Author Archives: AbdulTihtsobwxb

A Judge Struck Down the "Cocaine Mom" Law That Put Pregnant Women in Jail

Mother Jones

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On Friday, a Wisconsin district court struck down a decades-old state law that criminalizes pregnant women with histories of drug use by labeling them as child abusers and letting juvenile courts appoint guardians and lawyers to represent the interests of their fetuses.

The law, called the Unborn Child Protection Act, was passed in 1997 and made the state responsible for protecting fetuses at all stages of pregnancy. Known as the “cocaine mom” law, it gave juvenile courts jurisdiction over the “expectant mother”—no matter what her age—and allowed the courts to force pregnant women into drug treatment if she had any history of drug use, and into jail if she refused treatment.

Public health groups opposed the law at the time, arguing it would scare women away from prenatal care. “A criminal justice approach to maternal and child health is not the best alternative,” said Milwaukee’s Health Department at the time. “Readily available drug and alcohol treatment for expectant mothers would be preferable to threatening mothers with incarceration and loss of paternal sic rights.”

Tamara Loertscher, whose case was decided on Friday, was incarcerated and held in solitary confinement while pregnant as a result of the law. In 2014, Loertscher, 29, sought care at a hospital in Wisconsin after finding out she was pregnant. At the hospital, she told medical staff that she had a history of methamphetamine and marijuana use, but that she’d stopped using when she realized she was going to have a baby.

That’s when the courts and child services got involved. Loertscher was subject to several juvenile court hearings, and when she refused to participate in an in-treatment drug program, she was jailed for contempt of court. A lawyer was appointed by the state to represent Loertscher’s 14- week fetus, but Loertscher herself was not given legal counsel. She spent almost three weeks incarcerated in a Taylor County jail, including several days in solitary confinement. During this time, Loertscher received no prenatal care, nor treatment for a thyroid condition.

Eventually, Loertscher agreed to comply with the state’s recommended treatment and weekly drug testing. But nonetheless, the county department of human services concluded that she had committed child maltreatment because of her previous drug use (it eventually withdrew the finding). All of her drug tests were negative, and in 2015, Loertscher delivered a healthy baby boy.

That year, Loertscher sued Wisconsin and Taylor County in federal court for violating her civil rights. And on Friday, a Wisconsin federal court ruled that the law is too vague and thus unconstitutional, but the court denied her request for damages as part of the ruling on Friday.

The law “purported to protect ‘unborn children,'” says Lynn Paltrow, executive director of the National Advocates for Pregnant Women, which represented Loertscher in her case against the state, “but in fact subverted maternal and child health and deprived adult women who became pregnant of fundamental constitutional rights.”

Loertscher was not the only woman arrested under the Wisconsin law. According to Paltrow, Wisconsin state documents show that since 2006, child protective services looked into more than 3400 cases of “unborn child abuse” and nearly 470 women were found to have committed such abuse.

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A Judge Struck Down the "Cocaine Mom" Law That Put Pregnant Women in Jail

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It’s Still World Cat Day

Mother Jones

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I’m heading out to lunch, but before I do let’s continue with our bathtub theme for World Cat Day. Whenever Marian or I get up in the night to use the bathroom, Hopper zips in a few seconds later and immediately jumps into the bathtub. I’ve never figured out why. There’s nothing in the bathtub for her to play with, but that’s where she likes to be. However, she only likes it when one of us is in there doing our business. The rest of the time she shows no interest at all.

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It’s Still World Cat Day

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Medicare Cost Projections Are Down Stunningly in 2015 Report

Mother Jones

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As long as we’re on the subject of annual trustees reports, the 2015 Medicare report was released today too. And if the Social Security report was slightly good news, the Medicare report is, once again, spectacularly good news. Here’s the 75-year spending projection from ten years ago vs. today:

Ten years ago, Medicare was a runaway freight train. Spending was projected to increase indefinitely, rising to 13 percent of GDP by 2080. This year, spending is projected to slow down around 2040, and reaches only 6 percent of GDP by 2090.

Six percent! That’s half what we thought a mere decade ago. If that isn’t spectacular, I don’t know what is.

The 2005 projection was based on past performance, which showed costs rising ceaselessly every year. That turned out to be wrong. This year’s projection is also based on past performance, which shows that costs have flattened substantially since 2008. Will it turn out to be wrong too? Come back in 2025 and I’ll tell you.

In any case, this illustrates the big difference between cost projections for Social Security and Medicare. Social Security is basically just arithmetic. We know how many people are going to retire, we know how long they’re going to live, and we know how much we’re going to pay them. Do the math and you know how much the program will cost us. It can change a bit over time, as projections of things like GDP growth or immigration rates change, but that happens at the speed of molasses. There are very few surprises with Social Security.

Medicare has all that, but it also has one more thing: the actual cost of medical care. And that’s little more than an educated guess when you start projecting more than a decade ahead. Will costs skyrocket as expensive new therapies multiply? Or will costs plummet after someone invents self-sustaining nanobots that get injected at birth and keep us healthy forever at virtually no cost? I don’t know. No one knows.

Beyond that, it’s always foolish to assume that costs will rise forever just because they have in the past. Medicare is a political program, and at some point the public will decide that it’s not willing to fund it at higher levels. It’s not as if it’s on autopilot, after all. We live in a democracy, and after lots of yelling and fighting, we’ll eventually do something about rising medical costs if we simply don’t think the additional spending is worth it.

Still, the news for now is pretty good. I happen to think the slowdown in medical costs is real, and will continue for some time (though not at the extremely low rates of the past few years). For more on this, see here, here, and here. Others think it’s a temporary blip due to the recession, and big increases will return in a few years. We’ll see.

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Medicare Cost Projections Are Down Stunningly in 2015 Report

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