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The 2012 Obama Campaign Took Bernie Sanders’ Primary Threat Seriously

Mother Jones

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Barack Obama’s 2012 re-election campaign prepared to fend off a threatened primary challenge from Bernie Sanders, a former senior Obama adviser told Mother Jones on Thursday.

The comment came as Hillary Clinton tries to persuade Democratic voters of Bernie Sanders’ past divergences from the party. In recent weeks, Clinton has repeatedly painted her opponent as anti-Obama, pointing to statements that he made before the president’s re-election campaign that suggested Obama needed to get a primary challenge from the left—perhaps from the Vermont socialist himself—a charge Sanders has generally dismissed as irrelevant and overblown.

Sanders tried once again duck away from his suggestion in 2011 that Obama needed a primary challenge from the left. Early in Thursday’s town hall hosted by MSNBC and Telemundo, moderator Chuck Todd pushed Sanders to explain those past statements, airing a clip of Sanders saying, “I think it would do this country a good deal of service if people started thinking about candidates out there to begin contrasting what is a progressive agenda as opposed to what Obama is doing.”

Sanders tried to swat it away as just a simple, unplanned response to a radio interviewer in 2011. “Look, this is a media issue,” Sanders said. “This is one thing I said on one radio show many, many years ago. Media likes that issue. Bottom line is I happen to think that the president has done an extraordinarily good job.”

So how real was Sanders’ threat? Real enough that it prompted the Obama campaign to consider it seriously, according to David Plouffe, Obama’s campaign manager in 2008 and a White House senior adviser when Sanders made his comment. “He did suggest that we get primaried, which is no small thing—like a big thing,” Plouffe told Mother Jones Thursday afternoon at a Clinton field office in Las Vegas. “We thought maybe he’d run against us.” When asked if that meant the Obama campaign made plans for that scenario, Plouffe said, “We prepared for everything. That’s a problem. He’s suggesting that progressives have been let down by Obama, that’s a problem. I think there’s no question that she’s been a more steadfast supporter.”

Plouffe had swung by the field office to rally Clinton volunteers, who were busy phone banking for Clinton ahead of Saturday’s caucuses. After Plouffe addressed the room, I asked him if it felt weird coming back to Nevada to stump for Clinton, eight years after he ran a campaign against her. “Of course it feels a little odd, given how intense that primary was,” he said.

But the former Clinton foe is now firmly on her side. He acknowledged that Sanders has run an impressive campaign, but he was generally dismissive of Sanders as a serious candidate. “Aspirational campaign not rooted in reality,” he said to sum up Sanders’ approach. Of Sanders’ planned political revolution, he added, “None of that stuff is going to happen. I hate to be a realist, but it wouldn’t get support by most Democrats in Congress, let alone Republicans. And I don’t think it’s the right thing to do. Taxing the middle class right now when they’re struggling with wage stagnation and income insecurity is the wrong way to go.”

“Right now, he’s running a very aspirational campaign, not terribly rooted in reality,” Plouffe continued. “There’s a place for that, and it’s getting a lot of appeal.”

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The 2012 Obama Campaign Took Bernie Sanders’ Primary Threat Seriously

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Sadly, Rubio-Obama Left-Handed Handshake Is Just Design Laziness, Not Latest Terrorist Fist Jab

Mother Jones

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Today’s idiotic campaign tiff involves Marco Rubio pretending to be outraged about an image from the Ted Cruz campaign that illustrates their supposed outrage over the fact that “Rubio cast the deciding vote to fast-track three highly secretive trade deals negotiated by Obama and encouraging corrupt, backroom deals.” It shows a photoshopped Rubio shaking hands with a photoshopped Obama.

Yawn. What I want to know is why this illustration shows Rubio and Obama shaking hands left-handed. Weird, no? But it turns out the answer is simple: the campaign used a stock photo for the bodies, but the black guy in the photo was on the left and they wanted Obama to be on the right. So they inverted the image, which made it look like a left-handed handshake.

I’m disappointed. I thought maybe conservatives were under the impression that a left-handed shake was the latest black thing, like a terrorist fist jab or something. Oh well.

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Sadly, Rubio-Obama Left-Handed Handshake Is Just Design Laziness, Not Latest Terrorist Fist Jab

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This Catholic Hospital Failed Women Who Were Suffering Miscarriages

Mother Jones

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In a shocking investigation for the Guardian, Mother Jones alum Molly Redden describes a Catholic hospital in Muskegon, Michigan, in which hospital policies concerning reproductive health were guided by recommendations from the US Conference of Bishops. This resulted in a 17-month pattern whereby women who were miscarrying were refused medical intervention, resulting in dangerous cases of sepsis, emotional trauma, and unnecessary surgery.

A report that documents five cases of women whose miscarriages were treated in this manner was leaked to the Guardian. None of the pregnancies had progressed past 20 weeks, making viability outside the womb unlikely even in the best circumstances. None of the infants in these cases survived. Redden reports:

The woman inside the ambulance was miscarrying. That was clear from the foul-smelling fluid leaving her body. As the vehicle wailed toward the hospital, a doctor waiting for her arrival phoned a specialist, who was unequivocal: the baby would die. The woman might follow. Induce labor immediately.

But staff at the Mercy Health Partners hospital in Muskegon, Michigan would not induce labor for another 10 hours. Instead, they followed a set of directives written by the United States Conference of Catholic Bishops that forbid terminating a pregnancy unless the mother is in grave condition. Doctors decided they would delay until the woman showed signs of sepsis—a life-threatening response to an advanced infection—or the fetal heart stopped on its own.

In the end, it was sepsis. When the woman delivered, at 1:41 a.m., doctors had been watching her temperature climb for more than eight hours. Her infant lived for 65 minutes.

This story is just one example of how a single Catholic hospital risked the health of five different women in a span of 17 months, according to a new report leaked to the Guardian.

The report, by a former Muskegon County health official, Faith Groesbeck, accuses Mercy Health Partners of forcing five women between August 2009 and December 2010 to undergo dangerous miscarriages by giving them no other option.

Redden also revealed that all five women had symptoms that indicated immediate delivery was the safest option, but that option was never communicated to the patients. Redden delved into the complexities of the Catholic Church’s directives on reproductive health, which guided Mercy Health Partners’ interpretation that apparently prevented the hospital from providing necessary care and information to patients.

An OB-GYN reviewed the report provided by Redden and the Guardian and concluded that, given the nature of the miscarriages that were described, most physicians would “absolutely urge” inducing labor.

Redden noted that Catholic hospitals nationwide are on the rise—the number of Catholic hospitals increased by 16 percent between 2010 and 2011—while the number of secular, private, and other religious hospitals has declined. Experts in Catholic health care told the Guardian that the bishop’s directives should never interfere with emergency care.

Here is the Guardian’s entire story. You can also find one of Redden’s Mother Jones features, “The War on Women is Over—And Women Lost,” here.

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This Catholic Hospital Failed Women Who Were Suffering Miscarriages

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In Shocker, Americans Divided by Party on Scalia Replacement

Mother Jones

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A new poll says Americans are evenly divided about whether the vacant Supreme Court seat should be filled this year. Can you guess why they’re so evenly divided? Huh? Can you?

The survey found voters were split deeply along party lines, with 71% of the Democrats favoring Senate consideration of an Obama nominee and 73% of Republicans supporting no action until the next president assumes office.

Yeah, that’s a shocker, all right. By an amazing coincidence, partisans on both sides have accepted the rigorous and principled arguments set forth by their fellow partisans. However, the fight for the independents continues. They’re split 43-42 percent, just like the country as a whole.

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In Shocker, Americans Divided by Party on Scalia Replacement

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Why Did a 16-Year-Old Black Girl Just Die in a Kentucky Cell?

Mother Jones

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Last month, 16-year-old Gynnya McMillen became part of a disturbing trend — one of a growing number of girls across the country who’ve been detained after getting charged with a misdemeanor. Then mysteriously, one day after she was booked into Kentucky a detention center, McMillen was found dead in her cell.

On the morning of January 11, an employee at the Lincoln Village Regional Juvenile Detention Center found McMillen, who was not breathing. “She is cold and stiff, there is no respiration, no vital signs,” the employee told a 911 dispatcher. About an hour later, McMillen was pronounced dead. Little is known about why McMillen wound up dead while in juvenile detention, a locked facility where young people charged with crimes are held while they wait for future court dates or other action in their cases.

The incident, and the limited information that has been released to the public about it, has sparked outrage from McMillen’s family and the family’s supporters. State officials have launched two parallel investigations into the girl’s death, including a full autopsy. Kentucky’s Justice and Public Safety Cabinet Secretary John Tilley has asked that those investigations “be expedited,” a cabinet spokesperson told Mother Jones, adding that they “are nearing completion.” The cabinet declined to comment further about specific details in the case citing juvenile confidentiality statutes.

Here is what we know—and don’t know—about the case so far:

McMillen was taken to Lincoln Village after police responded to a domestic violence call. Shelbyville police officers arrived at McMillen’s mother’s house on January 10. McMillen had been living at the Maryhurst foster home in Louisville, Kentucky, and was visiting her mom for the weekend, where they got into a fight, according to BuzzFeed News. Shelbyville police called a court-designated worker—a state official who makes legal decisions in cases involving juveniles—who then contacted a judge and requested that McMillen be detained. McMillen was charged with a misdemeanor assault and transferred to Lincoln Village, a state-run juvenile detention center in Elizabethtown. Police said McMillen’s mother suffered minor injuries. Young people under the age of 18 who are charged with low-level crimes can be held in detention centers until a court decides what further action is needed. Their detention typically lasts around three weeks, but can extend for much longer, according to the Office of Juvenile Justice and Delinquency Prevention. In 2014, Kentucky enacted a law that was meant to help teens like McMillen avoid the court system altogether. Maryhurst declined to comment specifically on McMillen’s case, citing patient privacy laws.

McMillen had never been in detention before. A family member told 48 Hours’ Crimesider that McMillen’s one night at Lincoln Village was the only time she had ever been in detention. Prior to landing in the foster home, BuzzFeed News reported, McMillen lived with her father, who was awarded custody of her. But in November 2014, he died in his sleep. When McMillen spoke at his funeral, she promised to do well in school and make her father proud, a family member told BuzzFeed News.

At the detention center, multiple staff members physically restrained McMillen. Officials said that McMillen repeatedly refused to remove her sweatshirt when staffers tried to search and photograph her during the booking process. “The staff performed an Aikido restraint hold to safely remove the youth’s hoodie,” a spokesperson for the Kentucky Department of Juvenile Justice said. “The purpose of having multiple staff involved in a controlled restraint is to ensure the safety of the youth and staff.” A female staff member then conducted the pat-down and removed McMillen’s hoodie. “As far as I’m concerned that is a completely inappropriate use of a restraint,” Michele Deitch, an attorney and juvenile justice expert in Texas, told 48 Hours’ Crimesider. It is unclear if the restraint had anything to do with her eventual death, or if any other physical force was used against McMillen during her detention.

McMillen was placed in a cell by herself. The next morning, McMillen did not respond when staffers twice offered her food or later when they alerted her that her mother called. Although McMillen did not reply to staff members for several hours, no one appears to have checked on McMillen during this time. A Kentucky Department of Juvenile Justice spokesperson said staff members generally do not enter a detainee’s cell unless there are “obvious signs of distress.” It’s unclear why McMillen was confined in isolation to begin with. It is unclear if McMillen was merely in a cell alone or if she was placed in solitary confinement. Kentucky is one of 10 states that either have no limit or allow for indefinite solitary confinement for juveniles as a form of punishment.

Authorities don’t know yet how she died. After a sheriff’s deputy arrived to transport McMillen to court, Lincoln Village employees entered McMillen’s cell, and found that she was cold to the touch. Kentucky officials said McMillen appeared “to have passed away while sleeping.” Following the initial autopsy, the Hardin County coroner said there were no outward signs of trauma, such as visual bruising, and that it was unlikely she had a heart condition. The state’s Justice and Public Safety Cabinet has launched two investigations into the girl’s death, including a full autopsy. McMillen’s family has demanded that authorities release the surveillance footage that shows her final hours, as well as a recording of the emergency call that led to her arrest.

At least two Kentucky officials have lost their jobs in the wake of the incident, and one has resigned. One detention center staff member, Reginald Windham, was placed on leave for failing to check on McMillen’s cell every 15 minutes, as is required for detainees placed in isolation. On February 9, the governor’s office and justice cabinet announced that they’d fired Windham, following news reports about his longstanding record of “unacceptable behavior.” Personnel files provided to BuzzFeed News revealed that the Department of Juvenile Justice had disciplined or reprimanded Windham in five other incidents, including two that involved excessive use of force. In others, he as disciplined because he showed a lack of competency or professionalism. Bob D. Hayter, the head of the Department of Juvenile Justice, was dismissed from his job amid the investigation of the incident. The justice cabinet has not specified its reasons for Hayter’s dismissal. According to the Kentucky Center for Investigative Reporting, the department’s director of communications, Stacy Floden, also left her job in the wake of the state probe.

Gynnya McMillen’s arrest is part of a growing trend. The share of young girls in the juvenile justice system has been growing over the past 20 years, even as the number of arrests of young Americans has been on the decline. (My colleague Hannah Levintova recently broke down these numbers.) The percentage of girls who are arrested, detained, and end up in court increased between 1992 and 2013. Arrests of girls rose from 20 percent to 29 percent during this time, while detention of girls rose from 15 to 21 percent, according to the National Women’s Law Center. The trend has disproportionately affected girls of color: Black and American Indian girls were, respectively, 20 percent and 50 percent more likely to be detained than white girls. In 2013, black girls were the fastest-growing segment of the juvenile justice population.

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Why Did a 16-Year-Old Black Girl Just Die in a Kentucky Cell?

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A New Poll Says Ted Cruz Is Now Leading the Republican Race, But It’s Probably Wrong

Mother Jones

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The big campaign news of the day is a new NBC/Wall Street Journal poll showing that Ted Cruz leads Donald Trump nationally, 28-26 percent. But this seems unlikely: Four new national polls have been released since yesterday, and three of them continue to show Trump with about 38 percent support compared to 17 percent for Cruz.

So what’s going on with the NBC poll? If it’s an outlier, it’s a hell of an outlier. I couldn’t even find a table extensive enough to tell me how unlikely it is to be just a sample error. One in a million, maybe? So maybe it’s a problem with NBC’s likely-voter filter? Could be. Or maybe there’s been an enormous negative response to Trump’s debate performance last Saturday? The NBC poll is the only telephone poll done entirely after the debate, so if that were the case it would show up most strongly there.

Very odd. I guess we wait and see.

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A New Poll Says Ted Cruz Is Now Leading the Republican Race, But It’s Probably Wrong

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Your Boss Wants You to Think Twice About That Back Surgery

Mother Jones

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Corporations typically use data mining of personal information in order to sell more stuff to their customers. However, corporate wellness programs are mostly used in an effort to sell less stuff to their employees. For example:

Based on data such as an individual’s history, the firms can identify a person who might be considering costly procedures like spinal surgery, and can send that person recommendations for a second opinion or physical therapy.

Spinal surgery, which can cost $20,000 or more, is another area where data experts are digging in. After finding that 30% of employees who got second opinions from top-rated medical centers ended up forgoing spinal surgery, Wal-Mart tapped Castlight to identify and communicate with workers suffering from back pain.

To find them, Castlight scans insurance claims related to back pain, back imaging or physical therapy, plus pharmaceutical claims for pain medications or spinal injections. Once identified, the workers get information about measures that could delay or head off surgery, such as physical therapy or second-opinion providers.

So what do you think? Programs designed to lower health care costs are a good idea. Providing useful health information to employees is a good idea. But how about providing information specifically designed to influence a course of treatment? Is this an attempt to steer employees away from fly-by-night doctors who recommend back surgery for everyone? Or just another green-eyeshade attempt to persuade employees to forego expensive procedures?

Hey, those are good questions! Answers will be forthcoming some day.

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Your Boss Wants You to Think Twice About That Back Surgery

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Always Bring a Nuke to a Knife Fight

Mother Jones

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Yesterday Donald Trump finally went ballistic over Ted Cruz’s attacks against him. After listing half a dozen alleged lies, he made this threat:

One of the ways I can fight back is to bring a lawsuit against him relative to the fact that he was born in Canada and therefore cannot be President. If he doesn’t take down his false ads and retract his lies, I will do so immediately.

The great thing about this is that Trump doesn’t even bother pretending that he wants to sue Cruz because he truly believes Cruz isn’t a natural-born citizen. He just flat-out admits that he plans to do it purely as revenge for Cruz being mean to him. The Golden Rule here is simple: “They pull a knife, you pull a gun. He sends one of yours to the hospital, you send one of his to the morgue.”

This appears to be a considerable source of Trump’s appeal. His supporters don’t care much about actual political positions; they care about having a mean SOB in office. They probably like Trump more because he’s going after Cruz out of anger rather than as a matter of principle.

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Always Bring a Nuke to a Knife Fight

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Raw Data: Fewer Blacks Are Going to Jail These Days

Mother Jones

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Last week Keith Humphreys noted something interesting: although incarceration rates have gone down recently, the absolute level of white incarceration has risen while the absolute level of black incarceration has fallen. But that’s for prisons. What about local jails?

Same thing, it turns out. Since 2009, the number of white jail inmates has gone up by about 30,000 while the black jail population has gone down by 40,000. Humphreys comments: “In short, if you broaden the lens of analysis from prisons to include jails, the patterns I wrote about are even stronger: Being behind bars is becoming a less common experience for African-Americans and a more common experience for non-Hispanic Whites.”

I don’t quite know what this means, but it’s an interesting tidbit of data. Blacks are still in jail (and prison) at a higher relative rate than whites, but since 2009 that’s at least starting to reverse a little.

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Raw Data: Fewer Blacks Are Going to Jail These Days

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A Mixed Story on Health Care Spending

Mother Jones

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Katherine Hempstead of the Robert Wood Johnson Foundation is optimistic about the growth of health care spending:

The quarterly trend in overall health spending growth using the Altarum Health Spending Economic Indicators series shows a clear peak in Q1 2015 at 6.7 percent, with subsequent declines every quarter. Partial data for Q4 (October and November) show a spending growth rate of 5.2 percent. While overall spending growth in 2015 will clearly exceed that of 2014, a reduction appears to be underway.

As near as I can tell, this spending data hasn’t been adjusted for inflation. When you do that you get the chart at the bottom, which tells a different story. There was indeed a peak in the first quarter of 2015 followed by a sharp drop, but spending growth has gone up steadily since then.

In the long term, I’m fairly optimistic about the trajectory of health care spending. As Hempstead says, it makes sense that we saw some large increases when Obamacare was first implemented, since it brought a lot of new people into the health care system. But after the first year or two, that will flatten out and long-term trends should continue to dominate.

That said, you still need to look at this stuff in real terms. And when you do that, we’re not quite seeing the steady downward march that Hempstead suggests.

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A Mixed Story on Health Care Spending

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