A survey is only as good as the controls it sets

Lunches have been packed, sleep routines reset, and spelling words called out since students returned to classrooms across Georgia. Now parents, teachers, and students are reviewing progress reports and sizing up what happens during the next half of the grading period.

This point in the school year also gives school leaders an opportunity to review what is working and what might need to be adjusted. During a pandemic, the ability for schools to pivot on a pinhead may be the difference between lives saved and lost.

On the afternoon of Thursday, September 9, 2021, Washington County Public Schools sent out a survey using a Google platform tool asking for feedback from the school community. The survey tool is one I have used as both an executive director and board president of nonprofits.

The school system’s email with the link to the survey was sent to me by parents in the community. The form didn’t ask for any identifying information: no name, email, address, phone number. It did ask if the person responding is a school employee. It could be filled out by anyone anywhere  who had the link. I filled it out and submitted it. Twice.

Friday morning when I returned to the link it said I had already submitted my answer. Fair enough. After poking around with it some during the second of many cups of coffee, I got this:

Washington County Public Schools survey
September 10, 2021

The survey showed my email address, but Google’s software told me it wasn’t collecting anything from my account.

This isn’t the first time the schools have sent out a survey without parameters set on who could fill out the survey, or requiring any identifying information, in order to submit the survey. Last school year I picked up the phone and ended up talking with Dr. Rickey Edmond, who assured me that they were able to collect identifying data even though none was require to submit answers. I told him having seen the backside of these surveys via my Google business account, I’d sure like to know how they were managing that, because it might help me in the future. All I got was, “We can.”

With the broad questions asked in last week’s survey, what can Dr. Edmond  the Board of Education, and school principals really take away beyond how smooth car pick up and drop off are, and general satisfaction with instruction? Is a blind survey the only way for school leaders to know how parents and employees gauge the school year to date? How confident can school leaders, parents, teachers, and students be that the survey sent out on Thursday has the controls and parameters to collect accurate information?

It will be interesting to see what Dr. Edmond and the Board of Education members share with the community. Based on recent inquiries by myself and others concerned about the system’s Covid-19 record-keeping and reporting, my confidence in the quality of information collected and shared by the school system is low. Will the results of a survey available to anyone with email be used to guide judgement impacting not only the education of every student, but the health of the entire Washington County community?

I love a good Open Records Act request

With the return to classrooms across Georgia, I have been following the Covid-19 numbers in public schools in our state. Dismissing the recommended guidelines of the CDC, and the Georgia chapter of the American Academy of Pediatrics, many superintendents and school boards are playing doctor with the health of their own communities. The outcome, with Georgia’s schools back in session for about a month, has resulted in schools opting to be online only, delaying the start of school, pausing all instruction after beginning the school year, and students, teachers, bus drivers, and bus monitors, dying of Covid-19.

Concerned families, school communities, medical providers, and epidemiologists wait on a weekly Friday report from the Georgia Department of Public Health (DPH) for Covid-19 cases and trends in their county. Friday afternoon is also when most school systems release their Covid-19 information to their community. Some school leaders choose full transparency and share all the data they send to DPH for its weekly report. Their communities know the number of confirmed cases, how many people are quarantined, and clusters in each school.* Other schools provide a scant report that often leaves community members in the dark while confirmed cases continue to break records in Georgia.

This data is supposed to help school leaders decide how safe, and effective, it is to keep students in classrooms. Some schools have opted for virtual and printed materials for entire grades, entire schools, or the whole system as a result of data and historic trends.

On Thursday, August 27th, during what Washington County’s school superintendent described as a “fireside chat,” Dr. Rickey Edmond told almost 100 people attending the online event that only confirmed cases matter. He dismissed the number of students and staff quarantined as”fluid.” I agree that number could be considered fluid, because it can change every day. The number of confirmed Covid-19 cases can also change every day. DPH has already elevated Washington County schools to “substantial spread” and “increasing” in its weekly report.

Washington County, GA (map source Wikipedia)

With the state ratcheting up the level of concern for everyone in Washington County’s public schools, and having looked at reports posted by other systems across Georgia, I wondered exactly what DPH requires for its weekly school report. Seeing the reporting form was the best way to know.

A friend once told me, “I love a good Open Records Act request.” Like them,  I also love a good Georgia Open Records Act (GORA) request. On Monday, August 30th, I sent one to the Dr. Edmond, copying the Washington County Board of Education members. My request was, “The information I am requesting is for the information used for the Covid-19 information released to the public on August 13, 20, 27, 2021. I am requesting the Covid-19 reports and/or data Washington County public schools sent to the Georgia Department of Public Health for its weekly school report.” That’s a pretty straightforward request because DPH requires it, the school is supposed to compile and send it, so releasing all of it doesn’t require extra work.

What I got back from Edmond was,  “Reasonable access provided with good faith:
1. In response to your request: Covid-19 information released to the public on August 13, 20, 27, 2021 is attached in a PDF Table.
2. We can’t provide you with “COVID-19 Reports and/or data sent to Georgia Department of Public Health because that information is submitted via electronic portal and the medical form used falls under 50-18-72(a). As a school entity, we must uphold HIPPA, FERPA, and privacy requirements.
3. We have provided you with additional information complied by DPH for your reference.”

Covid-19 data from Dr. Rickey Edmond, Superintendent, Washington County Public Schools, Sept 2, 2021, in response to GORA request

A complete and thorough GORA response should always be done “in good faith,” to use Dr. Edmond’s choice of words. The information sent to me isn’t what I asked for, and doesn’t comply with the GORA request. Dr. Edmond insisted that what they send has lots of confidential information in it. I asked that he redact any sensitive information and send me the form so I could see what the state requires for its weekly report on schools in our state. Additionally, saying that the form is completed online and cannot be released otherwise just doesn’t hold water in a school system with an IT department and virtual teaching capacity. Do they not save a copy of what they submit?

At this point, I was even more concerned about what the school system didn’t want to freely provide to the community. Case numbers matter, but so do the number of students and staff out for quarantine, and the number of clusters occurring in school settings. It is possible a school could have a low case load but a very high number of absences due to quarantine, resulting in dwindling classroom numbers.

What are they reporting that they aren’t telling us, and why is it so important to keep that information from us? As North Central Health District Director Michael Hokanson told me on the afternoon of August 27th, the reporting from schools relies on a good faith effort on the schools’ part.

If schools are sloppy with the parameters for collecting data, the data can’t, and shouldn’t, be trusted. If a school system isn’t carefully tracking why students are absent, for example a dental appointment, strep throat, or a death in the family, what you get at the end of the day is a number that tells you nothing about why those students were out of school. Kids and staff out due to quarantine are going to miss a significant number of consecutive school days. That impacts how they are learning, how teachers must adjust, demand for substitutes, and ultimately, if a system should use online resources to keep students up to speed, and everyone healthy.

Edmond told me to contact DPH to get the form that I ask for in my GORA request. Trying to find the right person at DPH, and actually reach them, is a circle of Hell Dante didn’t know about centuries ago. The staffers I did reach are frustrated and exhausted with how their agency is combatting Covid-19. One told me, “the right hand doesn’t know what the left hand is doing.”

I left messages at schools, emailed schools, and filled out GORA requests via forms school boards provided on their web sites. One school superintendent called me back eager to share blank copies of the weekly form schools send to DPH  and volunteered to send the detailed form required for the district health office. I got the form from more than one system to verify I had the right one.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

What the report requires is the result of counting cases, quarantining of students and staff, and clusters.* This shouldn’t be a difficult thing to record on a daily basis and add up at the end of the week. The Georgia Department of Education created a video to guide school administrators on how to easily complete the form, using “Careful Recordkeeper” as the name of the school staffer filling it out. There is no sensitive or confidential data about anyone at the school required to complete this weekly report.

Dr. Nancy Kreiger at the Harvard School of Public Health recently said, “The answer to having not-good-enough data is to make it really public that it’s not good enough and to figure out, how do you make it better?” Kreiger went on to say about data, “You need good data to do proper planning, to understand what the risk is, how the risk is changing. And you need that to be real data that are publicly available and accessible.”

If a school isn’t committed to collecting accurate data, none of what they report can and should be trusted with full confidence by the state, or the people concerned about the health of every person in that school.

The responsibility of collecting good data falls on the Board of Education requiring it, and the schools led by Dr. Edmond following through.  Thousands of families in Washington County are making life and death decisions for their children and themselves during this pandemic.  For the Board of Education, Dr. Edmond, and school leaders to be satisfied with a refusal to collect good data and share it with families is not only a disservice to Washington County families. It shows a huge distain for the exhausted healthcare providers and DPH staffers working in the county and across our state.

*From GA DPH, “Laboratory-confirmed COVID-19 in two or more people [students or staff] with symptom onset/collection dates within a 14 day period who are epidemiologically linked, do not share a household, and were not identified as close contacts of each other in another setting during standard case investigation or contact tracing”).

When schools think it is ok for a drunk to drive the school bus

Watching the schools prepare to reopen in rural Washington County Georgia is like watching someone pour gasoline on top of an already burning fire. As Covid-19 rates soar in a county that stubbornly refused to access tested and proven vaccines when a state-run vaccination site was set up in the county, the Board of Education is choosing the path of least resistance on healthy safety requirements.

The highly contagious Delta variant will find multiple classrooms ripe for explosive spread. The risk of exposure could be easily reduced if school leaders were willing to take one necessary step to protect those who cannot be vaccinated and those who refuse to be vaccinated-require masks in all indoor situations.

How bad is it in Sandersville and other communities in the county? Bad. Very bad.

Covid-19 risk of exposure, CDC tracking map

The CDC rates the risk of transmission as high. According to the CDC, the percentage of people in the county fully vaccinated is a dismal 7.7 percent despite the easy access to the vaccine provided by the state in the spring when eligibility was expanded. School age students between 12-18 years old are fully vaccinated at a rate of 9 percent. If teachers and staff are in the age group of 18-65, only 9.4 percent of that age cohort have chosen to be fully vaccinated before  returning to the classroom, cafeterias, hallways, and buses.

Yesterday the school system superintendent responded to an email I sent stating that they are following Georgia Department of Public Health (DPH) recommendations. Choosing the Education link on the state’s site takes users directly to the CDC’s site, which recommends masking for all people in schools regardless of vaccination status or age.

Still,  Superintendent Rickey Edmond and the Board of Education are confident that letting 1405 students in the primary and elementary schools, 760 in the middle school, and 880 in the high school, sit in classrooms and move through hallways without a mask on is OK (because let’s be honest, it will not be possible to keep every child in a hallway distanced or properly masked).  There is a Virtual School option only offered to grades 5-12, with limited capacity and criteria for acceptance, that will have 20 students.

The reported cases of Covid-19 in the seven days preceding August 2 are up 161.54 percent. The percent of tests that are positive has climbed by  15.63 percent. Local hospital admissions are up a full 200 percent. Schools haven’t had the first student in a classroom and the caseload is soaring in a county with great doctors but limited hospital services.

Washington County GA school bus

Late yesterday, a news report posted on Georgia Public Radio’s site summed it for me. Amber Schmidtke, PhD., a microbiologist tracking and explaining Covid data for mere mortals like me, said, and I am adding emphasis to her statement”So when this starts to happen [children becoming sick and requiring hospitalization] in a bigger way in Georgia and kids who were previously healthy are on ventilators, I don’t want school superintendents to claim that there was no way this could have been predicted,” Schmidtke said. “We have plenty of warning that the situation in 2021 is more dangerous than a year ago for children. Willingly choosing to endanger children by not doing the bare minimum of disease control and prevention should be treated the same way as knowingly allowing someone drunk to drive a school bus and organizations that do so should be held to account.”

Teachers and staff are preparing now for open houses in Washington County schools, with classes starting Friday. In a community with a rising case load, doubled Covid hospitalizations, low vaccination rates, and school leaders willing to, as Dr. Schmidtke suggests, let a drunk drive the school bus, they are providing the ideal breeding ground for very sick children,  families, teachers, and staff.

It doesn’t have to be this way.

A suggestion for Atlantans frustrated about access to vaccinations

Governor Brian Kemp’s administration has excelled at how to not handle this year-long pandemic. The roll-out of vaccinations has not been an exception to their poor performance in the past year.

That a vaccine is available is a surprise to no one, but the state’s preparation for access to shots has put us last in the country for success. Citizens are frustrated, and rightly so.

Kemp chose to base scheduling on a website and understaffed phone lines. People without internet or computer access have been limited to spending hours on the phone trying fruitlessly to get an appointment. Kemp  announced expanded eligibility for vaccines but the state’s website wasn’t updated to reflect that, which resulted in phone bank staffers turning away people trying to begin their vaccinations. What a colossal waste of taxpayer dollars and time.

Access to vaccine locations has been equally frustrating. The majority of vaccines have only been available in urban areas, leaving rural residents without reasonable access. Five state sites outside the perimeter of Atlanta, capable of serving thousands of people a day, will open today. Scheduling problems migrated to those sites as well.

Now that Kemp has opened up eligibility to more people, people in Atlanta are complaining that they can’t get vaccinated near their homes. Kemp is urging those people to drive to south Georgia for shots.

There are all kinds of reasons this isn’t helpful, particularly for rural Georgia.

With libraries closed, which often serve as the only point of access to the internet and computers for many small community residents, vaccine appointments remain a hurdle they cannot scale. Kemp should have ramped up phone capacity for appointments along with the addition of these new locations.

Most rural Georgia communities lack public transportation. Counties aren’t equipped to get people who lack transportation to vaccination sites. Shots in arms is critical to reducing case load, saving lives, and energizing our state economy, especially as the weather warms up and people think about vacations.

With newly expanded eligibility for vaccination, metro Atlanta residents are complaining about not being able to get their shot a few miles from home. Kemp ‘s best solution is to drive out of town for vaccines. Rightly so, people who don’t get paid time off from the one, two, or maybe three jobs they need to house, feed, and clothe their families, have every reason to be angry. But they aren’t the only ones complaining.

Covid-19 vaccination site, Sandersville, GA

This is my suggestion to people who do have reliable transportation, and can afford to, but don’t want to, take sick or vacation time and miss two days of work to get their shots-quit bitching. Your privilege is offensive to every rural resident who has gone without medical care because they didn’t have the technology available in their home for telehealth, the means to drive a considerable distance to see a specialist, get prenatal care, or visit someone they love who was out of town for care.

Rural Georgians have done without the medical care urban residents have since urban areas developed across our state. Small town Georgians have watched our hospitals close, medical services shrink, and doctors choose urban over rural for decades.

That rural communities have managed to feed themselves for a year  without the ease of Instacart or Door Dash is a testament to their abilities. There hasn’t been same day, or even next day, Amazon delivery for school and household supplies. Streaming anything on the web for entertainment, education, or work hasn’t been an option for too many families.

After all that we have managed to survive, having to drive out of town for a vaccine that will protect you, your family, neighbors, and coworkers, should be the last thing you complain about right now. Make an appointment, put gas in the car, choose some podcasts or audio books to listen to, and drive yourself to a place where people just as eager, but less privileged, have waited just as long as you have to get a vaccine.

The coming tsunami from a healthcare provider’s perspective

Earlier this week I contacted a friend who is a healthcare provider in an urban Northeastern city. They offered to share their personal experiences and perspective on the pandemic as time and energy allow. I am grateful for their insights and commitment to serving the public. I promised that they would not be identified.

March 19, 2020
Let me preface these reflections by stating that I am not truly on the “front lines” at this moment, but I do work with both inpatients and outpatients at a large hospital in the Northeast.  My job brings me into direct contact with people who have infectious diseases, some of which may be undiagnosed, on a regular basis.  In the past, I worked in EMS through the HIV/AIDs crisis, the Swine flu, SARS, H1N1 and was never as apprehensive as I am right now.

The anxiety and fear here are palpable.  It’s like waiting for a predicted tsunami, but a tsunami scenario from which there is almost nowhere to escape.  Most of my social circle (which includes medical and non-medical people) are experiencing this same feeling.  If you aren’t concerned you should be.  Those of us providing healthcare at any level have an increasing sense of dread and worry about what is happening. We wonder about tomorrow, next week, next month and what we will be doing – fear of the unknown.  We hear the cries of our colleagues in Italy and other countries who have more sick patients than they can handle, making heart wrenching decisions over who can be saved, trying to allocate scarce equipment resources appropriately, and daily having to choose who will get the chance to live and who will be left to die.  It’s a situation that medical providers face in any disaster, but this pandemic may last months.  The weight of all of this is already taking a physiological and emotional toll.

As we reduce and eventually eliminate outpatient services and move towards telemedicine provider visits, it means that healthcare providers will most likely transition to other areas of the hospital to supplement staff.  Imagine being told that instead of your marketing job, tomorrow you will be doing engineering. You know the product and its capabilities, but you don’t know its design or how to troubleshoot problems when it breaks down.  Yes, some skills and knowledge can be carried over to another role, but there is a big learning curve…and in this case lives are at stake.  This is a scary situation for care providers because we pride ourselves on providing safe, competent, efficient, and compassionate care.  But as patient numbers increase and providers become sick, this situation is inevitable.  Angst. Worry. The feeling of impending doom.

While much of the public is shielded from hourly updates on COVID-19, we are not.  Our protocols, procedures, staffing, equipment, and communication with coworkers have all changed and continue to update throughout each workday.  As the daily stress levels mount for us, we stare in disbelief and horror at the news watching thousands of people on the beach in Florida, or out in Spring Break mobs in bars, carelessly crowding each other and spreading this virus.  We have difficult conversations with friends and loved ones who still may be amongst the “non-believers”.  We know it is real.  This is not the flu.  This is not hysteria or the fault of the media.  Get your head out of the sand before you infect your elderly parents or grandparents, your neighbor, your friends.

Some may not survive this.  Some of my coworkers may not survive this.  I don’t want to see your loved one die alone – yes, ALONE. Think on that for a bit.  That thought terrifies me and it should terrify you.  We have the benefit of learning from the experiences of China, South Korea, and Italy.  They have told us to listen to their lessons, their mistakes.  Let me tell you that I wept listening to health care providers talk about their dire situation.  It’s the recipe for career ending post-traumatic stress disorder.  I have already experienced enough sadness in the healthcare field in my prior role as a street EMS provider.  I don’t need to take on more.  But that is what the healthcare providers need to do, and what we are expected to do.  I am willing to do my part, to go where I am needed, to do anything I can to help you or your loved ones in this pandemic.  Please do your part and stay home.  My life may depend on important action.

Forecast for Covid-19 in the United States

Covid-19 forecast from University of Massachusetts Amherst,
March 11, 2020

Real data and solid research matter. Read it. Share it. Use it. The information below is taken directly from the link in this post.

Results from Survey 4 (administered March 9-10, 2020)

  1. Experts predict a four-fold rise in reported cases in the US over the next week. They predict 1819 total cases (80% uncertainty interval: 823-6204 cases) of COVID-19 will be reported by the CDC on Monday March 16th, more than 4 times the CDC reported number of cases as of Monday, March 9th.
  2. The majority of experts (20/21, 95%) expect COVID-19 will reach community-level spread in the US

  3. Experts expect that community-level spread will occur in the US within 3 weeks (80% uncertainty interval: 0-10 weeks).

  4. Experts anticipate 44 US states will report cases of COVID-19 within one week (80% uncertainty interval: 39-48 states).

  5. Experts believe that only 13% (80% uncertainty interval: 4-30%) of all COVID-19 infections (symptomatic and asymptomatic) in the US were reported to the CDC as of Monday, March 9th.

This implies that as of the beginning of this week there were between 1410 and 10575 undiagnosed infections with COVID-19 in the US. 6. Experts believe that nationwide hospitalizations for COVID-19 will peak in May. 7.

The above results include answers from 21 experts.

The arc of justice is long

Dean Alford

Earlier this afternoon the Atlanta Journal Constitution sent out a news alert concerning the resignation of Dean Alford, a member of the Georgia University System’s  Board of Regents. Alford was recently reappointed to the Board by Governor Brian Kemp.

The newspaper details that the Georgia  Attorney General and the Georgia Bureau of Investigation issued arrest warrants for Alford for creating a fraudulent invoice submitted to the state, and for forging the signature of a university employee.

What did Alford do?

The paper’s coverage includes, “Alford is accused of creating a fraudulent invoice acknowledgement form, dated Sept. 24, to submit to a company called Versant, state officials said. The document is alleged to have falsely asserted that the University of Georgia would pay Versant $487,982.88 to satisfy a debt owed to Alford’s own company, Allied Energy Services, LLC, located in Rockdale County.”

That’s not the biggest amount of money, according to the AJC. The article continues with, “He’s also suspected of transmitting fraudulent documents to Versant to make the company believe he had legitimate purchase agreements and accounts receivable with various entities, state officials said. Alford was attempting to sell such accounts receivable to Versant in exchange for $1,798,327.06, investigators said. ”

Alford purchased Allied Energy Services for pennies on the dollar when a judge ordered Cobb Energy holdings, a private shareholding company spun off from the nonprofit Cobb EMC, to be dissolved. Alford’s “haul” at Cobb EMC, the electric membership co-op in the north Atlanta suburbs, was close to $18Million according to 2015 news coverage.

But there’s more. Much more.

Allied Energy Services was awarded a no-bid contract to develop Plant Washington, a $6Billion proposed coal plant that soaked up millions of dollars from EMCs in Georgia under the umbrella of Power for Georgians. The electric co-op in Washington County, Washington EMC, sunk $1Million of member-owner dollars into the boondoggle plant, slated to be built just miles from my home, and the homes of a small group of local citizens who became the Fall-Line Alliance for a Clean Environment (FACE). Alford never secured financing, power purchase agreements, or customers. FACE has never wavered in its grassroots committment to protecting our natural resources and the health of our families and friends.

January 25, 2012

The adventures of FACE, and those of others in Washington County, have been detailed on this blog since Plant Washington was proposed in January 2008. The saga involves seeing fellow citizens for who they truly are, or are not. FACE leaders earned the rights to our story through hard work and selfless determination.

I’ll close here by adding that FACE and our partners have waited years to throw the biggest celebration to ever happen in Washington County. We’ve got a party to plan and invitations to send to those who stood with us.

How We Have Failed Since September 11, Redux

First posted here on September 10, 2014

How We Have Failed since September 11

Tonight President Obama will address the nation about ISIS and any actions that we may take in response to the horrific murders of Americans and innocent civilians at the hands of terrorists.

Tomorrow there will be an observance in my community, and many others, to honor the thousands of lives lost to hate and terrorism, and to support the families and friends who knew someone they loved would never return home again.

Since September 11, 2001 we as a country have talked a lot about being kinder to one another and being a better country. Yet 13 years later this is what consumes us as a country:

  • fighting about allowing two consenting adults of the same-sex to legally marry each
  • failing to take care of the thousands of veterans who have defended our country, many of whom returned with horrible wounds from the Middle East since September 2001
  • allowing private corporations to decided which forms of legal birth control they will cover for employees through company based health insurance because some corporations should have the same privileges as churches
  • granting corporations the same rights as citizens so businesses can pour money into elections and our representatives’ pockets
  • making it harder for citizens to exercise their right to vote
  • subsidizing corporations with huge tax breaks while their employees working full-time never earn enough to break the poverty barrier
  • denying the hard facts of science because profits should come before cleaning up the mess we’ve made of the entire planet
  • deporting children
  • complaining about failing schools while slashing teacher pay and testing our children to death
  • sitting by silently while racism and sexism are displayed proudly
  • being sure we can take our assault rifles into the grocery store
  • we pay for and support violence on playing fields, in the movies we watch, video games we buy, music we listen to, and television shows we watch, but we react with horror when students are sprayed with bullets in their classrooms, women are drug from elevators by their hair, students are bullied, children and women are raped as well as being forced into prostitution
  • too many among us are convinced that their brand of faith should be followed above all others, and if necessary the rights of other citizens should be denied because they choose to worship differently, or not at all

We absolutely should remember and honor the victims of September 11th’s violence. I’m just not convinced we are a country that is a better reflection of the democratic values and freedoms which terrorists intended to destroy 13 years ago.

 

Can Governor Kemp deliver for rural Georgia?

Today marks a new era in Georgia, one that follows a contentious race for the governor’s mansion. Will Brian Kemp and the GA Legislature deliver on promises to rural voters?

Rural hospitals are fragile, while access to care is difficult in regards to insurance coverage, number of providers, and transportation. Will legislators swallow hard and request a waiver so much needed federal dollars can make their way to rural citizens and providers?

Will rural residents, and by rural I mean the ones who live on dirt roads or outside any semblance of a crossroads or town, begin to see a solution to high speed, affordable internet access? This infrastructure impacts businesses, schools, and the attractiveness of living in rural communities.

How will Kemp and the legislature handle districting when the census is completed? This issue didn’t get a lot of coverage during the campaigns, but it will impact rural Georgians in big ways as populations continue to shift to more urban areas. What about safe and secure voting?

The clock starts today. When the 40 day session ends, what will wait until 2020, or arrive on Gov Kemp’s desk to be signed?

Two things about this election

There are two things I’ve thought before the election and remain committed to as we wait for more votes to be counted.

1. Georgia needs to change our Constitution to require a Secretary of State to resign if running for a different office. Changing the Constitution shouldn’t be the path to solving every problem, but it is the only way to address the less than above-board election this year, and protect future contests.

2. Yes, Nancy Pelosi has raised lots of money for Democrats, and yes, she corralled Democrats during difficult issues (Democrats say Pelosi has eyes in the back of her head, knows who is in the room, and how they will vote at any given moment). When do we make room for a new leader like this if not now? Could Pelosi be an interim Speaker with a transition plan to pass the gavel, as suggested by my friend and former Congressional candidate Carol Miller of New Mexico? With a wave of newly elected “firsts” across the country, it is time to pass the role of Speaker to someone with solid knowledge of the House and Congress. There is a role for Pelosi, but it shouldn’t be as Speaker of the House.

When the data scare folks

Earlier this week I found this nifty tool for comparing the healthcare plan proposed by the Republicans (Trumpcare) to the current plan in place (Obamacare). Let’s call the plans what they are, since the Republicans considered attaching the former President’s name to the health care plan he championed, which provided affordable insurance to over 20Million more Americans, as a negative way to tag the plan and policies.

I also shared the Kaiser Family Foundation’s tool in a FaceBook group that was put together to support the hospital in my rural county. All I did was compare the differences in costs for a 60 year-old making $40,000 per year. I used the names Affordable Care Act and Affordable Health Care for America, not Obamacare and Trumpcare, respectively. I didn’t even mention either President or member of Congress by name.

Yesterday a local man took issue with posting the tool and providing the difference in coverage costs as criticism of the plan and the hospital. I responded today:

I am sharing the data. The tool allows people to use it themselves if they choose to do that. Both plans impact the access to care, and affordability of that care for local residents. Both plans also directly impact our hospital.

If we want to keep our hospital open and viable, it will take a combination of many funding streams- that’s not a criticism of the hospital. Hospital admins and leaders have been frank about the diverse source of funds and payer load that is required to keep the hospital open. I have not named any elected officials, nor criticized anyone, OR provided any information that can’t be verified. If sharing information in a polite and civil forum “stirs people up,” that is something that people who are “stirred up” must resolve for themselves. I’m not afraid to do some of the work of being an informed citizen, and share what I learn if others want to use those resources. The proposed legislation is being fast-tracked, so there isn’t a lot of time to “wait for all the data to be processed.”

I’m smart enough to look at the numbers myself and work through the differences- I don’t have to wait for someone to explain it to me.

Have a good day and weekend.

What’s so scary about a an easy-to-use data tool with information that is readily available and verifiable? What’s to get “stirred up for no reason” about looking at information yourself? And perhaps worse, why does anyone think that we ought to, “wait for all the data to be processed.’? Even though this in a complex problem, it isn’t rocket science.

Why are Trump supporters so unhappy about comparing Trumpcare data to Obamacare data?

The mansplaining and “don’t you worry missy, wait until someone can explain it all to you” is another problem. If you look at the provisions for women’s health care in the Trumpcare plan, and the lack of respect for women and our ability to make information decisions about our health and bodies, well, no wonder this man thought I needed to just sit down and be quiet.

Clearly I didn’t take his words to heart.

One way the Republican health plan will impact my rural county

Last night I used this nifty tool released by the Kaiser Family Foundation to calculate how the proposed health care bill released by the Republicans Tuesday night will impact Washington County.

In Washington County, if you are 60 years old and making $40,000 a year (per capita income is under $38,000 in my county), the Affordable Care Act (Obamacare) health insurance tax credit in 2020 will be $7,800. The House plan would provide a credit of just $4,000 in 2020. That means the cost of buying health insurance for a 60-year-old making $40,000 per year will GO UP by $3,800 if the Republican plan is adopted.

Washington County health data comparing ACA and proposed plan from Republicans

Under the current plan, insurance companies are capped at charging three times the amount charged for coverage for younger people. Under the Republican plan the cap increases to five times the cost of rates charged to younger people.

There are also considerable cuts to Medicaid and Medicare.

All of these proposed changes will impose serious financial and health threats to people in my county who may not be able to afford insurance any longer, and these expenses will be added to the other cuts to funding in the proposed legislation. These factors, plus others in the proposed plan, do not bode well for our hospital or facilities in other rural communities.

Last May Washington County voters took on a bond to support our hospital, knowing that the bond could not solve all of the financial problems for our struggling facility. We still have work to do if we want to keep our hospital open.

If your plane has been hijacked….

This saying has been circulating since the election, and I understand the thinking behind it.

It also reminds me of the passenger-heroes of Flight 93, who overtook hijackers on their September 11, 2001 flight, forcing the plane to crash in a Pennsylvania field instead of its intended metropolitan target.

If your plane has been hijacked, and you know it is on a suicide mission, do you sit by idly? Or, do you organize and try to regain control of the plane, putting it on its right course?

Nine points on Trump’s “press” conference

There were LOTS of things said during Trump’s “press conference” today that either conflict or contradict what he has said or Tweeted in the past, or were simply outrageous. A few of the highlights:

1. Trump made all kinds of claims about removing himself from any business conflicts, or rather his attorney did in an eye-glaze-over statement. He also said he could manage to run the government and his companies too.

2. The President-elect almost stomped his feet while trying to make CNN reporter Jim Acosta quit asking a question, finally resorting to “You’re fake news.”

3. Despite statements from Congressional Republicans that they aren’t prepared to repeal and replace ACA in the near future, Trump said all that would be happening soon.

4. He wants a report on hacking within 90 days from US intelligence agencies. Didn’t he get a report last Friday?

5. Trump asserted that, he “will be the greatest job producer that God ever created.” That’s a pretty bold statement. Will Trump singularly receive confirmation that he has hit that mark? Will it be Tweeted so everyone can see it? And what happens if things aren’t going well and God decides we need a course correction?

6. Only the media wants to see his tax returns. Um, no, lots of Americans want to see them.

7. Of his Cabinet choices, Trump said, “generally they are smart.” I sure wish he would identify the ones he thinks aren’t so smart.

8. Trump says the wall on the Mexican border will be built, and he isn’t willing to wait on the funding from Mexico. He wants American taxpayer dollars sunk into it now.

9. After a rambling event that included shouting at a reporter, Trump was asked what will happen if his sons don’t do well with running the family businesses. He gestured towards the stacks of papers that are supposed to demonstrate some type of disconnection between the President-elect and his businesses, and then, pointing to his sons, said, “You’re fired.”

Except Trump also said he won’t know what is happening with his family companies because his sons aren’t going to discuss them with him. How can Trump fire anyone if he is in the dark?

 

 

Trump has no idea how our government works

Today Trump said he would call a special session of Congress to roll back Obamacare if he and a Republican controlled Congress are elected.

He can’t do that until he is sworn in. And duh, guess who else will already be in town and ready to work?

We can’t afford to have a President who doesn’t have a clue on the mechanics of our government. And shame on voters who don’t know better either.

Trump’s word salad with a side of crazy

Yesterday Donald Trump served up a word salad about the rate increases rolling out for 2017 coverage under Obamacare. It raised the question among reporters and pundits about whether Trump even understands the most basic premise of Obamacare.

Trump told Fox News, as Tweeted yesterday by Sopan Deb at CBS, “Well, I don’t use much Obamacare because it is so bad for the people….”

What Trump fails to understand (about this and pretty much anything else in a real world), is that he ISN’T using Obamacare, nor are any of his companies, because coverage through the Affordable Care Act isn’t offered to companies. Instead, individuals buy the coverage themselves.

Trump doesn’t know “he” isn’t using Obamacare at all. He doesn’t understand the very basics of how the plan works or who can use it.

Instead, as reported by Huffington Post, David Feder, General Manager at the resort Trump owns in Miami where the Republican nominee trotted out this absurdity, approximately 95 percent of the employees there are covered by insurance offered by Trump’s company. It isn’t a skimpy plan either,  according to a review of a policy shared with an analyst.

So Trump thinks he’s paying for Obamacare, but he doesn’t use it much, “because it is so bad for the people and they can’t afford it.” He is spending more money on coverage, but not using it. And yet the “people” interviewed are “happy with their health coverage.”

Trump served up a word salad with a side of crazy yesterday.

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Women don’t get to call in sick

Hillary Clinton has pneumonia.

Richard Nixon drank too much and took powerful prescription drugs while he was in the White House. Ulysses Grant drank whiskey throughout the Civil War and two terms as President. FDR and Winston Churchill stayed up all hours drinking together. Georgia W Bush choked on a pretzel, fainted, and scuffed up his cheek while watching a football game in the White House private residence. Bush’s father, George H.W. Bush, threw up and fainted during a state dinner in Japan. Ronald and Nancy Reagan consulted astrologers throughout Reagan’s political life. Their son, Ron Reagan Jr., wrote that he began to suspect his father was in the early stages of Alzheimer’s disease in 1984.

Could Hillary skip out on memorial services for September 11th victims and claim she was doing it on doctor’s orders? No. Short of her own death, she had to put on the mandatory Kevlar vest, add a shirt and dark pantsuit, and head out into warm weather for a service. It didn’t matter that her doctor told her to take a break for a few days.

Like millions of other women, she doesn’t get a day off to be sick. Women step up every day to care for aging parents, their children, and grandchildren while they undergo chemo, recover from surgery, and work multiple jobs. There aren’t many “sit this one out” passes for women. Today’s world doesn’t allow that. After all, women make 79 cents on the dollar compared to men, so we can’t afford time off.

The grueling schedule required for a candidate is exhausting. Fatigue is brutal. Hillary got sick. She’ll get over it. We should too.

So long 2858

The Friday Photo
April 15, 2016

Thanks to early diagnosis, incredible family and friends, and a great medical team, tonight I am saying so long to 2858, otherwise known as a daily cancer treatment. It has been a good five years- I am ready to fly solo again.

And the winners are…..

Current leadership in the Georgia General Assembly never fails to disappoint. This year’s session has been a catalog of hate-baiting legislation against LGBTQ citizens and people of faith (and no faith). Rape victims have been dismissed, and Georgia’s Guns Everywhere mentality threatens campuses across our state.

Creative Loafing Atlanta didn’t wait until the end of the session to announce this year’s Golden Sleaze Awards. If you want to hear keen political analysis of this year’s General Assembly session in Georgia, tune in to GPB’s Political Rewind at 3:00 this afternoon.