Saturday, January 12, 2019

Last Call For Privatizing Privates

Meanwhile, the Trump regime is ready to capitalize on their plan to make healthcare for veterans so terrible that they can get away with privatizing VA healthcare, thus ensuring that the cost of nearly two decades of war injuries in Iraq and Afghanistan becomes borne by veterans and their families.

The Department of Veterans Affairs is preparing to shift billions of dollars from government-run veterans’ hospitals to private health care providers, setting the stage for the biggest transformation of the veterans’ medical system in a generation.

Under proposed guidelines, it would be easier for veterans to receive care in privately run hospitals and have the government pay for it. Veterans would also be allowed access to a system of proposed walk-in clinics, which would serve as a bridge between V.A. emergency rooms and private providers, and would require co-pays for treatment.

Veterans’ hospitals, which treat seven million patients annually, have struggled to see patients on time in recent years, hit by a double crush of returning Iraq and Afghanistan veterans and aging Vietnam veterans. A scandal over hidden waiting lists in 2014 sent Congress searching for fixes, and in the years since, Republicans have pushed to send veterans to the private sector, while Democrats have favored increasing the number of doctors in the V.A.

If put into effect, the proposed rules — many of whose details remain unclear as they are negotiated within the Trump administration — would be a win for the once-obscure Concerned Veterans for America, an advocacy group funded by the network founded by the billionaire industrialists Charles G. and David H. Koch, which has long championed increasing the use of private sector health care for veterans.

For individual veterans, private care could mean shorter waits, more choices and fewer requirements for co-pays — and could prove popular. But some health care experts and veterans’ groups say the change, which has no separate source of funding, would redirect money that the current veterans’ health care system — the largest in the nation — uses to provide specialty care.

Critics have also warned that switching vast numbers of veterans to private hospitals would strain care in the private sector and that costs for taxpayers could skyrocket. In addition, they say it could threaten the future of traditional veterans’ hospitals, some of which are already under review for consolidation or closing.

Considering the catastrophic damage Trump has already done to the nation's hospital system, gutting the nation's VA hospitals would only make things worse.  The big winners here are the massive private hospital chains and insurance giants, who will get the money, while America's hospitals get more crowded with fewer medical care professionals.

If you have hundreds of thousands of dollars, American hospital care is second to none.  If you don't, and the Trump regime is assuring that tens of millions of us have no affordable access, well, hope you have a wide network of friends for your crowdfunding efforts, otherwise it's into the poorhouse you go...or worse, into the graveyard.



Russian To Judgment, Con't

The media, specifically the NY Times, still has a lot to answer for as far as their absolute failure in coverage of Trump's perfidy ahead of the 2016 election, while ruthlessly attacking Hillary Clinton and helping to cost her the election.  Now the Times comes clean on just how much of a total collapse of any real investigation into Trump was for them, with a story admitting that the FBI opened an investigation into Trump actively being an Russian agent.

In the days after President Trump fired James B. Comey as F.B.I. director, law enforcement officials became so concerned by the president’s behavior that they began investigating whether he had been working on behalf of Russia against American interests, according to former law enforcement officials and others familiar with the investigation.

The inquiry carried explosive implications. Counterintelligence investigators had to consider whether the president’s own actions constituted a possible threat to national security. Agents also sought to determine whether Mr. Trump was knowingly working for Russia or had unwittingly fallen under Moscow’s influence.

The investigation the F.B.I. opened into Mr. Trump also had a criminal aspect, which has long been publicly known: whether his firing of Mr. Comey constituted obstruction of justice.

Agents and senior F.B.I. officials had grown suspicious of Mr. Trump’s ties to Russia during the 2016 campaign but held off on opening an investigation into him, the people said, in part because they were uncertain how to proceed with an inquiry of such sensitivity and magnitude. But the president’s activities before and after Mr. Comey’s firing in May 2017, particularly two instances in which Mr. Trump tied the Comey dismissal to the Russia investigation, helped prompt the counterintelligence aspect of the inquiry, the people said.

The special counsel, Robert S. Mueller III, took over the inquiry into Mr. Trump when he was appointed, days after F.B.I. officials opened it. That inquiry is part of Mr. Mueller’s broader examination of how Russian operatives interfered in the 2016 election and whether any Trump associates conspired with them. It is unclear whether Mr. Mueller is still pursuing the counterintelligence matter, and some former law enforcement officials outside the investigation have questioned whether agents overstepped in opening it.

The criminal and counterintelligence elements were coupled together into one investigation, former law enforcement officials said in interviews in recent weeks, because if Mr. Trump had ousted the head of the F.B.I. to impede or even end the Russia investigation, that was both a possible crime and a national security concern. The F.B.I.’s counterintelligence division handles national security matters.

If the president had fired Mr. Comey to stop the Russia investigation, the action would have been a national security issue because it naturally would have hurt the bureau’s effort to learn how Moscow interfered in the 2016 election and whether any Americans were involved, according to James A. Baker, who served as F.B.I. general counsel until late 2017. He privately testified in October before House investigators who were examining the F.B.I.’s handling of the full Russia inquiry.

I'm glad that Robert Mueller has this information now, but this is information America should have been told in 2017, not 2019.   It also means that as Lawfare's Ben Wittes points out, the if Trump fired James Comey in order to throw a wrench into the Russia investigation, that itself could be the collusion.

Put simply, I don’t believe the FBI, having an open counterintelligence investigation, simply opened a new criminal investigation of obstruction in the wake of the Comey firing. I think there likely was—and still is—one umbrella investigation with a number of different threads. That one investigation was (and is) about Russia. And it had (and still has), as a subsidiary matter, a number of subsidiary files open about people on the U.S. side who had links to Russian government activity. Each of these files had (and still has) all of the counterintelligence and criminal tools available to the U.S. government at its disposal.

So when the president sought to impair the investigation, having declared both in the draft letter dismissing Comey and to Lester Holt that his action was connected in some way to the Russia investigation, that raised both potential criminal questions and major counterintelligence questions—questions that could only have been reinforced when Trump later announced to senior Russian government officials that he had relieved pressure on himself by acting as he did. It did so both because it threatened the investigation itself and because it fit directly into a pattern of interface between Trump campaign officials and Russian government actors that they were already investigating.

Remember that the standards of predication are quite low. To open an investigation, the FBI doesn’t need proof of a crime, or even probable cause of criminal activity. It need only see evidence that “An activity constituting a federal crime or a threat to the national security has or may have occurred, is or may be occurring, or will or may occur and the investigation may obtain information relating to the activity or the involvement or role of an individual, group, or organization in such activity” (emphasis added). “May” is a very flexible word. So ask yourself this: If you were the FBI and already investigating Russian activity and you saw the president’s actions in May 2017, would you believe that it “may” constitute a criminal offense or “may” constitute a threat to national security or both?

What is the significance of all of this? I have two big takeaways.

First, if this analysis is correct, it mostly—though not entirely—answers the question of the legal basis of the obstruction investigation. The president’s lawyers, Barr in his memo, and any number of conservative commentators have all argued that Mueller cannot reasonably be investigating obstruction offenses based on the president’s actions within his Article II powers in firing Comey; such actions, they contend, cannot possibly violate the obstruction laws. While this position is disputed, a great many other commentators, including me, have scratched their heads about Mueller’s obstruction theory.

But if the predicate for the investigation was rooted in substantial part in counterintelligence authorities—that is, if the theory was not just that the president may have violated the criminal law but also that he acted in a fashion that may constitute a threat to national security—that particular legal puzzle goes away. After all, the FBI doesn’t need a possible criminal violation to open a national security investigation.

The problem does not entirely go away, because as the Times reports, the probe was partly predicated as a criminal matter as well. So the question of Mueller’s criminal theory is still there. But the weight on it is dramatically less.

This possibility, of course, raises a different legal puzzle, which is whether and under what circumstances the president can be a national security investigative subject of his own FBI given that it is ultimately he who defines national security threats for the executive branch. But that’s a question for another day.

Second, if it is correct that the FBI’s principal interest in obstruction was not as a discrete criminal fact pattern but as a national security threat, this significantly blurs the distinction between the obstruction and collusion aspects of the investigation. In this construction, obstruction was not a problem distinct from collusion, as has been generally imagined. Rather, in this construction, obstruction was the collusion, or at least part of it. The obstruction of justice statutes become, in this understanding, merely one set of statutes investigators might think about using to deal with a national security risk—specifically, the risk of a person on the U.S. side coordinating with or supporting Russian activity by shutting down the investigation.

It was about Russia. It was always about Russia. Full stop.

People keep forgetting this.  It was always about Russia damaging our country as much as possible, and to that end they have succeeded beyond their wildest dreams.

A Hat Lands In The Ring, Con't


Rep. Tulsi Gabbard said Friday she will run for president in 2020
"I have decided to run and will be making a formal announcement within the next week," the Hawaii Democrat told CNN's Van Jones during an interview slated to air at 7 p.m. Saturday on CNN's "The Van Jones Show." 
Gabbard, an Iraq War veteran, currently serves on the House Foreign Affairs Committee. She is the first American Samoan and the first Hindu member of Congress. 
"There are a lot of reasons for me to make this decision. There are a lot of challenges that are facing the American people that I'm concerned about and that I want to help solve," she said, listing health care access, criminal justice reform and climate change as key platform issues. 
"There is one main issue that is central to the rest, and that is the issue of war and peace," Gabbard added. "I look forward to being able to get into this and to talk about it in depth when we make our announcement." 
Rania Batrice, who was a deputy campaign manager for Bernie Sanders in 2016 and is now a top aide to Gabbard, will be the campaign manager, Batrice says. 
In 2015, Gabbard, then a vice-chairwoman of the Democratic National Committee, was sharply critical of its then-chairwoman Debbie Wasserman Schultz for scheduling just six presidential debates during the 2016 primary election cycle. She later resigned her post as DNC vice chair to become one of Vermont Sen. Bernie Sanders' highest-profile supporters, aligning herself with his populist economic message. 
Gabbard has staked out anti-interventionist foreign policy positions in Congress. Her 2017 meeting with Syrian dictator Bashar Al-Assad drew widespread criticism. "Initially, I hadn't planned on meeting him," Gabbard told CNN's Jake Tapper in January of 2017. 
"When the opportunity arose to meet with him, I did so because I felt it's important that if we profess to truly care about the Syrian people, about their suffering, then we've got to be able to meet with anyone that we need to if there is a possibility that we could achieve peace, and that's exactly what we talked about." 
Gabbard joins a quickly growing field of Democrats eager to take on President Donald Trump for the presidency.

I guess somebody has to represent all the "Obama framed Assad!" Democrats that Jill Stein somehow hasn't been able to reach.

Look, I'm all for Democrats being the diverse party of multiple viewpoints, but Gabbard is only slightly above Jill Stein in my book of third-party rattus rattus coitus experts.  Her meeting with Assad and hanging out with the Russia Today/Intercept/People Too Crusty Even For Bernie crowd means I trust her about as far as she can throw me.

Of course with all Democrats, if she's the nominee, I will still vote for her over Trump, no questions asked.  But frankly, I hope Gabbard drops out soon, she's only in the race to make trouble.