Saturday, March 20, 2010

Hi, its Saturday night.



This is the eve of one of the greatest moments in American history. I am simply 'ah struck' by the thought. It has been a long time in the making. Too long.

I was going to 'feature' issues around the globe to bring alive other peoples and countries. I believe that is sincerely lacking in the media these days. But, I will postpone that until next week.


For now, this is the eve of the House Vote to pass Health Care Reform.

I believe this is the Democrats greatest moment.

The link above is to the place on C-Span where the legislation can be read.

After the vote tomorrow and the signature of the President it is my intention to read the entire bill and hopefully before it goes to the Senate on Tuesday.

For tonight, I congratulate the Democrats. They have brought the nation to the brink of greatest. Tomorrow it will demonstrate a Legislature that honors its President and loves its people.

Nancy Pelosi is a magnificent Speaker of the House. Those aren't empty words. There have been many great Democratic Speakers before her and now she has the honor of giving their leadership greater brevity in its promise to hold the people of this nation closest to their hearts and politics.

I thank her, all the Democratic members of the House of Representatives and I thank the President of the United States of America. His leadership honors those that elected him. I have never felt closer to a President or so well represented by one.

All my loyalty and love,

...until tomorrow.

The Fed is not competent to handle small banks.



When the investment banks failed, the small banks, the community banks and the independent business owners were ignored and trampled. They failed and caused incredible damage to the USA's economy.

The small banks need to be placed UNDER a government division of The Small Business Administration.

Small Businesses need protection from exploitation of large banks that can't even find the balance sheet they exist on.

There is no way Goldman Sachs or JP Morgan should be anywhere near the small businesses of the USA. Forget about Geithner, he won't like it. The Obama Administration needs to work with competent members of the Legislature to find a place for regulation and monitoring of small banks so they can have a domain supporting small businesses and the mortgage interests of the people they serve.

This administration has to recognize the profound abandonment of the investment banks of the USA's economy after the bailout. Their monies went everywhere but here. They are untrustworthy when it comes to the needs of the people of this country, their homes and the businesses they run. There has to be a separate regulator agency that upholds the 'integrity' of an autonomous system SEPARATE and DIFFERENT from that of Wall Street.

The Fed can keep their billion dollar babies and leave the rest of us ALONE ! It does too much damage and covets the monetary system of the country, including, the average lives of Americans as if they owned us.

NOT

ANY

MORE !!!!!

We are not their peasants and neither are our homes or businesses. It is time to secure the small banks in a way that provides relationships with small businesses and home owners to PROTECT them from this ever occurring again !

The 'Too Big To Fail' can fail all they want, we want our local economies SAFE and SECURE from the immoral idiots of Wall Street !

The Tort Reform the Republicans demand is draconian and DANGEROUS



...Those advocating tort reform ceaselessly (click title to entry - thank you) make the contention that tort reform is needed to curb the filing of frivolous lawsuits. The renowned New England Journal of Medicine has reported that a Harvard University study found that the civil justice system successfully weeds out claims against health care professionals that have no merit. The study conducted by the Harvard School of Public Health and Brigham and Women‘s Hospital in Boston found that 90% of all claims against health care professionals involved a serious injury; 26% of those resulted in death and 80% in disability. The study reported that 63% of the injuries were a result of negligent care or treatment....



Tort Reform Unlikely to Cut Health Care Costs

Studies Show Malpractice Awards Are Not Big Driver of Skyrocketing Costs

By Daphne Eviatar 8/19/09 6:00 AM
...In a recent Washington Post op-ed, Charles Krauthammer put “tort reform” on the top of his wish-list for reducing the costs of the health care system. Gov. Rick Perry of Texas in the Washington Examiner boasts that Texas tort reform that capped injured patient’s damages was the answer to his state’s problems. And the American Medical Association has said it won’t support any health reform bill that doesn’t reduce liability for doctors. “If the bill doesn’t have medical liability reform in it, then we don’t see how it is going to be successful in controlling costs,” James Rohack, president-elect of the organization, told Politico in March. “Why spend the political capital and energy in passing a bill if it is not successful?...”

...“It’s really just a distraction,” said Tom Baker, a professor at the University of Pennsylvania Law School and author of “The Medical Malpractice Myth.” “If you were to eliminate medical malpractice liability, even forgetting the negative consequences that would have for safety, accountability, and responsiveness, maybe we’d be talking about 1.5 percent of health care costs. So we’re not talking about real money. It’s small relative to the out-of-control cost of health care.”

Insurance costs about $50-$60 billion a year, Baker estimates. As for what’s often called “defensive medicine,” “there’s really no good study that’s been able to put a number on that,” said Baker.

Krauthammer cited a study by the Massachusetts Medical Society that found that five out of six doctors said they ordered additional tests, procedures and referrals to protect themselves from lawsuits. He also relies on a much-criticized study from the libertarian Pacific Research Institute on the civil justice system to conclude that “defensive medicine” wastes more than $200 billion a year.

Baker is skeptical, and makes the point that “defensive medicine” is not the same thing as wasteful medicine. “Like defensive driving, some defensive medicine is good,” he said. “To change behavior. When you drill down those studies, you see that what it means is, doctors are more careful with patient records. They spend more time with the patient. They’re more careful to say hello and goodbye to the patient. That’s good.”...

Friday, March 19, 2010

The problem with Curtis Wright's America is that it simply returns the Repblicans back to office under an alias.

The Tea Baggers don't bother to recognize the very values they emulate are the same as the ones that were the basis of the corruption that angers them.

They believe simply changing horses in mid-stream will solve the problem and they blame their plight on the 'person' and NOT the values that caused the corruption in the first place.

The Tea Baggers are no different than the Republicans that nearly destroyed the sovereignty of the USA. They believe in a Plutocracy, NOT, a democracy.

They hide behind the flag to accomplish their ill derived goals.

The term "plutocracy" is formally defined as government by the wealthy, and is also sometimes used to refer to a wealthy class that controls a government, often from behind the scenes. More generally, a plutocracy is any form of government in which the wealthy execise the prepondernce of political power, whether directly or indirectly.

The Plutocracy that is the basis of The Tea Bagger and Republican ideologies have made it all the way to the Supreme Court.

Money Grubbers

The Supreme Court kills campaign finance reform. (click here)



...Citizens United is an ideological group, like the NRA or Planned Parenthood, except that it takes for-profit corporate funding. It produced an anti-Hillary Clinton documentary. The group wanted to air the documentary during the 2008 presidential primary season through a cable television video-on-demand service and to advertise for it on television. In exchange for a $1.2 million fee, a cable-television-operator consortium would have made the documentary available to subscribers to download free on demand....

Citizens United Prevails At Supreme Court (click here)



...The leading winners from the court's decision are powerful incumbent officeholders. Corporations often have a great deal at stake in legislative decision-making. Therefore, they are anxious to win the favor of officeholders who they perceive are in a position to help them on legislation. This effect was shown in 2002 when then-Rep. Tom DeLay, R-Sugar Land, raised $749,000 from 20 corporations in support of his Texans for a Republican Majority political action committee. Many of the corporate executives knew that the contributions were of questionable legality and little or nothing about DeLay's plans for the money. They knew only that DeLay wanted funds, and pleasing DeLay was important to the corporations' objectives in Congress....

The real goal of Plutocrats is NO CHANGE, just oppression.

If voters want to 'throw the bumbs out.'

Make sure they are the right bumbs and not just a carbon copy.

New Hanover County is among the most corrupt counties in the county.

The County Commissioners want to pass a sales tax. They used a recent survey, paid for by the taxpayers, to determine their political clout to weather the storm should they pass the tax on consumers.

They have no reverence for the people of Wilmington and that goes for the Mayor and Council as well. They only know power and how to manipulate the vote. They are horrible people.

As a matter of fact the university in Wilmington was dismissed from testing the water quality because they did too good a job. Their reports were highly technical and complete. In stead of the university performing this quality work, the county commissioners awarded private contracts to companies that claim the pollution cannot be 'point sourced' to know where it comes from. Therefore, the private company simply states 'unattainable' as if that is suppose to be a legitimate report. The county commissioners don't care about the people of New Hanover, they do like the monies though.



Jason R. Thompson, Chairman (click here)

...Overall, the poll summary (click title to entry - thank you) said that county commissioners are “well liked” as individuals, but that “the low job approval rating is more of a reflection of attitudes against government in general.”

The poll summary did not provide details on what voters said about the commissioners....

Curtis Wright talks about termination from BIG Talker

I hope this is the beginning of the Murdoch empire cleaning up its act.

This is the guy. The one that lent his radio program to organizing a political party called The Tea Party.

The ethical and potentially legal issues surrounding his actions along with that of the entire 'infortainers' of Murdoch and Rush networks is far more than worrisome. It is more than interesting that his boss actually ran for Mayor.

There is a lot "W"rong here. Conflict of interest is only the beginning. They are also influence peddling. I wouldn't be surprised that it can be viewed as racketeering.



...Knight says Curtis lived (click title to entry - thank you) and breathed that radio show, which brought in ratings and revenue for the media company. He says the termination was a long time coming and has to do with issues that take place behind the scenes, off air.

"Everybody is allowed to have a bad day, but don't have 2,3,4,5 and don't go stirring up a bunch of mess with my staff because that's the quickest way to be asked to leave," said Knight.

Curtis said his relationship with Knight changed after his boss ran for mayor, but Knight says he gave Curtis a letter of immunity allowing him to speak freely on air about the race....

Privatizing Post Offices was the worst idea the government ever had, they are ripping off the public.



I was just at the Eastchester Road Mail Drop in High Point, North Carolina. I had two items to mail that needed delivery confirmation. I paid more than I should have.

The woman at the counter is the owner and operator to the place. When she weighed the packages she leaned on the scale with her hand for the first one. Then she left extraneous papers that were to be my receipts on the scale for the second one. Those papers no matter how they were might be minor in weight add up when it is one customer after another that she services.

I won't ever go back there and I don't believe the USA Mail is safe at her operation.

To much responsibility to the public and too much temptation to commit fraud. The Post Office should not have done it.

Mideast Quartet calls for freeze on Israeli settlement activity



U.S. Vice President Joe Biden
(Archive)
Netanyahu's spokesman Nir Chefetz (click here) said the Israeli leader had proposed some "mutual confidence-building steps" that both Israel and the Palestinians could take in the West Bank. He declined to spell these out.





U.S. Secretary of State Hillary Clinton, Russian Foreign Minister Sergey Lavrov, UN General Secretary Ban Ki-moon


..."The members of the Quartet (click title to entry - thank you) have agreed that we will use every available opportunity to encourage the Israelis and Palestinians to resume indirect talks. We think that the announcement that we have made today states very clearly the assessment of the situation and paves the way first towards the start of indirect talks, and then to direct talks," Lavrov said.

Ban and Clinton condemned the Israeli housing plans and demanded that all settlement activity be halted.

"The Quartet urges the government of Israel to freeze all settlement activity, including natural growth, dismantle outposts erected since March 2001 and to refrain from demolitions and evictions in East Jerusalem," Ban said.

"We all condemn the (settlement) announcement and we are all expecting both parties to move toward the proximity talks," Clinton added.

Ban also said that a new peace agreement between the Israeli and Palestinian authorities should be reached within 24 months....

Thursday, March 18, 2010

It took WITHDRAWAL of troops for Iraq to FINALLY stand on its own in a real way. Hello?



The USA went through the same issue with South Korea as well. There came a time in the Korean War when enough was enough. It was time for the country to take care of its own people and stop relying on the USA for defense and domestic tranquility.

The USA is a strong and powerful ally. So powerful it can oppress the peoples of a country without even trying to achieve that goal.

Overshadowing the people of Iraq is not our purpose. We are not looking for "A little USA" to emerge so much as a country that is supportive to peace in the region. That can only happen when it properly allies with its neighbors such as Saudi Arabia and Jordan to commit to peace, including recognizing Israel as a sovereign country and Palestine as an emerging state that practices human rights. Those initiatives have to be achieved as an independent and sovereign nation, not one that is occupied by a Western nation.

I do not see Iraq being treated as 'A Favored Country' until it has achieved goals on its own.

Liars. They are all liars.

The attack ad is a reaction to the recent study of the health care system that shows a gross imbalance in equity to all Americans.

It contends that the REAL cost belongs with doctors and hospitals as health insurance is the smallest part of the pie. They state IF the reimbursement was less they would not be charging so much for their insurance.

The fact is that the current health care bill establishes Committees that include citizens and professionals to review ALL the dynamics of health care costs to the USA.

That is prudent for budget purposes and bringing down the national deficit AND American household deficits.

Here again these 'for profit' companies that 'deal' in health care and its peripheral services are telling half trusts as if they have a better argument than the President.

I don't think so.

At all.

The latest attack ads about the Health Care Bill costs MILLIONS. I asked myself, would they spend millions if they were going to make less profits?

...The ad buy, costing between $4 million and $10 million, will start Wednesday on national cable TV outlets. Later in the week, the campaign shifts to 17 states home to moderate and conservative Democrats. Their votes are critical to Obama's endgame for passing legislation to expand coverage and revamp the health insurance market....

The people responsible for the attacks against the President's initiative are. Write them and tell them what you think:

"Patients First, Not Profits"


Chamber of Commerce (click here)

National Association of Manufacturers (click here)

National Retail Federation (click here)

This is where it really gets interesting. The Construction lobbies, especially those that target the state legislators know where their bread is buttered. They don't care about whether or not their health care costs hurt their hiring of Americans, they only care about the fact that non-profit hospital systems use EXTRA monies garnered EVERY YEAR from the charges to patients for construction.

Instead of giving patrons of their health care systems refunds on their expenses every year, the hospital non-profit corporations will build, build and build some more in order to increase their assets (Or at least they believe they do.) so they can borrow more in the future and increase their debt to keep more of their monies.

It is a corrupt system and the patients are the losers ALL THE TIME.

Groups representing the construction and food service industries.

The business groups refused to release a list of the lawmakers they are targeting.

Progress toward real and profound health care reform. Considering the Obstructionists agenda the movement toward a bill has been phenomenal.



While the bill in its current verbiage is considered flawed by more liberal voices, no one can argue it doesn't reduce the deficit.

The Obstructionists continue to state the new health care bill cuts Medicare by one half billion dollars.

They are "W"rong.

It cuts one half billion dollars US from the corruption of privatizing Medicare to allow the federal government to guarantee solid health care insurance to our seniors and disabled.

Liars. All the Obstructionists can do is lie. They have no real facts or reasons to oppose the bill.

The process to global nuclear responsibility started in March 2009 and has been a priority with this administration. Progess.



Russian Foreign Minister Sergei Lavrov and US Secretary of State Hillary Clinton

US Secretary of State Hillary Clinton says there has been "substantial" progress on a new nuclear disarmament deal with Russia. (click title to entry - thank you)

In Moscow, Mrs Clinton and Russian counterpart Sergei Lavrov said a new Strategic Arms Reduction Treaty (Start) should be finalised soon.

The nations are trying to replace the 1991 Start that expired in December.

Mrs Clinton is attending two days of talks in Moscow, including a key meeting on the Middle East on Friday.

Iran is also a major issue, with the US and Russia publicly disagreeing on the planned opening of an Iranian nuclear power station...

Arizona Legislature guts funding for State Parks - Real Estate Corruption - that is the next step, selling the park land.

Arizona State Parks Keeps 9 Parks Open, 11 More Will Close. (click title to entry - thank you)

Arizona calls that a website for its park system. That is a joke ! Not a website.

McCain or Kyl couldn't do anything about this? Or perhaps they didn't want to. Real estate interests might be too overwhelming for them.

I mean after all, McCain can't even stand up for his own daughter with his spouse fighting to protect her, so why bother with parks after all. Not as though they were ordained by God as a sovereign place of his authority.

The real estate moguls will roll in with their bulldozers and remove all the carbon sinks and replace it with concrete.

This is a Republican idea of fun? They don't value their children's futures at all, do they? I mean that simply don't. They'll take any issue and make it into an economic catastrophe for the sake of money lust. Seriously. They are the most immoral people on the face of the Earth. I have absolutely no respect for them. NONE.




The economic crisis (click here) isn’t going to be over any time soon, and the parks system will probably take another hit this coming year. If you value the role the state parks play in providing recreational opportunities, protecting natural landmarks, and preserving Arizona’s heritage, consider dropping a line to your state representatives to tell them so. Volunteering is a terrific way to show your support, and you can also vote with your dollars by purchasing an annual pass or gifts from the online gift shop. Most importantly, get out there and enjoy your state parks!


Arizona parks system's future in doubt

by Casey Newton - Mar. 18, 2010 12:00 AM
The Arizona Republic

...Arizona's parks system is limping into the next fiscal year (click here) with few assurances it will exist after June 30, the result of lawmakers reducing its budget by nearly 80 percent since 2007.

Lawmakers cut an additional $3.9 million in the special session that adjourned Tuesday. Efforts to save the system through legislation have stalled. And while discussions continue, parks continue to close....


Bring on the Bulldozers. Why wait until the parks are completely closed to leave behind a 'wind row' of trees to hide the truth.

Do it now !!!!!!

Cowards.

Why do it behind the public's back in hopes they forget about their state treasures. Own up to the bastards that you truly are !

The War at our Front Door



Tamaulipas state police (click title to entry - thank you) unload packages of seized marijuana in Nuevo Laredo, where clashes have erupted between northeastern Mexico's two most powerful drug-trafficking rings. (Raul Llamas / AFP/Getty Images / January 8, 2010)


Wednesday, March 17, 2010

Holder on Osama: We’ll Be Reading Miranda Rights to His Corpse

Eric Holder is the best Attorney General to grace the Justice Department in nearly ten years. If one compares his performance to that of Gonzalez and Ashcroft, he is a god-sent.

Yet the Republicans continually try to score political points and simply hate him.

Quite frankly, I hope Osama bin Laden does stand trial. I hope every family member and friend that lost someone on September 11, 2001 gets the chance to stone him to death. I don't know if that sentence can be rendered yet, as it is usually humanely defined through lethal injection, but, stoning would be too good for him.



U.S. Attorney General Eric Holder testifies at the U.S. House Appropriations Committee on Capitol Hill in Washington, Tuesday.

Larry Downing/Reuters

Maintaining a terrorist in 'detention' does not secure him away in prison forever. Holding a trial removes any doubt they will ever be released again. The Republicans don't WANT to 'get it.' They rather be at war forever and keep the terrorists as POWs. That is not how reality works, they know it, but, they don't care. If the war ended tomorrow, the terrorists homelands would have the right to demand their return. Honestly.

...Law allows indefinite detention

A law Congress passed in 2001 authorizes the administration under the law of war to detain indefinitely those who are deemed enemy combatants. Holder said, if necessary, the administration would use that authority to keep Mohammed behind bars.

“So why are we trying him? Am I missing something?,” asked Rep. John Culberson (R) of Texas. Why put him on trial if the government is going to hold him anyway, he asked.

“You are dealing with a hypothetical that is not going to happen,” Holder countered. He said federal prosecutors would be able to build a solid case and win a conviction against Mohammed through voluntary statements he’s made that can be used against him in court.

Congressman Culberson persisted. “The approach of the Obama administration is that this is a law enforcement action – it is not, we are at war,” said Culberson. “Texans understand that when you are at war the goal is to hunt down your enemy and either kill them or capture them.”

Holder responded that he was aware that the nation was at war. But he added that the administration’s plan to place some terror suspects on trial in civilian federal courts was an important tool in the broader waging of that war....

In case the Washington Post doesn't get it. Eric Holder is the Attorney General, NOT, the War General. I don't believe he has authority over the war theater and the best he can do is estimate the possibility of actually having the pleasure to try him and dispose of his sorry remains.

How come I know that and the Washington Post doesn't?

Oh, wait. I think they are more interested in treating the American electorate like morons by trying to 'make political hey instead.'

U.S. commander says bringing bin Laden to justice remains goal (click here)

Washington Post Staff Writer
Wednesday, March 17, 2010; 2:05 PM

Gen. Stanley McChrystal, the commander of U.S. and NATO forces in Afghanistan, said Wednesday that the military would "certainly" try to capture Osama bin Laden alive and "bring him to justice" -- contradicting remarks by a top Obama administration official....


March 15, 2010

AG Holder: DOJ 'On The Right Path' Toward Open Government (click here)

A year after Attorney General Eric Holder Jr. issued new guidelines for releasing public records, Holder said today the department has increased the rate of disclosure—reversing what he called a "disturbing" trend.

In Sunshine Week remarks delivered today in the Great Hall at the Justice Department, Holder said the department remains committed to the principle that “we make openness the default, not the exception” when it comes to public interest in government records.

“While we aren’t where we need to be just yet, we’re certainly on the right path,” Holder said. At another event this morning, Obama officials defended openness policies.

Holder said there’s been an “obvious and encouraging change” in the government’s approach toward the dissemination of information. He praised President Barack Obama’s directive in January 2009 that said, among other things, to resolve doubts in favor of openness and not to withhold information based on speculative or abstract fears....


Bring back the family farm !!!!!!!!!!!!!!!!

Published March 15 2010

Anti-trust law expected to dominate farm hearing discussions (click here)

By: Jerry Hagstrom, Special to Agweek
WASHINGTON — Attorney General Eric Holder’s decision to co-host a workshop on agricultural competition and regulatory issues with Agriculture Secretary Tom Vilsack in Iowa on March 12 has shown that the Obama administration has a major commitment to stronger enforcement of the Packers and Stockyards Act and anti-trust laws that affect agriculture.


Senior Al-Qaida Planner Killed By U.S. Drone Attack In Pakistan (click here)

By Frank James
According to a U.S. counterterrorism official, al-Yemeni was killed last week in a missile strike in Miram Shah, the main town in North Waziristan, Pakistan.
The U.S. official says al-Yemeni was "an up-and-comer in the terrorist world" and that he specialized in bombs and suicide operations.
The attack last December on a CIA base in Khost, Afghanistan killed seven agency employees.
The U.S. official says al-Yemeni's death would mark "the latest victory in a systematic campaign that has pounded al-Qaida."
That remark squares with comments by CIA director Leon Panetta. In an interview with the Washington Post, Panetta says aggressive CIA actions are crippling al-Qaida.
But Panetta told the Post the terror network continues to look for ways to kill Americans.


Thank you, Dennis. Every life saved is up to us.

It is a good start, Dennis. No one has a crystal ball. We may have done enough with this measure. Time will tell. Filling in the gap to those that are under-insured and uninsured will be an ongoing effort from now until we achieve a good path of reform.

The Right Wing of the political spectrum forgets their constituency is only a breath away from losing their health care insurance. ie: October Fiscal Collapse of 2008

When one is in the top 1% of the nation, they haven't got a clue, NOR, do they want to.



Dennis Kucinich speaks during a news conference to announce his vote on the health care reform.

"Even though I don't like this bill, I've made the decision to support it," he told reporters, "in the hopes that we can move towards a more comprehensive approach once this legislation is done."

Top of the Morning to You



Sign at the Guinness Factory in Dublin, Ireland.

I wish everyone a happy St. Patrick's Day.

Tuesday, March 16, 2010

In case Limbaugh doesn't 'get it.'

The USA health care system is out of control. It is not regulated. It is profit driven. People are uninsured because the 'flash in the pan,' incompetent CEOs that achieve their huge bonuses on the blood of others, don't see them as profitable.

They are the health care equivalent of Roger Smith.

There is NOTHING magical about USA health care, except, it is an industry rather than a service.

Questions?

There is a reason why the health care industry is 16+% of the USA GDP. It is exploitive; from the industry that manufactures the supplies to the CEOs that cry about their bottomline.

The entire system is hideously gone awry and will be a huge task to bring it back to a reasonable and manageable aspect to the American landscape and budget.

Decades of exploitation and profit taking from all venues of health care has made it a monster in our society.

It is complicated and destructive. It is time it stops !

What a gigantic mess.

CEOs. Who needs them?

The health care industry in the USA has been over invested. It is and has been a disaster waiting to happen.

Pass the health care legislation. At least it is a beginning.

Romney's Health Care System. Keep it privatized. I don't think so. We need a Public Option.



...The health care crisis in the United States (click here) is due to our commercial health care system. In the United States health care is treated as a commodity purchased by individuals, businesses, and even governments. Insurance companies, drug manufacturers, and providers are driven by a profit-motive. In countries with a Single Payer Health Care System, health care coverage is provided as a public good to everyone, like primary education....


And why exactly are there more physicians in Massachusetts?

Mass. hospital spending far exceeds national average (click title to entry - thank you)

By Michael Norton and Kyle Cheney/Statehouse News Service
Posted Mar 16, 2010 @ 06:50 PM

Hospital costs in Massachusetts, fueled by 14 years of increases, stand more than 55 percent above the U.S. average, according to a report released Tuesday morning....

...Sager and Socolar said the state’s 2006 health care reform law “is simply not responsible for the recent rise in the Massachusetts hospital cost excess.” They said the excess also cannot be explained by excess beds in hospitals here, long stays, or low occupancy. “No single smoking gun explains the durable excess or the rebound. Many hospital, physician, payment, political, and other forces are at work,” according to the report.

According to the report, the forces include:

-- High teaching hospital share of patients, MD supply, surgery rates, and non-ER outpatient visits;

-- New or recently reinvigorated factors: admissions, ER visits, staffing levels (not average compensation, wages or benefits), non-labor costs;

-- Substantial growth in revenue helped to make higher spending possible;

-- Very heavy and rising reliance on costly teaching hospitals;

-- The nation’s highest physician-to-population ratio and past private insurance regulations limiting fees spurred development of an elaborate and expensive pattern of physician and hospital care;

-- Hospitals in Massachusetts are unusually influential politically, they argue that they are vital to the state’s economy; they have become central members of business groups that once fought to restrain hospital costs; and some won vast financial leverage and power to obtain higher prices.

Sager and Socolar concluded: “ We have long urged that more money to finance business as usual in health care is both unaffordable and unnecessary. Both free markets and regulations have failed, resulting in financial anarchy and higher health costs. Most past efforts to contain hospital costs have failed about as badly here as nationally. But there have been some successes. It will be helpful to recall the forces that squeezed the state’s hospital excess to 30 percent in 1996.”...