President Trump’s Opioid Plan Falls Short

President Trump declared his determination to end the opioid epidemic — over the next “7 years” in a New Hampshire speech.

The location was not a coincidence. New Hampshire has the third highest rate of death by opioid overdose — ending the crisis a cornerstone of state politics.

Opioid addiction and related deaths have reached a crisis point in the United States.

The death of more than 64,000 Americans in 2016 (the last year for which there is total data) underscores the urgency of the problem.

My head was nodding in agreement as the President tick-off his administration’s planned actions:

  • Research to develop non-addictive pain medications.
  • New pain management training for doctors to discourage unnecessary use of opioids.
  • Changing Centers for Medicare and Medicaid Services (CMS) opioid prescription reimbursement policies to minimize over-prescription and over- dispensing.
  • Increased spending for in-patient treatment of addicts.
  • Increased reimbursement for mental health treatment in the Medicaid program.
  • Donations – by the manufacturer – of two boxes of the overdose antidote Narcan to every high school and college in the country.
  • Stiffer jail sentences for drug dealers.
    • Even the potential of the death penalty for drug dealers
  • New vocational training programs in prisons to help first-time offenders get the skills they need to become “productive citizens” when they leave prison.

Illegal Immigration Not the Root Cause of Opioid Crisis

And then the President went further – returning to familiar themes we hear at campaign-style rallies, reporter gaggles and other formal speeches:

  • The Opioid Crisis is worsened by Sanctuary Cities that protect MS 13 members.
  • Fentanyl is smuggled in from Mexico. USA must build a southern border wall to keep smugglers and their drugs out of USA.
  • Countries that have the death penalty for drug dealers don’t have a “drug problem”. “Maybe the USA needs a death penalty for drug dealers.”

One does not have to support Sanctuary Cities to see how coincidental the relationship between sanctuary cities and a flood of drugs on the streets of America.

MS13 is a criminal cartel formed in Los Angeles in the 1980s – who deal in drugs and other criminality because that’s where the money is! The majority of members are birthright citizens who can be imprisoned but not deported.

Didn’t Attorney General Sessions, sitting in the audience, brief the President on current law?

  • There is a federal death penalty for drug dealers who peddle more than $20 million of “junk”.
  • The majority of drug convictions are in state criminal courts muting a federal death penalty.

Time for a War on Fentanyl

116 preventable deaths every day – 365 days a year for several years is not an epidemic — it is a “black plague” requiring drastic action not “happy talk”!

Most of these deaths involve a synthetic opioid known as fentanyl.

Fentanyl is a legal drug, synthetic opioid, used in some medically appropriate anesthesia and pain killers – under government license.

The National Institutes of Health (NIH) reported an increase of 512 percent in fentanyl related opioid deaths from 2012 to 2016.

A 512 percent increase in deaths from the illegal distribution of a controlled substance is an exigent circumstance.

The distribution of fentanyl on American streets must be stopped – stopped now — stopped at the source.

Kill the Opioid Crisis at the Source: China

The principle source of illegal fentanyl, today, is China.

The opiate trade with China dates back more than two centuries to when American clipper ships made the dangerous voyage around the Cape of Good Hope to trade opiates, tea, and silks with China.

Clipper ships have been replaced with airplanes that carry cargo for the United States Postal Service (USPS).

In January,2018, following a year-long investigation, the United States Senate reported $766 million worth of fentanyl was “imported” from China via internet purchases delivered by the USPS. The Senate further reported the postal service had failed to purchase or deploy electronic tracking equipment to identify and stop suspicious packages from China or anywhere else.

According to NBC News, industrial quantities of Chinese fentanyl slip into the USA from Mexico.

This fentanyl crosses at perfectly legal ports of entry smuggled in cars or trucks. In terms the President would understand, fentanyl drives through the “gates in the wall” he wants to build.

The Rand Corporation argues, stopping drug trafficking through legal ports of entry requires the deployment of additional uniformed and trained personnel using sophisticated electronic detection equipment. Like the postal service, US Customs has failed to deploy these proven and effective assets.

China Can Stop Fentanyl Trade

The Chinese government gives lip service to cracking down on the fentanyl trade but has done little or nothing to close down a plethora of online sites in Chinese cyber-space that are selling fentanyl.

The President should impose serious and immediate trade penalties on China for their failure to crack down on the $766 million China to USA illegal fentanyl trade.

  • More than tariffs, perhaps some outright product bans.
  • Conduct an evidentiary hearing at the UN Security Council.

In addition, the President should issue an Executive Order authorizing the Department of Homeland Security (DHS) and USPS to purchase and deploy the currently available electronic tracking equipment needed to identify suspected fentanyl shipments from China or Mexico.

The equipment must be installed and operating reliably within 90 days – by the first of July! There can be no excuses.

Then the President must activate sufficient numbers of well-trained National Guard members to support, train, and supplement the postal and customs personnel.

The goal of this effort, in addition to all the other steps the President suggested in New Hampshire, should be to reduce the death rate from 116 people per day to less than 50 per day by the end of 2018 and to reduce that number to less than 25 a day by the end of 2019.

Cutting the fentanyl supply chain is the one thing that will make the rest of President Trump’s “plan” work to eradicate death by fentanyl.

Illustration courtesy of The Brookside Associates

No Teenager Next Door Should Own a Gun

The children of Florida are demanding #NeverAgain.

Never may not be possible in a society awash with guns — but America can do much more to prevent school children from being murdered in their classrooms.

The students of Marjory Stoneham Douglas High School are showing us the way. Through articulate arguments and determination, they (and their parents and teachers) are turning their grief, fear and anger into action.

Florida politicians would be wise to heed their resolve and their promise to use their first vote to insure that “something changes”.

It’s not just Florida politicians who should take notice.

In 2020 3.9 million children born since the 1999 Columbine Massacre will vote in their first presidential election. These young people have grown up accustomed to “active shooter” drills in their schools. In the 13 years since Sandy Hook there have been 200 school shootings and 400 students have been killed.

 

Their fear is our shame. When our legislators took campaign contributions from the National Rifle Association (NRA) instead of passing reasonable gun safety legislation after Columbine, after Sandy Hook, after any one of 198 other school shootings – voters should have voted them out of office. But we didn’t.

In business when we see a pattern of adverse activity, we quickly work to identify the potential corrective action and implement them to alter the trajectory of the pattern.

For example, most of these child killers have a lot in common:

  • All of them exhibited signs of social alienation or mental illness
  • All of the school shootings were student on student violence
  • Most of them obtained their weapons legally
  • Many had parents who overcompensated — repeatedly – effectively covering-up and excusing for their child’s abnormal behavior
  • With few exceptions, they were able to pass a National Instant Criminal (Background) Check (NICS).

It’s time to implement sensible corrective action:

  1. Raise the National Gun Ownership Age to 21.

Science tells us that the adolescent brain is not fully formed – that impulse control is not yet mature. It makes zero sense to allow an adolescent who cannot buy a beer to buy a powerful semi-automatic gun and high capacity ammunition magazines. Congress should raise the national age limit for gun ownership to 21.

The lack of impulse control magnifies the normal angst teenagers experience as they evolve from childhood toward adulthood.

The lack of impulse control leads teenagers to sometimes treat one another cruelly. Bullying is not new, but bullying magnified hundreds, thousands of times through social media can have deadly consequences.

  1. Include Juvenile Mental Health Records in NICS

Pediatricians no longer believe that children who exhibit mental illness as early as during their toddler years will “grow out of the problem”– mental illness – ranging from Asperger Syndrome to bi-polar disorder (manic depressive) to attention deficit disorder and anxiety disorders.

While juvenile criminal records might appropriately be sealed in most states the same is not true of mental health records because those illnesses are likely to follow the child into adulthood.

It is not necessary to unseal those records to put a “flag” into NICS requiring further investigation for juvenile offenders and diagnosed mental illness.

Such a flag would not preclude gun ownership, but would require further investigation before granting the permit to purchase.

  1. Authorities Must Follow-up On Every Credible Threat Reported

The FBI was warned twice about Nikolaz Cruz and did not follow-up. The FBI has committed to improving their threat evaluation process.

Many states have laws that require the temporary surrender of fire arms in cases of spousal abuse or if law enforcement deems the gun owner to be a danger to themselves or others. These are called “Red Flag Laws”.

Florida does not have such a law. Even if the Miami Field Office of the FBI had contacted Nikolaz Cruz – it is not likely they could have disarmed him.

  1. Implement Strict Training and Licensing Requirements

A gun is a powerful weapon. A life can be transformed or lost in an instance – deliberately or by accident. No one should be allowed to own or use such an instrument without rigorous training and evaluation.

No state would issue a driver’s license to an adolescent (or adult) who cannot demonstrate the ability to drive a car – cars can (and do) kill.

Why is it different for guns?

An examiner testing an applicant’s ability to use a gun safely might, also, be able to pick-up signs of a potential risk.

A gun licensing program would not be a guarantee against gun violence but it might reduce the number and frequency of shootings.

None of these measures would infringe on the Second Amendment right to bear arms.

March in Solidarity #Neveragain

Strengthening the NICS background check system and, even licensing firearms, wouldn’t guarantee the elimination of gun violence in our schools, churches, concerts, or airports, but tighter controls might save lives?

A complex, urban society needs realistic checks and balances between personal liberty and the common good.

That’s why all of us need to mark March 24 on our calendars.

It’s time to MARCH in solidarity with the students of Parkland, Florida, our own children and in memory of the 400 school children killed over the last decade.

Graphic courtesy of (WKYT TV) Nicholasville, Kt.

Perverting the Purpose of Congressional Oversight

Early in my son’s elementary school career I routinely got notes from his teachers asking me to stop by the following morning.

“What happened,” I would ask him? I’d listen to his story.

The next morning I would talk with the teacher.

Only after I’d heard both sides, I’d make up my own mind about what actually happened and how I should react.

You will find an analogy in the charges and counter-charges between the Democrats and Republicans on the House Intelligence Committee over the FBI’s surveillance of Carter Page.

I am convinced that the truth lies in the middle – between what I call “dueling memos”.

The specifics of the Carter Page FISA warrant and the two memos that claim to interpret that surveillance are of less consequence. The incontrovertible fact is that both Democrats and Republicans on the Committee have abused Congress’s important oversight role for transparently political motives.

The committee’s objective should have been to determine the facts on a bi-partisan basis and in co-operation with Department of Justice (DOJ) and FBI.

If they concluded the foreign intelligence surveillance process permitted an abuse of Mr. Page’s constitutional rights, they should have worked with DOJ and the FBI to craft a legislative remedy to prevent similar future abuse and then brought an amendment to the Foreign Intelligence Surveillance Act (FISA) during the recent Patriot Act renewal process. https://www.cnn.com/2018/01/18/politics/fisa-reauthorization-senate-vote/index.html

Putting the Brakes on Intelligence Activities

The Foreign Intelligence Surveillance Act (FISA) was passed in 1978 — in the wake of disturbing revelations of US intelligence abuses leaked to the press associated with the Vietnam War and the Watergate scandal – writ large.

In testimony before a 1975 committee chaired by Idaho Senator Frank Church (D), Americans were shocked to learn the US Army had spied on Americans in America.

Further, the Church Committee and other Senate committees – including the Watergate investigation — uncovered CIA domestic operations against anti-Vietnam War protesters. These activities violated several US laws.

More alarming, press leaks and Congressional investigation found the 1961 Bay of Pigs fiasco was not the only CIA conducted attempted coup against a foreign government or assassination of foreign leaders.

It was clear to Congress much closer oversight over the national intelligence community was urgently needed. Intelligence oversight that strictly balances national security with protecting the rights of individual Americans began with the first Permanent Senate Select Committee on Intelligence in 1976 leading to the 1978 legislation.

To protect the national security, the legislation established a system of permanent congressional oversight of each individual intelligence agency in the US government and over any co-operation or co-ordination between the separate intelligence agencies.

To protect the rights of individual Americans who might come under scrutiny from one or more of these intelligence agencies, Congress established the Federal Intelligence Surveillance Court system.

CLICK HERE FOR FISA COURT PRIMER

The nature of intelligence assumes that most of the oversight would be conducted “behind closed doors” by members of Congress and others with appropriate security clearances and safe guards.

As citizens, we should be able to trust the committee members are acting in our (collective) best interests.

Oversight is intended to continuously improve the performance of our intelligence agencies:

  • Insure sufficient resources (budget) are allocated to each agency’s mission
  • Insure each agency is fully compliant with Constitutional and lawful restrictions
  • Insure investigation of any potential overreach or unlawful conduct by any agency personnel is dealt with through civil service administrative practices
  • Identify any opportunities for improved outcomes for the national security

Dueling Memos

In my career, I have taken many corporate management teams through detailed post-mortems. These exercises are conducted after situations that have perceived to be extraordinarily successful of to have failed.

The objective is not to find fault or award promotions.

The objective is to find facts and to use those facts to develop corrective actions driven by those facts.

The facts of the FISA warrant to monitor the electronic communications of Carter Page should have been investigated and adjudicated by the House Intelligence Committee exactly in the manner suggested by FBI Director Christopher Wray. He asked for, and was refused, an opportunity to provide a briefing to clarify why and what triggered the FBI interest in Mr. Page.

In closed door testimony a flow chart of events should have been examined — each step in the flow chart annotated with the factual evidence and surrounding circumstances.

Those circumstances would, obviously, include any discipline meted out to FBI officers determined to have violated policy or law.

The FBI Director would, also, have pointed to any steps in the process requiring procedural or legal improvement.

Whether or not the new FBI Director and the oversight committee found process or legal improvements were required:

  • there’d have been no need for disclosure of national security secrets
  • no loss of public confidence in the FBI and
  • no personal platform for either Devin Nunes (R) or Adam Schiff(D) individual political ambitions

Most importantly, the American people would be reassured that all the elected representatives and the government agencies were working effectively protect national security and individual privacy — simultaneously.

FISA PRIMER

The media frequently mentions the “FISA Courts” while reporting on National Security Agency (NSA), FBI and other intelligence activities that may involve US citizens.

Below is a brief description of the court’s purpose and how it works.

FISA Courts

The Federal Intelligence Surveillance Courts are commonly referred to as FISA Courts – because they were created by the FISA legislation.

The judges of the FISA Court hear and rule on requests for warrants to allow domestic national law enforcement and counter-intelligence agencies to conduct electronic surveillance of a US citizen who they claim could be or could become an agent of a foreign government or non-state actors (terrorists).

FISA Court judges are chosen by the Chief Justice of the Supreme Court from the various US District Courts around the nation and serve a 7 year term before returning to US District Court responsibilities.

Under the law, the judges are bound by law to apply a much higher standard than a normal criminal surveillance warrant. Criminal courts require a reasonable investigative suspicion to prove the need for the warrant. The FISA Court judge must see concrete evidence that a surveillance warrant against an individual is justified.

To further protect the rights of the individual suspect, FISA warrants expire after 90 days. If the FBI or the National Security Agency (NSA) applies for a renewal of a surveillance warrant, they must show the judge that the expiring warrant got results – i.e. added new evidence to the initial affidavit to the court.

FISA Abuses

FISA judges are not perfect people, either. It is possible that they make mistakes.

There have been a number of instances in which Congress has stepped in to place limits on the FISA Courts.

In 2002 and 2005 when the Bush Administration went beyond the letter of the law in pursuing terror suspects Congress stepped in limit NSA surveillance activities.

Similarly, in 2011 Congress felt that the Obama Administration had abused its power when it secretly authorized the National Security Agency to conduct bulk searches of the “meta-data” of US citizen’s phone records.

While partisan members of the Intelligence Committees expressed concern over the “excesses” of these previous administrations, the investigation of the alleged abuse and the drafting of corrective legislation was performed thoughtfully and in a bi-partisan manner committed to properly protecting the privacy of American citizens – while, also, protecting the national security.

 

Las Vegas: Why Money Beats Mass Murder. Every Time.

Sunday was an ordinary evening. The Seahawks beat the Colts on Sunday Night Football.

It was 10:30 PM. Could I squeeze in my recorded episode of Blue Bloods before the 11 o’clock news and bed?

I turned the television back to a breaking news story: A mass shooting at a concert in Las Vegas.

By the time I went to bed at 1:45 AM, the Clark County Sheriff had given the first casualty report: 2 dead and 50 some odd injured.

When I woke at 7:30 AM the numbers had changed as the gun smoke cleared: 59 dead and 527 (plus) injured.

The massacre at the Highway 91 Concert is the worst mass shooting in American history.

Perhaps country star Blake Shelton expressed it best – ending an early Monday morning tweet with one word: Why?

Uniquely American

There’s nothing more uniquely American than country music. Music descendent directly from the folk traditions of Appalachia –family stories and legends set to a tune and sung so that they could be remembered and passed down generation upon generation.

People from all walks of life were in Las Vegas because they love their families, they love country music, and they enjoy the party atmosphere of a music festival.

And then gun fire broke out. In less than 10 minutes 59 innocent Americans were dead – killed by an enigma hiding in a hotel suite nearly a third of mile away from his victims.

It happened because there is, also, nothing as unique as America’s fascination with guns.

More specifically: Semi-automatic guns.

Begging the questions:

Why Do Americans need Semi-Automatic Weapons?

  • Why do sportsmen (hunters) need or want guns (semi-automatic assault rifles) manufactured for the sole purpose of killing human beings?
  • Why didn’t Congress renew the Assault Rifle Ban in 2004 – when it expired?
  • Why didn’t Congress act after the shooting at Fort Hood in 2009 when 13 service members and law enforcement personnel were killed?

Between 2009 and 2014 9 more mass casualty events caused by semi-automatic rifle fire took innocent 209 lives including 20 children under the age of 7 at Sandy Hook (Connecticut). http://www.marketwatch.com/story/these-are-the-10-deadliest-mass-shootings-in-us-history-2017-10-02

In 2011 Congresswoman Gabby Gifford was shot and nearly killed by a semi-automatic rifle at a constituent meeting in Arizona.

Or what about Congressman Steve Scalise who was shot and nearly killed on a baseball practice field in Arlington, Virginia early this summer?

Why isn’t it alarming enough – horrific enough — that 93 people die by gunfire in this country every day?

The answer is simple: Money.

Here’s Why Money Wins Over Mass Murder

The National Rifle Association (NRA) has made millions for its officers, executives, and lobbyists over the years by claiming that any limits on gun rights would inevitably lead to the revocation of the 2nd Amendment to the US Constitution – the right to bear arms.

The NRA collects $350 million in member dues by promoting the idea if citizens cannot buy semi-automatic assault weapons, the government is going to come into their homes and take their guns or worse.

The NRA uses their member’s contributions to bribe (campaign contributions), scare, and cajole members of Congress into supporting their nonsensical argument – even when the bullets are whizzing over the heads of Congress members!

But lobbying and campaign contributions are not limited only to the NRA, there are, also, the manufacturers of assault rifles and ammunition. Those weapons start at $1000 – they can be really expensive.

All that money is drowning out the 90 percent of Americans who support both stronger background checks and limits on the sale of semi-automatic rifles and armor piercing bullets — including a majority of members of the NRA.

Time for Voters to Mobilize

Based on precedent, the deaths of 59 innocent people in Las Vegas and the injury of some 500 more will not move Congress very far.

Speaker of the House Paul Ryan has said it is likely that Congress will not now bring up legislation to allow “silencing” of automatic weapons but that is little comfort to the families of the dead and wounded.

What is needed a national mobilization of voters. It is time that the voices of innocent Americans are heard more loudly on Capitol Hill than the voices of lobbyists.

It is time to call or write – or do both – your Congress member and your Senators and demand a debate on and passage of legislation to ban the sale and manufacturing of semi-automatic assault rifles, armor piercing bullets, and the kits that convert semi to fully automatic rifles – banned since 1934.

It must be made clear to every member that a failure to vote for reasonable gun safety legislation means that you will not vote to re-elect that member in November 2018 – it’s a matter of your life and safety.

 

Bump stock image courtesy of CNBC

Time for a Four Star Cyber General

Cyber is everywhere in our lives today and it is our greatest strategic weakness.

In 2015, the FBI and Department of Homeland Security determined Chinese sources, likely the Chinese Army, hacked the federal government’s Office of Personnel Management stealing 21.5 million applications for security clearances. Not only were vital statistics like social security number and credit history vacuumed up but, also, family relationships and social networks. Not even such a blatant and dangerous data security breach spurred the government beyond holding a couple of face saving Congressional hearings. —

Wikileaks disclosed information hacked from the CIA that exposed our ability to track terrorists through their cell phones. The result tipped off the terrorists who’ve returned to more primitive but harder to track methods of communication.

Global “ransom ware” attacks on hospitals have done little to prompt even a single Congressional hearing.

Equifax Credit Bureau was so careless with data they collect from all Americans involuntarily that hackers roamed undetected through their huge credit databases for nearly four months stealing the information of nearly half of the American people – using — what appears to be — a specific set of selection criteria. The government’s response: Consumers can sue Equifax.

The Security and Exchange Commission’s EDGAR System was hacked a year ago (August, 2016). It is likely that some person or persons or country unknown had access to the financial reporting data of every publically traded American or multi-national corporation before that information was made public, as required by law. Congress and the American people were not told until the appointment of a new SEC Chairman in September, 2017.

For almost a year, hackers were able to use (or sell)”insider trader information” to trade on specific stocks before the company’s public announcement of earnings. Such trading is a federal crime.

Just last week, the Department of Homeland Security released a list of 21 states where Russians successfully or semi-successfully hacked into state election systems prior to the 2016 Presidential election.

Taken together these are hostile acts against the nation and the people of the United States – as surely as if those bits and bytes were bullets.

In this war of bits, bytes, and the dark web, there is no “frontline” and Congress is not doing its job: Building an army to protect you and I – the American people – from a nefarious global network of economic terrorists.

No American is Safe:

Almost every aspect of daily American life is connected to the World Wide Web.

When you:

  • Apply for a job
  • Apply for a mortgage or rental approval
  • Watch television
  • Shop – online and off
  • Buy groceries at the local grocery store
  • Dial 911 an emergency
  • Catch up with friends
  • Make a medical appointment
  • Pay the basic monthly bills
  • Save for retirement etc.

The details of every transaction are collected by numerous public and private interests – irrespective of your Constitutional right to privacy. Under the best of circumstances, this data is summarized and sold to better “target” you as a customer.

In the hands of a criminal this data can be used to steal your identity. It can be used to blackmail you into – for example — spying against your employer, your neighbors or friends. It might allow a health insurance company illegal access to your genetic profile.

Protect Our National Infrastructure

There is no part of the infrastructure that we all depend on that does not, also, depend on technology:

  • Weather forecasting
  • Water storage and transport
  • Power generation and transport
  • Farming
  • Air travel
  • Rail travel
  • Ocean and river craft
  • Your family car
  • Corner gas station
  • Hospitals
  • Police Stations
  • Jails
  • Military Installations and Military Hardware etc.

It is not classified information that our government, private and public utilities and other quasi-government agencies have acknowledged their vulnerability to cyber attack.

Stop for a moment and think what the consequences would be if, for example, your electric utility provider were held for ransom by a hostile government or non-state-actor. Denied electric power, many activities we take for granted would quickly stop. What would the social consequences be if gasoline pumps stopped pumping, grocery stores couldn’t refrigerate or even checkout your groceries, ATMs could not dispense cash, and credit card transactions could not be verified across a wide section of America.

Every automaker and others including Apple and Google are working on the “inevitable” driverless car — navigation via the Internet. WHAT IF a terrorist or state actor hacked into the driverless car fleet and turned our interstate highways into real-time bumper cars?

CYBER WARFARE IS NOT STAR WARS

Several states have started to regulate autonomous vehicles, remote home security and other technologies that could put Americans at risk. Not so Congress.

Congress is worried about other things: for example, to build or not to build a wall on our southern border.

Daily reports of massive data breaches, repeated theft of Americans personal data by criminals and hostile state actors, over several years, haven’t prompted Congress or the President – past or present – to take the necessary steps to protect every day Americans from this new and potent threat.

Congress and state governments have been repeatedly briefed on the vulnerabilities of our power grid and communication systems to cyber attack. But none of those briefings have moved Congress to debate or legislate additional cyber security measures outside the reactive Homeland Security Department’s Computer Emergency Reaction Term.

It is well past time that Congress acts pro-actively to establish a cabinet level CYBER SECURITY Department to coordinate all military, intelligence, law enforcement and private sector cyber security initiatives.

Every American has a right to expect Congress to take all steps necessary to protect the life, liberty, privacy and security of every citizen.

As much as we expect our military to be one step ahead of our potential enemies – so must our cyber sleuths.

Graphic courtesy of us.123rf.com

A Crucial Balancing Act: DACA and Enhanced Border Security

President Trump has invited an explosion in Congress with his recession of the 2012 Obama Executive Order that protected undocumented aliens who were brought to the United States by their parents when they were still children and before 2007.

There is majority public support for legislation to protect the “DACAs” (Deferred Action [for] Childhood Arrivals).

Three bills have been entered into Congressional hopper – the bi-partisan Senate Dream Act 2017, the House Recognizing America’s Children Act and the House Dream Act.

Nancy Pelosi, embolden by her meeting with President Trump, insists House Democrats will settle for nothing less than their Dream Act – which broadens the categories of eligibility beyond President Obama’s Executive Order and offers Dreamers a direct path to American citizenship.

The two other bills take a more measured approach — offering at first provisional legal status to work, travel, go to school, etc. Only after serving several years of provisional status would “Dreamers” earn a right to apply for permanent residency and eventually citizenship — hardly a “get out of jail free” card.

Initial reaction on Capitol Hill suggests that there is broad support, in Congress, for DACA-fix legislation – limited in scope and purpose.

After sixteen years of bi-partisan failure to pass such a bill what is different this time?

Passing a small, targeted immigration bill will benefit both political parties going into the 2018 mid-term elections.

Politics Makes Strange Bedfellows

Does President Trump think he can trade a DACA law for his often promised southern “border wall”? It’s possible but not realistic.

More realistically — the Republican majority in Congress knows it cannot afford to lose this opportunity to partially rebuild its relationship with Hispanic voters. But the GOP must also be responsive to its own base – which has used its votes repeatedly to demand enhanced border security first and granting legal status second.

Democrats will seek political advantage in the mid-term elections by supporting a “clean DACA law” (effectively an amnesty) that would attract more Hispanic support from the US citizen brothers and sisters of the Dreamers — even at the expense of further erosion of their traditional organized union, blue collar base in the mid-west.

Representatives and senators in the center of both parties have a clear common interest. The majority want a bill they can pass, the President will sign, and that they can defend to their constituents during the 2018 primary and general elections.

Senators as philosophically opposed as Lindsey Graham (R-South Carolina) and Diane Feinstein (D-California) have both acknowledged that only a DACA Fix that includes steps to strengthen our border security meets all three conditions.

Effective Border Security Doesn’t Mean Walls

A wall on our southern border — even if Mexico or Congress was willing to pay for it – will not secure our borders.

Fact is every year since 2007 more than half of the illegal immigrants to the USA have been airport arrival “visa overstays”.

Technology, not concrete, is the solution to our 360 degree land, air, and sea border security problem.

  1. Strengthen E-Verify

The 1986 Immigration Reform Act (aka Simpson Mazzoli) attempted to balance compassion for some two million illegal aliens who had been in the country for many years with stronger border security and enforcement measures.

The 1986 legislation defined as a crime any USA employer hiring/employing a person who could not prove they had the legal right to work (and live) in the United States.

To help employers stay “on the right side of the law”, Congress mandated the development of an electronic verification system – E Verify — every employer would need to use to verify every new employee’s “work authorization status”.

The bureaucracy took a different approach than the law required while subsequent Congresses just looked the other way.

Participation in the E-Verify System is voluntary unless the employer is a federal contractor – or in some states a state contractor. There is only limited enforcement even for federal contractors.

Any other employer can enroll to use the system on a voluntary basis with little risk of being subjected to enforcement action by Homeland Security.

Under current Homeland Security policy, even if a new hire is “non-compliant” – determined not to have work authorization – termination is not required only strongly suggested.

Congress should give Homeland Security twelve months from date of passage of new Border Security legislation to deliver an E-Verify System that is tested, proven and works.

Once tested and proven, the system must be made mandatory for all newly hired workers – every employer, everywhere – with significant civil and criminal penalties for employers that violate it.

Restricting the E-Verify mandate to new hires will protect those working without papers in the USA today – i.e. DACA’s parents – from termination because of status.

No DACAs could move from provisional status to permanent resident status until E-Verify is successively implemented, rolled out nationally and demonstrated to work – including employer enforcement.

  1. Discourage Illegal Entry with Improved Tracking Technology at Every Border

Simultaneously, Customs and Border Security must
improve its ability to electronically track arrivals and departures of tourists and other foreign nationals with temporary (time fenced) visas.

Currently, a photo is taken of every airport arrival and stored with passport information collected prior to and upon arrival.

Today, Homeland Security has no way to track where a “visitor” goes once they cross the border or walk out of the airport. It’s just too easy to blend in and stay – get a job, rent an apartment, or buy a car.

  • Congress should authorize the Attorney General to determine the Constitutionality of attaching a GPS tracking device to all foreign passports in the United States to ensure timely departures.
  1. Eyes in Sky

High tech surveillance is part of 21st century life – at the mall, the airport, the stop light, on the freeway – rendering walls historic artifacts.

Congress needs to increase funding for technology already used by Border Patrol including satellites, in the ground sensors, and drones to patrol remote stretches of both the southern and northern borders.

  • More drone operators, for example, to spot irregular arrivals faster and guide border patrol agents to apprehend them.
  • Ground level sensor technology can be more effective than walls.
  1. A Tamper-proof Internal Identification System

Homeland Security must be given a deadline to negotiate a plan with the states to issue technically sophisticated drivers’ licenses and other internal identification documents.

  • Congress first mandated a tamper-proof “National ID” following 9/11 but it has never been implemented.
  • Adding technical sophistication to our (state issued) internal identity documents will prevent the possibility of unauthorized immigrants using our air travel system – reducing the terrorist threat as well.
    • Some states currently issue Driver’s Licenses to undocumented aliens but those licenses must meet federal guidelines that insure TSA can quickly identify them as not authorized for air travel.

Tamper-proof national identification documents are, also, a defense against the growing national threat from counterfeiting and identity theft.

None of these four steps would deny sanctuary to anyone currently in the United States.

Build Public Confidence for Immigration Reform

If the public saw each step implemented, tracked and succeeding — public confidence in the government’s ability to secure our borders would grow.

Simultaneously, Congress could use the two or three years required to implement and assess the effectiveness of these first border security steps to develop a thoughtful set of next steps to fairly resolve the status of DACA’s parents and other undocumented immigrants.

Securing the border along with resolving the legal status of those who have been living in the shadows of America for many years would
build public confidence in the government’s ability to manage our immigration system.

Public confidence is the necessary pre-requisite to a comprehensive 21st century immigration reform plan.

Graphic courtesy of iconfinder.com

 

Compassion Combined with Enforcement Can End DACA Crisis

The decision of the Trump Administration to rescind the Obama era executive order on DACA without a Congressional agreement to fix the problem is baffling.

The President and the Attorney General have created yet another legislative crisis for a Congress already overwhelmed by seemingly irreconcilable differences ranging from how to increase and manage the national debt ceiling to passing a 2018 federal budget (for the first time in 8 years) as a pre-requisite for any meaningful discussion of tax reform.

After years of promises, Congress does not yet have any reasonable plan to repeal, replace or repair the Affordable Care Act.

They’ve not passed a Defense Authorization Appropriation in the face of worrisome aggressive actions and threats against the United States by nuclear capable North Korea. Not to mention the ongoing military operations in Afghanistan, Iraq, Syria and so forth.

In the face of the well documented philosophic splits inside and between both political parties represented in the 115th Congress – it is unlikely that meaningful tax reform can muster any combination of the required 60 votes in the Senate.

Adding a legislative “DACA-fix” to Congress’ already impossible 2017 to-do-list is akin to throwing a match into a house with a gas-leak so you can enjoy the fiery explosion.

DACA is a Result of 2012 Presidential Politics

President Obama insisted for four years that he “lacked the Constitutional authority” to intervene on behalf of undocumented aliens living in the United States – arguing only Congress could change the law.

But in the run up to the 2012 Presidential Election, President Obama changed his mind about the extent of his executive power to protect undocumented (“illegal”) aliens living in the United States.

Facing a tougher than expected 2012 re-election challenge from Mitt Romney, he used Executive Orders to protect two classes of illegal immigrants from deportation proceedings and grant them temporary work permits – a total of more than three point six (3.6) million people.

  • Deferred Action (for) Childhood Arrivals (DACA)
  • Deferred Action (for) Parents (of) Americans (DAPA)

The Supreme Court agreed with President Obama’s first position — ruling DAPA and some parts of DACA to be unconstitutional in 2015 but left limited DACA protections in place.

While some might ascribe cynical political motives to President Obama we can all agree that, as a parent himself, he believed it is unfair to punish children for the sins of their parents.

The 600,000 to 800,000 young people who remained eligible for deferred action are between 18 and 30 years of age, originally brought to the United States illegally by their parents when they were children. They’ve grown up in the United States. Many have siblings born in the United States who are citizens.

These young people know no other country than the United States. There are, except for their immigration status, indistinguishable from their classmates, neighbors, work place colleagues or citizen spouses.

Some don’t even speak the language of the country of their birth.

The young people who have “come out of the shadows” by applying for a two year renewal work permit under DACA are contributing members of society.

They are caught in the limbo of Congress’ bi-partisan failure to frontally address a United States Immigration System that is completely broken and politicized – an impasse that has existed continuously since 2004 through majority Republican and majority Democratic congresses.

Immigration Reform Begins One Small Step (Bill) at a Time

As soon as Attorney General Session announced a planned end to the deferral program, members of both parties in Congress rushed to find a camera to promise a quick bi-partisan legislative solution to the DACA problem.

The White House press secretary even urged Congress to immediately pass comprehensive immigration reform.

But, if it were so easy – wouldn’t Congress have done it in 2004 or 2007 or 2010, 2012? The devil is in the details.

The history of comprehensive immigration reform – last enacted in 1986 – does not inspire confidence in the American people.

The 1986 “carrot” — amnesty to some two million undocumented aliens — was implemented right away but the “sticks” of stronger border control and stepped-up interior enforcement – E Verify (Employment Eligibility Verification) – have never been fully implemented.

The result is an estimated 11 million more undocumented immigrants today who point to 1986 Simpson-Mazzoli as evidence they have a “right” to legal status.

As a nation we just don’t do comprehensive well. Instead of one big omnibus bill that will never be fully understood or implemented, Congress should start with several, more modest, single purpose bills that can be fitted together in an interlocking immigration reform package — implemented, measured, tracked and enforced one step at a time over several years – starting with DACA.

Bi-Partisan Incremental Deal

The American people have shown in recent Politico polling support for – and our economy needs — more skilled and younger immigrants who can assimilate into American culture – the definition of a Dreamer (DACA).

A bi-partisan poll of the American political center taken by NBC News and Esquire Magazine in 2013 demonstrated a willingness to grant legal status (even eventual citizenship) to undocumented immigrants living in the United States for many years if the government can demonstrate the border is secured against further unauthorized immigration.

The Trump Administration created a “Dreamer crisis” and then gave Congress six months to “fix” the problem. That’s not constructive.

The Trump Administration must work with Congress to fashion a legislative process which builds the trust of the American people and sets the stage for future legislation to modernize our antiquated immigration system.

A reform bill that conveys legal status to qualifying Dreamers who arrived in the USA before 2007 linked to a companion bill focused on improved northern, southern; land, sea and air border security seems a good place to start.

 

Graphic is courtesy of the Delgado Law Group — with thanks

The Real Truth Behind the Health Care Battle

I was in Washington DC for meetings last week.

Washington is not America!

Nowhere in America could a restaurant catering to the business traveler charge $23.00 for a first course Caesar salad and stay in business.

But in central Washington that’s the common price at every day restaurants – not white table cloths, tuxedoed waiters and elegant French cuisine — but the type of place a business traveler goes for a quick bite and a glass of wine at the end of a long day.

And those restaurants are packed – not by the tourist families who crowd the Capital Mall — but by government workers and lobbyists.

The average government worker in Washington earns $112,000 a year before benefits.

Contrast the national median income for a family of four — $55,775 — against the average bureaucrat or congressional or presidential staffer, who earns twice what the average American family does (members of Congress earn 3.2 times their average constituent), and the picture becomes clear.

They can’t possibly understand the daily life of the average American.

In this context, the GOP proposal to “repeal and replace Obamacare” makes perfect sense. From their cushy perch — $16000 a year for health insurance is not such a big number.

This difference in earnings and benefits, also, explains why they see Medicaid spending as just numbers on the ledger rather than the human lives protected. Debit the rate of Medicaid spending and credit income tax rate reduction by the same amount and federal budget deficit remains the same.

Medicaid is Largest Health Care Insurer in America

In the roaring US economy of the 1960s, Medicaid was an afterthought – an amendment to the original Medicare hospital insurance (Part A) proposal – a few dollars to protect “poor women and children”.

Today, Medicaid is the largest health insurance program in the United States – 40 percent larger than Medicare.

Medicaid enrollment grew from 4 million (of 196 million) in 1966 to 73.5 million (of 326 million) in 2017 as a series of economic shocks took a toll on the American middle class.

  1. The wide-spread loss of employer based pensions and cuts to union sponsored pension programs beginning in the 1980s.
  2. The erosion of semi-skilled mining and assembly-line manufacturing jobs through automation and outsourcing to lower wage countries
  3. A reduction in family savings
  4. Reduced capital investment in innovation and technology by both private investors and the government.

Over the last quarter century quality jobs have declined — resulting not just in fewer jobs but lower wages, shorter hours, and fewer employee benefits. Fully 25 percent of US jobs, today, are in the retail sector.

The Kaiser Foundation reports in 30 of the 50 states the median income for a family of four has fallen below the national average of $55,000.

The twenty states at or above the national average tend to be the large coastal states where concentrated pockets of wealth mask the overall condition of their populations (California, New York and Virginia – buoyed by technology, global banking and an overpaid federal work force).

Lower wages, fewer employee benefits, less job security and lower savings add up to more families who need government help paying for necessary health care.

Medicaid is the primary health insurance for forty (40) percent of US children. These are the children of the shrinking middle class plus the “birthright citizen” children born in the United States to undocumented/illegal aliens.

For too many Americans whose jobs and job prospects deteriorated or vanished in mid-life (along with guaranteed pensions, good wages and employee based health insurance), Medicaid has become the necessary bridge to Medicare.

Medicaid is Just a Symptom of the Real Problem

Since the 1990s, Congress, and both Republican and Democratic administrations, papered over the drip, drip, drip of declining job prospects for millions of Americans with “temporary help” government programs – tax cuts, college loan programs, 60 separate federal job retraining programs, extended unemployment insurance and – most recently – subsidized health care – leading to an explosion of the national debt.

The solution to the mushrooming Medicaid program cost is not to punish the vulnerable dependent upon it. Medicaid pays 2/3 of all old age and dementia patient nursing home bills.

The challenge to Congress is to reform Medicaid — bend the cost curve without cutting access or benefits to the growing number of Americans who need the help.

Three Potential Reform Ideas:

1) Ban All Political Contributions: Shift Congress’s focus from the stake holders to the shareholders and customers by banning all political contributions from health care providers, drug and device manufacturers and other profit centers in the health care eco-system.

Once freed from deference – their first question to their former donors should be “why does health care cost so much”? Why does health insurance, health care devices, drugs, surgery, laboratory tests, even a visit to a primary care physician cost Americans 50% more than any other developed nation’s citizens?

The next question should be – what are you going to do about it?

2) Federalize the Program: Allow states to design delivery systems that are specific to their environment and patient population.

The states are laboratories of innovation. States have stronger incentives to use Medicaid dollars efficiently. They pay as much as forty (40) percent of their Medicaid costs and must balance their budgets.

Plus, if the program were federalized, the number of Center for Medicare and Medicaid Services bureaucrat rule writers in Washington would decline – saving $112,000 plus benefits times several hundred individuals.

3) Hold the Bureaucrats Accountable: Medicaid fraud rises every year. In 2016 it amounted to $33 billion. Congress must hold federal and state bureaucrats collectively and individually accountable to reduce the rate of Medicaid fraud to zero over the next 10 years.

Eliminating Medicaid fraud over the next 10 years would save at least $333 billion — more than the $319 billion savings the Congressional Budget Office projected from the first Senate healthcare reform.

Added together these simple reforms would save as much as half a trillion dollars over the next decade without cutting one penny from beneficiaries.

After all, aren’t the beneficiaries the purpose of Medicaid?

 

Thanks to 101Clipart.com for the graphics

Trump versus the People

4th of July weekend – the time we commemorate the moment American patriots threw off the shackles of a crazy English King George III and began the world’s longest experiment in democratic republican government.

While the rockets are firing into the sky, we should take a moment to wonder much longer we can claim to be a functioning democratic republic unless our elected officials turn from fighting each other to fighting for us.

Average earnings of Americans have continuously declined since the late 1970s.

The health care industry puts profits over the quality and quantity of American lives.

Our tax system favors the richest among us against everyone else.

Our infrastructure is decaying and crumbling:

  • Water Supplies
  • Flood Control
  • Power Grid
  • Roads
  • Bridges
  • Public Transit
  • Airports
  • Sea Ports

Good, middle class American industrial jobs are disappearing faster than innovation can replace them.

Immigration is flooding the top and bottom of our society sandwiching and compressing the middle class – upon which the fabric of democratic government depends.

Our nation is not secure – not from foreign adversaries, not from domestic terrorism, not from a debt crisis much worse than 2008.

Enter King Donald

In complete frustration the American people took a chance – electing a businessman/TV personality best known for the phrase “you’re fired” to occupy the highest office in the land.

A business person, voters reasoned, would shake up the impenetrable institutional government – Washington, D.C. – and might bring opportunity back to the American heartland.

Hillary Clinton was the epitome of that fossilized, institutional government – explaining why Donald Trump is now residing at 1600 Pennsylvania Ave.

Accepting the Republican nomination, Donald Trump promised to be the “voice of the forgotten” American.

But he has forgotten that promise.

This man — whose actions have the potential to impact every person on earth — listens only to the voice of accolades and acolytes.

Fail to flatter and you will be fired. Ask James Comey!

Personal presidential loyalty tests have stalled State Department policy nominees denying Secretary Tillerson the staff he needs to navigate a world fraught with challenges – several of which could easily erupt into shooting wars involving the United States.

Presidential briefings must be kept short because the president has a “limited attention span” – when he listens to his advisers at all.

The Trump Cabinet agenda includes some praise worthy ideas and initiatives but they are completely subsumed by President’s impetus behavior, incoherent tweets, and blatant nepotism.

This Form of Governance Can’t Continue

The President’s tweets demonstrate the significant mismatch between the skills the President gained as the “boss” of a small, family-owned business with a deceptively large bottom-line and those needed by the Chief-Executive-Officer of the United States – the titular “leader of the free world”.

The celebrity business man had a reputation for personal charm that masked unethical business practices and a penchant for “getting even”.

His tweets attacking the press call into question his understanding of the roll of the press. As far back as the 1763 Tea Party the press has been an institutional “opponent” intended to keep the government honest.

Following his Inauguration, @realDonaldTrump tweets demonstrated the depth of the President’s narcissism and how much of that narcissism is driven by deep seated insecurity. Something that voters did not expect!

Some tweets have been simply self-destructive, while others demonstrate a lack of impulse control. The tweeted potential of White House tapes gave James Comey the idea to leak a contemporaneous memo to New York Times (via a cutout).

Voila – instead of suppressing the “Russia investigation” those tweets prompted the appointment of a special counsel more interested in determining whether the President “obstructed justice” than clearing him of charges of “collusion” in the 2016 election.

This week’s tweets concerning the hosts of MSNBC’s Morning Joe are further evidence of the President’s lack of self-discipline, lack of self-awareness, misogyny, bullying and limited acquaintance with the truth.

Those are not the skills of a national leader. Leaders accept the role of criticism as part of the job! Criticism forces self-awareness, begs the question “what-if”.

History demonstrates criticism becomes the genesis of consensus – which has been the life’s blood of the American experiment with representative democracy.

Criticism forces our leaders to re-examine their own beliefs and – perhaps — to alter them. They are not, after all, infallible.

American democracy flourishes when our leaders acknowledge their own fallibility and, as a result, are able to listen, facilitate and bring together the people and their representatives — whose disparate ideas and experiences hold the common kernel of solution.

Instead, this President’s tweets have, sadly, become the “bright shiny object” sowing confrontation and confusion instead of building consensus.

Donald Trump has no real beliefs and no grasp of policy. For example – one day championing a Republican health care plan and the next day calling it cruel and on day three championing total repeal of the law it claims to “fix”.

Convene the President’s Club

It is time for the Presidents’ Club to convene a meeting with their latest member. These five former Presidents are best positioned to evaluate the potential of this President to grow into the office he now inhabits.

They will put the best interests of the nation before all other considerations.

If they conclude the President is “unfit” – that he lacks the skills and personality characteristics needed to learn to lead the nation and is unwilling to learn – he must go.

The 25th Amendment to the Constitution was ratified for just such a situation.

Some Democrats in the House of Representatives have formed a committee to investigate invoking the 25th Amendment against President Trump. They should stand down – their efforts are blatantly political and this is not a time for politics – but for patriotism.

In this case, if the five members of the Presidents’ Club were to find Mr. Trump “unfit” to discharge the duties of the office of President of the United States, they could petition the Congress to create a law to empower them to petition for the President’s removal.

Such a law would have to have some stringent requirements for removal that would protect the process from accusations that the motives were political.

And the five former Presidents (3 Democrats and 2 Republicans) would need to meet directly with the American people and make a detailed, objective and impartial case for removal.

Then Congress would need to vote yes or no to remove the President

in Order to form a more perfect Union, establish Justice, insure domestic Tranquility, provide for the common defense, promote the general Welfare, and secure the Blessings of Liberty to ourselves and our Posterity

Fireworks photo courtesy of mountvernon.org