President Trump made the right decision to give a 6-month notice to Congress that the Deferred Action for Childhood Arrivals (DACA) program will be ending. These children and young adults, who were illegally brought into the U.S. as children and have lived here for many years, should be given permanent legal status – and not be subjected to the temporary whims of any President. The vast majority of U.S. citizens agree that these young people should be allowed to stay in the U.S. legally. Even if Congress cannot come to an agreement on general immigration reform, they should be able to come to an agreement to let these kids stay. Contact your U.S. Senators and Representative and let them know that you want a permanent solution to let these young people stay in the U.S.
The Des Moines Register recently reported that Wellmark Blue Cross Blue Shield has been accused of violating federal HIPAA privacy regulations in the case of a patient with severe hemophilia. (See link to Register article below.) As reported, a representative of Wellmark was discussing the high cost of health insurance at a Rotary Club meeting last March. She gave an example of an extreme case that was costing $1 million per month. (ACA – Obamacare – prohibits insurance companies from placing any limit on the amount it will pay for patients.) She did not identify the patient by name, but described him as a 17 year old male with hemophilia. Maybe she should not have mentioned the age or sex of the patient, but that information alone did not identify who the specific patient was, and should not be considered a violation of federal privacy regulations.
Wellmark and other insurance companies must be able to cite specific high cost cases that are causing health insurance premiums to rise to unaffordable amounts. How can we openly debate ways to contain health care costs if we don’t know what is causing the high costs? Can we really afford to require insurance companies to pay out unlimited amounts for any patient? I recently heard that the last remaining company to offer individual health insurance policies in Iowa may charge more than $30,000 per year next year for a couple who are 55 years old. Health care wants are unlimited. Our ability to pay is not. We need to debate whether or not government should prohibit health insurance policies from having limits on how much they pay out for individual patients.
A transgendered person should be eligible to serve in the military, just like just like every other man or women, and just like every other gay or straight person. If they are qualified to do the job, then government should not discriminate against them based on their transgendered status. That does not mean the military or taxpayers should foot the bill for sex change operations. Just as being transgendered is not a disease, surgery to to change a person’s sex is not a medical necessity. Transgendered folks will can be completely healthy without a sex change operation. So, sex change operations should be considered elective, and not be required to be covered by any insurance plan, including that of the military.
It is true that in many cases, our providing of charity to the developing world undercuts the development of local providers. When we provide food, it undercuts local farmers. When we provide shoes, it undercuts local shoe sellers. When we provide eye glasses, it under cuts local eye glass sellers. We must be very mindful about the unintended consequences of our charity. Yes, we need to provide temporary, life-saving disaster help, but we must be very careful about what we provide beyond that.
Related Register article:
Contrary to the opinion of almost every person who already has a government required license to work, many of the licenses required by the State of Iowa are not only unnecessary, their primary purpose seems to be to protect existing licensees against competition, rather than to protect the public.
I am sure that certain state licensing requirements do help to ensure the safety and quality of the service provided, but in almost all cases, private certification programs could serve the same purpose without involving the use of force by government, and without giving government backed protection to existing licensees. A great example of this is Certified Financial Planners (CFPs). Financial professionals who want to hold themselves to a higher standard can get this private certification, and then advertise that fact. The same is true of Realtors.
I’m sure that many licensed professionals also have various college degrees, private certifications, and other professional credentials. In many cases, these private credentials should be sufficient. Those who have them should advertise the fact, and not ask government to prohibit others from competing against them.