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Joe Kennedy: Trumpcare Is a Historic Attack on Mental Health Care

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Democratic Representative Joe Kennedy III Discusses the Republican Health Care Bill

A woman recently walked into my Massachusetts office to talk about her daughter, who had been diagnosed with serious mental illness in 2007, when she was just 4 years old.

A decade later, the stories this mother shared with me are heartbreaking. The countless hospital visits. The fights with insurers and doctors and courts. The time her daughter was kept for 21 straight days in the emergency room as her family desperately searched up and down the East Coast for a single available treatment bed. The ache of watching the person you love most in the world struggle against a merciless disease.

This mother ended our conversation by looking me in the eye and saying, without a hint of bitterness or anger, “But we’ve been lucky. Compared to other people I know, we’ve been lucky.”

If this is luck in the American mental health system, all of us should be ashamed. With 1 in 5 of our neighbors suffering from mental illness, the time for tinkering around the margins of our broken system is over. American families and communities need deep and dramatic reform.

Instead, congressional Republicans are moving forward with efforts to make it harder and more costly for the average American to access mental health care. These efforts began last month, with a hastily drafted bill to repeal the Affordable Care Act. Although it thankfully failed to get the support it needed to secure a vote in Congress, its message to the mental health community was clear: be warned. The legislation, championed by President Trump and Speaker Paul Ryan, was the single largest attack on mental health care in recent history.

By removing guaranteed behavioral health coverage for those covered under Medicaid expansion, millions of people would have lost access to treatment for substance use disorders — in the midst of an opioid epidemic. By capping Medicaid spending for states, Trumpcare would have imperiled the largest insurer of mental health services in our country. The bill did nothing to address abysmal reimbursement rates for mental health providers. Nothing to infuse investment into the full continuum of care. And nothing to force insurance companies to stop skirting parity laws that require they treat mental illness as they do physical health.

Enough Americans spoke out against that dangerous bill that we were able to stop it in its tracks. But almost immediately, Republicans were back behind closed doors trying to revive it. Their second bill could soon see a vote on the House floor.

Unbelievably, it’s an even starker blow to those suffering from mental illness than its predecessor. The latest version of Trumpcare doesn’t just threaten access to behavioral health coverage for those on Medicaid, it threatens access to behavioral health coverage for everyone. Under the guise of flexibility, this bill would allow states and insurance companies to opt out of covering mental health care — not to mention other designated essential health benefits like maternity and emergency care. Premiums and deductibles would soar as a result. Any semblance of mental health parity would be extinguished. And current protections for those with preexisting conditions — which is particularly important when it comes to mental illness — would cease to exist.

This is not the debate Congress should be having during a mental health care crisis. We should be considering steps to vastly expand the transformative mental health reforms made by the ACA, not shrink them. It’s time to go even further.

We need deep investments across the entire continuum of care to connect patients with treatment before they reach crisis points. We need broader support for community health centers, which provide essential entry points for lower and middle-income Americans who struggle to find in-roads to our mental health system. We need increased Medicaid reimbursement rates to encourage a new generation of workers to pursue careers in the mental health field, dramatically increasing access in every community that needs it. And we need relentless enforcement of mental health parity to make insurers live up to the laws of this country, which already demand basic equity in the coverage and treatment of mental illness.

All too often, mental illness is relegated to the sidelines of our health care debates. It’s somehow still deemed less critical, less acute, less wholly devastating than physical disease. One in five Americans and the families who love them would tell you otherwise. From the depths of opioid addiction to the searing pain of eating disorders and the long, often lonely, road through anxiety and depression, we have abandoned too many people in a system that cannot meet their basic needs.

The 40 million Americans suffering from mental illness deserve better than the paltry “luck” of that young mother in my office. They deserve better than a health care bill that degrades them. They deserve a country that is there for them, without question or condition, in their time of deepest need.

Joe Kennedy III has served as the US representative for Massachusetts’s 4th Congressional District since 2013.

This article originally appeared in STAT and is republished here with Congressman Kennedy’s permission.

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Image by Lorianne DiSabato via Flickr and a CC license

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OPINION

‘I Hope You Find Happiness’: Moskowitz Trolls Comer Over Impeachment Fail

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April 24, 2024

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U.S. Rep. Jared Moskowitz (D-FL) is mocking House Oversight Committee Chairman Jim Comer over a CNN report revealing the embattled Kentucky Republican who has been alleging without proof President Joe Biden is the head of a vast multi-million dollar criminal bribery and influence-peddling conspiracy, has given up trying to impeach the leader of the free world.

CNN on Wednesday had reported, “after 15 months of coming up short in proving some of his biggest claims against the president, Comer recently approached one of his Republican colleagues and made a blunt admission: He was ready to be ‘done with’ the impeachment inquiry into Biden.” The news network described Chairman Comer as “frustrated” and his investigation as “at a dead end.”

One GOP lawmaker told CNN, “Comer is hoping Jesus comes so he can get out.”

“He is fed up,” the Republican added.

Despite the Chairman’s alleged remarks, “a House Oversight Committee spokesperson maintains that ‘the impeachment inquiry is ongoing and impeachment is 100% still on the table.'”

RELATED: ‘Used by the Russians’: Moskowitz Mocks Comer’s Biden Impeachment Failure

Last week, Oversight Committee Ranking Member Jamie Raskin (D-MD) got into a shouting match with Chairman Comer, with the Maryland Democrat saying, “You have not identified a single crime – what is the crime that you want to impeach Joe Biden for and keep this nonsense going?” and Comer replying, “You’re about to find out.”

Before those heated remarks, Congressman Raskin chided Comer, humorously threatening to invite Rep. Moskowitz to return to the hearing.

Congressman Moskowitz appears to be the only member of the House Oversight Committee who has ever made a motion to call for a vote on impeaching President Biden, which he did last month, although he did it to ridicule Chairman Comer.

It appears the Moskowitz-Comer “bromance” may be over.

Wednesday afternoon Congressman Moskowitz, whose sarcasm is becoming well-known, used it to ridicule Chairman Comer.

“I was hoping our breakup would never become public,” he declared. “We had such a great thing while it lasted James. I will miss the time we spent together. I will miss our conversations. I will miss the pet names you gave me. I only wish you the best and hope you find happiness.”

Watch the video above or at this link.

READ MORE: ‘Doesn’t Care if Pregnant Women Live or Die’: Alito Slammed Over Emergency Abortion Remarks

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OPINION

‘Doesn’t Care if Pregnant Women Live or Die’: Alito Slammed Over Emergency Abortion Remarks

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13 hours ago

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April 24, 2024

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The U.S. Supreme Court heard oral arguments in a case centered on the question, can the federal government require states with strict abortion bans to allow physicians to perform abortions in emergency situations, specifically when the woman’s health, but not her life, is in danger?

The 1986 federal Emergency Medical Treatment and Active Labor Act (EMTALA), signed into law by Republican President Ronald Reagan, says it can. The State of Idaho on Wednesday argued it cannot.

U.S. Solicitor General Elizabeth Prelogar, The Washington Post’s Kim Bellware reported, “made a clear delineation between Idaho law and what EMTALA provides.”

“In Idaho, doctors have to shut their eyes to everything except death,” Prelogar said, according to Bellware. “Whereas under EMTALA, you’re supposed to be thinking about things like, ‘Is she about to lose her fertility? Is her uterus going to become incredibly scarred because of the bleeding? Is she about to undergo the possibility of kidney failure?’ ”

READ MORE: Gag Order Breach? Trump Targeted Cohen in Taped Interview Hours Before Contempt Hearing

Attorney Imani Gandy, an award-winning journalist and Editor-at-Large for Rewire News Group, highlighted an issue central to the case.

“The issue of medical judgment vs. good faith judgment is a huge one because different states have different standards of judgment,” she writes. “If a doctor exercises their judgment, another doctor expert witness at trial could question that. That’s a BIG problem here. That’s why doctors are afraid to provide abortions. They may have an overzealous prosecutor come behind them and disagree.”

Right-wing Justice Samuel Alito appeared to draw the most fire from legal experts, as his questioning suggested “fetal personhood” should be the law, which it is not.

“Justice Alito is trying to import fetal personhood into federal statutory law by suggesting federal law might well prohibit hospitals from providing abortions as emergency stabilizing care,” observed Constitutional law professor Anthony Michael Kreis.

Paraphrasing Justice Alito, Kreis writes: “Alito: How can the federal government restrict what Idaho criminalizes simply because hospitals in Idaho have accepted federal funds?”

Appearing to answer that question, Georgia State University College of Law professor of law and Constitutional scholar Eric Segall wrote: “Our Constitution unequivocally allows the federal gov’t to offer the states money with conditions attached no matter how invasive b/c states can always say no. The conservative justices’ hostility to the spending power is based only on politics and values not text or history.”

Professor Segall also served up some of the strongest criticism of the right-wing justice.

READ MORE: ‘They Will Have Thugs?’: Lara Trump’s Claim RNC Will ‘Physically Handle the Ballots’ Stuns

He wrote that Justice Alito “is basically making it clear he doesn’t care if pregnant women live or die as long as the fetus lives.”

Earlier Wednesday morning Segall had issued a warning: “Trigger alert: In about 20 minutes several of the conservative justices are going to show very clearly that that they care much more about fetuses than women suffering major pregnancy complications which is their way of owning the libs which is grotesque.”

Later, predicting “Alito is going to dissent,” Segall wrote: “Alito is dripping arrogance and condescension…in a case involving life, death, and medical emergencies. He has no bottom.”

Taking a broader view of the case, NYU professor of law Melissa Murray issued a strong warning: “The EMTALA case, Moyle v. US, hasn’t received as much attention as the mifepristone case, but it is huge. Not only implicates access to emergency medical procedures (like abortion in cases of miscarriage), but the broader question of federal law supremacy.”

READ MORE: ‘Blood on Your Hands’: Tennessee Republicans OK Arming Teachers After Deadly School Shooting

 

 

 

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Gag Order Breach? Trump Targeted Cohen in Taped Interview Hours Before Contempt Hearing

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15 hours ago

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April 24, 2024

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Hours before his attorneys would mount a defense on Tuesday claiming he had not violated his gag order Donald Trump might have done just that in a 12-minute taped interview that morning, which did not air until later that day. It will be up to Judge Juan Merchan to make that decision, if prosecutors add it to their contempt request.

Prosecutors in Manhattan District Attorney Alvin Bragg’s office told Judge Juan Merchan that the ex-president violated the gag order ten times, via posts on his Truth Social platform, and are asking he be held in contempt. While the judge has yet to rule, he did not appear moved by their arguments. At one point, Judge Merchan told Trump’s lead lawyer Todd Blanche he was “losing all credibility” with the court.

And while Judge Merchan directed defense attorneys to provide a detailed timeline surrounding Trump’s Truth Social posts to prove he had not violated the gag order, Trump in an interview with a local television station appeared to have done so.

READ MORE: ‘They Will Have Thugs?’: Lara Trump’s Claim RNC Will ‘Physically Handle the Ballots’ Stuns

The gag order bars Trump from “commenting or causing others to comment on potential witnesses in the case, prospective jurors, court staff, lawyers in the district attorney’s office and the relatives of any counsel or court staffer, as CBS News reported.

“The threat is very real,” Judge Merchan wrote when he expanded the gag order. “Admonitions are not enough, nor is reliance on self-restraint. The average observer, must now, after hearing Defendant’s recent attacks, draw the conclusion that if they become involved in these proceedings, even tangentially, they should worry not only for themselves, but for their loved ones as well. Such concerns will undoubtedly interfere with the fair administration of justice and constitutes a direct attack on the Rule of Law itself.”

Tuesday morning, Trump told ABC Philadelphia’s Action News reporter Walter Perez, “Michael Cohen is a convicted liar. He’s got no credibility whatsoever.”

He repeated that Cohen is a “convicted liar,” and insisted he “was a lawyer for many people, not just me.”

READ MORE: ‘Old and Tired and Mad’: Trump’s Demeanor in Court Detailed by Rachel Maddow

Since Cohen is a witness in Trump’s New York criminal case, Judge Merchan might decide Trump’s remarks during that interview violated the gag order, if prosecutors bring the video to his attention.

Enter attorney George Conway, who has been attending Trump’s New York trial.

Conway reposted a clip of the video, tagged Manhattan District Attorney Bragg, writing: “cc: @ManhattanDA, for your proposed order to show cause why the defendant in 𝘗𝘦𝘰𝘱𝘭𝘦 𝘷. 𝘛𝘳𝘶𝘮𝘱 should not spend some quiet time in lockup.”

Trump has been criminally indicted in four separate cases and is facing a total of 88 felony charges, including 34 in this New York criminal trial for alleged falsification of business records to hide payments of “hush money” to an adult film actress and one other woman, in an alleged effort to suppress their stories and protect his 2016 presidential campaign, which experts say is election interference.

Watch the video below or at this link.

READ MORE: ‘Blood on Your Hands’: Tennessee Republicans OK Arming Teachers After Deadly School Shooting

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