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11.15 Claws out: crab fishermen sue 30 oil firms over climate change [workers are waking-up...]

11.15 Trump administration to cut air pollution from heavy-duty trucks [behaving ignorantly again...]

11.14 Backed by Ocasio-Cortez, Youth Climate Activists Arrested in Pelosi's Office Demanding Democrats Embrace 'Green New Deal'

11.13 What would a smog-free city look like?

11.13 Global report highlights Australia’s renewables potential amid mixed signals for coal

11.13 Interior department whistleblower: Ryan Zinke hollowed out the agency

11.12  This Land is Your Land:  The Zinke effect: how the US interior department became a tool of industry [behaving ignorantly again...]

11.12 Planned Parenthood's new president warns of 'state of emergency' for women's health

11.11 Trump responds to worst fires in California’s history by threatening to withhold federal aid [behaving ignorantly again...]

11.11 Interior department sued for ‘secretive process’ in at-risk species assessment [behaving ignorantly again...]

11.11 Keystone XL pipeline: judge rules government 'jumped the gun' and orders halt [behaving ignorantly again...]

11.09 Rainforest destruction from gold mining hits all-time high in Peru

11.09 A new way to make steel could cut 5% of CO2 emissions at a stroke

11.08 Medicaid’s stunning victory

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11.15 Democrats Won Big. Can They Go Bold, Too? [it's about suppressing the influence and leadership by Republican-like Democrats who counsel 'íncremental' (no) change, such as Nancy Pelosi, Steny Hoyer, Hillary Clinton, Chuck Shumer and Joe Biden]

11.15 Pentagon Officials Forced to Make Fewer Public Appearances to Avoid Provoking Trump [...by revealing Trump's huuuge ignorance]

11.15 REPUBLICANS USED A BILL ABOUT WOLVES TO AVOID A VOTE ON YEMEN WAR [if there are 'defense industry' profits to be made—including congress-critter insider-trading—and political 'donations' to be had, we mustn't stop killing innocent civilians!]

11.15 Big Oil v the planet is the fight of our lives. Democrats must choose a side

11.14 The Real Florida Recount Fraud

11.14 Telling NRA #ThisIsOurLane, Doctors' Photos Show Blood-Soaked Reality of America's Gun Madness

11.14 At Freshman Orientation, Young and Growing Progressive Caucus Makes Clear It Will 'Fight Like Hell' for Bold Democratic Agenda

11.13 'You Sound Nervous': Gillum Mocks Trump as President Demands End to Florida Recount

11.13 Kyrsten Sinema wins Arizona Senate race in breakthrough for Democrats

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11.09 Trump administration blocks asylum claims by those crossing border illegally [Making America Less Great Again...]

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11.14 The Guardian view on Yemen’s misery: the west is complicit [WAR CRIMES]

11.10 US stops refuelling of Saudi-led coalition aircraft in Yemen war [But there are a few children still alive. It's too soon!]

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11.15 The Earth is in a death spiral. It will take radical action to save us [fossil fuel burning, un-recyclable plastic production/use and methane gas release must cease ASAP.]

11.14 Brexit: May tells her cabinet, this is the deal – now back me

11.11 Tax reform: down with the ‘stepped-up basis’

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11.15 Cuba to pull doctors out of Brazil after President-elect Bolsonaro comments [terms must be negotiated for fairness to Cuba's health professionals without disruption of healthcare for Brazil's poor]

11.14 'Appalling' Khashoggi audio shocked Saudi intelligence – Erdogan [Exposing a psychopath?]

11.14 Israel and Hamas launch hundreds of attacks in Gaza clash

11.14 Mueller seeking more details on Nigel Farage, key Russia inquiry target says

11.13 Austin's Fix for Homelessness: Tiny Houses, and Lots of Neighbors

11.13 Portugal Dared to Cast Aside Austerity. It’s Having a Major Revival.

11.13 Caravan marks one month on the road: ‘We keep on going, laughing or crying’

11.13 Letter Shows Einstein’s Prescient Concerns About ‘Dark Times’ in Germany

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  Another Hidden Bonus for Insurance Industry
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COMMENTARY:

Another Hidden Bonus for Insurance Industry

by James Ridgeway
First published in his blog Unsilent Generation yesterday, 20 October 2009

The Employee Retirement Income and Security Act (ERISA) bars suits for damages over health benefit decisions for the 132 million people who get insurance through employers. Current health care bills do not remove the barrier.

While the insurance companies and Obama bitch at each other, another deal appears to have been made by the industry, Baucus and the administration. This one will be just too much for people who have not been able to decide whether to be for or against the weak refroms shaping up in Congress. Anyone who has seen Michael Moore’s films simply will throw up their hands in disbelief.

It goes like this: For many people, desperate for medical treatments previously denied by insurors, the reform bills in Congress offer litttle hope. As it stands, policy holders have great difficulty in reversing an insurance company’s denial of treatment, for example, an MRI which the insurance company doesn’t think is necessary or a new cancer treatment that costs a lot.

The Los Angeles Times reports:

... a patient’s ability to fight insurers’ coverage decisions could be more important than ever because Congress, in promoting cost containment and price competition, may actually add to the pressure on insurers to deny requests for treatment.” The bills would require insurers to “cover everyone, regardless of pre-existing conditions,” making it “more difficult for insurers to control their costs, or ‘bend the cost curve,’ by avoiding sick people. That leaves insurers with the other big cost-containment tool: turning down requests to cover treatments.

Experts said the legislation under consideration does not significantly enhance patient protections against insurers refusing to cover requests for treatment. Most people currently have no right to challenge health insurers’ treatment decisions by suing them for damages.

The Employee Retirement Income and Security Act (ERISA), reports Kaiser Health News, ”bars suits for damages over health benefit decisions” for the 132 million people who get insurance through employers. Current health care bills do not remove the barrier.


Born in 1936, James Ridgeway has been reporting on politics for more than 45 years. He is currently Senior Washington Correspondent for Mother Jones, and recently wrote a blog on the 2008 presidential election for the Guardian online. He previously served as Washington Correspondent for the Village Voice; wrote for Ramparts and The New Republic; and founded and edited two independent newsletters, Hard Times and The Elements.

Ridgeway is the author of 16 books, including The Five Unanswered Questions About 9/11, It’s All for Sale: The Control of Global Resources, and Blood in the Face: The Ku Klux Klan, Aryan Nations, Nazi Skinheads, and the Rise of a New White Culture. He co-directed a companion film to Blood in the Face and a second documentary film, Feed, and has co-produced web videos for GuardianFilms.

Additional information and samples of James Ridgeway’s work can be found on his web site, http://jamesridgeway.net.

This article is republished in the Baltimore Chronicle with permission of the author.



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This story was published on October 21, 2009.
 



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