Obama is Begging Health Insurers to Save Obamacare

Congress has said no. There are countless lawsuits advancing in the judicial system and enrollment is failing. It cant be saved and 2017 will be the year of reckoning. Perhaps this is a good time for a reminder, not ONE single Republican voted for the law. Where are the media interviews now and where is Nancy Pelosi?

Related reading: House of Representatives v. Burwell and Congressional Standing to Sue

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Obama steps in to save Obamacare

With no lifeline coming from the divided Congress, the administration is redoubling pleas for insurers to shore up the federal health care law.

Politico: Deep into the final year of his presidency, Barack Obama is working behind the scenes to secure Obamacare’s legacy, struggling to bolster a program whose ultimate success or failure will likely be determined by his successor.

With no lifeline coming from the divided Congress, Obama and his administration are redoubling their pleas for insurers to shore up the federal health care law and pushing uninsured Americans — especially younger ones — to sign up for coverage. The administration is nervously preparing for its final Obamacare open-enrollment season just a week before Election Day, amid a cascade of headlines about rising premiums, fleeing insurers and narrowing insurance options.

On Monday, Obama met face to face at the White House with leading insurance executives, asking for their continued commitment to the health law despite its recent spate of difficulties. Insurers have come to the White House periodically as the law has rolled out; this time the president made a direct plea for their ongoing support. They in turn pressed their case for steps the administration can still take to strengthen the Obamacare markets.

Notably absent were two of the national insurers that have already bailed on most Obamacare marketplaces — Aetna and UnitedHealth Group.

“We know that this progress has not been without challenges,” Obama wrote this week to each insurer selling Obamacare plans. “Most new enterprises have growing pains and opportunities for improvement. The Marketplace, while strong, is no exception. Time and experience will help drive that improvement, as will constructive policy changes.”

Meanwhile, the administration is taking steps on its own to prevent the marketplaces from collapsing. That includes redoubling efforts to reach out to younger potential Obamacare customers, who have proven particularly challenging to attract in large enough numbers to sustain a high-functioning insurance market. The administration hopes the bully pulpit can bolster that outreach: The president will host a “Millennial Outreach and Engagement Summit” later this month at the White House. And for the first time, the administration will be reaching out directly to individuals who paid a fine last year for not having coverage. HHS Secretary Sylvia Mathews Burwell was on the Hill Thursday updating anxious Democrats about the administration’s efforts to fortify the program.

In a concession to insurers, the administration has also recently taken steps to tighten the enrollment rules to prevent people from gaming Obamacare’s coverage system. Insurers have complained that some customers have been signing up in “special enrollment periods” when they get sick and then dumping coverage once they’ve been treated. Insurers warn the abuse of the rules — designed to help people in special, limited circumstances — is driving up premiums for all Obamacare customers.

Insurers at Monday’s meeting reiterated their concerns about those enrollment issues, according to three insurance officials at the meeting. Burwell and White House senior adviser Valerie Jarrett were among administration officials who attended.

“They are definitely moving in the right direction,” said Mario Molina, CEO of Molina Healthcare. “I think the industry’s concern is how quickly they move on these things.”

Martin Hickey, CEO of New Mexico Health Connections, was similarly enthusiastic about the summit with Obama.

“He sincerely seemed to be listening, and I think that gave a lot of comfort to people in the room,” Hickey said. “We all left feeling hopeful that he and the secretary and their staffs would do what they can to address the issues brought up. I honestly felt optimistic.”

But six years after passage of Obama’s signature domestic achievement, the litany of woes afflicting the Obamacare marketplaces is formidable. Enrollment has plateaued at half of what was projected. Three major insurers have largely quit, citing big losses. Double-digit rate hikes are the norm for plans across the country. And roughly one in five Americans may find just one insurer selling plans in their area when they shop for 2017 coverage.

Despite all those problems, the administration still has a compelling case to make for the law’s achievements and for fixing it rather than scrapping it.

On Tuesday, the Census Bureau announced that the uninsured rate last year dipped to 9.1 percent, down more than 4 percentage points since 2013. Nearly 13 million fewer Americans were uninsured last year than prior to the full implementation of Obamacare.

Initial data from the CDC suggests that the uninsured rate has kept right on dropping into this year, to a historic low of 8.6 percent.

In addition, the Obama administration no longer faces the ugly prospect that no insurers will be selling plans in Pinal County, Ariz. The threat of that county becoming an Obamacare ghost town was lifted last week when Blue Cross Blue Shield of Arizona announced that it would sell plans in the county.

But the progress on coverage expansion hasn’t convinced Republicans that the law is sustainable. Most Republicans, including presidential nominee Donald Trump, continue to call for full repeal of the law, which was passed entirely with Democratic votes. That’s made any discussion around legislative fixes to bolster Obamacare a nonstarter.

That unyielding stance has proven potent politically: Republicans have won control of both chambers of Congress in part by demonizing Obamacare. And there’s no chance their stance will change before Election Day. Obamacare’s recent woes have only amped up the apocalyptic rhetoric from Republicans.

“Obamacare is unraveling at an alarming rate,” said Sen. Lamar Alexander (R-Tenn.), chairman of the HELP Committee, on the Senate floor Wednesday. “There’s no excuse for having a failing insurance market where taxpayers are paying most of the bill.”

A hearing this week before the House Energy and Commerce Committee provided another platform for Republicans to bash Obamacare.

“Premium are off the charts,” said Rep. Fred Upton (R-Mich.), who chairs the committee. “Competition has dramatically declined. All in all the everyday patient is left paying more for fewer choices.”

But Democrats countered that Republicans have done everything possible to sabotage Obamacare, holding dozens of repeal votes and hearings to highlight the law’s shortcomings. They stressed that any legislation as complex as the Affordable Care Act is inevitably going to require legislative fixes.

“It’s time to stop having this kabuki dance over and over again, and it’s time to figure out how we can fix the Affordable Care Act,” said Rep. Diana DeGette (D-Colo.).

CMS Acting Administrator Andy Slavitt stressed similar points during testimony before the committee.

“Undertaking fundamental change is rarely easy,” Slavitt said. “Our mantra is to continually learn and adjust.”

But Sen. John McCain (R-Ariz.) scoffed at the idea that Republicans should work to salvage the law. “I remember the victory dance that you guys performed after passing Obamacare without a single Republican vote,” McCain said at a hearing on Thursday. “Now the chickens have come home to roost.”

Without any cooperation from Congress, the administration’s ability to fortify the Obamacare markets remains limited. Of course, the law’s namesake is soon to be a lame duck. That raises at least the possibility that the political gridlock that has existed since Obamacare’s passage could finally ease.

“We’re just hoping that we can get to some practicality come January,” said Ceci Connolly, CEO of the Alliance of Community Health Plans.

 

 

 

 

John Kerry’s Daughter Vanessa and Funneling of Millions

Vanessa Kerry, a physician, married Dr. Brian Nahed in 2009, the New York-born son of Iranian-Americans who live in California.

Related reading: Seed CEO Vanessa Kerry Speaks at HIV/AIDS Problem Solvers Forum

EXCLUSIVE: John Kerry’s State Department Funneled MILLIONS To His Daughter’s Nonprofit

DailyCaller: More than $9 million of Department of State money has been funneled through the Peace Corps to a nonprofit foundation started and run by Secretary of State John Kerry’s daughter, documents obtained by The Daily Caller News Foundation show.

The Department of State funded a Peace Corps program created by Dr. Vanessa Kerry and officials from both agencies, records show. The Peace Corps then awarded the money without competition to a nonprofit Kerry created for the program.

Initially, the Peace Corps awarded Kerry’s group — now called Seed Global Health — with a three-year contract worth $2 million of State Department money on Sept. 10, 2012, documents show. Her father was then the chairman of the Senate Committee on Foreign Relations, which oversees both the Department of State and the Peace Corps.

Seed secured a four-year extension in September 2015, again without competition. This time, the Peace Corps gave the nonprofit $6.4 million provided by the Department of State while John Kerry was secretary of state.

Seed also received almost $1 million from a modification to the first award, as well as from Department of State funds the group secured outside the Peace Corps.

The Peace Corps program — called the Global Health Service Partnership (GHSP) — sends volunteer physicians and nurses to medical and nursing schools in Malawi, Tanzania, Uganda and Liberia, according to Seed’s website. More than 40 clinical educators worked at 13 sites in the 2014-2015 program.

Kerry and government officials colluded to launch the program and ensure that Seed would get the contract.

“Vanessa, Buck, and Sarah are meeting with Ambassador Goosby on the morning of 9/16/11 to discuss next steps for the GHSP,” said a memo from September 16, 2011 — one year before Seed received its first award. “Conversations with OGAC leadership confirm that Ambassador Goosby is very supportive of the initial proposal.”

The memo was referring to Peace Corps Directors Buck Buckingham and Sarah Morgenthau and Ambassador Eric Goosby, who then headed the Office of the US Global AIDS Coordinator (OGAC) — the State Department office that later funded GHSP.

A meeting one month later unveiled the strategy to send tax dollars to Seed.

“The public funding to start the GHSP is secured, it will come from OGAC through [Peace Corps] to support core HQ and field based activities, and to develop a sub-agreement to provide support to the foundation for contributions for their work in this partnership,” minutes from a Nov. 18, 2011, meeting said. The “foundation” refers to Seed, which was then called the Foundation for Global Health Service.

Officials in that meeting also assured Kerry that she would not have to compete with other groups for Department of State funds.

“Buck obtained clarity of the mechanism by which federal money will be provided to” Seed, the minutes said. “The process can be fast tracked and non-competed through a specific grant mechanism.”

Meanwhile, the State Department buried its intent to transfer funds to the Peace Corps in its required congressional notification.

“The GHSP is a smaller line item in a multi-page document with multi-million dollar programs,” minutes from the November 2011 meeting said.

Seed received its first award less than one year later. Peace Corps later provided another nearly $900,000, noting it underestimated the program’s expenses, especially travel and salary costs.

It’s unclear when that modification was added, but Kerry drew a salary from Seed for the first time in 2014. She was the only officer listed on the nonprofit’s 990 tax form to receive compensation — some $140,000 for a reported 30 hours per week.

Discussion about the $6.4 million extension also provides questionable details. Peace Corps officials noted that contracts could not extend beyond five years and considered competing the next award, but decided they would “go forward with sole-source option if mandated by OGAC,” minutes from a July 17, 2014 meeting said.

Ultimately, the extension was awarded without competition on Sept. 10, 2015. It’s unclear why the Peace Corps violated its five-year policy by giving Seed seven years of non-competitively awarded funding.

Peace Corps justified the decision to forgo competition by arguing Seed was already burrowed into the program, and that replacing it out would cause problems.

“As such, if a cooperative agreement were to be awarded to a new partner, applicants that were recruited and vetted by Seed may be unable to be placed in the field,” a Sept. 10 2015 document stated. The document further noted that “Peace Corps has been unable to identify any potential partners which satisfy the needs of the GHSP program” other than Seed, which was created based around the program’s needs.

Seed spokesman Mark Marino denied any conflicts of interest, telling TheDCNF:

No conflict of interest exists in our partnership with Peace Corps and the US government. Dr. Vanessa Kerry is primarily employed by and paid through Massachusetts General Hospital and Harvard Medical School. Dr. Kerry receives no financial compensation from the Peace Corps or US government. Funding from the Peace Corps, an independent agency in the federal government, represents about 27% of Seed’s total $6.3 million budget this fiscal year.

Marino also claimed that “Seed is the only organization that provides debt repayment for US doctors, nurses, and midwives to serve internationally, something Seed does entirely through private philanthropy. Seed specifically works in the areas of medical, nursing and midwifery education focused on human resource capacity building, making it different than many other non-government organizations.”
A Peace Corps spokesman who demanded anonymity told TheDCNF that the “Peace Corps is proud of the continued work we have done in collaboration with Seed Global Health and the President’s Emergency Plan for AIDS Relief (PEPFAR) to send qualified health professionals abroad to teach and expand clinical capacity.”

“Since the agency’s early years, Peace Corps has sought to improve health outcomes in the countries it serves. The Global Health Service Partnership is an innovative continuation of the Peace Corps’ commitment to global health.”

Department of State spokesman John Kirby told TheDCNF that “there is absolutely no conflict of interest here. Secretary Kerry played no role in this decision making while in the Senate or subsequently while at the State Department.”

Kirby said “Kerry’s work on the Senate Foreign Relations Committee allotted funding to PEPFAR generally — not directly to this program. Using funds appropriated by Congress for PEPFAR, the State Department directs funds through an interagency process to seven implementing agencies.”

“The Peace Corps recommended the GHSP for funding support, and approval of that support went through the standard interagency budgeting and review process. The GHSP was one element supporting PEPFAR’s Human Resources for Health Strategy, which was developed in part to meet the goal set by the U.S. Congress of 140,000 new health care workers trained by PEPFAR under its fiscal year 2009-2013 reauthorization.”

 

 

 

 

 

 
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Obama: 16 Years of Progressivism, the Cover for Hillary

Things are never as they seem or as the rumors are told. It was never going to be a Biden Warren ticket according to Barack Obama, and the machinery is working that it wont be Trump Pence either. While there was a real hate and fractured relationship between Obama and Hillary, socialism, justice, rights and progressivism transcends relationships, hence the reason Bernie Sanders moved Hillary more to the left.

Below is quite a read and provides deep in sight into the operatives for which the Republicans may not be fully ready to combat. It is war, but a war that has millions of moving parts and thousands of people. This is actually terrifying and should be for the sake of voters and the future of America.

The summary below explains the FBI/DoJ decision on the email-server investigation, doesn’t it?

Stripes/CNN

Party of Two

Politico: How Hillary Clinton and Barack Obama (with help from Elizabeth Warren) are trying to save the Democratic establishment.

Joe Biden wouldn’t take the hint, and Barack Obama wouldn’t take “yes” for an answer.

It was the fall of 2015, Donald Trump was rocketing up in the polls, Hillary Clinton was already wilting, and there was Obama’s vice president, occupying national center stage in an awkward public display of grief and political vacillation. Biden’s son Beau had died at age 46 that May, and the vice president was coping, it seemed, by throwing himself into a very open exploration of running against Clinton.

To Obama, this was a big, unwelcome problem. He had picked Biden for the ticket back in ’08 because he didn’t want him to run for president again, and besides, he honestly believed Biden would be crushed by a defeat he viewed as inevitable.

Still, this wasn’t personal for the president; it was business. Protecting his vulnerable accomplishments from the GOP wrecking ball and safeguarding his legacy have always been top priorities for Obama, and he had told friends as early as late 2014 that Clinton, for all her flaws, was “the only one” fit to succeed him. If Biden had come to him six months earlier—who knows? But it was much too late, and time to push Biden toward a graceful exit.

The choice was long understood by the president’s confidants. “My supposition always was that when the smoke cleared, he would be for Hillary,” David Axelrod, Obama’s campaign message guru and former White House adviser, told me. “It was just in the air, assumed.” Another former top Obama aide added, “After the 2014 midterms, when he could sense the end … it was like, ‘Who gives me the best chance to win?’”

One of the most important if hidden story lines of 2016 has been Obama’s effort to shape a race he’s not running in an anti-establishment environment he can no longer control. Over the past two years, he has worked quietly but inexorably on Clinton’s behalf, never mind the not-so-convincing line that he was waiting for the Democratic electorate to work its will. He has offered his former rival strategic advice, shared his top talent with her, bucked her up with cheery phone chats after her losses, even dispatched his top political adviser to calm the Clintons during their not-infrequent freakouts over the performance of their staff, according to one of the two dozen Democrats I interviewed for this story.

The one thing he wouldn’t do was endorse her before she cleared the field. And once, when things were darkest after Clinton’s devastating defeat to Senator Bernie Sanders in New Hampshire, Clinton’s staff urged him to break his pledge and rescue her—but his team refused, a senior Democrat told me.

Clinton’s view of Obama is more conflicted, people close to both politicians told me. She has repeatedly said, “I’m not running for Obama’s third term,” while taking pains to emphasize their differences on issues such as free trade and Syria. And she started the campaign committed to earning the nomination without his overt help.

But Clinton has been pulled closer to the president out of mutual self-interest and circumstance as the long primary season has worn on: Both Sanders’ unexpected success and Obama’s 80 percent-plus approval ratings with registered Democrats have forced the former secretary of state into a tighter embrace than she anticipated. Indeed, her campaign’s internal polling showed that one of the most effective attack lines against the socialist from Vermont was his 2011 remark that Obama’s moderate governing record was “weak” and a “disappointment” to progressives.

Clinton and Obama have something else in common: They both failed to anticipate seriously the rise of Trump. Early on, they were looking out for challenges from Massachusetts Senator Elizabeth Warren and Sanders on the left, and Florida Senator Marco Rubio as the most dangerous Republican in the field. But Trump’s ascent has only increased the urgency of the president’s last White House mission. “Mr. Trump will not be president,” Obama declared flatly back in February.

Obama’s ultimate goal in his final year has been strikingly ambitious, according to those I spoke with: not only blocking from office the birther who questioned his legitimacy as president, but preserving the Democratic Party’s hold over the presidency during an era of anti-establishment turbulence. Obama, always one to embrace a grand goal, talks in terms of creating “a 16-year era of progressive rule” to rival the achievements of Roosevelt-Truman and to reorient the country’s politics as a “Reagan of the left,” as one of his longtime White House advisers put it to me.

Which is why Obama first needed to stop Biden, and without seeming like he was trying to. As much as Obama loved him, Biden didn’t fit into the plan—especially when polls showed he would enter the race against Clinton with 20 percent of the Democratic vote.

So for most of last summer, Obama emphasized Biden’s weaknesses, gently jousting with him at their weekly lunches. He dispatched his de facto political director, Dave Simas, to Biden’s office to deliver a steady diet of polls showing a steep uphill climb, while a former Obama communications adviser presented Biden a plan that showed how tough it would be to attack Clinton, a woman Biden had previously praised in over-the-top terms. The most influential naysayer from the presidential orbit was David Plouffe, the disciplined brand manager and architect of Obama’s two White House campaign victories who remains Obama’s political emissary despite his day job on the board at Uber.

Eventually, Obama toughened his tone, telling Biden in a meeting that it was simply too late to run, a former White House aide told me.

But by the end of September, Biden still hadn’t gotten the message (though my sources insist he already was leaning toward no, at the advice of his still-grieving family), and Obama was getting itchy. Plouffe stepped up the pressure on his fellow Delawarean after months of gingerly trying but not succeeding to get Biden to step aside gently.

“Mr. Vice President, you have had a remarkable career, and it would be wrong to see it end in some hotel room in Iowa with you finishing third behind Bernie Sanders,” he said, according to a senior Democratic official briefed on the effort to ease Biden out of the race.

When Biden finally did tell Obama he wasn’t running, on the morning of October 21, the president comforted his veep—then sprinted into action like a man liberated. Within minutes, Obama ordered up a Rose Garden announcement—that same day. Although Obama saw it as a generous way to give his friend a chance to bow out on his own terms, several former White House staffers told me it also reflected Obama’s jitters; he wanted to lock in the decision before Biden had a chance to change his mind.

And with that, Obama and Clinton, rivals-turned-colleagues who had spent eight years perfecting the art of insider deals, assumed they had cleared their biggest hurdle in the Democratic primaries. But this was the 2016 election. Nothing would be easy.

In hindsight, of course, Biden’s departure didn’t end the threat to Clinton’s candidacy; it opened the way for a more disciplined and dangerous outsider to challenge her, a challenge made all the harder to recognize given that it came in the guise of a comically disheveled Vermont independent.

Biden himself signaled the problem at that awkward Rose Garden ceremony, sounding the very populist refrain that would soon bolster Sanders and rattle the best-laid plans of Obama and Clinton. Reflecting a party whose base has been racing left much faster than either the president or his designated successor had realized, Biden used his improvised speech that day—squinting into a low autumn sun as the boss stood nearby, arms folded—for a blunt discussion of all the progressive goals his boss had not achieved, calling for a reorientation of the party toward a simpler message of economic fairness. “We can’t sustain the current levels of economic inequality,” he said. “The political elite … the next president is going to have to take it on.”

A few blocks away, two unassuming barbarians at the gates were sitting in a bar across from the old Washington Post, after being stood up by a pair of reporters who had been diverted to the Biden announcement. Sanders campaign manager Jeff Weaver and strategist Tad Devine gnawed their sandwiches and watched Biden on a flat-screen TV above the liquor bottles, astonished as he hit virtually every element of their own insurgent platform: free public college tuition, a nonpartisan pitch to independents and blue-collar Republicans, a call for purging big money from politics.

“Holy shit,” Devine said. “That’s our message. That’s what we’re running on.”

Everyone seemed to get it. Except Barack Obama and Hillary Clinton.

***

As intuitive as their alliance now seems, there is simply no modern precedent for the 2016 Obama-Clinton political partnership. In the words of one staffer in Clinton’s Brooklyn headquarters, the pairing represents “the historic merger of two historic candidates.”

Americans really don’t like dynastic politics, or the perception that the presidency can be handed off between cronies like a borrowed lawn mower. Just ask Jeb Bush, who learned the hard way that there wasn’t much of a White House market for a third member of his family. The popular perception that the vice presidency (or a top Cabinet position, for that matter) is a steppingstone to the big job is also myth demolished by fact.

Over the past 50 years, two-term presidents have routinely endorsed their vice presidents, and it’s been a mess. Dwight Eisenhower was deeply skeptical of Richard Nixon’s executive judgment and he demurred from issuing a formal endorsement even after Nixon had cleared the field in early 1960. Ike felt no great obligation to rush his decision, and Nixon, a magnet for slights and political side-eye, was bitter, as was his wont, until interred. “If you give me a week, I might think of something,” was the president’s answer when asked to tick off his vice president’s accomplishments. Eisenhower bit his lip and in March 1960 finally offered a stiff endorsement of his party’s nominee.

George H.W. Bush succeeded in winning the White House where other veeps had flopped, and like Clinton, he did so in part by incorporating key elements of his predecessor’s political team. But his relationship with Ronald Reagan was never especially close—Bush had savaged the boss’ tax-cut plan as “voodoo economics” in 1980—and by 1988, the Gipper was diminished politically after the humiliating Iran-Contra scandal and physically fading. Reagan’s endorsement in May, after Bush dispatched televangelist Pat Robertson in a sluggish primary, came almost as an afterthought during a fundraiser for Hill Republicans.

“I’m going to work as hard as I can to make Vice President George Bush the next president of the United States,” Reagan intoned. The Times noted that Reagan had somehow managed to mispronounce his understudy’s name, “as if it rhymed with ‘rush.’”

Bill Clinton, who vanquished Bush after just one term in 1992, was the only recent president emotionally and politically invested in electing his vice president, but Al Gore, fearing a backlash against Clinton’s sex scandals and keen on asserting his independence, famously snubbed the happy warrior’s offer to barnstorm in battleground states on his behalf. Many of the Democratic staffers who worked that campaign (including Tad Devine) believe Gore might have prevailed in the Electoral College had he embraced the boss—whose popularity ratings were a stratospheric 70 percent, post-impeachment.

Clinton, deeply hurt, has never entirely forgiven Gore, and later told his biographer Taylor Branch that Gore was living in “Neverland” to think he’d be a liability. When the two families appeared onstage together during an awkward endorsement event in August 2000, President Clinton had to pull Hillary into the frame with the Gores, the first lady looking less than thrilled amid the blizzard of confetti. She never forgot that moment, and has told people around her, time and again, that she didn’t intend to repeat Gore’s sin of pride. (The ambivalence is apparently mutual. As of mid-July, Gore was perhaps the only major Democratic figure yet to endorse Clinton.)

By comparison, her relationship with Obama has strengthened over the years, sealed by their shared White House experiences, like the tense deliberations over the raid that killed Osama bin Laden and Obama’s 2012 reelection, when Bill Clinton cast aside his resentments to deliver the capstone nomination speech in Charlotte, North Carolina.

They still make an unlikely pair, so friendly today that it’s hard sometimes to remember their 2008 primary campaign was one of the longest and most competitive in Democratic history, and that both sides accused the other of dirty tricks. The tone was set early when a prominent Clinton supporter in New Hampshire questioned whether Obama had really stopped using drugs at the young age he claimed in his memoir. When Clinton approached the then-Illinois senator on the tarmac of a D.C. airport to say she had nothing to do with the attack, Obama angrily accused her of planting stories about him in the press—including the claim that he was secretly a Muslim—and what previously had been a frosty détente devolved into a shouting match.

Clinton’s millions of primary votes, celebrated in her career-defining “Glass Ceiling” speech when she dropped out of the race in 2008, and her canny team-player approach as secretary of state secured her future leverage with Obama. Still, the early going was rough as Clinton pushed to carve out her own empire within the administration. The West Wing even tried to blackball two of her closest aides—communications adviser Philippe Reines and Capricia Marshall, a Clinton confidante tapped as director of protocol—until the secretary’s top aide, Cheryl Mills, personally wrangled a deal with Obama fixer and future White House chief of staff Denis McDonough.

Those battles seem like ancient history now. But Obama’s people still tend to have a Barack-first sense of loyalty. (One high-ranking current Clinton aide keeps a life-sized cardboard cutout of the 44th president in his office as a talisman.) And the old Hillaryland crewmembers (Mills, Marshall, Huma Abedin) remain ferociously pro-Hillary.

Over the years, the two staffs have inevitably melded into something the Republicans envy, though: a core team of 100 or so professionals who form the functioning heart of the national Democratic Party, working mostly in harness—a product of eight years in power and three campaigns’ worth of collaboration. These days, the big worry isn’t about division but excessive togetherness, a blurring of the lines between the presidency and the campaign (duly noted by the White House counsel’s office, which churns out advisories defining legal protocols for communication and coordination in keeping with the Hatch Act).

But it’s hard to police all the checkpoints, especially when friends on both sides are kibitzing in a bar or at a birthday party. And almost all the key players in Clinton’s Brooklyn high command have served time in both camps. John Podesta, the campaign chairman, was Bill Clinton’s last White House chief of staff, informally advised Hillary Clinton in 2008 and headed back to the White House in 2013 as Obama’s senior in-house strategist—with the caveat that he would hop back over to the Clintons the minute they set up the campaign. Campaign communications director Jen Palmieri, a former Podesta deputy, held the same job in the Obama White House. Clinton’s top strategist Joel Benenson was Obama’s pollster—and Clinton ad-maker Jim Margolis was part of Obama’s Chicago mafia.

Sometimes, it seems like family tree software would be useful: Take Brian Fallon, Clinton’s press secretary, who worked as Attorney General Eric Holder’s flack before joining the campaign, is married to Obama’s former legislative affairs director and interacts frequently with his West Wing counterpart Eric Schultz, a Clinton alum who preceded Fallon on Chuck Schumer’s Senate communications staff.

***

Planning for the campaign began in mid-2014, when Cheryl Mills began reaching out to potential Clinton staffers in the West Wing, while Clinton’s State Department aide-de-camp Jake Sullivan began putting together a compendium of policy options for the wonky would-be candidate.

A parallel effort to gear up for 2016 was emerging in the White House. Three years after eliminating his scandal-prone political office, Obama essentially reconstituted it under a new name and tapped a chipper veteran campaign organizer, Simas, to act as his point of contact with the campaigns.

The most important early meeting, in terms of both symbolism and synergy, was in late 2014, when Plouffe, acting with Obama’s blessing (and a mandate to report back), sat down with Clinton in her Washington mansion to map out his vision of her campaign.

Plouffe, a low-key, data-obsessed strategist who made his name as the architect of Obama’s two campaigns, had been one of the last anti-Clinton holdouts in 2008, and he was also the party’s most-respected electoral engineer. He was dispatched with Obama’s explicit intention to help “stand up” Clinton’s effort, according to a person involved in the planning. But he took to the Clinton cause with the zeal of the converted and would emerge over the following 18 months as a surprisingly hands-on campaign operative, coaching Clinton’s young staff during free time.

“Plouffe is everywhere. You can’t see him, but he’s everywhere,” a Clinton aide told me during the Iowa caucuses this winter.

At that first meeting with Clinton, Plouffe laid out a set of imperatives to deal with the shortcomings of her ’08 effort: She needed to assemble a first-rate analytics, targeting and data team; limit the freakouts and impulsive personnel changes; and hire (as well as empower) a steady, technically proficient campaign manager. He threw his support behind the leading candidate, a thirtysomething party stalwart named Robby Mook, who had run Terry McAuliffe’s successful campaign for Virginia governor. Clinton was already sold on a lower-drama campaign (even if she didn’t always practice what she preached).

But if her campaign organization started out on a more solid footing than in 2008, there remained a political problem on Clinton’s left that neither she nor her White House friends fully grasped. They didn’t anticipate the populist uprising that hit both parties, and missed the Sanders revolution until it was nearly too late, in part because they were so focused on eliminating what they saw as a far more dangerous threat on the left, Elizabeth Warren.

The 67-year-old former Harvard professor had long maintained that she wasn’t running, but no one in Brooklyn or the White House quite believed her. That concern spiked to panic in October, when Clinton lavishly praised Warren at a campaign event—“I love watching Elizabeth give it to those who deserve to get it”—only to get a cold shoulder from the senator, who barely acknowledged her presence.

So as Obama’s team was jockeying behind the scenes to maneuver Biden to the sidelines, Clinton’s aides were desperately doing all they could to keep Warren happy and prevent her from joining forces with Sanders.

Luckily for Clinton, Warren resisted Sanders’ entreaties, for months telling the senator and his staff she hadn’t made up her mind about which candidate she would support. For all her credibility on the left, Warren is more interested in influencing the granular Washington decisions of policymaking and presidential personnel—and in power politics. Warren’s favored modus operandi: leveraging her outsider popularity to gain influence on the issues she cares about, namely income inequality and financial services reform.

“Elizabeth is all about leverage, and she used it,” a top Warren ally told me. “The main thing, you know, is that she always thought Hillary was going to be the nominee, so that was where the leverage was.”

Warren, several people in her orbit say, never really came close to endorsing the man many progressives consider to be her ideological soulmate. She made a point of meeting with Sanders to hear his pitch and continued checking in. But she prioritized opening a channel to Clinton on policy. Warren’s personal relationship with Clinton was originally frosty (she was irked by Clinton’s support for a bankruptcy bill more than a decade earlier). And while the pair have never developed an easy rapport, they did develop a working relationship, thanks in part to their mutual friendship with a shared consultant, longtime Clinton hand Mandy Grunwald. In early 2015, Warren sent a major signal that she would ultimately endorse Clinton, telling a senior campaign aide, “I’m getting a lot of pressure to endorse Bernie, but I’m not going to do it.”

Clinton made it clear through those back channels that she planned to move in Warren’s direction on several key issues. Her first step: consulting Warren on a bill she had sponsored jointly with liberal Wisconsin Senator Tammy Baldwin that would prevent private-sector executives from receiving big bonuses before heading into government service. Clinton endorsed the measure months later than Sanders did, but Warren told a friend that she was satisfied with Clinton’s “progress” on the issue and hoped to keep pulling her in the right direction.

Here was a textbook example of Warren’s chess-game approach: The bill, which never had a chance of passing the GOP-controlled Senate, was partly intended to handcuff Clinton if she was elected, weeding out many top finance executives who demanded big payouts before entering the public sector.

Warren made her agenda plain to Clinton when she earned her own tea-and-tactics invitation to Clinton’s Washington home in December 2014—a stilted meeting that left Clinton annoyed and put upon, according to one top Democrat. Warren was in a feisty frame of mind, and had just announced her opposition to the appointment of Lazard banker Antonio Weiss to a top Treasury post. West Wing staffers were infuriated by her decision, but Clinton, differentiating herself from Obama’s team, was more receptive. And when Warren pointedly pressed Clinton not to appoint Wall Street-friendly officials, Clinton didn’t appreciate the full-court press, but she signaled her general agreement, according to a person in Clinton’s inner circle. It was hardly a coincidence that, that spring, she named a key Warren ally, Gary Gensler, a former federal regulator loved by the left for his clashes with Obama’s Treasury Department, as her campaign’s chief financial officer.

None of this was quite enough to push Warren into an early endorsement. Support for that position came from an unexpected quarter: In an early 2015 conversation, Biden counseled the Massachusetts senator to hold off on endorsing Clinton until after the primary, according to a Democrat briefed on the interaction.

Ultimately, it was Donald Trump who brought the two women politicians closer together. Warren (“Pocahontas” in Trump-speak) detests the GOP candidate on a deeply personal level as a racist and sexist. And even though she harbored doubts about Clinton’s ideology, Warren viewed the former secretary of state as a fighter, and opined to friends that Clinton would make a tougher-minded negotiator on all kinds of deals than the comparatively easygoing Obama.

By late spring, Warren and Clinton were talking on the phone from time to time, lamenting the timidity of Democrats still reluctant to bash Trump and agreeing on the gut-punch approach Warren would soon use in a series of Facebook posts that garnered millions of views. (Clinton and her team were especially tickled by Warren’s description of the GOP nominee as “a small, insecure moneygrubber who doesn’t care about anyone or anything that doesn’t have the Trump name splashed all over it,” I was told.)

 

Warren’s effectiveness as a punch-thrower played a critical role in the Clinton campaign’s late-May pivot away from fighting Sanders to taking on Trump directly. Warren wasn’t initially a serious candidate for a vice-presidential slot, people close to Clinton told me. But her late-in-the-game performance has changed that, and she warmed to the idea after initially viewing it as just another leveraging tool, according to senior Democrats.

Mutual self-interest as much as anything dictated it. Clinton admired Obama’s team, but she was still convinced that in 2008 he had benefited from unfair advantages like a cheerleading press and undemocratic small-state caucus system that slighted her strength among big-state Democrats. “It was important for her to do this on her own,” one top 2008 Clinton adviser told me.

But the president’s team had little doubt on substance—even if timing was an issue. Plouffe, in particular, was determined to preserve the tarnished ’08 hope-and-change brand, and he and Obama shared the opinion that Sanders simply didn’t have the bandwidth or willingness to compromise his job required. (When I asked Obama in January whether the 74-year-old senator reminded him of himself in 2008, the president quickly shot me down: “I don’t think that’s true”).

Still, Sanders’ direct call for a revolution had chastened Obama, and he was intent on keeping to the no-endorsement deal. Clinton’s team had no problem with that—until her lackluster Iowa and New Hampshire performances, which induced a collective anxiety attack among some of her team in Brooklyn.

In mid-February, three officials with direct knowledge told me, Podesta approached Plouffe and McDonough to float an idea: If Clinton somehow managed to lose the upcoming Nevada caucuses, which had been unthinkable weeks earlier, would Obama offer his endorsement to stop Sanders’ momentum? It was clearly an act of desperation—“a break-glass and push-the-panic-button moment,” in the words of a Democrat close to the situation—and Obama’s team quickly vetoed it. Plouffe said the endorsement wouldn’t help—in fact, he said, it would be “counterproductive”—prompting a backlash that would swamp both the president and his chosen successor. Podesta, a four-decade veteran of campaigns and White Houses, wasn’t pleased, but he conceded the point; it’s not clear if Clinton or Obama even knew about the idea at the time, several aides told me.

The question turned out to be moot; Clinton won a 5-point victory in Nevada and established a pattern of solid performances in diverse big states (with Sanders winning in mostly white states, caucuses and open primaries where independents could vote).

The White House did have a counter-offer: Obama would consider making an early announcement if Clinton wrapped things up during the March 15 primaries. But that deal died when Sanders won Michigan unexpectedly on March 8, upending the race.

***

As clear-eyed as Obama has been about Clinton, some campaign-season friction has been inevitable. The arrangement is inherently schizophrenic: Clinton’s team wants Obama’s support when they need it most, while demanding the latitude to break with him whenever they need to get out of a political corner. On some issues, it hasn’t mattered much. Sources told me Obama waved off Clinton’s more hawkish stance on intervention in Syria (she has suggested supporting a no-fly zone, something he has rejected), and that he didn’t much mind when she vowed in Iowa last October to “go beyond President Obama” in pursuing immigration reform.

But he’s been deeply frustrated by her machinations on free trade, an issue he views as the final big-ticket legislative priority of his presidency. And he expressed anger over Clinton’s tortured decision to reverse her support for the Trans-Pacific Partnership trade deal. At the time, he told one visitor to the Oval Office that he viewed it not only as bad policy but “bad politics,” because it would reinforce the impression, pushed by Sanders, that Clinton was an opportunistic flip-flopper.

The flashpoint came in June 2015, when Clinton told Nevada political reporter Jon Ralston that she would have voted against “fast-track” authority for the trade deal—the very procedural tool Obama was hoping to use to hammer through the deal against a growing populist backlash. Obama’s complaint was that Clinton, who was speaking off the cuff, hadn’t given him a heads-up before trumpeting such a major break with him on policy. The president was furious and—as polite principals do when they don’t want to berate other principals directly—he transmitted his displeasure to McDonough for broadcast to Hillaryland. The man tasked with blunting that anger was none other than Podesta, McDonough’s longtime jogging partner, the man who had hired him at the liberal Center for American Progress and McDonough’s tutor in the use of executive power in the West Wing.

Still, Obama and his team kept their eyes on the bigger prize—Clinton’s election—and sweated right alongside her team when she swooned in January and February. Obama, who boasted about not watching the debates to stick with TV hoops, never lost confidence in Clinton. But no one better knew her weaknesses, and he watched Sanders’ rise with alarm and a tinge of admiration for the septuagenarian’s out-of-nowhere challenge to the system. The shocker came in late January, one senior Democrat told me, when Simas offered him a readout of internal Democratic polling showing Clinton in serious trouble. “She could actually lose this thing,” Simas said.

There wasn’t a lot the White House could do at that point. But Plouffe, acting in his dual role as an Obama operative and shadow strategist, developed a close mentoring relationship with Mook, whom he viewed as a clear-headed team builder. During the Iowa caucuses, Plouffe, who had helped implement Obama’s innovative voter targeting there, was talking to Mook several times a day, offering tactical advice and encouragement, according to people close to the campaign. And he counseled his protégé to make what would turn out to be one of the campaign’s best hires: Obama veteran Jeff Berman to quarterback Clinton’s delegate operation.

Plouffe wasn’t the only one working the phones. Obama, according to aides, also dialed through to Clinton on several occasions to offer encouragement and a little heartfelt if obvious advice. “Loosen up and be yourself,” he told her during one long post-New Hampshire call, counseling Clinton to ditch the laundry-list speeches and mix in “some poetry with the prose,” in the words of one aide.

***

If Obama’s early commitment to Clinton had any downside, it was the sense of inevitability, of complacency, that it fostered, the notion that anybody could control a process that was rapidly being taken over by outsiders and insurgents. “We caught them flat-footed,” Sanders campaign manager Jeff Weaver told me.

And it was true: Both Clintons had initially dismissed Sanders’ candidacy as a long shot. “He’s a socialist!” she had said incredulously when someone in late 2015 suggested that Sanders’ message was taking root. And while Clinton herself would point the finger at her pollsters and consultants for failing to anticipate his rise until last December, the fault ultimately lay with a candidate who later told me she preferred to deliver long, policy-packed speeches to pithier calls to battle.

Sanders, who vaulted from less than 3 percent in national polls in early 2015 to a dead-heat by April 2016, turned out to be Clinton’s equal in debates, exposing all the flaws that had dogged Clinton as a candidate eight years earlier—the wooden delivery, the deliberative poll-tested position papers, the focus on incremental progress—when her opponent was electrifying crowds with promises of seismic (if hard-to-implement) change.

But the key thing both Obama and Clinton missed was that responsible liberal governance connected to economic elites—the essence of their partnership—had simply faded from fashion. In their early, scrupulously civil debates, both Sanders and Clinton repeatedly emphasized how similar their stances on major issues were. But as he caught fire—and Clinton shifted on issues like Social Security, trade and Wall Street regulation to meet his challenge—Sanders shifted to a broader, more incendiary anti-establishment argument that focused on what Clinton represented as opposed to the positions she adopted.

And what really sustained him was his positive message of generational change, liberally borrowed from Obama’s 2008 campaign, and broadcast to his faithful through a series of iPhone-friendly videos. Sanders continued to emphasize policy disagreements, especially on foreign affairs, but what drew the 15,000-student crowds were his shout-himself-hoarse denunciations of Clinton’s connections to financial elites; his repeated attack on her six-figure Goldman Sachs speaking fees was the most effective attack line of the campaign, his advisers say.

“They are a historic pair, and they have a lot of power when they work together,” argues a top Sanders ally. “But if they want to motivate the party, if they want to beat Donald Trump, if they want to excite voters, they need to get into Bernie’s space—and fast.”

 

Still, it’s possible to over-learn the lessons of Sanders’ success. As senior Clinton advisers rightly point out—except for the February scare and an unexpected loss a month later in Michigan—Clinton won the overall primary season convincingly, with 55 percent of the vote, a bigger lead in pledged delegates than Obama ever enjoyed in ’08 and 3.5 million more votes than Sanders.

Besides, predictions that Sanders voters wouldn’t unite around Clinton haven’t, so far, proven any more accurate than predictions that Clinton voters wouldn’t vote for Obama. Ahead of the Philadelphia convention, only about 8 percent of Sanders supporters said they’d back Trump in the general election, according to a June Washington Post-ABC News poll—compared with 20 percent of Clinton supporters who planned to vote for Republican John McCain in 2008. By contrast, recent surveys have shown 70 percent of Ted Cruz voters have negative views of Trump.

Exit polls for the early 2016 primaries tell an even starker story about the relative health of the parties heading into the fall. A majority of Republicans said they felt “betrayed” by their party—the rage that fueled Trump’s candidacy—compared with less than a quarter of Democrats who shared that sentiment. “The biggest misnomer of the campaign is that everybody’s pissed off,” Clinton strategist Benenson told me in March. “The truth is that Republicans are way, way more angry than Democrats. And Democrats love Obama.”

***

The party does seem to be uniting, as Sanders’ awkward but emphatic enough endorsement of Clinton in early July proved. But the protracted, weeks-long three-way negotiations among Clinton’s, Obama’s and Sanders’ political teams over the Democratic Party’s platform showed something: that the Clinton-Obama table for two may need a new place setting.

Sanders, who took a long time to accept the reality of his primary defeat personally, squandered some of his leverage. But in the end, the Clinton camp was eager to give him almost everything he asked for in the Democratic platform by agreeing to embrace a new proposal to subsidize public college tuition, a public option for Obamacare and a break-up-the-banks plank.

The final hurdle to kumbaya was a deal that embittered, or at least annoyed, all three parties.

Obama, knowing Clinton and Sanders had bucked him on free trade, lobbied hard to shoot down an anti-Trans-Pacific Partnership provision in the platform during a series of party meetings in Orlando in early July. The uncompromising Vermont revolutionary would have to compromise—and he did—by accepting the pro-TPP plank debated during the Orlando meetings. When the deal was done, Sanders called his team from his house in Vermont and declared, in his matter-of-fact, ordering-at-a-diner voice, “Well, we just created the most progressive platform in the history of the Democratic Party.” And then he said goodbye and hung up.

Yet until the very last moment, Clinton’s jittery team couldn’t quite believe Sanders was really on board, seizing on a rumor that he was boarding a plane to Florida to blow up the final agreement.

Never mind that everyone on the Sanders campaign laughed it off. The calls from Brooklyn kept coming—“We’re hearing he’s on the plane right now!” —until one close aide to the senator bellowed into his phone, “Godammit, Bernie’s in Burlington, and he’s staying in Burlington!”

The senator was good to his word. The next time Clinton’s team saw Sanders, he was sharing a stage in Portsmouth, New Hampshire, with his party’s presumptive nominee—and declaring himself a loyal Democrat in Clinton’s anti-Trump crusade.

 

 

 

 

A Hotel in Texas for Immigrants?

Immigration officials consider bid for new ‘hotel-like’ detention center

Stratton Oilfield Systems seeks to turn former Texas work camp into 500-bed facility with improved living conditions, which activists say would still be ‘prison’

 

Guardian: Federal immigration officials are moving forward with plans for a new 500-bed family detention center to house migrant women and children, even as many advocates and politicians have called for the closure of such facilities altogether.

Officials in Dimmit County, 45 miles from the Texas border with Mexico, say they’ll consider a bid on Monday from a firm who says their facility in a 27-acre former work camp for oil workers would provide dramatically better conditions than two other family detention centers in the state.

Those facilities have faced complaints of poor food, inadequate medical care and allegations of sexual abuse from detainees, activists and the US Civil Rights Commission.

“Our facility offers a community-based alternative that will allow children to live in a home setting, attend school, and access critical legal and social services,” Stratton Oilfield Systems said in a pitch to potential partners.

“They want to have it with no fence,” said Mike Uriegas, a commissioner in Dimmit County, who says he first met with Stratton Oilfield Systems two weeks ago. “They don’t want to appear like a prison or detention center.”

But Cristina Parker, Immigration Programs Director for Grassroots Leadership, said she and other advocates object inherently to the concept of a detention center for families fleeing violence, regardless of the purported conditions.

“If you are not free to leave, then it doesn’t matter how nice it is,” Parker said. “It’s a prison.”

The Obama administration’s use of family detention centers that hold children and mothers has become one of the most contested elements of America’s border protection program.

Advocates have called on the Obama administration to pursue alternatives for families who are waiting for courts to hear pending asylum and immigration claims.

“Our families have witnessed their loved ones killed before their eyes, they have been the victim of rapes and robberies simply because of who they are,” said Jonathan Ryan, executive director of the Refugee and Immigrant Center for Education and Legal Services. “Our refugee families need protection, not jail.”

Related reading: SERCO, Global Corruption

Related reading: Orlando Terrorist, Omar/G4S and SERCO

Earlier this month, a nearby Texas county had considered a bid with British firm Serco, which has a history of immigration detention center scandals in the UK and Australia. Jim Wells County voted not to bid on the contract, after some officials voiced concern over past abuse allegations against the firm.

Uriegas said he and other officials are undecided on the Stratton bid and will learn more at a meeting on Monday, which immigration advocates also plan to attend. One group had already heard of the company.

Last July, Stratton’s vice-president, Shannon A Stratton, tried to pitch the same idea for the closed worker housing in a letter to Grassroots Leadership, an Austin-based organization that opposes the prison industry.

A glossy proposal accompanying Stratton’s letter showed hotel-like two-bedroom studios with a living room, kitchenette and full bathroom. Stratton noted a federal judge has said women and children should be released from other detention centers where they are being held in “deplorable” conditions.

“The Studios in Carrizo Springs offers an excellent solution and is distinctly different from the facilities that are so highly criticized in the media and by human rights groups,” Stratton wrote. “Families could be free to come and go while they await immigration hearings, receive education about their rights and responsibilities, and pursue permanent relocation and employment.”

“It shows they don’t quite know what is going on,” said Cristina Parker, immigration programs director for Grassroots Leadership. “They’re confused about other things too, because it is blanketly untrue that the families will be free to come and go.”

Immigration and Customs Enforcement’s other two family residential centers in Texas are surrounded by razor wire and high fences.

The proposal emerges just days after the US supreme court blocked Obama’s plan to spare millions of immigrants from deportation. He vowed afterward: “What was unaffected by today’s ruling, or lack of a ruling, is the enforcement priorities that we’ve put in place.”

 

Refugees with Active TB Arrived

Eleven Refugees With Active TB Arrived in Florida After 2013

Eleven refugees with active tuberculosis (TB) were among more than 111,000 refugees who arrived in Florida during the three years between 2013 and 2015, according to a report the Florida Department of Health recently sent to Breitbart News.

Their active TB status was determined in medical screenings completed within 90 days of their arrival in the Sunshine State.

This news comes barely a week after Breitbart News reported that four refugees with active TB were sent to Indiana in 2015.

The Florida Department of Health provided a breakdown, by year of arrival, of the eleven refugees who arrived in Florida with active TB:

Number of refugees who completed domestic medical screening who were diagnosed with active TB at the time of that screening.

Year        Number Diagnosed with Active TB
2013                               5
2014                               5
2015                               1

Total                             11

Breitbart: The vast majority of these refugees who arrived in Florida between 2013 and 2015–104,000 of the 111,000– came from Cuba  under the “wet-foot, dry-foot policy,” the 1995 “amendment to the 1966 Cuban Adjustment Act. . . [that] gives migrants from Cuba special treatment that no other group of refugees or immigrants receives… [and] puts Cubans who reach U.S. soil on a fast track to permanent residency,” as Dan Moffett reports.

Only a small percentage of these 104,000 Cuban refugees–an estimated total of 3,000–entered as “traditional arrival” refugees, the program through which approximately 70,000 refugees per year enter the United States from over 100 different countries.

The remaining 111,000 Cuban refugees were classified as part of the additional 70,000 migrants who enter the United States annually and are designated as “other served populations” eligible to participate in refugee programs administered by the Office of Refugee Resettlement. Many in this group are classified by the federal government as “non-traditional arrivals,” a designation that includes “irregular maritime arrivals. . . and border crossers.”

In 2015, for instance, of the 140,093 total migrants who were eligible to be served by the refugee programs administered by the Office of Refugee Resettlement 69,933 were refugees, while 70,160 were “other served populations.”

Another small percentage of the 111,000 refugees who entered Florida between 2013 and 2015–a total of 7,000–entered through the “traditional arrival” refugee resettlement program administered by the Office of Refugee Resettlement from countries other than Cuba.

While all 10,000 refugees (3,000 from Cuba, 7,000 from other countries) who arrived in Florida between 2013 and 2015 through the “traditional arrival” refugee resettlement program were medically screened overseas prior to being approved to come to the U.S., the 101,000 Cubans who came to Florida under the category “others served by the refugee resettlement program” over the same period were not medically screened prior to their arrival in the U.S.

Most startling of all the information included in the Florida Department of Health data is that only two of the eleven refugees (18 percent) who arrived in Florida with active TB were included in the B1, B2, B3 refugee tuberculosis medical risk notifications sent to the Florida Department of Health by the CDC through the National Electronic Disease Notification System.

Total number of refugees who arrived with a B1, B2, or B3 tuberculosis notification who were diagnosed with active TB at the time of that screening, expressed as an absolute number and also as a percentage of notification of refugees screened.

Year         Number Diagnosed with Active TB          Percentage of Refugee Notifications
2013                                 1                                                              3.7%
2014                                 1                                                              2.4%
2015*                               0                                                               0%
* Preliminary data

The other nine refugees who arrived in Florida with active TB (82 percent) were most likely Cuban migrants in the category “others served by the refugee resettlement program” who were not medically screened overseas prior to their arrival in the U.S. It possible, however, that some of the non-Cubans who were given a clean bill of health by the CDC’s overseas medical screening program were in this latter  group.

When the CDC provides the Florida Department of Health with advance notifications for each “traditional arrival” refugee bound for Florida when they arrive at a U.S. port of entry, it also provides B1, B2, and B3 tuberculosis medical risk notifications for those “traditional arrival ” refugees carrying those classifications. The Florida Department of Health provided Breitbart News with the number of refugees who arrived with  B1,B2, and B3 medical risk notifications between 2013 and 2015:

Number of B1, B2, and B3 tuberculosis notifications sent to the Florida Department of Health by the CDC.

Arrival         Number of Refugees
2013                             61
2014                             80
2015                             92

Source: Electronic Disease Notification system (EDN)

Refugees who entered Florida with these medical risk notifications were from among the 10,000 “traditional arrival” refugees between 2013 and 2015, 3,000 from Cuba, and 7,000 from other countries. None of the 111,000 Cubans who entered Florida between 2013 and 2015 from the “others served by the refugee resettlement program” category were subject to these medical notifications, since none had been medically screened overseas.

Though the CDC has gone to great lengths to assure Americans that refugees do not present a tuberculosis health risk to them, the actual data from Florida and Indiana belie that claim.

As Breitbart News reported previously:

Refugees who are diagnosed in overseas medical screenings as having “active infectious tuberculosis” are classified as Class A medical risks, and are not allowed to migrate to the United States without a special waiver.

Refugees who are diagnosed as having something the CDC calls, in a classic bureaucratic oxymoron, “active tuberculosis – non-infectious,” are classified as Class B1 medical risks and are allowed to migrate to the United States.

According to the most recent 2007 standards provided by the CDC to the approximately 700 medical doctors who have been authorized by U.S. embassies or consulates overseas to be part of the U.S. Control Panels that perform overseas medical screenings of U.S. bound refugees, any refugee who (1) has a chest radiograph that suggests the presence of TB and has either (1) sputum smears that test positive or (2) sputum cultures that test positive, is categorized as a Class A medical risk.

Class B2 tuberculosis medical risks are refugees who complete the overseas medical screening and require “[l]atent tuberculosis infection evaluation .”

Class B3 tuberculsosis medical risks are refugees who complete the overseas medical screening and require “contact evaluation.”

The Florida Health Refugee Health Program Report for 2010 to 2012 explains why refugees from Cuba and Haiti are treated differently than those from other countries:

Most refugee arrivals in Florida enter through the Miami port of entry and resettle in Miami-Dade County. However, Florida is experiencing an increase in refugees arriving through the Chicago and New York City ports of entry.

The RHP (Florida Refugee Health Program) is notified in advance of traditional port of entry (i.e.,international airports and seaports) refugee arrivals by the Centers for Disease Control and Prevention’s (CDC’s) Electronic Disease Notification (EDN) System.

The RHP does not receive prior arrival notifications for non-traditional refugee arrivals such as primary asylees, irregular maritime arrivals, and border crossers who are eligible for refugee services.

Irregular maritime arrivals and border crosser populations refer to Cuban/Haitian entrants who may have arrived via water or land (U.S./Mexico or U.S./Canada border) and have received an immigration status that deems them eligible for refugee benefits.

The vast majority of Texas arrivals consisted of border-crossers.

Arrivals through non-traditional ports of entry increased dramatically between 2010 and 2012.

There were 338 (1.4%) non-traditional arrivals in 2010, 2,298 (8.8%) in 2011, and 8,229 (26.9%) in 2012. Non-traditional arrivals include both border-crossers and irregular maritime arrivals.

Border-crossers are Cuban/Haitian entrants who may have arrived via water or land (U.S./Mexico or U.S./Canada) and have received an immigration status that deems them eligible for refugee benefits, such as public interest parole…

Closely related to the trends in ports of entry for refugee arrivals are the trends in the immigration status of refugee arrivals. Although the term refugee is used throughout this report to encompass all eligible populations, there are 11 different immigration statuses represented in Florida’s arrivals.

Since 2010, parolees ( …individuals granted entry into the U.S. for humanitarian reasons or for emergent or compelling reasons of significant public benefit) have been the largest immigration status represented in the eligible arrival population in Florida, followed by refugees and asylees.

Many  Cuban refugees (the majority of whom are technically “parolees”) enter the United States by land, with Texas being the leading port of entry.  These individuals, along with Cuban refugees who are classified as “non-traditional maritime” arrivals are not medically screened prior to their arrival here.

As Pew Research reported:

Thousands of Cubans have migrated to the U.S. by land. Many fly to Ecuador because of the country’s liberal immigration policies, then travel north through Central America and Mexico. The majority of Cubans who entered the country arrived through the U.S. Border Patrol’s Laredo Sector in Texas, which borders Mexico. In fiscal 2015, two-thirds (28,371) of all Cubans came through this sector, an 82% increase from the previous fiscal year.

However, a larger percentage increase occurred in the Miami sector, which operates in several states, but primarily in Florida. The number of Cubans who entered in the Miami sector during fiscal 2015 more than doubled from the previous year, from 4,709 .

Over 80 percent of the more than 56,000 Cuban refugees and migrants who arrived in the United States in FY 2015 were resettled in Florida. Ten percent were resettled in Texas, while the remainder were resettled in other states.

In Florida, Cuban refugees and migrants account for well over 90 percent of all resettled refugees, as this breakdown of refugees arriving in the Sunshine State between 2013 and 2015, as provided to Breitbart News by the Florida Department of Health, shows:

FY 2013-2015 Arrivals,  By Country of Origin
Country                   2013              2014              2015              Total
Cuba                      29,506         31,443            43,681           104,630
Burma                         383              408                 467                1,258
Iraq                              481              577                  302               1,360
Haiti                             486             538                  189                1,213

Total                       31,906      33,978              45,907             111 ,791

NOTE: some of this data is still preliminary in nature.

Residents of the Sunshine State can take some comfort, however, in the fact that Florida has consistently had a very high rate–well over 90 percent–of arriving refugees who successfully complete their medical screenings within 90 days:

Total Arrivals, FY 2013 to FY 2015

Year                    Number of Arrivals Number Screened Percentage Screened
FY 13                            31,906                      29,838                   93.52%
FY 14                            33,978                      33,217                   97.76%
FY 15                           45,907                      44,672                    97.31%

This is just part of the TB refugee health data provided by the Florida Department of Health to Breitbart News, important information that is not made available to the public in many other states, particularly those like Tennessee where refugee resettlement operations are controlled by VOLAGs (voluntary agencies) selected by the Office of Refugee Resettlement under the statutorily questionable Wilson Fish alternative program.

The special treatment of Cuban refugees, however, may be coming to an end, a result of concerns over financial scandals reported in the resettlement program in Florida, as well as the re-establishment of formal relations with Cuba by the Obama administration in 2015.

Critics question why Cubans should not enter through the traditional refugee resettlement program like the 70,000 refugees resettled by ORR each year. Should that take place, Cuban refugees would then be subject to overseas medical screenings.

Since two of the eleven refugees who arrived in Florida with active TB between 2013 and 2015 went through that screening and were classified B1, B2, B3 tuberculosis medical risks cleared for entry into the U.S., it is not clear if adding overseas medical screenings to Cuban refugees will offer significant improvements to the public health risks Americans face from refugees who are now readily cleared by an obviously imperfect  medical screening system.

But, since nine of the eleven refugees who arrived with active TB between 2013 and 2015 were likely not subjected to overseas medical screening, adding overseas medical screenings as a requirement for entry for all Cuban refugees would not make the current flawed system worse.

The only sure-bet policy that could make the current system better, however, at least in terms of guaranteeing that no refugees arriving in the U.S. will increase the risk of Americans being infected with active or latent TB, would be to completely shut down the program and allow no refugees to enter.