What People Need to Know About Medicaid

Please share this 20-minute video, even with Americans who hate politics. It might reach people in Alaska, Arizona, Colorado, Louisiana, Maine, Nevada, Ohio or West Virginia who will call their relatively sane Republican Senators and demand that they vote No on the Better Healthcare Reconciliation Act, also known as the Senate healthcare bill or Trumpcare. We need to stop this abomination now.

Bad News, Good News, No News

I was going to write more about consciousness, in particular about dreaming, but Senate Republicans finally let the rest of us see the healthcare bill they plan to vote on next week. Unless three of them vote No, it will almost certainly be approved by the Republican majority in the House of Representatives. It will then be signed into law by the con man in the White House.

The bill would reduce government spending on health insurance by billions of dollars, which would lead to a harder life or a quicker death for millions of Americans. Most importantly its authors, however, the bill would give a big tax cut to the wealthiest 2% of the population and to favored corporations. Basically, the government will make health insurance more expensive or hard to get for lots of us in order for a few of us to be richer than they already are. You really need to be a Republican to appreciate the beauty of it.

Senator Chris Murphy (Democrat of Connecticut), who seems to be a nice, reasonable person, gives a helpful overview of the Senate bill in this brief video.

In other bad news: 

Except it’s not really news at all. It’s a blog post from Heather Digby Parton (“Digby”) entitled “Why Are They Doing This? Because They Can, or: How To Get Away With Murder”. It summarizes the present crisis and begins with a quote from another writer:

Jamelle Bouie answers the question as to why the Republicans are going forward with their Kill People for Tax Cuts bill [the AHCA] despite the fact that it’s the most unpopular piece of legislation in history:

“The 2018 House map still favors Republicans, and the party is defending far fewer Senate seats than Democrats. Aggressively gerrymandered districts provide another layer of defense, as does voter suppression, and the avalanche of spending from outside groups. Americans might be hurt and outraged by the effects of the AHCA, but those barriers blunt the electoral impact.”

“The grounds for political combat seem to have changed as well. If recent special elections are any indication—where GOP candidates refused to comment on signature GOP policies—extreme polarization means Republicans can mobilize supporters without being forced to talk about or account for their actual actions. Identity, for many voters, matters more than their pocketbooks. Republicans simply need to signal their disdain—even hatred—for their opponents, political or otherwise. Why worry about the consequences of your policies when you can preclude defeat by changing the ground rules of elections, spending vast sums, and stoking cultural resentment?”

“It seems, then, that we have an answer for why Republicans insist on moving forward with the American Health Care Act. Because they can. And who is going to stop them?”

[Now back to Digby:]

It appears they also have a foreign country helping them get elected, for which they seem to be very grateful.

They don’t fear the voters because they have managed to create an alternate universe for them in which everything bad that happens to them is the fault of hippies, feminazis, immigrants and people of color and everything good that happens is because of them. When liberals scream they laugh with delight because it means we are seeing justice at their hands.

And they’ve successfully created an electoral system than keeps them in the majority through undemocratic means. It’s a sweet scam. No wonder they are so confident. They have staged a silent coup and we just have to live with it.

Digby was probably having a pessimistic moment there at the end, because we don’t just have to live with it. What we need to do is pay attention, speak up and vote. But that will take time.

Now the good news. Senator Dean Heller (Republican of Nevada) came out pretty strongly against the bill today. He’s very worried about losing his job next year. That partly explains this:

“I cannot support a piece of legislation that takes insurance away from tens of millions of Americans and tens of thousands of Nevadans,” Heller said….[To win his vote] GOP leaders would have to “protect Medicaid expansion states” from the bill’s current cuts.

“It’s going to be very difficult to get me to a yes,” he said, noting that conservative [i.e. truly radical] Republican senators would likely be reluctant to add spending back to the measure.

Another Republican Senator, Rand Paul of Kentucky, thinks the bill isn’t as cruel or “libertarian” as it could be, so he might vote against it. That would mean we’d only need one more Republican to jump ship in order to sink it.

Which might be what the Senate Majority Leader, odious Senator Mitch McConnell (also of Kentucky), is expecting to happen, according to an interesting column by Jennifer Rubin of The Washington Post. It’s called “Cheer Up, Democrats!”. Although McConnell is a terrible person, Rubin points out that he isn’t stupid. He understands that hardly anyone likes his bill. He also probably understands that there is no easy way to repeal the Affordable Care Act, despite what the Republicans have been telling their deluded supporters all these years.

So McConnell may be trying to get health care off his plate as quickly as possible, even if the vote doesn’t go his way. That will allow him and his co-conspirators to get back to what they really want to do: cut taxes, kill regulations, put poor people in jail and destroy what’s left of our democracy. (That last part is no news.) 

What Should They Do About Him?

Thirteen Republican Senators, all white men, have been meeting in secret to write a healthcare bill that would repeal the Affordable Care Act and replace it with serious tax cuts for the rich. The thirteen are led by the odious Senate Majority Leader, the conscience-free Senator from Kentucky, who masterminded the successful theft of Merrick Garland’s seat on the Supreme Court. That means they’ll probably produce something 50 Senators will vote for. That’s all they’ll need to pass the bill, because the dimwitted religious fanatic who is Vice President will almost certainly break a 50-50 tie in evil’s favor.

The Senate Majority Leader announced a few minutes ago that a “discussion draft” of the bill will probably be made public this week. He wants to bring the bill to a vote in the full Senate a few days after that, before public outrage scares the pants or dresses off any of his colleagues. There are a few Republican Senators who might vote against the bill once they know what’s in it, but that will only happen if they’re afraid of losing their jobs, which won’t be the case unless voters in their states make a lot of noise. These are the Republican Senators who might be open to influence and weren’t invited to join the Gang of 13:

Shelley Moore Capito (West Virginia)
Susan Collins (Maine)
Jeff Flake (Arizona)
Dean Heller (Nevada)
Lisa Murkowski (Alaska)

These three might see reason but they were included in the Gang, so it’s unlikely:

Cory Gardner (Colorado)
Rob Portman (Ohio)
Pat Toomey (Pennsylvania)

I’d include the “maverick” Senator John McCain of Arizona in the first list but he only talks a big game and may be too senile to know what he’s voting for.

Now that that’s out of the way, here’s what I really wanted to write about. Michael Gerson is a member of what would ordinarily be called the “Republican “Establishment. He used to work for the second President Bush and now writes for a living. Yesterday in The Washington Post, he wrote about how Republicans might put an end to Trumpism. First, he reviews the situation:

Trump has been ruled by compulsions, obsessions and vindictiveness, expressed nearly daily on Twitter. He has demonstrated an egotism that borders on solipsism. His political skills as president have been close to nonexistent. His White House is divided, incompetent and chaotic, and key administration jobs remain unfilled. His legislative agenda has gone nowhere. He has told constant, childish, refuted, uncorrected lies, and demanded and habituated deception among his underlings. He has humiliated and undercut his staff while requiring and rewarding flattery. He has promoted self-serving conspiracy theories. He has displayed pathetic, even frightening, ignorance on policy matters foreign and domestic. He has inflicted his ethically challenged associates on the nation. He is dead to the poetry of language and to the nobility of the political enterprise, viewing politics as conquest rather than as service.

Trump has made consistent appeals to prejudice based on religion and ethnicity, and associated the Republican Party with bias. He has stoked tribal hostilities. He has carelessly fractured our national unity. He has attempted to undermine respect for any institution that opposes or limits him — be it the responsible press, the courts or the intelligence community. He has invited criminal investigation through his secrecy and carelessness. He has publicly attempted to intimidate law enforcement. He has systematically alarmed our allies and given comfort to authoritarians. He promised to emancipate the world from American moral leadership — and has kept that pledge.

For many Republicans and conservatives, there is apparently no last straw, with offenses mounting bale by bale. The argument goes: Trump is still superior to Democratic rule — which would deliver apocalyptic harm — and thus anything that hurts Trump is bad for the republic. He is the general, so shut up and salute. What, after all, is the conservative endgame other than Trump’s success?

This is the recommendation of sycophancy based on hysteria. At some point, hope for a new and improved Trump deteriorates into unreason. The idea that an alliance with Trump will end anywhere but disaster is a delusion. Both individuals and parties have long-term interests that are served by integrity, honor and sanity. Both individuals and the Republican Party are being corrupted and stained by their embrace of Trump. The endgame of accommodation is to be morally and politically discredited. Those committed to this approach warn of national decline — and are practically assisting it. They warn of decadence — and provide refreshments at the orgy.

So what is the proper objective for Republicans and conservatives? It is the defeat of Trumpism, preferably without the destruction of the GOP itself. And how does that happen?

That was quite a buildup. So what options does Gerson consider? Only to immediately reject each one of them?

  1. Create a conservative third party – a “bad idea”
  2. Challenge DT in the 2020 primary elections – “unlikely”
  3. If Democrats win the House in 2018, join the effort to impeach him – “theoretical”
  4. Help elect a Democrat in 2020 – “heretical”
  5. Wait for 2024 and hope for the best – “complacent”.

Gerson’s conclusion:

Whatever option is chosen, it will not be easy or pretty. And any comfort for Republicans will be cold because they brought this fate on themselves and the country.

That’s not very encouraging. Nevertheless, there are a few options that didn’t make his list:

  • Impeach the dangerous ignoramus right now
  • Invoke the 25th Amendment and put him in a home
  • Admit in public that he’s totally unfit to be President
  • Put country over party and resist him every step of the way.

I offer this list on the assumption that Mr. Gerson and other patriotic Republicans lack imagination and simply didn’t think of them.

On the Natural History of Destruction by W. G. Sebald

The German writer W. G. Sebald was born in 1944, so he had no memories of World War 2. But memory was one of the principal themes of the books he wrote. In 1999, he published the long essay “On the Natural History of Destruction”. Its subject is the Allied aerial bombardment of Germany in the final years of the war, or rather the failure of German writers to properly document and reflect on the effects of that bombing on Germany’s civilian population. Sebald believed that such horrible events deserved to be discussed and written about clearly and honestly. Instead, the survivors of the bombing avoided speaking about it and few German writers addressed the subject at all, or if they did, they did so poorly. Sebald doesn’t defend the German government and doesn’t spend much time criticizing the morality or the rationale behind the bombing. He is trying to understand what the experience was like for the German population and why the memory of it doesn’t seem to have been directly confronted.

There are three shorter essays in the book, each dealing with a writer who lived through the war, none of whom are well-known in America. The essay about the bombing, which is actually titled “Air War and Literature”, is the one that is worth reading.

Being Conscious, But Not of Consciousness

A reader (!) asks: Does [what you posted about consciousness yesterday three days ago] mean that we are only conscious of what’s going on in our brains?

That’s an excellent question. When I say that consciousness is certain kinds of brain activity or patterns of neural activation, it may sound like I’m saying that we’re only conscious of brain activity. In other words, we’re not conscious of the rest of the world or the rest of our bodies.

Given what I’m saying about consciousness, I might explain that we are “directly” conscious of our brain activity and “indirectly” conscious of the rest of the world. Or I could say that our consciousness of what’s going on in our heads is “immediate”, while our awareness of everything else is “mediated”, i.e. conveyed through intermediaries, such as the air that carries sound waves to our ears and the nerve impulses that travel from all over our body to our brain.

So when I raised this question yesterday (“Does this mean we are only conscious of what’s going on in our brains?”), I began by saying “in one sense, yes, because that’s where the physical phenomenon of consciousness takes place”. I then said, however, that in the most important sense our brain activity enables us to be aware of what’s happening outside our brains.

Actually, I recommend that we reserve phrases like “conscious of”, “aware of” or “what we experience” for the things we are ordinarily and importantly conscious of. That’s the standard way of speaking and the best way to describe what’s happening when we are conscious. For instance, when you’re awake, are you conscious of your surroundings? When you raise your arm, do you experience any discomfort? Now that you’re on Social Security, are you experiencing any memory loss?

Asking whether we are conscious of what’s going on in our brains amounts to asking whether we are conscious of our consciousness. It’s a misleading question. It’s like asking someone at the North Pole which way is north. To be conscious is to have a certain kind of brain activity. To be conscious of whatever is to be conscious of something other than your brain activity. That’s because there is no way to be conscious of your consciousness. There is no mechanism, no mental apparatus, no meta-consciousness that allows being conscious of consciousness. Consciousness just is. The world you see, that rumbling in your stomach, is what it looks like, feels like, to have the right kind of brain activity. 

You can think about being conscious. We’re doing that right now. But that’s different from being conscious of consciousness. When you think about consciousness, you’re conscious of your thoughts (about consciousness), just like you can be conscious of thoughts about other things. But consciousness itself just is (I could say it is what it is, but that would be redundant and annoying).

Could an evil demon be tricking you, like Descartes wondered? Could you be a brain in a vat, like later philosophers ask themselves? Sure, it’s possible to be seriously wrong about what you’re conscious of. Maybe what you’re conscious of isn’t ever what you think it is. I’m not worried. You shouldn’t be either. 

If a tree falls in the forest, does it make a sound? Yes, it makes the air vibrate and if it creates enough vibrations and there’s anyone around who’s conscious and isn’t deaf, they’ll hear (be conscious of) the crashing sound. 

I’m not sure what I’ve been saying makes sense. I’ve thought about this topic for a long time but never expressed my thoughts this way before. Maybe what I’m saying is way off the track, but it’s all I’ve got right now. Maybe I’ll get back to it again. In the meantime, stay conscious.

In my opinion, that implies being conscious of other things, not consciousness.