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Jay Fleitman: Good riddance to 2013

My first gut reaction to the New Year was one of “good riddance” to 2013. As I thought about it just a little bit more, I realized that 2013 was in fact a very good year for me personally. My family is healthy, my wife and I have jobs we love and have done some nice traveling this last year, and both of my children are working and building their own careers. Then why did I end up with a sour taste about 2013?

In a broad sense, the answer is politics. I have arrived at a point where I care enough about what happens in Massachusetts and to our nation to have it cast a shadow on what should be a sense of satisfaction in my life and work. This can’t be good.

I would rather not know how much time I have blown listening to the army of “talking heads” on the news and analysis broadcasts I watch on television.

And then there is the collection of news and political websites I look at almost every day. I cannot leave out the newspapers, their editorials and the letters to the editor, to which I expose my poor beleaguered brain. I cheer inside when I find those ideas and opinions with which I agree, and by nature I dismiss and repudiate the other side. It all takes a lot of energy. This political junkie thing just isn’t normal. Maybe I need to walk away and just stick to “American Idol,” “Survivor” and “Breaking Bad,” all of which are fun.

The year 2014 will be a big one for politics. There will be elections for the governor of Massachusetts, the state Legislature, and perhaps more importantly, the contests for all of the federal House seats and the control of the Senate. These campaigns are already well underway.

And yet, in the past I’ve been through enough of these elections to know that the candidates on both sides will say pretty much the same things they always have, with minor variations on the same basic themes. The normal voters will pay attention to the candidates when the elections draw much nearer rather than now. The electorate will continue to elect candidates in ways that I think will mostly defy logic, and that I will sometimes find inexplicable and nearly random. I know this all in advance, and yet it still affects me.

I honestly recognize that this has some of some of the elements of being a sports fan. I have the team that I root for, and then there are the cross-town rivals. But politics are far more important than being for the Red or the Blue. As conservative columnist Charles Krauthammer describes his transition from being a clinical psychiatrist to a political activist, he recognized that if a society did not get its politics right, little else that follows is right.

Political decision-making has a major impact on the economy, jobs, health care, social choice, international relations and on and on. The choices our politicians make now will resonate into the future, affecting the society and opportunities our children will inherit.

Back to 2013. For politics, it was not a particularly good year. Granted, there was no economic free fall, but the economy is struggling. We have a federal government whose broad incompetence was documented by the Obamacare rollout, our being outmaneuvered by the Russians with the mismanagement of the Syrian uprising and the mishandling of longtime allies who are now running for the hills. This administration shows a relentless willingness to distort and corrupt basic governmental processes to advance its own political ends, including the IRS targeting of political opponents, the Justice Department investigation of news reporters and the elimination of the Senate filibuster. Even with recognizing the need for security, the expansion of the NSA spying under this administration has been unsettling.

There are the lies told by this government. There were the clearly revealed deceptions used to sell Obamacare, and this administration continues to stonewall the untruths it told about the Benghazi attack.

We are in for an earthquake in health care. Obamacare will likely cause a much more extensive loss of previous coverage than we have yet seen. We don’t know the repercussions of the expulsion of hospitals and physicians from the exchange panels, the expansion of Medicaid rolls or the loss of funding from Medicare.

Health care financing in Massachusetts will start completely restructuring in 2014 using untested models.

Some good news: Though Republicans may have bungled much, at least they have managed to slow the growth of federal spending.

Goodbye to 2013. Best wishes for a good 2014. For the political junkies out there, there’s much to do in the New Year, so roll up your sleeves.


Bruce Goderez: The case for universal care

Monday, January 6, 2014

Dr. Jay Fleitman has written several spirited criticisms of the Affordable Care Act (ACA, or Obamacare). I am also a physician in private practice in our community, and would like to present an opposing view. Fleitman’s first beef is about the currently uninsured, noting that 80 percent of the early sign-ups for Obamacare were for Medicaid, paid for entirely out …

Legacy Comments6

Dr. Fleitman can revel in some good news: most of his concerns about the Obama administration are lies and distortions told by people who will do anything to discredit him. Benghazi? A non-issue. There is really nothing there to cover up. The federal deficit? After suffering through the tremendous expenses of the Bush administration's involving us in Iraq in a war of questionable legality and unfettered and unbudgeted spending, Obama is showing restraint (Syria) and extricating us from direct military involvement in Iraq and Afghanistan. The NSA? Spying on citizens is the way the government has always operated, at least in my lifetime. Remember J Edgar Hoover? Nothing new here. IRS hassling the poor tea-party groups? It's hard to say who instigated that, but really, even most Republicans don't like them! So all-in-all, things aren't as bad as he fears!

Oh, how soon you forget about Iraq (who is at this time being bombarded by Al Qaeda, thanks to the lies Bush told prior to the invasion). And the fact that Bush never put the war $$ into the budget - a biggie in that the wars have cost the US a bundle. The richest corporations (and the 1% individuals) are in some cases not paying any taxes, on the while getting wealthier by the minute (while I will admit there are Democrats that have been complicit in this unfair untaxation, Republicans and Independents are more to blame). I say good riddance to the Senate filibuster which was being abused by the Republicans. While I will admit that the NSA spying and also the drone attacks have certainly been under Obama's watch and for which I will not condone, the polarization of our government is a constant reminder that we must rid our government of people who only vote the party line and are backed by big business for their interest only.

Yet, Mr. Fleitman continues to spew his detestation for our President. He is the origin of his own "sour taste". Perhaps instead of picking on programs that are designed to improve lives of others, he could focus his energy on eliminating corporate welfare, where we the tax payers are subsidizing the very people who were instrumental during the Bush era in bringing our country to their knees with their greed. Oh, but wait that will never happen, it is much easier for him to bully the weak, rather than to stand up to the bullies himself; he himself is none other than a bully.

Doc, I don't think political junkies "do" much of anything besides bloviate about whatever their canned party line is as if they weren't preaching to an already decided choir. But if you bloviate better with bare elbows, then by all means, roll those sleeves up.

Right on Jay. Try The black list ....

Yes, good riddance to 2013, because even with all the kicking and screaming of the writer against political progression in the U.S., the conservatives were still shellacked quite badly.

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