Artur Davis: Another Thing Obamacare Got Wrong

It’s a good time to revisit a point that I made a year or so ago on George Stephanopolous’ “This Week” program. The new health-care law, for all of its moral claims about making medical coverage universal, will end up falling about six million people short of that goal, and the individuals left out of the equation will be the very low income uninsured who are touted as the primary beneficiaries of Obamacare. The New York Times has just summarized the reasons. While the law substantially expands Medicaid eligibility beyond its current focus on children and low wage families, the Supreme Court’s rewrite of the statute last summer has permitted states to opt out of the expansion with no penalty, and to date, 25 states have done just that. Under the new law, there are no provisions to capture the sizable pool of people whose states decline to raise their eligibility standards and who don’t qualify for traditional Medicaid: that is, low income but able bodied adults with no children, and adults with children but whose income is between 32% and 100% of the federal poverty level (which translates to between $6,250 and $19,530 for a family of three).  And Obamacare’s insurance subsidies for lower middle income families were allotted exclusively for individuals or families earning above the poverty line.

The political blame has rested primarily with the Republican governors who have not been moved to accept the strings and, post 2018, new financial obligations that come with growing their Medicaid program, despite the large numbers of working, uninsured poor who live in many of their states.  But there is nothing unpredictable about cash starved states with a low tax base, or states whose voters are overwhelmingly hostile to the new healthcare law, refusing to assume responsibilities that will be unpopular in the short term and costly in the long term. Nor is there any huge surprise that the component of Obamacare which was supposed to avoid this dilemma, a draconian demand that states accept the expansion or risk their whole federal Medicaid match, would face a severe legal fight.  In fact, the same Supreme Court that sharply split over the constitutionality of the insurance mandates in the Affordable Care Act agreed 6-2 that the “take it or risk your whole program” threat was illegal.

davis_artur-11Given those realities, one of the centrist criticisms of Obamacare—the argument that it is needlessly ambitious and overshoots the aim of extending insurance to Americans who couldn’t afford healthcare—seems to have been borne out.  There were any number of viable ways the White House and congressional architects could have avoided this trap, ranging from taking then Chief of Staff Rahm Emanuel’s advice to shelve broad-based reform for a more targeted version that would have shored up Medicaid and picked up 100% of the tab, to establishing a pool for catastrophic coverage for low wage earners facing medical emergencies. Or, in other words, abandoning the expensive and complex array of reforms in service delivery and doctor reimbursement that have muddled the law without building its popularity, in favor of a straightforward low-income assistance program.

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Artur Davis: Another Thing Obamacare Got Wrong

Julie Rath: Do You Wish You Got More Sleep?

Sounds good, right? With some foresight and planning, you can save valuable time in the morning so you can have that extra 10 minutes in bed. Read on for 13 tips on getting out the door quickly, efficiently, and of course stylishly.

Men's Personal Stylist: Wardrobe Valet
1) Lay your clothes out the night before. We learned this back in grade school, but at some point along the way we stopped doing it. If you have the space, get a wardrobe valet to keep things neat and visible as you make your selections. It also helps to check the weather so you can decide on what shoes and outerwear you’ll need.

2) Maintain an organized closet so that you can find everything you need the moment you need it. For my tips on how purge your closet, click here.

3) Once you’ve cleared out the things you don’t need, keep your clothing organized by type (suits with suits, blazers with blazers, shirts with shirts, etc.), then by color within each type. Again, it’s all about easy access.

4) If you don’t have heavy beard growth, shave the night before. This also reduces irritation.

5) Put your keys on top of anything you need to bring with you, like the Netflix envelope you’ve been meaning to mail for the past few days.

Men's Image Consultant: Supply Basket

6) Keep all the things you know you’ll need right before you walk out the door in one handy place, for example in a basket in your closet, or in a hallway drawer. This might include a lint-brush, hair product, glasses, sunglasses, change for coffee/the paper, mobile device, wallet, office security badge, transit pass.

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Julie Rath: Do You Wish You Got More Sleep?

Josh Bowen: Bacon or Eggs – Part One

“The quality of a person’s life is in direct proportion to their commitment to excellence, regardless of their chosen field of endeavor.”
– Vince Lombardi

What is the difference between dedication and commitment? As one of my best clients I ever had told me years ago; the difference between commitment and dedication is like the difference between the bacon and eggs. The chicken is dedicated, dedicated to hatching eggs for all of us that love eggs. However, the pig is committed. committed to the cause and willing to sacrifice their life so all of us can enjoy the great taste of bacon.

So here is what I have done:

1. Given you a visual of the difference between being dedicated to something and being committed

2. Completely over-dramatized the difference between both dedication and commitment and bacon and eggs

3. Introduced my next piece on how to become committed

Extra Credit: Hopefully I made you chuckle…just once.

joshLet’s bring it back down to planet earth now. Commitment is a huge part of success in anything, not just fitness. However, without commitment to the cause, the results will become hindered and adherence to exercise maybe damaged. So lets first look at some common reasons that challenge people’s commitment to fitness.

1. Time- We live in a world that goes from 0-60 the moment your feet hit the ground. It is easy to use the excuse of “I don’t have time.” Here is the hard truth, we are all given the same amount of time everyday, how we use that time is on us. An hour of exercise a day is 4% of your day. Honestly, in some cases you could get by with 10-20 minutes of exercise. So now you are telling me you don’t have time? Dedication versus commitment.

2. Cost- Money is always an issue in things that are perceived to cost money. Gym memberships, personal trainers, fitness clothes, organic food etc. can sometimes interfere with people starting and/or continuing a fitness program. Truth is fitness can be free. With the wealth of information out there (ie my blog) that is free one can start and continue a program without really having to shell out any cash. However, if buying a gym membership and maybe a personal trainer (come see me!) is what you want to do but are scared of the cost remember value versus cost. If you see value in something you can always budget for it but if you look at it as a cost it will always be just that, something else you have to pay.

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Josh Bowen: Bacon or Eggs – Part One

Jeff Smith: Do As I Say — A Political Advice Column

Jeff SmithQ: If you were Anthony Weiner, would you run for mayor?
—L.G., Brooklyn

Full disclosure: Not being a native, I’m just learning New York City politics.

I always find irony—and sometimes tragedy—in the stories of disgraced pols who rush for immediate reinvention in the same ego-nurturing and soul-crushing arena that initially got them in trouble. It’s as if the Weiners and Sanfords of the world have determined that the artificial politico personas they have so painstakingly created are the only versions of themselves that they can still recognize. But true redemption requires you to hit the pause button, to sublimate ambition and reflect on what truly matters.

That said, if I were Weiner and felt that I’d done the necessary reparative work in my personal life, I’d run for either comptroller or public advocate. Though comptroller candidate Scott Stringer is familiar to Manhattanites, no one in either race has high citywide name ID, so both would be easier races and would be outside the blinding glare of a mayoral campaign. Of course, Weiner would still get more press than just about any candidate in the country, except perhaps the two who make the mayoral runoff.

In a nutshell, if he loses his next race, he’s done. So if he wants a career in public life, he should pick a race without a well-known front-runner like Christine Quinn. Then he can get time in a low-profile office where he could rehabilitate and position himself for a mayoral race in which his chances are better. Given his skills at self-promotion, this would seem reasonable. But right now just seems too soon to go for the Big Enchilada.

Q: I’d like to run for office in the next decade, but I’m a Democrat in a Republican-leaning area. I could move a few towns over and run as a Democrat, or I could switch parties and stay where I am. What would you advise?
—K.G., Location fluid!

You might also have noted in your signature that your principles are fluid.

I understand party affiliation can be easily shed—hell, look at Mayor Bloomberg. And I’m not averse to the concept; I helped an old friend switch parties years ago, and he may end up becoming Missouri’s next governor. But you seem a bit too malleable—willing to move, willing to switch parties, whatever it takes.

Ideally, a candidate needs a strong set of principles and a deep commitment to his community. Often candidates have one or the other. You appear to be lacking both, which is troubling.

It’s one thing to be a hungry candidate. It’s another thing to be starving. If I were you, I’d try to nail down exactly why you’re a Democrat, and then do some civic work in your community. Then write me again in a few years and I’ll be glad to help.

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Jeff Smith: Do As I Say — A Political Advice Column

Josh Bowen: What is your Fitness Personality? 3 Questions You Must Ask Before Starting a Program

There are many; articles, blogs, and research in general about exercise/fitness written and seen everyday. Today’s media is obsessed with showing us the latest fitness fads to boost ratings and make mucho dinero. We are all inundated with countless “lose 10 pounds in 6 weeks” tag lines everyday of our lives. From P90X to Insanity to diet pills and the latest fad diet, this country is on fitness overload. But there remains one problem…we are STILL the fattest country on planet earth. Why? Why do millions of Americans sign up for a gym membership and stop using it after three months? Why are diet books sales at an all time high but yet obesity rates continue to climb? I have found a glaring hole in this fitness lexicon; personality.

Personality? I thought everyone was suppose to do three sets of 15 on the bench press, eat the same food over and over and hop on the treadmill for 30 minutes? Where the hell does my personality come into play?

joshHaving been a trainer 10 years, I will say the most important lesson I have learned is; the client’s personality, goals and abilities dictate how I train them not what I want. Personality traits have been used for years in other industries to pick workers in the right career position or match single up for date. Why do we not include this when participating in fitness?

Today we start. Here are a few questions you should ask yourself:

1. For your workouts to be a success, do you find you need to be continually challenged or have more structure?
This is a great question that will forecast where your fitness journey will take you (at least at first). If challenge is what you need, we first must define what challenges you. Running, lifting, obstacle courses, cross training can be challenging on different levels, if your personality drifts that what, keep it fresh to keep from getting bored. If structure is what you need, switching things up to quickly may overload you. CrossFit or P90X may not be something for you if structure is your goal. Keeping your exercise somewhat predictable may allow for more adherence and consistency. What if you don’t know or you have never exercised? Think about what you prefer in everyday life and apply it to your exercise program.

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Josh Bowen: What is your Fitness Personality? 3 Questions You Must Ask Before Starting a Program

Christie Mitchell: Spilled Milk and Crying In Business, From A Woman’s Point of View

We’ve all heard the saying, “It’s better to win the war, not the battle”.  But what defines a battle, and what defines a war?  When are you seen as wise, and when are you seen as a chicken?  Better yet, as a female – which of your actions revere you respected, and regretfully, what of your behavior leaves the all too familiarized impression of being “hormonal”?

When I am mad, REALLY mad, I cry.  I cry because I spend 50 percent of my day internalizing the raw emotion felt by others.  That “responsibility” as I’d like to call it, leads me to subsequently ration it into specific places as to find a way to improve the entirety of the situation.  I do not spend enough time thinking of myself…not even a small piece from the left over pie.  Instead, I work diligently, compartmentalizing and structuring a plan that will result in enjoyable, elated coworkers leading to extremely profound results.  So, when 50 percent of my time – time dedicated to a quiet, diligent effort to sustain a respectable, productive existence for those around me crumbles, well, I cry.

Christie MitchellCrying is most always seen, regardless of sex, as weak (unless you are Jennifer Lawrence who literally burbs rainbows, Mathew McConaughey or in recent years, Justin Bieber).  Crying is never depicted as a strong attribute.  You can be winning battles and wars, slaying dragons, closing deals, negotiating people right out of their skin…but the only carnage you create that truly gets noticed is if you cry.

Yet, and I have no source to site or reference to footnote, I truly believe it is the strongest form of passion and compassion for one’s job that can truly be witnessed.  Hand me a reason to care about my job, my co-workers, my bosses, the betterment of all and the betterment of those we serve – and guess what?  From time to time, you will see me cry.

Give me a situation where I don’t care?  Well, chances are, if I haven’t cried at least once – and publicly – I won’t be there long.  If I find my tear ducts dry for too long, that is my signal: CODE BLUE! We have a problem. ABORT MISSION.  This isn’t worth crying over.

Why?  Because there really is no use crying over spilled milk.  And as a woman, I think I should know what’s worth a tear or two.  If this makes me weak in the eyes of the many?  Eh, so be it.  I’m going to remain steadfast on this principal and work hard to command attention and gain respect one battle dissolved, one war won, one tear shed at a time.

Josh Bowen: Fitness Through My Eyes

joshI want to warn everyone that reads this, if you are not open minded and are stubborn about changing the way you view exercise and nutrition please stop reading now. What I mean by this is these are 17 facts that I have learned through 8 years as a personal trainer and coach and 15 years of personal workouts. Some of these I have learned the hard way and others are as clear as day but all are a list of facts that will help you achieve your goals (as long as you choose to accept it.)

  1. Steady State Cardio will not get YOU Results- I see it everyday, gym goers check in the gym and immediately head for the treadmill or elliptical. If you asked them what their goals were they would say body fat loss, increased muscle tone and weight loss. OK? Why are you heading for the treadmill then? Take a U-Turn and head for the weight section. And yes I am talking to you, all of you! Big, tall, skinny, small I don’t care we all need to spend some quality time with the weights. Period. Next!
  2. Resistance Training will boost your Results- A continuation of number 1. All shapes and sizes should be picking up resistance training. Increased; metabolism, decreased osteoporosis, feel better and look better. What else do you need? Nothing that’s what.
  3. The Word “Tone” Does not Exist- So stop saying it. In muscle anatomy and kinesiology there is not term muscle “tone.” When you use this term you mean less fat and more muscle or “lean.” Let’s lose this term please.
  4. Static Stretching is a Waste of Time- Don’t stretch, warm-up. Doing the old school 1980’s Jane Fonda stretching routine is not going to make you more flexible and its not going to decrease chance of injury. Instead of bending over and touching your toes, get on a foam roller and roll your hamstrings out. Instead of stretching your hip flexors, do some explosive reverse lunges to a knee tuck. Stop stretching, thank you.
  5. Bananas are not the only Food in the Universe that Have Potassium- quite the contrary there are better foods, with less sugar that has plenty of potassium. Broccoli, kiwis, and sweet potatoes just to name a few are packed with high amounts of potassium. Bananas have too much sugar, eat apples or kiwis instead.
  6. Squat, Everyone- Everyone should squat regardless of what your doctor tells you, if you can’t squat you can’t use the toilet. Think about that. Enough said.
  7. Deadlift, Everyone- “Dead lifts are for men.” Oh yeah? Have you ever picked a box off the ground? You just did a deadlift. Dead lifts are great for developing posterior strength (you need that mister I sit at a desk all day) and are a great overall body developer. Do them but do them right!
  8. Stop Swinging the Dumbbell Around in an Attempt to Warm Your Shoulder- This doesn’t need much explanation but I see people do this all the time and it’s dumb. Your rotator cuff muscles are as thin as paper and applying this type of circular motion with added resistance is bad news. Just stop it!
  9. Perform Multi-Joint Movements- if your goal is decreased bodyfat, increased strength and better overall bodies start squatting, deadlifting, pressing, and swinging. If you goal is to be a body builder and you want bigger arms, continue doing bicep curls.
  10. Walking Does not Count As Exercise- Humans were made to walk, we are blessed with great mobility and the ability to run, sprint and walk. You cannot count walking around the block as vigorous exercise. You can do that with your eyes closed, try doing something more difficult. Maybe add a vest!
  11. Less Crunches and More Planks- You want to work your core? Try doing more planks and concentrate on extending the amount of time you can hold it. Try doing less crunches, they are a waste of your time and bad for your lumbar spine.
  12. Doing Abs will NOT give you a 6 Pack- Still flabbergasted that people believe this. Proper diet and nutrition coupled with great genetics and discipline is what gives people the 6 pack. Not crunches. Next.
  13. Do More Pushups- One of the best exercises, period. Shoulders over hands, core and quads tight, head, shoulders, hips and ankles in a straight line. If you can’t do them, start doing them against a wall and progress from there.
  14. Supplements are not the End All Be All- Supplements are just that, supplements for foods you can’t or do not get through food. They will not cure the world and will not give you the body of your dreams. Supplement when necessary. A few of my favorites; whey isolate protein, Branch Chain Amino Acids, Glutamine and Omega 3 fatty acids.
  15. If you Sorta Eat Right, You Will Sorta Look Right- Want to look your best, eat your best. Next
  16. Proper Form Rules All- Do not sacrifice weight for proper form. Learn how to squat/deadlift/press correctly. Stop bouncing and making trainers cringe. It will catch up to you one day.
  17. Lift then Run- Lifting weights prior to cardio will burn twice as much fat as doing it in the reverse. A study showed men that did resistance training prior to doing 30 minutes of cardio burned a 100% more bodyfat than those that did the exact opposite.

Now you guys tell me which ones you want me to expound or defend. I’m ready, trust me.

The RP’s KY Political Brief Covers the Medicaid Expansion Decision

Click here to subscribe to The RP’s KY Political Brief — a free, daily email with all of the latest political news from the Bluegrass State.

 

As always, The RP’s KY Political Brief, written and prepared by our wunderkind Managing Editor, Bradford Queen, has aggregated all of the latest news and opinion on Governor Steve Beshear’s decision to sign an Executive Order expanding Kentucky’s Medicaid program to 380,000 more uninsured Kentuckians.  Here’s an excerpt:

NEW PRESCRIPTION — Medicaid health insurance to expand under Obamacare in Kentucky – C-J’s Jessie Halladay – “More than 300,000 uninsured Kentuckians will become eligible for Medicaid after Gov. Steve Beshear announced Thursday that the state will expand the health-insurance program — taking advantage of President Obama’s controversial Affordable Care Act. … He cited research a study conducted by the Cabinet for Health and Family Services that said expanding Medicaid would benefit hundreds of thousands of Kentucky families, improve the state’s failing health, create nearly 17,000 jobs, and have a $15.6 billion positive economic impact on the state between fiscal years 2014 and 2021. … In addition, the study said Kentucky would see a $802.4 million positive impact on the state budget for that period because some expenses would be moved to the federal government. Without expansion, they show that Kentucky would see $38.9 million in additional costs because of changes under the Affordable Care Act, also known as “Obamacare.”” [C-J]–Fact sheet from Governor’s office: “Expansion Is the Right Decision for Kentuckians’ Health: … Kentucky Ranks at the Bottom in Health Outcomes … 640,000 Uninsured Kentuckians … Expansion Has Huge Positive Economic and Budgetary Impact: Expansion Will Have $15.6 Billion Statewide Economic Impact Between FY14 and FY21, Creating Almost 17,000 New Jobs.” [PDF]

Democrats, Health Groups Praise Beshear’s Decision to Expand Medicaid [WFPL]

John David Dyche: “Beshear Wrong to Expand Medicaid” [WDRB]

Jonathan Miller: “Thank You, Governor Beshear” [The RP]

Thank You, Governor Beshear

Today was Steve Beshear’s finest moment.

In signing an executive order to expand the Medicaid program under the Affordable Care Act, he saved taxpayers $40 million, created nearly 17,000 new jobs and brought the state a positive economic impact of more than $15 billion.

But more importantly…much more importantly…380,000 Kentuckians who do not currently have health insurance coverage will now qualify for affordable health care.  That means that 380,000 Kentuckians will live longer, healthier lives because of the Governor’s signature.  It is not even the slightest exaggeration to note that Steve Beshear literally saved thousands of lives today.

Of course, there will be plenty of rejectionists deriding the Governor’s actions as the embrace of the evil “Obamacare.” Bully for them.  But any short term political benefits they may accrue will be long forgotten decades from now when Kentucky’s personal and economic health has been boosted immeasurably by Steve Beshear’s action today.

Hubert Humphrey once famous stated that the “moral test of government is how it treats those in the dawn of life, the children; those in the twilight of life, the elderly; and those in the shadows of life, the poor and handicapped.”

Steve Beshear today passed that moral test…with flying colors.  This is the essence of moral leadershp.

Thank you, Govermor.

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Thank You, Governor Beshear

Josh Bowen: Fear Nothing; Achieve Everything

“Fear nothing, achieve everything.” Josh “JB” Bowen

 

“Our deepest fear is not that we are inadequate. Our deepest fear is that we are powerful beyond measure. It is our light, not our darkness that most frightens us. We ask ourselves, Who am I to be brilliant, gorgeous, talented, fabulous? Actually, who are you not to be? Your playing small does not serve the world. There is nothing enlightened about shrinking so that other people won’t feel insecure around you. We are all meant to shine, as children do. It’s not just in some of us; it’s in everyone. And as we let our own light shine, we unconsciously give other people permission to do the same. As we are liberated from our own fear, our presence automatically liberates others.”

Let’s think about the quote above. What is separating all of us from achievement? Is it us? Could it be that we are actually afraid of accomplishing what we set out to do? Bingo! I have a lot of experience in training and motivating others, not just in fitness but in life. I have always had a sense that deep down people are not afraid of failure but rather afraid of achieving. When you achieve something people will expect you to do the same every time. This adds responsibility and adds the component of hard work. Now, don’t get me wrong I am not calling out people, talking about how lazy they are. Quite the contrary, I am saying that in our subconscious we have a deep fear that we CAN accomplish any and every thing that we set out to do.

So how do I perform reverse psychology on myself? Here is the deal the first step to accomplishing anything is you have to believe it is possible. Here is an example; people once thought that running a mile in under 4 minutes was impossible. It wasn’t until 1954 that Roger Bannister broke the 4 minutes barrier, running a mile in 3 minutes and 59 seconds. 42 days later another man ran a mile in 3 minutes and 58 seconds. Fast forward to present day and the world record for the mile has lowered 17 seconds and now running a mile in under 4 minutes is the STANDARD by which all middle distance runners are judged. Do you see what happened there? Once one person did it, everyone else knew it was possible. You think that you are the only person in the world sitting there at your computer, reading this article with 50, 60, 70, 100 pounds to lose. The reality of it is people are doing it every day and so can you! All you have to do is believe.

The last step (yes I only have 2 steps here, this is not a 12 step process!) you have to have an undying commitment to your goal. Whatever the goal is, it does not matter you have to love it, marry it and live it. It is you and it is a part of you. Do what ever it takes, throw caution to the wind and do it! I believe in you, you must believe in you. Do not be afraid of climbing your personal Mount Everest! GO DO IT!!!!

“I am the greatest, I said that even before I knew I was”

Muhammad Ali

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