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A new survey shows that 26 percent of US adults ages 18-64 say they or someone in their household had problems paying their medical bills in the past 12 months. The Kaiser Family Foundation/New York Times Medical Bills Survey shows that those from all walks of life are saddled with medical debt, with the uninsured and low-income households carrying the heaviest burden.

Being uninsured has a strong correlation with medical bill difficulties, with 53 percent of the uninsured reporting problems paying household medical bills in the past year. However, as the survey’s findings point out, “insurance is not a panacea against these problems.” About one in five of those with insurance—either through an employer, Medicaid or purchased on their own—also report problems paying medical bills. Among those with private insurance, the prevalence of high-deductible health coverage significantly impacts the financial burden on households, with 26 percent of those with high-deductible coverage reporting difficulties paying their medical bills. Although the survey does not indicate which of those interviewed purchased their coverage through the Affordable Care Act (ACA), it is clear that the high deductible plans dominating the ACA marketplace are becoming increasingly common among plans sold by private insurance companies.

Not surprisingly, households with lower or moderate incomes are more likely to report problems paying their medical bills. Nearly four in 10 (37 percent) of those with household incomes below $50,000 report these problems, compared with 26 percent of those with incomes between $50,000 and $100,000, and 14 percent of those with household incomes greater than $100,000. Women are slightly more likely than men to experience problems paying medical bills (29 percent versus 23 percent), as are adults under age 30 compared with those ages 30-64 (31 percent versus 24 percent). Residents in the South reported the highest share of medical bill problems (32 percent), while those in the Northeast reported the lowest (18 percent). At 24 percent, whites reported slightly less difficulty pay their bills than blacks (31 percent) and Hispanics (32 percent). People with the greatest medical needs are also more likely to face problems paying their medical bills. Of those who say they have a disability that prevents them from participating fully in daily activities, 47 percent report medical bill problems. Among those who rate their own heath as fair or poor, 45 percent report these problems, while 34 percent of those who say they receive regular treatment for a chronic condition report problems.

If we want to curb terrorism in the United States, we must stop drone attacks in the Middle East.

It’s a sick myth that Islamic extremists attack the United States or other nations because they “hate our freedom.” They attack us for our foreign policy. In 2006, the United States National Intelligence Estimate reported that the US invasion and occupation of Iraq made the problem of terrorism worse by creating a new generation of terrorists. And since then, top ranking military and counter-terrorism authorities such as General Stanley McChrystal, General Mike Flynn and George W. Bush’s counter-terrorism czar Richard Clarke say that drone strikes in particular are creating more terrorists than they’re killing. If we want to stop terrorist attacks, we should stop the barbaric blind bombings that are fueling radicalization.

“The resentment created by American use of unmanned strikes … is much greater than the average American appreciates,” Gen. McChrystal, who led the US counter-insurgency strategy in Afghanistan, said in 2013. “They are hated on a visceral level, even by people who’ve never seen one or seen the effects of one.” <a href="http://ad.doubleclick.net/N617/jump/defenseone.com/section_ideas;pos=defenseone-instream;sz=600x300;" title=""> <img alt="" src="http://ad.doubleclick.net/N617/ad/defenseone.com/section_ideas;pos=defenseone-instream;sz=600x300;tile=4;"/> </a> <a href="http://ad.doubleclick.net/N617/jump/defenseone.com/section_ideas;pos=contextual-large-rectangle-tablet;sz=700x350;" title=""> <img alt="" src="http://ad.doubleclick.net/N617/ad/defenseone.com/section_ideas;pos=contextual-large-rectangle-tablet;sz=700x350;tile=5;"/> </a> <a href="http://ad.doubleclick.net/N617/jump/defenseone.com/section_ideas;pos=contextual-large-rectangle-mobile;sz=300x150;" title=""> <img alt="" src="http://ad.doubleclick.net/N617/ad/defenseone.com/section_ideas;pos=contextual-large-rectangle-mobile;sz=300x150;tile=6;"/> </a> Gen. Flynn, who until recently was the head of the Defense Intelligence Agency and has become a harsh critic of President Obama’s strategy in the Middle East, has said, “When you drop a bomb from a drone … you are going to cause more damage than you are going to cause good.” Flynn, who has actually backs a more muscular military approach, doesn’t think it should include drones. Clarke has said that when we use unmanned drones to drop bombs which, no matter how hard we try otherwise, inevitably kill innocent people: [Y]ou cause enemies for the United States that will last for generations. All of these innocent people that you kill have brothers and sisters and tribe—tribal relations. Many of them were not opposed to the United States prior to some one of their friends or relatives being killed. And then, sometimes, they cross over, not only to being opposed to the United States, but by being willing to pick up arms and become a terrorist against the United States. So you may actually be creating terrorists, rather than eliminating them,

Would you be willing to defend your country against a foreign invasion? That’s all Putin is doing in Syria. He’s just preempting the tidal wave of jihadis that’ll be coming his way once the current fracas is over.  He figures it’s better to exterminate these US-backed maniacs in Syria now than face them in Chechnya, St Petersburg and Moscow sometime in the future.  Can you blame him? After all, if Washington’s strategy works in Syria, then you can bet they’ll try the same thing in Beirut, Tehran and Moscow. So what choice does Putin have? None. He has no choice.  His back is against the wall. He has to fight.  No one in Washington seems to get this. They think Putin can throw in the towel and call it “quits” at the first sign of getting bogged down. But he can’t throw in the towel because Russia’s facing an existential crisis.  If he loses, then Russia’s going to wind up on the same scrap heap as Afghanistan, Iraq or Libya. You can bet on it. So the only thing he can do is win. Period. Victory isn’t an option, it’s a necessity.

Of course they’ve noticed. Everyone’s noticed. Everyone knows Washington is on the warpath and its leaders have gone stark raving mad. How could they not notice? But all that’s done is focus the mind on the task at hand, and the task at hand is to whoop the tar out of the terrorists, put an end to Washington’s sick little jihadi game, and go home. That’s Russia’s plan in a nutshell.  No one is trying to cobble together the long-lost Soviet empire. That’s pure bunkum.  Russia just wants to clean up this nest of vipers and call it a day. There’s nothing more to it than that. But what if the going gets tough and Syria becomes a quagmire? That doesn’t change anything, because Russia still has to win. If that means sending ground troops to Syria, then that’s what Putin will do. If that means asymmetrical warfare, like arming the Kurds or the Yemenis, or the Taliban or even disparate anti-regime Shiites in Saudi Arabia, then he’ll do that too. Whatever it takes. This isn’t a game, it’s a fight for survival; Russia’s survival as a sovereign country. That’s what the stakes are. That’s not something Putin takes lightly.

The reason I ask this now is because, on Tuesday, Secretary of State John Kerry is scheduled to attend an emergency meeting in Moscow with his Russian counterpart Sergei Lavrov to discuss issues that are too sensitive to reveal to the public. There’s a lot of speculation about what the two men will talk about, but the urgency and the secrecy of the meeting suggests that the topic will be one of great importance. So allow me to make a guess about what the topic will be. When Kerry arrives in Moscow tomorrow he’ll be rushed to meeting room at the Kremlin where he’ll be joined by Lavrov, Putin, Minister of Defense Sergey Shoygu and high-ranking members from military intelligence. Then, following the initial introductions, Kerry will be shown the evidence Russian intelligence has gathered on last Sunday’s attack on a Syrian military base east of Raqqa that killed three Syrian soldiers and wounded thirteen others. The Syrian government immediately condemned the attack and accused US warplanes of conducting the operation. Later in the day,  Putin delivered an uncharacteristically-harsh and threatening statement that left no doubt that he thought the attack was a grave violation of the accepted rules of engagement and, perhaps, a declaration of war.