WARNING: This is not your usual Chopra "we make our own reality" sort of thing. Read on at your own risk for realizing that all Chopras are not equally optimistic.
Ironically, I really wanted to celebrate healthcare reform today. While far short of perfect, to me it signals a real desire and actual shift in policy which is sorely needed in this country.
But, I’m not celebrating and here’s why.
First here’s my confession: I’m not totally up to speed on the details surrounding the apparent historic healthcare bill passed by Congress late last night.
My second confession: I drank the Obama cool aid during the 2008 campaign and I’m still buying all that change we can believe in, yes we can, and other aphorisms my generation was sold. (This despite my weariness that his administration has been incomprehensibly slow in bringing down some of the most insidious Bush monuments including Gitmo, the Patriot Act etc).
My optimism for the healthcare reform also stems from the fact that I’ve witnessed first hand the struggles good physicians (like my wife) endure just do their jobs and help people. Because of the sinister maneuvering of insurance companies, doctors often cannot help those who they know are in need (or do so knowing the enormous risk they are taking on personally and professionally). So to me, any form of reform that posits transformation of the incumbent system is most welcome.
That’s why flying back from NYC last night on JetBlue, I sat glued to my mini-tv set watching the otherwise catastrophically boring congressional vote to get to the magical 216 tipping point (okay, another confession: i was flipping between Bravo’s Real Housewives).
But then something happened to turn my half-glass optimism into half-glass empty gloom. Some idiot yelled out "baby-killer" in the midst of the congressional debate. Said idiot today revealed himself as Texas Republican law-maker Randy Neugebauer.
Congressman Neuhebauer’s outburst was the culmination of Republican’s last ditch effort to derail the healthcare bill by pinning the exaggerated idea that somehow it would break the damn on a rush of federally funded abortions. Always a popular tactic by the far Right, Republican’s attempt to link the bill with the tangled abortion issue ultimately failed when Prez Obama came to the rescue with an executive order allaying moderate Democrats who showed signs of breaking rank.
But to me, that was just the issue. The whole rank thing. Congressman Neugebauer’s (who today released a statement apologizing, and offering a lame explanation for his words. At least own it you a$$hole) outburst was really a symbol of the continued leadership that is rotting America from the inside out. It’s not just the politicians (not a single Republican congress member supported the bill proving that each and every one of them is either incapable of independent thinking or gutless. And yes, even though I’m liberal I have distaste for many of the Dems who are spectacularly demonstrating how not to show real vision). It’s the media too, with their almost fascist-like categorization of Obama’s mission to transform an undeniable broken system as somehow totalitarian in its scope. We elected him to fix shit, but half this country boos his every move when he tries to.
The political dialectic in our country feels as if it has penetrated our every moment. Whatever fleeting unanimity there was around Obama’s historic election seems to have melted into politicized sludge and I find myself almost hopelessly saddened by it, even at a moment when I think I should be celebrating a historic achievement along the lines of one we see only once every generation or so.
I’ve never quite had much faith in politicians, an unfortunate attitude propelled by the likes of Negebauer, not to mention faux reformers come dumb saboteurs like Sarah Palin much in the same way I’ve never trusted many men of the cloth, one of whom urged his congregation today in Orange Country to pray that the 219 Dems who voted to pass healthcare reform debate be cursed.
Alas, the realization that our political and spiritual leaders are quite literally the embodiment of our own core beliefs is a far more depressing thought. And that being the case, I confess I hardly feel like celebrating today.
My thoughts exactly. I'm trying desperately not to call out friends on Facebook or Twitter who are regurgitating Republican (read Beck/Limbaugh) talking points in their status updates. Nonsense about socialism or Obama ruining this country, etc. The thing that really angers me is that the "news" media isn't doing anything but reading tweets and quoting public opinion stats as though they were important facts. And no one (save Jon Stewart) is pointing out the rise of McCarthyism II. I'm alternating between anger, depression, helplessness, and intense frustration with the way this thing is unfolding.
But at the same time, I'm trying to maintain some sort of inner calm about it, some sort of optimism despite all the negative press. I'm trying to Deepak Chopra my way out of this HCR depression. And in the face of this constant media circus/tea bagger frenzy, it's one of the most difficult things I've ever tried to do.
I just tweeted today "The more I read and hear about the happenings of the country and the world the more unhappy I feel.". I agree with your thoughts exactly Gotham. Thanks for writing what I am unable too. It's a great comfort to be near like minds. Even if it is through social networking.
It ain't perfect, but it is progress…
I suggest you share this with your wife as the unintended consequence fo Obamacare is what will happen to medical practice. You thought insurance companies were bad, in the next few years, she will think the agencies weren't so horrible after all. The following was posted by a well know Psychiatrist practising in Brentwood Dr. Stephen Marmer. If this comes to pass, the world class health care that we currently enjoy will fall.
It's a civil war out there Gotham, since you asked me right after Obama's election "What say you Ambasteve?" I say we are a country divided and it will get worse. You are starting to see that. Good luck to your wife
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Well, the Democrats succeeded in passing the Senate version of Obamacare, or perhaps it should more properly be called Pelosicare. In either case it was a triumph of politics on Pelosi's part. It looks like the so-called "reconciliation" bill will be passed in one form or another now that the Senate Parliamentarian has ruled that the "Cadillac Tax" is eligible for that bill. So here are some of my personal analysis and predictions.
1. Now that traditional procedures and legislative precedences have been breached, look for Democrats to continue to use these new techniques. For all practical purposes the Senate filibuster is null and void.
2. But contrary to what Victor Davis Hanson and Megan Mcardle have predicted, Republicans are not likely to use the same techniques to the same degree. Conservatives have a temperamental tendency to stay with precedent and procedure. It is part of the definition of conservatism. So the Republicans will use these new Pelosi techniques much less than the Democrats.
3. Within the next two years the budget assumptions that permitted the CBO to score the bill as more or less neutral will be blown apart. Either Medicare will be cut (politically difficult) or the budget will be busted. Same with the so-called "Doctor Fix." Either Doctor reimbursements will be reduced or they will be exempted again as has been the case for many years. If they are exempted, the CBO budget assumptions go out the window.
4. The deficit will increase and continue to increase.
5. If the Doctor reimbursements are reduced, more and more doctors will resign from Medicare or refuse to take new Medicare patients. This will result in fewer available doctors for the increasing population on Medicare.
6. When #5 happens, the government will attempt to force doctors to take Medicare as a condition of keeping their licenses. Whether this is Constitutional or not remains to be seen.
7. To defray the losses from reduced reimbursements more and more doctors will be charging their patients "concierge" fees. Already my cardiologist has said that all patients must pay such a fee to remain in the practice. For $500 per year they will continue to take Medicare, but there will be longer waits for appointments. For $1800 per year they will take Medicare and give priority appointments. For $5000 per year they will take Medicare, give priority appointments, and see patients during weekends and off-hours. This trend will spread. The consequence will be that concierge patients will get prompt care and non-concierge patients will have long waits for appointments and other services. Thus the new Pelosicare will make things worse for most patients.
8. Mortality rates will not improve under Pelosicare.
9. There will be great pressure to raise revenue to defray the ever increasing deficits. Charles Krauthammer predicts the adoption of a VAT, or "value added tax" which will be implemented without reductions in the income tax.
10. The budget of the Defense Department will be reduced significantly to pay for health care. The US will reduce its forces, reduce its new weapons deployment, and reduce its profile in the world. The consequences for our allies will be hard to predict, but will surely increase their vulnerability.
11. Fewer bright kids will go to Medical School.
12. Nurses will take over more and more of the duties that used to be performed by physicians.
13. The population now under 30 years of age who voted overwhelmingly for Obama will forget their role in the health care changes, and by the time they hit the years in which they will require increasing medical services, they will be angry — but unaware that they were the very ones who set this in motion.
14. Medical innovation will slow considerably in the United States.
15. Medical tourism will increase. Centers of medical excellence will emerge in such places as India, Israel, and perhaps places like Dubai where there are the funds to build state of the art facilities and attract the world's best doctors.
16. Numbers of physicians whose practices are procedure intensive will relocate in clinics across the Mexican border. Wealthy Americans and others will build state of the art facilities on the Mexican side of the border in towns like Nogales and Juarez. These clinics will be surrounded by villages for the American trained staffs and will be run by the finest of our surgeons, radiologists, and others whose practice specialties focus on procedures and high tech diagnostics. This will reverse the brain drain direction that has lured the best doctors in the world to the US in previous decades. In time the brain drain will lure the best US trained doctors elsewhere to locations where they can practice with fewer restrictions and make more money.
Most of these things will happen in slow and irregular steps. Those of us over 60 will probably not have to suffer too much from these. Those under 50 will see an entirely unexpected transformation of American medicine, and I predict it will not be pretty.
So get your doctors now before they stop taking new patients — especially before they start refusing new Medicare patients.
So Gotham… you realize that what you see is the embodyment of your own core beliefs…. how FANTASTIC!
Then you also know that all you have to do is drop those beliefs. It's a piece of cake
If you are willing to see the fantastic progress your nation is doing, despite the sticky entropy you naturally need to confront at every step, then in a short time you will leave the collective depression behind. Every personal mind that refuses to get stuck in entropy will add to the momentum of the forward movement.
A short reminder:
-a consciousness coloured by depression (delusion) corresponds to a world where there are "reasons" for depression;
-a consciousness where depression has been cleared away (clarity) corresponds to a world where there are continuous "reasons" for celebration.
It's all in consciousness.
And that consciousness is ALL yours!
I had and, at times, have many of the same feelings. But, I like to remember, even when Obama was elected, many the nasty behaviors and foolhardy politicians on either side of the aisle were still in place. The euphoria of that moment was amazing and palpable and worthy of celebration and profound joy. Yet, the miserable evil wasn't going to simply disappear as a result of a victory for good and common sense. Still, the old saying that darkness cannot exist in the presence of light is accurate. Simply the fact that healthcare was passed and that things are getting done, albeit not at the speed we might personally desire, is indicative of that reality. Gotham, we don't have time at this point in history for you, or I or anyone who wants to express and experience change to assume an attitude of disgust for the long haul. You, nor I are not the clown who screamed out "Baby Killer". Let him be. Things change irrespective of his behavior. You, nor are I are on the news perpetuating extremism on either side. Let them be. Find your news. It could be here on Intent.com, PBS, NPR, Happynews.com, whatever source is good for you. There are million other people seeking the same new. We're just not hearing about it because they are not ranting and raving on Fox News or MSNBC or wherever. Enjoy the changes that come and, do something besides complain. Write those letters, or emails to congress. Donate funds to the groups that are doing the work you admire. You're an amazing guy. You're a beacon of talent. But, get off your butt, take you stand with kindness, stop complaining about how jaded you are and use your gifts to create the change you believe is best. It works. You'd be amazed and surprised how successful your efforts will be and how truly brilliant and powerful you are.
Thank you so much for you post. It caused us all to think and contemplate.
Thats' where the tire screetches the pavement. Break it hard or smell the fumes! I hear what you say and I like witness said truth. I am solely on a "leadership trip" on this journey of mine. Like Bob Dillon said in an old song back in my days " you got ot serve somebody ". thanks for sharing that.
ron
Hello Gotham,
I would hate to think what would happen if real health care reform was the issue at hand, instead of the "hint" of reform that is making ups this Bill, omg, the Republicans might call for mass suicides! I mean, the drama of it all, 'THERE ARE GOING TO BE FEDERALLY FUNDED ABORTIONS," they shouted, knowing full well that was NEVER a true threat, but it sells.
Oh, the warnings " IT WILL RUIN EVERYTHING," "IT WILL COST A FORTUNE," DEATH PANELS" "WHO IS GOING TO PAY!!!
Health Care Reform makes them ask who, what, when, where, why, and how much, while the call to INVADE IRAQ only makes them ask how soon can we do it? Really. the state of American politics is at it's most absurd and it is a sad state of affairs.
This health care reform bill is but a nick in the concrete of the health insurance monopoly in this Nation, it was bound to end sometime and now is as good a time as any for it to start.
The drama queens of the political stage are having their moment but they too will find the audience has left the theater.
There are many children in this Nation who have been denied health care because their ailments are considered pre-existing and this health care bill will finally allow them coverage and if that is the only thing that would come of this Bill then that is a fine start but it is not the only thing there is more. It is not all that we need, by a long shot, but it is better than nothing.
Americans will come to see that their world has not ended because of a little health care reform bill and that the "little boys and girls" shouting BEWARE were scaring them just for the fun of it and no one likes to be frightened just for the fun of it, no one.
I'm celebrating the "nick in the concrete." Good job President Barak Obama, Rahm Emanuel, and Nancy Pelosi!
Generalizing republicans as limbaugh, sarah palin and now Negebauer is your mental block Gotham. Try to look at the bigger picture here and the pluses and minuses of the reform. Adding a trillion dollar to an already huge debt is a point worth considering. The problem here is NO ONE is listening. Everyone has a preset agenda (Unfortunately based on the party they voted for ) and blindly everyone is pushing it. No one in this country talks about sustainable jobs, sustainable energy, education, lack of intelligence, lack of leadership. It would not be invalid to say now that Obama came in with very little experience and democrats have ticked on a decades long agenda overlooking the situation that a common man is right now.
Hello Ambasteve,
Just to comment on your predictions.
#8. Mortality rates will not improve under Pelosicare
In case you have heard the mortality rate for women giving birth in this Nation has been dropping and is at a new low….this is pretty sad considering that "we have the best medical care in the world." Now, frankly, I am not sold on that but I do know it is the most costly in the world.
#5. If the Doctor reimbursements are reduced, more and more doctors will resign from Medicare or refuse to take new Medicare patients. This will result in fewer available doctors for the increasing population on Medicare.
I think many Doctor's resign from Medicare all the time for various reasons and it has nothing to do with this Bill.
#6. When #5 happens, the government will attempt to force doctors to take Medicare as a condition of keeping their licenses. Whether this is Constitutional or not remains to be seen.
Now, that is just silly.
#15
Medical tourism will increase. Centers of medical excellence will emerge in such places as India, Israel, and perhaps places like Dubai where there are the funds to build state of the art facilities and attract the world's best doctors
I don't know where you have been but this is already the case beause Americans cannot afford care in the US, and this is why more reform needs to be done.
#16. Numbers of physicians whose practices are procedure intensive will relocate in clinics across the Mexican border. Wealthy Americans and others will build state of the art facilities on the Mexican side of the border in towns like Nogales and Juarez. These clinics will be surrounded by villages for the American trained staffs and will be run by the finest of our surgeons, radiologists, and others whose practice specialties focus on procedures and high tech diagnostics. This will reverse the brain drain direction that has lured the best doctors in the world to the US in previous decades. In time the brain drain will lure the best US trained doctors elsewhere to locations where they can practice with fewer restrictions and make more money.
Oh, I don't think this one has a chance in _ell, have you been reading the news regarding Mexico and drug violence, it looks like it will be years before Mexico will get a handle on that if ever.
#12. Nurses will take over more and more of the duties that used to be performed by physicians.
Where have you been? This has already happened and has been happeing for the last ten years.
I predict that the political civil war in the Nation will lose it's luster because people have families to feed, cloth, shelter, and educate and this is not getting any easier day by day so having one political party that offers them nothing-zero but a big fat NO to just about everything but defense spending and tax cuts is simply not going to cut it.
Don't worry, be happy. President Barak Obama took the bull by the horns on this one, and that was no easy feat considering the how nasty this bull is.
Thanks for the comments. Very engaging. ambasteve – great to hear from you after so long. you lay out a fascinating path to the future, some of which i agree with and other parts i don't. though ultimately you suggest that the bill will slowly transform healthcare (though your apocalyptic version veers macabre) and i agree with that. i'd hope that it forces more creativity within the establishment. what's inescapable is that the current system ain't working.
crio8sIntent: you are right that it's not fair to generalize Repubs with the rogues that play them (Palin, Limbaugh, etc) in mass media and yet they have hijacked the party and sadly become its face. i listed to Boehner's speech Monday night and was not at all impressed. Who should I seek out?
In general, I think healthcare reform is a dangerous red herring for what we really need in this country: vigorous insurance reform. Whether the government steps in and gets involved in that (though this bill def gets pretty close) is worthy of debate.
i see it every day where i live in california: good doctors are leaving their practices and seeking other jobs. That's already what's happening. Will it continue under the new healthcare bill? wait and see.
gc
I don't know Gotham. None of the republicans seem to speak politically correct, the attribute that got the current president elected (for which I too knocked on countless doors). It does seem like a nasty marriage between the democrats and the republicans where one points fingers at the other. What worries and depresses me is the future of the children (who are neither republicans nor democrats) in this country who are going to bare the brunt of the decisions we make today.
The republicans and democrats in capitol hill might not vote similarly on the same bill but then they do go out and have a drink with each other and we common people are so blinded by the party that we cringe at the sight of a person from another party. That keeps us all at two ends of the spectrum from where we will never get anything worthwhile accomplished. that is what is depressing to me.
So instead of rejoicing on the victory of the party or getting depressed over it, I just wait for the day when this govt will accomplish something that will make us different from the rest of the world, that wouldnt cost a trillion dollars and that would have the capacity to brighten the future of our children.
At some point each individual will realize there is absolutely no power in effect……None!!!!
Yes for you, it is as you believe….For our President understands the causes of things and has made evident a wonderful demonstration- Way to Go….
Obamacare will not only bankrupt this nation, but the quality of medical care will go down, and this law will cause the loss of a million additional jobs. In my industry, medical sales, my web site, http://www.gorillamedicalsales.com , a job board for individuals to find jobs in medical sales, we have witnessed a dramatic drecrease in the number of medical sales jobs posted in the past year, as companies prepare for Obamacare.
Here is the good news, maybe this will lead people to begin to search for the healer within themselves.
We are approaching a whole new way of living and I see it as all good.
Bring on the reform Mr President, we need it, and for those who can't see beyond the world of materiality and the powerlessness of effects,I say to you, hold on in faith, Good things are truly happening. And for those who do understand this, I say thanks be to God for being there and supporting the good that is being ushered in by the One divine Mind…
Small businesses will receive significant tax cuts, this year, to help them afford health coverage for all their employees.
Seniors will receive a rebate to reduce drug costs not yet covered under Medicare.
Young people will be allowed coverage under their parents' plan until the age of 26.<span class="text_exposed_hide">… <span class="text_exposed_link"><a onclick='CSS.addClass($("text_expose_id_4baa5d30dd22f3de1edbd"), "text_exposed");'>See more</span></span><span class="text_exposed_show">
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All Americans will benefit from significant new investments to train primary care doctors, nurses, and public health professionals, and the creation of state-level consumer assistance programs to help all patients understand and defend our new rights.
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Health care is probably the biggest issue being debated in America. Now you will need to be more careful with yourself and probably take better care and think more before using it.
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Since the health care system is not that healthy why is it so difficult companies should be allowed to switch to a private health insurance system, just until things get better, if they ever get better. Some say that it's important to keep our optimism, I say that in these tough times optimism is something that most people place on the last position in the top of their priorities. I've found affordable Coventry insurance for me and my family, that will help me stay immune to the health care reforms for a while. I think it's a good strategy specially when you don't have many choices left.
I want to celebrate healthcare reform today. it signals to the real desire and actual shift in policy which is sorely needed in this country.
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hanks for the comments. Very engaging. ambasteve – great to hear from you after so long. you lay out a fascinating path to the future, some of which i agree with and other parts i don't.
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The thing that really angers me is that the "news" media isn't doing anything but reading tweets and quoting public opinion stats as though they were important facts. And no one (save Jon Stewart) is pointing out the rise of McCarthyism II. I'm alternating between anger, depression, helplessness, and intense frustration with the way this thing is unfolding. But at the same time, I'm trying to maintain some sort of inner calm about it, some sort of optimism despite all the negative press. I'm trying to Deepak Chopra my way out of this HCR depression.
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But at the same time, I'm trying to maintain some sort of inner calm about it, some sort of optimism despite all the negative press. I'm trying to Deepak Chopra my way out of this HCR depression. And in the face of this constant media circus/tea bagger frenzy, it's one of the most difficult things I've ever tried to do. jump higher Electronic Cigarette reverse phone detective tava tea error fix
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Couldn't get any worse than this, Pres. Obama's Chief of Staff is running for Mayor. Don't we have better people to run our country. I very seldom watch television because I don't want hearing the news everyday. If we keep on ranting about things and not actually doing something, then, I believe we are also part of the problem. So, I was wondering what can we do to make our place a better place. If our "leaders" can not manage well, then, maybe in our own little ways we can contribute for the betterment of our lives and the country. There has been lots of speculation over the future of Rahm Emanuel. Soon, Obama will need a new Chief of Staff as Rahm Emanuel is leaving for greener pastures. Rahm wants a position involving real power, and is running for Mayor of Chicago. Present Mayor Daley is retiring at the conclusion of this term. When Daley announced his retirement, a lot of individuals thought of Rahm. Running for Mayor may cost a lot of fast cash for the campaign
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Yes, Obama's rhetoric during the 2008 campaign fooled me too. The draconian policies implemented by the Bush Administration have yet to be repealed, and don't look likely to be ever taken away. Now, we have a failing health care reform which sounds good in principle, but it poses thousands of subsidary problems and issues which need to be addressed before anything can go through. Unfortunately I think that is a tall order, if it is possible at all, which I highly doubt. So yes, it is all rather depressing. Tyron, from gazebo canopy