VA, double mental health benefits for veterans, save the city of Chicago from their own “carnage,” end homelessness in America, get closer to becoming energy independent, fight substance abuse, fix all our dams, improve the lives of our veterans, and save our education system.

You’d think a businessman would know how to stretch a dollar. No wonder he keeps going bankrupt.

Queue the awesome scene from the movie “Dave.”

*Pencil Drop*

First Thoughts: The Briefest Analysis of Rand Paul’s Obamacare Replacement Act

These are my thoughts while reading Rand Paul’s Obamacare Replacement Act for the first time. I’ll probably think about it more later, but this is my “live” first take.

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Repeal “essential health benefits requirement” – Basically, say insurance doesn’t have to cover anything again. Ugh. Not a good idea, and probably the idea that will kill it in the first paragraph.

“and other insurance mandates” – People will probably have to pay for vaccines and preventive care out of pocket, instead of having them covered 100%

“Provides a two-year open-enrollment period under which individuals with pre-existing conditions can obtain coverage.” – Not sure if this is #1: 2 years from now or #2: 2 years from whenever you lose coverage, even if that is 3 years from now…If its #1, BAD. #2, Eh, not super cool, but pretty good.

“Equalize the Tax Treatment of Health Insurance” – Cool, like it.

“Purchase of Health Insurance from HSA Account” – Here ya go, rich people. Another way to hide your money and get more tax deductions! Unlimited contributions (in previous section) to a tax-free account that you can use for pretty much anything for anyone in your family? Sign me up! To be fair, the benefit for this would really begin with the middle class, but it would kind of help them and seriously help the wealthy

“Medical Expenses Incurred Prior to Account Establishment” Pay for previous medical bills now since you can afford them because we made your payments tax-free. Eh, whatever. I like when our bills get paid.

“Administrative Error Correction Before Due Date of Return” I’ll agree to almost anything if this gets passed. Yes, yes, yes. We have 90 days to get a valid claim to insurers, and they have 15 years to take it back if they find a mistake. Frustrates me all the time.

“Allowing HSA Rollover to Child or Parent of Account Holder” – See previous rich person benefit. Tax-free account, unlimited contributions, rollover to almost any relative…add that up and you have the perfect money funnel.

“Nutritional and Dietary Supplements to be Treated as Medical Care” – Rewarding bogus medicine. No to this one, with prejudice.

“Certain Providers Fees to be Treated as Medical Care / Capitated Primary Care Payments” – Rich people benefit. No, because I hate doctors for doing this.

“Provisions Relating to Medicare” – Rich people benefit. Most people need Medicare and don’t have their own money to contribute.

“Charity Care and Bad Debt Deduction for Physicians” – 10% bonus to us because we give away free care? Um, yes, please…but it is a stupid, stupid idea. I want the money, but its stupid, overall.

“Pool Reform for the Individual Market” – Great, insurers do it, so should patients.

“Interstate Market for Health Insurance” – Big fan of this, in theory, but I think the federal government should establish strict requirements that all states must meet to sell across state lines. Basically, they can do it if the policies they offer to other states meet ACA standards.

“Association Health Plans” – Odd to treat patients as labor unions, but it works. We have several patients with these types of plans and they seem to like them. More work for us and them, but it usually results in well-reimbursed claims.

“Anti-Trust Reform for Healthcare” – Insurers don’t negotiate with places as small as us, so I really don’t know about this one. I’d imagine it’d reduce costs for providers.

“Increasing State Flexibility to Conduct Medicaid Waivers” – If this makes Medicaid more efficient or allows people to sign up easier, it’s a good thing.

“Self-Insurance Protections” – Making sure congress can’t change an actual definition. Unfortunately, necessary. Good.

Presidential Inauguration Poem for Donald J. Trump

When I found out President-elect Trump did not have a poet laureate for his inauguration today, I thought it would be nice to write a poem for him. I really wanted to capture the true Trump creative spirit, so I copied lines from the first five inauguration poems and put them together into one poem. I hope you enjoy!

“Things I’ve Said Before, And Will Say Again.”
by Ryan Mentock (with help from some real poets)

We walk into that which we cannot yet see.
But where are we going to be, and why, and who?
All of us as vital as the one light we move through
To keep on going where we meant to go.

Say it plain: that many have died for this day.
We know what we have done and what we have said,
But seek no haven in my shadow,
If we can truly remember, they will not forget.

Believing ourselves toward all we have tried to become
Something we were withholding made us weak
The “I have a dream” we keep dreaming
Cannot become one people falling apart.
Cannot let chaos make its way to the heart.

I will give you no hiding place down here.
We mean to be the people we meant to be,
Until we found out that it was ourselves
Facedown in ignorance.

All about us is noise.
Any broad alarm of their hastening doom
Someone is trying to make music somewhere,
The great and all the anonymous dead are there.

I know there’s something better down the road.
We like the places they take us. Mostly we do.
Such as she was, such as she would become.
Any thing can be made, any sentence begun.
What if the mightiest word is love?

KEY:

Black Text – “Praise Song for the Day” by Elizabeth Alexander
Green Text“On the Pulse of Morning, by Maya Angelou
Purple Text – “One Today” by Richard Blanco
Blue Text“Of History and Hope” by Miller Williams
Red Text“The Gift Outright” by Robert Frost

One thing that I noticed while reading these poems was that “Of History and Hope” by Miller Williams is incredible and everyone should read it twice. Thanks for reading!

Play Ball

On paper, we’ve got the best roster in the league. Talented players at every position, with a good mix of solid veterans and young prospects. We’ve won a lot over the years, but staying great every season means constantly challenging ourselves to be great again. The title is always ours to lose.

Of course, it’s not going to be that easy this time. Our lovable coach is retiring and left the team with limited options available to replace him. Both of the possible new coaches have some serious problems and the locker room is divided on which one we should choose. Regardless of which one is hired, half of our team won’t like their new coach. This season is going to be tough.

The reporters say we’re a team in turmoil, struggling to meet our own high expectations and trying to avoid breaking down completely. They don’t care about the new coach – they just want the players to create a headline. They set us up against each other and wait for the fireworks. Sometimes, we fall for it. But we’re better than that.

We can deal with this because we’re still a damn good team. The coaches can draw up plays and try to tell us what to do, but we’re the ones on the field, playing the game. Even if the coaches are terrible, we’re an extremely talented group of players. We can overcome any differences we have with the coaching staff and still play like a great team. We decide the outcome of the game.

We’re still on this team together, whether we like the coach or not.

Let’s play ball.

#Election2016 #PlayBall