Category Archives: Obamacare

The Buzzwords are Refugee and Asylum

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UN pushes for migrants to be called refugees

In part: SAN JOSE, Costa Rica (AP) — United Nations officials are pushing for many of the Central Americans fleeing to the U.S. to be treated as refugees displaced by armed conflict, a designation meant to increase pressure on the United States and Mexico to accept tens of thousands of people currently ineligible for asylum.

Officials with the U.N. High Commissioner for Refugees say they hope to see movement toward a regional agreement on that status Thursday when migration and interior department representatives from the U.S., Mexico, and Central America meet in Nicaragua. The group will discuss updating a 30-year-old declaration regarding the obligations that nations have to aid refugees.

Sure there are thousands and in some cases millions that have fled their home country over brutal regimes, civil wars, disease, lack of economic opportunity and to perhaps incite attacks and terrorism in other countries.

U.N. Calls on Western Nations to Shelter Syrian Refugees

With Syria’s neighbors increasingly shutting their borders to refugees and thousands trying to cross the Mediterranean Sea in search of safety, the war in Syria is creating the worst global refugee crisis in decades, putting new pressure on the United States and other Western countries to open their doors — and in turn, prompting domestic political backlash.

Not since the wave of people who fled Southeast Asia after the war in Vietnam have the world’s industrialized countries been under such intense pressure to share the burden of taking in refugees, experts say. Nor has the task of offering sanctuary been so politically fraught.

The United States is scheduled to take in its largest group of Syrian refugees to date — up to 2,000 by the fall of this year, compared with a total of about 700 since the civil war in Syria began four years ago, according to the State Department.

Here is a disturbing fact, the work that the United Nations High Commissioner for Refugees division does for refugees and asylees does NOT collaborate with U.S. agencies as they claim, unless it is on an exceptional basis. They maintain a database of applications and fingerprints that is not integrated or actually shared for background checks.

UNHCR seeks to contribute to informed decision-making and public debate by providing accurate, relevant and up-to-date statistics. As such, the Statistical Online Population Database provides data and trends on the “Population of concern to UNHCR”: refugees, asylum-seekers, returned refugees, internally displaced persons (IDPs) protected/assisted by UNHCR, returned IDPs, stateless persons, and others of concern to UNHCR, in more than 180 countries.

In a single electronic platform, UNHCR’s Statistical Online Population Database is bringing together for analysis and comparison standardized data on UNHCR’s population of concern at country, regional, and global levels.

The database is work-in-progress and will be updated on an ongoing basis. Currently, data up to 31 December 2012 can be downloaded from the Statistical Online Population Database. Some of the statistics contained in the Statistical Online Population Database, in particular the ones for 2012 should be considered provisional and subject to change. Some data in the database may differ from statistics published previously due to retroactive changes or the inclusion of previously unavailable data.

 

‘All data refer to the number of individuals with the exception of asylum-seekers in the United States of America, where figures are available only for the number of cases (which may include several individuals) submitted to the United States Department of Homeland Security (DHS). However, applications submitted to the Executive Office of Immigration Review (EOIR) of the United States department of Justice are recorded as individuals.’

‘A combination of armed conflict, deterioration of security or humanitarian situation and human rights concerns in a number of countries – notably the Syrian Arab Republic – have been among the main reasons for the sharp increase in the number of asylum-seekers registered among the main reasons for the sharp increase in the number of asylum-seekers registered among industrialized countries during 2014.’  Full document here. (It is a must read).

Sample application for asylum:

Note the cost of security weakness and lack of full collaboration:

Fifteen of the 19 hijackers were Saudi nationals. There were significant security weaknesses in the Saudi government’s issuance of Saudi passports in the period when the visas to the hijackers were issued. Two of the Saudi 9/11 hijackers may have obtained their passports legitimately or illegitimately with the help of a family member who worked in the passport office.

 

 

 

HUD, the Coming Next Financial Crisis

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Do you know the Castro twins, Julian and Joaquin? Well, both have been fully groomed by powerbrokers in the Obama administration and the mentoring continues. In fact, the twins are rightly classified as the ‘enemies within’.

Julian is the Secretary of Housing and Urban Development and Joaquin is a U.S.Congressman. Julian is especially dangerous and there is chatter about his vying for a vice-presidential run. Meanwhile, Julian is in large measure part of the Latino immigration movement while working his wonder-lust at HUD.

So what about the coming financial crisis? Just think back to the housing crisis, to the toxic mortgages, to the bailouts and the massive layoffs.

The Government Is Definitely Back in the ‘Affordable Housing’ Game

by: John Ligon

More than six years out from a government-driven housing bubble, the chief regulator at the Federal Housing Finance Agency, Mel Watt, and the Department of Housing and Urban Development secretary, Julian Castro are respectively clearing a path to expand the “credit box” for government-backed home loans.

Two recent examples: Fannie Mae recently started a program guaranteeing loans with as little as 3 percent down payments, and, earlier this year, the Federal Housing Administration reduced by 50 basis points the annual mortgage insurance premiums it charges borrowers.

We have been down this path before. Using the U.S. housing finance system to try to achieve political ends of broader and “affordable” housing goals ultimately undermines taxpayer safety and the opportunity to build meaningful equity for homeowners.

After all, it was only less than two decades ago that Andrew Cuomo, then-Housing secretary under the Clinton administration, announced that Fannie Mae and Freddie Mac, the two largest housing finance companies at that time, would be required to buy $2.4 trillion in mortgages over the next 10 years to provide affordable housing for about 28.1 million low- and moderate-income families.

In the same announcement, Cuomo went on to say that “this action will transform the lives of millions of families across our country by giving them new opportunities to buy homes or move into apartments with rents they can afford … it will help ease the terrible shortage of affordable housing plaguing far too many communities.”

To be fair, political leaders in both Democrat and Republican administrations have repeatedly called for arbitrary, vague goals aimed at achieving a “homeownership society” and expanding “affordable housing” even when most qualified homeowners already owned homes.

A great irony, though, is that these affordable housing initiatives have had the exact opposite of their intended impact: These programs encourage higher levels of debt, increased housing prices (and lower affordability) in many markets, and greater risk within the overall housing finance system.

Affordable housing advocates tend to focus on high rental costs and widespread slack in the first-time home purchase market as main justification for expanded government support, but establishing new government credit programs and expanding existing ones has repeatedly failed to fix these problems.

To be sure, there are numerous factors weighing on the overall housing market outlook, and certainly a main influence is the sluggish first-time purchase market. This market, in particular for younger individuals, is hampered by high levels of non-mortgage debt, weak employment and income opportunities, low labor mobility (some held back by federal mortgage modification programs), and high home prices in some metropolitan areas.

Despite any of the best stated intentions to assist individuals with “affordable rent” or “affordable mortgages,” all of this direct and indirect government interference in the housing finance system ultimately biases individuals toward certain market segments and particular types of debt instruments, increasing financial risk to homeowners and taxpayers in the process.

 

Veterans Caught in the Middle of DC Politics

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FAYETTEVILLE, N.C. — A year after Americans recoiled at new revelations that sick veterans were getting sicker while languishing on waiting lists – and months after the Department of Veterans Affairs instituted major reforms – government data shows that the number of patients facing long waits at VA facilities has not dropped at all.

No one expected that the VA mess could be fixed overnight. But The Associated Press has found that since the summer, the number of medical appointments delayed 30 to 90 days has largely stayed flat. The number of appointments that take longer than 90 days to complete has nearly doubled. *** Last month, Veterans Affairs Secretary Bob McDonald on Friday released the names of members serving on a new panel intended to improve VA services and help in long-range reform planning.

The committee members bring together a range of experiences and specialties from the private sector, state government, health care, academia and veterans organizations.

“The collective wisdom of our committee members is invaluable and each of them understands that VA must improve customer service and focus the Department on the needs of our Veterans. They are dedicated to that mission and I am grateful for their principled service to our Veterans,” McDonald said.

*** Simply put, there is no improvement at the VA and to date there are no viable solutions except to throw money at it each year, where discretionary spending appears to go without oversight. That spending is also in the billions. The VA budget in 2014 was $153 billion, in 2015 it is $140 billion and the requested budget for 2016 is $168 billion with $70.2 in discretionary funds. All the while the number of overdue claims still hovers at 600,000. Navigating the Veterans Administration for a veteran is a Herculean task and for the most part impossible.

So, the normal Congressional process is to take political postured footing and then hear Barack Obama put in his ever so common veto threat. Sadly, the veterans are as always caught in the middle. Having a real accounting of spent funds, wasted funds and lost funds is a prudent objective which would be forced with smart budget planning.

House Dems bolster Obama veto threat

Bolstering a White House veto threat, House Democrats on Wednesday began lining up against a Republican bill funding the Veterans Affairs Department next year.

“I won’t support it,” Rep. Joseph Crowley (N.Y.), vice chairman of the Democratic Caucus, said Wednesday, “and I don’t believe our Caucus will support that, either.” Addressing the Democrats at a closed-door caucus meeting in the Capitol Wednesday, VA Secretary Robert McDonald warned the lawmakers that the GOP’s $77 billion bill funding the department and military construction projects in fiscal 2016 falls short of the resources needed to provide health and other services to the nation’s veterans.

Relaying McDonald’s message, Rep. Xavier Becerra (Calif.), chairman of the Democratic Caucus, said the GOP’s bill would scale back health benefits for roughly 70,000 veterans, while also denying funds for medical research, education and veterans’ cemeteries.

“The secretary came and sent a very strong message, something we rarely hear: ‘Please don’t let this funding bill become law, if you care about our veterans. We must do better for them,'” Becerra said.

Passed with bipartisan support by the House Appropriations Committee last week, the bill provides a 5.6 percent increase for the VA over 2015 levels, but falls more than $1 billion shy of the figure President Obama had included in his 2016 budget request.

Appropriations Chairman Hal Rogers (R-Ky.) hailed the measure as “a balanced, thorough bill that will help improve the quality of life … [and] address the current and future needs of our veterans.”

The Democratic leaders see it differently, accusing the Republicans of adhering to spending levels dictated by the “incoherent” sequester law at the expense of veterans.

“We should not use the excuse — anyone in Congress — that sequester made you do this,” Becerra said. “If we divest in the Veterans Administration for something as incoherent as a bad law … then we’re doing injustice and disservice to our veterans.”

Scheduled for a floor vote Wednesday evening, the VA funding bill is expected to pass with overwhelming Republican support.

But the White House on Tuesday issued a statement threatening to veto the measure, saying it “fails” to fund building upgrades on military bases and expansions to medical facilities used by veterans.

The staunch opposition from leading Democrats suggests the president’s House allies would be able to sustain a veto if GOP leaders passed the bill and attempted to override the president.

 

 

Clinton, General Electric, Algeria and Money

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As Secretary of State, Hillary Clinton boast about being the most traveled of any U.S. diplomat, landing her plane in 112 countries. Hillary held 1700 meetings with world leaders and had 755 meetings at the White House. Her travels included dancing in none other than Columbia, Malawi and South Africa.

In October of 2012, Hillary traveled to Bosnia Herzegovina, Serbia, Kosovo, Albania, Croatia and Algeria. Perhaps it was quite telling as of this writing, interesting deals were made in Algeria, a country full of corruption led by President Bouteflika.

It should be noted that on October 19 of 2012, meetings were held in Washington DC where the topics were bilateral and regional concerns as well as economic and security cooperation under the title of U.S.-Algeria Strategic Dialogue. There was also a United Nations Security Council resolution authorizing West African States to perform a military intervention to remove the Islamist rebels from North Mali.

Two years earlier, The Clinton Foundation received $500,000 from Algeria without approval from the State Department ethic office or legal counsel. Algeria alleges the money was earmarked for the relief efforts in Haiti. At the same time, Hillary tells the public relations team her objectives with Algeria was to address human rights issues as well as to nurture the relationships between the United States and Algeria.

Of particular note, in 2010, Algeria also spent more than $400,000 in lobbying the U.S. government officials as specified by records under the Foreign Agents Registration Act, while sending representatives more than a dozen times to the United States to visit top political and diplomatic operatives.

Reports have been often published where the U.S. State Department have found that Algeria lacks any transparency, has a history of random killings and widespread corruption. Hillary even notes the facts of Algeria being a failed state in her book, “Hard Choices”.

Algerian security forces also benefit from U.S. cooperation programs. Obama Administration officials have stated a desire to deepen and broaden bilateral ties, including in the aftermath of a four-day terrorist hostage seizure at a natural gas compound in southeastern Algeria in January 2013, in which three Americans were killed. The attack highlighted the challenges the United States faces in advancing and protecting its interests in an increasingly volatile region.

The terrorist group that seized the hostages is a breakaway faction of Al Qaeda in the Islamic Maghreb (AQIM), a regional network and U.S.-designated Foreign Terrorist Organization with roots in Algeria’s 1990s civil conflict. Given Algeria’s large military and available financial resources, U.S. officials have expressed support for Algerian efforts to marshal a regional response to terrorist threats. Yet Algeria’s relations with neighboring states are complex and sometimes distrustful, at times hindering cooperation. Meanwhile, any U.S. unilateral action in response to regional security threats could present significant risks and opportunity costs. Algeria’s macroeconomic position is strong due to high global oil and gas prices, which have allowed it to amass large foreign reserves. Yet wealth has not necessarily trickled down, and the pressures of unemployment, high food prices, and housing shortages weigh on many families. Public unrest over political and economic grievances has at times been evident, though other factors may have dampened enthusiasm for dramatic political change.

Algeria’s foreign policy has often conflicted with that of the United States. Strains in ties with neighboring Morocco continue, due to the unresolved status of the Western Sahara and a rivalry for regional influence. The legacy of Algeria’s anti-colonial struggle contributes to Algerian leaders’ desire to prevent direct foreign intervention, their residual skepticism of French and NATO intentions, and their positions on regional affairs, including a non-interventionist stance toward the uprising in Syria and an ambivalent approach to external military intervention in neighboring Mali.

 

When it comes to Algeria’s economic status, both the International Monetary Fund and the World Trade Organization have assumed unusual positive forecasts on Algeria. The U.S, State Department in 2012 declared that Algeria has stabilized and all efforts were underway to enhanced the U.S./Algeria Trade Investment Framework Agreement (TIFA). This bring to light a company called Sonatrach, which exploits hydrocarbons for global consumption under research and development.

From the State Department’s website, Algeria concluded commercial agreements with several U.S. companies including Northrup Grumman and General Electric. The number of foreign trade missions to Algeria reportedly grew from 30 in 2010 to 60 in 2012, illustrating the increased focus and competition in the local market. In 2012, Algeria concluded commercial agreements with several Arab and European nations. U.S. firms, such as Northrop Grumman and General Electric won multi-million dollar tenders. President Abdelaziz Bouteflika appointed former Minister of Water Resources, Abdelmalek Sellal, as the new Prime Minister. Sellal is trusted by the political elite and viewed as a pragmatic politician who seeks new economic partnerships to tackle long-standing issues, such as housing shortages and unemployment. Algerian leadership remains focused on building domestic production capacity and reducing imports and seeks U.S. expertise and partnership. Minister of Commerce Mustapha Benbada visited the United States in December 2012 for discussions with the Office of the U.S. Trade Representative related to Algeria’s World Trade Organization (WTO) accession and cooperation under the U.S.-Algeria Trade and Investment Framework Agreement (TIFA).

 

General Electric continues to court Algeria in partnerships and joint ventures in 2015. Sonatrach is a company rocked by constant scandal including fraud suspicions and prison terms, in fact the country itself is ranked 105th out of 176 in fraud.  The national hydrocarbon group Sonatrach and the American company General Electric (GE) signed Thursday in Algiers a memorandum of understanding on the creation of a joint company for the manufacturing of equipment used in oil and gas industry. This new unit, of which Sonatrach will hold 51% stake through the oil services holding (SPP) while 49% will be held by GE, will be set up in the form of a joint stock company. This unit will manufacture and develop, among others, equipment of drilling and production, equipment for measurement and supervision as well as provision for services and trainings relating to oil fields.

General Electric CEO, Jeffrey Immelt stated on April 22, 2015, he refused to turn over emails between himself and Hillary Clinton or those exchanged with the State Department. Immelt was also brought into the Obama administration as the ‘Job Czar’ and tendered his support for Obamacare while transferring his GE X-ray division to China to avoid the Obamacare taxes applied to medical devices. Immelt does need to provide evidence of the collusion especially when he authorized GE to contribute up to $1.0 million dollars to the Clinton Health Access Initiative.

Numerous sources, including the Wall Street Journal and the New Yorker, have recently reported that, while Secretary of State, Hillary Clinton lobbied foreign governments on behalf of companies including General Electric at a time when those companies were making donations to the Clinton Foundation. In late 2012, for example, Clinton urged the Algerian government to award a power plant contract to GE. GE contributed to the Clinton Foundation. Then in 2013, Algeria awarded the power plant contract to GE.

By donating to the Clinton Foundation while receiving a huge favor from the Secretary of State, did we not expose our company to the risk of being charged with honest services fraud? I am not accusing the company of any wrongdoing. But you have to admit that the optics suggest a quid pro quo could have occurred, and a public official pushing a foreign government to buy a company’s products while that company makes a generous donation to that public official’s family- run foundation appears to fit even the more limited definitions.

Since Mrs. Clinton had control of her business emails during this time and has said she deleted many of them, GE presumably is the only entity with evidence that everything was above board. To prevent the company from being the focus of any media or public investigation, would you consider making public all the Company’s written communications with the State Department during the relevant period?

More Fleecing of Medicaid Money

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There should be a law against this…oh wait there is…well there are several. But just who is going to investigate and prosecute it?

The Health and Human Services Agency or the DoJ…not so much.

How Schools Use Medicaid Money to Pay for Truancy Officers, Deans and Healthy-Eating Magnets

At a school board meeting in Henrico County, Va., two months ago, a panel of school district officials and board members had been left speechless.

School district officials were in the midst of crafting the district’s budget for 2016, and the five-member board had just heard a presentation from Assistant Superintendent for Finance Terry Stone, who outlined a $1.1 million plan to fund more than a dozen positions at various schools.

The proposal shocked the board members, who expressed their gratitude toward Stone and her team for crafting the plan.

“That’s incredible,” board member Lisa Marshall said. “Thank you. Did you pull that one out of your hat?”

“I find that remarkable and exciting,” John Montgomery Jr., the board’s chair, said.

The additional $1.1 million came from coffers unknown to the school board, but tapped by school districts across Virginia and the country: Medicaid reimbursements.

Stone proposed using the money to hire three psychologists, three social workers, five part-time truancy workers, five part-time deans of students and reimbursements for mileage.

“To the extent that they’re used for [the Medicaid] population, it allows you to bill for additional services and increase your revenue,” Stone said at the February board meeting.

Schools provide many health and social services to students, including those who are Medicaid-eligible. Some districts shoulder the costs of these services, but can actually use Medicaid funding to pay for these services and request reimbursements.

Henrico County, located in southeastern Virginia, first began accepting Medicaid reimbursements in fiscal year 2012. That year, the district received roughly $98,000 in reimbursements. This year, officials estimate reimbursements from the federal program will total more than $1.1 million.

Guidelines for Funding

Medicaid is jointly funded by the federal and state governments, but states are in charge of administering the program. States adhere to Medicaid plans—an agreement between the state and federal government.

Schools can obtain Medicaid reimbursements through three different types of claiming, the most popular being administrative claiming. The administrative claiming program allows states to submit reimbursement claims for administrative activities that “directly support the Medicaid program.”

In order for activities to be reimbursable, they must be “found necessary by the secretary for the proper and efficient administration” of a state Medicaid plan.

Dennis Smith, former director of the Center for Medicaid and State Operations at the Centers for Medicare and Medicaid Services during President George W. Bush’s administration, told The Daily Signal that states are supposed to provide guidance to schools as to how they can use Medicaid reimbursements.

In Colorado, for example, schools must submit a plan for how they want to use the reimbursement funds. That blueprint must then be approved by the state.

However, Smith said it’s unknown whether they’re requiring school districts to adhere to guidelines governing how reimbursements are used.

John Hill, executive director of the National Alliance for Medicaid in Education, said schools are given a good deal of flexibility in how they use Medicaid reimbursements.

“The bottom line is if they wanted to put new bleachers at the football stadium, they can do that. I wouldn’t like to see that happen, but there’s nothing that could prevent it from happening,” said John Hill.

“They can be used for whatever they want to use it for,” Hill told The Daily Signal. “The bottom line is if they wanted to put new bleachers at the football stadium, they can do that. I wouldn’t like to see that happen, but there’s nothing that could prevent it from happening.”

In Henrico County, Stone told school board members that legally, there is nothing binding the funds to a specific purpose. However, the district’s school board agreed the dollars should be used for health and social services.

Smith contends that in specific instances, use of Medicaid reimbursements can be beneficial to students and within the spectrum of what Medicaid should be used for. For example, a school may be a good place for a student with developmental disabilities to receive physical therapy. Smith said it would be reasonable for a large district like Henrico to use reimbursements to hire a physical therapist.

However, administrative claiming opens the door for more abuses of Medicaid dollars. Smith said it would be questionable for a school to use reimbursements to hire deans and truancy officers.

“Medicaid should be paying for treatments and therapies,” he said. “There are bright lines that should be drawn for these things—what clearly Medicaid should and shouldn’t be paying for.”

CMS did not return The Daily Signal’s request for comment.

Controls Put in Place

Despite a claiming guide released in 2003 and guidance provided by states, Smith noted that abuse of Medicaid reimbursements is often found through independent audits conducted by the Centers for Medicare and Medicaid Services and state agencies.

As a result of such audits, school districts have been forced to return money.

In November 2013, an audit conducted by CMS of California’s administrative claiming program examined three educational entities.

The audit found that two of those three—Turlock Unified School District and Turlare County Office of Education—received improper reimbursements from 2010 to 2011.

In one instance, at Turlock Unified School District, two preschool teachers billed Medicaid and indicated that they spent every hour of their workday conducting Medicaid outreach. However, the government found they spent 50 percent of their time on school-related activities and the remaining time on Medicaid administrative activities.

The district alone had filed claims totaling $3.4 million.

According to EdSource, a website that tracks education in California, reimbursements also served to fill budget shortfalls.

Following the audit, CMS requested the state return more than $4 million in “unsupported school-based administrative costs.”

Similarly, a 2000 report from the Government Accountability Office found that “poor controls over what constitutes an allowable administrative activity cost claim have resulted in improper Medicaid reimbursements.”

In Colorado, some districts are using the reimbursements to fund wellness efforts.

Adams 12 Five Star, which serves students in the northeastern part of the state, received $1.2 million in reimbursements in 2013. The money paid for things like suicide prevention training, nursing hours and outreach to students who were uninsured.

Academy District 20, which serves Colorado Springs, used the Medicaid dollars to pay for magnets stamped with healthy snack suggestions.

“It’s been a very consistent and growing source of revenue for districts,” Bridget Beatty, coordinator for health strategies for Denver Public Schools, told Chalkbeat Colorado in 2013. “It is one of the only sources that has been increasing in the last few years.”

Hill of the National Alliance for Medicaid in Education said schools filing claims for Medicaid reimbursements “ebbs and flows” depending on a variety of different factors. However, he noted that the number of schools requesting the funds has held steady over the last four to five years.

When districts find themselves strapped for cash, Hill said, they begin exploring Medicaid reimbursements more deeply.

To rein in Medicaid reimbursements for things outside the program’s realm, Smith, the former CMS administrator, said the lines of what is and what isn’t Medicaid’s responsibility need to be brightened.

“It’s not Medicaid’s job to fund the schools,” he said.