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Skeptical Debunker

Opinion: Trudy Rubin: U.S. ignores health care successes in Europe, Japan - San Jose Me... - 0 views

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    One of the most bewildering aspects of the current health care debate is the failure to learn key lessons from health systems abroad. Conservative talk show hosts decry the alleged evils of "socialized medicine" in countries with universal health coverage; they warn grimly of rationed health care. Yet there's nary a peep from Rush Limbaugh or Glenn Beck - let alone Congress - about countries such as Germany, France, Switzerland or Japan, where coverage is universal, affordable, and top quality, and patients see private doctors with little or no waiting. And, oh yes, their health costs are a fraction of our bloated numbers: The French spend 10 percent of GDP on health care, the Germans 11 percent, and they cover every citizen. We spend a whopping 17 percent and leave tens of millions of Americans uninsured. If you want a very readable short course on how European systems really work, take a look at "The Healing of America: A Global Quest for Better, Cheaper, and Fairer Health Care," by T.R. Reid, a former Washington Post foreign correspondent. You might also watch a fascinating 2008 Frontline series, available online, in which Reid was an adviser: "Sick Around the World: Can the U.S. Learn Anything From the Rest of the World About How to Run a Health Care System?"
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    Article continued (Diigo would not highlight!?) - So far, the answer seems to be "no," not because there aren't valuable lessons, but because politicians won't relinquish their myths about European health Advertisement systems. Reid takes up that task. Myth No. 1, he says, is that foreign systems with universal coverage are all "socialized medicine." In countries such as France, Germany, Switzerland, and Japan, the coverage is universal while doctors and insurers are private. Individuals get their insurance through their workplace, sharing the premium with their employer as we do - and the government picks up the premium if they lose their job. Myth No. 2 - long waits and rationed care - is another whopper. "In many developed countries," Reid writes, "people have quicker access to care and more choice than Americans do." In France, Germany, and Japan, you can pick any provider or hospital in the country. Care is speedy and high quality, and no one is turned down. Myth No. 3 really grabs my attention: the delusion that countries with universal care "are wasteful systems run by bloated bureaucracies." In fact, the opposite is true. America's for-profit health insurance companies have the highest administrative costs of any developed country. Twenty percent or more of every premium dollar goes to nonmedical costs: paperwork, marketing, profits, etc. In developed countries with universal coverage, such as France and Germany, the administrative costs average about 5 percent. That's because every developed country but ours has decided health insurance should be a nonprofit operation. These countries also hold down costs by making coverage mandatory and by using a unified set of rules and payment schedules for all hospitals and doctors. This does not mean a single-payer system or a government-run health system. But it does sharply cut health costs by eliminating the mishmash of records and charges used by our myriad insurance firms, who use all kinds of gimmi
Skeptical Debunker

Prudential-AIG Deal Another Case of Corporate Empire Building - 0 views

  • In spite of its new whizz-bang CEO, Prudential is a slow-moving but very reliable organization with a level of integrity that is trusted by policyholders. Frankly, that's what you want in an insurance company. I have had a modest U.K. pension with one of its competitors since 1980, and I am constantly worried that some leveraged buyout (LBO) artist will step in, take it over, change the computer system so that information gets lost, outsource customer service, and drive the company into bankruptcy. If you're buying life insurance or pension services, you want a company that's not going to disappear in the next 30 years, and doesn't change its address or computer system too often. Avoid a company like the plague if it is run by whiz kids. However, that's what AIG was like. We know how AIG operated; a guy who thought betting the ranch on the credit default swap market was a good idea ran it. Its Asian operation is no doubt full of similarly clever ideas. Even in the unlikely event that everything there is on the level, the cultural clash with an old-fashioned British insurance company is huge. And why would you pay a PREMIUM for an AIG operation? Like the Kraft/Cadbury deal, Prudential's takeover of AIA is value-destroying. Also like Kraft/Cadbury, it looks likely to destroy a valuable part of the British economy that millions of people have relied upon for generations - only this time the destruction will be caused by the buyer rather than the target. As shareholders we need a new form of corporate governance. Those in management are hired hands. In the old days, large shareholders used to treat management as they would have treated their butler - and management was equally deferential to the owners of substantial percentages of the company's capital. That's how capitalism is supposed to work - with resources deployed in the interests of the owners of capital. We know that system works; economics shows us why it works. The alternative, with resources deployed to satisfy the egos and fill the pockets of the hired hands, has no theoretical justification and little practicality - just as a big country house run in the interests of the butler would be a mess. As capitalists, we must work together to restore capitalism!
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    To inattentive observers, the recent announcement that the British insurance company Prudential PLC (NYSE ADR: PUK) would pay $35.5 billion for American International Group Inc.'s (NYSE: AIG) Asian insurance operation, AIA, might seem like just another belated expansion of the old British Empire - a strange contrast to the sale of the premier British chocolate company Cadbury PLC (NYSE ADR: CBY) to Kraft Foods Inc. (NYSE: KFT) last month. Yet in reality both deals are examples of Empire-building that for shareholders is much more dangerous than the benign British variety - Empire-building by corporate management that runs contrary to capitalist ideals.
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    Monopolies - BAD (Adam Smith even said so!) Companies controlled and run by management (as if it were their own personal fiefdom and with their hands always in the "cookie jar"), rather than shareholders - BAD. BOTH ANTI-CAPITALISTIC. Both the "norm" for "the titans" of "modern [anti] capitalism". We no longer have capitalism (if that, like communism, ever existed in a more or less "pure" form!). We have a kleptocracy of the rich and corporate aristocracy (as incestuously intertwined as the European nobles ever were!).
strategynode

The money charged for not having health insurance is a Tax vs Penalty or fine - 0 views

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    Is the money charged for not having health insurance tax vs penalty
Skeptical Debunker

Robert Reich: It's Time to Enact Health Care Reform With 51 Senate Votes - 0 views

  • Why haven't the President and Senate Democrats pulled the reconciliation trigger before now? I haven't spoken directly with the President or with Harry Reid but I've spent the last several weeks sounding out contacts on the Hill and in the White House to find an answer. Here are the theories. None of them justifies waiting any longer. Reconciliation is too extreme a measure to use on a piece of legislation so important. I hear this a lot but it's bunk. George W. Bush used reconciliation to enact his giant tax cut bill in 2003 (he garnered only 50 votes for it in the Senate, forcing Vice President Cheney to cast the deciding vote). Six years before that, Bill Clinton rounded up 51 votes to enact the Children's Health Insurance Program (CHIP), the largest expansion of taxpayer-funded health insurance coverage for children in the U.S. since Medicaid began in the 1960s. Through reconciliation, we also got Medicare Advantage. Also through reconciliation came the COBRA act, which gives Americans a bit of healthcare protection after they lose a job ("reconciliaton is the "R" in the COBRA acronym.) These were all big, important pieces of legislation, and all were enacted by 51 votes in the Senate. Use of reconciliation would infuriate Senate Republicans. It may. So what? They haven't given Obama a single vote on any major issue since he first began wining and dining them at the White House. In fact, Senate Minority Leader Mitch McConnell and company have been doing everything in their power to undermine the President. They're using the same playbook Republicans used in the first two years of the Clinton administration, hoping to discredit the President and score large victories in the midterm elections by burying his biggest legislative initiative. Indeed, Obama could credibly argue that Senate Republicans have altered the rules of the Senate by demanding 60 votes on almost every initiative - a far more extensive use of the filibuster than at any time in modern history - so it's only right that he, the President, now resort to reconciliation. Obama needs Republican votes on military policy so he doesn't dare antagonize them on health care. I hear this from some quarters but I don't buy it. While it's true that Dems are skeptical of Obama's escalation of the war in Afghanistan and that Republicans are his major backers, it seems doubtful R's would withdraw their support if the President forced their hand on health care. Foreign policy is the one area where Republicans have offered a halfway consistent (and always bellicose) voice, and Dick Cheney et al would excoriate them if they failed to back a strong military presence in the Middle East. This is truer now than ever. Reid fears he can't even get 51 votes in the Senate now, after Scott Brown's win. Reid counts noses better than I do, but if Senate Democrats can't come up with even 51 votes for the health care reforms they enacted weeks ago they give new definition to the term "spineless." Besides, if this is the case, Obama ought to be banging Senate heads together. A president has huge bargaining leverage because he presides over an almost infinite list of future deals. Lyndon Johnson wasn't afraid to use his power to the fullest to get Medicare enacted. If Obama can't get 51 Senate votes out of 58 or 59 Dems and Independents, he definitely won't be able to get 51 Senate votes after November. Inevitably, the Senate will lose some Democrats. Now's his last opportunity. House and Senate Democrats are telling Obama they don't want to take another vote on health care or even enact it before November's midterms because they're afraid it will jeopardize their chances of being reelected and may threaten their control over the House and Senate. I hear this repeatedly but if it's true Republicans have done a far better job scaring Americans about health care reform than any pollster has been able to uncover. Most polls still show a majority of Americans still in favor of the basic tenets of reform - expanded coverage, regulations barring insurers from refusing coverage because of someone's preexisting conditions and preventing insurers from kicking someone off the rolls because they get sick, requirements that employers provide coverage or pay into a common pool, and so on. And now that many private insurers are hiking up premiums, co-pays, and deductibles, the public is even readier to embrace reform.
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    This week the president is hosting a bipartisan gab-fest at the White House to try to tease out some Republican votes for health care reform. It's a total waste of time. If Obama thinks he's going to get a single Republican vote at this stage of the game, he's fooling himself (or the American people). Many months ago, you may recall, the White House and Democratic party leaders in the Senate threatened to pass health care with 51 votes -- using a process called "reconciliation" that allows tax and spending bills to be enacted without filibuster -- unless Republicans came on board. It's time to pull the trigger.
Michael Haltman

The Hallmark Abstract Sentinel: What happens if your title insurance underwriter stops ... - 2 views

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    New Jersey Title, an underwriter of title insurance policies in the northeast, has become a casualty of a financial and real estate crisis that has taken many victims. Some of these casualties might never have occurred if the events of the past few years had not taken place, but because they did there are firms and individuals who now face the need to find alternatives at a time when those alternatives may be difficult to come by.
Mike Ch

Health Care Reform Part 13--Baucus Plan = Health Insurance & Big Pharma Profit Enhancem... - 0 views

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    The Baucus Bill has now been kicked to the curb by almost everyone who's heard anything about it. And rightly so. I'm going to kick it a little more myself, and give some specifics for doing so. In general, the Baucus bill has nothing to offer anyone, other than the health insurance industry.
Mike Ch

Health Care Reform Part 12--Lies: Cost Shifting - 0 views

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    Health Insurance Companies continue to perpetuate the fairy tale about "cost-shfting"--the notion that the cost of uncompensated care for the uninsured is "shifted" onto the backs of insurance companies and their enrollees. This is an outright lie, and a whopper at that.
Skeptical Debunker

Les Leopold: Why are We Afraid to Create the Jobs We Need? - 0 views

  • 1. The private sector will create enough jobs, if the government gets out of the way. Possibly, but when? Right now more than 2.7 percent of our entire population has been unemployed for more than 26 weeks -- an all time-record since the government began compiling that data in 1948. No one is predicting that the private sector is about to go on a hiring spree. In fact, many analysts think it'll take more than a decade for the labor market to fully recover. You can't tell the unemployed to wait ten years. Counting on a private sector market miracle is an exercise in faith-based economics. There simply is no evidence that the private sector can create on its own the colossal number of jobs we need. If we wanted to go down to a real unemployment rate of 5% ("full employment"), we'd have to create about 22.4 million jobs. (See Leo Hindery's excellent accounting.) We'd need over 100,000 new jobs every month just to keep up with population growth. It's not fair to the unemployed to pray for private sector jobs that might never come through. 2. We can't afford it. Funding public sector jobs will explode the deficit and the country will go broke: This argument always makes intuitive sense because most of us think of the federal budget as a giant version of our household budget - we've got to balance the books, right? I'd suggest we leave that analogy behind. Governments just don't work the same way as families do. We have to look at the hard realities of unemployment, taxes and deficits. For instance, every unemployed worker is someone who is not paying taxes. If we're not collecting taxes from the unemployed, then we've got to collect more taxes from everyone who is working. Either that, or we have to cut back on services. If we go with option one and raise taxes on middle and low income earners, they'll have less money to spend on goods and services. When demand goes down, businesses contract--meaning layoffs in the private sector. But if we go with option two and cut government services, we'll have to lay off public sector workers. Now we won't be collecting their taxes, and the downward cycle continues. Plus, we don't get the services. Or, we could spend the money to create the jobs and just let the deficit rise a bit more. The very thought makes politicians and the public weak in the knees. But in fact this would start a virtuous cycle that would eventually reduce the deficit: Our newly reemployed people start paying taxes again. And with their increased income, they start buying more goods and services. This new demand leads to more hiring in the private sector. These freshly hired private sector workers start paying taxes too. The federal budget swells with new revenue, and the deficit drops. But let's say you just can't stomach letting the deficit rise right now. You think the government is really out of money--or maybe you hate deficits in principle. There's an easy solution to your problem. Place a windfall profits tax on Wall Street bonuses. Impose a steep tax on people collecting $3 million or more. (Another way to do it is to tax the financial transactions involved in speculative investments by Wall Street and the super-rich.) After all, those fat bonuses are unearned: The entire financial sector is still being bankrolled by the taxpayers, who just doled out $10 trillion (not billion) in loans and guarantees. Besides, taxing the super-rich doesn't put a dent in demand for goods and services the way taxing other people does. The rich can only buy so much. The rest goes into investment, much of it speculative. So a tax on the super rich reduces demand for the very casino type investments that got us into this mess.
  • 3. Private sector jobs are better that public sector jobs. Why is that? There is a widely shared perception that having a public job is like being on the dole, while having a private sector job is righteous. Maybe people sense that in the private sector you are competing to sell your goods and services in the rough and tumble of the marketplace--and so you must be producing items that buyers want and need. Government jobs are shielded from market forces. But think about some of our greatest public employment efforts. Was there anything wrong with the government workers at NASA who landed us on the moon? Or with the public sector workers in the Manhattan project charged with winning World War II? Are teachers at public universities somehow less worthy than those in private universities? Let's be honest: a good job is one that contributes to the well-being of society and that provides a fair wage and benefits. During an employment crisis, those jobs might best come directly from federal employment or indirectly through federal contracts and grants to state governments. This myth also includes the notion that the private sector is more efficient than the public sector. Sometimes it is, but mostly it isn't. Take health care, which accounts for nearly 17 percent of our entire economy. Medicare is a relative model of efficiency, with much lower administrative costs than private health insurers. The average private insurance company worker is far less productive and efficient than an equivalent federal employee working for Medicare. (See study by Himmelstein, Woolhandler and Wolfe) 4. Big government suffocates our freedom. The smaller the central government, the better -- period, the end. This is the hardest argument to refute because it is about ideology not facts. Simply put, many Americans believe that the federal government is bad by definition. Some don't like any government at all. Others think power should reside mostly with state governments. This idea goes all the way back to the anti-federalists led by Thomas Jefferson, who feared that yeomen farmers would be ruled (and feasted upon) by far-away economic elites who controlled the nation's money and wealth. In modern times this has turned into a fear of a totalitarian state with the power to tell us what to do and even deny us our most basic liberties. A government that creates millions of jobs could be seen as a government that's taking over the economy (like taking over GM). It just gets bigger and more intrusive. And more corrupt and pork-ridden. (There's no denying we've got some federal corruption, but again the private sector is hardly immune to the problem. In fact, it lobbies for the pork each and every day.) It's probably impossible to convince anyone who hates big government to change their minds. But we need to consider what state governments can and cannot do to create jobs. Basically, their hands are tied precisely because they are not permitted by our federal constitution to run up debt. So when tax revenues plunge (as they still are doing) states have to cut back services and/or increase taxes. In effect, the states act as anti-stimulus programs. They are laying off workers and will continue to do so until either the private sector or the federal government creates many more jobs. Unlike the feds, states are in no position to regulate Wall Street. They're not big enough, not strong enough and can easily be played off against each other. While many fear big government, I fear high unemployment even more. That's because the Petri dish for real totalitarianism is high unemployment -- not the relatively benign big government we've experienced in America. When people don't have jobs and see no prospect for finding them, they get desperate -- maybe desperate enough to follow leaders who whip up hatred and trample on people's rights in their quest for power. Violent oppression of minority groups often flows from high unemployment. So does war. No thanks. I'll take a government that puts people to work even if it has to hire 10 million more workers itself. We don't have to sacrifice freedom to put people to work. We just have to muster the will to hire them.
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    Unemployment is the scourge of our nation. It causes death and disease. It eats away at family life. It erodes our sense of confidence and well being. And it's a profound insult to the richest country on Earth. Yet it takes a minor miracle for the Senate just to extend our paltry unemployment benefits and COBRA health insurance premium subsidies for a month. Workers are waiting for real jobs, but our government no longer has the will to create them. How can we allow millions to go without work while Wall Street bankers--the ones who caused people to lose their jobs in the first place-- "earn" record bonuses? Why are we putting up with this? It's not rocket science to create decent and useful jobs, (although it does go beyond the current cranial capacity of the U.S. Senate). It's obvious that we desperately need to repair our infrastructure, increase our energy efficiency, generate more renewable energy, and invest in educating our young. We need millions of new workers to do all this work--right now. Our government has all the money and power (and yes, borrowing capacity) it needs to hire these workers directly or fund contractors and state governments to hire them. Either way, workers would get the jobs, and we would get safer bridges and roads, a greener environment, better schools, and a brighter future all around. So what are we waiting for?
thinkahol *

The Need for Greed - 0 views

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    The bet was audacious from the beginning, and given the miserable, low-down tenor of contemporary politics, not unfathomable: Could you divide the country between greedy geezers and everyone else as a way to radically alter the social contract? But in order for the Republican plan to turn Medicare, one of most popular government programs in history, into a much-diminished voucher system, the greed card had to work. The plan's architect, Representative Paul Ryan of Wisconsin, drew a line in the actuarial sand: Anyone born before 1957 would not be affected. They could enjoy the single-payer, socialized medical care program that has allowed millions of people to live extended lives of dignity and decent health care. And their kids and grandkids? Sorry, they would have to take their little voucher and pay some private insurer nearly twice as much as a senior pays for basic government coverage today. In essence, Republicans would break up the population between an I've Got Mine segment and The Left Behinds. Again, not a bad political calculation. Altruism is a squishy notion, hard to sustain in an election. Ryan himself has made a naked play for greed in defending the plan. "Seniors, as soon as they realize this doesn't affect them, they are not so opposed," he has said. Well, the early verdict is in, and it looks as though the better angels have prevailed: seniors are opposed. Republicans: Meet the Fockers. Already, there is considerable anxiety - and some guilt - among older folks about leaving their children worse off financially than they are. To burden them with a much costlier, privatized elderly health insurance program is a lead weight for the golden years.
Frank Schreiber

Health care legislation back behind closed doors - Yahoo! News - 1 views

  • Both bills were written by Democrats, but that's not going to make it easier for Reid. They share a common goal, which is to provide all Americans with access to affordable health insurance, but they differ on how to accomplish it. The Finance Committee bill that was approved Tuesday has no government-sponsored insurance plan and no requirement on employers that they must offer coverage. It relies instead on a requirement that all Americans obtain insurance. The Senate Health, Education, Labor and Pensions Committee bill, passed earlier by a panel in which liberals predominate, calls for both a government plan to compete with private insurers and a mandate that employers help cover their workers. Those are only two of dozens of differences.
    • Frank Schreiber
       
      I like the "Senate Health, Education, Labor and Pensions" Committee bill better! I don't see how we can do without competition 
Joe La Fleur

What Liberal Causes Has Progressive Insurance's CEO Been Spending Your Premiums On? - 0 views

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    IT'S NOT JUST A NAME ITS PROGRESSIVE SOCIALIST IDEOLOGY
Skeptical Debunker

New health plan puts families 'in control' - UPI.com - 0 views

  • Obama's proposal, posted on WhiteHouse.gov four days before a bipartisan meeting with congressional leaders, "puts American families and small-business owners in control of their own healthcare," the White House's explanation said. Among other things, the White House said the proposal would set up a new competitive health insurance market to give millions Americans the same insurance choices congressional members will have. Also, the White House said, the plan would bring greater accountability to the healthcare system by providing "common sense rules of the road" to keep premium costs down, prevent insurance industry abuses and denial of care and end denial of coverage for people with pre-existing conditions. It also includes middle-class tax cuts for healthcare, which the White House said would reduce premium costs for tens of millions of families and small-business owners. The tax breaks would provide affordable health coverage to about 31 million Americans who do not get it today, the explanation said. The White House said the plan would reduce the deficit by $100 billion over the next 10 year by cutting government overspending and reining in waste, fraud and abuse.
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    President Barack Obama Monday revealed his new U.S. healthcare reform proposal -- a blend of House and Senate plans along with his own recommendations.
Mike Ch

Health Care Reform, Part 11--Costs: "Affordability Credits" - 0 views

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    HR 3200's costs are due almost entirely to the Affordability Credits. The language pertaining to these credits is confusing and difficult to follow--possibly by design. Unlike IRS or tax credits which are defined and have limits, these Affordability Credits, which are subsidies to Insurance Companies, have NO limits.
William Green

78% Say All Americans Should Be Able To Buy The Health Insurance That Congres... - 0 views

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    Seventy-eight percent (78%) of U.S. voters say every American should be allowed to purchase the same health insurance plan that members of Congress use.
Jennifer Fagala

Keeping you in the Know: Senate Votes To Debate Health Care - 0 views

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    To the GOP everything can be solved by lower taxes and more corporate incentives. And yes, the upper middle class and the elite wealthy all benefit nicely… but it DOES NOT TRICKLE DOWN! The poor are still getting poorer, the lower middle class is still struggling along with the poor to hold jobs and keep health insurance.
Joe La Fleur

Sununu: Obama campaign playing "dirty out of desperation" » The Right Scoop - - 0 views

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    SHE HAD INSURANCE THROUGH HER OWN WORK THIS AD WAS A LIE
thinkahol *

The revolving door spins faster on healthcare reform - Glenn Greenwald - Salon.com - 0 views

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    The Obama administration hires a former VP of the nation's largest private insurer to implement the plan
thinkahol *

Roll up, roll up! The laws of the United States are now officially for sale! : Johann Hari - 0 views

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    The laws and policies of the legislature of the United States of America are now effectively on eBay, for sale to the highest bidder. Are you a Wall Street boss who wants to party like it's 2007? Are you a Big Coal baron who wants to burn, baby, burn? Are you an insurance company that wants to be able to kick sick people off your rolls? Meet John Boehner, the most powerful Republican and soon-to-be Speaker of the House. But -- of course! -- you already have. Here's an example of how you have worked together. In 1995, the House was going to finally repeal subsidies for growing tobacco, because an addictive cancer-causing drug didn't seem like the most deserving recipient of taxpayers' cash -- until Boehner walked the floor of the House handing out checks from tobacco lobbyists to his fellow elected representatives. They changed their minds. The subsidy stayed. Explaining his check-dispensing, Boehner says: "It's gone on here for a long time." So get your bids in: The House is open for business.
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