This Is How Republicans Are Going To Get People Killed

This happened:

A hearing in El Paso County in Texas went from ordinary to “unprecedented” last week when half a dozen Immigration and Customs Enforcement agents showed up at a courthouse where an undocumented woman was seeking a protective order against the boyfriend she accused of abusing her.

The woman, a citizen of Mexico who was living in El Paso had been driven to the courthouse by a victim’s advocate from the Center Against Sexual and Family Violence, a shelter for victims of domestic abuse where she had been living.

She left under arrest.

This is a disgrace, and an incredibly dangerous one.

Most obviously: anyone w/out documents facing a threat from their partner, former or present, has just been told that the legal system, cops, anyone, are no longer available to them. They’re on their own. They’ve got a target on them, as their abusers now know that they can act without fear of official action.

Some of them will die. One third of the murders of women in the US are committed by an intimate partner.

Increasing the pressure to stay in an abusive relationship tees up more victims.  Making it harder — or impossible — to seek official help locks people in danger.

The chilling effect extends beyond the home.  If reporting a crime puts you in contact with officialdom; if agreeing to testify does so…and so on. You get the idea. The risks of trying to engage public safety resources have just shot up for immigrant and minority communities — from an already no-fun base.

ICE, Trump, and the Republican party:  accessories before the fact to harm, murder and misery.

Every day, down every avenue, these folks have got to named, shamed, and fought.

Image: Unknown artist, A Very Bad Man — on the trial of Ephraim K. Avery for the murder of Sarah Maria Cornell. 1833.



America’s Food Sourcers: The Common Clay of the New West

Actually, I don’t think the farmers in the following articles are idiots — they’re just ideologues. To the point of religious obsession. Sure, superior people like us are motivated by monetary rewards, but you can’t expect dumb minimum-wage workers to respond to such refined incentives!…

From the NYTimes, another sad story of Trump supporters who took him seriously-not-literally — “California Farmers Backed Trump, but Now Fear Losing Field Workers“:

MERCED, Calif. — Jeff Marchini and others in the Central Valley here bet their farms on the election of Donald J. Trump. His message of reducing regulations and taxes appealed to this Republican stronghold, one of Mr. Trump’s strongest bases of support in the state.

As for his promises about cracking down on illegal immigrants, many assumed Mr. Trump’s pledges were mostly just talk. But two weeks into his administration, Mr. Trump has signed executive orders that have upended the country’s immigration laws. Now farmers here are deeply alarmed about what the new policies could mean for their workers, most of whom are unauthorized, and the businesses that depend on them.

“Everything’s coming so quickly,” Mr. Marchini said. “We’re not loading people into buses or deporting them, that’s not happening yet.” As he looked out over a crew of workers bent over as they rifled through muddy leaves to find purple heads of radicchio, he said that as a businessman, Mr. Trump would know that farmers had invested millions of dollars into produce that is growing right now, and that not being able to pick and sell those crops would represent huge losses for the state economy. “I’m confident that he can grasp the magnitude and the anxiety of what’s happening now.”…

Dude, the old man can barely grasp how to work a light switch. You think he cares about your troubles, now that he’s sitting in the Oval Office (possibly in the dark)?
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The timeline to run

The Republican Party does not have the luxury of time to get their act together on health policy. They have maybe fifty days to get a coherent plan with the possibility of passage before external actors move to foreclose on Republican policy option space:

Below is the Center for Medicare and Medicaid Services plan filing timeline.

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Trump’s EO on the ACA

The Trump administration issued its first executive order. The subject is the ACA. The order seeks to destabilize the non-subsidized and off-Exchange portions of the risk pool by minimizing enforcement of the individual mandate.  Dan Diamond at Politico had the first link to the actual order that I saw:

Section 2 is the critical component for the individual market. Section 3 has significant impact for both Exchanges and Medicaid.

Analysis below the fold:
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Government, Meet Bathtub

It’s easy to run a government that does (next to) nothing.

Here’s where Trumpism — or really Pence-ism, or really, exactly what the GOP has been promising (threatening) will have its most immediate, and quite possibly its most damaging impact:

Staffers for the Trump transition team have been meeting with career staff at the White House ahead of Friday’s presidential inauguration to outline their plans for shrinking the federal bureaucracy, The Hill has learned.

The departments of Commerce and Energy would see major reductions in funding, with programs under their jurisdiction either being eliminated or transferred to other agencies. The departments of Transportation, Justice and State would see significant cuts and program eliminations.

The Corporation for Public Broadcasting would be privatized, while the National Endowment for the Arts and National Endowment for the Humanities would be eliminated entirely.

Overall, the blueprint being used by Trump’s team would reduce federal spending by $10.5 trillion over 10 years.

The NEH and NEA cuts are at once symbolic — the GOP is killing stuff liberals like, which is reward enough in those quarters — and, I think, intended to distract from other hugely reckless choices:

The Heritage blueprint used as a basis for Trump’s proposed cuts calls for eliminating several programs that conservatives label corporate welfare programs: the Minority Business Development Agency, the Economic Development Administration, the International Trade Administration and the Manufacturing Extension Partnership. The total savings from cutting these four programs would amount to nearly $900 million in 2017.

At the Department of Justice, the blueprint calls for eliminating the Office of Community Oriented Policing Services, Violence Against Women Grants and the Legal Services Corporation and for reducing funding for its Civil Rights and its Environment and Natural Resources divisions.

At the Department of Energy, it would roll back funding for nuclear physics and advanced scientific computing research to 2008 levels, eliminate the Office of Electricity, eliminate the Office of Energy Efficiency and Renewable Energy and scrap the Office of Fossil Energy, which focuses on technologies to reduce carbon dioxide emissions.

Under the State Department’s jurisdiction, funding for the Overseas Private Investment Corporation, the Paris Climate Change Agreement and the United Nations’ Intergovernmental Panel on Climate Change are candidates for elimination.

The single most important point I can make is that this is the Kansas-ification of America.  This isn’t a Trump policy choice.  This is Mike Pence shepherding plans the Republican Party has been trying to implement for years, decades even.  I doubt it will all get through, but much of it will, I’d guess, and when it does we will need to hang every shitty outcome and terrible choice around the neck of every Republican officeholder.

This is what they want. This is what they told us they wanted. They’re likely going to get it, to some approximation.  And they’re going to have to own it, so that once again, Democrats can come in and fix the serial catastrophes we’re going to witness very damn soon.

Also, too — who wants to bet all the pieties about the deficit and restoring balance to the budget will fall to the tax cuts to come?

Fuck it.  I’m heading back to the seventeenth century.

Image: Francesco de Rossi, Bathesheba at her Bath1552-1554.



Thursday Morning Open Thread: Keep Going After the Bastids

Per Crooks & Liars:

A frustrated Senator Warren asked Rep. Price direct questions about his own policy prescriptions, but he refused to give a definitive answer, even about the cuts he has repeatedly called for.

Sen. Warren discussed his calls to cut funding and asked, “You recently authored as chair of the House Budget Committee would have cut spending on Medicare by $449 billion dollars over the next decade, is that right?

Rep. Price replied, “I don’t have the numbers in front of me.”

She replied, “I have the numbers.”

He said, “I assume you’re correct.”…

Sen. Warren then brought up Trump’s positions on both health care plans, in which he states there will be no cuts to the programs, funding-wise. She asked if Trump was telling the truth and he replied, “yes.”…

Warren said, “Can you guarantee to this committee that you will safeguard president-elect Trump’s promise and while you are HHS secretary, you will not use your authority to carry out a single dollar of cuts to Medicare or Medicaid eligibility or benefits?”

Price said, “What the question presumes is that money is the metric. In my belief from a scientific standpoint, if patients aren’t receiving care even though we’re providing the resources, it doesn’t work for patients.”

Warren said, “We’re very limited on time. The metric IS money. The President-elect…said he would not cut dollars from this program. So that’s the question I’m asking you. Can you assure this committee you will not cut one dollar from Medicare or Medicaid should you be confirmed to this position?

Price replied, “I believe that the metric ought to be the care that the patients are receiving.”

Warren said, “I’ll take that as a no.”…

***********

Apart from applauding Women Who Take No Shit, what’s on the agenda for the day?
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Evidence based care in Medicaid

We want to do evidence based care.  We want to do things that work and avoid things that don’t work.  This sounds simple.  Let’s look at two very good natural experiments on unintended pregnancy rates:

Colorado:

    Since 2008, Colorado has successfully increased access to family planning services throughout the state, particularly for the most effective contraceptive methods, such as intrauterine devices (IUDs) and implants.

  • The Colorado Family Planning Initiative has increased health care provider education and training and reduced costs for more expensive contraceptive options, enabling more than 30,000 women in the state to choose long-acting reversible contraception….
  • When contraception, particularly the long-acting methods, became more readily available in Colorado between 2009 and 2013, the abortion rate fell 42 percent among all women ages 15 to 19 and 18 percent among women ages 20 to 24.
  • Colorado is a national leader in the use of long-acting reversible contraception, and reducing teen pregnancy and repeat pregnancies.

    • Teen birth rates in our state have declined more rapidly than in any other state or the nation as a whole.
  • The birth rate for Medicaid-eligible women ages 15 to 24 dropped sharply from 2010 to 2012, resulting in an estimated $49 million to $111 million avoided expenses in Medicaid birth-related costs alone.

More reliable and effective contraception was made available to Colorado women who had the choice to elect Long Acting Reverisble Contraception (LARC) or do something else.  A significant number of women elected to use LARC and the increased autonomy and reliability produced amazingly good results.

Texas

 

Reducing contraceptive availability led to higher abortion rates and higher unplanned pregnancies. Earlier live births have massively negative multi-generational repercussions for both the parents and kids.

The evidence strong suggests that significant improvements in quality of life can be made and significant expenditures reduced if contraception is made readily available.

And guess what Congress will consider to be a high priority:

House Speaker Paul Ryan announced Thursday that Republicans will move to strip all federal funding for Planned Parenthood as part of the process they are using early this year to dismantle Obamacare.

Wahoo… the evidence will strongly support the hypothesis that this policy will lead to more unintended pregnancies, more abortions and far worse outcomes for far more Americans.

Evidence based policy making — Hoo Yaa