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Adding a Private Option to VA Health Care Is Going to Cost a Bundle. We Should Study Whether It Works.

Mother Jones

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As part of the deal to fund new VA facilities in underserved areas, Democrats agreed to a Republican proposal that would allow veterans to seek private health care if they live more than 40 miles from a VA facility or if they have been waiting more than 30 days for an appointment. Here’s what the CBO has to say about that:

Maybe this is a good thing. Better access to health care means more people will sign up for health care, and they’ll do it via private providers. That’s the basic idea behind Obamacare, after all. Of course, it’s also possible that this might be a bad thing. As Phil Longman points out, outsourced care lacks the very thing that makes VA care so effective: “an integrated, evidence-based, health care delivery system platform that is aligned with the interests of its patients.”

Because the VA truly is a system, it can coordinate among all the different specialists and other health care providers who are necessarily involved in patient care these days. And because it operates as a system, the VA can also make sure that all these medical professionals are working from a common electronic medical record and adhering to established, evidence-based protocols of care—not inadvertently ordering up dangerous combinations of drugs, or performing unnecessary surgeries and tests just to make a buck.

So which is it? Beats me. That’s why I sure hope someone is authorizing some money to study this from the start. It’s a great opportunity to compare public and private health care on metrics of both quality and cost. It’s not a perfect RCT, but it’s fairly close, since the people who qualify for private care are a fairly random subsegment of the entire VA population. If we study their outcomes over the next few years, we could learn a lot.

And that’s important, because this isn’t cheap. As CRFB points out, if this policy is extended beyond its initial pilot period it will cost more than we saved from the entire defense sequester and more than Medicare Part D. This is an opportunity that shouldn’t be passed up.

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Adding a Private Option to VA Health Care Is Going to Cost a Bundle. We Should Study Whether It Works.

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No, Staying in Iraq Wouldn’t Have Changed Anything

Mother Jones

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Iraq is close to being overthrown by a small Sunni insurgent force:

Sunni militants who overran the northern Iraqi city of Mosul as government forces crumbled in disarray extended their reach in a lightning advance on Wednesday, pressing south toward Baghdad….By late Wednesday there were unconfirmed reports that the Sunni militants, many aligned with the radical Islamic State of Iraq and Syria, were battling loyalist forces at the northern entrance to the city of Samarra, about 70 miles north of Baghdad.

So how did this happen?

Iraqi officials told the Guardian that two divisions of Iraqi soldiers — roughly 30,000 men — simply turned and ran in the face of the assault by an insurgent force of just 800 fighters. Isis extremists roamed freely on Wednesday through the streets of Mosul, openly surprised at the ease with which they took Iraq’s second largest city after three days of sporadic fighting.

Senior government officials in Baghdad were equally shocked, accusing the army of betrayal and claiming the sacking of the city was a strategic disaster that would imperil Iraq’s borders.

The developments seriously undermine US claims to have established a unified and competent military after more than a decade of training. The US invasion and occupation cost Washington close to a trillion dollars and the lives of more than 4,500 of its soldiers. It is also thought to have killed at least 100,000 Iraqis.

This is one of those Rorschach developments, where all of us are going to claim vindication for our previously-held points of view. The hawks will claim this is all the fault of President Obama, who was unable to negotiate a continuing presence of US troops after our withdrawal three years ago. Critics of the war will claim that this shows Iraq was never stable enough to defend regardless of the size of the residual American presence.

And sure enough, I’m going to play to type. I find it fantastical that anyone could read about what’s happening and continue to believe that a small US presence in Iraq could ever have been more than a Band-Aid. I mean, just read the report. Two divisions of Iraqi soldiers turned tail in the face of 800 insurgents. That’s what we got after a decade of American training. How can you possibly believe that another few years would have made more than a paper-thin difference? Like it or not, the plain fact is that Iraq is too fundamentally unstable to be rebuilt by American military force. We could put fingers in the dikes, but not much more.

Max Boot, of course, believes just the opposite, and I might as well just quote myself from a few weeks ago on that score:

I’m endlessly flummoxed by the attitude of guys like Boot. After ten years—ten years!—of postwar “peacekeeping” in Iraq, does he still seriously think that keeping a few thousand American advisors in Baghdad for yet another few years would have made a serious difference there? In Kosovo there was a peace to keep. It was fragile, sure, but it was there. In Iraq it wasn’t. The ethnic fault lines hadn’t changed a whit, and American influence over Nouri al-Maliki had shrunk to virtually nothing. We had spent a decade trying to change the fundamentals of Iraqi politics and we couldn’t do it. An endless succession of counterterrorism initiatives didn’t do it; hundreds of billions of dollars in civil aid didn’t do it; and despite some mythologizing to the contrary, the surge didn’t do it either. The truth is that we couldn’t even make a dent. What sort of grand delusion would persuade anyone that yet another decade might do the trick?

If we committed US troops to every major trouble spot in the Mideast, we’d have troops in Libya, Lebanon, Syria, Afghanistan, and Iraq. Lots of troops. The hawks won’t admit this outright, but that’s what their rhetoric implies. They simply refuse to believe the obvious: that America doesn’t have that much leverage over what’s happening in the region. Small commitments of trainers and arms won’t make more than a speck of difference. Big commitments are unsustainable. And the US military still doesn’t know how to successfully fight a counterinsurgency. (That’s no knock on the Pentagon, really. No one else knows how to fight a counterinsurgency either.)

This is painfully hard for Americans to accept, but sometimes you can’t just send in the Marines. Iraq may not have been Vietnam 2.0, but there was certainly one similarity: military success against an insurgent force has a chance of succeeding only if we’re partnered with a stable, competent, popular, legitimate national government. We didn’t have that in Vietnam, and that made victory impossible. We don’t have it anywhere in the Mideast either. For better or worse, the opposing sides there are going to have to fight things out on their own. This isn’t cynicism or fatalism. It’s just reality.

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No, Staying in Iraq Wouldn’t Have Changed Anything

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Tom Steyer’s latest project will help climate change’s victims

Tom Steyer’s latest project will help climate change’s victims

Coconino National Forest

The Climate Disaster Relief Fund won’t extinguish the wildfires ravaging America’s tinder-dry west, but it may help some of the victims of the fires rebuild their charred lives. And, as the fund grows in the coming years, it should help other victims of global warming.

The new fund was launched Friday with a $2 million donation from billionaire climate activist Tom Steyer and his wife Kat Taylor. It will provide grants to organizations in the U.S. that help people affected by droughts, floods, other severe weather events linked to climate change. (It’s totally separate from Steyer’s NextGen Climate Action super PAC, which is channeling tens of millions to support climate-friendly candidates in this year’s elections.)

“Those affected by the 2013 wildfire season have already felt the devastating impacts of climate change,” Steyer said in a statement, “and while the Climate Disaster Relief Fund will help with their recovery efforts, we must act now to prevent future climate-related disasters.”

Last year, Sen. David Vitter (R-La.) accused Steyer of hypocrisy for opposing the Keystone XL pipeline while having made money from investments in oil-pipeline builder Kinder Morgan. Steyer responded by saying that his portfolio was being divested of dirty-energy stocks and that he would donate all personal profits from those investments to climate victims. With this new fund, he fulfills his pledge.

Steyer made his own challenge to Vitter: “I challenge you to divest yourself of any tainted financial benefits by contributing the $1,135,792.00 your campaigns for federal office have received from the fossil fuel industry to a charitable community cause of your choice in Louisiana,” Steyer wrote in an open letter last year. “I suggest supporting the victims of the BP oil spill, the continuing efforts to support the state’s recovery from the extreme weather of Hurricane Katrina, or those hard working Louisiana citizens economically impacted by the Mississippi River drought last year.”

No word yet on whether Vitter plans to follow Steyer’s lead. We’re guessing not.


Source
Billionaire sets up fund for victims of climate change, San Francisco Chronicle

John Upton is a science fan and green news boffin who tweets, posts articles to Facebook, and blogs about ecology. He welcomes reader questions, tips, and incoherent rants: johnupton@gmail.com.

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Alabama DA Drops Effort to Send Man Who Raped 14-Year-Old to Prison

Mother Jones

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Facing an uphill battle in the state supreme court, an Alabama district attorney has dropped his effort to put a man convicted of raping a 14-year-old behind bars. The News Courier reports that Limestone County District Attorney Brian Jones has decided not to challenge the state appeals court ruling that allowed Austin Smith Clem to avoid prison time for his three rape convictions. “After consultation with the victim and her family, we have decided not to pursue a petition for writ of mandamus to the Alabama Supreme Court,” Jones told the News Courier. “Courtney Andrews has shown immense courage and tenacity during this ordeal. My hope is that, through her example, other victims of sexual offenses will find the courage to speak out and to come forward with these crimes.”

Read our earlier coverage of the Clem case here and here.

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Alabama DA Drops Effort to Send Man Who Raped 14-Year-Old to Prison

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FBI Arrests "The Most Hated Man on the Internet," Revenge-Porn King Hunter Moore

Mother Jones

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Thursday morning, the FBI arrested 27-year-old Hunter Moore, the founder of “Is Anyone Up,” a now defunct website dedicated to publishing revenge porn—softcore or hardcore amateur pornography supposedly submitted by scorned, anonymous exes and usually accompanied by the purported names and addresses of the people (usually women) depicted. Moore—dubbed “The Most Hated Man on the Internet” by Rolling Stone—was taken into custody along with Charles Evens, 25, for allegedly conspiring to hack into the email accounts of hundreds of victims in order to steal nude photos and post them online. Moore and Evens were indicted in federal court in California and charged with one count of conspiracy, seven counts of unauthorized access to a protected computer, and seven counts of aggravated identity theft.

According to the Village Voice, Moore’s website posted over two dozen nude photos a day, almost always of women, along with screenshots of the victims’ names, social media accounts, and location, which he added in order to maximize Google search traffic. Last year, he was fined $250,000 for defamation after accusing an anti-bullying activist of possessing child porn. The local US attorney’s office released a statement on the arrest. Here’s an excerpt:

To obtain more photos to populate the site, Moore allegedly instructed Evens to gain unauthorized access to – in other words, to hack into – victims’ e-mail accounts. Moore sent payments to Evens in exchange for nude photos obtained unlawfully from the victims’ accounts. Moore then posted the illegally obtained photos on his website, without the victims’ consent. The indictment alleges that Evens hacked into email accounts belonging to hundreds of victims.

Read the full indictment here:

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FBI Arrests "The Most Hated Man on the Internet," Revenge-Porn King Hunter Moore

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Nearly 48,000 suing BP over toxic pollution from Texas refinery

Nearly 48,000 suing BP over toxic pollution from Texas refinery

BP

The Texas City refinery.

Over the course of 40 days in 2010, BP allowed hundreds of thousands of pounds of chemicals to escape from its refinery in Texas City, Texas. Unfortunate neighbors inhaled a carcinogenic cocktail of benzene, nitrogen oxides, and carbon monoxide.

Now, more than three years after the incident and a year after BP sold the refinery to another company, the first four of an estimated 48,000 claimants are having their day in court.

In a trial that began Monday, the neighbors are seeking up to $200,000 apiece in compensation — plus $10 billion in punitive damages, which they have pledged in court documents to donate to charity. From Bloomberg:

BP knowingly vented at least 500,000 pounds of toxic chemicals, including benzene, from a faulty refinery unit to a flare the company knew was incapable of destroying the toxins, Tony Buzbee, the residents’ lead attorney, said in a phone interview. He claims BP would have lost more than $20 million if it had shut the unit down during repairs.

“BP decided there was just too much money to be made at the time, so they decided to flare the emissions and take the consequences,” Buzbee said. He plans to ask jurors to send BP a message that “the wanton poisoning of an entire community is not an acceptable business practice,” he said.

London-based BP denies anyone was injured by emissions from the refinery, which was later sold.

It would be nice to think that this was an isolated incident. But we’re talking about BP, which was already fined $87 million by the feds for failing to fix safety problems that caused a 2005 blast at the same refinery that killed 15 workers. And then there are all those other accidents for which BP has been responsible — including the Deepwater Horizon oil spill, which actually overlapped with the 40-day toxic release. From a 2010 ProPublica story:

In the weeks [after] the Deepwater Horizon exploded and sank in the Gulf, BP … insisted that the incident, the nation’s worst environmental disaster, was a disastrous but unusual misstep for a company that has done much in recent years to change its ways.

But a look at BP’s record in running the Texas City refinery adds to the mounting evidence that the company’s corporate culture favors production and profit margins over safety and the environment. The 40-day release echoes in several notable ways the runaway spill in the Gulf. BP officials initially underestimated the problem and took steps in the days leading up to the incident to reduce costs and keep the refinery online.

The $10 billion in punitive damages sought by the victims is a lot of money, but consider that BP brought in $18.8 billion in earnings in just the first six months of this year — and it would have brought in a lot more if it weren’t having to pay so much in compensation for the Deepwater Horizon disaster.

John Upton is a science fan and green news boffin who tweets, posts articles to Facebook, and blogs about ecology. He welcomes reader questions, tips, and incoherent rants: johnupton@gmail.com.Find this article interesting? Donate now to support our work.Read more: Business & Technology

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Nearly 48,000 suing BP over toxic pollution from Texas refinery

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BP wants U.S. government to reduce court-ordered oil-spill payouts

BP wants U.S. government to reduce court-ordered oil-spill payouts

There’s still a big black mark on BP.

BP has gone crying to mummy over the big payouts it’s having to make because of the 2010 Deepwater Horizon disaster. It wants the U.K. government to ask the U.S. government to step in and give a hand.

BP says it’s being forced to make overly large payments to companies in the Gulf Coast region that claim to have lost business because of the spill, and it says those payments are jeopardizing BP’s own financial recovery and potentially putting the company at risk of a hostile takeover. The payments are being calculated by a court using a formula to which BP agreed.

But now BP has filed an appeal in court against that agreement, claiming that the compensation amounts are overinflated or, in some cases, entirely unnecessary. The company recently warned shareholders that the $8.2 billion it previously anticipated forking out in compensation was a significant underestimation.

From the BBC:

BP is so worried by the potential magnitude of alleged undeserved payments it is making to companies that it is planning to ask the British prime minister and chancellor for help in persuading the US government to intervene. It is hopeful that David Cameron will raise the issue at the G8 meeting of the governments of the world’s richest countries, which the UK is hosting next month.

The court filing warns that BP will be “irreparably harmed” unless the compensation system is reformed fast. According to BP sources, the rate at which cash is leaking from the company could turn into a serious new financial crisis for the company, putting at risk its dividend and making it vulnerable to a takeover by another oil company. …

BP says that the way its settlement is being implemented by the Courts Administrator, with the support of the Louisiana district court, is “poised to become a black mark on the American justice system”

Meanwhile, BP is defending itself in a huge federal lawsuit in New Orleans against states and other victims of the oil spill. The judge overseeing the case must ultimately decide whether the accident was the result of BP’s negligence – or its “gross negligence.”

Too bad BP opted not to do anything about the “big risk” of explosion it identified back in 2009 …

John Upton is a science fan and green news boffin who

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140 nations — including the U.S. — agree on treaty to slash use of mercury

140 nations — including the U.S. — agree on treaty to slash use of mercury

In seventh grade, our science teacher would, on rare, special occasions, let us play with mercury. This will be my edition of the crazy-things-that-used-to-be-OK stories that parents tell their kids. ”You played with mercury? With your hands?” my kids will ask. Yep. It was stupid.

Where mercury is really dangerous, of course, is in the air. In 2011, the EPA proposed a new standard for the reduction of mercury pollution from power plants. (It is currently under review.) Over the weekend, 140 countries — including the United States — finalized a preliminary agreement to go one step further, proposing to scale back and eliminate a number of uses of mercury, including reductions in emissions from power production. From the United Nations Environment Programme:

[The new reductions] range from medical equipment such as thermometers and energy-saving light bulbs to the mining, cement and coal-fired power sectors.

The treaty, which has been four years in negotiation and which will be open for signature at a special meeting in Japan in October, also addresses the direct mining of mercury, export and import of the metal and safe storage of waste mercury. …

Mercury and its various compounds have a range of serious health impacts including brain and neurological damage especially among the young.

Others include kidney damage and damage to the digestive system. Victims can suffer memory loss and language impairment alongside many other well documented problems.

pgordon

As you may know, the millinery industry in Victorian England relied heavily on the use of mercury. The “well documented problems” mentioned above were frequently seen in hat-makers, resulting in Lewis Carroll’s famous Mad Hatter in Alice in Wonderland.

The Mad Hatter had it relatively good. This weekend’s agreement resulted from UNEP’s Minamata Convention on Mercury, named for Minamata, Japan. During the early 20th century, wastewater from a chemical plan in the city leaked a mercury product into a local waterway. The mercury poisoned shellfish, which people consumed; an estimated 1,700 people died from mercury poisoning over several decades.

Science magazine outlines some of the changes proposed in the agreement:

[The treaty] will require its signatory nations to phase out the use of mercury in certain types of batteries, fluorescent lamps, and soaps and cosmetics by 2020.

The agreement also requires countries to limit emissions of mercury from coal-fired power plants, waste incineration, and cement factories. Countries in which small-scale gold mining takes place must draw up strategies to reduce or eliminate mercury use in that sector. Coal power plants and unregulated gold mining are the world’s two largest sources of mercury emissions and releases into the environment.

The delegates agreed to limit mercury amalgam use in dental fillings, and to phase out the use of the element in medical thermometers and blood pressure devices.

In October, governments will begin signing the treaty. The United States has agreed to the treaty in theory, but that will almost certainly result in a heated political debate in practice. The EPA’s proposed mercury rule — a relatively modest reduction in pollution from coal plants — has elicited an enormous backlash. Extending reductions to other industries will only broaden opposition.

Nonetheless, the agreement is a positive step. Mercury’s negative health effects are well-documented and significant; reducing its use will certainly be an international boon. Be warned: Even minor exposure to the chemical has been known to result in tendentious writing, recycled jokes, and an over-reliance on snark. May our children know better lives than we do.

Philip Bump writes about the news for Gristmill. He also uses Twitter a whole lot.

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