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Monthly Archives: March 2019

So, why hasn’t Medicaid Expansion happened in Missouri?

31 Sunday Mar 2019

Posted by Michael Bersin in Healthcare, Missouri General Assembly, social media

≈ 2 Comments

Tags

ACA, Chris Kelly, General Assembly, healthcare, Kip Kendrick, Medicaid, Medicaid expansion, missouri, social media, Twitter

Good question.

From Representative Kip Kendrick (D):

Kip Kendrick @Kip_Kendrick
Missourians represent at least a quarter million of these individuals.

Kaiser Family Foundation @KaiserFamFound
Nationally, 2.5 million poor uninsured adults fall into the “coverage gap” that results from state decisions not to expand Medicaid.
They earn too much to qualify for Medicaid, but not enough to…

3:09 PM – 30 Mar 2019

Rep. Kip Kendrick (D) [2019 file photo].

The human toll, from the Kaiser Family Foundation:

Table 1: Uninsured Adults in Non-Expansion States Who Would Be Eligible for Medicaid if Their States Expanded by Current Eligibility for Coverage, 2017

State Total Currently Eligible for Medicaid Currently in the Coverage Gap (<100% FPL) Currently May Be Eligible for Marketplace Coverage (100%-138% FPL**)

Missouri 232,000 13,000 124,000 95,000

[emphasis added]

And:

[….]

The ACA Medicaid expansion was designed to address the high uninsured rates among low-income adults, providing a coverage option for people with limited access to employer coverage and limited income to purchase coverage on their own. In states that expanded Medicaid, millions of people gained coverage, and the uninsured rate dropped significantly as a result of the expansion. However, with many states opting not to implement the Medicaid expansion, millions of uninsured adults remain outside the reach of the ACA and continue to have limited options for affordable health coverage. From 2016 to 2017, non-expansion states saw a significant increase in their uninsured rate, while expansion states saw a decrease.

By definition, people in the coverage gap have limited family income and live below the poverty level. They are likely in families employed in very low wage jobs, employed part-time, or with a fragile or unpredictable connection to the workforce. Given limited offer rates of employer-based coverage for employees with these work characteristics, it is likely that they will continue to fall between the cracks in the employer-based system.

It is unlikely that people who fall into the coverage gap will be able to afford ACA coverage, as they are not eligible for premium subsidies: in 2019, the national average unsubsidized premium for a 40-year-old non-smoking individual purchasing coverage through the Marketplace was $478 per month for the lowest-cost silver plan and $340 per month for a bronze plan, which equates to nearly eighty percent of income for those at the lower income range of people in the gap and more than a third of income for those at the higher income range of people in the gap.

If they remain uninsured, adults in the coverage gap are likely to face barriers to needed health services or, if they do require medical care, potentially serious financial consequences. Many are in fair or poor health or are in the age range when health problems start to arise but lack of coverage may lead them to postpone needed care due to the cost. While the safety net of clinics and hospitals that has traditionally served the uninsured population will continue to be an important source of care for the remaining uninsured under the ACA, this system has been stretched in recent years due to increasing demand and limited resources.

Most people in the coverage gap live in the South, leading state decisions about Medicaid expansion to exacerbate geographic disparities in health coverage. In addition, because several states that have not expanded Medicaid have large populations of people of color, state decisions not to expand their programs disproportionately affect people of color, particularly Black Americans. As a result, state decisions about whether to expand Medicaid have implications for efforts to address disparities in health coverage, access, and outcomes among people of color.

[….]

From former State Representative Chris Kelly (D):

Chris Kelly @repckelly
And virtually all of them are working.
Props to @Kip_Kendrick for articulating this serious problem.
7:31 AM – 31 Mar 2019

But, the right wingnut republican majority in the Missouri General Assembly can’t believe this problem has adverse affects on rural Missourians? Right.

Cold rain

30 Saturday Mar 2019

Posted by Michael Bersin in Uncategorized

≈ Leave a comment

Tags

bird, missouri, rain

Snow later.

This morning in west central Missouri:

F 6.3, 1/320, ISO 3200, 400 mm.
Canon 5D III, 2.8 70-200 mm, 2x III.

This tiny one froze in position with a beak full of seeds for 38 frames over 42 seconds before flying off.

Campaign Finance: follow the money

29 Friday Mar 2019

Posted by Michael Bersin in campaign finance

≈ Leave a comment

Tags

campaign finance, missouri, Missouri Ethics Commission, PAC, Steve Tilley

Today at the Missouri Ethics Commission:

C171236 03/29/2019 Missourians for a Responsible Budget MO Majority PAC P.O. Box 651 Perryville MO 63775 3/29/2019 $10,000.00

[emphasis added]

It depends on what your definition of “responsible” is, don’t you think? What “majority”?

Perryville, Perryville? Who do we know from Perryville?

In 2015:

C151156 08/24/2015 MO MAJORITY PAC LLC Friends of Tilley PO Box 555 Perryville MO 63775 8/21/2015 $562,500.00

[emphasis added]

Ah.

That’s not particularly “grassroots”.

Evidently a republican “majority”. And, probably, a republican definition.

Are CAFOs healthy for children and other living things?

28 Thursday Mar 2019

Posted by Michael Bersin in Uncategorized

≈ 2 Comments

Tags

CAFO, Johnson County, Johnson County Community Health Services, missouri

In October 2018, in the Warrensburg, Missouri Daily Star-Journal:

Health board to present CAFO proposals to county commission
SUE STERLING Staff writer Oct 1, 2018

WARRENSBURG – The Johnson County Community Health Services board gave the go-ahead to Administrator Anthony Arton to present proposals to the Johnson County Commission for developing regulations for confined animal feeding operations in the county.

Arton discussed the issue with the board following a presentation on Thursday, Sept. 27, by members of the Lone Jack Neighbors on health issues associated with CAFOs.

Mary Haskins, a biology professor at Rockhurst University with a background in environmental and ecology issues, said the health problems suffered by people living near CAFOs has been known for decades….

[….]

Johnson County Community Health Services is governed by an elected board:

….Operated under County Health Center Statutes (Chapter 205 RSMo) and an elected Board of Trustees. JCCHS was created to house a multi-purpose agency that includes Home Health, Public Health, and WIC….Our Public health provides many services as well; vaccinations, birth and death records, environmental services, and more….

Environmental services. Fancy that.

In January 2019, in the Daily Star-Journal:

Candidate filing ends for April 2 election
By Sue Sterling [….] Jan 16, 2019

WARRENSBURG — The filing deadline for city, school district and special district seats in the April 2 election ended at 5 p.m. Tuesday, Jan. 15.
The following candidates have filed to seek election:
[….]
Johnson County Community Health Services: Incumbent Kay Stauffer is opposed for re-election to a four-year term by Darlene Buckstead, James L. Williams and Vickie Cooperider.
[….]

[emphasis added]

In March 2018, a letter [pdf], from Darlene Buckstead – as of its writing, President of the Board of Johnson County Farm Bureau – to the Missouri Department of Natural Resources as part of the public comment related to the permitting of a CAFO located in western Johnson County which would hold 6,999 cattle on approximately 400 acres:

….I can understand neighbors of Valley Oaks having concerns. However, when they moved to that area, they knew they were settling into an agricultural area. Many of thee neighbors are active in agriculture themselves, but not on the scale of Valley Oaks. When new people in a neighborhood become alarmed at activities which have long been practiced, I feel it is incumbent on the newer people to adjust their expectations.

In summary, I believe the valley Oaks organization should be allowed to have their CAFO if they obtain appropriate permit from the DNR…

Uh, it’s the CAFO that’s new, right?

Because, no matter where we live in rural Missouri, we should expect we might have to live downwind from a 6,999 head of cattle CAFO operation? It’s a matter of scale.

In April 2019, in the Daily Star-Journal:

Opponents, supporters provide comments at CAFO permit hearing
SUE STERLING Staff writer Apr 4, 2018

…Darlene Buckstead, president of the Johnson County Farm Bureau, said she is in favor of farmers and farming.

“When you start shutting down agriculture, you’ll starve,” she said…

Given the public comment letter sent to the Missouri Department of Natural Resources that comment in the newspaper probably indicates support of the CAFO. But then, there were plenty of other people at the hearing opposed to the CAFO who were involved in agriculture who we’re pretty sure weren’t advocates of shutting down agriculture and forcing everyone to starve.

This month, in the Daily Star-Journal:

Four candidates vie for health board seats
By Sue Sterling [….] Mar 19, 2019

….Buckstead, 66, of rural Holden, holds an associate and master’s degrees in nursing, and bachelor degrees in history and education. She is presently employed at Cass Regional Medical Center. She has worked in health care for 50 years, including longterm care, acute care, emergency room and infection control over the years. She is active in her church, where she is pianist and a Sunday school teacher, and currently is teaching a sewing class to junior high school-aged students. She is a Farm Bureau member and a former 4-H leader.

She said her reason for seeking election is, “The health department, in one way or another, impacts the well-being of everyone in Johnson County. I would like to be involved in the organization….

Interestingly, there’s no mention of CAFOs.

So, for the future Johnson County Community Health Services board, are CAFO’s healthy for children and other living things?

It looks like we’ll find out after the April 2nd election.

Previously:

Now that’s a CAFO (March 18, 2018)

Now that’s a CAFO – comments addressed to the Missouri Department of Natural Resources (March 21, 2018)

Suppose you threw a DNR CAFO hearing in Warrensburg and everyone came? (April 3, 2018)

Suppose you threw a DNR CAFO hearing in Warrensburg and everyone came? – photos (April 5, 2018)

Suppose you threw a DNR CAFO hearing in Warrensburg and everyone came? – Tabitha Schmidt, CEO President, Powell Gardens (April 5, 2018)

Suppose you threw a DNR CAFO hearing in Warrensburg and everyone came? – Karen Lux (April 5, 2018)

Suppose you threw a DNR CAFO hearing in Warrensburg and everyone came? – Al Weir (April 6, 2017)

Suppose you threw a DNR CAFO hearing in Warrensburg and everyone came? – Aimee Davenport on behalf of Powell Gardens (April 6, 2018)

Suppose you threw a DNR CAFO hearing in Warrensburg and everyone came? – Eric Tschanz (April 7, 2018)

Suppose you threw a DNR CAFO hearing in Warrensburg and everyone came? – Chuck Petentler (April 7, 2018)

And they have a CAFO (June 15, 2018)

Powell Gardens – CAFO permit stayed pending outcome of appeal (July 28, 2018)

AG Josh Hawley (r): CAFO manure trumps Powell Gardens (September 1, 2018)

Cardinal

27 Wednesday Mar 2019

Posted by Michael Bersin in Uncategorized

≈ Leave a comment

Tags

bird, Cardinal, missouri

Cardinalis cardinalis.

This evening in west central Missouri, immediately before sunset.

Cardinalis cardinalis.
F 5.6, 1/200, ISO 1600, 400 mm.
Canon 5DIII, 2.8 70-200 mm, 2xIII.

Campaign Finance: You think he’s happy?

27 Wednesday Mar 2019

Posted by Michael Bersin in campaign finance, Missouri Governor

≈ 1 Comment

Tags

campaign finance, governor, Mike Parson, missouri, Missouri Ethics Commission, PAC

Yep.

Governor Mike Parson (r) [2018 file photo].

At the Missouri Ethics Commission for the PAC created to help prop up Governor Mike Parson (r):

C180490 03/19/2019 Uniting Missouri PAC CHRISTIAN PRADA 842 N NEW BALLAS CT UNIT 101 CREVE COEUR MO 63141 PHYSICIAN 3/5/2019 $7,500.00

C180490 03/19/2019 Uniting Missouri PAC ASSOCIATION OF DENTAL SUPPORT ORGANIZATIONS 1235 SOUTH CLARK ST SUITE 1210 ARLINGTON VA 22202 3/5/2019 $10,000.00

C180490 03/27/2019 Uniting Missouri PAC SAM AND MARILYN FOX 7701 FORSYTH BLVD SUITE 600 ST LOUIS MO 63105 HARBOR GROUP 3/27/2019 $50,000.00

That’s a lot of happiness.

Previously:

Campaign Finance: “Ash nazg durbatulûk…” (December 13, 2018)

Campaign Finance: “…Ash nazg thrakatulûk agh burzum-ishi krimpatul” (December 14, 2018)

Campaign Finance: “…make just one someone happy…” (December 18, 2018)

Campaign Finance: Oh, Santa, you shouldn’t have! (December 26, 2018)

Campaign Finance: Happy New Year! (January 2, 2019)

Rep. Vicky Hartzler (r): when you drink that much [insert national brand name of flavored sugar water] in public it just turns your tongue red and makes you look like an idiot

26 Tuesday Mar 2019

Posted by Michael Bersin in Uncategorized

≈ Leave a comment

Tags

4th Congressional District, Bob Barr, Donald Trump, missouri, Robert Mueller, social media, special counsel, sychophant, Twitter, Vicky Hartzler

Earlier this evening:

Aaron Rupar @atrupar
Watch Wolf Blitzer corner Rudy Giuliani into admitting he can’t explain why members of the Trump campaign didn’t go to the FBI when Russian agents reached out offering dirt on Hillary Clinton
[….]
5:02 PM – 26 Mar 2019

That is a really good question.

And, of course, Representative Vicky Hartzler (r) can’t help herself:

Rep. Vicky Hartzler @RepHartzler
(1/2) It’s finally over. After 674 days,$25M tax dollars, 2800+ subpoenas, and conducting nearly 500 search warrants, Mueller concluded there was NO COLLUSION between Russia and @POTUS’s campaign, the President did NOT obstruct justice, and he is NOT charged with any crimes.
7:50 PM – 24 Mar 2019

Rep. Vicky Hartzler @RepHartzler
(2/2) The political witch hunt has concluded. It’s time to move on and get back to the business of addressing issues impacting the American people—that’s something we can all agree on.
7:51 PM – 24 Mar 2019

Some of the responses:

I recognize you aren’t a lawyer, but as a lawmaker you should be able to recognize the difference between the end of Mueller’s investigation, but the very real continuation of the SDNY’s investigation into financial crimes.

Unfortunately, for all of us, it is by no means over.

“…while this report does not conclude the president committed a crime, it also does not exonerate him.”
-literally the words of the 4 page summary.

The prosecution of Manafort put the investigation in the black. $25 million for the investigation, Manafort is on the hook for $46 million. Pretty sure that equals PROFIT?

Learn to read.

Congresswoman you left out all the indictments, the guilty pleas, the fact that campaign chair is in federal prison and in federal court documents the president is referred as Individual 1.

Correction: The #BarrSummary concluded there was no collusion or obstruction while also stating “It does Not exonerate him” from obstruction of justice.
For a #WitchHunt there are an awful lot of people indicted and/or going to prison.
Let’s see the #MuellerReport

He did NOT say no obstruction. This a bald face lie.

It should not be hard to exonerate an innocent person. That in 2 years the special counsel was unable to exonerate the president speaks volumes. Your continued ignorance is a disservice to the 4th district and you should be ashamed of yourself

Paul Manaforts conviction and forfeiture PAID FOR THE WHOLE INVESTIGATION.

And the results don’t “exonerate trump once and for all”, they literally say they DO NOT exonerate him

… and that’s it now up to congress to proceed with subpoenas and charges

Do your job, stop lying.

37 People with criminal charges. including Russians who worked to help Donald Trump get elected.
@POTUS is a vindictive, narcissistic nincompoop and serial liar who praises despots and attacks honorable people who disagree with him or ask for accountability.

Actually you know that mueller stated that the report did not exonerate him. You also know that payments collected far exceed the cost of the investigation. But you won’t tweet that will you?

The investigation may have actually paid for itself based on what was uncovered, but you don’t want to actually talk about that do you, Vicky? You don’t even mention ACTUAL charges (199) brought. Stop. Trying. To. Spin.

You’re a partisan corrupt hack. The report says he is not exonerated. You clearly cannot read.

Not exonerated on the obstructing. Push for the full report to be released or you are a hypocrite, wait we know you are one. #BarrReport #ReleaseTheFullReport

The report does not exonerate Trump from obstruction of justice, according to Barr’s summary.

37 witches, including Russian operatives.

But wait…. I thought @realDonaldTrump just called Mueller an honorable man today? How can an honorable man be in charge of a witch hunt? What a political hack you and the president truly are-both of you!

Just curious…Do you support a release of the entire report? Do you believe Congress should be provided with the evidence that led to the report’s conclusions? Do you support letting the American people decide if the summary document accurately reflects Mueller’s findings?

Do you support releasing the whole report, not just the quick summary by a political appointee? If it completely clears the POTUS, let’s put any doubt to rest – demand the WHOLE report.

I know. 38 indictments are chopped liver. You Trump Republicans are amazing!

They ain’t buying it.

Donald Trump’s (r) America 2019

26 Tuesday Mar 2019

Posted by Michael Bersin in social media

≈ Leave a comment

Tags

Donald Trump, immigration, social media, the wall, Twitter

Pete Kieliszewski @abcdpete
Replying to @themaxburns @SpecialOlympics @realDonaldTrump
Mexico ain’t paying for the wall. The Special Olympians are.
2:33 PM – 26 Mar 2019

That’s exactly it.

A Resolution of the City Council of the City of Warrensburg, Missouri, Supporting and Encouraging Acceptance and Diversity Within the City of Warrensburg

25 Monday Mar 2019

Posted by Michael Bersin in Uncategorized

≈ Leave a comment

Tags

City Council, Diversity and Inclusion Commission, LGBTQIA+, missouri, resolution, Warrenburg

At this evening’s Warrensburg City Council meeting the council voted unanimously (5-0) to approve a resolution in support of LGBTQIA+ persons.

Suzy Latare (left) and members of the Diversity and Inclusion Commission presented the resolution to the city council.

A Resolution of the City Council of the City of Warrensburg, Missouri, Supporting and Encouraging Acceptance and Diversity Within the City of Warrensburg – presented by The Diversity and Inclusion Commission:

A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF WARRENSBURG, MISSOURI
SUPPORTING AND ENCOURAGING ACCEPTANCE AND DIVERSITY WITHIN THE CITY OF WARRENSBURG

WHEREAS, All persons should be able to live in a community whose environment is free from discrimination on the basis of association with any class; and

WHEREAS, History has shown that civil rights laws are effective in contributing to such environments; and

WHEREAS, Explicit federal and state statutory protections currently address discrimination on the basis of race, color, national origin, sex, disability, and other statuses, but not sexual orientation, gender identity or gender presentation; and

WHEREAS, The lack of awareness and understanding of issues facing LGBTQIA+ persons has contributed to a variety of challenges facing these individuals; and

WHEREAS, Education regarding sexual orientation, gender identity, and gender presentation issues increases understanding and cultivates acceptance of and respect for LGBTQIA+ persons; and

WHEREAS, LGBTQIA+ persons should be among all groups of persons that the Warrensburg Diversity and Inclusion Commission seeks to reach within the Warrensburg Community, and to foster understanding, respect, and education about this group, in addition to those whose status is presently protected by state and federal statute; and

WHEREAS, The course of history has shown that protection of marginalized groups under law is necessary and laudable, and that education of the community and understanding of these groups strengthens all concerned,

NOW, THEREFORE, BE IT RESOLVED BY THE COUNCIL OF THE CITY OF WARRENSBURG, MISSOURI, that the City expresses its support for all persons no matter their sexual orientation, gender identity or gender presentation, and urges understanding and education in the community to foster understanding and fair treatment, and that the City welcomes development, advancement, and clarification of the law at the state and federal level regarding the status of LGBTQIA+ persons. The Council reaffirms its commitment to the work of the Diversity and Inclusion Commission and urges that outreach and education will continue with respect to all marginalized groups within the Warrensburg Community, regardless of their current status under law.

Passed this [25th] day of March 2019.

Applause from the city council after passage of the resolution:

HB 267: Which version?

25 Monday Mar 2019

Posted by Michael Bersin in Missouri General Assembly, Missouri House, social media

≈ 1 Comment

Tags

Ben Baker, bible, General Asembly, HB 267, Matt Sain, Public Education, religion, social media, Twitter

King James? English Standard? American Standard? Contemporary English? Concordant Literal? Geneva Bible? Jerusalem Bible? Etc.?

In Greek, Hebrew, Aramaic?

The Missouri House third read and passed HB 267, a bill sponsored by Representative Ben Baker (r), which would allow the Bible to be taught as a class in Missouri public schools. Notwithstanding that the Bible can already be used as part of a course.

The bill summary [pdf]:

HB 267 — ELECTIVE SOCIAL STUDIES COURSES (Baker)
COMMITTEE OF ORIGIN: Special Committee on Student Accountability

This bill allows a school district to offer an elective social studies unit on the Hebrew Scriptures, the Old Testament of the Bible, or the New Testament of the Bible. The course will include the contents, history, literary style and structure, and influences on society. No requirement shall be made by the district on the text translation students must use. This bill requires that any course offered shall follow applicable laws maintaining religious neutrality, and shall not endorse, favor, promote, or show hostility to any particular religion, nonreligious faith or religious perspective.

Amendments to include other religious holy books were defeated.

A point:

Matt Sain @mattdsain
Rep. Carpenter brought up a good point about how we can already do this. By having a bill that specifically gives protections and permission for one holy book is offensive to all other religions in our state.
4:31 PM – 25 Mar 2019

“…It seems trite but necessary to say that the First Amendment to our Constitution was designed to avoid these ends by avoiding these beginnings…” – WEST VIRGINIA STATE BOARD OF EDUCATION ET AL. v. BARNETTE ET AL., 319 U.S. 624

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