Showing posts with label Obamacare. Show all posts
Showing posts with label Obamacare. Show all posts

Friday, October 25, 2013

Real Americans Like Obamacare So Conservatives Resort To Shameless Lies















Real Americans Like Obamacare So Conservatives Resort To Shameless Lies

Halloween is approaching and the hobgoblins of conservative media are already spinning nightmarish tales of the Affordable Care Act (aka ObamaCare). Actually, they have been doing it for quite some time, dating back to at least March 2010 when Tucker Carlson’s Daily Caller published an article headlined [3] “IRS looking to hire thousands of armed tax agents to enforce healthcare laws.” Fox News reposted the article on its community web site and Fib Factory, Fox Nation [4] despite the fact that it was a complete fabrication and was debunked [5] by the Annenberg Center’s FactCheck.org

This year the campaign to recast a program that makes health insurance accessible to millions of Americans as a plague of locusts has risen to fever pitch. The Republican Party and conservative media has pulled out all the stops in a strategy aimed at scaring people from signing up with the hope that low enrollment will collapse the system. President Obama had the same concerns last month when he said…

    “What you’ve had is an unprecedented effort that you’ve seen ramp up in the past month or so that those who have opposed the idea of universal health care in the first place — and have fought this thing tooth and nail through Congress and through the courts — trying to scare and discourage people from getting a good deal.”

These are not the hackneyed GOP talking points about death panels, job killers and government bureaucrats coming between patients and doctors. These are far more fanciful efforts that stretch the limits of credulity and appear to have more in common with satire than actual news reporting. But this is what it has come to as Obamacare has finally reached the consumer stage and conservatives are desperate to keep people from discovering its benefits.

1) Fox News Warns That If You Sign Up For ObamaCare Hackers Will Steal Your Life Savings [6]
On an episode of “The Real Story” on Fox News, host Gretchen Carlson introduced an ominous new strain of fear-mongering to demonize Obamacare. She interviewed John McAfee, the anti-virus software developer who is presently a fugitive from a murder investigation in Belize. He made a wild accusation that visitors to Healthcare.gov are going to be victimized by hackers who will steal their identities and/or drain their bank accounts.

Neither Carlson nor McAfee actually provided any evidence of such a threat. In fact, when directly asked about it, McAfee diverts from the question and lays out a completely different threat that has nothing whatsoever to do with the Obamacare website. He alleges that nefarious individuals could set up their own unaffiliated websites in the hopes of luring naive people to take advantage of. Of course, that is a threat that exists for every website, and has since the Internet began. Visiting Healthcare.gov does not expose anyone to these phony sites as implied by the fear-mongers at Fox.

2) WorldNetDaily Reports “Obama ‘Crashing Health-Care Site On Purpose’” [7]
This article asserts that the President is so afraid that insurance shoppers will learn that Obamacare is really more expensive than the old system that he deliberately caused the website to crash to keep people from seeing the rates. No one is defending the botched launch of the insurance exchanges. However, the notion that the technical glitches were intentionally caused by Obama is delusional.

WND’s argument (supported by links to Rush Limbaugh) that rates will increase leaves out the subsidies and tax credits that are available for many applicants. With these adjustments, premiums for most people will be substantially lower. The administration would, therefore, be anxious for consumers to have access to that information and would not be putting obstacles in their path.

3) Rand Paul: Take Obamacare Or Go To Jail [8]
Tea Party darling Rand Paul has made innumerable false statements about virtually every policy that has emanated from the White House. But none are more surreal than his comment, “They say take [Obamacare] or we will put people in jail. People say we aren’t going to put anybody in jail. The heck they won’t. You will get fined first. If you don’t pay your fines, you will go to jail.”

That’s interesting coming from someone who has frequently complained that no one in Congress has read the Affordable Care Act. If he had read it himself he would have known that the law explicitly prohibits criminal consequences for non-payment of fines. It states “In the case of any failure by a taxpayer to timely pay any penalty imposed by this section, such taxpayer shall not be subject to any criminal prosecution or penalty with respect to such failure.” It rarely gets more clear than that, but the mission to frighten the public exceeds the motivation for truth on the part of GOP scare-meisters.

4) Right-Wing Think Tank Mortified That Obamacare Website Links To Voter Registration Form [9]
This is a particularly curious horror story as it seeks to raise an alarm over something that ought to be regarded as a civic duty. Nevertheless, the conservative MacIver Institute (a Koch brothers-funded [10] operation) published an article [11] that implied there was some sort of heinous objective on the part of the Obama administration for having included a link to a voter registration form on the Obamacare website. This startling revelation is met with foreboding by MacIver and a flurry of right-wing media outlets that disseminated MacIver’s story, including National Review, Glenn Beck’s TheBlaze, Breitbart News, the Daily Caller, and Fox News. All of their reports agreed that this was a clandestine attempt to register only Democratic voters despite the absence of any partisan framing. MacIver even asks specifically “[W]hat does registering to vote have to do with signing up for Obamacare?”

The core of the right’s trepidation is rooted in a more fundamental aversion to the act of voting itself. It is why they are continually erecting new barriers to voting. Democrats, on the other hand, have sought to expand voter turnout with bills like the 1993 National Voter Registration Act [12] (aka Motor Voter) that mandates certain government agencies provide people with access to voter registration. In fact, that 20-year-old law requires that Obamacare administrators make voter registration available. MacIver, and similarly mortified conservative comrades, are either unaware of this, or are deliberately feigning ignorance in order to rile up their conspiracy-prone base.

5) Weekly Standard Finds Imaginary Threat On Obamacare Website [13]
The ultra-conservative Weekly Standard dispatched its crack reporters to ferret out what it portrayed [14] as an ominous security threat on the Healthcare.gov website. What it found were comments in the site’s source code that said that “You have no reasonable expectation of privacy regarding any communication or data transiting or stored on this information system.” The Standard notes that these comments were not visible to users and were not part of the site’s terms and conditions. But that didn’t stop them from implying that users would be still be bound by it because “the language is nevertheless a part of the underlying code.” Not really. It’s only a part of some inoperative text that carries no more obligation than some discarded notes.

This is another situation where you have to wonder whether these people are embarrassingly stupid or brazenly dishonest. There is a reason this language was not visible. It was deliberately removed with the use of HTML comment tags by the site’s programmers. It was undoubtedly edited out because it was not an accurate expression of the site’s privacy policy. It does not mean that users are agreeing to a secret clause permitting the government to spy on them as the Standard implied. If any of these “reporters” had a 14-year-old at home they could have learned what this is about. But that would have interfered with their goal, which is to leave Americans with the false impression that some hidden danger lurks beneath the surface of Obamacare.

6) Fox News Fears ACORN Is Back To Push ObamaCare [15]
The Curvy Couch Potatoes over at Fox & Friends had a jolly old time resurrecting their fear of a community organizing enterprise that no longer exists. ACORN was wrongly hounded out of business by right-wing opponents after pseudo-journalist and convicted criminal James O’Keefe distributed some deceitfully edited and libelous videos. But that hasn’t stopped conservative media from exhuming the corpse whenever they are in need of a sensationalist story, as demonstrated by Fox co-host Elisabeth Hasselbeck, who announced that “We’re getting information that ACORN operatives are trying to sign people up for the Affordable Care Act.”

While ACORN was never found to have engaged in any unlawful activity, there was a bill passed that prohibited them from receiving federal funds. However, there is nothing in the law that prevents organizations with former ACORN staff from getting federal grants. In fact, there isn’t even any current law that prevents ACORN from getting grants as the previous ban was not included in the latest Continuing Resolution. Fox is brazenly misrepresenting the facts in an attempt to reignite fears of the old ACORN bogeyman. They upped the terror ante by further alleging that ACORN would use your personal medical and financial information against you politically. They never revealed how that would occur, or to what end, but that isn’t the point. Their only interest is spreading fear, no matter how irrational and unsupported.

Conclusion

The zealousness with which these right-wing propagandists pursue their disinformation campaign is evidence of their own fear that Americans will come to appreciate having access to affordable healthcare. Therefore, they see their mission as derailing the program before that eventuality unfolds. Their tactics get more extreme and absurd the closer the program gets to gaining acceptance. A particular target of their attack is young people whose participation is important for the program to succeed. Consequently, opponents have launched a well-funded campaign (thanks to the Koch brothers) to scare off young consumers. Generation Opportunity has already released the now notorious “Creepy Uncle Sam” videos that make false implications of government intrusion into medical care. Next they are embarking on a 20-city college tour to mislead students.

PolitiFact has reviewed 16 claims made by Obamacare detractors and found all of them false. Twelve of those were designated “Pants On Fire” lies [16]. If there is one question that begs to be asked, it is this: If Obamacare is so terrible, why do opponents have to tell so many lies about it?

Obamacare is a free market solution - you buy insurance from privately owned insurance companies to health care cost that were raising 14% a year. Which meant that many patriotic hard working Americans either could not get insurance or they were going bankrupt trying to pay big medical corporations for their medical care. We could have just made Medicare, a government run socialized health insurance program available for everyone over 18, but conservatives did not want that either. Reality check: conservative Republicans thought it was moral to lie the country into a war in Iraq that cost $3 trillion dollars, but think it is immoral for patriots to have health care insurance. No wonder most of the nation thinks conservatism is just another name for wacky nutbars. 

Thursday, July 25, 2013

Patriots Love The Benefits Of ObamaCare and Health Care Reform














Patriots Love The Benefits Of ObamaCare and Health Care Reform

Benefits of ObamacareAdvantages Offered By ObamaCare

As one benefit of ObamaCare, if you make less than 400% of the federal poverty level ($93,700 as a family or $46,021 as an individual), you may be eligible to receive subsidies and tax credits toward insurance purchased on your State's Health Insurance Exchange (Online Marketplaces where Americans can purchase insurance starting on October 1st, 2013). Cost assistance will help may low and middle income individuals and families to purchase affordable health insurance. Find out more about Receiving Subsidies, Tax Credits and Cost Assistance on the ObamaCare Health Insurance Exchange.

Because of the new health law, 12.8 million individuals and businesses got back more than $1.1 billion in rebates in 2012 from insurance companies who underspent on medical care.
Benefits of ObamaCare: A Quick Summary of ObamaCare Protections

ObamaCare offers you and your family many protections these protections include.

• No annual limits on healthcare
• Insurance companies can't drop you when your sick
• You can't be denied coverage for pre-existing conditions
• Obamacare has a strong focus on preventive services
• A large improvement to women's health services
• Reforms to the healthcare industry to cut wasteful spending
• Better care and protections for seniors
For a complete list of preventative services covered under the Affordable Care Act (ObamaCare) click this link.
A Quick Summary of ObamaCare "Essential Health Benefits"

The new ObamaCare health care law states that health plans offered in the individual and small group markets, both inside and outside of the Affordable Insurance Exchanges (Exchanges), offer "essential health benefits". Please note that grandfathered plans may not be required to provide these services. Read more information about ObamaCare "grandfathered plans".

Starting January 1st of 2014, the following "benefits" must be included under all insurance plans:

• Emergency services
• Hospitalizations
• Laboratory services
• Maternity care
• Mental health and substance abuse treatment
• Outpatient, or ambulatory care
• Pediatric care
• Prescription drugs
• Preventive care
• Rehabilitative and habilitative (helping maintain daily functioning) services
• Vision and dental care for children

The following is a full list of protections and benefits available under ObamaCare from Consumer Reports:
Full list of Protections and Benefits Offered By ObamaCare (The Affordable Care Act) - 2010 - 2013
Protections

Whether your health insurance is purchased by you or your employer, the health law has outlawed practices that have left people without health insurance when they need it most. These protections include:

Curbs on canceling policies. Insurers can no longer cancel your policy if you get sick, a practice known as "rescission." They cannot cancel your coverage if you make an honest mistake on your application.

Rapid appeals. Consumers can appeal insurance company decisions to an independent reviewer and receive a response in 72 hours for urgent medical situations.

Ban on lifetime limits. Major or long-term illness can rack up serious medical bills. Health insurance policies used to set lifetime limits on how much they would pay for an individual's medical bills. These are now illegal, meaning people with insurance won't have to get into debt because their coverage runs out.

Annual dollar limits on their way out. Insurance companies can still set limits on how much they pay for an individual's medical expenses each year, but as of September 23, 2012, the law says this limit must be no less than $2 million. In January 2014, limits will be completely eliminated. Exceptions: Insurers can still impose other types of benefit limits like doctor visit limits, prescription limits, or limits on days in the hospital.
Better Benefits

Free preventive care and annual checkups. The law focuses on prevention and primary care to help people stay healthy and to manage chronic medical conditions before they become more complex and costly to treat. New private health plans must cover and eliminate cost-sharing (co-payment, co-insurance, or deductible) for proven preventive measures such as immunizations and cancer screenings. Additional preventive measures for women kicked in August 2012, including free well-woman visits, screening for gestational diabetes, domestic violence screening, breast-feeding supplies, and contraception, all with no cost-sharing. Exceptions: Workplaces run by religious organizations that object to birth control do not have to pay for contraception, but insurers must pick up the cost. Existing plans that haven't changed significantly since passage of the law can continue to charge for preventive care until 2014.

Premium rebates if insurers underspend on care. The health law says that most insurers must spend at least 80 percent (85 percent for insurers covering large employers) of the premiums you pay on medical care and quality improvements. If insurers spend too much on overhead, such as salaries, bonuses, or administrative costs, as opposed to health care, they must issue premium rebates to consumers each summer.

Standard disclosure forms. Starting September 23, 2012, all health plans must use a standardized form to summarize benefits and coverage, including information on co-payments, deductibles, and out-of-pocket limits. Insurers must note any excluded services all in one place. Insurers must also calculate and disclose your typical out-of-pocket costs for two medical scenarios: having a baby and treating type 2 diabetes. Future years will include more coverage examples.

Expanding coverage

The law makes it easier for some uninsured Americans to find more affordable health insurance right now:

Young adults can stay on a parent's plan until age 26. Health plans must let young adults remain as dependents on their parent's policy until they turn 26, regardless of whether they live at home, attend school, or are married. Exception: Some health plans are not required to extend benefits to young adults if they can get coverage at work; this exception goes away in January 2014.

Chipping away at pre-existing condition exclusions. In 2014 insurers will no longer be able to deny coverage to people with pre-existing conditions or charge them more for premiums. Meanwhile, the health law offers some temporary help.

Adults with pre-existing conditions who have been without coverage for at least six months may be eligible for subsidized coverage through the temporary Pre-Existing Condition Insurance Plan in their state.

Children under 19 with pre-existing conditions cannot now be denied coverage by most insurers. Until 2014, however, insurers can charge more for premiums than they charge for someone without such conditions. Exception: Some individual plans can still refuse to cover a child. This exception goes away in January, 2014.

There is a 365 day waiting period for individuals with pre-existing conditions the BCBS terms and the ACA section "SEC. 101. NATIONAL HIGH-RISK POOL PROGRAM" we can verify that there is a 365 day waiting period for coverage of pre-existing conditions upon purchasing insurance (eliminated along with the pool in 2017).

There is also an "Exclusion Rider" policy that essentially says until 2014 you can be denied coverage on a medically underwritten health insurance policy. EX. You have had surgery previously and you need another operation for the same issue. There are other jargon-y worded restrictions (we'll need to study and report).

The PCIP Pre-exisiting Condition Insurance Plan: makes health coverage available to you if you are a U.S. citizen or reside here legally, you have been denied health insurance because of a pre-existing condition, and you’ve been uninsured for at least six months. 

These plans are expensive and thus will most likely not cover low-income individuals. The Program ends in 2014 when insurance through the exchange will cover pre-existing conditions

Friday, June 7, 2013

Beyond Rebates, How Much Are Consumers Saving from Obamacare Medical Loss Ratio Provision?


















Beyond Rebates, How Much Are Consumers Saving from Obamacare Medical Loss Ratio Provision?

Most of the conversation around the Affordable Care Act’s Medical Loss Ratio (MLR) provision has centered on the requirement that insurers issue consumer rebates when they fall short of spending a certain portion of premium dollars on health care and quality improvement expenses.  This makes sense as rebates are one of the more tangible ways consumers have benefited from the law so far, and it likely contributes to the MLR provision being among the more popular aspects of the health reform law.

However, as we’ve written before, rebates represent only a portion, albeit the most concrete portion, of the MLR rule’s savings to consumers.  The primary role of an MLR threshold is to encourage insurers to spend a certain percentage of premium dollars on health care and quality improvement expenses (80 percent in the individual and small group market and 85 percent in the large group market).  The MLR rebate requirement operates as a backstop if insurers do not set premiums at a level where they would be paying out the minimally acceptable share of premiums back as benefits.  Only if those thresholds are not met are insurers required to provide rebates to consumers or businesses. (You can read more about the MLR rule here).

Consumers and businesses, therefore, can realize savings in two ways as a result of the MLR requirement: by paying lower premiums than they would have been charged otherwise (as a result of lower administrative costs and profits), or by receiving rebates after the fact. So while insurers paid out considerable amounts for rebates – last year’s rebates totaled $1.1 billion – this is not the whole story for consumers.

Of course, it is hard to know with certainty what premiums would have been if the MLR rules were not in place: we cannot know for sure how insurers would have priced their products or what rates regulators would have allowed (to the extent that they reviewed rates prior to the ACA). It is also difficult to separate out the direct effects of the MLR provision from other aspects of the health reform law, particularly rate review, which works to moderate unreasonable premium increases and thus increase loss ratios.  There are also data limitations. For example, prior to new reporting requirements put in place to enforce the MLR provision, there were not good data sources that break out premiums and claims on a consistent basis for major medical coverage by all types of carriers. In the initial years this data became available (2010 and 2011), there were some issues with the quality of the data, particularly regarding expenses for quality improvement and other new categories of administrative expenses that are reported on the exhibit.

Within these limitations, we constructed an analysis that looks at the basic proportion of premiums that health plans paid out as claims for medical care over the three years since the ACA was passed, both before and after the MLR requirement went into effect for coverage in 2011.  These proportions do not include adjustments for quality improvement expenses, taxes or other factors that are used when determining whether or not rebates need to be paid; they simply represent the total payments for medical care as a proportion of premiums.  This is the traditional way medical loss ratios have been calculated.  Generally, if the proportion is rising, that means insurers are paying out more of each dollar they receive on enrollee health care, which in most cases would mean that enrollees are getting better value for the premiums they pay. We then quantify what the change in the traditional MLR means to enrollees by estimating how much they would have paid in premium if the observed MLR for 2010 (before the MLR requirement went into effect) were held constant for 2011 and 2012.1 This approach addresses the following question: If insurers had targeted the same claims to premium ratio for 2011 and 2012 as they achieved in 2010, would premiums have been higher or lower, and by how much?  In other words, it addresses how much consumers may have saved in lower premiums as a result of the MLR threshold in addition to receiving rebates.

Our analysis uses insurer data filed to state regulators and compiled by Mark Farrah Associates. These data (filed on the Supplemental Health Care Exhibit) suggest that the main beneficiaries of the MLR rule’s upfront premium savings are people who purchase insurance on their own.  The majority of plans sold to small and large businesses were already in compliance with their respective MLR thresholds before the law went into effect, and our analysis shows that traditional MLRs (claims divided by premiums) for group plans have stayed relatively flat over the past three years.  In the individual market, by contrast, fewer than half of plans were in compliance with the ACA’s MLR thresholds in 2010, and the average traditional MLRs in this market have been steadily increasing since the requirement went into effect. This means that individual market insurers are devoting a greater portion of premium dollars to health care claims and less to administrative costs and profits compared to before the ACA’s MLR rule went into effect.

This pattern is consistent with the idea that some insurers needed to improve their MLRs to comply with the new rebate requirements.  We know that the individual market MLR requirements in the ACA are higher than those that were in effect in many states, and there have been numerous reports that insurers worked to reduce their commissions and other administrative expenses to become more efficient.

So how might these changes have affected premiums?  As noted above, one way to address this question is to compute what these consumers would have paid in premiums in 2011 and 2012 had traditional individual market MLRs stayed at 2010 levels (the year before the provision went into effect). Looked at this way, premiums would have been $856 million higher in 2011, and premiums would have been $1.9 billion higher in 2012.

Adding to the premium savings the amount individual market consumers received in rebates yields a total savings of $1.2 billion for 2011. This year, individual market insurers are expecting to issue $241 million in rebates (based on our analysis of early estimates from insurers filed with state insurance departments), bringing the total estimated savings for 2012 to $2.1 billion.

There are some potential limitations to this approach. While the pattern of increasing MLRs over the three years makes sense given the incentives under the ACA and reports of insurer behavior, we do not have comparable data from earlier years to tell us whether or not the 2010 MLR was typical for the pre-ACA period (though the available evidence suggests that it was).2 Also, MLRs in 2011 and 2012 might be overstated because insurers simply underestimated how much health care expenses would rise following the recession, though increasing MLRs still means that consumers have been getting better value for their premium dollars. Finally, rebate amounts for 2012 are based on preliminary estimates filed on the Supplemental Health Care Exhibit to state insurance departments, and actual rebate amounts will be based on insurer filings with the Department of Health and Human Services, which were due June 1.

If insurers’ preliminary estimates hold true, this year’s rebates (at a total of $571 million across all markets) are expected to be about half the amount of last year’s $1.1 billion in insurer rebates. Smaller rebates, however, are not an indication that consumers are now saving less money as a result of the MLR provision, but rather that insurers are coming closer to meeting the ACA’s MLR requirements and that this provision is having its intended effect of consumers getting more value for the money they spend on premiums. In fact, in the individual market, the $241 million consumers are expected to receive in rebates for 2012 represents roughly one tenth of our estimate of the overall savings from the provision in that year. Perhaps ironically, when the MLR provision is working as intended and insurers set premiums to meet the thresholds, consumers save money but are less likely to get a check in the mail as tangible demonstration of those savings.

A bit wonky, insurance lingo combined with statistics, but it clearly shows that ordinary working Americans are already saving money and getting better insurance for their dollar because of the ACA (Affordable care Act) or Obamacare. Perhaps 11% of self insured will probably see their premiums go up a little. Though those people will also be entitled to rebates and tax credits to offset the expense. Of course conservative lie about "rate shock". Conservatives cannot have an honest debate because they lack the common decency required to have such a debate.

Wednesday, April 24, 2013

Obamacare, Do Real Patriots Have Two Faces - Republicans To Back Bill Expanding Obamacare Program















Obamacare, Do Real Patriots Have Two Faces - Republicans To Back Bill Expanding Obamacare Program

House Republicans plan to vote on a bill on Wednesday that would shift money from the portion of Obamacare that invests in prevention and use it to expand a temporary initiative that has helped individuals and families with pre-existing medical conditions obtain coverage.

The Helping Sick Americans Now Act would move $4 billion from the Affordable Care Act’s $10 billion Prevention and Public Health Fund into the Pre-Existing Condition Insurance Plan (PCIP), a program of high-risk pools that has provided coverage to uninsured Americans who didn’t have an offer of insurance from an employer and couldn’t find a plan in the individual market. The PCIP was designed as a bridge to the exchanges, which will become operational in 2014, but the $5 billion program stopped accepting new enrollees in February.

“Like in so many other areas, the President’s health care legislation failed to adequately protect sick patients with pre-existing conditions, like those battling cancer,” Rory Cooper, a spokesman for House Majority Leader Eric Cantor (R-VA), told Talking Points Memo. “House Republicans are determined to do so by taking funding from a slush fund and moving it where it is critically needed.”

But while insuring high-cost individuals in separate pools has long been a staple of Republican health policy, the Prevention Fund also supports GOP-backed priorities. The Fund has invested in community and clinical prevention, research, public health infrastructure, immunizations and screenings, tobacco prevention and public health workforce and training — measures that Republicans touted as critical to lowering health care costs:

    – Former Sen. Jon Kyl (R-AZ) argued that “one of the things we did in the health care legislation was to provide a lot of different incentives for preventive care.” [7/12/2010]

    – Sen. Chuck Grassley (R-IA) said the law’s emphasis on preventive care is good “because it costs less to keep people well than to treat them when they’re sick.” [10/18/2010]

    – Sen. Mitch McConnell (R-KY): “Congress should be able to work together on our practical ideas that the American people support, such as reforming our medical liability laws to discourage junk lawsuits…encouraging wellness and prevention programs that have proved to be effective in cutting costs and improving care.” [8/26/2010]

    – Sen. Saxby Chambliss (R-GA): “I am an original cosponsor of S. 1099, the “Patients’ Choice Act,” …. The legislation would make health care coverage accessible and affordable for all Americans through private insurance coverage, while also promoting prevention and wellness which can improve lives and lower long-term medical costs. [7/19/2009]

Now, the party is seeking to undermine one priority to fund the other, even after repeatedly voting to repeal Obamacare and eliminate the PCIP and the Prevention Fund.

Conservatives are just spiteful venal children who never grow up. Republicans do not stand for American values. This is an excellent example of what they do stand for, glaringly wanton behavior. Not good government. In their fantasies all conservatives really want to live in Somalia rather than big-government Sweden. I'd suggest taking up a collection to buy them all a boat ticket, but they have stolen so much from American workers they can pay their own way.