Tag Archives: nebraska

Here’s a New Way to Judge Your State’s Schools

Mother Jones

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Last time I called Diane Ravitch, our country’s leading education historian and one of the most vocal voices in education reform, she was on another call with the producers of The Daily Show. It was 2011, and The Daily Show was about to air a segment about the low salaries that teachers earn and Wisconsin’s Republican Gov. Scott Walker’s intentions to cut teachers pay and reduce workers’ collective bargaining powers. The producers were calling to invite Ravitch to come on the show to talk to Jon Stewart about teachers and education reform.

At the time, reducing the power of teachers’ unions, promoting charter schools, and using standardized test scores to weed out “bad teachers” and close “failing schools” had become the most popular silver bullets of the education reform movement. Michelle Rhee, the former chief of DC schools, had become the most prominent public face of these kinds of education reforms—ones that Ravitch was critiquing on The Daily Show. Rhee had come out in support of Walker’s policies.

In 2010, Newsweek published a cover story called “The Key to Saving American Education: We must fire bad teachers.” That same year, on The Oprah Winfrey Show, Rhee announced that she was forming a national organization called Students First to promote her ideology among state policymakers. In 2013, Students First came out with “report cards” that graded each state’s performance against the reform movement’s education agenda. The report cards, like the policies Rhee and her allies pushed, received frequent—and fairly positive—media coverage.

When commentators and reporters needed a countervoice, Ravitch became the go-to progressive critic. She was not the only prominent academic who questioned the attacks on teachers, but she was the most vocal, thanks in part to her media savvy and punchy writing—and her 125,000 Twitter followers. In 2013, Ravitch and her allies launched the Network for Public Education, a nonprofit advocacy group that aims to counter what she calls the “right-wing propaganda.” Her organization pushed forward its own brand of education reform policies: more equitable school funding, early childhood education, integrated classrooms, reduced use of testing, and stronger professional development for teachers. This Tuesday, the Network for Public Education published its own version of state report cards, rating every state using 29 factors, such as policies on testing, school finance, teacher pay and rates of attrition, mentoring programs for teachers, and controls on charter school expansion, among others. No states received an overall grade of “A,” but Iowa, Nebraska, and Vermont got the highest grades. New Jersey was the only state to get an “A” for equitable funding. Alabama, Montana, Nebraska, New Hampshire, and Vermont all scored high for rejecting the use of tests to punish teachers or students.

Things are not going so well for the proponents of test-based and market-driven education reforms, Ravitch wrote on her blog a few months before her group released its report cards. She then went on to cite research—much of it included in the report cards—showing the failed promises of Rhee-style reforms: Charter schools on average don’t produce higher test scores than public schools; online charter schools perform much worse than public schools; teacher evaluations that include test scores haven’t helped to “weed out the bad teachers” and identify the best; achievement gaps haven’t changed. “Michelle Rhee has stepped away from the national stage, into apparent obscurity,” Ravitch wrote, “even though her organization continues to fund right-wing anti-public school state-level candidates.”

My second call to Ravitch was this past Tuesday, to ask her about the organization’s report cards, and the surprises her team found. Ravitch was joined by Carol Burris, the executive director of Network for Public Education.

Image courtesy of the Network for Public Education

Mother Jones: Why are these new state report cards important?

Diane Ravitch: There were all of these state reports coming out from right-wing groups like Students First and the American Legislative Exchange Council arguing that the definition of success is getting rid of public education and taking away any right that teachers might have. These create a climate when there is report card after report card agreeing that the future should be privately managed charter schools. There is nobody on the other side other than the unions, which are immediately discredited. There need to be two sides to the debate. Right now the education conversation is presented as what Students First is promoting is all that works.

We felt it was important to set up this other criteria and show how effective school systems operate: They are adequately funded, have preschools; they make sure that their teachers are professionals, and they don’t give away their authority. This is how the best nations in the world operate. They don’t operate through vouchers and charters.

MJ: Why is New Jersey the only state that got an ‘A’ in “School Finance”?

DR: New Jersey had court rulings that required the state to adjust its school funding. They have done a lot of redistribution to make sure that poor districts get more resources. What they still haven’t done anything about is segregation. Today they have a group of districts—called the Abbott districts low-income districts that receive higher levels of funding per student than the average spending in the state—that get a lot of money but are intensely segregated. These schools remain in high poverty and segregated areas, like Newark.

MJ: How is New Jersey doing with improving kids’ test scores and closing the gap between black, Latino, and white students?

DR: If you look at National Assessment of Educational Progress NAEP scores in New Jersey, it’s one of the highest-scoring states in the country, even though it has very poor, low-performing districts. When it comes to achievement gaps, there is nothing to brag about, but it is doing much better than Washington, DC. In 2008, we had a Time magazine story with Michelle Rhee on the cover telling us that DC was going to lead the way in how education reform should be done, but DC continues to have an achievement gap that’s twice that of other cities and twice that of New Jersey.

MJ: Your report says the gap in spending per student in poor schools compared to rich schools has grown 44 percent in the last decade. Why?

DR: One important reason is that the federal policy has tilted completely toward testing and accountability and away from equity. The Elementary and Secondary Education Act of 1965 was all about equity and equitable resources for low-income students, and then in the 1990s that began to change. In DC, policymakers think that if we can only have high enough standards, tough enough tests, and hold people accountable, we can close the achievement gap. And it hasn’t happened. Yet the new law, the Every Student Succeeds Act, is based on the same test-based and market-driven framework and ideology, except it lets the states do it.

MJ: Research consistently shows that when teachers are allowed to learn on their jobs and have a voice in decision-making processes, kids’ achievement improves. Typically, the presence of such practices is measured as the hours teachers are paid to collaborate and plan. That wasn’t in your report. Why?

Carol Burris: There are so many factors we wished we could have included, but couldn’t. Francesca Wilson, the researcher at the University of Arizona who worked with us, was able to get limited data from the National Center of Educational Statistics on this issue. But once we put the report cards out, we hope that people will suggest what other factors we should be including. In general, it was a challenge for us to find recent data and cross-national sources for everything.

MJ: Your report cards also don’t include any student test scores or graduation or college acceptance rates. Why is that?

CB: The point of the report card is not to judge individual schools or even to judge kids. We wanted to look at factors that states can control through policies. If you change specific research-based practices that we identified, then the outcomes that you can expect would be higher test scores. But to use something like NAEP standardized scores without proper controls for poverty, it didn’t make sense to us. We really wanted to look at the “inputs” of educational systems, such as funding or class size, that research shows increase achievement.

MJ: What impact do you hope to have?

CB: We hope the readers will think deeply about the path that we are on and engage in grassroots campaigns at the district or state house level. We need to make sure that policymakers who are truly committed to public schools move beyond popular silver bullets that have failed in the last decade and pay attention to policies that are actually effective.

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Here’s a New Way to Judge Your State’s Schools

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TransCanada Just Asked the United States to Suspend the Keystone XL Pipeline

Mother Jones

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In an unexpected turn of events, the company behind the Keystone XL pipeline proposal requested to temporarily suspend its US permit application on Monday.

In a letter to Secretary of State John Kerry, the Calgary-based TransAmerica Corporation asked that State Department, which reviews cross-border pipelines, delay its decision while the company goes through a state review process in Nebraska. Earlier in the week, the White House indicated its intention to rule on the controversy-ridden pipeline by the end of Obama’s term; some were expecting the State Department decision to reject the pipeline as soon as the end of the week.

“We are asking State (Department) to pause its review of Keystone XL based on the fact that we have applied to the Nebraska Public Service Commission for approval of its preferred route in the state,” TransCanada Chief Executive Russ Girling said in a statement.

But some are speculating that the request is a political play: A delay in the permit could mean pushing the issue beyond the 2016 election—and into the hands of a new administration.

TransAmerica has vowed over the years that it would not back down on the proposed pipeline from Alberta to Texas in the face of economic or political challenges, and until recently, it had been pushing for a speedy border permit approval.

â&#128;&#139;This post has been updated.

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TransCanada Just Asked the United States to Suspend the Keystone XL Pipeline

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Ohio Planned to Import Death Penalty Drug Illegally

Mother Jones

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The state of Ohio planned to illegally import sodium thiopental, a drug used for executions, according to a Food and Drug Administration letter obtained by BuzzFeed through a Freedom of Information Act request.

The June letter says that Ohio planned to “obtain bulk and finished dosage forms of sodium thiopental.” Since the drug is not available in the US, wrote Domenic Veneziano, director of the FDA’s import operation, “we assume this product would be purchased from an oversees source.”

Veneziano reminded Ohio Director of Rehabilitation and Correction Gary C. Mohr that “there is no FDA approved application for sodium thiopental, and it is illegal to import an unapproved new drug into the United States.”

According to BuzzFeed:

The prison Ohio carries out executions in registered for a DEA license to import the drug last year for a “law enforcement purpose,” but until now it was unknown if the state actually intended to use the license.

Ohio, like many other death penalty states, shrouds its execution drug suppliers in secrecy. States argue the secrecy protects their suppliers from intimidation and embarrassment, while death row inmates and open government advocates argue it removes an important check on state power.

When Nebraska received a similar letter from the FDA last year, it came out that the state paid an Indian dealer named Chris Harris more than $50,000 for enough sodium thiopental to execute hundreds of prisoners. (Nebraska has since abolished the death penalty completely.)

BuzzFeed followed up with Ohio corrections department to find out if Harris was the planned supplier for Ohio as well.

When approached by BuzzFeed News about Harris in June, Ohio DRC spokesperson JoEllen Smith said the department’s legal division would have to handle the matter. After spending weeks on the request, she only would say that Ohio had not communicated with Harris’s company, Harris Pharma, but did not specifically answer the question of if the state had purchased from him directly or indirectly. Smith did not respond to follow up questions.

Ohio’s last execution took place in January 2014, when the state gave inmate Dennis McGuire 10 milligrams of midazolam, a controversial sedative that’s use for lethal injections the Supreme Court recently upheld. Ohio plans a new series of executions beginning in 2016.

Many reputable drug manufacturers don’t want to be associated with the death penalty, much less the botched executions that have prevailed of late. The FDA-approved manufacturer of sodium thiopental stopped making the drug in 2011 so that it couldn’t be used for this purpose. When Missouri announced plans to use propofol, the drug found in Michael Jackson’s body at the time of his death, for executions, its German manufacturer expressed displeasure and threatened to get the European Union to stop exporting it the US completely. Many states are now struggling to find the drugs they need for executions.

This fact is compounded in Ohio, whose governor, Republican presidential candidate John Kasich, signed a “secret executions” bill this winter that exempts anyone participating in a lethal injection from public records requests. Under the law, medical and nonmedical staff, companies transporting or preparing supplies or equipment used in executions, and providers of the drugs used in lethal injections are all protected from public records requests and do not need to reveal their identity or duties.

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Ohio Planned to Import Death Penalty Drug Illegally

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The Big-Ag-Fueled Algae Bloom That Won’t Leave Toledo’s Water Supply Alone

Mother Jones

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The citizens of Toledo, Ohio, have embarked upon their new summer ritual: stocking up on bottled water. For the second straight year, an enormous algae bloom has settled upon Lake Erie, generating nasty toxins right where the city of 400,000 draws its tap water.

It’s a kind of throwback to Toledo’s postwar heyday, when the Rust Belt’s booming factories deposited phosphorus-laced wastewater into streams that made their way into Lake Erie, feeding algae growths that rival today’s in size. But after the decline of heavy industry and the advent of the Clean Water Act, there’s a new main source of algae-feeding phosphorus into the beleaguered lake: fertilizer runoff from industrial-scale corn and soybean farms. (Background here.)

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The Big-Ag-Fueled Algae Bloom That Won’t Leave Toledo’s Water Supply Alone

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Inside the Unlikely Coalition That Just Got the Death Penalty Banned in Nebraska

Mother Jones

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When the final aye of the roll call vote was recorded on the electronic panel above the West Chamber of the Nebraska State Capitol in Lincoln yesterday, the crowd in the galleries overlooking the floor couldn’t contain their shouts of relief. Or maybe it was disbelief. The wooden benches were filled with death penalty opponents who had come hoping to see the senators of the unicameral Legislature override Gov. Pete Ricketts’ veto of a bill repealing the state’s death penalty law—but they had good reason to worry they no longer had the necessary votes. After enduring more than two hours of heated debate (ranging from tearful stories of personal evolution to bellowed passages from the Bible), the override received exactly the 30 votes required. The death penalty was officially abolished in Nebraska, and activists whooped and clapped, prompting gavel-pounding and calls for order.

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Inside the Unlikely Coalition That Just Got the Death Penalty Banned in Nebraska

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EPA approves herbicide ‘probably carcinogenic to humans’ in 9 more states

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The Life-Changing Magic of Tidying Up by Marie Kondo – A 15-minute Summary & Analysis – Instaread

PLEASE NOTE: This is a  summary and analysis  of the book and NOT the original book.  The Life-Changing Magic of Tidying Up by Marie Kondo – A 15-minute Summary & Analysis   Inside this Instaread: Summary of entire book, Introduction to the important people in the book, Key Takeaways and Analysis of the Key Takeaways. […]

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The Life-Changing Magic of Tidying Up – Marie Kondo

This New York Times best-selling guide to decluttering your home from Japanese cleaning consultant Marie Kondo takes readers step-by-step through her revolutionary KonMari Method for simplifying, organizing, and storing. Despite constant efforts to declutter your home, do papers still accumulate like snowdrifts and clothes pile up like a tangled mess of noodles? Japanese cleaning consultant […]

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White Dwarf Issue 62: 4th April 2015 – White Dwarf

Stalking in through a squall of static and the red fog of Mars, it’s White Dwarf 62! With it come the Sicarian Infiltrators and Ruststalkers, deadly scouts and assassins of the Adeptus Mechanicus’s Skitarii Legions. We’ve got full rules and a Paint Splatter, plus a special feature looking at the arcane weaponry of the Adeptus […]

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Codex: Khorne Daemonkin (Enhanced Edition) – Games Workshop

Screaming praise to their dark and bloody master, the Khorne Daemonkin rampage across the stars claiming skulls and destroying worlds. They are the mortal servants of the Blood God who give their flesh to the inhabitants of the Warp – gore-crazed cultists and brutal Chaos Space Marines who covet daemonic possession so they might bring […]

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White Dwarf Issue 61: 28th March 2015 – White Dwarf

White Dwarf 61 is here (that’s White Dwarf 0011011000110001 in machine code!) and with it the Skitarii, the legions of the Adeptus Mechanicus, arrive to bring the Machine God’s fury to Warhammer 40,000 battlefields everywhere! Who are these much-heralded but little-known scions of Mars? We have the answers! We’ve also got a Paint Splatter to […]

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Good Dog – Editors of Garden and Gun & David Dibenedetto

Garden & Gun magazine’s aptly named Good Dog column is one of the publication’s most popular features. Now editor in chief David DiBenedetto and the editors of Garden & Gun have gathered their favorite essays as well as original pieces for this must-read collection of dog ownership, companionship, and kinship.  By turns humorous, inspirational, and […]

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Codex: Skittari (Enhanced Edition) – Games Workshop

In mechanical lockstep legions of Skitarii march across the galaxy at the behest of their calculating masters. Elite soldiers augmented with ancient technology and gifted with esoteric weaponry, the Legiones Skitarii are the relentless armies of the Adeptus Mechanicus. Driven by their masters’ ceaseless hunger for knowledge, the Skitarii bring order to worlds through determined […]

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How to Raise the Perfect Dog – Cesar Millan & Melissa Jo Peltier

From the bestselling author and star of National Geographic Channel’s Dog Whisperer , the only resource you’ll need for raising a happy, healthy dog. For the millions of people every year who consider bringing a puppy into their lives–as well as those who have already brought a dog home–Cesar Millan, the preeminent dog behavior expert, […]

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A Letter to My Dog – Lisa Erspamer

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Surviving Henry – Erin Taylor Young

You don’t always know what you’re getting into when you bring home a puppy. Enter Henry, a boxer who suffers from Supreme Dictator of the Universe Syndrome. He vandalizes his obedience school, leaps through windows, cheats death at every turn, and generally causes his long-suffering owner Erin Taylor Young to wonder what on earth she […]

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EPA approves herbicide ‘probably carcinogenic to humans’ in 9 more states

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5 States Where Republicans Are Getting Serious About Criminal Justice Reform

Mother Jones

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A growing group of conservatives are stepping back from their traditional “tough on crime” stance and taking a lead on reforming the criminal justice system. There’s even talk that congressional Republicans and Democrats could come together on the issue: Earlier this week, members of the Senate Judiciary Committee introduced a bipartisan prison reform bill. (Though it seems to have considerable flaws.)

At the state level, Republicans have already been taking on the issue. Here are five states where Republican governors and their fellow GOP lawmakers are taking on broken prison systems and the harsh laws that have fueled the incarceration boom:

Nebraska: Members of Nebraska’s legislature have introduced several bills that address the state’s overcrowded prisons. These include two bills introduced Wednesday, which would do away with mandatory minimum sentences for a slew of crimes (including distributing cocaine and heroin) and limit Nebraska’s “three-strikes” law to violent crimes. While the Cornhusker State’s legislature is nonpartisan, a majority of bills’ cosponsors are affiliated with the Republican Party, including Sen. Jim Smith, the head of the state branch of the American Legislative Exchange Council. Republican Governor Pete Ricketts reportedly supports the push for prison reform, as does the Omaha-based Platte Institute, a conservative think tank that recently released recommendations for decreasing incarceration that have drawn support from the Nebraska ACLU.

Utah: Republican state Representative Eric Hutchings is sponsoring legislation that aims to reduce Utah’s prison population and decrease recidivism. The bill, which has yet to be publicly released, would decrease the charge for drug possession from a felony to a misdemeanor. Governor Gary Herbert, also a Republican, has put aside $10.5 million for recidivism reform.

Illinois: Governor Bruce Rauner’s agenda includes a plan to keep nonviolent offenders out of prison by instead sending them to community programs. Earlier this week, he created a commission of lawmakers, cops, and activists to recommend reforms to the state’s criminal justice system. More details about his plan will come out when he releases his 2016 budget recommendations next week.

Alabama: The legislature-appointed Alabama Prison Reform Task Force is gearing up to propose a new bill for the next legislative session, which begins in March. Led by Republican state Senator Cam Ward, an outspoken Second Amendment defender, the task force is seeking ways to cut down the state’s prison population, which is more twice its intended size. One of Ward’s ideas? Making re-entry easier by throwing out draconian laws for ex-felons, like those preventing them from getting driver’s licenses.

Georgia: A similar task force, the Georgia Council on Criminal Justice Reform, has been recommending reforms to lawmakers. Formed in 2011 by Republican Governor Nathan Deal, the group has pushed the state to stop imprisoning juveniles and reform sentencing for nonviolent offenders, which slashed $20 million off the cost to house inmates in Georgia. The council’s current agenda includes initiatives to improve reentry for ex-felons.

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5 States Where Republicans Are Getting Serious About Criminal Justice Reform

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Former Pepsi Lobbyist Will Help Overhaul School Lunch Program

Mother Jones

Some political functionaries creep sheepishly through the revolving door that separates government from the industries it regulates—you know, maybe wait a few years between switches.

Not Joel Leftwich. Since 2010, he’s held the following posts, in order: legislative assistant to longtime Senate agriculture committee stalwart and agribusiness-cash magnet Sen. Pat Roberts (R-Kansas); program manager in the federal lobbying department for agrichemical giant DuPont; deputy staff director for the Senate Agriculture Committee; and director of lobbying for PepsiCo. Now, after the Republican takeover of the Senate and Robert’s ascension to the chair of the Agriculture Committee, Leftwich is switching sides again: He’s going to be the ag committee’s chief of staff.

And all just in time for the Congress to perform its once-every-five-years overhaul of federal nutrition programs, including school lunches and the Women, Infants and Children (WIC) food-aid initiative. Back in 2010, President Obama signed a school lunch bill, generated by a Democratic-controlled Congress, that banished junk-food snacks from schools and stipulated more fruits and vegetables in lunches. Leftwich’s once-and-current boss, Sen. Roberts, has been a persistent and virulent critic of those reforms.

As for Leftwich’s most recent ex-employer, Pepsi—whose junk-food empire spans from its namesake soda to Lays and Doritos snacks—its take on the issue of school food is embodied in this flyer, uncovered by my colleague Alex Park. It touts Cheetos as a wholesome snack for school kids. PepsiCo showers Washington in lobbying cash—note how its expenditures jumped in 2009 and 2010, when the last school lunch reauthorization was being negotiated in Congress.

In other revolving-door news: Mike Johanns of Nebraska recently retired from the Senate, where, from his perch on the ag committee, he joined Sen. Roberts in pushing the agribusiness agenda and sopping up industry campaign donations. Before that, he served as USDA chief for President George W. Bush. Now? Days after his retirement comes news he will serve on the board of directors of agribusiness giant John Deere—a position that pays at least $240,000 per year in compensation and stock, Omaha.Com reports. But don’t worry: “Johanns stressed that he won’t be doing any direct lobbying of his former Capitol Hill colleagues or their aides on behalf of the company.”

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Former Pepsi Lobbyist Will Help Overhaul School Lunch Program

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Congress will soon approve Keystone, say Republicans

Congress will soon approve Keystone, say Republicans

By on 5 Jan 2015commentsShare

The new Republican Senate leadership seems to be holding true to its word: Approval for the Keystone XL pipeline will top the 2015 legislative agenda. The head of the Energy and Natural Resources Committee, Sen. Lisa Murkowski (R-Alaska), plans to hold a hearing on the pipeline on Wednesday and introduce a bill to approve it on Thursday.

A pro-Keystone bill came one vote short of passing in the Senate in November — and that was back when Democrats were still in control. This time, Republicans say, newly elected senators such as Shelley Moore Capito (R-W.Va.) and Joni Ernst (R-Iowa) will ensure that there are at least 60 votes, enough to overcome the threat of a filibuster and pass the legislation. But Senate leadership likely still won’t have the 67 votes they’d need to overcome a veto by President Obama, should he issue one.

So, assuming Keystone clears Congress in the next few weeks, how will Obama respond? The president has repeatedly put off making a call on the controversial pipeline, saying he’s waiting for the State Department to finish its assessment of the project. Toward the end of 2014, he was sounding like he wasn’t much a fan — when a Washington Post reporter asked Obama about Keystone last month, he responded that the project would have little positive effect in the U.S.:

“[S]ometimes the way this gets sold is, let’s get this oil and it’s going to come here and the implication is that’s gonna lower oil prices here in the U.S. It’s not. There’s a global oil market. It’s very good for Canadian oil companies and it’s good for the Canadian oil industry, but it’s not going to be a huge benefit to U.S. consumers. It’s not even going to be a nominal benefit to U.S. consumers.”

This would seem to suggest that when Republicans try to force Obama’s hand on the project, they can expect a veto — or at least that’s what climate hawks are hoping.

Keystone is also facing another challenge: Its path through Nebraska is held up by that state’s Supreme Court, which is currently deciding whether the governor wrongly cleared the way for the pipeline through a special legislative session in 2012, instead of letting the state’s Public Service Commission, which usually handles those decisions, make the call. The Nebraska court’s ruling is also expected very soon.

Source:
U.S. Senate panel to introduce Keystone XL bill Thursday

, Reuters.

In Keystone pipeline case, what might Nebraska court do?

, Reuters.

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Congress will soon approve Keystone, say Republicans

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We Could Soon Be Spending a Lot More Money Fighting Ebola

Mother Jones

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Funding for the fight against Ebola could soon increase sharply. The omnibus spending bill currently being negotiated in Congress will reportedly include most of the $6.18 billion that President Barack Obama requested to help combat the disease. Most of that money would be directed toward American and international efforts at the source of the outbreak in West Africa. But in addition to the international aid, Obama’s request includes tens of millions of dollars to help hospitals in the United States prepare for the virus—money that experts say would also help protect Americans from future outbreaks of other infectious diseases.

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The funding would be used to purchase protective gear for a national stockpile, expand traveler monitoring at airports, and increase testing capacity in the United States. Obama’s request also includes $166 million for equipment and training at 50 new hospital-based “Ebola treatment centers” that would be able to isolate patients and test for the disease on site.

This might seem like a lot of money, given the extremely low number of Ebola infections in the United States. Despite widespread fears, there have been only four cases of the disease in the US since the outbreak began (excluding the handful of patients who were brought to the US for treatment). But the American Hospital Association, a hospital lobby group, actually says the request is too low: In a letter to Congress last week, the group asked for an additional $500 million specifically for US hospitals.

One reason hospitals could use the extra help is that treating even a single Ebola patient is enormously expensive. Care for two patients at the Nebraska Medical Center, one of only four US hospitals equipped with biocontainment units, cost about $30,000 per day, or $1.16 million overall, according to Jeff Gold, the hospital’s chancellor. The daily cost of treating one patient, Dallas nurse Nina Pham, at a biocontainment unit at the National Institutes of Health Clinical Center in Maryland was even higher—about $50,000 per day, or $400,000 for Pham’s eight-day stay.

At a hearing in November, Gold said he was not yet sure if his Nebraska hospital would get its money back from the patients’ private insurers. He urged Congress to cover the costs, arguing that the “financial sustainability” of his and other hospitals “is critical to containing any future outbreak of an infectious disease.”

Experts say the the case of Pham and her colleague, Amber Vinson, illustrates the need for improved resources and training. The two nurses were were infected with Ebola while treating Thomas Duncan, a Liberian who contracted the disease in Monrovia before visiting family in Texas. Duncan was treated at Texas Health Presbyterian Hospital in Dallas, which had neither the right facility nor the trained staff needed to handle a contagious Ebola patient. As subsequent reports revealed, Pham and other hospital staff were forced to learn how to use the necessary protective gear only after Duncan arrived. The incident revealed some of the weaknesses in the US health care system’s approach to handling the virus.

“We underestimated the preparedness of hospitals,” says Georges Benjamin, MD, executive director of the American Public Health Association. “We made the assumption that they handle blood and body fluids all the time so this would be no different. The challenge is the volume of body fluids from this disease is enormous—that meant the protective gear needed had to be greater than before.”

Other diseases, other benefits

Advocates for increased funding argue that even if a major Ebola outbreak never occurs in the US, the money could help prepare hospitals for future diseases.

“The US health system should not respond by creating a disease silo that focuses solely on Ebola,” professors Lawrence Gostin of Georgetown University and William Foege of Emory University wrote in an opinion piece with Rep. Henry Waxman (D-Calif.), which was published last month on the website of the Journal of the American Medical Association. The trio called for “sustained and flexible enhancement” of the American public health system and lauded Obama’s request for potentially making such an improvement possible.

The Ebola treatment centers proposed in Obama’s request would be “essential” to responding to new infectious threats, “such as a rapidly moving pandemic influenza or bioterror event,” they said.

In an email, Gostin said that while these sorts of improvements are needed to prepare for a number of diseases, it was the Ebola outbreak that made them “politically possible.”

Benjamin agreed that preparing hospitals to fight Ebola would simultaneously help them get ready for other infectious diseases. Citing a “growing list” of emerging threats—including the coronaviruses and strains of influenza and bird flu—Benjamin said US hospitals need to be better prepared for other for life-threatening diseases that can spread through bodily fluids.

“At some point, we’ll get our hands around this Ebola thing and it will go away,” he said. “But what about the next one?”

Original source: 

We Could Soon Be Spending a Lot More Money Fighting Ebola

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