August 31, 2012--Chapter 5: The Siegel Twins
After a moment, with no further explanation, he slipped out of the booth and left Krinsky's. Through
the front window we saw him, head down, as if into the wind, turn the corner onto East 56th Street.
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RYAN: "And the biggest, coldest power play of all in Obamacare came at the expense of the elderly. ... So they just took it all away from Medicare. Seven hundred and sixteen billion dollars, funneled out of Medicare by President Obama."
THE FACTS: Ryan's claim ignores the fact that Ryan himself incorporated the same cuts into budgets he steered through the House in the past two years as chairman of its Budget Committee, using the money for deficit reduction. And the cuts do not affect Medicare recipients directly, but rather reduce payments to hospitals, health insurance plans and other service providers.
In addition, Ryan's own plan to remake Medicare would squeeze the program's spending even more than the changes Obama made, shifting future retirees into a system in which they would get a fixed payment to shop for coverage among private insurance plans. Critics charge that would expose the elderly to more out-of-pocket costs.
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RYAN: "The stimulus was a case of political patronage, corporate welfare and cronyism at their worst. You, the working men and women of this country, were cut out of the deal."
THE FACTS: Ryan himself asked for stimulus funds shortly after Congress approved the $800 billion plan, known as the American Recovery and Reinvestment Act. Ryan's pleas to federal agencies included letters to Energy Secretary Steven Chu and Labor Secretary Hilda Solis seeking stimulus grant money for two Wisconsin energy conservation companies.
One of them, the nonprofit Wisconsin Energy Conservation Corp., received $20.3 million from the Energy Department to help homes and businesses improve energy efficiency, according to federal records. That company, he said in his letter, would build "sustainable demand for green jobs." Another eventual recipient, the Energy Center of Wisconsin, received about $365,000.
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RYAN: Said Obama misled people in Ryan's hometown of Janesville, Wis., by making them think a General Motors plant there threatened with closure could be saved. "A lot of guys I went to high school with worked at that GM plant. Right there at that plant, candidate Obama said: 'I believe that if our government is there to support you . this plant will be here for another hundred years.' That's what he said in 2008. Well, as it turned out, that plant didn't last another year."
THE FACTS: The plant halted production in December 2008, weeks before Obama took office and well before he enacted a more robust auto industry bailout that rescued GM and Chrysler and allowed the majority of their plants — though not the Janesville facility — to stay in operation. Ryan himself voted for an auto bailout under President George W. Bush that was designed to help GM, but he was a vocal critic of the one pushed through by Obama that has been widely credited with revitalizing both GM and Chrysler.
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RYAN: Obama "created a bipartisan debt commission. They came back with an urgent report. He thanked them, sent them on their way and then did exactly nothing."
THE FACTS: It's true that Obama hasn't heeded his commission's recommendations, but Ryan's not the best one to complain. He was a member of the commission and voted against its final report.
As America prepares to pick our president for the next four years — and as Florida prepares once again to play a decisive role — I'm confident that President Barack Obama is the right leader for our state and the nation. I applaud and share his vision of a future built by a strong and confident middle class in an economy that gives us the opportunity to reap prosperity through hard work and personal responsibility. It is a vision of the future proven right by our history.
And the president invested in our retirement security by strengthening Medicare. The $716 billion in savings his opponents decry today extended the life of the program by nearly a decade and are making sure taxpayer dollars aren't wasted in excessive payments to insurance companies or fraud and abuse. His opponents would end the Medicare guarantee by creating a voucher that would raise seniors' costs by thousands of dollars and bankrupt the program.
Todd Akin has said he's not going to drop out, and bless his heart, I don't want to pile on Todd Akin, because in some respects I understand what he was trying to say here, in standing on principle that he doesn't want to be perceived as a quitter, but you gotta know when to hold 'em and know when to fold 'em. Believe me, I've walked before, and I know when you have to hold that mantle and then hand it to someone else in order to progress a positive agenda. That's what I had to do in Alaska.Oh, how I miss her. She's so fun and has such a way with the English language.
Dr. John C. Willke, a general practitioner with obstetric training and a former president of the National Right to Life Committee, was an early proponent of this view, articulating it in a book originally published in 1985 and again in a 1999 article. He reiterated it in an interview Monday.“This is a traumatic thing—she’s, shall we say, she’s uptight,”
Dr. Willke said of a woman being raped, adding, “She is frightened, tight, and so on. And sperm, if deposited in her vagina, are less likely to be able to fertilize. The tubes are spastic.”
Leading experts on reproductive health, however, dismissed this logic.
“There are no words for this—it is just nuts,” said Dr. Michael Greene, a professor of obstetrics, gynecology and reproductive biology at Harvard Medical School.
Dr. David Grimes, a clinical professor in obstetrics and gynecology at the University of North Carolina, said, that “to suggest that there’s some biological reason why women couldn’t get pregnant during a rape is absurd.”
Mr. Akin’s statement did have supporters. Bryan Fischer, director of issue analysis for the American Family Association, a conservative Christian group, defended Mr. Akin on his program “Focal Point,” citing “John Willke, who is an M.D. by the way—a lot of these ignoramuses on Twitter are not.”
He read from Dr. Willke's 1999 article, which described what is “certainly one of the most important reasons why a rape victim rarely gets pregnant, and that’s physical trauma.”He continued with the article: “To get and stay pregnant a woman’s body must produce a very sophisticated mix of hormones. Hormone production is controlled by a part of the brain that is easily influenced by emotions. There’s no greater emotional trauma that can be experienced by a woman than an assault rape. This can radically upset her possibility of ovulation, fertilization, implantation and even nurturing of a pregnancy.”
Mr. Fischer concluded: “In other words, ladies and gentleman, Todd Akin was exactly right.”
Representative Ron Paul, an obstetrician who ran unsuccessfully for the Republican presidential nomination, was asked about the issue Monday. “Rep. Paul has no comment,” a spokeswoman said by e-mail.
Dr. Willke, who is 87, asserted Monday that “way under 1 percent” of rape victims become pregnant, not just because of female biology but because about half of rapists “do not deposit sperm in the vagina.” That, Dr. Willke said, is because many rapists have “a preference for rectal intercourse over vaginal”; experience “premature ejaculation," which is a major factor”; or “some of these guys just plain aren’t fertile.”
But several experts said there is no solid data on such issues. A 1996 study in the American Journal of Obstetrics and Gynecology, generally considered one of the few peer-reviewed research efforts on this subject, estimated that 5 percent of rapes result in pregnancy. “Yeah, there are all sorts of hormones, including ones that cause your heart to beat fast when you’re frightened,” said Dr. Greene. But he added, “I’m not aware of any data that says that reduces a woman’s risk of getting pregnant.”
As for the contention that a rape victim’s fallopian tubes tighten, Dr. Grimes, formerly of the Centers for Disease Control and Prevention, said, “That’s nonsense. Everything is working. The tube is very small anyway and sperm are very tiny—they’re excellent swimmers.”
Sometimes our medical costs are higher than we projected. Sometimes they are lower. Under the health care reform law, plans must spend a minimum on medical costs and quality improvement activities. When our costs are less than the minimum, we pay rebates, regardless of the amount.