Healthcare Bill Point-by-Point

I started reading the House version of the Healthcare bill after seeing this “summary” come over email and Facebook from two totally different sources, supposedly a “good friend” that someone “trusts”. I have attempted to respond point by point to the summary, though it is difficult in places because the writer of the summary totally misconstrued almost everything, either out of the inability to read a statute or the intent to mislead. At any rate, there are more rational criticisms that can be made about the bill, especially from a budgetary standpoint, so I don’t understand the need for people on the right to use such half-wit scare tactics.

The “summary” is as follows, interspersed with my responses in ALL CAPS:

Page 22: The federal government will be empowered to audit the books of any corporation that self-insures.
THIS IS NOT AN AUDIT, BUT A STUDY TO DETERMINE WHETHER THE PLAN IS CREATING ADVERSE SELECTION

Page 29, Lines 4-16: All health care will be rationed based on age, the present health of any patient and the availability of health service and supplies.

THESE ARE LIMITS ON THE AMOUNTS OF CO-PAYS AND DEDUCTIBLES THAT INSURANCE COMPANIES CAN CAUSE YOU TO PAY, NOT RATIONING OF SERVICE!

Page 30, Sections 1-3: A government committee will decide what treatments or benefits will be made available under the health care that will be provided. It will be illegal to provide any medical benefits to anyone that haven't been pre-approved by the committee.

INSURERS CAN DECIDE TO OFFER MORE; THIS JUST SETS MINIMUM STANDARDS

Page 42: A Health Choices Commissioner will be appointed by the President and will choose what health services will be provided to each patient.

BULLSHIT; THIS JUST SETS MINIMUM STANDARDS FOR INSURANCE COMPANIES

Page 50, Section 152: Healthcare will be provided to all Non-U.S. citizens within the borders of the United States, illegal or otherwise.

NOT ADDRESSED IN BILL; DON'T KNOW WHERE THIS CAME FROM

Page 58: The Health Choices Commissioner's Office will have real time access two every medical patient's financial records and all citizens will be issued and be required to have on their person at all times a National IDHealth card.
TRUE, IF DETERMINED BY HHS TO BE NECESSARY, SUBJECT TO THE RULEMAKING PROCESS, WHICH REQUIRES PUBLIC COMMENT

Page 59: (Continuation of Page 58) The Government will have direct access to all bank accounts and electronic transfer accounts of patients.

BULLSHIT; THIS JUST ALLOWS THE “PUBLIC OPTION” PLAN TO USE ELECTRONIC PAYMENT TECHNOLOGY, AND ALSO SETS UP STRICT PRIVACY AND SECURITY LIMITATIONS FOR THE DATA OBTAINED THROUGH EFT

Page 65, Section 164: Subsidization for retirees of Unions and ACORN

THIS IS A LIMITED SUBSIDY TO GROUP RETIREMENT PLANS; ACORN IS NOT MENTIONED; THIS SHOULD PROBABLY COME OUT OF THE BILL BECAUSE OF BUDGETARY CONSTRAINTS
Page 72, Lines 8-14: Brings all health care HMO and private insurance plans under government control.

ALL IT DOES IS REQUIRE PLANS PARTICIPATING IN THE HEALTHCARE EXCHANGE TO CONFORM TO FEDERAL STANDARDS

Page 84: Section 203: All benefit packages for private health care plans will be under the control of the government.

PLAINLY NOT TRUE


Page 85, Line 7: The Health Choices Commissioner will specify what benefits will be allowable under private health care plans.

JUST PROVIDING MINIMUM STANDARDS INSURANCE COMPANIES MUST FOLLOW

Page 95: Community Action Groups (ACORN and Americorps) will be authorized to sign up citizens for the Government Health Care Plan.

ACORN NOT SPECIFIED, THOUGH THERE IS PROVISION ON HOW TO ADMINISTER SIGN-UP, WHICH MAY USE CERTAIN GOVERNMENTAL (AND PERHAPS NONGOVERNMENT) ENTITIES TO ASSIST; THE BILL IS UNCLEAR ON THIS POINT

Page 102, Lines 12-18: All Medicaid eligible recipients will be automatically enrolled in Medicaid. They will have no choice.

THIS ONLY REFERS TO MEDICAID ELIGIBLE INDIVIDUALS WHO HAVE LOST OTHER COVERAGE AND NOT YET BEEN ENROLLED IN AN EXCHANGE PLAN. IT IS NOT GENERALLY APPLICABLE.

Page 124, Lines 24-25: All government suppliers and contractors are exempt from price fixing lawsuits. "Judicial Review" is prohibited.

THIS IS CORRECT

Page 126, Lines 22-25: Employers must pay for the health care for any part-time employees AND their families.

ONLY REQUIRED TO PAY A PORTION OF PREMIUM, WHICH IS NOT VERY DIFFERENT FROM CURRENT LAW

Page 127, Lines 1-16: The government will set salaries for all doctors.

BULLSHIT; IN THE PUBLIC OPTION THE GOVERNMENT WOULD NEGOTIATE SERVICE CHARGES IN THE SAME MANNER PRIVATE INSURANCE COMPANIES CURRENTLY DO

Page 145, Lines 15-17: An employee will be required to automatically enroll all employees in the public option plan. The employee will not have any choice in the matter.

NOT REQUIRED TO BE IN PUBLIC PLAN, JUST IN A HEALTHCARE PLAN GENERALLY

Page 149, Lines 16-24: Any employer with a payroll of $400,000 or more who does not provide a public option, will be required to pay the government 8% surtax on the payroll.

REQUIREMENTS ARE OFFSET BY 50% TAX CREDITS TO SMALL BUSINESSES THAT OFFER COVERAGE

Page 150, Lines 9-13: Any employer with a payroll between $251,000 and $400,000 who doesn't provide a public option will be required to pay a 6% surtax on their payroll.

SEE ABOVE

Page 179, Lines 1-3: &nbs p;Any non-resident Alien is EXEMPT from individual health care taxes.

CORRECT, BUT THEY WILL PRESUMABLY NOT BE ENROLLED BECAUSE THEY WILL NOT BE IN THE UNITED STATES. THIS JUST MEANS THEY WON'T BE CHARGED FOR SERVICES THEY DON'T GET.

Page 195: All officers and employees of the Health Care administration will have unlimited access to the financial and personal records of ALL American citizens without the necessity of a search warrant.

ACCESS DESCRIBED ON THIS PAGE IS STRICTLY LIMITED TO DETERMINATION OF ELIGIBILITY FOR TAX CREDITS; SUBJECT TO STRICT PRIVACY AND DATA SECURITY STANDARDS

Page 203, Lines 14-15: (The following is a direct quote!) "The tax imposed under this section shall not be treated as a tax." (Presumably therefore it cannot be deducted on income tax returns)

THE COMMENTER MISUNDERSTANDS HOW STATUTES ARE WRITTEN TO USE DEFINED TERMS; IT IS REFERRING BACK TO A DEFINED TERM; THE MEANING IS THAT THE TAX UNDER THAT SECTION IS EXCLUDED FROM THE EQUATION USED TO DETERMINE TAX CREDITS

Page 239, Lines 14-24: The government will reduce physician services for Medicaid, thereby rationing medical support for the poor.

THIS IS NOT SET FORTH IN THE BILL

Page 241, Lines 6-8: All doctors will be paid equally, with no regard to specialty of training required.

ONLY APPLIES TO A LIMITED LIST OF SERVICES OTHERWISE COVERED BY MEDICAID

Page 317-318, Lines 21-25: The government will be authorized to tell physicians what they can own and how much, and can audit their personal records without a warrant

NOT SURE WHERE THE WARRANT ISSUE COMES IN, BUT THIS IS ALREADY LAW (SELF-REFERRAL RULES); THIS ACTUALLY ADDS EXCEPTIONS TO THE RULES!

Page 321, Lines 2-13: Hospitals wanting to expand may appeal for an exception to the expansion rule, but community approval is required through community action agencies (ie: ACORN)

SEE ABOVE

Page 341, Lines 3-9: The government has the authority to disqualify Medicare supplemental plans, HMO, private insurance plans, etc., which will force all citizens into the government plan.

THIS IS ONLY IF THEY DON’T COMPLY WITH FEDERAL STANDARDS

Page 354, Section 1177: The government will restrict enrollment of "Special Needs" patients (ie: Downs Syndrome, Speech Therapy, handicapped, etc.)

THIS ACTUALLY STATES THAT SPECIAL NEEDS PATIENTS ARE ENTITLED TO ENTER A PLAN WITH THAT DESIGNATION AT OPEN ENROLLMENT AND ALSO UPON DIAGNOSIS; IT EXPANDS, RATHER THAN RESTRICTS, ACCESS

Page 379, Section 1191: The government will create a Telehealth Advisory Committee which will provide health advice by phone.

CORRECT, BUT WHAT IS WRONG WITH THAT?Page 425, Lines 4-12: An "Advance Planning Care Consultant" Department will be created. Think 'End of Life' for Senior Citizens.

PROVIDES SERVICES TO SENIORS WHO MIGHT NOT OTHERWISE BE ABLE TO AFFORD AN ATTORNEY TO PUT TOGETHER A LIVING WILL, HEALTHCARE PROXY, ETC.Page 425, Lines 22-25: (Page 426: Lines 1-3): The Government will provide a list of end of life resources that will guide senior citizens to their death.

SEE ABOVEPage 427, Lines 15-24: The government will mandate orders for end of lifeactions. In brief, the government will decide how life ends.
BULLSHIT. THIS PAGE TALKS ABOUT LIFE-SUSTAINING TREATMENTS AND THE RIGHT OF THE PATIENT TO GIVE DECISIONAL PROXY TO SOMEONE ELSE, NOT THE DOCTOR OR THE GOVERNMENT (WHO SO OFTEN ARE THE DEFAULT DECIDERS WHEN NO PROXY IS IN PLACE)

Page 429, Lines 1-9: An "Advance Care Planning Consultant" will be used more frequently as a patient's health deteriorates.

NOT SURE WHAT HE MEANS

Page 429, Lines 10-12: The "Advance Care Planning Consultant" will include the authority for "End of Life" plans, on an order from the government.
WRONG – THE PLAN AND ORDER ARE DEVELOPED BY THE PATIENT
Page 429, Lines 13-25: The government will specify which doctors will have the authority to sign an "End of Life" Order.

SEE ABOVE
Page 430, Lines 11-15: The government will decide what level of treatment patients will receive at the end of their lives.

WRONG – THIS PAGE TALKS ABOUT THE PATIENT’S OPTION TO SPECIFY LEVELS OF TREATMENT IN ADVANCE Page 469: Medical services and nursing for home-based patients will be provided by "Community-based organizations." (ACORN, etc.)

ACORN NOT INVOLVEDPage 472, Lines 14-17: Such community based organizations will be paid by the government once each month based on the number of patients they serve. Such organizations will not be required to employ registered or practical nursing professionals.

SEE ABOVEPage 489, Section 1308: Marriages and divorces will not be authorized unless the couple subjects themselves to marriage and family therapy.
BULLSHIT. THIS JUST STATES MEDICARE WILL COVER FAMILY THERAPY COSTS.
Page 494-498: All Mental Health Services will be provided by the governmen t including defining, creating, and rationing those services.

NOT SURE WHAT HE MEANS

Philosophies (or, Saint with a Gun)

1. I can be somewhat reactive, basing sweeping philosophies of life on my most recent unsatisfactory interaction with another. Those dialectical structures seldom persist in the freshness they assume as I first "discover" them. It is an enthusiasm that washes over me like water in the morning, until I get out of the shower, dry off and get dressed for the day.

2. Ideas are like clay: they are easily molded into new creations, but they don't hold up until they've dried a day or two in the Sun.

3. And then they become dense and brittle and break.

4. Many times it is best to say less, so why do I write?

5. Never agree to something when there is a time limit.

6. If it were not for death, there would be no limits. It is best for the psyche if one is cognizant of limits, in some instictual, unarticulated way, but still does not raise them up as idols.

7. Of course, one man's instinctive tolerance for looseness may drive another one mad, depending on each man's goals and expectations.

8. Goals and expectations would not be such dangerous things, full of potential for disappointment and despair, if they weren't so often built on the backs of a will to control others.

9. But how does one achieve anything great at all, without some measure of control: magnetism or aggression?

10. Maybe it is best to choose, as the masses often do, that there is something inherently evil indeed about a will to greatness. And just be simple.

11. What is the sake of learning, except an active manifestation of a hungry will?

12. Without learning -- without the fuel and the engine of that great energy in the direction of an outer expression of power -- what is left? Greater vulnerability to exploitation?

13. Is it the goal of democracy that each person's great power should counterbalance the others'?

14. Can there be a democracy when power is measured in wealth, and wealth is distributed according to a system that does not seek counterbalancing?

15. In one organization of which I am the president, I practice collective leadership, as I call it, in which any member is free to participate in policymaking, all can be members of the "board" if and when they fancy, and the only officer ends up being yours truly: is this a dictatorship? Does it help that I have few ideas, and my temperment and training make me better equipped to masterfully carry out the intentions of others?

16. Does that make me dangerous?

17. No, but the suggestion betrays a bit of sinister ego. Collective leadership could also be called a "tangled leadership hierarchy," in which each person's unique talents are available to the whole. That is a bit of quantum mind theory for ya.

18. It is best for me to see life as unserious in many ways, but you can't forget it is deadly serious in the end.

19. As if death is the most awful, serous and reverent of events in the world since the beginning of man! How can one attach such importance to something one knows absolutely shit about?

20. The organization in which I exercise collective leadership is the alumni group of an organization through which, in their time, each member was abused in order to create a certain conformity of character. So, in the real world, can the "tangled leadership hierarchy" lead to positive results where its members are not all men of an ilk, with a common past; or would such a scenario of diversity instead result in a briar-patch of infighting and struggle?

21. What does one do who is trained to carry out the wishes of others? Seems an unstable way to carry on, exciting thought it may sometimes be.

22. In this economy, each citizen, by and large, depends on others for sustenance. That is not stable, and it subjects each man and woman to the whims of those all too often don't give a damn about them.

23. Whether through learning, through money or through physical strength, there becomes a great delusion in the minds of many that other people are not their equals.

24. Can all those overweight, prattling members of the general public who I see and smell sweating at the park really be my equals? Would it not profit them if I applied my greater knowledge to make their lots in life better? To encourage them to bathe?

25. Would I want them to do better? Could I stand to wait for them as they catch up? Would their perfume make my eyes water?

26. Who is to say it is not me who should catch up?

27. It is neither: we have our different frequencies.

28. These sayings are numbered to their peril. The mystic in me wants them to make a circle. That is so ugly.

29. I approach the Nazi in the mirror. Behind his shoulder is a saint with a gun.

30. Ideas are god's little game of torture, or a manner of epochal erosion. I go to bed now, to think.

In Honor of an Inauguration

As we respond to an economic crisis we find that almost everyone has come to agree – whether consciously or unconsciously – that the principles of laissez faire economics are the social equivalent of sticking one's head in the sand. They are a religion -- believing in an invisible power that can be trusted to protect all the people and make everything alright in the end. But, after all is said and done, it leaves many people in the lurch. In reality, there is no higher power besides the collective force of billions of people interacting with each other on a daily basis. In those relations, how can it be assured that people treat one another well and justly? Obviously an unregulated market is a breeding ground for exploitation – the lying salesman, the creditor who happily encourages debt only to turn aggressively against the debtor when a default occurs. What can be done? While ever mindful that we shouldn’t put our hopes in one person, Barack Obama has shown the maturity and the courage to provide us some new principles that could change the way we think and interact. I believe they take two avenues: (i) the personal and (ii) the social.

Our new President has said that there should be a declaration of independence in peoples’ minds – they should free themselves from ideology and old thinking. This is a revolutionary view in many ways, but ultimately what Obama asks for is something that ought to be regarded as very moderate: he asks for pragmatism. Do what is likely to be effective or good, and forget whether it comports with your view of yourself. This focus on hearts and minds is a fine goal, but maybe it is ultimately unrealistic, given what we know of the human mind and its dependence on symbols and status. Perhaps it will happen on the margins, or among the younger generations. In any event, it is a noble effort, given its contrast to his predecessor’s appeals to fear.

The other approach is that people should redouble their efforts to organize collectively and seek to ensure that all are treated equally and fairly. This comports with the ideals of our American democracy. It is also, however, an imperfect calculus. Those who have power set up institutions to prevent its loss. Those who have no power are not motivated, and for good reason: they and their predecessors have been told “no” at every turn. So, public interest groups tend to advance narrow interests instead of a broader social good.

Although in many respects the government may be superior to private industry in tending to all the peoples’ needs, government is also apt to corrupt the few who – out of necessity – must rise to propel the organized masses toward the fulfillment of its goals. Unfortunately many times these leaders have secret, selfish goals that are cloaked in the guise of working on behalf of the greater good. Further, government planning, seen in the last century as a potential savior of the working classes, has been increasingly used by private economic interests to have the government to fund their private profits. Just look at what has happened with the financial industry bailouts.

So the necessity arises in the 21st century to change the way we view democracy. We must think pragmatically, not simply about the advance of our “national interest” or the interests of our industries; we must think about the economic and social conditions that produce the greatest good for the greatest number. But we must also not permit the elite to decide what is best for the masses. We must encourage all people – the washed and the unwashed, the vulgar and the refined – to participate in society at all levels. We must open our institutions to those who have never been inside of them before. For institutions are only useful to the extent they change as conditions change. We have a black President now, but we are far from including everyone in our institutions.

We wish President Obama well, but we must all see to it that we are all involved in one way or another, and that we are open to each others’ views. Otherwise the change he speaks of will not truly be our own. It will be someone else’s: someone with access, someone with a big rolodex of contributors, someone with celebrity. I don’t know what the answer is, but I believe it begins with deciding that this is not a fight, but is a calculus. Government can be run without reliance on mysterious forces, with full information, with serious considerations of what is, and is not, in the best interests of the greatest number, and with sober execution of policies that are not designed to be symbolic, but rather workable.

Expectation

This is an experimental piece in which I mess around with time and sequence.

She puts both palms on the table and tries to muster a deep, edifying breath. The fire of anger rises in her gut. She cannot believe what he just said to her. But she should believe it, ‘cause he’s taken this tack before. She has read all those self-help books for her anger. “Best thing now,” she thinks, “would be to go downstairs and have a smoke.”

The cigarette smoke darts into her lungs, packets of gas and dust like so many ping pong balls bouncing in a brick garage on the cold cement floor, finding dusty corners in which to slow down and hide. The smoke and the rage travel through her. The anger cascades down the side of the building from him. Does he feel any regret? Or does this all just add to the tension that will eventually make his arteries explode?

She takes a long last raspy “sphlift” and crushes the butt into the sand-filled tray which sits atop the trashcan by the swinging door. She briefly admires herself in the glass, trying to live in the moment. She nods goodbye to the man who still stands there smoking.

“Mama never told me it would be like this,” she thinks, pondering on how she’d been told as a girl: ‘there are three jobs you could have: a nurse, a teacher or a secretary; pick one.’

In the alabaster lobby she touches her crooked arthritic finger to the “up” button. The elevator finally opens and six stern, unhappy faces creep out over their barely-attached flab and legs. She’d read a book encouraging her to always be positive so she smiles at each of them and they look at their shoes. By now she’s no longer angry. She has helped at least one person today. She touches number eighteen.

On the street Chan is walking up from the river. He’s cussing God and damning everything in sight.

Margaret is finally feeling better and playing a game of blessing each floor as it goes by … as she goes by. And when the doors open she doesn’t even have that lump in her throat.

He happened to wreck his kayak in front of an office building because in Richmond the downtown commercial buildings front the river at the exact boundary between the Tidewater region and the Piedmont. As such, there are rapids and falls on the river. He is still in his wetsuit and flopping along like a black rubber tuna.

“Maggie, where you been?” her boss says, but he is smiling.

He knows what a dick he can be and, really, he just thinks it is funny.

“Swimmin’ in the river,” she sasses. “Where the heck do you think I’ve been?”

He could certainly smell the cigarette smoke on her and he knew darn well where she’d been. He didn’t care about the smoke breaks. Kept her jittery and productive. It was just the typos that drove him mad.

Damn cheap plastic thing had split in half on a rock! Chan had knocked his head, but not too hard. More like he hit the side of his face and bruised his jaw. He doesn’t much ponder, as he walks, angrily shaking his head, that he could have died. That was then, this is now. Now he has to get home so he can wash up in time to get to work at Poe’s, the place where he tends bar.

He catches sight of some smokers underneath an overhang capping the door of a tall silver building up the hill. Maybe someone in that group has a cell phone and I can call Billy.

She is there with a couple of silent smokers, all clinging to their white sticks like spears and they are waiting in the tall grass for little animals to kill. Little animals like a paycheck, and some respect. For them, it is a crucial break and a way to keep from going over the edge, hitting a hard place.

Maggie stands below the overhang. It is black, aluminum. It sags over the threshold of glass. It is all very stark and bureaucratic. She takes a very deep, expansive breath and the smoke just scampers in and through her and it swirls around her head and up to the aluminum ceiling under which they stand, shrugging, slouching.

Smarting from the pain in his jaw, Chan is beginning to hike the long, steep hill from where he was, near the bank, in a little park, to the place where those smokers are huddling. Hopefully they didn’t leave their cell phones in their cubicles. Hopefully they are friendly. Smokers usually are. He instinctively would choose them over a circle of businessmen standing outside, plotting. Even most businessmen would. And as he hikes, he feels a little shame, like a boy who has been persuaded to wear a costume to a party and, come to find out, no one else is dressed up and it’s just a joke on him. He squishes and squashes.

“There’s no reason he has to bark at me like that, as if I were a child! It was only a slight typo … his fault, really. I just type what he writes. His fucking handwriting! Ugh! It was his fault.”

“Getting a little chilly out these days,” says a friendly-looking man who’s just now come outside, through the swinging glass door, and he takes his lighter and his smokes out of his holster. Dead ringer for a tech support guy from the brokerage firm upstairs.

Maggie smiles, nods.

“How ya doin’?” she asks.

“Purty good.”

They smile again at each other, knowing how social this can be but that, at times, it is also intensely personal. This is one of those latter times, he somehow understands. She looks down and kicks a pebble, notices a few weeds poking through a crack in the concrete.

“I was trying to avoid that hydraulic by the rocks near the island and I steered too fuckin’ far left.”

His brain was churning on it.

“What’s gonna happen if I’m late? I can tell them there was traffic, I guess. Or that my car broke down. Hell, I could just tell them the truth … that I wrecked my piece-of-shit-second-hand kayak and ended up walking around like Aquaman.

“The next time I’m going to paddle left and then try to swing out by that grassy spot there.

“Shit, fuck. Shit and fuck. Now I need to buy a new one. To get a decent one, I’m gonna have to shell out hundreds of bucks.”

“It’s just not fair,” she tells herself as she stands there.

He looks at her, but she’s quite sure she didn’t say it out loud. Maybe it was written on her face. It is written on the faces of almost everyone in this building, in this city, this state, and this country … maybe even the world.

And then they see a rubbery seal of a man hobbling up a berm.

“Maggie what the fuck, you idiot! This is the sixth typo I’ve found this afternoon. I’m not gonna waste my fuckin’ time on this anymore. Get it goddam right. Got it?” He slaps the binder-clipped papers down on her cubicle and walks off.

“Maggie, look up at the stars,” mother says. “Look at them! If you ever … ever feel like the world is gonna swallow you, look out there; go out there. It’s big out there, and everything else is small.”

“Goddammit, god damn it. I’m about to hit a fuckin’ rock.”

“Good afternoon.”

“Hello, Chan.”

He looks at her. She knows my name? But he doesn’t ask. No one does.

“Excuse me, but do you have a cell phone I might borrow? I’m afraid I will be late for work.” He gestures down to his still-dripping self. He scratches his crotch. There is a bit of chafing when you walk in a wetsuit.

“Today’s gonna be a good day,” she thinks as she drives. “Can’t wait for dinner with Julia tonight.”

“I’ll ask the woman first.”

“This guy treats me just like my ex-husband: no respect.”

“Billy, here’s what happened … can you pick me up at …”

“Fucking secretaries …. When will I ever get a good one?”

“What kind of kayak will I get?”

“You really ought to stop all that smoking.”

Fuck you, she thinks, but she dives back into the assigned task, determined not to screw up again. In her desk drawer she keeps a running list of her mistakes.

There’s nothing like memory or expectation.


(c) Kevin White 2008

YOU KNOW OPP

The great tragedy and alienation of the service-based economy is that one is forced to devote the waking hours of one’s best, most productive and healthiest years to other peoples’ problems, to pretend to care deeply about them, to get all bent outta shape in respect of them, and to respond to the whims of the problemmed people with a speed not suited to one’s savannah-developed brain. A fair piece of this could be chalked up to an overemphasis on the value of “altruism,” not as a philanthropic concept, but as a foundational philosophy of economics. Is that so bad? I suppose not, but look at some of its effects.

My name is Oppenheimer and I live in Baltimore. As you now know, I am something of a do-it-yourself philosopher. Last year I attended a talk by a former NASA astronaut about how my brain – well, yours too – has not yet fully adjusted to today’s (or even last century’s) technological advances and, for instance, chaining oneself to a desk to monitor and respond to hundreds of emails a day is something we weren’t intended for. Well … let’s put it another way : “something we haven’t yet evolved for ….” Ah, but maybe the old astronaut was showing some of the signs of becoming an old, grumpy coot.

“Oppenheimer,” said my ex-wife Martha, “you spend too much time thinking about shit that doesn’t matter.” And maybe she was right. All that thinking made it near impossible for me to be attentive to the needs of Martha or the children, so here I am, divorced.
But in my more conspiratorial moods I blame the inattentiveness on having been hypnotized by the computer all day, having carried the water for all those “other people” during my waking hours, and just having been tired when I got home.

So you know me. Upon my divorce, I ran out and purchased that BMW I always wanted. Some men, during their mid-life crises, will buy a sports car. I don’t consider the BMW a sports car. But I purchased the car because it was the model I had seen some of my superiors driving. I also felt that it could display a material tidiness and advancement that didn’t otherwise bowl one over upon meeting yours truly. And I suppose that worked for a while.

But then I got used to it. Now I don’t perceive that the BMW makes much of an impression on anyone. Certainly not me. I am accustomed to it now, it doesn’t have that new car smell, and somehow the gas cap fell off. So now every time I approach the car’s left side I feel ashamed that the pock-marked car is mine. I am too lazy to get the thing fixed or, if you prefer, I spend too much time on other peoples’ problems to have the time to solve this one.

When we got divorced, Martha took custody of the children. Just as well. Now I can log on and view my pornography whenever I please. The good thing about pornography is that you can shut it off when you are finished and, if you are unencumbered by the more pernicious aspects of guilt, you can forget about it fast after disposing of your mess.

Now, reader, I’ve been working on other peoples’ problems long enough to sense that something that I’ve said may have left you with the impression that I am not a very nice guy. So, this is to indicate that I feel a little guilt as I imagine the pain or confusion I may have caused you. So, as I have learned to do, I now apologize. But, because my heart is not wholly in it, and now that I’ve dispensed with the social imperative, I can tell you to go stick a fork in an electrical outlet. See what that does.

Let’s see … by a sort of accident of history, because my last name is Oppenheimer, I was able to enjoy the trust of many clients who saw my name as a sign that I’d be a very strong financial advisor. And I suppose that I strove to avoid their disappointment, by working hard, putting in lots of hours, reading up on the research and analysis, and keeping in close communication with my clients. Further, I lived up to the image of a sober financial adviser by spending a good deal of money on dark, overpriced suits, uncomfortable shoes and conservative ties. I decorated my office with a dark mahogany desk and hung shiny plaques on the walls, attesting to my education and merit. I included a bookcase displaying how-to books of various stripes, which I rarely thumbed through, but which promised to make you, me or whomever else that cracked them open, a very rich man (or woman). On the eighteenth floor of my office building, I click-click-clicked with my murderous shoes back and forth to the bathroom and the break-room all day, just as an excuse to stop by my colleagues’ offices and be gregarious, to chat about the weather and sports, to hear about the newest porn sites, and to keep upon office gossip. Ostensibly, I guess the purpose of all the wandering was to keep apprised on what people had heard about the “markets.” But because the markets are whatever people are doing at a given time, and they are not plottable in any rational sense, all chatter about the markets can only be old news, a historical “see what I know” type exercise.

Martha and I were involved in the Camden Foundation, which is a receptacle for rich peoples’ money. We didn’t have a name-your-own-building-sized stake in the Foundation, but we nevertheless announced to all who asked – and many who didn’t – that we admired the Foundation’s mission because it disbursed its money – well, the interest but not the principal – to a variety of local charities in support of the Baltimore community. This was an easier way for us to feel like we’d made an impact on our community: easier than, say, working as a community organizer, but it was all we could do given the little time we had. In the competition between other peoples’ problems and still other peoples’ problems, the other people with the money to pay you mostly win out.

Today I am not a stock broker and I’m no longer a patron-level Camden Foundation supporter. I suppose I’m on inactive status with both. My licenses to sell stocks and other paper won’t run out so long as I attend one or two seminars per year. I attend mostly to watch the people and come up with fodder for my stories. But it is comforting to know that I can always go back to that business. Today I am a copy-editor for a financial magazine. So I still work on other peoples’ problems, in a round-about way, and I spend my days wordsmithing, which has greatly improved my writing. It is still tough to find time to write for pleasure, though.

Whilst bleeding my red ink on various self-promoters’ “see-what-I-know” articles, I slowly develop my stay-at-home philosopher’s frustration: the necessary anger and overwhelming irritation that drove me last year to read Marx – despite my rock-ribbed Republican roots – and to explain away my divorce and my shitty behavior towards my wife and my children, among other things, as symptoms of my alienation in a socially-constructed prison of a world. Boo hoo.

I am dating again. The woman is in her late twenties. “Good for you,” all my buddies say, and I say this to myself at night as I flex my muscles in front of the mirror. I have little regret over this because man has evolved to seek out youthful women who are fruitful and can easily multiply. But I certainly don’t want to have more children. Mine are great, fund, beautiful, I love them, but you’ve got to be rich to support more than two in this service-based economy. My great-grandfather sired fourteen children by two different women to help him run his farm. Somehow I think he was better than me.

Birth control might as well have been invited by the Catholic Church to give them a problem to work on. More likely, though, it was developed by employees of the Secretary of Commerce. Who said we don’t have a command economy?

The woman I am dating is named Jill. Not only is she fifteen years younger than me, but she has a name right out of a nursery rhyme. She is only slightly less good than my wife was in bed, but I feel better about myself for associating with her youthfulness. By the way, the feminists will accost me for only focusing on Jill’s (i) youth, and her (ii) sex. Let me step back a minute, power up my left brain, and tell you all the reasons I admire her as a woman and a person and not just as a sex object.

A. Jill is a nurse. This is an example of tending to other peoples’ problems in the extreme. She seems to me a very caring person and, instinctively, I just know she’d be a wonderful mother. Shoot! There goes that instinctual shit again. I apologize, Ms. Feminist reader.

B. Jill is genuinely interested in my philosophical writings, the same type of stuff my old wife hated because they took time away from the domestic imperative. Okay, okay. I guess this one was a little bit selfish too.

C. As a nurse, Jill appreciates science and so, when her patients are near death, she doesn’t spend precious time and energy pleading with a speck of lint on the ceiling fan to spare them from eternal damnation and barbecue. Instead she treats the dying with a kindness and gentleness that believes nine out of ten of us never do anything so bad during our lifetimes to deserve all this guilt.

I have been seeing a doctor for the depression wrought by the breakup of my marriage. Even though I am happy with (i) my new career, (ii) the new sex, (iii) my new outlook, and (iv) my compassionate girlfriend, I still miss the stability of Martha and the kids. The doctor says I take too much of the world’s problems on my shoulders. One time I replied, “If I don’t who will?” He just asked, “Barack Obama?” It didn’t strike me as all that funny, but I get it. And just look at the resistance he got, and I’m sitting here without the good looks and the millions in campaign donations.

I don’t want to go into politics because it’s easier to complain in peace. My neighbor Jack ran for city council a couple years ago and you should hear the stories of the major dunces you have to bow down to, just to get a party’s nomination. He lost the election and now his great pleasure is to mow the lawn and place the clippings on top of his compost pile. Who needs other peoples’ problems when you have a yard to maintain?

A Poem in Three Paragraphs

We are all locked in a small room or confined in a partially fenced yard. There is a farm and hills on the unfenced side, but those who know say you get shot if you go there.

Just across the street you can take refuge in a small house, a hospital ... if you get get past the wire. But some who escaped there last night got caught and things just fell apart. I can imagine the raid.

This is a world run by juveniles who confine us. This is the human who hunted and slayed the neanderthal. This is the way of the brownshirted crowd, that values spirit over the mind. This is the way of my nightmares.

The Dinner Thing

The editors have invited five of our favorite famous people - alive or dead - to join us for dinner, and we've prepared the following questions for them:

1. Carl Sagan. Are you, or are you not, a badass?
2. Albert Einstein. Question in process ... still calculating.
3. Abe Lincoln. So whattaya think of today's Republican Party?
4. Jesus Christ. Is it true what they say about you?
5. Sarah Palin. Would you please answer on behalf of number 4?

We've yet to receive RSVPs, but stay tuned.