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Archive for July, 2008

The American Reality

Posted by kandylini on July 31, 2008

By Max Kantar, Countercurrents.

Amidst the independence day flag waving, summer sporting events, and even a few murmurs about the prospect of ‘change’ in an upcoming national election, a much darker reality exists in this country.

Blinded by the bright lights of flatscreen televisions and drowned out by the numbing buzz of propaganda and unimportant words, we have been hypnotized by the doctrinal system of mass media and baptized in materialistic excess.

By allowing a fraction of the spoils of international terrorism and exploitation to trickle into the hands of a substantial sector of the American working and middle class, the corporate elite have effectively purchased not only our blessing and consent, but our morals and souls.

They have lulled us into submission not simply through jingoist indoctrination, but by creating a necessary diversion from the undesirable images of the masses of emaciated children and mangled and deformed bodies suffering from disease and terror.

Our oil, our apparel, our electronics, jewelry, agriculture— so much of our ridiculous consumption, comes bearing a pretty face, benevolent message, or an admiral ideal. They are marketed and sold based on the principle that our values and human worth can be found in and measured by empty and soulless material possessions.

The faces of our hero celebrities don the false images of tyrannical corporations who have virtually enslaved hundreds of millions of men, women, and children, compelled to suffer criminal wages, physical and sexual assault, and countless other abuses, all driven simply by their need to eat and stay alive.

On top of endless commercial propaganda, the financial masters feed the masses daily the idiocy of pop culture. Images depicting animalistic fantasies of primal gratification consume the public mind in a roaring tsunami of sex, glorified violence, flesh chewing, intoxication, and militaristic spectator sporting events.

Not only are our consciousness and minds removed and averted by this swarm of barbarism, but our highest values are constructed out of it and cemented into our shallow and hollow being.

We contract, we kill, we subsidize, we profit. We impose starvation, disease, murder, and oppression. But yet because we, the public, do not see these conditions and people that we create and degrade, we are oblivious.

Virtually no human being, if given the opportunity, would steal food from a starving child. Likewise, none of us would dream of supporting or perpetrating terrorism on innocent victims in the interests of commercial investment and foreign capital. But yes, that is precisely what we are doing! Everyday!

This is the object of mass media, to properly indoctrinate the population with misconceptions about the nature of our nation regarding domestic and international affairs and to reinforce a value system that worships all things superficial, profitable, and meaningless.

We are all part of this unsustainable, exploitative, and violent structure, participating as consumers, workers, teachers, students, debtors, taxpayers and officials.

We built the Caterpillar bulldozers that have demolished tens of thousands of homes in Palestine, making tens of thousands of Palestinian families homeless. We are the ones paying for Palestine’s ethnic cleansing and the starvation and imprisonment of Gaza. It is us whose hands are covered in Palestinian blood.

With our tax dollars, we have allowed for highly subsidized corporate agribusiness to destroy food independence of countless poorer nations, leading to the dispossession of their farmers, the destruction of their crops, and eventually, massive famine in the said nations. And while the masses of the ultra-exploited world struggle to eat and watch their children starve, we are using a subsistence crop, corn, to feed to automobiles rather than people amidst a global food crisis.

We are the ones drinking the coffee from Starbucks brought to us by the slavish, U.S. corporate plantations of Central America. To satisfy the artificial wants of our globalized consumer society, over 200 million children around the world forgo school and family life to work unfathomably long days under command and the threat of beatings and starvation, producing carpets, sporting goods, rugs, shoes, and many other objects of our collective desire. We might wonder how many hundreds of million adults suffer the same fate as well.

It is the oil from the Niger Delta that fills our vehicles, courtesy of Exxon Mobile and Shell, whose existence assures the continued desperation and hopelessness of the people of the region, the rightful owners of the natural resources of their homeland.

Using our overwhelming influence in international financial institutions such as the World Bank and IMF, our representatives have effectively underdeveloped much of the world over the past 25 years, imposing neoliberal ’structural adjustments’ on poor nations for the benefit of our own Wall Street criminals while several thousands of human beings unnecessarily starve to their graves daily.

To be sure, it is we who have been in gluttonous fashion usurping much of the global oil resources for our over-consumption. We are the United States of America. How many million human beings have been deprived, starved, killed, and oppressed to assure the profits of Middle Eastern oil find their ways into Western pockets? The bloody siege of Iraq and Afghanistan is only the most recent peak of repression and violence carried out for oil interests in the region. These policies are not new.

We, and nobody else, are paying for our 700 military bases around the globe, stationed to protect foreign western capital and poised to destroy popular struggle. We have supplied the weapons, planes, ammunition, training, soldiers, and cash to scores of belligerent nations with the pretext of assuring the preservation of foreign investment domination and the suppression of popular demand.

It is us who have subsidized, supported, and sacrificed to assure that no nation defies the global economic order and breaks the imperial laws of the West to pursue a social and economic agenda of the choosing of its population. Have we not learned that it is not communism that we despise, but independence that we so loathe?

Have we made the world safe for democracy yet?

We are so deeply indoctrinated and disillusioned by the carefully constructed reality that the elites are presenting us. Any thoughtfulness is drowned out by the pervasive rubbish being thrust upon our minds from all angles.

Our perceptions are so controlled by marketing, advertising, and selfishness that we cannot even begin to conceive that we are active participants in a global program of racism, capitalism, war, depravation, and destruction, that by the laws of economic gravitation, has already begun to create the conditions in which we too, shall reap what has been sown.

In this sick and deranged society we are programmed as well, to see our own countrymen as not our brothers and sisters, but as objects of competition. As an army of debtors, workers, and consumers, we march through the streets aimlessly towards our next meaningless purchase, destination, or crusade, instinctively kicking aside the faceless un-people sheltered in the cardboard barracks on the streets and sidewalks of multimillion dollar shopping centers and enterprises.

Like Orwell’s sheep, we repeat and regurgitate robotic rationalizations justifying the fatal deprivation of the most fundamental human needs of our own brethren, of which these necessities could be so easily and readily provided, to deny other humans them is not less than malice.

And while we refuse to recognize and respect the rights of others, we seldom pass up an opportunity to relinquish ourselves of all responsibility for our own actions and inactions. We blame victims for their condition of victim-hood. Our relationships with each other are often void of sincerity and love, driven more by fear, habit, selfishness, expectations and other self-serving and superficial qualities.

If we wish to once and for all, remove ourselves from our despicable and pathological role that we are fulfilling at this very hour then we must break free from the indoctrination system to smash these ideological constraints and cease with our passive behavior that we have mastered over recent years.

Wake up! We have nothing of value to lose.

Max Kantar is a freelance writer and undergraduate. He can be reached at maxkantar@gmail.com


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Another Al-Qaeda Operative Reported Dead Twice

Posted by kandylini on July 31, 2008


07-30-2008
www.roguegovernment.com
Lee Rogers

As originally revealed by the Citizens for Legitimate Government, the corporate controlled media has now reported yet again that the U.S. government has killed the same Al-Qaeda operative twice. In 2006 it was reported by ABC News and other media outlets that Abu Khabab al-Masri a so-called Al-Qaeda operative was killed by a U.S. missile strike. The news reports cited officials within the Pakistani government as the source of information for his death. Strangely enough, there are now reports of the U.S. government killing the same Al-Qaeda operative again. The explanation given is that the original information of al-Masri’s death was unfounded. No specific details were given as to why that was the case. This is not the first time that the corporate controlled press has put out information saying that a particular Al-Qaeda operative was killed for a second time. Regardless of what you believe about al-Masri’s death, the one thing that is clear is that the media uses the announcement of so-called dead Al-Qaeda operatives for propaganda purposes. When al-Masri was first reported dead back in 2006, the media gave his death a great deal of attention. Now, they calmly report that the previous information was unfounded with no explanation as to why the original report of al-Masri’s death was wrong and on top of that they use his death a second time for additional propaganda purposes. It is impossible to know what the real truth is behind al-Masri’s death or even if the man exists at all, but clearly information on the U.S. killing Al-Qaeda operatives twice is being used to see if people are actually analyzing and paying attention to what they put out. It is also interesting to note that reports of al-Masri’s death came just in time for George W. Bush’s meeting with the Pakistan Prime Minister. Coincidence right?

Regardless of these new reports, there is little doubt that the terror war is a fraud. Al-Qaeda was created in the late 1970s by the U.S. government to fight the Soviet Union in Afghanistan. It was nothing more than a list of names. In reality, Al-Qaeda as an organization doesn’t even exist. Instead, it is just a label the establishment makes use of to convince people believe that we are fighting a real organization of terrorists. Osama Bin Laden himself never even referred to his network as Al-Qaeda. Of course, Bin Laden is likely dead considering he was suffering from kidney dialysis around the time of the 9/11 attacks but that hasn’t stopped the establishment media from continuing to use him for the purposes of spreading fear. Bin Laden like all these other Al-Qaeda operatives that the media hypes are just characters the establishment uses in order to further propagandize this ridiculous war on terror hoax.

With that said, let’s look at these reports talking about al-Masri’s first death and his second death. It is evidence that these reported deaths of Al-Qaeda operatives are only used to manipulate public opinion. It is like a real life version of the two-minute hate sequence in the movie 1984. There is no reason for anyone to believe that the reports of these dead Al-Qaeda operatives are real or if the operatives themselves are real people. Like in 1984, the media creates a false reality for the people as a way for the establishment to mentally enslave the individual into accepting a lie.

Here are a couple of reports detailing the supposed CIA killing of Al-Qaeda operative Abu Khabab al-Masri in recent days.

From the Financial Times:

Pakistan intelligence officials yesterday confirmed a key al-Qaeda expert on chemical and biological weapons was killed in an attack by a CIA-operated unpiloted drone, late on Sunday.

Egyptian-born Midhat Mursi al-Sayid Umar, who was also known as Abu Khabab al-Masri, was one of six Arab men who were killed in a remote region along the Afghan border, according to an intelligence official. The US had offered a $5m (€3.19m, £2.5m) reward for his capture. Western diplomats said it would be a boost to morale in the Bush administration, struggling with mounting troop casualties in Afghanistan and a revival of militant attacks in Iraq.

From CBS News:

One of al Qaeda’s top chemical and biological weapons experts was killed in an air strike by a CIA pilotless drone in a remote Pakistani border region, senior Pakistani intelligence officials told CBS News Tuesday morning.

Intelligence officials investigating the early Monday missile attack confirmed that Midhat Mursi al-Sayid Umar, also known as Abu Khabab al-Masri was one of six men killed and his remains had been positively identified.

Now let’s look at a report from 2006 talking about al-Masri’s death at the hands of a U.S. missile attack.

From an ABC News report in 2006:

ABC News has learned that Pakistani officials now believe that al Qaeda’s master bomb maker and chemical weapons expert was one of the men killed in last week’s U.S. missile attack in eastern Pakistan. Midhat Mursi, 52, also known as Abu Khabab al-Masri, was identified by Pakistani authorities as one of four known major al Qaeda leaders present at an apparent terror summit in the village of Damadola early last Friday morning.

The New York Times reported calmly that the original reports in 2006 of al-Masri’s death were unfounded. No explanation was given as to why these false reports came out indicating that the establishment uses these announcements of dead Al-Qaeda operatives for their own purposes. Additional explanation is certainly warranted, considering that they are saying that the original reports of al-Masri’s death were lies.

Either way, this is more proof that the war on terror is a bunch of garbage. Why would there be on multiple occasions reports of Al-Qaeda operatives being killed twice by the U.S. government? It doesn’t make any sense unless the establishment is intentionally trying to deceive the American people to think that this whole thing is real. If this war was real, the borders would be sealed and Bush’s daughters would be serving in the military ensuring that Al-Qaeda doesn’t come to kill us. Neither of these things has happened, and considering these ridiculous news reports detailing Al-Qaeda operatives dying twice and the history of Al-Qaeda being formed by the U.S. government and in particular the CIA than the only conclusion one can come up with is that this whole thing is a bunch of crap. Not only that, but in a real war on terrorists, some terrorists would be killed and there wouldn’t be a need for people to spread false information about dead Al-Qaeda operatives. The bottom line is that Al-Qaeda is CIA and CIA is Al-Qaeda. The whole thing is a big joke.

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Russia takes control of Turkmen (world?) gas

Posted by kandylini on July 31, 2008

By M. K. Bhadrakumar, Asia Times.

From the details coming out of Ashgabat in Turkmenistan and Moscow over the weekend, it is apparent that the great game over Caspian energy has taken a dramatic turn. In the geopolitics of energy security, nothing like this has happened before. The United States has suffered a huge defeat in the race for Caspian gas. The question now is how much longer Washington could afford to keep Iran out of the energy market.

Gazprom, Russia’s energy leviathan, signed two major agreements in Ashgabat on Friday outlining a new scheme for purchase of Turkmen gas. The first one elaborates the price formation principles that will be guiding the Russian gas purchase from Turkmenistan during the next 20-year period. The second agreement is a unique one, making Gazprom the donor for local Turkmen energy projects. In essence, the two agreements ensure that Russia will keep control over Turkmen gas exports.

The new pricing principle lays out that starting from next year, Russia has agreed to pay to Turkmenistan a base gas purchasing price that is a mix of the average wholesale price in Europe and Ukraine. In effect, as compared to the current price of US$140 per thousand cubic meters of Turkmen gas, from 2009 onward Russia will be paying $225-295 under the new formula. This works out to an additional annual payment of something like $9.4 billion to $12.4 billion. But the transition to market principles of pricing will take place within the framework of a long-term contract running up to the year 2028.

The second agreement stipulates that Gazprom will finance and build gas transportation facilities and develop gas fields in Turkmenistan. Experts have estimated that Gazprom will finance Turkmen projects costing $4-6 billion. Gazprom chief Alexei Miller said, “We have reached agreement regarding Gazprom financing and building the new main gas pipelines from the east of the country, developing gas fields and boosting the capacity of the Turkmen sector of the Caspian gas pipeline to 30 billion cubic meters.” Interestingly, Gazprom will provide financing in the form of 0% credits for these local projects. The net gain for Turkmenistan is estimated to be in the region of $240-480 million.

From all appearance, Gazprom, which was headed by Russian President Dmitry Medvedev for eight years from 2000 to May 2008, has taken an audacious initiative. It could only have happened thanks to a strategic decision taken at the highest level in the Kremlin. In fact, Medvedev had traveled to Ashgabat on July 4-5 en route to the Group of Eight summit meeting in Hokkaido, Japan.

Curiously, the agreements reached in Ashgabat on Friday are unlikely to enable Gazprom to make revenue from reselling Turkmen gas. Quite possibly, Gazprom may now have to concede similar terms to Kazakhstan and Uzbekistan, the two other major gas producing countries in Central Asia. In other words, plain money-making was not the motivation for Gazprom. The Kremlin has a grand strategy.

Coincidence or not, Russian Deputy Prime Minister Igor Sechin traveled to Beijing at the weekend to launch with his Chinese counterpart, Vice Premier Wang Oishan, an energy initiative – a so-called “energy negotiation mechanism”. The first round of negotiations within this framework took place on Saturday in Beijing. There has been an inexplicable media blackout of the event, but Beijing finally decided to break the news. The government-owned China Daily admitted on Monday, “Both China and Russia kept silent on the details of the consensus they reached on energy cooperation in the first round of their negotiation in Beijing on the weekend.”

Without getting into details, China Daily merely took note of the talks as “a good beginning” and commented, “It seems that a shift of Russia’s energy export policy is under way. Russia might turn its eyes from the Western countries to the Asia-Pacific region … The cooperation in the energy sector is an issue of great significance for Sino-Russian relations … the political and geographic closeness of the two countries would put their energy cooperation under a safe umbrella and make it a win-win deal. China-Russia ties are at their best times … The two sides settled their lingering border disputes, held joint military exercises, and enjoyed rapidly increasing bilateral trade.”

It is unclear whether Gazprom’s agreements in Ashgabat and Sechin’s talks in Beijing were inter-related. Conceivably, they overlapped in so far as China had signed a long-term agreement with Turkmenistan whereby the latter would supply 30 billion cubic meters of gas to China annually for the 30-year period starting from 2009. The construction work on the gas pipeline leading from Turkmenistan to China’s Xinjiang Autonomous region has already begun. China had agreed on the price for Turkmen gas at $195 per thousand cubic meters. Now, the agreement in Ashgabat on Friday puts Gazprom in the driving seat for handling all of Turkmenistan’s gas exports, including to China.

Russia and China have a heavy agenda to discuss in energy cooperation far beyond the price of Turkmen gas supplies. But suffice it to say that Gazprom’s new stature as the sole buyer of Turkmen gas strengthens Russia’s hands in setting the price in the world gas (and oil) market. And that has implications for China. Moscow would be keen to ensure that Russian and Chinese interests are harmonized in Central Asia.

Besides, Russia is taking a renewed interest in the idea of a “gas cartel”. Medvedev referred to the idea during the visit of Venezuelan President Hugo Chavez to Moscow last week. The Russian newspaper Nezavisimaya Gazeta reported on Friday that “Moscow finds the idea of coordination of gas production and pricing policy with other gas exporters to be too tempting to abandon”. The daily quoted Miller as saying, “This forum of gas exporters will set up the global gas balance. It will give answers to the questions concerning when, where and how much gas should be produced.”

Until fairly recently Moscow was sensitive about the European Union’s opposition to the idea of a gas cartel. (Washington has openly warned that it would legislate against countries that lined up behind a gas cartel). But high gas prices have weakened the European Union’s negotiating position.

The agreements with Turkmenistan further consolidate Russia’s control of Central Asia’s gas exports. Gazprom recently offered to buy all of Azerbaijan’s gas at European prices. (Medvedev visited Baku on July 3-4.) Baku will study with keen interest the agreements signed in Ashgabat on Friday. The overall implications of these Russian moves are very serious for the US and EU campaign to get the Nabucco gas pipeline project going.

Nabucco, which would run from Turkey to Austria via Bulgaria, Rumania and Hungary, was hoping to tap Turkmen gas by linking Turkmenistan and Azerbaijan via a pipeline across the Caspian Sea that would be connected to the pipeline networks through the Caucasus to Turkey already existing, such as the Baku-Tbilisi-Ceyhan pipeline.

But with access denied to Turkmen gas, Nabucco’s viability becomes doubtful. And, without Nabucco, the entire US strategy of reducing Europe’s dependence on Russian energy supplies makes no sense. Therefore, Washington is faced with Hobson’s choice. Friday’s agreements in Ashgabat mean that Nabucco’s realization will now critically depend on gas supplies from the Middle East – Iran, in particular. Turkey is pursuing the idea of Iran supplying gas to Europe and has offered to mediate in the US-Iran standoff.

The geopolitics of energy makes strange bedfellows. Russia will be watching with anxiety the Turkish-Iranian-US tango. An understanding with Iran on gas pricing, production and market-sharing is vital for the success of Russia’s overall gas export strategy. But Tehran visualizes the Nabucco as its passport for integration with Europe. Again, Russia’s control of Turkmen gas cannot be to Tehran’s liking. Tehran had keenly pursed with Ashgabat the idea of evacuation of Turkmen gas to the world market via Iranian territory.

There must be deep frustration in Washington. In sum, Russia has greatly strengthened its standing as the principal gas supplier to Europe. It not only controls Central Asia’s gas exports but has ensured that gas from the region passes across Russia and not through the alternative trans-Caspian pipelines mooted by the US and EU. Also, a defining moment has come. The era of cheap gas is ending. Other gas exporters will cite the precedent of the price for Turkmen gas. European companies cannot match Gazprom’s muscle. Azerbaijan becomes a test case. Equally, Russia places itself in a commanding position to influence the price of gas in the world market. A gas cartel is surely in the making. The geopolitical implications are simply profound for the US.

Moreover, Russian oil and gas companies are now spreading their wings into Latin America, which has been the US’s traditional backyard. During Chavez’s visit to Moscow on July 22, three Russian energy companies – Gazprom, LUKoil and TNK-BP – signed agreements with the Venezuelan state-owned petroleum company PDVSA. They will replace the American oil giants ExxonMobil and ConocoPhillips in Venezuela.

At the signing ceremony, Medvedev said, “We have not only approved these agreements but have also decided to supervise their implementation.” Chavez responded, “I look forward to seeing all of you in Venezuela.”

Ambassador M K Bhadrakumar was a career diplomat in the Indian Foreign Service. His assignments included the Soviet Union, South Korea, Sri Lanka, Germany, Afghanistan, Pakistan, Uzbekistan, Kuwait and Turkey.

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George Washington’s Blog: Beyond “Right-Wing” and “Left-Wing”

Posted by kandylini on July 30, 2008

http://georgewashington2.blogspot.com/2008/07/unitarian-shooter-was-right-wing-but.html

The murder of liberal unitarian churchgoers by a right-wing nut is truly horrible. The killer – Jim Adkisson – apparently was influenced by such right-wing talking heads as Michael Savage, Bill O’Reilly, and Sean Hannity.

But let’s put this in perspective . . .

Moreover, Savage, O’Reilly and Hannity are not true conservatives. They are stooges for the neocons and other criminals running our government. True conservatives like Ron Paul oppose the fascist and militant stands of the neocons and their media lapdogs.

Instead of cheering the destruction of the Constitution and the rule of law like Savage, O’Reilly and Hannity do, true conservatives like Ron Paul are working with liberals in order to save our constitution (just like many true conservatives endorse Dennis Kucinich’s battle to impeach Bush and Cheney).

I’m frankly sick of all this right-wing versus left-wing talk. The labels “right-wing” and “left-wing” are largely outdated. Neoconservatives are not conservative, and neoliberals are not liberal. Some of the biggest war hawks call themselves “liberal”, and some of the biggest hypocrites and liars call themselves “conservative”.

Frankly, I don’t care what you call yourself. America is in real trouble, and the hour is much too late to focus on peripheral issues. The only thing I care about is whether you are working for liberty, justice, truth, peace and sustainable prosperity or against them.

Even if you hate the people on the other side of the political divide, can’t you put off that debate for a little while? You can’t even play the game if you don’t have a playing field to play on.

The people who are turning the world against America, weakening our national defenses, bankrupting our country, and trampling on our liberties are not “right-wing” or “left-wing”, but simply unAmerican.

Until the rule of law and a stable economy are restored to America, why don’t we focus our passion on getting the traitors and economy-wreckers out of power and into jail, where they belong. Let’s unite – at least for now – to protect America itself.

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They Know What’s in Your Medicine Cabinet

Posted by kandylini on July 30, 2008

Never give your doctor or HMO your Social Security number—if they push, remind them that it’s illegal for them to use it for non-Social Security reasons like to provide you with an I.D. number. Have them assign you an identification number instead. Not only will it make it hard for them to keep you in a database, but another benefit is this cuts down on reminders for “well” baby visits, mammograms, and other annoying mail from the insurance company.

By Chad Terhune, Business Week.

How insurance companies dig up applicants’ prescriptions—and use them to deny coverage

That prescription you just picked up at the drugstore could hurt your chances of getting health insurance.

An untold number of people have been rejected for medical coverage for a reason they never could have guessed: Insurance companies are using huge, commercially available prescription databases to screen out applicants based on their drug purchases.

Privacy and consumer advocates warn that the information can easily be misinterpreted or knowingly misused. At a minimum, the practice is adding another layer of anxiety to a marketplace that many consumers already find baffling. “It’s making it harder to find insurance for people,” says Jay Horowitz, an independent insurance agent in Overland Park, Kan.

The obstacle primarily confronts people seeking individual health insurance, not those covered under an employer’s plan. Walter and Paula Shelton of Gilbert, La., applied to Humana (HUM) in February. They were rejected by the large Louisville insurer after a company representative pulled their drug profiles and questioned them over the telephone about prescriptions from Wal-Mart Stores (WMT) and Randalls, part of the Safeway grocery chain, for blood-pressure and anti-depressant medications.

Mental Health Is a Red Flag

Walter Shelton, a 57-year-old safety consultant in the oil and gas industry, says he tried to explain that the medications weren’t for serious ailments. The blood-pressure prescription related to a minor problem his wife, Paula, had with swelling of her ankles. The antidepressant was prescribed to help her sleep—a common “off-label” treatment doctors advise for some menopausal women. But drugs for depression and other mental health conditions are often red flags to insurers.

Despite his efforts to reassure Humana, the phone interview with the company representative “just went south,” Walter recounts. He and his wife remain uninsured.

“I want to know what’s in there if there’s a black mark against us,” Walter says. Paula, 51, adds: “We can’t get health insurance because we’re taking medications that were prescribed by our doctors. I don’t think that’s right.”

A spokesman for Humana says the company uses “data regarding pharmacy history as part of our assessment process.” But he adds that the insurer has a policy of not commenting on particular cases, such as the Sheltons’ failed application.

FTC Investigation

Traditionally, applicants have been asked to provide insurers with a description of past illnesses. About 30% are deemed uninsurable because of their histories, according to industry veterans. Prescription profiles could add another hurdle, making it especially difficult for the 47 million Americans who lack insurance to acquire coverage. Some 18 million people are now covered by individual policies.

Most consumers and even many insurance agents are unaware that Humana, UnitedHealth Group , Aetna (AET), Blue Cross plans, and other insurance giants have ready access to applicants’ prescription histories. These online reports, available in seconds from a pair of little-known intermediary companies at a cost of only about $15 per search, typically include voluminous information going back five years on dosage, refills, and possible medical conditions. The reports also provide a numerical score predicting what a person may cost an insurer in the future.

An investigation last year by the Federal Trade Commission found that the two companies supplying these pharmacy profiles—MedPoint and IntelliScript—violated federal law for years by keeping the system hidden from consumers. But the FTC has merely required disclosure if prescription information causes denial of coverage or some other adverse action; the agency imposed no penalties. MedPoint and IntelliScript say they are now fully complying with the FTC’s order.

Two-thirds of all health insurers are using prescription data—not only to deny coverage to individuals and families but also to charge some customers higher premiums or exclude certain medical conditions from policies, according to agents and others in the industry. Some carriers are also using the data to charge small employers higher group rates. Separately, some 20% of life insurance companies are relying on prescription histories when reviewing applications, according to experts in that business.

Designed for Emergency Use

“The fundamental breakthrough is that this is the first time ever we have had near-instantaneous access to objective, third-party information,” says Tia Goss Sawhney, an actuary and consultant to the health insurance industry. She says she tested the prescription profiles last year while designing a new insurance policy for American Community Mutual Insurance in Livonia, Mich.

IntelliScript says it sells prescription data to more than 75 health, life, and long-term-care insurance companies. Milliman, a large Seattle consulting firm, acquired the company in 2005. A rival service, MedPoint, has been offered by UnitedHealth’s Ingenix data-mining unit since 2002. MedPoint says it has access to more than 5 billion pharmacy claims.

The data were originally sought to help inform doctors treating patients, especially in emergencies. But that use hasn’t widely caught on, and today the information is primarily employed by insurance companies.

MedPoint and IntelliScript buy the data they disseminate mostly from another group of middleman companies known as pharmacy-benefit managers (PBMs). Large PBMs, such as Medco Health Solutions, provide services to insurers and employers. In playing that role, the PBMs gain broad access to prescription information from drugstores. Some retail chains operate their own PBMs. No privacy laws or other regulations prevent the gathering of this data, according to the FTC.

Fodder for Denials

In its marketing to the insurance industry, MedPoint says prescription histories help “identify high-risk individuals, reduce costs, lower loss ratios, and increase revenue.” Despite that pitch, John Stenson, an Ingenix executive who helps oversee MedPoint, says he doubts that his company’s information causes insurers systematically to reject more people for coverage. “This is about insurance companies getting at the information quickly and clearly,” he says.

BlueCross BlueShield of Tennessee, the state’s biggest insurer, has used MedPoint since April 2007, ordering prescription profiles for about 75% of individual applicants. Since February, when the federal disclosure requirement went into effect, BlueCross says it has notified 1.5% of applicants that their prescription reports have resulted in denial or other negative action. But the company acknowledges that it doesn’t alert consumers if the profiles lead to requests for more medical information that result in subsequent denial. “This doesn’t make it any harder for consumers,” Kevin Ashpole, director of individual products at Tennessee BCBS, maintains. “It ensures the right decision is made.”

But skeptics worry that more people inevitably will be turned down for coverage as a result of growing reliance on prescription histories. Most consumers would be shocked to learn that information about their past prescriptions is being bought and sold—and could come back to haunt them, says Gary Claxton, director of the Health Care Marketplace Project, a research organization run by the Kaiser Family Foundation in Washington, D.C. Rejection by one insurer commonly becomes grounds for denial by others, and the industry has ready access to who has been turned down through a separate database.

Is Disclosure Enough?

When applying for insurance, individuals routinely sign paperwork allowing providers to review their medical history. To comply with the privacy provisions of the federal Health Insurance Portability & Accountability Act, most insurers have now added a reference to prescription history in the lengthy fine print consumers are instructed to read.

The FTC forced the industry to begin disclosing the use of prescription information under a different federal statute, the Fair Credit Reporting Act. Insurers now are required to tell applicants the address of the company that assembled the data. Copies of prescription reports are supposed to be available to consumers at no charge under federal law.

“As soon as we were alerted by the FTC, we cooperated fully, and we began sending out notices to [insurance industry] clients of their obligations” under federal law, says Mark Franzen, managing director of IntelliScript. “This wasn’t the result of a consumer complaint or privacy being violated.” The FTC confirms that its investigation didn’t stem from consumer concern but won’t say what did spark the inquiry.

Insurance companies say that they use prescription data responsibly and that it isn’t the sole basis of decisions to deny coverage. A spokesman for UnitedHealth (UNH) adds that when there are discrepancies between the data and information provided directly by applicants, “the applicant is contacted and given the opportunity to provide additional information.”

But privacy watchdogs and some insurance agents question how insurance carriers can guarantee that they are obtaining accurate prescription histories, especially for people with highly common names. The skeptics also worry about whether legitimate off-label use of prescription drugs by patients such as Paula Shelton could hurt some applicants unfairly.

IntelliScript’s Franzen says it’s the responsibility of the insurance company to deal with issues such as off-label use. He says IntelliScript has reported the wrong person’s drug file in several instances but that mistakes occur in fewer than 1 in 10,000 cases. MedPoint says it has had only “two cases of matching errors in more than 2 million queries.” Most searches include full name, date of birth, Social Security number, and address.

“Is it perfect? No,” Franzen says. “But it’s pretty darn good.”

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The Big Bailout: America as a Full-Spectrum Kleptocracy

Posted by kandylini on July 29, 2008

By William Norman Grigg, Lew Rockwell.

Its name somewhat anachronistically means “assembly of old men.” George Washington famously – and, it must now be admitted, with excessive optimism – characterized it as an institutional saucer intended to cool legislation passed in the intemperate heat of the moment. Its members demand, with entirely unwarranted self-approval, to be called, collectively, the World’s Greatest Deliberative Body.

Sober observers understand it to be the most corrupt legislative assembly in human history. To those characterizations of the United States Senate we must now add another, perhaps the final one: Gravedigger of the republic.

With the Senate’s passage of the Fannie Mae/Freddie Mac bailout last Saturday (July 26), the United States of America has now become the world’s first full-service kleptocracy, a form of government described earlier in this space as a government of, by, and for the robbers.

We are supposed to pretend to believe that the Senate, so great was its anxiety over the nation’s economically distressed homeowners, met in a rare Saturday session for the sole purpose of administering the balm of Gilead on hardworking families who confront the bleak prospect of foreclosure.

There may be people who believe such a thing, or at least profess to do so. They are pretty much the kind of people who believe that peace, prosperity, and progress will magically ensue after next January 20, when the Holy One, Barack Obama (peace be upon him) ascends to the presidency, not astride a White Horse, but rather mounted upon a flying unicorn that emits healing rainbows from its butt.

No, it’s not the travails of the productive that would earn such attention from the Senate. When the Senate sacrifices so much as a minute of its down time, it does so not to relieve our burdens, but to add to them in the interest of their fellow parasites.

When Congress created the Federal Reserve in 1913, it did so in a lame-duck session. The Fed’s proponents described its handiwork as an independent entity that would prevent “panics” and maintain the integrity of our currency and financial system.

The Fed was presented to the public in pseudo-populist drag: It was supposedly the bane of the big banking interests. This was, in every particular, a conscious inversion of the truth. The Fed was, is, and every shall be a product and protector of those interests. It has practically destroyed the value of US currency, and engineered numerous financial crises, including the one currently unfolding.

The measure passed last Saturday is being described to the public as a “homeowner” bailout. It is nothing of the sort. It supposedly creates an independent oversight mechanism to rein in the excesses of Fannie and Freddie. This, too, is an unalloyed falsehood.

Let us disambiguate the key issue right now. This is a measure to nationalize Fannie and Freddie, plundering the population at large – through direct taxation, the more insidious tax called inflation, or both – to bail out two fascist entities that have been used to enrich the politically connected super-rich through the most corrupt means imaginable.

Furthermore, this measure prefigures the eventual nationalization of the entire financial system under the supervision of an executive branch official with practically unlimited power to appropriate and allocate funds without congressional action. OK, sure, he has to file a report with Congress regarding his expenditures. But this takes place after the fact, and Congress will be able to do nothing but complain, if it can bestir itself even to that extent.

Congress has yielded its war powers to the executive branch. It has now effectively surrendered the power of the purse, as well. What, then, remains by way of the legislative branch’s ability to check the executive?

Nobody responsible for this is willing to admit that truth; they’re too busy taking refuge in contrived ambiguities.

The figure sent out to pollute headlines and palliate a nervous public last week was that fixing Fannie and Freddie will cost “at least” $25 billion. That’s a bit like saying there are “at least” 25 gallons of water in Lake Michigan.

The Congressional Budget Office, in an artful display of tactical equivocation, said that the bailout could cost anything from $100 billion down to “nothing.” That latter estimate would be dismissed as magic thinking were it not a transparent and cynical effort to propagate such delusion among that part of the public paying attention to the ongoing economic collapse.

As the Wall Street Journal summarized, the $25 billion figure was arrived by following a time-honored government accounting algorithm: Some accountant at the CBO threw a dart at the wall.

In fact, the bailout measure places in the hands of Treasury Secretary Henry Paulson the discretionary authority to pour as much money into Fannie and Freddie as he deems necessary. He can extend an unlimited credit line to either or both of those government-chartered companies; he can use federal funds to buy shares in either, or both.

There is no limit to what can be spent on the bailout, or the extent of government involvement it will entail. In his efforts to lobby congressional Republicans on behalf of the bailout, Paulson reportedly assured them that he has “no intention” of using those extraordinary powers. This means, of course, that they will be used immediately. It also means, inevitably, that Fannie and Freddie will be nationalized, and that taxpayers will pay the full burden of the bailout.

Senate Republicans – clap-torn whores, every one of them – put up a show of reluctance, perhaps because the White House likes a little role-playing action of that sort. This meant that Treasury Secretary Paulson had to convene several meetings with Republicans in order to pretend to overcome their reluctance to support a measure that will impecuniate their constituents in order to pay off the imponderably huge bad debts assumed by politically protected thieves.

The Fannie/Freddie bailout is another example of the familiar equation behind corporatism (or, to use the more loaded synonym, fascism): The risks are subsidized, the losses are socialized, and the profits are privatized.

There are former corporate executives who spend their days looking at striped sunlight and showing with their backs to the wall for crimes identical to those of former Fannie CEO Franklin D. Raines and his comrades. But because Raines and his posse used a Government-Sponsored Entity to commit their crimes, they’re free to enjoy nearly all the fruits of their fraud.

I find it remarkable that next to nothing has been said by way of condemning Raines and his fellow corporatist thieves.

Doing so is nearly as unthinkable as permitting those two government-sponsored companies to fail, as they should.

According to former Treasury Secretary Lawrence Summers, the bailout wouldn’t be necessary if people were willing to do their part by throwing their money away without the government forcing them to do so:

“Emergency legislation was necessary because market participants were unwilling to buy Fannie and Freddie’s debt; investors doubted that the government-sponsored enterprises were healthy enough to repay it and did not draw sufficient reassurance from the implicit guarantee of federal support.” This is why, according to Summers, “Anyone who cares about the health of the US economy should welcome the … rescue plan for Fannie Mae and Freddie Mac….”

Imagine an armed robber lecturing his victim that it wouldn’t have been “necessary” to threaten the victim’s life, and the lives of his family, if they had simply handed over their money on demand, and you’ll have a suitable moral parallel to the statement above. Eventually – and for that, read “pretty damn soon” – the entire daisy-chain of fraud we call our financial system will devolve into a scene of violent chaos akin to the denouement of Reservoir Dogs, only immeasurably bigger and unimaginably bloodier.

Already, the robber’s pact holding the system together is starting to fray, as fractional reserve banks start gagging on each other’s IOUs. Witness the fact that cashier’s checks being issued by California’s newly federalized IndyMac bank aren’t being honored by other banks: Customers who cash out of IndyMac are finding that they won’t be able to access their funds for up to two months. It’s not difficult to imagine the impact this will have on households who expected to use those funds to make mortgage or tax payments, or have other irrepressible financial needs.

It took roughly a tithe of FDIC’s deposit insurance fund to bail out IndyMac. Last week’s bank failures – First National Bank of Nevada and Arizona’s First Heritage Bank – involved combined assets of about $3.6 billion.

With Wachovia, Washington Mutual, and many other major banks primed to blow, the day will soon come when – in the words of James Kunstler – the FDIC will simply “choke and croak on this wad of losses…. When American depositors get screwed out of their deposits” – as they already are; vide the observation above regarding IndyMac’s dodgy cashier’s checks – “the full force of the fiasco will drag the dollar underwater like the legendary Kraken of old preying on a babe thrown overboard. Then the forces of darkness will really be loosed.”

Last week, Congress went on record regarding its priorities: With a handful of noble exceptions (conspicuous among them the stalwart Rep. Ron Paul of Texas), they demonstrated a willingness to ruin what remains of the dollar and destroy the Middle Class in order to rescue – temporarily – the über-rich Robber Class.

The people responsible for this betrayal will be campaigning in their districts during the coming weeks. It would be instructive to them, and may be heartening to their victims, to see at least a few of them on the receiving end of timely and forceful rebukes, delivered in language – and other expressive conduct – appropriate to the occasion, and prevailing security environment.

July 29, 2008

William Norman Grigg [send him mail] writes the Pro Libertate blog.

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OF PATRIOTS AND PAWNS: Carolyn Baker Reviews Mary Tillman’s “Boots On The Ground By Dusk”

Posted by kandylini on July 27, 2008

http://carolynbaker.net/

I was taken aback to receive a package from New Almaden, California nearly a month ago. I didn’t know where the town was nor at that time, anyone there. Even more astounding was the discovery that the package contained Mary Tillman’s book “Boots On The Ground By Dusk“, her personal account of her son Pat’s death and its impact on the Tillman family. As I opened the book and read Mary’s inscription and her enclosed card, I was flooded with memories of working closely, in 2006, with Mike Ruppert and Stan Goff as they completed their heroic and herculean investigative report “The Tillman Files” for From The Wilderness.

Not only had I closely followed “The Tillman Files” but many interviews of Mary earlier in the past year, most notably in my opinion, the ones by Emily Wilson of Alternet and last year, Keith Olbermann’s spectacular interview which I had watched on March 28, 2007. Now holding Mary’s book in my hand, I thought there might not be much more to say about it, so I contacted her to see if I might interview her not specifically about the book but about how she’s coping these days and the awarenesses she’s come to.

True to the mother’s loyalty that exudes from every paragraph of her book, Mary Tillman does not want the focus to be on her. She’s tired of being in the media limelight and simply wants the world to know Pat’s story-who he was and how he and his family were betrayed. So after completing Mary’s book, I was drawn to focus on her process of discovering the truth about Pat’s death and the meaning of her discovery for all of us.

Mary Tillman was a school teacher at the time of Pat’s death, and like most working Americans, she was very busy and had little time to research the dark side of the United States government. Nor was she inclined to do so with two sons enlisting in the Army shortly after 9/11. As is the case with many individuals who begin digging deeper, it wasn’t until a tragedy erupted in her life that she embarked on her personal mission to examine the innumerable layers of the system in which she grew up and in which she previously took pride.

Boots On The Ground By Dusk is the saga of Mary’s journey to the truth-an account of the glaring inconsistencies presented to the Tillman family about Pat’s death in tandem with the endless changing of stories and cover-your-ass behavior exhibited by the Army. No intelligent human being could blithely accept such discrepancies, and Mary Tillman is nothing if not intelligent. She has refined the process of researching, questioning, fact-checking, and cross-referencing to an art form. She had to-for her own sanity and to honor her two soldier sons. All of the facts are there in her book, as they are in detail in “The Tillman Files.” A litany of “why” questions occupies Pages 227-229 of the book and reveals Mary’s thought process as she grapples with glaring government contradictions. As I read it I kept mentally shouting, “Keep digging Mary, keep digging!” And so she did.

At one point she has a conversation with Dr. Justin Frank, author of Bush On The Couch, a brilliant psychological analysis of George Bush, Jr.:

“Hello, Dr. Frank. I’m Mary Tillman. I don’t want to waste your time. I’m calling to ask you a question. Do you think it’s possible that this administration orchestrated my son’s death?”

“Sad to say, yes.”

Mary states, “I’m positively stunned by his response. I thought he would gently tell me that he doesn’t believe the administration is very honorable, but it would never do something so heinous as to have a soldier killed.”

“You believe they killed him?” Mary numbly asks.

“I think it’s possible. Mrs. Tillman, I’m a psychiatrist. It would be unethical and irresponsible of me to tell a grieving mother to pursue such a thing if I didn’t think it was possible.”

Mary has come to believe that Pat’s death was orchestrated as a public relations strategy to gain support for the Iraq War in 2004 around the time of the Fallujah carnage and as the war was becoming increasingly unpopular in the United States. Shortly after Pat had enlisted, he received a letter from Secretary of Defense, Rumsfeld, thanking him for enlisting and leaving the NFL to serve his country. Moreover, Mary cites a memo from Rumsfeld, to then-Secretary of the Army, Pete Geren, “indicating that Pat was a very special young man. The language Rumsfeld used was that Pat was ‘world class’ and that they should keep an eye on him.” Mary states, “I’m not sure what that meant, but writing something like that, writing a letter to Pat, obviously he’s going to be concerned when he’s killed. He’s going to want to know what happ ened.” Thus Rumsfeld’s denial of a coverup of Pat’s death is, to say the least, extremely suspicious.

Dazzling headlines like “Football superstar makes the supreme sacrifice for his country” could only bolster the Pentagon’s cause. Might it not make the war more palatable? Might it not inspire more young people to enlist?

At the time of her conversation with Justin Frank, Mary’s focus is entirely on the death of her son, but not being Mary and not having lost a son to a government public relations campaign myself, I’m well aware that as heinous as it is to “have a soldier killed”, it is even more heinous to have 3,000 people killed on September 11, 2001, and that is exactly what happened, a New Pearl Harbor, that motivated Pat Tillman, his brother, and thousands more men and women to commit themselves to military service to “defend” their country. &qu ot;I’m saddened,” Mary says, “by how the government has betrayed not only Pat, but also the American public.” (328)

As is always the case when people begin digging more deeply for the truth, Mary discovered an epidemic of anomalies among other military families who related their stories to her-stories of lies, coverups, and ghastly betrayal. Standing beside the Tillman family was Stan Goff, co-author of “The Tillman Files”, not merely motivated by the desire to complete his investigative report, but by his own history as a Vietnam warrior and long-time outspoken critic of American imperialism. Stan, whose son is serving in Iraq, has worked tirelessly to support other military families and resist the war machine. The Tillman family desperately needed the support they got from Stan and many others because as Mary writes, “It’s consuming and emotionally draining but very revealing. It takes weeks. There are days I become very angry that my family and I have to do this, just to get the truth that should have been forthcoming from the moment Pat died.” (307)

Earlier this month (July 15), the Associated Press released “Probe Of Tillman Misinformation Goes Nowhere” which stated that “A ‘striking lack of recollection’ by White House and military officials has prevented congressional investigators from determining who was responsible for misinformation spread after the friendly-fire death of Army Ranger Pat Tillman in 2004, a House committee said Monday.” In her book, Mary Tillman recounts in detail Congressman Henry Waxman’s probe of Pat’s death, but this most recent AP story relates that “The panel has failed….It received a flurry of White House e-mails but no documents about friendly fire. It interviewed several top White House officials: ‘Not a single one could recall when he learned about the fratricide or what he did in response’.”

The silence remains unbroken.

Mary Tillman isn’t following the sales of her book on a regular basis. That isn’t why she wrote it. She simply wanted to get her message out into the world-the message of a grief-stricken mother whose pain and rage drove her to relentlessly pursue the truth about her son’s death. Most reviews of the book have been positive. That the New York Times review of Boots On The Ground called it “clumsily written” reveals nothing in my opinion but the reviewer’s inability to grapple with the deeply disturbing realities Mary Tillman and “The Tillman Files” have uncovered.

Boots On The Ground By Dusk and the investigative reporting of Stan Goff and Mike Ruppert are the only in-depth accounts we are likely to have for a very long time, if ever, regarding the murder of Pat Tillman which was one of myriad tragic facets of the U.S. military campaigns in Afghanistan and Iraq. Both Mike and Stan in their individual writings have comprehensively documented the motivation behind these wars and the reality that both of them will be prolonged, pointless projects that will grind on for many years. Stan has written extensively about the use of asymmetric warfare by insurgents against traditional military giants like the United States, and Mike’s exhaustive research regarding Peak Oil and 9/11 at From The Wilderness h ave illuminated the devious and demented political and economic system that has killed and wounded hundreds of thousands of human beings in the Middle East since the U.S. invasion of Afghanistan in 2001.

Unflinchingly, Mary, Mike, and Stan have revealed to the world a war machine without conscience that has devastated individuals, cultures, nations, and land with no regard for anything except the profits of war and America’s insatiable thirst for oil. After reading their exposés, the mind reels with imagining how many more lies have been told to military families about the deaths of their sons and daughters. It is axiomatic that empires, without exception, decline and fall, and it is equally true that as they do so, courageous individuals who refuse to be pawned or conned come forth to expose the empire’s nakedness. Mary Tillman has proven that one need not be a professional journalist or a decorated warrior in order to do so but merely a mother who will settle for nothing less than total transparency about the death of her son.

It is precisely the lack of conscience, mentioned above, which makes incidents like the Tillman murder and coverup not only possible but routine. Truth To Power has published numerous stories and articles on political ponerology, that is, rule by sociopathic individuals who possess no moral compass. It is worse than naïve to believe they can or will change. Moreover, we tragically delude ourselves if we believe that mainstream political candidates, purchased and promoted by corporations as the preferred “brand”, can or will divest themselves from the sociopathic power milieu. The fate of America as empire was sealed when it became impossible for a common person of conscience to be elected president. That means that this empire cannot be “treated”, “cleansed,” “turned around”, “reformed”, or even “improved.” It has already careened off the precipice. Where it will land, I know not. My work and yours, if you care about yourself, your loved ones, your land, your descendants is to prepare for where the long–or short, descent is taking us. In the meantime, the world is waiting for many more Mary Tillmans.

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How hospitals are killing E.R. patients

Posted by kandylini on July 27, 2008

By Zachary F. Meisel and Jesse M. Pines, Slate.

Surveillance video of Esmin Green
Video of Esmin Green,
who died in an E.R. waiting room

Last month, Esmin Green, a 49-year-old mother of six, tumbled off her chair and onto the floor of the Kings County psychiatric E.R. waiting room in New York City. Members of the hospital staff saw her lying there but did nothing for about an hour. When Green was finally brought into the E.R., she was dead. An autopsy revealed that she died from a pulmonary embolism, which occurs when a blood clot forms in the leg, breaks off, and travels to one or both lungs. This can also kill long-haul airplane passengers who sit in one spot for hours: The blood sits stagnant in their legs for so long that it clots. You could say that Green, too, had been on a plane ride of sorts. She’d waited for a psychiatric-unit bed to open up for more than 24 hours, roughly the same time as a trip from New York to Tanzania.

The surveillance video of Green collapsing and lying untended, as hospital staff at Kings County fail to respond to her collapse, is inexcusable by any stretch. And so Nancy Grace, for one, focused on the negligence. But what’s largely missing from this story is the likely cause of Green’s pulmonary embolism. The answer lies in a far more systematic and widespread danger in hospital care: E.R. waits. Why was Green sitting and waiting while blood pooled in her legs? Despite increasing evidence that crowded E.R.s can be hazardous to your health, hospitals have incentives to keep their E.R. patients waiting. As a result, there has been an explosion in E.R. wait times over the past few years, even for those who are the sickest.

A major cause for E.R. crowding is the hospital practice of boarding inpatients in emergency departments. This happens when patients who come to the E.R. need to be admitted overnight. If there are no inpatient beds in the hospital (or no extra inpatient nurses on duty that day) then the patient stays in the E.R. long past the completion of the initial emergency work. This is what happened to Green, and it has become widespread and common. The problem is that boarding shifts E.R. resources away from the new patients in the waiting room. While E.R. patients wait for inpatient beds, new patients wait longer to see a doctor. As more new patients come, the waits grow. And an E.R. filled with boarding patients and a full waiting room is an unhappy E.R.: The atmosphere is at once static and chaotic. If you or a loved one has waited for hours in an E.R., you know what we mean. The environment can be unsafe and even deadly. A recent study found that critically ill patients who board for more than six hours in the E.R. are 4 percent more likely to die.

What hospital would promote such a practice? Potentially, those that profit more from boarding, particularly in poorer communities with high numbers of uninsured and Medicaid patients. Imagine you run a hospital. There are two competing sources for inpatient beds. The first source is patients who come in through direct and transfer admissions. They are more likely to come with private insurance and need procedural care, both of which maximize profits. The second source is E.R. patients, who are more likely to be uninsured or have pittance-paying Medicaid and less likely to need high-margin procedures. Do the math: If you fill your hospital with the direct and transfer admissions and maroon the E.R. patients for long periods, you make more money.

In effect, then, E.R. boarding allows hospitals to insulate themselves from the burgeoning needs of the poor. E.R.s are safety nets: By law, we who work in them see any and all patients, regardless of their ability to pay. But as more E.R. beds are devoted to boarders, the E.R. has less space for new patients, which keeps a lid on the number of un- and underinsured. So unless you are having a heart attack and can jump the line, your emergency—though it may still be serious—may wait for so long that you give up and go home. Bad for you, good for the hospital’s bottom line. E.R. boarding also tamps down nursing costs, again not to your benefit. Hospitals generally maintain strict patient-to-nurse ratios for inpatients. But many hospitals don’t apply the same rules to the E.R. because they can’t control the number of patients who come in that way. Sometimes the nursing ratio in the E.R. can be as high as 8-to-1. That’s unacceptable in inpatient units, but just stack ‘em in the E.R. hallways and suddenly it’s OK.

What about the staff upstairs, who take care of the admitted patients once they leave the E.R.? Their incentives are misaligned, too. Put yourself in an inpatient nurse’s shoes. You are overworked, and your current patients need attention. You get a call from the E.R., saying that a patient like Green is ready to come upstairs. The bed is clean and ready. But you have 20 more things to do before your shift ends in two hours, and you won’t get paid an extra cent if you accept Green to the empty bed. Can’t she wait just a bit more in the E.R.? When the next nurse comes on fresh, you tell yourself, she can admit the new patient. You won’t get in trouble for stalling because no one really measures how long patients stay in the E.R.. So you tell the E.R. nurse that the bed isn’t ready yet. This practice of “bed-hiding” is more common than you think.

What can be done about all this? We think the answer is that hospitals should have to disclose and take responsibility for how long E.R. patients—that is, you—wait for beds. But, not surprisingly, hospitals have lobbied hard to not be held accountable for E.R. crowding and boarding. If they won’t measure and eliminate E.R. boarding on their own, then the federal Centers for Medicare & Medicaid Services, which pays many hospital patients’ bills, or the Joint Commission, which accredits hospitals, should take this on.

And let’s also hold congressional hearings on E.R. boarding. In England, the National Health System now has a rule that 98 percent of patients have to spend less than four hours in the E.R.. Apparently, the son of a member of parliament spent too long in an E.R., we’ve heard. Esmin Green wasn’t well-connected. But her death should serve as a similar prompt to fix the problem of endless waiting.

Meanwhile, if you have to go the E.R., you can vote with your feet. When you are really sick, of course, go to the closest E.R. or call an ambulance. But if you can wait long enough to choose, go to the E.R. where they don’t make patients wait or board for long periods. Yes, we know—since hospitals don’t publicize E.R. waits or boarding, you’ll have to go by word of mouth. If, despite your efforts, you or your grandmother is forced to lie in the E.R. all night, complain directly to the hospital administrators who actually have the power to fix the problem. But don’t count on any major changes. As long as hospitals profit more from boarding and aren’t forced to admit to doing it, your trip to the E.R. will be as long as a flight to Africa—but without the in-flight movie and far more risky.

Posted in Health, news | Tagged: , , , , , | 1 Comment »

Ben Bernanke’s Hush Money

Posted by kandylini on July 27, 2008

By Gary North, Lew Rockwell.

The bailout of IndyMac’s depositors will probably deplete 10% of the FDIC’s reserves.

Congress will back up the FDIC if the FDIC ever (1) runs out of T-bills to sell (2) to raise money (3) to pay off depositors of insolvent banks. But where will Congress get this money? From the Federal Reserve System, if lenders will not fork over the money.

The Federal Reserve System backs up Congress. This is the heart of the threat to the solvency of the dollar.

The $4 billion that the FDIC will pay to a handful of depositors at IndyMac is hush money. It is paid to them to silence every other depositor in the country. “Don’t spread rumors about any insolvent bank.” Why not? “Because, in a fractionally reserved system, all of them are technically insolvent.” They are all borrowed short and lent long.

NO PANIC . . . YET

The failure of IndyMac this month was unique. We have not seen a bank failure this large since 1984. In one sense, this reminded the general public that individual banks can go bankrupt.

The most common reason for bankruptcy is that the bank has lent money to purchasers of real estate, which is a long-term debt, yet depositors have the right to withdraw money at any time. The bank is lent long and borrowed short. Yet this is true of every bank. The ones that get caught, which is a rare event, have merely indulged in long-term lending more than the average bank.

The failure of an individual bank does not produce mass panic any longer. It has been so long since Americans have seen a bank run that they pay no attention to a rare bank failure. Because the FDIC presently does have sufficient reserves in Treasury debt to sell and compensate depositors, depositors around the country are not tempted to go to their bank and demand currency.

The fact that the FDIC could cover the deposits of no more than a dozen banks the size of IndyMac does not disturb them.

They know nothing about the FDIC, other than the crucial fact: the United States government stands behind it. The government will re-capitalize the FDIC.

The experts who really do understand the nature of the bank deposit insurance program, as incarnated by the FDIC, know that the Federal Reserve System in turn stands behind the Federal government. So, there is no question that individual depositors in individual banks will be bailed out by the FDIC directly, or by the United States government through the FDIC if the FDIC runs out of T-bills to sell.

What will happen when the Federal Reserve System runs out of Treasury debt to sell or swap? It has unloaded almost 40% of its holdings since last December.

When that day comes, a lot of geese will get cooked.

TWO KINDS OF BANK FAILURES

There is an enormous difference – a literally life-and-death difference – between individual bank failures and a systemic banking failure. I do not believe we are facing a systemic banking failure. But we are facing more individual bank failures.

Americans have seen very few bank failures ever since the establishment of the FDIC in 1934. Depositors trust the FDIC to intervene and protect the money in their bank accounts. They do not withdraw currency from their accounts in a banking crisis because they believe that the FDIC will intervene to protect them. This confidence has kept almost all American banks from experiencing bank runs since 1934.

This is the most important of all “moral hazards.” A moral hazard is the expected subsidy from the government to protect investors from a major collapse that their own stupidity and greed has caused. All the talk by Ben Bernanke or anyone else about trying to avoid moral hazard is propaganda for the rubes. Moral hazard is at the bottom of the banking system, beginning with the Federal Reserve Act of 1913.

The entire banking system rests on this premise: the banking system must be saved from bad investment decisions of reckless bankers whose banks go bankrupt, thereby causing doubts about the solvency of an entire system that is borrowed short and lent long, a system built on a lie: “We will pay you interest by lending out your deposit, but everyone can get his money back at any time.” This lie is more widely believed than even this one: “Of course I will still respect you in the morning.”

The FDIC was set up to use government money, if required, to protect bankers against two groups: (1) depositors, (2) foolhardy rival bankers who go bust. Bankers fear depositors’ decisions to withdraw currency, thereby imploding the fractionally reserved banking system. They fear busted banks because of the potential domino effect: “all fall down.”

WITHDRAWAL AND RE-DEPOSIT

When an individual withdraws currency from his bank account, he reverses the expansion process of fractional reserve banking. For every paper dollar that an individual deposits, the banking system as a whole multiplies the quantity of money by nine to one. It may multiply it even more if this deposit is not in an urban bank. Similarly, when a person withdraws currency from his bank, and does not redeposit it, the banking system contracts the deposits by nine to one.

Who withdraws currency from a bank? You and I withdraw currency from ATMs, but we intend to spend this currency. Whenever we spend it, it winds up in the cash drawer of a retail company. The company at the end of the day deposits this currency into its bank. So, the banking system as a whole does not experience contraction. The money supply therefore does not contract.

The only contraction that is permanent is the contraction of currency withdrawn from a local bank and then sent to relatives outside the United States. When this is done, there is a permanent contraction of digital money in the banking system. But this rate of withdrawal is fairly constant, and so the banking system does not contract unexpectedly. This process actually reduces the rate of monetary inflation and the rate of price inflation in the United States. Immigrants send money to their relatives, and American consumers find that imported goods are paid for in effect by pieces of paper with Presidents’ pictures on them. Foreigners do not use the money to buy American goods, leaving prices lower in the United States than they otherwise would have been.

The banking system as a whole is not threatened by individual bank failures. The money that a failed bank has lent out does not disappear when the lending bank fails. It remains in circulation. The money that depositors might otherwise have lost is returned to them by the FDIC. So, individual bank failures do not alter the total money supply.

Those few individuals who deposited more than $100,000 in accounts at a local bank that fails will lose most of their money above $100,000. They have learned their lesson through IndyMac. It is likely that wealthy depositors have already taken steps by now to defend themselves against further bank failures. They have spread the money around. If not, they are slow learners.

THE REAL THREAT

The problem with individual bank failures is not the threat of a collapsing banking system. The problem is that bank failures send a message to depositors: the economy is being managed by people who do not have good economic judgment. Depositors begin to distrust the economy as a whole. It is not that they distrust the banking system as a whole. There is nothing they can do individually to pull the plug on the banking system as a whole, other than withdrawing all of their money from the bank and sending it abroad to people they barely know. This is not going to happen.

The threat to the banking system is that failed banks are a yellow flag to consumers. It warns them that the economy as a whole is at risk. Bank failures testify to the incompetence of supposed experts who manage the public’s money. When the average investor begins to lose confidence in the money managers, they may decide that discretion is the better part of valor. At some point, he will call his pension fund or stock mutual fund and tell the person at the other end of the line to sell the stocks. He will have to buy something, and what he will buy will be short-term money market instruments. He may also buy U.S. Treasury bonds.

The problem with this is that long-term money, meaning long-term capital to be used in long-term projects, will become less available. The government will spend any money that the public invests in Treasury debt. Businesses will find that it is more difficult to gain access to long-term capital. This will slow the rate of economic growth in the United States. This will remove the engine of economic growth. By moving their money out of the private sector, and especially out of equities, investors will contract the overall economy.

It is not that individual bank failures threaten the banking system as a whole. The banking system as a whole is a gigantic cartel, and this cartel has as its protector the Federal Reserve System. The Federal Reserve System is legally allowed to monetize anything it wants to monetize. It can buy any asset, and it can create the money to buy this asset.

The Federal Reserve can intervene to save individual banks, or large financial institutions. Not only can it do this, it is doing it on a constant basis. At some point, it will not be able to do this without monetizing assets that it cannot offset by the sale of existing Treasury debt in its possession. Beginning in December 2007, the Federal Reserve System has sold Treasury debt whenever it has increased its purchase of questionable assets that it has bought from banks and large financial institutions. It has unloaded about 40% of its holdings of liquid Treasury debt. This has kept it from inflating the money supply at a dramatic rate.

At some point, it will run out of Treasury debt to sell to the general public in order to offset the increase of its purchase of questionable assets held by the financial system. At that point, the great inflation will begin.

This could be a year away. This could be a month away. All we know is this: when the Federal Reserve system runs out of Treasury debt to sell, its purchase of all assets will be inflationary. The banking system as a whole is protected. What is not protected is the purchasing power of the dollar.

In order to guarantee the survival of the banking system as a whole, the existing legal structure has created an enormous risk factor: the destruction of the dollar. Legal solvency can be maintained by the banking system as a whole, but this legal solvency comes at a price: the threat of the insolvency of the dollar itself.

This has always been true. The public has never thought this through. It is beyond the voters’ comprehension. Congress, which has authorized the legislation that has led to this system ever since passing the Federal Reserve Act in late December, 1913, has also not thought about the implications of this system of guaranteed legal solvency for the banking system. But the insolvency of the dollar is the ultimate implication of the legal structure of today’s fractionally reserved banking cartel.

The major threat to the banking system is from outside the banking system. The major threat is the insolvency of a major company that has guaranteed the bonds of private corporations and agency bonds of the United States government, such as Fannie Mae and Freddie Mac. These supposed guarantees have made possible the system of bond portfolios that can be broken up into 125 levels of risk, with appropriate rates of return on each of the slices. The system is so complex that no one understands it.

Hedge funds have invested in these assets, called collateralized mortgage obligations. They have borrowed from banks to buy them. The leverage of the hedge fund system is enormous. It is probably a hundred to one. The guarantees against loss that undergird the financial system are guarantees made by organizations that cannot possibly fulfill their contracts during an anomalous event, such as an attack on Iran by the Israeli air force. When the promises cannot be fulfilled, interest rates will rise for all American bonds except those of the United States Treasury. This will trigger additional demands placed on the guarantors of these contracts, which will threaten the solvency of the bond system.

At that point, bank capital will collapse as a result of the losses that the banks have sustained because they lent hedge funds money to invest in the bonds. The collapse of the Carlyle Capital Corp. earlier this year took less than a week. It was borrowed at least 32 to one by ten major banks of the United States. Those banks lost 100% of these their investment in one week.

When banks lose capital, they must either find new investors, or else they must reduce their loans. When they reduce their loans, they refuse to roll over existing lines of credit to American corporations. This is the major threat to the system. It is not a threat of the bankruptcy of the banks; it is the threat of the reduction of lines of credit to American corporations – corporations that are dependent on these lines of credit.

In a financial panic, American investors will move from corporate bonds and stocks and put their money in Treasury debt. This threatens the solvency, not simply of individual banks, but of individual corporations that are dependent upon lines of credit issued by specific banks. American corporations are not dependent on the banking system as a whole. They are dependent on continuing lines of credit from specific banks. They do not have time to renegotiate loans with other banks. They have to meet their payrolls. This will become increasingly difficult to do in the environment created by constant reports of individual failures of specific banks.

This is the famous and widely denied crowding-out effect. The Federal government’s debt certificates are trusted; the private capital markets are less trusted. In order for the private capital markets to continue to operate in such a hostile environment, they will have to offer greater economic returns than Treasury debt. It will become more expensive for private companies to attract long-term investment, precisely because individual banks are failing.

Obviously, the companies would all fail if the banking system as a whole collapsed. The entire society’s existence would be at risk if the entire banking system collapsed. There is no a safe hedge against such a scenario. The division of labor would collapse. Cities would not be resupplied with goods. It would be like all the disaster movies combined. It would take only a matter of weeks for the death rate to jump. So, anyone who talks about the collapse of the banking system who has not retreated to a small farm located 100 miles from a major city does not take seriously his own scenario.

The problem is not the collapse of the banking system as a whole. The problem is the crowding out by government, especially the Federal government, of capital that would otherwise have gone into the private sector. The threat is the long-term erosion of confidence in the private capital markets.

This is not a minor threat. This is a major threat. It threatens the long-term growth of the American economy. It threatens the long-term growth of an economy which is heavily indebted to foreign investors. When foreign investors perceive that growth has stopped, they are going to cease lending money to Americans to sustain their present patterns of consumption. The dollar will fall. The price of imported goods will increase. The public will have to readjust its household budgets. When the public must readjust spending patterns, the result is recession. In a major readjustment of their budgets, the result is a deep depression. We have not seen this since the 1930s.

When we read of more bank failures, we will grow more nervous. It is not that tens of millions of depositors will go down to their banks and take out currency. A few million people may do this to a limited extent, but most people will not. This is because they do not have sufficient reserves in their bank accounts to enable them to take out $1000 in currency and not use that money to spend on household bills. So, they won’t do this. (You probably should.)

The long-run effectiveness of withdrawing currency to protect yourself from a complete collapse is essentially useless. You cannot buy much in a complete collapse. Most things are produced and delivered based on bank credit. We are hooked.

The likelihood of the complete collapse of banks is extremely low. It could happen, but it is highly unlikely. What is likely in a scenario of failing banks is the increasing loss of public confidence in the private capital markets. When that happens, the rush to buy Treasury debt, which means the rush to hand over our economic future is to the United States Congress, will lead to the de-capitalization of the private companies that increase our standard of living.

THE REAL PRICE OF BANK GUARANTEES

The public has encouraged the United States government to protect voters from unexpected bank failures. Congress has complied. The banking cartel has welcomed this cooperation. The Federal Reserve System has inflated. The dollar has depreciated by 95% since 1914. This is a result of the creation of the Federal Reserve System, which was created in the name of stable money. In other words, it is one more example of Ludwig von Mises’ rule: whenever the government interferes with the market, the result will be the opposite of what the legislators said they intended to achieve.

The greater the threat to the individual banks’ solvency, the louder the public will demand additional government intervention. Congress will respond. The result will be the creation of a set of conditions in which the Federal Reserve System will have to monetize the overleveraged hedge fund system which has grown up over the last decade. It will find that it must monetize so much, so fast, on all sides, that it will not be able to offset the creation of new money by the sale of existing Treasury debt.

Bernanke has done his best to keep the helicopter full of fiat money from having to take off and do its work. But he cannot resist the demands of Congress once it is clear the public that a series of bank bankruptcies is threatening the public’s confidence in the economy as a whole. The banks are protected. The purchasing power of the United States dollar is not.

Eventually, Bernanke’s hush money helicopter will fly.

So, we face a recession. We also face bankruptcies of overleveraged small banks like IndyMac. But the large banks are far more leveraged than the public understands. They have lent huge chunks of their capital to hedge funds that are leveraged 100 to one. A 1% move opposite to what a hedge fund has expected can wipe out 100% of a 100-to-one fund’s equity. It can be insolvent faster than you can say Carlyle Capital Corporation.

Warren Buffett says that the stages of the investment cycle is managed by three successive groups: first, the innovators; second, the imitators; third, the idiots. We are well into stage three.

CONCLUSION

In 1998, a weekend intervention by the President of the New York Federal Reserve Bank got a dozen banks to pony up $3.6 billion of new loans to keep the insolvent Long Term Capital Management hedge fund. The fund was leveraged 30 to one and would have to sell off $125 billion in assets at a loss. Since much of the portfolio was in assets that had fallen to zero – defaulted Russian bonds – this would be painful. Sales of the liquid assets would have tanked the international bond market. The bailout gave the banks time to sell the still-marketable assets over the next two years.

Now the hedge funds are international. The obligations are in the trillions.

Who can bail out a large busted fund now? The banks are in hock to all of them, and one of them can bring down the system.

Bernanke will need a lot of hush money.

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Exposing Bush’s historic abuse of power

Posted by kandylini on July 27, 2008

By Tim Shorrock, Salon.com.

Salon has uncovered new evidence of post-9/11 spying on Americans. Obtained documents point to a potential investigation of the White House that could rival Watergate.

Editor’s note: This article is part of a Salon investigative series on spying inside the United States by the Bush administration. Research support for the article was provided by the Nation Institute Investigative Fund.

Jul. 23, 2008 | The last several years have brought a parade of dark revelations about the George W. Bush administration, from the manipulation of intelligence to torture to extrajudicial spying inside the United States. But there are growing indications that these known abuses of power may only be the tip of the iceberg. Now, in the twilight of the Bush presidency, a movement is stirring in Washington for a sweeping new inquiry into White House malfeasance that would be modeled after the famous Church Committee congressional investigation of the 1970s.

While reporting on domestic surveillance under Bush, Salon obtained a detailed memo proposing such an inquiry, and spoke with several sources involved in recent discussions around it on Capitol Hill. The memo was written by a former senior member of the original Church Committee; the discussions have included aides to top House Democrats, including Speaker Nancy Pelosi and Judiciary Committee chairman John Conyers, and until now have not been disclosed publicly.

Salon has also uncovered further indications of far-reaching and possibly illegal surveillance conducted by the National Security Agency inside the United States under President Bush. That includes the alleged use of a top-secret, sophisticated database system for monitoring people considered to be a threat to national security. It also includes signs of the NSA’s working closely with other U.S. government agencies to track financial transactions domestically as well as globally.

The proposal for a Church Committee-style investigation emerged from talks between civil liberties advocates and aides to Democratic leaders in Congress, according to sources involved. (Pelosi’s and Conyers’ offices both declined to comment.) Looking forward to 2009, when both Congress and the White House may well be controlled by Democrats, the idea is to have Congress appoint an investigative body to discover the full extent of what the Bush White House did in the war on terror to undermine the Constitution and U.S. and international laws. The goal would be to implement government reforms aimed at preventing future abuses — and perhaps to bring accountability for wrongdoing by Bush officials.

“If we know this much about torture, rendition, secret prisons and warrantless wiretapping despite the administration’s attempts to stonewall, then imagine what we don’t know,” says a senior Democratic congressional aide who is familiar with the proposal and has been involved in several high-profile congressional investigations.

“You have to go back to the McCarthy era to find this level of abuse,” says Barry Steinhardt, the director of the Program on Technology and Liberty for the American Civil Liberties Union. “Because the Bush administration has been so opaque, we don’t know [the extent of] what laws have been violated.”

The parameters for an investigation were outlined in a seven-page memo, written after the former member of the Church Committee met for discussions with the ACLU, the Center for Democracy and Technology, Common Cause and other watchdog groups. Key issues to investigate, those involved say, would include the National Security Agency’s domestic surveillance activities; the Central Intelligence Agency’s use of extraordinary rendition and torture against terrorist suspects; and the U.S. government’s extensive use of military assets — including satellites, Pentagon intelligence agencies and U2 surveillance planes — for a vast spying apparatus that could be used against the American people.

Specifically, the ACLU and other groups want to know how the NSA’s use of databases and data mining may have meshed with other domestic intelligence activities, such as the U.S. government’s extensive use of no-fly lists and the Treasury Department’s list of “specially designated global terrorists” to identify potential suspects. As of mid-July, says Steinhardt, the no-fly list includes more than 1 million records corresponding to more than 400,000 names. If those people really represent terrorist threats, he says, “our cities would be ablaze.” A deeper investigation into intelligence abuses should focus on how these lists feed on each other, Steinhardt says, as well as the government’s “inexorable trend towards treating everyone as a suspect.”

“It’s not just the ‘Terrorist Surveillance Program,’” agrees Gregory T. Nojeim from the Center for Democracy and Technology, referring to the Bush administration’s misleading name for the NSA’s warrantless wiretapping program. “We need a broad investigation on the way all the moving parts fit together. It seems like we’re always looking at little chunks and missing the big picture.”

A prime area of inquiry for a sweeping new investigation would be the Bush administration’s alleged use of a top-secret database to guide its domestic surveillance. Dating back to the 1980s and known to government insiders as “Main Core,” the database reportedly collects and stores — without warrants or court orders — the names and detailed data of Americans considered to be threats to national security.

According to several former U.S. government officials with extensive knowledge of intelligence operations, Main Core in its current incarnation apparently contains a vast amount of personal data on Americans, including NSA intercepts of bank and credit card transactions and the results of surveillance efforts by the FBI, the CIA and other agencies. One former intelligence official described Main Core as “an emergency internal security database system” designed for use by the military in the event of a national catastrophe, a suspension of the Constitution or the imposition of martial law. Its name, he says, is derived from the fact that it contains “copies of the ‘main core’ or essence of each item of intelligence information on Americans produced by the FBI and the other agencies of the U.S. intelligence community.”

Some of the former U.S. officials interviewed, although they have no direct knowledge of the issue, said they believe that Main Core may have been used by the NSA to determine who to spy on in the immediate aftermath of 9/11. Moreover, the NSA’s use of the database, they say, may have triggered the now-famous March 2004 confrontation between the White House and the Justice Department that nearly led Attorney General John Ashcroft, FBI director William Mueller and other top Justice officials to resign en masse.

The Justice Department officials who objected to the legal basis for the surveillance program — former Deputy Attorney General James B. Comey and Jack Goldsmith, the former head of the Office of Legal Counsel — testified before Congress last year about the 2004 showdown with the White House. Although they refused to discuss the highly classified details behind their concerns, the New York Times later reported that they were objecting to a program that “involved computer searches through massive electronic databases” containing “records of the phone calls and e-mail messages of millions of Americans.”

According to William Hamilton, a former NSA intelligence officer who left the agency in the 1970s, that description sounded a lot like Main Core, which he first heard about in detail in 1992. Hamilton, who is the president of Inslaw Inc., a computer services firm with many clients in government and the private sector, says there are strong indications that the Bush administration’s domestic surveillance operations use Main Core.

Hamilton’s company Inslaw is widely respected in the law enforcement community for creating a program called the Prosecutors’ Management Information System, or PROMIS. It keeps track of criminal investigations through a powerful search engine that can quickly access all stored data components of a case, from the name of the initial investigators to the telephone numbers of key suspects. PROMIS, also widely used in the insurance industry, can also sort through other databases fast, with results showing up almost instantly. “It operates just like Google,” Hamilton told me in an interview in his Washington office in May.

Since the late 1980s, Inslaw has been involved in a legal dispute over its claim that Justice Department officials in the Reagan administration appropriated the PROMIS software. Hamilton claims that Reagan officials gave PROMIS to the NSA and the CIA, which then adapted the software — and its outstanding ability to search other databases — to manage intelligence operations and track financial transactions. Over the years, Hamilton has employed prominent lawyers to pursue the case, including Elliot Richardson, the former attorney general and secretary of defense who died in 1999, and C. Boyden Gray, the former White House counsel to President George H.W. Bush. The dispute has never been settled. But based on the long-running case, Hamilton says he believes U.S. intelligence uses PROMIS as the primary software for searching the Main Core database.

Hamilton was first told about the connection between PROMIS and Main Core in the spring of 1992 by a U.S. intelligence official, and again in 1995 by a former NSA official. In July 2001, Hamilton says, he discussed his case with retired Adm. Dan Murphy, a former military advisor to Elliot Richardson who later served under President George H.W. Bush as deputy director of the CIA. Murphy, who died shortly after his meeting with Hamilton, did not specifically mention Main Core. But he informed Hamilton that the NSA’s use of PROMIS involved something “so seriously wrong that money alone cannot cure the problem,” Hamilton told me. He added, “I believe in retrospect that Murphy was alluding to Main Core.” Hamilton also provided copies of letters that Richardson and Gray sent to U.S. intelligence officials and the Justice Department on Inslaw’s behalf alleging that the NSA and the CIA had appropriated PROMIS for intelligence use.

Hamilton says James B. Comey’s congressional testimony in May 2007, in which he described a hospitalized John Ashcroft’s dramatic standoff with senior Bush officials Alberto Gonzales and Andrew Card, was another illuminating moment. “It was then that we [at Inslaw] started hearing again about the Main Core derivative of PROMIS for spying on Americans,” he told me.

Through a former senior Justice Department official with more than 25 years of government experience, Salon has learned of a high-level former national security official who reportedly has firsthand knowledge of the U.S. government’s use of Main Core. The official worked as a senior intelligence analyst for a large domestic law enforcement agency inside the Bush White House. He would not agree to an interview. But according to the former Justice Department official, the former intelligence analyst told her that while stationed at the White House after the 9/11 attacks, one day he accidentally walked into a restricted room and came across a computer system that was logged on to what he recognized to be the Main Core database. When she mentioned the specific name of the top-secret system during their conversation, she recalled, “he turned white as a sheet.”

An article in Radar magazine in May, citing three unnamed former government officials, reported that “8 million Americans are now listed in Main Core as potentially suspect” and, in the event of a national emergency, “could be subject to everything from heightened surveillance and tracking to direct questioning and even detention.”

The alleged use of Main Core by the Bush administration for surveillance, if confirmed to be true, would indicate a much deeper level of secretive government intrusion into Americans’ lives than has been previously known. With respect to civil liberties, says the ACLU’s Steinhardt, it would be “pretty frightening stuff.”

The Inslaw case also points to what may be an extensive role played by the NSA in financial spying inside the United States. According to reports over the years in the U.S. and foreign press, Inslaw’s PROMIS software was embedded surreptitiously in systems sold to foreign and global banks as a way to give the NSA secret “backdoor” access to the electronic flow of money around the world.

In May, I interviewed Norman Bailey, a private financial consultant with years of government intelligence experience dating from the George W. Bush administration back to the Reagan administration. According to Bailey — who from 2006 to 2007 headed a special unit within the Office of the Director of National Intelligence focused on financial intelligence on Cuba and Venezuela — the NSA has been using its vast powers with signals intelligence to track financial transactions around the world since the early 1980s.

From 1982 to 1984, Bailey ran a top-secret program for President Reagan’s National Security Council, called “Follow the Money,” that used NSA signals intelligence to track loans from Western banks to the Soviet Union and its allies. PROMIS, he told me, was “the principal software element” used by the NSA and the Treasury Department then in their electronic surveillance programs tracking financial flows to the Soviet bloc, organized crime and terrorist groups. His admission is the first public acknowledgement by a former U.S. intelligence official that the NSA used the PROMIS software.

According to Bailey, the Reagan program marked a significant shift in resources from human spying to electronic surveillance, as a way to track money flows to suspected criminals and American enemies. “That was the beginning of the whole process,” he said.

After 9/11, this capability was instantly seen within the U.S. government as a critical tool in the war on terror — and apparently was deployed by the Bush administration inside the United States, in cases involving alleged terrorist supporters. One such case was that of the Al-Haramain Islamic Foundation in Oregon, which was accused of having terrorist ties after the NSA, at the request of the Treasury Department, eavesdropped on the phone calls of Al-Haramain officials and their American lawyers. The charges against Al-Haramain were based primarily on secret evidence that the Bush administration refused to disclose in legal proceedings; Al-Haramain’s lawyers argued in a lawsuit that was a violation of the defendants’ due process rights.

According to Bailey, the NSA also likely would have used its technological capabilities to track the charity’s financial activity. “The vast majority of financial movements of any significance take place electronically, so intercepts have become an extremely important element” in intelligence, he explained. “If the government suspects that a particular Muslim charitable organization is engaged in collecting funds to funnel to terrorists, the NSA would be asked to follow the money going into and out of the bank accounts of that charity.” (The now-defunct Al-Haramain Foundation, although affiliated with a Saudi Arabian-based global charity, was founded and based in Ashland, Ore.)

The use of a powerful database and extensive watch lists, Bailey said, would make the NSA’s job much easier. “The biggest problems with intercepts, quite frankly, is that the volumes of data, daily or even by the hour, are gigantic,” he said. “Unless you have a very precise idea of what it is you’re looking for, the NSA people or their counterparts [overseas] will just throw up their hands and say ‘forget it.’” Regarding domestic surveillance, Bailey said there’s a “whole gray area where the initiation of the transaction was in the United States and the final destination was outside, or vice versa. That’s something for the lawyers to figure out.”

Bailey’s information on the evolution of the Reagan intelligence program appears to corroborate and clarify an article published in March in the Wall Street Journal, which reported that the NSA was conducting domestic surveillance using “an ad-hoc collection of so-called ‘black programs’ whose existence is undisclosed.” Some of these programs began “years before the 9/11 attacks but have since been given greater reach.” Among them, the article said, are a joint NSA-Treasury database on financial transactions that dates back “about 15 years” to 1993. That’s not quite right, Bailey clarified: “It started in the early ’80s, at least 10 years before.”

Main Core may be the contemporary incarnation of a government watch list system that was part of a highly classified “Continuity of Government” program created by the Reagan administration to keep the U.S. government functioning in the event of a nuclear attack. Under a 1982 presidential directive, the outbreak of war could trigger the proclamation of martial law nationwide, giving the military the authority to use its domestic database to round up citizens and residents considered to be threats to national security. The emergency measures for domestic security were to be carried out by the Federal Emergency Management Agency (FEMA) and the Army.

In the late 1980s, reports about a domestic database linked to FEMA and the Continuity of Government program began to appear in the press. For example, in 1986 the Austin American-Statesman uncovered evidence of a large database that authorities were proposing to use to intern Latino dissidents and refugees during a national emergency that might follow a potential U.S. invasion of Nicaragua. During the Iran-Contra congressional hearings in 1987, questions to Reagan aide Oliver North about the database were ruled out of order by the committee chairman, Democratic Sen. Daniel Inouye, because of the “highly sensitive and classified” nature of FEMA’s domestic security operations.

In September 2001, according to “The Rise of the Vulcans,” a 2004 book on Bush’s war cabinet by James Mann, a contemporary version of the Continuity of Government program was put into play in the hours after the 9/11 terrorist attacks, when Vice President Cheney and senior members of Congress were dispersed to “undisclosed locations” to maintain government functions. It was during this emergency period, Hamilton and other former government officials believe, that President Bush may have authorized the NSA to begin actively using the Main Core database for domestic surveillance. One indicator they cite is a statement by Bush in December 2005, after the New York Times had revealed the NSA’s warrantless wiretapping, in which he made a rare reference to the emergency program: The Justice Department’s legal reviews of the NSA activity, Bush said, were based on “fresh intelligence assessment of terrorist threats to the continuity of our government.”

It is noteworthy that two key players on Bush’s national security team, Cheney and his chief of staff, David Addington, have been involved in the Continuity of Government program since its inception. Along with Donald Rumsfeld, Bush’s first secretary of defense, both men took part in simulated drills for the program during the 1980s and early 1990s. Addington’s role was disclosed in “The Dark Side,” a book published this month about the Bush administration’s war on terror by New Yorker reporter Jane Mayer. In the book, Mayer calls Addington “the father of the [NSA] eavesdropping program,” and reports that he was the key figure involved in the 2004 dispute between the White House and the Justice Department over the legality of the program. That would seem to make him a prime witness for a broader investigation.

Getting a full picture on Bush’s intelligence programs, however, will almost certainly require any sweeping new investigation to have a scope that would inoculate it against charges of partisanship. During one recent discussion on Capitol Hill, according to a participant, a senior aide to Speaker Pelosi was asked for Pelosi’s views on a proposal to expand the investigation to past administrations, including those of Bill Clinton and George H.W. Bush. “The question was, how far back in time would we have to go to make this credible?” the participant in the meeting recalled.

That question was answered in the seven-page memo. “The rise of the ’surveillance state’ driven by new technologies and the demands of counter-terrorism did not begin with this Administration,” the author wrote. Even though he acknowledged in interviews with Salon that the scope of abuse under George W. Bush would likely be an order of magnitude greater than under preceding presidents, he recommended in the memo that any new investigation follow the precedent of the Church Committee and investigate the origins of Bush’s programs, going as far back as the Reagan administration.

The proposal has emerged in a political climate reminiscent of the Watergate era. The Church Committee was formed in 1975 in the wake of media reports about illegal spying against American antiwar activists and civil rights leaders, CIA assassination squads, and other dubious activities under Nixon and his predecessors. Chaired by Sen. Frank Church of Idaho, the committee interviewed more than 800 officials and held 21 public hearings. As a result of its work, Congress in 1978 passed the Foreign Intelligence Surveillance Act, which required warrants and court supervision for domestic wiretaps, and created intelligence oversight committees in the House and Senate.

So far, no lawmaker has openly endorsed a proposal for a new Church Committee-style investigation. A spokesman for Pelosi declined to say whether Pelosi herself would be in favor of a broader probe into U.S. intelligence. On the Senate side, the most logical supporters for a broader probe would be Democratic senators such as Patrick Leahy of Vermont and Russ Feingold of Wisconsin, who led the failed fight against the recent Bush-backed changes to FISA. (Both Feingold and Leahy’s offices declined to comment on a broader intelligence inquiry.)

The Democrats’ reticence on such action ultimately may be rooted in congressional complicity with the Bush administration’s intelligence policies. Many of the war on terror programs, including the NSA’s warrantless surveillance and the use of “enhanced interrogation techniques,” were cleared with key congressional Democrats, including Pelosi, Senate Intelligence Committee chairman Rockefeller, and former House Intelligence chairwoman Jane Harman, among others.

The discussions about a broad investigation were jump-started among civil liberties advocates this spring, when it became clear that the Democrats didn’t have the votes to oppose the Bush-backed bill updating FISA. The new legislation could prevent the full story of the NSA surveillance programs from ever being uncovered; it included retroactive immunity for telecommunications companies that may have violated FISA by collaborating with the NSA on warrantless wiretapping. Opponents of Bush’s policies were further angered when Democratic leaders stripped from their competing FISA bill a provision that would have established a national commission to investigate post-9/11 surveillance programs.

The next president obviously would play a key role in any decision to investigate intelligence abuses. Sen. John McCain, the Republican candidate, is running as a champion of Bush’s national security policies and would be unlikely to embrace an investigation that would, foremost, embarrass his own party. (Randy Scheunemann, McCain’s spokesman on national security, declined to comment.)

Some see a brighter prospect in Barack Obama, should he be elected. The plus with Obama, says the former Church Committee staffer, is that as a proponent of open government, he could order the executive branch to be more cooperative with Congress, rolling back the obsessive secrecy and stonewalling of the Bush White House. That could open the door to greater congressional scrutiny and oversight of the intelligence community, since the legislative branch lacked any real teeth under Bush. (Obama’s spokesman on national security, Ben Rhodes, did not reply to telephone calls and e-mails seeking comment.)

But even that may be a lofty hope. “It may be the last thing a new president would want to do,” said a participant in the ongoing discussions. Unfortunately, he said, “some people see the Church Committee ideas as a substitute for prosecutions that should already have happened.”

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