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Prevalence and characteristics of surprise out-of-network bills from professionals in ambulatory surgery centers

      




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Can Billionaires Buy Elections?


The news that Charles and David Koch and their network of conservative activists plan to spend $889 million on the 2016 elections has sent shockwaves throughout the political landscape. Publicized this week at a California gathering hosted by the business group Freedom Partners, this declaration of financial war raises the question of whether billionaires and their allies can buy elections.

As I note in my Brookings Institution Press book Billionaires: Reflections on the Upper Crust, the answer in 2012 clearly was no. A few billionaires devoted several hundred million dollars seeking to defeat President Barack Obama yet lost. Republicans nominated a candidate who was easy to caricature as an out-of-touch plutocrat who did not share the values of ordinary Americans. The President was successful in using that stereotype to mobilize voters, expand the electorate, and appeal to basic fairness on the part of the general public.

Yet 2014 was a different story. Conservative billionaires were far more successful in helping Republicans regain control of the Senate, boost their House numbers, and increase their domination over governorships and state legislatures.  The country now has GOP control of the House and Senate, and 31 governorships across the country.

In analyzing why they lost the 2012 presidential campaign, conservative billionaires decided they needed to recalibrate their message and strategy for the midterms. For example, Americans for Prosperity (AFP) focused on ads that employed moving personal stories to deliver policy messages and a robust field operation. Central to their approach was the idea that Obamacare was a failure and hurting ordinary people.

Explaining this communications shift, AFP President Tim Phillips told a reporter that “too often, we did kind of broader statistical ads or messages, and we decided that we needed to start telling the story of how the liberals’ policies, whether it’s the administration or Congress, are practically impacting the lives of Americans every day.” Media expert Elizabeth Wilner of Kantar Media/CMAG correctly anticipated that those kinds of ads would have a greater likelihood of electoral success. “Ads that tell stories are more compelling than ads that don’t,” she said. “And ads that use sympathetic figures are more compelling, generally, than those that don’t.”

In looking ahead to 2016, there are ominous signs that big money may distort the election outcome. Wealthy interests were far more likely in 2012 to contribute to Republicans than Democrats. Even if Democrats mobilize liberal billionaires, the GOP nominee is going to have a substantial fundraising advantage.

Money alone, of course, does not dictate elections. Research shows clearly that public opinion, media coverage, campaign strategies, policy positions, and the nature of the times matter as well. However, during a time of rising campaign costs and limited public engagement in the political process, big money sets the agenda, affects how the campaign develops, and shapes how particular people and policy problems get defined. It takes skilled candidates, favorable media coverage, and strong organizational efforts to offset the power of great wealth.

There are no guarantees that the future Democratic nominee will replicate Obama’s 2012 success. If Republicans nominate someone who relates well to ordinary voters and they tone down policies that disproportionately benefit the wealthy, the money story in 2016 likely will turn out very different from the last time. Billionaire activism very well could tilt a close election in favor of conservative interests.

Authors

Image Source: © Carlo Allegri / Reuters
     
 
 




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The next COVID-19 relief bill must include massive aid to states, especially the hardest-hit areas

Amid rising layoffs and rampant uncertainty during the COVID-19 pandemic, it’s a good thing that Democrats in the House of Representatives say they plan to move quickly to advance the next big coronavirus relief package. Especially important is the fact that Speaker Nancy Pelosi (D-Calif.) seems determined to build the next package around a generous infusion…

       




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Happy Mother’s Day! Here’s the bill.

On Mother’s Day, we celebrate all that mothers do for their children. Quite right, too. Being a mom requires plenty of sacrifice. Mothers also pay a price in terms of their own earnings. Here are some stylized facts about the “motherhood wage penalty:” It is real. There is no corresponding “fatherhood wage penalty.” If anything,…

       




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Bill Baer

Bill Baer is a visiting fellow in Governance Studies. He is one of the world’s best known and respected antitrust/competition enforcers. Bill is the only person to have led antitrust enforcement at both U.S. antitrust agencies, serving as Assistant Attorney General in charge of the Antitrust Division of the US Department of Justice from 2013…

       




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The next COVID-19 relief bill must include massive aid to states, especially the hardest-hit areas

Amid rising layoffs and rampant uncertainty during the COVID-19 pandemic, it’s a good thing that Democrats in the House of Representatives say they plan to move quickly to advance the next big coronavirus relief package. Especially important is the fact that Speaker Nancy Pelosi (D-Calif.) seems determined to build the next package around a generous infusion…

       




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Health care priorities for a COVID-19 stimulus bill: Recommendations to the administration, congress, and other federal, state, and local leaders from public health, medical, policy, and legal experts

       




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The House moved quickly on a COVID-19 response bill. These 4 takeaways explain what’s likely to happen next.

The House has passed an emergency spending measure supported by President Trump to begin dealing with the health and economic crises caused by the coronavirus. By a vote of 363 to 40 early Saturday morning, every Democrat and roughly three-quarters of Republicans supported the bill to provide temporary paid sick and family medical leave; bolster funding for health, food security and unemployment insurance…

       




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Congress pushed out that massive emergency spending bill quickly. Here are four reasons why.

       




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Congress and Trump have produced four emergency pandemic bills. Don’t expect a fifth anytime soon.

       




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The next COVID-19 relief bill must include massive aid to states, especially the hardest-hit areas

Amid rising layoffs and rampant uncertainty during the COVID-19 pandemic, it’s a good thing that Democrats in the House of Representatives say they plan to move quickly to advance the next big coronavirus relief package. Especially important is the fact that Speaker Nancy Pelosi (D-Calif.) seems determined to build the next package around a generous infusion…

       




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Hutchins Roundup: Medical billing, young firms, and more

Studies in this week’s Hutchins Roundup find that collecting payments from insurers is highly costly for health care providers, superstar firms account for less of productivity growth than previously thought, and more. Want to receive the Hutchins Roundup as an email? Sign up here to get it in your inbox every Thursday. Costly billing hassles…

       




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Despite Predictions, BCRA Has Not Been a Democratic 'Suicide Bill'

During debates in Congress and in the legal battles testing its constitutionality, critics of the Bipartisan Campaign Reform Act of 2002 imagined a host of unanticipated and debilitating consequences. The law's ban on party soft money and the regulation of electioneering advertising would, they warned, produce a parade of horribles: A decline in political speech protected by the First Amendment, the demise of political parties, and the dominance of interest groups in federal election campaigns.

The forecast that attracted the most believers — among politicians, journalists, political consultants, election-law attorneys and scholars — was the claim that Democrats would be unable to compete against Republicans under the new rules, primarily because the Democrats' relative ability to raise funds would be severely crippled. One year ago, Seth Gitell in The Atlantic Monthly summarized this view and went so far as to call the new law "The Democratic Party Suicide Bill." Gitell quoted a leading Democratic Party attorney, who expressed his private view of the law as "a fascist monstrosity." He continued, "It is grossly offensive ... and on a fundamental level it's horrible public policy, because it emasculates the parties to the benefit of narrow-focus special-interest groups. And it's a disaster for the Democrats. Other than that, it's great."

The core argument was straightforward. Democratic Party committees were more dependent on soft money — unlimited contributions from corporations, unions and individuals — than were the Republicans. While they managed to match Republicans in soft-money contributions, they trailed badly in federally limited hard-money contributions. Hence, the abolition of soft money would put the Democrats at a severe disadvantage in presidential and Congressional elections.

In addition, the argument went, by increasing the amount an individual could give to a candidate from $1,000 to $2,000, the law would provide a big financial boost to President Bush, who would double the $100 million he raised in 2000 and vastly outspend his Democratic challenger. Finally, the ban on soft money would weaken the Democratic Party's get-out-the-vote efforts, particularly in minority communities, while the regulation of "issue ads" would remove a potent electoral weapon from the arsenal of labor unions, the party's most critical supporter.

After 18 months of experience under the law, the fundraising patterns in this year's election suggest that these concerns were greatly exaggerated. Money is flowing freely in the campaign, and many voices are being heard. The political parties have adapted well to an all-hard-money world and have suffered no decline in total revenues. And interest groups are playing a secondary role to that of the candidates and parties.

The financial position of the Democratic party is strikingly improved from what was imagined a year ago. Sen. John Kerry (D-Mass.), who opted out of public funding before the Iowa caucuses, will raise more than $200 million before he accepts his party's nomination in Boston. The unusual unity and energy in Democrats' ranks have fueled an extraordinary flood of small donations to the Kerry campaign, mainly over the Internet. These have been complemented by a series of successful events courting $1,000 and $2,000 donors.

Indeed, since Kerry emerged as the prospective nominee in March, he has raised more than twice as much as Bush and has matched the Bush campaign's unprecedented media buys in battleground states, while also profiting from tens of millions of dollars in broadcast ads run by independent groups that are operating largely outside the strictures of federal election law.

The Democratic national party committees have adjusted to the ban on soft money much more successfully than insiders had thought possible. Instead of relying on large soft-money gifts for half of their funding, Democrats have shown a renewed commitment to small donors and have relied on grassroots supporters to fill their campaign coffers. After the 2000 election, the Democratic National Committee had 400,000 direct-mail donors; today the committee has more than 1.5 million, and hundreds of thousands more who contribute over the Internet.

By the end of June, the three Democratic committees had already raised $230 million in hard money alone, compared to $227 million in hard and soft money combined at this point in the 2000 election cycle. They have demonstrated their ability to replace the soft money they received in previous elections with new contributions from individual donors.

Democrats are also showing financial momentum as the election nears, and thus have been gradually reducing the Republican financial advantage in both receipts and cash on hand. In 2003, Democrats trailed Republicans by a large margin, raising only $95 million, compared to $206 million for the GOP. But in the first quarter of this year, Democrats began to close the gap, raising $50 million, compared to $82 million for Republicans. In the most recent quarter, they narrowed the gap even further, raising $85 million, compared to the Republicans' $96 million.

Democrats are now certain to have ample funds for the fall campaigns. Although they had less than $20 million in the bank (minus debts) at the beginning of this year, they have now banked $92 million. In the past three months, Democrats actually beat Republicans in generating cash — $47 million, compared to $31 million for the GOP.

The party, therefore, has the means to finance a strong coordinated and/or independent-spending campaign on behalf of the presidential ticket, while Congressional committees have the resources they need to play in every competitive Senate and House race, thanks in part to the fundraising support they have received from Members of Congress.

Moreover, FEC reports through June confirm that Democratic candidates in those competitive Senate and House races are more than holding their own in fundraising. They will be aided by a number of Democratic-leaning groups that have committed substantial resources to identify and turn out Democratic voters on Election Day.

Democrats are highly motivated to defeat Bush and regain control of one or both houses of Congress. BCRA has not frustrated these efforts. Democrats are financially competitive with Republicans, which means the outcome will not be determined by a disparity of resources. Put simply, the doomsday scenario conjured up by critics of the new campaign finance law has not come to pass.

Publication: Roll Call
     
 
 




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Bye-bye, billions to trillions – Financing the UN Development System

       




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Australia’s Asylum Bill is High-Handed and Cambodia Deal Just a Quick Fix

      
 
 




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Creating jobs: Bill Clinton to the rescue?


At an event this past week, Hillary Clinton announced that, if elected, she planned to put Bill Clinton in charge of creating jobs. If he becomes the “First Gentlemen” -- or as she prefers to call him, the “First Dude,” – he just might have some success in this role. The country’s very strong record of job creation during the first Clinton administration is a hopeful sign. (Full disclosure: I served in his Administration.)

But assuming he's given the role of jobs czar, what would Bill Clinton do? The uncomfortable fact is that no one knows how to create enough jobs. Although about 50 percent of the public, according to Pew, worries that there are not enough jobs available, and virtually every presidential candidate is promising to produce more, economists are not sure how to achieve this goal.

The debate centers around why we think people are jobless. Unless we can agree on the diagnosis, we will not be able to fashion an appropriate policy response.

Some economists think that an unemployment rate hovering around 5 percent constitutes “full employment.” Those still looking for jobs, in this view, are either simply transitioning voluntarily from one job to another or they are “structurally unemployed.” The latter term refers to a mismatch, either between a worker’s skills and the skills that employers are seeking, or between where the workers live and where the jobs are geographically. (The decline in housing values or tighter zoning restrictions, for example, may have made it more difficult for people to move to states or cities where jobs are more available.)

Another view is that despite the recovery from the Great Recession, there is still a residue of “cyclical” unemployment. If the Federal Reserve or Congress were to boost demand by keeping interest rates low, reducing taxes, or increasing spending on, say, infrastructure, this would create more jobs – or so goes the argument. But the Fed can’t reduce interest rates significantly because they are already near rock-bottom levels and tax and spending policies are hamstrung by political disagreements.

In my view, the U.S. currently suffers from both structural and cyclical unemployment. The reason I believe there is still some room to stimulate the economy is because we have not yet seen a significant increase in labor costs and inflation. Political problems aside, we should be adding more fuel to the economy in the form of lower taxes or higher public spending.

High levels of structural unemployment are also a problem. The share of working-age men who are employed has been dropping for decades at least in part because of outsourcing and automation. The share of the unemployed who have been out of work for more than six months is also relatively high for an economy at this stage of the business cycle. One possibility is that the recession caused many workers to drop out of the labor force and that after a long period of joblessness, they have seen their skills atrophy and employers stigmatize them as unemployable.

The depressing fact is that none of these problems is easy to solve. Manufacturing jobs that employ a lot of people are not coming back. Retraining the work force for a high-tech economy will take a long time. Political disagreements won’t disappear unless there is a landslide election that sweeps one party into control of all three branches of government.

So what can Bill Clinton or anyone else do? We may need to debate some more radical solutions such as subsidized jobs or a basic income for the structurally unemployed or a shorter work week to spread the available work around. These may not be politically feasible for some time to come, but former President Clinton is the right person to engage communities and employers in some targeted job creation projects now and to involve the country in a serious debate about what to do about jobs over the longer haul.

Editor's note: This piece originally appeared in Inside Sources.

Publication: Inside Sources
Image Source: Paul Morigi
      
 
 




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PG&E; Replacing 1,600 Smart Meters with a Rare Defect Affecting Customers' Billing

Pacific Gas & Electric, a California-based utility, has been plagued with issues during their major push to get smart meters installed in every household in their area, from complaints about possible health




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Worldwide Smart Grid Spending to Hit $46 Billion in 2015

A new report says utilities around the world will ramp up smart grid spending, with worldwide projects hitting $46.4 billion in 2015.




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Automated electricity bill payments cause people to consume more energy

A new study says it's a case of out of sight, out of mind, but it has serious consequences.




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Cadbury's Dairy Milk Goes Fairtrade, Next Billion Go To TED, Huff Post on Coal, and More

Cadbury Dairy Milk Fairtrade: Is the future of Fairtrade with big switches by big companies or increasing access to the pioneer brands? "Cadburys says in the FT today that it's not trying to undermine the pioneering 100% Fairtrade companies such as




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A New Form of Subsidized Housing and Urban Intensification: Living in a Billboard

It makes sense; They have great views, lots of exposure to wind and sun, and think of all the exercise you'll get climbing up.




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Tidal Power Could Inject £3 Billion Each Year Into UK Economy

By 2050 wave and tidal power could supply 11% of current UK electricity demand.




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Billboards display the best of British art

Everywhere you look for the next week in London there is an arty billboard.




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U.S. House of Representatives passes national GMO bill

This afternoon, the U.S. House of Representatives voted in favor of a controversial bill that seeks to set a unified standard for the labeling of foods containing genetically modified organisms.




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Toyota will advertise its hydrogen fuel cell sedan with smog-reducing billboards

In a bid to highlight the clean air advantage of the Toyota Mirai, a hydrogen fuel cell electric car, the company is putting up pollution-scrubbing billboards.




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Eco-Flexx: A More Benign Billboard Material

Years ago, whilst working as a researcher for Greenpeace, looking at how effective its campaign had been to make the Sydney Olympics PVC-free, it became apparent to me how polyvinyl chloride so dominates certain industries. This is certainly true of




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California governor signs bill legalizing hemp farming in the state

After making its way through the Californian legislature with bi-partisan support (!), the California Industrial Hemp Farming Act (aka SB 566) was signed by governor Jerry Brown and became state law.




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House Made of a Billion Euro Notes Opens to the Public

It's a house made out of a billion euro notes, but you can't spend any of them.




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Outrage After Tree is Cut Down to Improve View of Billboard

"I was shocked when I saw the tree. It was cut down, the head was lopped off, it was so upsetting," said one Cleveland business-owner.




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Ohio Senate passes bill banning LEED certification

The wood and plastics industry prefers Green Globes and is designing laws around it. Paging Jerry Yudelson.




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Billboard transforms air into clean water in Peru (Video)

This innovative billboard does double duty: advertising for a university's engineering program while producing much-needed clean drinking water for local communities.




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Earth was probably purple billions of years ago, says NASA

Our blue-green Earth might have actually been a different color, thanks to this molecule.




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Plug-and-play radiator integrates a battery to help lower electric bills

The Lancey electric space heater allows users to charge its battery during off-peak hours and use the electricity for heating during peak demand periods.




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RIP Gillis Lundgren, father of the modern flatpack and the Billy Bookcase

The bookcase was designed on a napkin because "Ideas are perishable"




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How GM earns $1 billion recycling

Forbes reports on how General Motors is recycling or reusing "90 percent of its manufacturing waste."




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No, Bill de Blasio has not banned glass and steel buildings in New York

But maybe he should.




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Facebook Paid Instagram $1 Billion for Emotion. What's It Worth to the Environment?

Why did Facebook pay $1 billion for Instagram and what can the environmental movement learn from this? It's all about emotion.




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Scientists just discovered billions of organisms underneath the land and sea

Not in the ocean. Below it.




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Oil industry is spending billions on increasing plastics production

Think we are cutting back? They are just getting started, and we are going to be buried in the stuff.




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$80 billion has been spent on self-driving cars with nothing to show for it.

We are wasting too much time, energy and money on autonomous vehicles. We know what to do and it's not AVs.




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Ditching Ethanol Subsidy Will Save US $6 Billion - Won't Hurt Domestic Production Either

Two new pieces in NRDC's Switchboard blog remind us that the debate over corn ethanol subsidies is alive and well; and illustrate, through two new reports, the benefits of ditching Federal support altogether. The first, from the




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Senate Votes to End Billions in Ethanol Subsidies

A measure that would remove roughly $6 billion in annual ethanol subsidies just passed the U.S. Senate, signaling, among other things, a shift in public attitude towards the once-heralded alternative fuel. It




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Reverend Billy invites you to an organic Thanksgiving dinner at Monsanto HQ

Want to do something really different for Thanksgiving this year? Come have an organic dinner on the lawn of Monsanto's World Headquarters and watch the latest show from Rev. Billy and the Stop Shopping Choir.




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Trend Watch: "Green Wrap" Virus Spreading As Major Bank Turns Plant Wall Into Billboard

PNC Financial Services Group, based in Pittsburgh PA, has built a plant-covered exterior wall, "to make its headquarters building more energy-efficient." Looking like one of those huge billboards seen along an




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World population likely to surpass 11 billion by end of century

Says the United Nations Department of Economic and Social Affairs.




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Sea level rise has caused $7.4 billion drop in home prices in Southeast US

You might want to rethink that dream house by the ocean.




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Too Far? New Plan to Separate Basins, Stop Asian Carp, Costs Billions (Video)

Great Lakes residents would be paying this off for 47 years ... but reaping the benefits for just as long.




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4 billion bits of microplastics in the waters of Tampa Bay

And researchers estimate there's another 3 trillion pieces in surface sediments.




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Lake Erie now has its own Bill of Rights

A triumphant win for Toledo residents means that the Great Lake's wellbeing is now an official top priority.




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Lake Erie's new Bill of Rights has angered Ohio farmers

But others consider it a good opportunity to reevaluate agricultural practices.