RUTHFULLY YOURS

Diehard ObamaCare defenders were out in force over the July 4 holiday to protest Republican repeal efforts. The protesters are falsely claiming repeal will gut Medicaid, causing frail, indigent seniors to be evicted from nursing homes. It’s sheer demagoguery.

But even these phony claims could have redeeming value if they get the public to take a closer look at nursing homes and see the filth, rampant infections and neglect — conditions routinely tolerated by our indifferent public officials.

That indifference is the real culprit, not inadequate Medicaid money. New York pays among the highest Medicaid rates in the nation — yet also tolerates some of the worst conditions. A shocking 40 percent of nursing homes in the state provide inferior care, according to federal ratings. That’s worse than 39 other states.

Nationwide, one-third of nursing-home residents suffer serious, often permanent injuries due to neglect, according to a federal inspector general report.

Incontinent patients languish in soiled diapers that lead to sores and infections; patients unable to eat and drink on their own develop severe dehydration; others suffer falls and internal injuries because of medical errors or over-medication.

The deadliest problem is infection. A staggering 380,000 nursing-home patients a year die from infections, according to federal estimates. Not all are preventable. But nursing homes are infection cauldrons. The routine precautions taken in hospitals to limit infections — such as testing patients for superbugs on admission, disinfecting rooms and equipment and keeping infected patients away from others — are ignored in nursing homes.

Patients with staph infections are rolled into communal dining rooms and seated next to other patients. Superbugs contaminate bedrails, curtains and rehab equipment. Caregivers tasked with bathing and grooming patients go from one bed to the next, without using disposable gowns and gloves, spreading bacteria from patient to patient.

Because even rudimentary infection prevention is lacking, one-quarter of patients pick up dangerous, drug-resistant bacteria, according to new research by Columbia University School of Nursing. Columbia’s Carolyn Herzig warns infection rates are increasing across the board and action is urgently needed.

Medicaid recently adopted new standards calling for more infection precautions but delayed the start date to November 2019. Why delay, when hundreds of thousands of elderly patients will die from infection in the meantime?

Don’t count on the media to cover these deaths. The Washington Post is busy claiming repeal “takes a sledgehammer to Medicaid.” The New York Times reports that “steep cuts to Medicaid” will force some seniors out of their nursing homes.

Here’s the truth: There are no “cuts.” Medicaid spending will continue to increase every year, though at a slower rate.

The real threat to seniors isn’t Medicaid funding levels. It’s that Medicaid officials tolerate substandard nursing-home care, when they could use the program’s market clout to demand better conditions. About 66 percent of long-term patients are paid for by Medicaid.

The Continental Co ngress approved it on July 4, but it was July 6 before the Declaration of Independence was printed in a newspaper, namely the Pennsylvania Evening Post (“price two coppers”). So if our forbearers celebrated the nation’s founding over several days, I can stretch the holiday, too—marking it not at home but in Europe, among friends of America who are mystified by what is happening in the United States.

Many do not understand why the world’s most powerful man acts on childish impulses and tweets ugly messages aimed at critics. Nor can they fathom why the world’s oldest political party has twisted itself into mindless opposition—“resistance,” as it’s styled by the extremists who now call the tune for Democrats.

This picture is not reassuring for a world that counts on American leadership. Our anxiety at home is mirrored in the anxiousness of our foreign friends. Still, we’ve been here before. America has appeared broken in the past yet recovered its vigor, creativity, prosperity and leadership.

While researching for my book on the 1896 election, I was taken aback at the quarter-century dysfunctionality of Gilded Age politics. In the five presidential elections before 1896, every winner received less than 50% of the vote. In two contests, the new president took an Electoral College majority but came in second in the popular vote. In a third race, the president came in first in the Electoral College and popular vote, but only by 9,467 ballots nationwide, a 0.02% margin.

There were two years with a Republican president, House and Senate; two years with a Democratic president, House and Senate; and 20 years of divided government in which little was accomplished because the two parties not only had deeply conflicting ideas about policy but were still fighting the Civil War.

After Republicans narrowly captured the House in 1888, Democrats responded by refusing to answer roll calls, thereby denying a quorum to conduct business. This went on for months until, after another fruitless vote, Speaker Thomas Reed directed the clerk to show as present every Democrat on the floor who refused to answer the roll call. All hell broke loose as Democrats attempted to bolt, but Reed had ordered the doors barricaded. Only one member—a Texan—escaped, pummeling a sergeant-at-arms and kicking out door panels to make good his escape.

When the House later debated Reed’s action, another Texas congressman rose and asked fellow Democrats to “order me to remove this dictator” from the podium by force. The speaker ruled him out of order and moved on. The offended Democrat was so angry that during the rest of the debate he sat in front of the podium, methodically sharpening his Bowie knife on his boot heel for hours in an attempt to menace Reed.

Yet along came a new president, elected in 1896, William McKinley. He broke the gridlock, restored the country’s confidence, and ushered in an America Century. Many of us have seen this in our lifetime as Ronald Reagan restored the nation’s spirit when he reversed the decline of the 1970s.

Thanks to my friend Andrew Bstom who unearthed this gem….rsk

Calvin Coolidge, 30th POTUS, Address at the Celebration of the 150th Anniversary of the Declaration of Independence in Philadelphia, Pennsylvania, July 5, 1926

“The American Revolution represented the informed and mature convictions of a great mass of independent, liberty loving, God-fearing people who knew their rights, and possessed the courage to dare to maintain them.”

Fellow Countrymen:

We meet to celebrate the birthday of America. That coming of a new life always excites our interest. Although we know in the case of the individual that it has been an infinite repetition reaching back beyond our vision, that only makes it more wonderful. But how our interest and wonder increase when we behold the miracle of the birth of a new nation. It is to pay our tribute of reverence and respect to those who participated in such a mighty event that we annually observe the 4th day of July. Whatever may have been the impression created by the news which went out from this city on that summer day in 1776, there can be no doubt as to the estimate which is now placed upon it. At the end of 150 years the four corners of the earth unite in coming to Philadelphia as to a holy shrine in grateful acknowledgment of a service so great, which a few inspired men here rendered to humanity, that it is still the preeminent support of free government throughout the world.

Although a century and a half measured in comparison with the length of human experience is but a short time, yet measured in the life of governments and nations it ranks as a very respectable period. Certainly enough time has elapsed to demonstrate with a great deal of thoroughness the value of our institutions and their dependability as rules for the regulation of human conduct and the advancement of civilization. They have been in existence long enough to become very well-seasoned. They have met, and met successfully, the test of experience

It is not so much, then, for the purpose of undertaking to proclaim new theories and principles that this annual celebration is maintained, but rather to reaffirm and reestablish those old theories and principles which time and the unerring logic of events have demonstrated to be sound. Amid all the clash of conflicting interests, amid all the welter of partisan politics, every American can turn for solace and consolation to the Declaration of Independence and the Constitution of the United States with the assurance and confidence that those two great charters of freedom and justice remain firm and unshaken. Whatever perils appear, whatever dangers threaten, the Nation remains secure in the knowledge that the ultimate application of the law of the land will provide an adequate defense and protection.

It is little wonder that people at home and abroad consider Independence Hall as hallowed ground and revere the Liberty Bell as a sacred relic. That pile of bricks and mortar, that mass of metal, might appear to the uninstructed as only the outgrown meeting place and the shattered bell of a former time, useless now because of more modern conveniences, but to those who know they have become consecrated by the use which men have made of them. They have long been identified with a great cause. They are the framework of a spiritual event. The world looks upon them, because of their associations of one hundred and fifty years ago, as it looks upon the Holy Land because of what took place there nineteen hundred years ago. Through use for a righteous purpose they have become sanctified.

It is not here necessary to examine in detail the causes which led to the American Revolution. In their immediate occasion they were largely economic. The colonists objected to the navigation laws which interfered with their trade, they denied the power of Parliament to impose taxes which they were obliged to pay, and they therefore resisted the royal governors and the royal forces which were sent to secure obedience to these laws. But the conviction is inescapable that a new civilization had come, a new spirit had arisen on this side of the Atlantic more advanced and more developed in its regard for the rights of the individual than that which characterized the Old World. Life in a new and open country had aspirations which could not be realized in any subordinate position. A separate establishment was ultimately inevitable. It had been decreed by the very laws of human nature. Man everywhere has an unconquerable desire to be the master of his own destiny.

We are obliged to conclude that the Declaration of Independence represented the movement of a people. It was not, of course, a movement from the top. Revolutions do not come from that direction. It was not without the support of many of the most respectable people in the Colonies, who were entitled to all the consideration that is given to breeding, education, and possessions. It had the support of another element of great significance and importance to which I shall later refer. But the preponderance of all those who occupied a position which took on the aspect of aristocracy did not approve of the Revolution and held toward it an attitude either of neutrality or open hostility. It was in no sense a rising of the oppressed and downtrodden. It brought no scum to the surface, for the reason that colonial society had developed no scum. The great body of the people were accustomed to privations, but they were free from depravity. If they had poverty, it was not of the hopeless kind that afflicts great cities, but the inspiring kind that marks the spirit of the pioneer. The American Revolution represented the informed and mature convictions of a great mass of independent, liberty loving, God-fearing people who knew their rights, and possessed the courage to dare to maintain them.

The Continental Congress was not only composed of great men, but it represented a great people. While its Members did not fail to exercise a remarkable leadership, they were equally observant of their representative capacity. They were industrious in encouraging their constituents to instruct them to support independence. But until such instructions were given they were inclined to withhold action.