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#medicare basics
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Medicare a enrollment and Turning 65
Medicare is a federal health insurance program for people who are 65 years or older, as well as for people with certain disabilities or medical conditions. If you are turning 65, here are some important things to know about enrolling in Medicare: Enrollment in Medicare is not automatic: If you are already receiving Social Security benefits, you will be automatically enrolled in Medicare Parts A…
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lifeandinsurances · 2 years
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Your Medicare Coverage Guide for 2023
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ozzieinspacetime · 6 months
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Yet again I'm thinking about the eradication of culture within the THG universe,, I have very complex opinions on culture wars within Panem and if they would exist at all in certain cases but like. Do you think they still speak Spanish in Ten? Do you think trans people can still change their names and wear what they please as long as they meet their daily quotas? Do families with religious ancestors remember to observe their holy days, even if it's in private, or was the eradication of religion in Panem so concrete that they don't remember anything at all? Much to think about
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fromkenari · 27 days
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Goddamnit, Oklahoma.
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mischiefmagpie · 10 months
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I was just told by our government that, as a type 1 diabetic who makes around 12k a year, I am Too Rich for Medicaid and Too Poor to receive any financial assistance for Medicare and should be able to pay $300 monthly premiums...when I get $250 a week as a paycheck. I literally can't find another job. I have been looking for 2.5 years!!!!
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lunod · 1 year
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Why did they discontinue your drug plan? Are you still on Medicare?
Turning this into a Medicare Explanation Thing since a lot of people don't know, feel free to save this if you/someone you know is waiting on SSI/SSDI case or thinking about it. Medicare comes in 5 separate parts because why not make disabled people jump through a bunch of complex unnecessary stuff.
Part A is hospital, covering specifically hospital bills not regular outpatient appointments. Part B is medical insurance which is your primary Dr and everything outpatient. When you get on disability they will give you Part A and/or Part B. If you have both they call it Original Medicare. Original Medicare also only covers 80% of the cost of everything, you have to pay 20% out of pocket and they don't have a limit meaning there's not a point where you stop paying the 20%. Oh and Original Medicare doesn't cover vision, dental, or hearing.
Part D is prescription drug coverage. They usually do not immediately put you on this because it costs extra, but also if you fail to sign up for it and then sign up several months after getting Medicare you will be penalized with an extra cost for the rest of the time that you have Medicare (yay!). Part D is not directly through the govt, it's private insurances like United Healthcare that are contracted with the govt. If you only have Original Medicare, none of your meds are covered and you have to pay full price.
Part C is also called Medicare Advantage, it is optional where you get Part A, B, and D all bundled together but you do this through private insurers like UHC and BCBS. Some of them do not charge a premium but some of them do, which is important because you would be paying for Original Medicare and then also potentially paying another premium for Part C. There is also the downside that Medicare is accepted by a LOT of places, but if you do Medicare Advantage you have to go through drs that that insurer covers. That may/may not be an issue depending on where you live. Upside is it may cost less (because they often have limits on how much you pay before they cover 100%) or cover more things than Medicare.
Last one is Medigap which is a separate plan (that you also pay for and get penalized if you don't sign up in time) that helps pay for your deductible. The Original Medicare deductible is $200-something for 2023 meaning you have to pay that amount before Medicare even bothers covering 80%.
So for my specific circumstance, I still have Original Medicare and there's no issue with my govt disability payments either. I was auto-enrolled for Part D because I qualified for Extra Help (basically I am Extra Poor), but for some reason UHC gave me drug insurance for a state I don't live in. I called to correct it and they told me it was fine and they would just switch me to the correct state, except the contractor actually just cancelled the plan entirely without telling me that's what they were doing and also without signing me up for a new plan. Which I found out when I went to pick up from the pharmacy. If I did not qualify for Extra Help, which has Special Enrollment Periods, I would have had to go 4 months without drug insurance until Open Enrollment in October...I just lucked out so instead of waiting til Oct I only have to wait til next month.
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orcelito · 2 years
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Puttin a lil check mark in my back problem like Dealt With ✅
Now I just have my shoulder pains (which I've had for like 7 years now lol), the rib pains (which I've had for like 2 and a half years, give or take), and the possible fibromyalgia
Lmfao
One win is still progress
#speculation nation#like it's not 100% gone but it no longer hurts for general range of motion#and i can manage general upkeep on my own from now on#i realized that my shoulders problem could probably be solved with physical therapy. or at least made better#in which case i'd want to go back to this place. theyve been very nice to me#but i think my ribs thing is a bit more pressing lol. i used up all my old meds for it in the past few months to manage it#so for a time it wasnt as bad. but ive run out of the meds and it's definitely flaring again#doesnt hurt for general existence (most of the time) but basically my whole sternum hurts to touch lol#& the rib popping is always disconcerting. even if it makes my ribs feel better in the moment.#this at least is smth that should be solvable with inflammation drugs. much lower effort.#i just need to set up the appointment.#and also apply for medicare... im aging out of my dad's insurance next year (not this year as i'd previously feared lol)#so we'll see for the shoulders. ribs should be easier. i just need to set up the appointment.#should be easiest to go thru the school's medical stuff. much less wait time.#i just need to call lol bc the online portal Uhhh doesnt actually have an option for this lol#siiiince this is apparently an uncommon issue. gotta love it.#the possible fibro is probably later on my list just bc . idk it's just not a priority.#it's speculation to explain the general fatigue sensitivity to temperature and frequent aches#+ this rib problem is apparently common within fibro lol#also the fact that my mom has it and it's definitely hereditary 🤔🤔🤔🤔#lmao hope u guys love hearing about my medical problems bc i sure am sharing#honestly as someone who was essentially on mental illness tumblr in my teens it's kinda wild that the physical is much more of a problem#spent so long trying to deal with the hellhole of my mind. and ive healed i guess#so NOW it's dealing with the bullshit of the body. which is certainly not fun to deal with either lmao#definitely glad to have graduated pt for my back tho. AND i got out early enough i can go home and eat#very glad.... i wasnt looking forward to 6 hours of work without eating after pt........
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thoughtportal · 7 months
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Opinion Here’s how to get free Paxlovid as many times as you need it
When the public health emergency around covid-19 ended, vaccines and treatments became commercial products, meaning companies could charge for them as they do other pharmaceuticals. Paxlovid, the highly effective antiviral pill that can prevent covid from becoming severe, now has a list price of nearly $1,400 for a five-day treatment course.
Thanks to an innovative agreement between the Biden administration and the drug’s manufacturer, Pfizer, Americans can still access the medication free or at very low cost through a program called Paxcess. The problem is that too few people — including pharmacists — are aware of it.
I learned of Paxcess only after readers wrote that pharmacies were charging them hundreds of dollars — or even the full list price — to fill their Paxlovid prescription. This shouldn’t be happening. A representative from Pfizer, which runs the program, explained to me that patients on Medicare and Medicaid or who are uninsured should get free Paxlovid. They need to sign up by going to paxlovid.iassist.com or by calling 877-219-7225. “We wanted to make enrollment as easy and as quick as possible,” the representative said.
Indeed, the process is straightforward. I clicked through the web form myself, and there are only three sets of information required. Patients first enter their name, date of birth and address. They then input their prescriber’s name and address and select their insurance type.
All this should take less than five minutes and can be done at home or at the pharmacy. A physician or pharmacist can fill it out on behalf of the patient, too. Importantly, this form does not ask for medical history, proof of a positive coronavirus test, income verification, citizenship status or other potentially sensitive and time-consuming information.
But there is one key requirement people need to be aware of: Patients must have a prescription for Paxlovid to start the enrollment process. It is not possible to pre-enroll. (Though, in a sense, people on Medicare or Medicaid are already pre-enrolled.)
Once the questionnaire is complete, the website generates a voucher within seconds. People can print it or email it themselves, and then they can exchange it for a free course of Paxlovid at most pharmacies.
Pfizer’s representative tells me that more than 57,000 pharmacies are contracted to participate in this program, including major chain drugstores such as CVS and Walgreens and large retail chains such as Walmart, Kroger and Costco. For those unable to go in person, a mail-order option is available, too.
The program works a little differently for patients with commercial insurance. Some insurance plans already cover Paxlovid without a co-pay. Anyone who is told there will be a charge should sign up for Paxcess, which would further bring down their co-pay and might even cover the entire cost.
Several readers have attested that Paxcess’s process was fast and seamless. I was also glad to learn that there is basically no limit to the number of times someone could use it. A person who contracts the coronavirus three times in a year could access Paxlovid free or at low cost each time.
Unfortunately, readers informed me of one major glitch: Though the Paxcess voucher is honored when presented, some pharmacies are not offering the program proactively. As a result, many patients are still being charged high co-pays even if they could have gotten the medication at no cost.
This is incredibly frustrating. However, after interviewing multiple people involved in the process, including representatives of major pharmacy chains and Biden administration officials, I believe everyone is sincere in trying to make things right. As we saw in the early days of the coronavirus vaccine rollout, it’s hard to get a new program off the ground. Policies that look good on paper run into multiple barriers during implementation.
Those involved are actively identifying and addressing these problems. For instance, a Walgreens representative explained to me that in addition to educating pharmacists and pharmacy techs about the program, the company learned it also had to make system changes to account for a different workflow. Normally, when pharmacists process a prescription, they inform patients of the co-pay and dispense the medication. But with Paxlovid, the system needs to stop them if there is a co-pay, so they can prompt patients to sign up for Paxcess.
Here is where patients and consumers must take a proactive role. That might not feel fair; after all, if someone is ill, people expect that the system will work to help them. But that’s not our reality. While pharmacies work to fix their system glitches, patients need to be their own best advocates. That means signing up for Paxcess as soon as they receive a Paxlovid prescription and helping spread the word so that others can get the antiviral at little or no cost, too.
{source}
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humanfist · 8 months
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razzek · 1 year
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Because shitty hell hospital wasn't bad enough, I just learned they were giving me a med that's dangerous specifically to asthmatics regularly and let me leave with a prescription for it. 8) I refuse to take any med from now on until I at least read it's Wikipedia page since apparently no goddamn medical professional can be fucking bothered. Ugh!
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batboyblog · 2 months
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I'm seeing a worrying amount of idiots on tumblr dot com push that "Kamala hates trans women" and I am losing my mind at how they are pushing it, constantly, saying she is a proven transmisogynist, despite it being a complete lie and her actively working behind the scenes to help trans women in prison. Is there like, sources that could help debunk this shit because I'm at my wits end as these people scream and cry and vomit trying to get biden to drop out but then are like "eghhhh still don't wanna vote for a transphobic cop..." when she's NEITHER-
Isn't the internet wonderful? first rule NEVER examine your priors! ALWAYS! hang onto whatever the first hot take you had on a subject to THE DEATH!
"Kamala is Transphobic!" over here in reality
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past that trans and LGBT rights groups have been quick to endorse her like
Advocates for Trans Equality
Human Rights Campaign
just today 1,100 LGBT celebrities, lawmakers and leaders endorsed her
“The intersection on the issue of reproductive care and trans care, and the ability of families to be able to have care for their children and their families, is really, again, an intersection around attacks that are on an identity,” -Vice-President Harris, 2023
any ways the root of the idea she's transphobic comes from one case in 2015. Two inmates in the California State Prison system sued to get GRS, which as inmates would have been covered by the Prison system. It's worth noting here, both women got what they wanted, one was paroled and got the surgery covered by California Medicare while the other serving a life sentence was ultimately covered by the prison system.
Two things are important to bear in mind here, 1. Part of the job of California Attorneys General is to defend the state when it is sued, thats the job, 2. It seems early on in the case Harris was not personally aware of it, about 1,000 lawyers work in the Cali AG's office and so the AG cannot be personally aware of every case, and check this quote from the Lambda Legal lawyer handling the case:
“The California AG’s office shifted its handling of these cases significantly after now-Sen. Harris took over,” Renn said. “Initially there was language in briefing for the state that glaringly misunderstood the medical necessity of transition-related medical care and was patently offensive. But then, there was a dramatic change, which seems to have gone along with important policy shifts.”
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in 2019 Harris talked about the case and working after it was settled to change the policy of the California State Prison system
"When that case came up, I had clients, and one of them was the California Department of Corrections. It was their policy. When I learned about what they were doing, behind the scenes, I got them to change the policy," Harris said.
"I commit to you that always in these systems there are going to be these things that these agencies do. And I will commit myself, as I always have, to dealing with it," Harris said.
Any ways Harris can consistently spoken out for and supported Trans people, banned the hateful Trans panic defense when she was AG, in the Senate supported the Equality Act, during her 2020 campaign for President she drew attention to the hate crimes against black trans women while holding herself accountable for the 2015 case. As Vice-President she drew fire voicing support for Dylan Mulvaney during the hellish Bud Light backlash. Her Husband Doug was tapped to host the first ever White House Trans Day of Remembrance
basically you're looking at a great ally who clearly supports trans rights, who was involved in a case, which involved two people who got the surgeries they were looking for paid for by the State of California, close to 10 years ago now, there's evidence that both she moved the case in a better direction when she took over it and also that she changed the polices of the state to before more gender affirming.
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irawhiti · 9 months
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hi, it was just my birthday so i'm gonna ask straight up if i can get some money to make up for the fact that apparently cancer tests are not covered by medicare. i don't wanna get into too much detail but i might have cancer and i would kind of really appreciate some money to get some food as well.
if it means anything i'm a homeless trans person of colour and i'm currently living with someone who tried to kill me a few months back. i wish i was joking but i'm scared for my life right now. i lost 20 kilos since i moved in with them which has made me dangerously underweight. my bmi is 17 which like i hate bmi, this just gives you a basic idea of my situation and malnourishment right now.
i just don't want to have cancer haha and if i do (which it looks like i do.) i just would like some money to eat or at least buy like, hospital grade nutrient powder like hospital sustagen so i don't actually die from malnourishment which is a legitimate concern right now as a homeless person. my laptop has also finally fully bricked itself so i am going to have to take out almost my entire fucking savings just to remain hireable and stable.
pāypāl.me/hoodypet please specify it's for irawhiti as this is a friend's paypal.
thank you so much.
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friend-crow · 6 months
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Something I've learned about needing expensive medications is that sometimes you can go to the manufacturer's website and get a (virtual) savings card that reduces what your insurance doesn't cover to $0. Of course this isn't always available, and some manufacturers won't do it for people who are uninsured or on medicare, but it's worth looking into.
One of the medications I take is around $850 retail, and because it's a specialty (ie expensive) medication, my insurance will only cover 50%. You can get a coupon on goodRX, but that just reduces the retail price to $725. If you go to the manufacturer's website, they will cover the other half if you have a commercial insurance plan, though.
It's basically an evil little game they like to play to see how much money they can extract from your insurance before they admit that they don't need to be charging anywhere near what they are.
Paxlovid is one that you can get for free regardless of your insurance status/type of insurance, at least through the end of this year. Hopefully it'll be available again next year.
With my other $850 medication it said the savings coupon was for up to 12 months, but all that actually means is that you have to get a new card at the end of each calendar year.
The more we learn about long covid, the more strongly I feel about getting paxlovid if you can, as it's supposed to help minimize the chances of long term effects (as well as hospitalization or death).
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robertreich · 1 year
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5 Crises Republicans Made up to Distract You
Here are five totally made-up “crises” Republicans have invented to distract from the real crises facing Americans today: the growing concentration of wealth, the worsening climate crisis, and the undermining of our democracy.
Fake crisis #1:  Anything they claim is “woke.”
Although Republicans struggle to define what “woke” even means, they’re constantly using it as a weapon to combat anything that seeks to foster tolerance and acceptance.
Pride flags? Woke!
Books about Rosa Parks? Woke!
Green M&M’s? The wokest!
Fortunately, most Americans think being informed and aware of social injustice…which is what being “woke” really means... is a good thing.
Fake crisis #2: The panic over trans people.
Trans people just want the right to exist safely as their true selves, like everyone else. And despite the lies spewed by some Republicans, there’s not a shred of evidence that they are a threat to anyone. But they’ve become easy scapegoats for the GOP, who vilify them and threaten to criminalize their very existence.
Fake crisis #3: Critical race theory
In reality, critical race theory is mostly taught in universities — like quantum physics or philosophy. It's really not taught in K-12, nor is it dangerous.
It’s merely a framework to understand the role that race and racism have played in shaping America’s laws and institutions. But Republicans have deliberately turned this obscure academic phrase into a weapon to silence any discussion of race they don't like.
Unfortunately, this includes teaching many basic historical facts.
Fake crisis #4: “Couch potatoes.”
Republicans are whipping up anger over welfare recipients supposedly abusing the system.
The reality is most people who collect benefits already hold jobs and work exceedingly hard.
Like Ronald Reagan’s claim about so-called “welfare queens”, the “couch potato” myth is a cruel racial dog whistle. In fact, the vast majority of Americans who receive government benefits are white.
We should be asking why so many jobs pay such low wages that workers need government help to get by?
Fake crisis #5: “Out of control government spending.”
Another lie. Apart from mandatory spending like Social Security, Medicare, and Medicaid, government spending has actually fallen more than 30% in the past 50 years as a percentage of our total economy.
[9.6% in 1973  vs. 6.6% in 2022, a decrease of  31.25%]
Yes, the national debt is a problem, but in recent years, among its biggest drivers have been the Bush and Trump tax cuts, which have added nearly $10 trillion to the debt since their enactment.
All five of these so-called crises have been manufactured by the GOP. They’re entirely made up.
Why? To deflect attention from the near record share of the nation’s income and wealth now going to the richest Americans.
As the wealthy pour money into politics — largely into the GOP — they don’t want the rest of America to notice they’re rigging the economy for their own benefit, that their greed is worsening the climate crisis, and they’re undermining our democracy.
So the game of the Republican Party and their major donors is to deflect attention — to use fake crises to disguise what’s really going on.
Don’t let them get away with it.
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Social Security is class war, not intergenerational conflict
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Today, Tor.com published my latest short story, "The Canadian Miracle," set in the world of my forthcoming (Nov 14) novel, The Lost Cause. I am serializing this one on my podcast! Here's part one.
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The very instant the Social Security Act was passed in 1935, American conservatives (in both parties) began lobbying to destroy it. After all, a reserve army of forelock-tugging plebs and family retainers won't voluntarily assemble themselves – they need to be goaded into it by the threat of slowly starving to death in their dotage.
They're at it again (again). The oligarch-thinktank industrial complex has unleashed a torrent of scare stories about Social Security's imminent insolvency, rehearsing the same shopworn doom predictions that they've been repeating since the Nixonite billionaire cabinet member Peter G Peterson created a "foundation" to peddle his disinformation in 2008:
https://en.wikipedia.org/wiki/I.O.U.S.A.
Peterson's go-to tactic is convincing young people that all the Social Security money they're paying into the system will be gobbled up by already-wealthy old people, leaving nothing behind for them. Conservatives have been peddling this ditty since the 1930s, and they're still at it – in the pages of the New York Times, no less:
https://www.nytimes.com/2023/10/26/opinion/social-security-medicare-aging.html
The Times has become a veritable mouthpiece for this nonsense, publishing misleading and nonsensical charts and data to support the idea that millennials are losing a generational war to boomers, who will leave the cupboard bare:
https://www.nytimes.com/2023/10/27/opinion/aging-medicare-social-security.html
As Robert Kuttner writes for The American Prospect, this latest rhetorical assault on Social Security is timed to coincide with the ascension of the GOP House's new Speaker, Mike Johnson, who makes no secret of his intention to destroy Social Security:
https://prospect.org/economy/2023-10-31-debunking-latest-attack-social-security/
The GOP says it wants to destroy Social Security for two reasons: first, to promote "choice" by letting us provide for our own retirement by flushing even more of our savings into the rigged casino that is the stock market; and second, because America doesn't have enough dollars to feed and house the elderly.
But for the New York Times' audience, they've figured out how to launder this far-right nonsense through the language of social justice. Rather than condemning the impecunious olds for their moral failing to lay the correct bets in the stock market, Social Security's opponents paint the elderly as a gerontocratic elite, flush with cash that rightfully belongs to the young.
To support this conclusion, they throw around statistics about how house-rich the Boomers are, and how much consumption they can afford. But as Kuttner points out, the Boomers' real-estate wealth comes not from aggressive house-flipping, but from merely owning a place to live. America's housing bubble means that younger people can't afford this basic human necessity, but the answer to that isn't making old people homeless – it's providing a lot more housing, and banning housing speculation:
https://pluralistic.net/2021/06/06/the-rents-too-damned-high/
It's true that older people are doing a lot of consumption spending – but the bulk of that spending isn't on cruises to Alaska to see the melting glaciers, it's on health care. Old people aren't luxuriating in their joint replacements and coronary bypasses. Calling this "consumption" is deliberately misleading.
But as Kuttner points out, there's another, more important point to be made about inequality in America – the most significant wealth gap in America is between workers and owners, not young people and old people. The "average" Boomer's net worth factors in the wealth of Warren Buffett and Donald Trump. Older renters are more rent-burdened and precarious than younger renters, and most older Americans have little to no retirement savings:
https://www.forbes.com/sites/teresaghilarducci/2023/10/28/the-new-york-times-greedy-geezer-myth/
Less than one percent of Social Security benefits go to millionaires – that's because the one percent constitute one percent of the population. It's right there in the name. The one percent are politically and economically important, but that's because they are low in numbers. Giving Social Security benefits to everyone over 65 will not result in a significant outlay to the ultra-wealthy, because there aren't many ultra-wealthy people in America. The problem of inequality isn't the expanding pool of rich people, it's the explosion of wealth for a contracting pool of rich people.
If conservatives were serious about limiting the grip of these "undeserving" Social Security recipients on our economy and its politics, they'd advocate for interitance taxes (which effectively don't exist in America), not the abolition of Social Security. The problem of wealth in America is that it is establishing permanent dynasties which are incompatible with social mobility. In other words, we have created a new hereditary aristocracy – and its corollary, a new hereditary peasantry:
https://pluralistic.net/2021/06/19/dynastic-wealth/#caste
Hereditary aristocracies are poisonous for lots of reasons, but one of the most pressing problems they present is political destabilization. American belief in democracy, the rule of law, and a national identity is q function of Americans' perception of fairness. If you think that your kids can't ever have a better life than you, if you think that the cops will lock you up for a crime for which a rich person would escape justice, then why obey the law? Why vote? Why not cheat and steal? Why not burn it all down?
The wealthy put a lot of energy into distracting us from this question. Just lately, they've cooked up a gigantic panic over a nonexistent wave of retail theft:
https://www.techdirt.com/2023/10/31/the-retail-theft-surge-that-isnt-report-says-crime-is-being-exaggerated-to-cover-up-other-retail-issues/
Meanwhile, the very real, non-imaginary, accelerating, multi-billion-dollar plague of wage theft is conspicuously missing from the public discourse, despite a total that dwarfs all retail theft in America by an order of magnitude:
https://fair.org/home/wage-theft-is-built-into-the-business-models-of-many-industries/
America does have a property crime crisis, but it's a crisis of wage-theft, not shoplifting. Likewise, America does have a retirement crisis: it's a crisis of inequality, not intergenerational conflict.
Social Security has been under sustained assault since its inception, and that's in large part due to a massive blunder on the part of FDR. Roosevelt believed that people would be more protective of Social Security if they thought it was funded by their taxes: "we bought it, it's ours." But – as FDR well knew – that's not how government spending works.
The US government can't run out of US dollars. The US government doesn't get its dollars for spending from your taxes. The US government spends money into existence and taxes it out of existence:
https://pluralistic.net/2020/12/14/situation-normal/#mmt
A moment's thought will reveal that it has to be this way. The US government (and its fiscal agents, chartered banks) are the only source of dollars. How can the US tax dollars away from earners unless it has first spent those dollars into the economy?
The point of taxation isn't to fund programs, it's to reduce the private sector's spending power so that there are things for sale to the public sector. If we only spent money into the economy but didn't take any out of the economy, the private sector would have so many dollars to spend that any time the government tried to buy something, there'd be a bidding war that would result in massive price spikes.
When a government runs a "balanced budget," that means that it has taxed as much out of the economy as it put into the economy at the start of the year. When a government runs a "surplus," that means it's left less money in the economy at the end of the year than there was at the beginning of the year. This is fine if the economy has contracted overall, but if the economy stayed constant or grew, that means there are fewer dollars chasing more goods and services, which leads to deflation and all kinds of toxic outcomes, like borrowing more bank-created money, which makes the finance sector richer and the real economy poorer.
Of course, most governments run "deficits" – which is another way of saying that they leave more dollars in the economy at the end of the year than there was at the start of the year, or, put another way, a deficit probably means that your economy got bigger, so it needed more dollars.
None of this means that governments can spend without limit. But it does mean that governments can buy anything that's for sale in their own currency. There are a lot of goods for sale in US dollars, both goods that are produced domestically and goods from abroad (this is why it's such a big deal that most of the world's oil is priced in dollars).
Governments do have to worry about getting into bidding wars with the private sector. To do that, governments come up with ways of reducing the private sector's spending power. One way to do that is taxes – just taking money away from us at the end of the year and annihilating it. Another way is to ration goods – think of WWII, or the direct economic interventions during the covid lockdowns. A third way is to sell bonds, which is just a roundabout way of getting us to promise not to spend some of our dollars for a while, in return for a smaller number of dollars in interest payments:
https://pluralistic.net/2021/04/08/howard-dino/#payfors
FDR knew all of this, but he still told the American people that their taxes were funding Social Security, thinking that this would protect the program. This backfired terribly. Today, Democrats have embraced the myth that taxes fund spending and join with their Republican counterparts in insisting that all spending must be accompanied by either taxes or cuts (AKA "payfors").
These Democrats voluntarily put their own policymaking powers in chains, refusing to take any action on behalf of the American people unless they can sell a tax increase or a budget cut. They insist that we can't have nice things until we make billionaires poor – which is the same as saying that we can't have nice things, period.
There are damned good reasons to make billionaires poor. The legitimacy of the American system is incompatible with the perception that wealth and power are fixed by birth, and that the rich and powerful don't have to play by the rules.
The capture of America's institutions – legislatures, courts, regulators – by the rich and powerful is a ghastly situation, and to reverse it, we'll need all the help we can get. Every hour that Americans spend worrying about their how they'll pay their rent, their medical bills, or their student loans is an hour lost to the fight against oligarchy and corruption.
In other words, it's not true that we can't have nice things until we get rid of billionaires – rather, we can't get rid of billionaires until we have nice things.
This is the premise of my next novel, The Lost Cause, which comes out on November 14; it's set in a world where care and solidarity have unleashed millions of people on the project of maintaining the habitability of our planet amidst the polycrisis:
https://us.macmillan.com/books/9781250865939/the-lost-cause
It's a fundamentally hopeful book, and it's already won praise from Naomi Klein, Rebecca Solnit, Bill McKibben and Kim Stanley Robinson. I wrote it while thinking through and researching these issues. Conservatives want us to think that we can't do better than this, that – to quote Margaret Thatcher – "there is no alternative." Replacing that narrative is critical to the kinds of mass mobilizations that our very survival depends on.
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If you'd like an essay-formatted version of this post to read or share, here's a link to it on pluralistic.net, my surveillance-free, ad-free, tracker-free blog:
https://pluralistic.net/2023/11/intergenerational-warfare/#five-pound-blocks-of-cheese
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This Saturday (Nov 4), I'm keynoting the Hackaday Supercon in Pasadena, CA.
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liberalsarecool · 10 months
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But at least billionaires are getting tax cuts!!
We are failing to do the basics in order to give more advantages to the most advantaged.
More and more Americans will lose all their money/savings caring for a parent/grandparents because we refuse to address health care.
Capitalism will not solve this problem. It will only make it worse.
Medicare For All. Tax the rich. Health care is a human right. Private insurance is a monster.
The race to the bottom conservatives will NEVER solve this problem.
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