Republican Politicians And Their Sham Against Democracy

(THIS ARTICLE IS COURTESY OF THE HUFFINGTON POST)

 

Republicans Are Casting Doubt On Normal Election Processes For The Sake Of Winning

By characterizing basic safeguards as illegitimate, Rick Scott and President Trump are undermining democracy.
X

On Thursday night, two days after Election Day, Florida Gov. Rick Scott (R) stood on the steps of the governor’s mansion in Tallahassee and unleashed a nuclear bomb aimed at the very foundation of democracy. Scott suggested there was “rampant fraud” in the state. “No ragtag group of liberal activists or lawyers from D.C.” was going to steal the election from Floridians, the governor said.

When Scott made his comments, Florida hadn’t even hit the deadline to submit unofficial election results to the state. Scott asked the state’s law enforcement agency to investigate his allegations, but the agency quickly said there was nothing to investigate.

That hasn’t stopped President Donald Trump from continuing to insist that there was fraud in the state. There is no evidence of fraud to support his claim.

Scott’s election night lead over Nelson has shrunk significantly, and the margin is now so slim that the state is in the midst of a legally required recount. But election experts say there’s nothing unusual or nefarious about vote tallies changing days after an election. Instead of letting election officials count the ballots as usual, the comments from Scott and Trump amount to an effort to undermine normal election processes.

Steven Huefner, a law professor at Ohio State University, wrote that it was “beyond unseemly” and “downright destructive of public trust in our elections” for election officials to attribute changing vote totals to nefarious actions.

Florida allows voters to cast ballots by mail and accepts them until 7 p.m. on Election Day. Election officials then have to verify signatures on the ballots in addition to determining whether provisional ballots cast on Election Day can count. That process can take time, which is why Florida and other states give counties time to conduct what’s called a canvass and review the votes. In Florida, the deadline for counties to submit unofficial results to the state was Saturday and the deadline for official results is Nov. 18.

“Results on election night, it’s actually never been final on election night. Ever in the history of our country. There’s always been this continuation of calculating the results and all that,” said Amber McReynolds, the former top elections official in Denver who is now the executive director of the National Vote at Home Institute, a group that advocates for voting by mail. “This is not new. Florida’s doing exactly what other states are doing right now. California has even more to count. But in California, there’s not a Republican that might win, so it’s not getting any attention.”

Charles Stewart, the director of the MIT Election Lab, noted that, in addition to trying to deal with mailed-in ballots, counties also had to tally their early votes. Florida law doesn’t allow officials to count early votes until after the polls have closed. Different counties may also tally at different speeds because of the equipment available, the kinds of ballots they receive and staffing, experts say.

Scott has complained that Brenda Snipes, the supervisor of elections in Broward County, refused to turn over information about how many ballots still needed to be tallied. He secured a court order on Friday requiring her to hand over the information.

Ned Foley, a law professor at Ohio State University, has studied the way that vote totals change during a canvass after Election Day. Those shifts tend to benefit Democrats and are a “relatively new phenomenon,” he said, because more people are voting by mail and Congress passed a law in 2002 requiring officials to offer provisional ballots.

“Both of those things have the effect of having ballots eligible to be counted but not available for counting on election night,” he said. “For demographic reasons, groups that tend to vote Democratic Party ― students, younger voters, more mobile voters ― you’re more likely to get caught up in the need for a provisional ballot if you’re just a more transient population.”

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Usually, shifts in vote counts after Election Day go unnoticed because they aren’t enough to overcome the initially reported margin of victory. But in Florida, the changing tally is getting scrutinized because the margin separating the candidates is so thin, Foley said. A similar process is playing out in Arizona, where election officials are still counting the ballots in close races for U.S. Senate and secretary of state.

California has even more to count. But in California, there’s not a Republican that might win, so it’s not getting any attention.Amber McReynolds, executive director of the National Vote at Home Institute

Trump tweeted Monday that Florida shouldn’t consider any of the votes tallied after election night, a move that would disenfranchise military voters whose ballots can be accepted until Nov. 16.  Scott’s campaign is also suing in state court to block officials in Broward County, a key bastion of Democratic votes, from officially counting any ballots that weren’t tallied by the state’s Saturday deadline for unofficial results.

Foley said the allegations of fraud and election stealing in Florida were particularly worrisome because there could be shifts of tens of thousands of votes during a presidential election. The allegations in Florida could serve as a prelude for a candidate to undermine the results in 2020. A key part of democracies, he said, is that the candidates accept the results of elections as legitimate.

“Every election has a winner and a loser, and the loser has to accept defeat,” he said. The loser “has to think that, even though they really wanted to win and thought they should have won ― or maybe even thought the vote-counting process was inaccurate in some respects ― that we can accept it.”

The talk of fraud got the attention of the chief state judge in Broward County, who urged lawyers for both campaigns who were in court Monday to “ramp down the rhetoric” about voter fraud.

Richard Hasen, a law professor at the University of California, Irvine, who specializes in elections, wrote in Slate that that kind of questioning of election results could lay the foundation for a constitutional crisis.

“If President Trump is ahead in his re-election bid on the night of the election, only to lose that lead as more ballots in larger — mostly Democratic — counties are counted through a normal process in the days and weeks after Election Day, it seems reasonable to be concerned that he will contest such a legitimate vote,” Hasen wrote. “We don’t know if he would even vacate his office in such a scenario, triggering the possibility of a real constitutional crisis.”

G.O.P. Congressman’s 6 Brothers And Sisters Say: Don’t Vote For Our Brother

(THIS ARTICLE IS COURTESY OF CNN)

 

Rep. Paul Gosar’s siblings in new ad: Don’t vote for our brother

Washington (CNN)Six siblings of Republican Rep. Paul Gosar delivered a stark message in a new television advertisement: Vote for their brother’s opponent.

The Democrat challenging Gosar in Arizona’s 4th District unveiled a new ad Friday that features Grace, David, Jennifer, Tim, Joan and Gaston lambasting Gosar over Social Security, health care, water policy and more.
“Paul’s absolutely not working for his district,” David says.
Then comes the big reveal: Gosar is their brother — but they endorse David Brill, the Democrat running against him.
Paul Gosar is the oldest of 10 children.
In response to the ad, Gosar told CNN in a statement Saturday that the siblings featured in the ad are “liberal Democrats who hate President Trump” and slammed Bill for engaging “in this shameful attack.”
“These disgruntled Hillary supporters (sic) are related by blood to me but like leftists everywhere, they put political ideology before family. Lenin, Mao and Kim Jung (sic) Un would be proud,” Gosar said. “It is unfortunate that my opponent chose to use family political differences to launch attacks on me rather than focusing on the issues.”
He added, “You can’t pick your family. We all have crazy aunt’s and relatives etc and my family is no different. I hope they find peace in their hearts and let go all the hate. To the six angry Democrat Gosars — see you at Mom and Dad’s house!”
Gosar has a long history of controversial remarks and actions. He promoted the conspiracy theory that the white supremacists’ rally in Charlottesville, Virginia, last year was a plot by the left financed by Democratic mega-donor George Soros, who Gosar said “turned in his own people to the Nazis.”
In July, Gosar spoke in London at a rally for an anti-Muslim activist. He is also one of the staunchest opponents of legal rights for undocumented “Dreamers” in Congress.
His district, made up of mostly rural western Arizona, is generally not considered competitive in November: Gosar won by more than 40 percentage points in 2016. President Donald Trump won there by 39 points in 2016, and Mitt Romney carried the district by 36 points in 2012.
But the sharply personal ad is certain to generate attention for Brill’s campaign.
The Phoenix New Times reported that the ad and others were unveiled at a fundraiser in Phoenix on Thursday night — and that in another spot, which is not public yet, Grace Goser says that “it would be difficult to see my brother as anything but a racist.”
It’s just the latest ad to feature a politician’s family member this year.
In Wisconsin, Democrat Randy Bryce’s brother is featured in an ad backing Republican Bryan Steil in the 1st District race for retiring House Speaker Paul Ryan’s seat.
And the parents of Republican Kevin Nicholson, who was a Senate candidate in Wisconsin before he lost the primary to state Sen. Leah Vukmir, gave the maximum contributions allowable under federal campaign finance law to the Democratic incumbent whom Nicholson hoped to challenge, Sen. Tammy Baldwin.

 

 

 

 

 

While Washington mourns McCain, Trump leaves town

(THIS ARTICLE IS COURTESY OF POLITICO)

 

WHITE HOUSE

While Washington mourns McCain, Trump leaves town

Supporters at the raucous rally didn’t seem to mind that Trump had been snubbed by the McCain family.

As Washington prepared a last hero’s welcome for Sen. John McCain Thursday afternoon, President Donald Trump left town.

The Air Force jet carrying the Republican senator’s casket lifted off for the nation’s capital with 200 Arizona National Guard soldiers and airmen on the tarmac paying silent tribute.

Twenty minutes later, a campaign fundraising email hit inboxes.

“The President has promised you he will travel ANYWHERE he needs to go to get real conservative fighters elected,” Lara Trump, the president’s daughter-in-law, wrote. “He’ll spend however much we need to win.”

Trump has embraced his outsider bona fides this week while the capital, Republicans and Democrats alike, comes together to pay tribute to a favorite son. The president wasn’t invited to participate in ceremonies for the Arizona Republican, so Thursday night he headed to a campaign rally and fundraiser in Evansville, Indiana. He didn’t mention McCain.

Supporters at the raucous rally didn’t seem to mind that Trump had been snubbed by the McCain family; thousands were lined up around the Ford Center in Evansville hours before Trump even left Washington, according to media reports.

“This whole idea the world should stop for John McCain’s funeral is just a disconnect between the Republican Party and the president’s priorities — including keeping the House and avoiding impeachment — and the D.C. echo chamber,” said Sam Nunberg, a former Trump aide who was working for the campaign when the then-candidate took early shots at McCain’s military service.

“It’s not like he did this on Monday,” after McCain died Saturday, Nunberg said. “The world is not going to stop for all eight days that this is going on. It’s ridiculous.”

Republicans close to the White House, however, admit Trump is in a tough spot while Washington mourns McCain. He wasn’t welcome at the remembrances, and his campaign events for Thursday and Friday have been on the books for weeks. Ultimately, whatever Trump does over the next two days, as McCain lies in state at the U.S. Capitol and is buried in Annapolis, Maryland, will come down to how the president feels at the time, they said.

For now, supporters say Trump is being as respectful as the moment requires.

“The flags have been lowered to half-staff, he’s respecting the requests of the family,” former House Speaker Newt Gingrich said. “I don’t think anybody in the base notices or cares.”

Still, the moods in Washington and Trumpland were markedly different Thursday night.

It was twilight when Trump’s Defense Secretary Jim Mattis met Cindy McCain as she disembarked from Air Force Two. A military honor guard took possession of her husband’s remains. A flag covered his casket.

Minutes later, Trump took the stage at the arena in Evansville, where he dismissed the media as “dishonest” and “terrible” people and invited businessman Mike Braun, the Republican challenging Indiana Sen. Joe Donnelly in November, onstage.

“It’s not very classy, quite frankly. Of all times, right now holding a political rally and doing a fundraiser just doesn’t seem appropriate,” said Mark Rozell, dean of the Schar School of Policy and Government at George Mason University. “How classy it would have appeared to have canceled this in light of the national mourning and celebration of the life of John McCain.”

“The president, I think, would do better to have stayed put, doing his job quietly, keeping out of the limelight,” Rozell said. “This is McCain’s family time.”

The 11,000-seat area in Indiana was filled to capacity when Trump launched into familiar attacks on the media, revisited his electoral college victory in 2016 and compared his popularity to President Abraham Lincoln’s.

He railed against the “scum” of immigrant gangs that “infest” American communities and fell back on his favorite foil, 2016 Democratic opponent Hillary Clinton. “Lock her up!” the crowd chanted.

For Trump’s critics, the night’s events confirmed their distaste for his behavior.

“This is a petty, small, narcissistic man desperate to drag the spotlight back onto him and away from a moment where the memory of John McCain’s service to this country and his example could be something we’re all talking about as a nation,” Republican strategist Rick Wilson said before the rally.

“The people that love Donald Trump hate everyone who isn’t named Donald Trump. They’re going to support him and revel in this,” Wilson said. “His supporters will continue to look at this as the greatest thing ever, and everyone else will look at it with a combination of dismay and disgust.”

Chris Cadelago and Rebecca Morin contributed to this report.

Poem To Honor: Goodbye John

Goodbye John

 

Dear Sir, this week from this world you passed

You were a great man who did live in my time

Over Vietnam’s sky’s risking your life you flew

All of those years in Hanoi’s Hilton you survived

Beaten and Tortured yet still your smile did shine

 

From Asia’s rice paddies to the deserts of Arizona you knew

Your life you lived with dignity, humanity, compassion and pride

In the Ivory Halls of our Nation your feet with integrity walked

With frauds on all sides with their jealousy and envy they stabbed

Your Voice Sir, one that rang true, in a House filled with liars

 

Today you lay in rest in your beautiful Arizona sunshine

Tomorrow in D.C. a True Man in Honor, will lay on display

With a chest full of metals with your family linage you’ll rest

You have forbidden the Liar and Coward in Chief to dare speak

Your smile and integrity will long be remembered, as you sleep

 

 

191 Dead Horses Found On Navajo Land In Arizona

(THIS ARTICLE IS COURTESY OF CNN)

 

Nearly 200 dead horses found on Navajo land in Arizona

Approximately 191 feral horses were found dead at a stock pond on Navajo land in Arizona.

(CNN)Approximately 191 feral horses have been found dead in a stock pond on Navajo land in northern Arizona, according to Navajo leaders, who attributed the death to ongoing drought and famine.

“These animals were searching for water to stay alive. In the process, they unfortunately burrowed themselves into the mud and couldn’t escape because they were so weak,” Navajo Nation Vice President Jonathan Nez said in a statement on Thursday.
Some of the horses were found thigh- to neck-deep in the mud at the stock pond in Gray Mountain, according to Nina Chester, a staff assistant for the office of the president and vice president.
Hydrated lime will be spread over the animals to speed up decomposition. They will be buried on-site, the statement said.
The Navajo community in Arizona has had to contend with a growing feral horse population ofabout 50,000 to 70,000, according to the statement.
“This tragic incident exemplifies the problem the Navajo Nation faces in an overpopulation of feral horses,” said Navajo Nation President Russell Begaye.
Horses dying at the Gray Mountain stock pond isn’t new, Navajo officials said. It’s a seasonal issue.
An intense drought hit the southwestern United States this year, creating dry conditions in northern New Mexico and southwestern Arizona, according to CNN affiliate KNXV-TV. A drought emergency was declared for the Navajo Nation in March.
Drought and dryness as of Thursday was affecting more than 6 million people in Arizona, which is almost the entire population of the state, according to the The National Oceanic and Atmospheric Administration’s National Integrated Drought Information System program. About 50% of the state is under extreme drought conditions.

Biggest Opium Pushers In U.S. Are: U.S. Politicians & AG Jeff Sessions

In the United States, we have been hearing a lot about the drugs that are made from this plant over the past few years. I admit to those of you who don’t know me that I am neither a scientist, psychotherapists nor a medical doctor. I am just an average 61-year-old person who reads a lot and who pays attention to reality the best that I can. Even though I am not the smartest person in the U.S. I am a person that strives to be bluntly honest about everything even if I don’t personally like the results of the answer. Truth has ‘no spin’ to it! I have said a few times before on this website that there really is only one real Truth, and that is ‘God’s’ Truth. When you/we/I have an argument concerning any issue, if we can honestly say that we would stand before our Creator, look Him in His eyes and tell Him that we are speaking the Truth, then that argument would be the Truth, to the very best of our personal knowledge anyways. Either that, or we would be acting like a total idiot and or a fool because we would be condemning our own self on purpose.

I have a question for each of us, do we/you/I believe that the politicians in D.C. are looking out for our best interest or their own best interest? Do you believe that your Congressman/woman, Senator or President cares more about you, or about the lobbyist who is funding their next campaign and or their personal lifestyle? Now, before I get into the meat of this article on the Opium issue I will tell you up front that Marijuana legalization is something that I totally agree with. I believe, excuse me, I know, that Marijuana helps with nerve pain, I am 100% sure of that. Back when I was in the U.S. Army I was directly struck by a lightning bolt. Even Social Security says I am disabled even though the VA doesn’t agree that the lightning has anything to do with me being disabled no matter what the non-VA Doctors and other experts have to say about it. As most of you know the Federal Government and the crooked ignorant putz AG Jeff Sessions say that Marijuana is just as or even more dangerous than Heroin and they class Marijuana as a class one narcotic, just like Heroin. To believe the Federal Government’s argument a person would have to be either clueless just plain ignorant or ‘on the take.’ The Feds say that Marijuana has no medical value even though that is totally contrary to all of the scientific evidence that says the Feds are lying.

So, the argument comes down to, why does the Fed’s keep lying? Or, do you really believe they are simply that ignorant? As long as the Federal government continues this policy the VA is not allowed to prescribe Marijuana to the service-connected disabled Veterans. The VA has no problem pumping many billions of taxpayer dollars worth of pills into the disabled Vets every year whether we need them or not but they refuse to allow the Veterans to use God’s given Herbs for pain relief. What is even worse is that if the VA in one of their blood or urine test finds THC from Marijuana in your system, they will cold turkey you off of the drugs they are giving/selling to you. This is even though doing this to people on some of these medications can easily kill a person. Why would any remotely honest or caring person do that to people? The answer to this is simple folks, its money.

For those of you who don’t believe me, I am going to offer you some cold hard facts as to why I used the title of this article. Even if you are a person who says they would never ever smoke Marijuana, does that mean that you have any right to insist that others cannot, no matter what? I am going to use last November’s Elections in Arizona as a perfect example. This example shows just how dirty big Pharma is, I am going to show you just how much they want people to die from Opium use and the reason is simple, money!

Within everyone’s brain, there is what is called an MU Opioid Receptor. This is something that Opium sticks to in a person’s brain. Morphine is an Opioid drug, just like Heroin is so I am going to use them in this example. Even though Pharma made drugs like Morphine and Oxycontin are very expensive even on the street drugs like Heroin are amazingly cheap. Yet there is another man-made drug called Fentanyl, a synthetic form of Heroin that is even cheaper and easier to make than regular Heroin. Trouble is this that this street drug Fentanyl is about 100 times more powerful than Heroin and it is very deadly even to come into contact with very much of it at all. Fentanyl has become a major problem for first responders, EMS and Police as they do come into contact with it many times every day. These days Ambulances and Police Vehicles are being required to carry the ‘antidote’ for their own safety’s sake.

This ‘antidote’ is called Narcan and Narcan is a drug that is big Pharma made and distributed. Concerning Opium products like Heroin and Morphine the antidote, Narcan works quite well at knocking the Opium off of the MU Receptor yet it does very little to help get the Fentanyl off of the MU Receptor. Don’t get me wrong, people are still dying every day from Opioid overdoses also. The Fed said that Opioid overdoses are up more than 400% here in the U.S. since the year 2000. The big Pharma company’s who make Narcan know this fact very well, so do the politicians yet they prove to all of us that they do not care about all of these thousands of people who are dying nor their families, nor even the First Responders.

Now back to the 2016 Elections in the State of Arizona. The facts show that in the States that have made recreational Marijuana legal that Opioid overdoses and deaths are down about 50%. On a side note, in these states alcohol sales are down about 25%, think of how many people aren’t getting into car accidents because of drinking and driving. Also, think of how many domestic violence deaths aren’t happening in those States and how many fatal ‘bar fights’ aren’t happening. Yet the reality is that big Pharma companies make billions from their pharmacy-made drugs so just like last November in Arizona they pumped in many millions of dollars in false advertisements to try to get the people of Arizona to vote down making Marijuana legal in their State. The sad part is, they were successful in Arizona. The big Pharmaceutical companies have been pushing hard to get Narcan into every ambulance, police car, school, and home in America. There is only one reason for this and that is money, to heck with people’s lives, the only thing that really matters is a company’s profits. These Pharmaceutical companies know that Marijuana is a natural painkiller but they aren’t making any money off of a plant that anyone can grow in their own garden. Now, you do understand why I said that the politicians and people like AG Jeff Sessions want to keep Marijuana illegal don’t you? The answer is very simple, campaign contributions from these big Pharma Companies and because of many who own stocks in these same big Pharma Companies.

 

Here are some of the companies who put huge amounts of money into last November’s ‘anti-pot’ vote in Arizona. I got this information from (The Guardian, US News And World Report, Business Insider, the Huffington Post, and from Equities.com News.)

These companies are:

Chandler Pharma

Insys Therapeutics

Pfizer Inc

Walgreens Boot’s Alliance Inc

Amphastar Pharmaceuticals Inc

Mylan N.V.

Opnet Technologies Inc

 

Biggest Opium Pushers In U.S. Are: U.S. Politicians & AG Jeff Sessions

In the United States, we have been hearing a lot about the drugs that are made from this plant over the past few years. I admit to those of you who don’t know me that I am neither a scientist, psychotherapists nor a medical doctor. I am just an average 61-year-old person who reads a lot and who pays attention to reality the best that I can. Even though I am not the smartest person in the U.S. I am a person that strives to be bluntly honest about everything even if I don’t personally like the results of the answer. Truth has ‘no spin’ to it! I have said a few times before on this website that there really is only one real Truth, and that is ‘God’s’ Truth. When you/we/I have an argument concerning any issue, if we can honestly say that we would stand before our Creator, look Him in His eyes and tell Him that we are speaking the Truth, then that argument would be the Truth, to the very best of our personal knowledge anyways. Either that, or we would be acting like a total idiot and or a fool because we would be condemning our own self on purpose.

I have a question for each of us, do we/you/I believe that the politicians in D.C. are looking out for our best interest or their own best interest? Do you believe that your Congressman/woman, Senator or President cares more about you, or about the lobbyist who is funding their next campaign and or their personal lifestyle? Now, before I get into the meat of this article on the Opium issue I will tell you up front that Marijuana legalization is something that I totally agree with. I believe, excuse me, I know, that Marijuana helps with nerve pain, I am 100% sure of that. Back when I was in the U.S. Army I was directly struck by a lightning bolt. Even Social Security says I am disabled even though the VA doesn’t agree that the lightning has anything to do with me being disabled no matter what the non-VA Doctors and other experts have to say about it. As most of you know the Federal Government and the crooked ignorant putz AG Jeff Sessions say that Marijuana is just as or even more dangerous than Heroin and they class Marijuana as a class one narcotic, just like Heroin. To believe the Federal Government’s argument a person would have to be either clueless just plain ignorant or ‘on the take.’ The Feds say that Marijuana has no medical value even though that is totally contrary to all of the scientific evidence that says the Feds are lying.

So, the argument comes down to, why does the Fed’s keep lying? Or, do you really believe they are simply that ignorant? As long as the Federal government continues this policy the VA is not allowed to prescribe Marijuana to the service-connected disabled Veterans. The VA has no problem pumping many billions of taxpayer dollars worth of pills into the disabled Vets every year whether we need them or not but they refuse to allow the Veterans to use God’s given Herbs for pain relief. What is even worse is that if the VA in one of their blood or urine test finds THC from Marijuana in your system, they will cold turkey you off of the drugs they are giving/selling to you. This is even though doing this to people on some of these medications can easily kill a person. Why would any remotely honest or caring person do that to people? The answer to this is simple folks, its money.

For those of you who don’t believe me, I am going to offer you some cold hard facts as to why I used the title of this article. Even if you are a person who says they would never ever smoke Marijuana, does that mean that you have any right to insist that others cannot, no matter what? I am going to use last November’s Elections in Arizona as a perfect example. This example shows just how dirty big Pharma is, I am going to show you just how much they want people to die from Opium use and the reason is simple, money!

Within everyone’s brain, there is what is called an MU Opioid Receptor. This is something that Opium sticks to in a person’s brain. Morphine is an Opioid drug, just like Heroin is so I am going to use them in this example. Even though Pharma made drugs like Morphine and Oxycontin are very expensive even on the street drugs like Heroin are amazingly cheap. Yet there is another man-made drug called Fentanyl, a synthetic form of Heroin that is even cheaper and easier to make than regular Heroin. Trouble is this that this street drug Fentanyl is about 100 times more powerful than Heroin and it is very deadly even to come into contact with very much of it at all. Fentanyl has become a major problem for first responders, EMS and Police as they do come into contact with it many times every day. These days Ambulances and Police Vehicles are being required to carry the ‘antidote’ for their own safety’s sake.

This ‘antidote’ is called Narcan and Narcan is a drug that is big Pharma made and distributed. Concerning Opium products like Heroin and Morphine the antidote, Narcan works quite well at knocking the Opium off of the MU Receptor yet it does very little to help get the Fentanyl off of the MU Receptor. Don’t get me wrong, people are still dying every day from Opioid overdoses also. The Fed said that Opioid overdoses are up more than 400% here in the U.S. since the year 2000. The big Pharma company’s who make Narcan know this fact very well, so do the politicians yet they prove to all of us that they do not care about all of these thousands of people who are dying nor their families, nor even the First Responders.

Now back to the 2016 Elections in the State of Arizona. The facts show that in the States that have made recreational Marijuana legal that Opioid overdoses and deaths are down about 50%. On a side note, in these states alcohol sales are down about 25%, think of how many people aren’t getting into car accidents because of drinking and driving. Also, think of how many domestic violence deaths aren’t happening in those States and how many fatal ‘bar fights’ aren’t happening. Yet the reality is that big Pharma companies make billions from their pharmacy-made drugs so just like last November in Arizona they pumped in many millions of dollars in false advertisements to try to get the people of Arizona to vote down making Marijuana legal in their State. The sad part is, they were successful in Arizona. The big Pharmaceutical companies have been pushing hard to get Narcan into every ambulance, police car, school, and home in America. There is only one reason for this and that is money, to heck with people’s lives, the only thing that really matters is a company’s profits. These Pharmaceutical companies know that Marijuana is a natural painkiller but they aren’t making any money off of a plant that anyone can grow in their own garden. Now, you do understand why I said that the politicians and people like AG Jeff Sessions want to keep Marijuana illegal don’t you? The answer is very simple, campaign contributions from these big Pharma Companies and because of many who own stocks in these same big Pharma Companies.

 

Here are some of the companies who put huge amounts of money into last November’s ‘anti-pot’ vote in Arizona. I got this information from (The Guardian, US News And World Report, Business Insider, the Huffington Post, and from Equities.com News.)

These companies are:

Chandler Pharma

Insys Therapeutics

Pfizer Inc

Walgreens Boot’s Alliance Inc

Amphastar Pharmaceuticals Inc

Mylan N.V.

Opnet Technologies Inc

 

Trump pardons former Arizona sheriff Joe Arpaio

(THIS ARTICLE IS COURTESY OF THE WASHINGTON POST)

(ONE RACIST PARDONS ANOTHER?)(trs)

Trump pardons former Arizona sheriff Joe Arpaio

 Play Video 1:36
Why Trump’s presidential pardon of Arpaio is controversial
President Trump pardoned former Maricopa County, Ariz., sheriff Joe Arpaio Aug. 25. Here’s what you need to know.(Patrick Martin/The Washington Post)
 August 25 at 10:52 PM
President Trump on Friday pardoned former Arizona sheriff Joe Arpaio — a move that keeps one of his staunchest political allies out of jail and will likely cheer his conservative base, which supports both men’s hard-line views on illegal immigration.The unusual pardon — coming less than a month after Arpaio was convicted, and before his planned October sentencing — will further anger the president’s critics and is likely to worsen the president’s already tense relationship with the judicial branch, which he has repeatedly criticized.

A pardon is perhaps the only way to make Arpaio — a longtime county sheriff who gained national fame and notoriety for his aggressive pursuit of undocumented immigrants — a more polarizing figure than he already is.

The decision on Arpaio is the latest chapter in a line of historically controversial pardons granted by presidents — rare but not unprecedented uses of power that draw fire for being politically or personally motivated. ­Legal experts have compared an Arpaio pardon to the one President George H.W. Bush granted to former defense secretary Caspar Weinberger in 1992 over the Iran-contra affair, or the one President Clinton granted to fugitive financier Marc Rich in 2001.

In this Dec. 18, 2013, photo, then-Maricopa County (Ariz.) Sheriff Joe Arpaio speaks at a news conference in Phoenix. President Trump has pardoned the former sheriff following his conviction for criminal contempt of court for intentionally disobeying a judge’s order in an immigration case. (Ross D. Franklin/AP)

But Arpaio’s pardon — the first of the Trump presidency — is a rarity among rarities. In recent decades, presidents have tended to issue controversial pardons at the end of their terms, not the beginning. The move raises questions about how often the president might pardon other political figures — and for what types of offenses.

In a statement announcing the pardon, Trump made no mention of Arpaio’s offense — criminal contempt of court — but praised his past military service.

“Arpaio’s life and career, which began at the age of 18 when he enlisted in the military after the outbreak of the Korean War, exemplify selfless public service,” Trump said. “Throughout his time as Sheriff, Arpaio continued his life’s work of protecting the public from the scourges of crime and illegal immigration.

“Sheriff Joe Arpaio is now eighty-five years old, and after more than fifty years of admirable service to our Nation, he is worthy candidate for a Presidential pardon,” the statement continued.

Arpaio’s lawyer, Jack Wilenchik, said simply: “Justice has been done.’’

In a tweet, Arpaio thanked the president “for seeing my conviction for what it is: a political witch hunt by holdovers in the Obama justice department!’’

Arpaio told the Associated Press that he appreciates the president’s action and will always stand by him. He said he will speak more about the matter next week.

 Play Video 2:55
What you need to know about former Maricopa County sheriff Joe Arpaio
Joe Arpaio’s illegal-immigration crackdown made him a polarizing figure and an early ally of President Trump. (Meg Kelly/The Washington Post)

The sheriff’s critics spent years trying to stop the police practices that Arpaio sanctioned and that they charge were discriminatory and abusive; in recent weeks, they had vociferously objected to the pardon that Trump repeatedly hinted was coming.

A deputy legal director of the American Civil Liberties Union called the pardon “a presidential endorsement of racism.’’

“Trump has chosen lawlessness over justice, division over unity, hurt over healing,’’ said Cecillia Wang, the ACLU official. “Once again, the president has acted in support of illegal, failed immigration enforcement practices that target people of color and have been struck down by the courts.’’

The president traveled this week to Phoenix, where he suggested at a rally that he was on the verge of pardoning Arpaio, but said he would not do it that night because it would be “controversial.’’

Earlier this month, the president told Fox News he was “seriously considering’’ a pardon for Arpaio, who was convicted last month of criminal contempt for ignoring a federal judge’s order to stop detaining people because he merely suspected them of being undocumented immigrants.

Trump called Arpaio a “great American patriot” who had “done a lot in the fight against illegal immigration. . . . He has protected people from crimes and saved lives. He doesn’t deserve to be treated this way.”

Trump’s pardon came late on a Friday night, at a time when much of the country was focused on a Category 4 hurricane bearing down on Texas.

The reaction among advocates and Democrats was swift.

“President Trump is a coward. He waited until a Friday evening, as a hurricane hits, to pardon a racist ex-sheriff,” said Rep. Ruben Gallego (D-Ariz.), who represents Phoenix. “Trump should at least have the decency to explain to the American public why he is undermining our justice system.”

Sen. Charles E. Schumer (D-N.Y.) also accused the president of “using the cover of the storm to pardon a man who violated a court’s order.”

Normally, pardon applications are submitted to the Justice Department, where they are scrutinized over a period of months before recommendations are made to the White House. Some applicants wait years to find out whether they will receive pardons or clemency.

Arpaio’s pardon came much faster, and it was not subject to a Justice Department review, according to officials.

Arpaio’s sentencing was scheduled for Oct. 5, and he had faced up to six months in prison.

Vanita Gupta, chief executive of the Leadership Conference on Civil and Human Rights, said the president has “yet again damaged himself, the rule of law, and our country tonight. This pardon sends a dangerous message that a law enforcement officer who abused his position of power and defied a court order can simply be excused by a president who himself clearly does not respect the rule of law.’’

Arpaio’s lawyer has maintained that the prosecution of Arpaio was a political vendetta against a foe of the Obama administration and that therefore the political act of a pardon was a fair and just way to end the case.

Arpaio, the former sheriff of Maricopa County, Ariz., has long been an advocate for Trump and spoke in support of him at the Republican National Convention in July 2016. The men seem to have the same views on illegal immigrants and the use of harsh tactics against criminals or suspected criminals. Arpaio is well known in part for forcing his inmates to wear pink underwear and sleep outdoors in his Tent City Jail.

The legal saga surrounding Arpaio dates back years. In 2011, as part of a lawsuit, the then-sheriff was enjoined by U.S. District Judge G. Murray Snow from detaining people he thought to be illegal immigrants, when they were not charged with any other crime. Prosecutors alleged that Arpaio continued to do so, and last year, the Justice Department decided to pursue a criminal contempt-of-court case against him.

Critics said that his policy of detaining people on mere suspicion was racist and illegal, and that his refusal to honor a court’s order to stop was brazen. Arpaio’s lawyers argued that the judge’s order enjoining their client’s conduct was “not clear,” and they suggested that Arpaio was merely doing what others do routinely: turning over those in the country illegally to the U.S. Border Patrol.

Arizona Marijuana: Everything to Know About Marijuana Law in AZ

(THIS ARTICLE IS COURTESY OF FACEBOOK.COM)

 

Arizona Marijuana: Everything to Know About Marijuana Law in AZ

 6

Brandi Atkins, an Arizona resident and former dancer, was diagnosed in late 2015 with a rare autoimmune disease that made her joints and muscles swell, causing chronic pain. She popped in and out of the hospital with a cornucopia of prescription medications handed out to alleviate her pain, ease her symptoms, and navigate around her type 1 diabetes. These medications would often clash with her disease and cause her blood sugar to soar. In desperation, she turned to medical marijuana.

Almost immediately, Adkins noticed an improvement in balance, palatable reduction in pain, and (most importantly) hope for her future. The dispensary she visited took the time to understand her specific concerns, her goals, and the particulars of her health conditions. Thanks to medical marijuana, Adkins feels like she can dance again.

This hopeful scenario plays out in dispensaries across Arizona, where more than 100,000 patients suffering everything from epilepsy to chronic pain find relief through medical marijuana.

It’s an interesting situation: legalized medical marijuana and dispensaries in one of the United States’ most conservative territories. How do these conflicting events coexist? Have you ever wondered what exactly is the state of medical marijuana affairs in Arizona? Here’s our in-depth explanation of everything you always wanted to know about Arizona’s Medical Marijuana Laws (but were too afraid to ask).

The road to marijuana legalization in Arizona

When the federal government originally passed the Marihuana Tax Act of 1937, the predecessor to the Controlled Substances Act of 1970, all American states had criminalized cannabis in one way or another. It wasn’t until the mid-1990s that Arizona state legislators began listening to decades-long calls for marijuana law reform.

In 1996, Arizona passed Proposition 200, allowing doctors to prescribe medical marijuana (specifically, controlled substances) to treat diseases or relieve pain in seriously/terminally ill patients. In order for a patient to use medical marijuana, a doctor had to provide scientific evidence to prove marijuana’s usefulness along with a second doctor’s opinion to the Arizona Department of Health Services. This caused conflict between supporters and opponents of medical marijuana, and started a lengthy battle over the law’s lack of specificity in addition to the language “prescribe.” For a doctor to prescribe medicine, the substance must first undergo FDA trials and doctors must specify the exact dosage and consumption methods to be used. Unfortunately, this rendered Prop 200 illegal on a federal scope and a medical marijuana program never materialized. It did, however, protect first-time drug offenders from prison sentences, which was a step towards decriminalization.

Arizona tried once more to legalize medical marijuana in 2002 with Proposition 203, but the initiative failed, receiving 42.7% of the vote. A viable solution was not presented and approved until nearly a decade later.

In 2010, Arizonans voted to approve a much-revised version of Proposition 203, an initiative to legalize the medicinal use of marijuana. Proposition 203 authorized doctors to recommend cannabis as a therapeutic option, as opposed to prescribing a specific dosage of cannabis with strict consumption or application methods. This law also tasked the Arizona Department of Health Services (ADHS) to regulate the “Arizona Medical Marijuana Act.”

Arizona’s current marijuana policy

The ADHS had until April 2012 to establish a registration application system for patients and nonprofit marijuana dispensaries, as well as a web-based verification platform for use by law officials and dispensaries to verify a patient’s status as such. It also specified patients’ rights, qualifying medical conditions, and allowed out-of-state medical marijuana patients to maintain their patient status (though not to purchase cannabis).

On December 6, 2012, Arizona’s first licensed medical marijuana dispensary opened in Glendale.

In 2012, Arizona legislators amended the Arizona Medical Marijuana Act to include college and university campuses in their non-consumption list, even if the cardholder was over 21 years old. However, in April 2017, this ruling was overturned by the Arizona Court of Appeals, and though colleges can privately prohibit medical marijuana on campus, lawmakers cannot make campus cannabis use illegal.

The people of Arizona took advantage of the Department of Health’s qualifying condition appeal process in 2013 when they petitioned to include PTSD, migraines, and depression among the list of qualifying medical conditions. Following due process, the Director of the ADHS denied the petition.

prop 205 arizona

While it seemed like the Arizona population was becoming more tolerant of cannabis, it proved too soon to jump to recreational legalization. In 2016, Arizonans narrowly voted no on Prop 205 by a margin of 48:52, which would have legalized the adult use of marijuana. Ballotpedia attributes this loss to heavy early campaigning by opponents of recreational marijuana years before the election process. Opponents such as Insys, the creators of Fentanyl, lobbied heavily against recreational cannabis — their CBD medicine passed the first phases of FDA trials earlier in 2016. This loss resulted in a significant surge in new medical marijuana patients, many of whom were waiting to get their card only if the recreational law failed to pass.

Despite various lawmakers’ attempts to place limitations on Arizona’s medical marijuana law, the program is growing larger each year. As of late June 2017, there were 132,487 Arizona marijuana patients, 155 dispensary licenses (up from 124 at the law’s passage), and 881 patient caregivers.

The “Arizona Medical Marijuana Act”

The “Arizona Medical Marijuana Act,” or AMMA, empowers Arizona doctors to recommend medical marijuana as a viable treatment option for Arizona patients diagnosed with at least one qualifying medical condition. With this recommendation, a patient may apply for an Arizona Medical Marijuana Card, a card that allows patients to possess, purchase, and use medical marijuana.

2.5 oz of cannabis, up to 12 plants, deliveries of marijuana, 25 miles from a dispensary

Arizona marijuana patients or caregivers may possess up to 2.5 ounces of marijuana at any given time, and obtain 2.5 ounces in a 14-day period from an Arizona medical marijuana dispensary. Patients can also be authorized to grow up to 12 marijuana plants for their own use, or otherwise, find a caregiver to grow cannabis for them if they reside more than 25 miles from the nearest medical marijuana dispensary.

Living as a medical marijuana patient

chronic pain, alzheimers, cachxia, cancer, crohn's disease, glaucoma, hepatitis c, muscle spasms, nausea, ptsd, sclerosis, seizures, two or more conditions

For Arizonans like Brandi Atkins — mentioned at the beginning of this article — who think medical marijuana might be right for them, patients must receive a recommendation to use medical marijuana from a licensed Arizona physician. The patient must have one of the below qualifying medical conditions, and their physician must determine that the patient indeed has a qualifying condition. The written certification would state the doctor believes, in their professional opinion, the patient would likely receive therapeutic benefit from medical marijuana use.

Arizona’s list of debilitating qualifying conditions

ALS, alzheimer's disease, cancer, glaucoma, hiv/aids, hepatitis c, cachexia/wasting syndrome, muscle spasms, nausea, seizures, severe and chronic pain

Once a patient has received their written certification from an Arizona doctor, they may apply to the ADHS for a Registry Identification Card, a card that grants patients and caregivers the authority to possess, purchase, and use medical marijuana legally.

To apply for a Registry Identification Card, patients must submit their written certification, the application fee, their personal information, and a statement declaring they won’t use their medical marijuana for nefarious purposes (i.e. sell it to kids). If a minor wants to be a medical marijuana patient, there are stricter rules to follow before they can qualify for their card. The ADHS website explains the application process in more detail.

The most “caring” of the bunch

Some patients in critical need of cannabis are unable to travel easily to purchase or even consume cannabis without some assistance. Arizona included regulations to cover the people who would take care of these patients, known as Caregivers, allowing them to assist patients (up to five) in the medical use of marijuana.

Whether taking care of a child or an elderly parent, this endeavor is a huge responsibility. Caregivers need to educate themselves on the different aspects of marijuana, like different strains, consumption methods, and their patients’ specific health needs. Arizona caregivers must follow all the same regulations as patients, including registering with the ADHS and carrying an ID card.

Don’t worry, the law protects you!

As federal law still classifies marijuana as a Schedule 1 drug (without medicinal value), Prop 203 and other medical cannabis laws were designed to protect citizens’ rights. Arizona medical marijuana patients are supposed to be treated like every other resident. The AMMA’s regulations protect the rights of patients and caregivers in certain circumstances:

  • A school or landlord may not refuse to enroll/lease to a qualifying patient unless failing to do so would incur ramifications under federal law.
  • Medical facilities cannot deny treatment to patients based on their status as a medical marijuana user.
  • Parental rights cannot be denied based on a parent’s status as an Arizona medical marijuana patient.

While these protections are essential, they do not provide for every eventuality. Employers may not discriminate against employees who are medical marijuana patients, and may not penalize them for a positive drug test. However, employees cannot use or possess marijuana during the hours of work. Employers may lawfully discipline and even terminate any employee who tests positive for marijuana if they used or possessed during work hours, even if the employee is a registered patient.

Despite nearly 20 years of progress toward decriminalization and regulation, Arizona is still one of the toughest states in the nation when it comes to marijuana. Even minor possession is a felony for those who aren’t medical marijuana patients, with a max sentence of 3.75 years and a $150,000 fine.

I’m a physician, what part do I play in medical marijuana?

“I have found in my study of these patients that Cannabis is really a safe, effective and non-toxic alternative to many standard medications.” -Philip Denney, MD, Testimony to the Arkansas legislature in support of House Bill 1303, “An Act to Permit the Medical Use of Marijuana,” Nov. 17, 2005.

Doctors are the gatekeepers to medical marijuana. In all medically legal states, doctors must fully evaluate their patients and determine whether cannabis is a fit for their medical needs and whether they have a qualifying condition. This places a lot of responsibility on doctors’ shoulders, which most Arizona doctors bear with professionalism and true concern for their patients. The physician must be a doctor of medicine, a doctor of osteopathic medicine, a naturopathic physician, or a homeopathic physician who holds a valid license to practice in Arizona.

medical marijuana doctors in arizona

Physicians meet patients, either in person or via telemedicine services, to determine if the patient has a qualifying condition before signing a written certification stating that, in their professional opinion, the patient has a qualifying condition and would likely receive therapeutic benefits from medical marijuana use.

However, Arizona courts have cracked down on some physicians who have turned their practices into “certification mills” due to their being no additional requirements for marijuana recommendations other than holding a valid license to practice medicine in Arizona.

Visiting from out of state?

Arizona allows non-Arizona medical marijuana patients the same rights and protections as Arizona citizens. This caveat makes sense … sort of.

The law states a Registry Identification Card, or its equivalent, issued by another state is valid in Arizona, except in that a visiting qualifying patient may not obtain marijuana from an Arizona marijuana dispensary.

This is a bit paradoxical. How is an out-of-state patient to access medical marijuana without purchasing from a dispensary or bringing it over state lines, which is federally illegal? Here’s how:

Another registered Arizona patient or designated caregiver can offer and provide medical marijuana so long as nothing of value is given in return, and the recipient doesn’t end up possessing more than 2.5 oz. of marijuana. This works, though it may be simpler to become a resident of Arizona.

Medical Marijuana Dispensary basics, keeping patients safe, obeying laws

inside a dispensary

All Arizona marijuana dispensaries are nonprofit organizations, a philosophy similar to out-of-state patients: “nothing of value may be exchanged for the transfer of medical marijuana.” While medical marijuana isn’t free, dispensaries may charge for medical marijuana as part of the expenses incurred during business operations. Patients can purchase up to 2.5 ounces of marijuana every two weeks, either as flower or an equivalent amount in concentrate, edibles, or other cannabis product forms.

As marijuana is still federally illegal (and valuable), security remains a  top priority. Dispensaries are required to use the ADHS online verification system to confirm each Arizona marijuana patient’s status as a patient and the amount of marijuana purchased over the last 60 days. This system is password protected and will not allow any access through an unencrypted internet connection. This online system does not include patients’ addresses or other personal information.

Dispensaries are also required to have a strong security system for their facility, including a single secure entrance. Medicating on the premises is forbidden. These heavy requirements go hand-in-hand with Arizona officials’ concern that marijuana products will encourage theft, violence, or negligent/illegal use.

Don’t be afraid to ask about the future

Though Arizona’s medical marijuana laws are full of sticky, complicated red tape, the program’s existence is still a huge step forward in the crusade for national legalization. Suffering patients in Arizona can find medical relief with our favorite plant and still enjoy protection from the law. Hopefully, after reading our guide, you now understand the nuts and bolts of how medical marijuana regulations work in Arizona.

Still want more information? Check out the Arizona Department of Health Services website at www.azdhs.gov.


Sources:

https://azmarijuana.com/links/legal/

https://azmarijuana.com/news/proposition-203-arizona-medical-marijuana-act/

http://norml.org/legal/item/arizona-medical-marijuana

http://www.azdhs.gov/licensing/medical-marijuana/index.php

http://medicalmarijuana.procon.org/view.resource.php?resourceID=000881#Arizona

http://www.azcentral.com/story/news/politics/arizona/2017/04/06/ruling-overturns-law-banning-medical-marijuana-arizona-college-campuses/100145648/

http://blog.norml.org/2011/05/16/alternet-the-five-worst-states-to-get-busted-with-pot/

http://www.azdhs.gov/documents/licensing/medical-marijuana/debilitating/2013-july/medical-marijuana-debilitating-medical-condition-decision-form-jan-2014.pdf

https://ballotpedia.org/Arizona_Marijuana_Legalization,_Proposition_205_(2016)

https://www.nytimes.com/elections/results/arizona-ballot-measure-205-legalize-marijuana

http://azcapitoltimes.com/news/2017/01/24/lawmakers-act-to-change-medical-marijuana-rules/

https://www.washingtonpost.com/news/wonk/wp/2016/09/09/a-maker-of-deadly-painkillers-is-bankrolling-the-opposition-to-legal-marijuana-in-arizona/?utm_term=.7428039f5547

https://www.forbes.com/sites/theemploymentbeat/2014/12/02/medical-marijuana-and-the-workplace-what-employers-need-to-know-now/#3ff5578b66b8

http://medicalmarijuana.procon.org/view.source.php?sourceID=000593

http://www.phoenixnewtimes.com/news/arizonas-week-in-weed-pot-docs-cant-lie-on-forms-az-supreme-court-says-8277359

https://www.marijuana.com/news/2014/07/arizona-court-rules-that-medical-marijuana-patients-can-sell-weed-to-other-patients/

http://www.azdhs.gov/documents/licensing/medical-marijuana/reports/2016/2016-apr-monthly-report.pdf

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V.P. Pence Is Floating His ‘Healthy Indiana 2.0’ Program To Replace Obamacare

(THIS ARTICLE IS COURTESY OF THE NEWS SITE POLITICO)

When former Indiana Gov. Mike Pence embraced Obamacare’s Medicaid expansion with conservative twists — such as requiring enrollees to contribute to their care — critics lamented poor people would be locked out while backers cheered the program’s focus on personal responsibility.

Neither side’s expectations were quite borne out. Two years later, as the program emerges as a national model thanks to Pence’s role in the Trump administration, the reality on the ground shows what happens when political philosophy collides with the practical challenges of providing health care to tens of thousands of people, many of them in crisis.

Advocates for the poor in Indiana argue that liberal fears of depressed enrollment were overblown. More than 400,000 Hoosiers are enrolled, despite state requirements that low-income residents make nominal monthly contributions to their care or face stiff penalties.

Likewise, Republicans’ contention that the system would promote personal responsibility and prod beneficiaries to ration their care and make better decisions about what treatments to seek also turned out to be overly optimistic.

By all accounts, the expansion — known as the Healthy Indiana Plan 2.0 — has made a difference. Health officials in Scott County, Ind., a poverty-stricken community about 30 miles from Louisville, Ky., paint a picture of a program that’s bolstered a patchy social safety net — especially during a major HIV outbreak triggered by the opioid epidemic — without bankrupting the Hoosier State or punishing enrollees.

To be sure, the program isn’t perfect, they say. But they overwhelmingly give more positive reviews than not.

“I feel that it has been a good success,” said Dawn Sanders, an outreach worker for Covering Kids & Families of Indiana, a statewide consumer group working in Scott County. “It’s working.”

Healthy Indiana’s influence is expected to increase in the months ahead whether or not Obamacare survives, as state officials and the Trump administration look to replicate some of its conservative features, potentially unleashing a wave of new state restrictions on how non-disabled adults get coverage without any action from Congress.

“The Healthy Indiana Plan has long been, and continues to be, a national model for state-led Medicaid reforms,” HHS Secretary Tom Price wrote in response to senators after his confirmation hearing.

“It is important that Medicaid’s design helps its members to transition successfully from the program into commercial health insurance plans, as [Healthy Indiana’s] consumer-driven approach and underlying incentive structures encourage,” he told lawmakers.

Seema Verma, meanwhile, a Pence ally who helped design the program before she was tapped to run CMS, now has the power to give states greater flexibility to reshape their own programs according to conservative principles.

Kentucky and Arizona have already borrowed aspects of Indiana’s plan while others, including Wisconsin, could move to enact new limits that resemble the approach.

Indiana’s plan also provides a measure of political cover to lawmakers in red states where supporting Obamacare’s coverage expansion is still deeply controversial. Republicans across the country have found it easier to back an expansion of government-funded health care for the poor if it more closely resembles a private insurance market. Yet liberals remain deeply skeptical because of the way the system is designed to cut people off who don’t make monthly payments, at least temporarily.

Both sides could find their assumptions challenged based on the experience in places like Scott County.

The Indiana plan does punish people above the poverty line who stop making monthly contributions by locking them out of coverage for six months. But because most enrollees have incomes below the poverty line, lockouts have been rare, according to state evaluations of the first year of the program. Instead, those below the poverty line who don’t pay are bumped from plans with more generous benefits — including coverage of vision and dental care and better prescription drug benefits into skimpier plans with higher out-of-pocket costs.

“It sounds like, ‘Oh my gosh, people are going to have to pay.’ But people that were uninsured were paying for it already,” if they go to the doctor, said Beth Wrobel, who runs a federally qualified health center in Valparaiso, in the northern part of the state.

Diabetic patients who visited Wrobel’s clinic before the start of Healthy Indiana incurred significantly higher costs paying for their regular medical supplies and routine testing, she said. Now, under the more generous benefit package, “the most you have to pay is $26 a month, and that’s at the high end. Most of our patients pay between $1 and $10 a month,” Wrobel said.

“For the same amount that you were paying at that moment for your diabetic care, you could get medical, dental, behavioral health, optometry and pharmacy. [Healthy Indiana] treated the whole body,” she said.

Randy White, CEO of Fayette Regional Health System in Connersville, in the east-central part of the state, agreed that Healthy Indiana “is not harsh.”

If the liberal specter of a punitive system pushing out enrollees hasn’t quite materialized, neither has conservatives’ vision of a market-like system where patients with “skin in the game” make hard choices about their own health spending. That’s because family members, health workers and nonprofits are helping cover their out-of-pocket costs.

“With some people, I think [personal responsibility] might be a little bit lost,” Sanders said in her office at the Scott County Partnership, a nonprofit. “We try and do what we can in the little bit of time we have with them. But you can only give them so many pamphlets.”

About 2,100 of the enrollees who gained coverage through Indiana’s expansion live in Scott County, a poor, sparsely populated area that gained notoriety where an HIV outbreak took off two years ago, fueled by needle sharing and opioid abuse.

Sanders recalled how a man with substance abuse problems signed up for health coverage in the small town of Austin, Ind., which had set up a “one-stop shop” to get people enrolled and provide medical services like HIV screenings and vaccinations.

“He knew he had hit rock bottom. And he knew he needed help,” Sanders said. “He no longer lives in the area, but he had to be able to get away from this. He has stayed clean this whole time. He now has his children back. We have quite a few success stories, as far as that’s concerned.”

As of early April, there were 216 county residents with HIV, according to Scott County Health Department Administrator Michelle Goodin, but roughly three-quarters of the patients don’t have enough of the virus in their blood to spread it to others. New cases are still being diagnosed.

“We’ve got about 30 to 40 people usually that are HIV-positive in our facility,” said Sheriff Dan McClain, whose staff helps prisoners apply for Medicaid so that they can receive benefits, including mental health and substance abuse treatment, as soon as they are released. “We offer them a test for HIV and … we offer to sign them up for HIP 2.0,” he said.

With an ad-hoc support network fortifying the safety net, some liberal groups and Democratic lawmakers question whether the conservative tweaks are really adding value or simply burdening enrollees with unnecessary complications. Without those hurdles, they say enrollment would be even higher.

Progressives also fear that if the Indiana model is embraced in states that initially did traditional expansions of Medicaid, it would erode enrollment gains.

“Work requirements, lock-out periods, time limits and imposition of onerous premiums and cost-sharing on Medicaid families, who are generally living on a budget of roughly less than $15,000 per year, are not only punitive but also counterproductive in the long-term,” Sen. Ron Wyden (D-Ore.) and Rep. Frank Pallone (D-N.J.) wrote in a letter to HHS last month to discourage it from approving additional restrictions, many of which would be program firsts. “Requiring poor families to pay more than they can afford for care makes them less likely to access the care they need and less likely to maintain their coverage.”

State surveys of how Healthy Indiana is working present a fragmentary picture, and despite the program’s popularity in Indiana, there are some signs of hampered enrollment because of its complex structure and broader concerns about affordability. For example, roughly half of the enrollees in the more comprehensive benefit package worried about being able to afford their monthly payments. Left-leaning groups have used the data to raise flags about harmful implications for other states.

The first-year report also estimated that roughly 1,240 enrollees received financial help from nonprofits to pay their premiums, a paltry slice of overall enrollment. But residents here believe many more enrollees likely rely on family members, friends and others sources undetected by official surveys. Sanders and others pointed out that the premium cost of keeping someone covered in the program’s more generous benefit package — which includes vision and dental benefits as well as more robust coverage of prescriptions — is as little as $12 for an entire year.

“We’ve paid it out of our pocket many times at the office just to get them hooked up,” said Jeanni McCarty, a nurse at Foundations Family Medicine in Austin. McCarty said she has four family members affected by HIV and five relatives who have passed away from drug abuse-related problems.

Indiana officials by the end of the month will send CMS two more reports, including one that specifically examines the use of health savings-like accounts to help beneficiaries cover their costs. Pence’s successor, Republican Gov. Eric Holcomb, has already asked the Trump administration to extend the program through January 2021 with a handful of tweaks — though notably absent is a request to institute a work requirement as a condition of receiving benefits.

“We don’t want to put policies and programs in place that are not member-centric,” said Jennifer Walthall, secretary of Indiana’s Family and Social Services Administration. “Increasing barriers is not the name of the game.”

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