I am curious how Gawker is allowed to report on politics? Or thinks it can? Those aren't talking points, they are facts. This type of health care has NEVER worked efficiently ANYWHERE in the world. The government screws up everything is touches. Social Security, Medicare, Medicaid. I thought the idea in this country was to have less government and more freedom. We are turning into a socialistic democracy. It's going to be a long 3.5 years...Bush wasn't this stupid.
@marjon00: From your profile, "marjon00 has no friends."
You are either an idiot or a liar or a partisan blinded by ideology. You are also pissing up a rope by commenting on this story in this forum. What the fuck is wrong with you that you would do that?
You didn't read the whole pdf, you probably never will. You're not wrong and you're not entirely right. The one thing you are is the problem. Nothing good will ever be done on any side, no progress will ever be achieved without heartbreaking sacrifice and compromise because people like you exist.
Stop paralyzing humanity with your endless, petty, partisan bullshit.
Some may question their motivation, but I think the fact that the country's largest private employer, Walmart has endorsed health care reform with an employer mandate says a lot and no matter what Mr Boehner might pull from his pocket, Walmart probably has a lot more sway in middle America.
Those who favor reform should counter Mr Boehner's talking points with everything Walmart is willing to offer. IMHO.
@Magister: I think perhaps one of the best things Obama could do is corral a bunch of CEOs of major corporations--the salt-of-the-earthier (i.e. Walmart) the better--and hold a big press conference in which each stands up one after the other and endorses a national healthcare system. I find it hard to imagine that most huge corporations (other than those in the healthcare industry) would not warmly embrace such a thing.
@City_Dater: The elderly are all on Medicare already. Polls show that something like 70% of the population are in favor of healthcare reform that includes a robust public option. So I don't think it's the elderly holding back progress. It's pretty obviously a matter of the insurance lobby having key members of congress in its pocket, such that reform never makes it out of committee, where it can then actually be debated and voted on.
@princess_peach: The problem is that "government takeover of healthcare" is a GOP myth. No such thing is even being considered by the democrats right now. What most of us are looking for is a true public option that will compete with private health insurance, so those private insurers will have some incentive to lower their prices and/or reorganize and streamline their wasteful administrative systems. Of every dollar dumped into private insurance, 25 cents is used for administrative costs. Those costs would be about 2 cents on the dollar for public health insurance. But public health insurance will just be this big, bloated, inefficient behemoth. Blah, blah, blah, all I see is your mouth flapping.
@skt.smth: Have you seen some of the things that are in the current bill that the house is working on? The amount of waste and nonsense regulation in it is just unbeleivable. Not to mention limits on doctor's pay (doctors will all be paid the same regardless of their specialty), governmental power to tell you when it is time to end your life, and also the end of private insurance. Yes, the current bill ends private insurance. It says that neither consumers cannot purchase new private policies or make changes to existing policies unless done through a "government exchange".
Also, I am not sure how you have determined that the overhead for the US government would be 2 cents on the dollar. I don't think that there are any government agencies working anywhere near that level of efficiency. If their were, our government would not cost so much.
Do some research on what is actually in this bill. Until you do that, blah blah blah, all I see is your mouth flapping.
@allyzay: Europe has terrible healthcare. Public healthcare is great until you get sick. All the Europeans I know are shelling out mega-bucks to pay for private care because the public care is so bad.
@princess_peach: Longer: The health care reform that took place here in Massachusetts was far, FAR from perfect. One thing it did manage to do, however, is dramatically increase the number of people covered. The plan in Washington is incredibly similar to Massachusetts'.
Shorter: You have no idea what you're talking about.
@allyzay: Right on. It's about time the naysayers took up the burden of proof. If the public sector can't do health insurance better than the private sector, let them prove it. Let's set up some a real competition and see who comes out ahead. Gotta love how the conservatives champion competition in every instance, except when it comes to healthcare. With healthcare, it would just be unfair to make the private sector compete with anybody else.
@skt.smth: The private sector competes with itself. That is what a market economy is. When the private sector competes with the public sector, it always will lose because the public sector makes the rules. Then you have no competition and no choice.
@princess_peach: I still have yet to hear anyone explain to me why a government-run program is ipso facto wasteful and inefficient. Do people have any idea just how much money corporate America pisses away on an annual basis? And they're supposedly the "efficient" ones. Having worked in both the public and private sector (and as a consultant to both) I can assure you we did more with less in the Federal government.
@princess_peach: That's strange! I'm in a position to speak to Canadians and Brits on a pretty regular basis, and they've all told me that their countries' healthcare systems are pretty much 100% uncontroversial. Even conservatives in Canada and the UK look at their healthcare systems as jewels of government service.
@skt.smth: Exactly. the Republican/Conservative plan is monopoly protection, not competition or a free market. Most of the obstructionists represent states or districts where one dominant company controls the market.
@princess_peach: Considering the state of the economy, and the complete abdication of fiduciary responsibility to shareholders, I believe the same could be said of any publicly traded company.
@Heneage: I totally agree. I just don't think that the government can fix this - instead they just distort incentives even more. Even the best intentioned social engineering has unintended consequences.
@princess_peach: Wait, but the argument conservatives always make is that the private sector always does it better than the public sector (whatever "it" happens to be at the time of the conversation). What "better" usually means in these circumstances is "more efficiently." The public sector is routinely denigrated for being bloated and mismanaged and inefficient. But what you're saying is that the private sector can never do it better than the public sector. How can these two arguments coexist?
I will readily agree that the private sector handles many things more efficiently than the government would, i.e. car manufacturing. But the bottom line is that the healthcare industry spends 25% of its revenue on administrative costs, because all the assholes at the top have to make $20 million a year plus bonuses or whatever. No government employee is ever going to be paid anywhere near that much money, not even the director of the department in charge of a public healthcare system.
Something like 60% of private insurance plans are already non-profit, by the way, and that hasn't killed business for the industry, because in the end, those non-profit insurance plans cost just as much and spend just as much of the proceeds inefficiently.
I don't see any problem with there being a public option if the public option does it better, i.e. not spending 25 cents of every dollar you put in on admin costs, when 2 cents will do just fine.
@princess_peach: Since when have I even attempted to defend this bill? I think Obama and the democrats are half-assing it, and that the type of reform they're promoting isn't going to give the private insurers any incentive to get their ships in shape. Last I heard, they had some kind of "tiered care" model coming down the line, which would probably be something like a shit-ass coverage that basically everybody can qualify for, and higher levels of coverage that basically nobody qualifies for unless they're dirt poor and living in a gutter. So the idea would be that you get this crap coverage, and you have to supplement it with a (hopefully reduced in price) private plan. That's a total cop-out, in my opinion. So no, I'm not advocating the plans that seem to be in the pipeline. But I am advocating a public option, as a general idea.
@skt.smth: Sorry, I don't think I was clear. I was not saying that private sector can never do better than the public sector. Quite the contrary. What I meant is that the public sector makes the rules and also has an unlimited source of funds. It will regulate the private sector out of existence. While the private sector will have to either raise prices or take a loss for complaince, the public sector can just extract more taxes or sell some government bonds.
@princess_peach: Why is it that, when talking about shit that might happen to your health, conservatives always act like cancer should be the benchmark? Honestly, if I got cancer right now, I'd mark myself dead almost as a matter of course, because even if they treated me and I made it into remission, I'd owe the healthcare provider in a way that I could never repay anyway. I can't afford health insurance that's going to cover me through a cancer treatment, and neither can the roughly 50 million Americans without health insurance (probably a good many more than that do have insurance, but not the kind that would cover them if they came down with any kind of terminal illness).
@princess_peach: But you haven't explained how this results in decreased coverage. Probably because it, uh, obviously won't. Did they not teach obvious consequences in the Economics 101 class you took?
Look, every poll of the public's satisfaction of health care shows that the citizens of countries with some form of universal insurance are more satisfied with their care than the U.S.:
@princess_peach: Have you ever been to a doctor in America? People have to wait here, too. I mean, there's a whole fucking cultural stereotype in America dedicated to the waits people must endure before they're able to see doctors. Many a bad joke has been written about this. But I suppose they all must have been based on European waiting rooms, right?
@La Mareada: This is very much the truth. The GOP and the Blue Dogs are protecting the interests of insurance companies, in the specific areas where they basically hold regional monopolies. They fail to mention, of course, the fact that many employers don't offer real options to their employees, as far as insurance plans are concerned. Everybody at Corporation X uses Kaiser-Permanente, or else.
@princess_peach: Well, how about we consider for a moment the fact that the primary incentive for insurance companies is to turn down the claims made by their members. And then maybe we should ask ourselves, is this really the sector that can do healthcare best? Should this really be the underlying ethos of the entities that hold the key to our medical treatment?
If that is where the insurance industry is coming from, I honestly don't care if they can compete against the government. Such a company should not be able to compete at all, in my opinion.
@princess_peach: Also, yes, I know what the bill (which is only one of several) includes. Do you?
Government-run health insurance won't necessarily run private health insurance out of business. First of all, the public option is becoming incredibly watered down. One option would only trigger the public plan if private insurance hasn't reduced cost by a set amount. This isn't single-payer health care we're talking about. The idea isn't to put private insurance out of business; it's to provide incentives for private insurance to lower costs for consumers. And you can be damn sure that this is the exactly the type of public plan our Blue Dog overlords will allow.
Sixty percent of patients in New Zealand told researchers that they were able to get a same-day appointment with a doctor when sick, nearly double the 33% of Americans who got such speedy care. Only Canada scored lower, with 27% saying they could get same-day attention. Americans were also the most likely to have difficulty getting care on nights, weekends, or holidays without going to an emergency room.
@eatsshootsleaves: But in New Zealand you can't be seen instantly, without an appointment, if you come down with cancer, therefore the American flag is prettier than all the other flags.
@skt.smth: Exactly, I live in a large metro area with world class hospitals and when I had to see rheumatologists (twice) I had to wait a month each time. And this is with REALLY good and expensive private insurance.
@skt.smth: No... non-profit is not the same as public sector. Non-profits may not need to make profits, but they still have to generate revenue, which gives them the motivation to deliver their services in a cost effective manner that the public sector lacks. Non-profits still have to charge a price consumers will pay and deliver coverage that consumers want in order to pay their bills. The government does not have to do that.
I am not really sure what relevance this has to an argument about the effectiveness of public healthcare.
@eatsshootsleaves: I suppose technically you have increased coverage, in the sense that on a numerical basis, more people will be covered. The type of coverage given will deteriorate though. Healthcare is a scare resource. There is a limited supply. Just because the government says that everyone gets coverage does not mean that enough healthcare will exist to cover everyone.
@skt.smth: I have been to a doctor. When I am scheduling a routine check-up, yeah, I might wait a month. When I am sick though, I usually don't wait more than an hour.
My argument though, is that government healthcare will only mean that you have to wait longer. Much longer.
@eatsshootsleaves: you are forgetting, obviously, that the private sector will disappear if there is a public option! why do you think there are no cars in nyc, they have buses and a subway, you can't even get a cab in new york because private enterprise has been crushed. all of the cities with public transit are car-free for a reason, no competition ruins everything. and don't forget about ups, fed-ex, and private delivery services, which do not exist.
Also... please stop saying that Brits don't like the NHS, we might complain about it (we complain about EVERYTHING) but we are all watching the current madness in the USA in utter disbelief... Its not even a debate that we would ever have...
Option 1) The Government, does its job and looks after its people, when they are sick. (you know, like it also protects them from terrorists and other countrys and dodgy adverts n stuff)
Option 2) Private companys get to take advantage of the fact that you can't treat yourself for cancer (or whatevs) and so gets to screw you for as much money as it can... cause its that or death...
Plus bonus profits to them if they can avoid actually having to pay to treat your deadly taint-rot.
And don't say the free market solves all ills... because if that was true we wouldn't have companies being fined for price fixing!
@princess_peach: Jesus. What bunch of horse shit. Medicare -- which is a single payer system for the elderly (who overwhelmingly support Medicare) -- has about half of the administrative costs as private insurance, because while private insurance spends a great deal of time trying to deny coverage (because patients are "liabilities") Medicare does not. The fact are there: Medicare's administrative costs are single digit; private insurers spend double digits on administrative costs.
@princess_peach: The government is OUR government, OUR capitalist democracy for and by the people. Why are social conservatives alwasy sniffing the thrones of multinational corporate enterprise (like enormous financial institutions that don't give a shit about you, your children or your country) and shitting on democracy by creating this false image that the govenrment is our adversary? When I read that Purdue and Tyson FIGHT govenrment regualtions to label their chickens to say they were fed ARSENIC to fatten them up and kill of their parasites, all I can think of is thanks God we live in a country with a democratic government that works to check the evils of unfettered corproate enterprise. You think AIG should run our health care system and decide who gets coverage? That's nuts.
@princess_peach: Social engineering? I think that talking point left the station three years ago. It's getting kind of old. The status quo is that enormous insurance companies decide who gets covered and what doctors we can see. I know three people in my life who have DIED because they didn't have health coverage couldn't afford to see a doctor and by the time they were in the emergency room, their conditions were terminal. So spare me this horse shit about how in the American system it's oh so easy to get health care OK? Instead of complaining -- give us a solution. You seem to know so much about the world's health care systems. Instead of complaining about the current proposals, you need to offer your answers.
@princess_peach: Healthcare is not a scarce (I corrected you're Freudian slip above) resource. That's just silly. Investment increases its supply. If you're rich, healthcare is pretty much an unlimited resource. The question is do you believe healthcare is a necessary resource - that everyone deserves to be as healthy as their genetics and dumb-luck allow - and does it warrant the requisite investment. Somehow I think you and people like you feel that, even in the greatest country in the world, people should pull themselves up by their bootstraps and fend for themselves when it comes to their healthcare. If it means not seeing a doctor because you can't afford it or going bankrupt if your afflicted with a catastrophic illness, well then, tough luck for not being rich. Are there no prisons? Are there no workhouses?
@princess_peach: With respect to the economics of healthcare: (skt.smt alludes to this above) What I believe to be the fundamental problem with private healthcare is an inherent misalignment of private-sector incentives with respect to the interests of society. Members of society demand access to high-quality healthcare, regardless of their health or wealth, at something less than a punitive cost. The fear of sickness is enough; it does not need to be coupled with the fear of bankruptcy. The Medical Industrial Complex, on the other hand, is concerned with profit maximization. This includes pricing its products and services at the maximum price consumers are willing to pay, minimizing its internal costs, and mitigating risk. Like any other industry, all profits that are realized are passed on to its shareholders or to the advancement of its business strategies, not to its consumers (unless, of course, it happens to increase market share). It should be clear that such motivations are diametric to the interests of society. Therein, lies the problem: The market left to its own devices fails to provide its products and services in manner that fully satifies the interests of society - as a whole: rich, poor, and middle-class. The solution seems to demand some force external to the market. And, therein, lies the role of government. Its role, therefore, is either to align the disparate interests of society and industry, or to simply provide the product and services which the private sector has insufficient incentive to produce on its own.
@princess_peach: Think about it this way. Non-profits don't have to post profits. One would think that this would make them more affordable than private health insurers who do have to post profits. But there's no way that non-profit insurance plans can be this haven of affordability. After all, they constitute 60% of our already-abysmal private healthcare options. They are just as bad, in terms of cost and care given, as for-profit insurers. Which means they are not passing the benefits of a non-profit model on to consumers. More than likely, what they're doing is passing those benefits on to their executives. I'd be that if you looked at the boards of most "non-profit" insurers, you'd see fatcats at the top pulling in $15 million a year in salary and bonuses.
@princess_peach: So what you're saying is that, if private coverage were, by some kind of magic, affordable to everybody, and everybody bought into it, that would also be a bad thing. Because if everybody were on private health insurance, we would also have to "ration" care, as the GOP so stupidly puts it.
So the end-game for people like you is that private insurers need to be able to rule the roost and price 50 million people out of benefits, so that the rest of us can see a doctor without having our healthcare "rationed."
That doesn't seem like a very sound solution to the problem. It just sounds like a bunch of conservatives giving up.
@princess_peach: Why should you have to wait at all, though? Your private health insurance should give you the instant access your heart desires, shouldn't it? Why are you paying such a high premium? Why not go with public health insurance if you're going to have to wait with the private stuff as well.
This idea that you'd end up "waiting longer" for basic care (i.e. generally feeling sick or unwell) is pure hearsay. What is your opinion based on? Studies have already shown that Americans have longer wait times for care than several countries with public healthcare systems.
@theruttmeister: Exactly. The same argument could easily be applied to anything. Why not let the private sector take over homeland security? Wouldn't they "do it better"? Why is a tax-supported military such a sacrosanct thing to us? We should just let private companies handle that complicated stuff.
@atlasfugged: Not to mention the fact that it's actually good for the economy to be built on a healthy workforce, not one that is chronically sick and, as a result, less productive. So even if people want to look at the healthcare question in the most cynical, bottom-line terms of economic advantage, there are pretty obvious benefits to covering everybody.
@skt.smth: Also, wages stagnate in our current system because employers must divert resources to paying for health insurance. And not only does the status quo limit productivity, it reduces mobility in the labor market and entrepreneurism. Employees often feel compelled to stay at their job lest they lose their health insurance or have to pay for it out of pocket. Similarly, employees are less likely to risk venturing out on their own and starting a new business if they have to endure the exorbitant out-of-pocket costs of health insurance/healthcare. In the first case, labor markets becomes less dynamic. Without a robust healthcare and health insurance system the social and economic of downsizing are magnified. This too makes labor markets less dynamic. The second case clearly encumbers the entrepreneurial spirit that is so revered in this country. And, of course, there is the effect healthcare costs have on the federal deficit. We are fast approaching the point at which these inefficiencies become a serious drain on the economy. So, as much as I believe in meaningful healthcare reform as being a moral imperative, I believe it also to be an economic imperative.
@depardoo: I actually crossed paths with Boehner outside of the Capitol in May. Just a freak chance run in. I don't know him or anything. However, he definitely looked less orange than I had seen him on television. However, I think in this pic that he still looks pretty dark. It's a tough call. In the interest of full disclosure, Boehner did say hello, but was not overly friendly. He must not have recognized me from all of my commenting.
@depardoo: Is it crass of me to wish that Boehner would come down with skin cancer or something, so the worth of his public health insurance can finally be demonstrated for him?
I'm pretty sure Edward Tufte could revise this chart in about 20 minutes - make it look beautiful and easy to understand without changing any of the underlying data.
Maybe that will be my weekend project. Or maybe I'll go get drunk instead.
The GOP's highly intellectual tendency to just say the opposite of anything Obama says is much like the "am-not-are-too" arguments employed by short-bus-riding five-year-olds. Perhaps if Democrats use the old' "am-not-are-too-am-not-am-not-are too: trick. In the middle of a debate, simply switch sides in the argument and watch them mindlessly shift gears so fast they aren't even aware it happened.
@Lorem Ipsum: Not for long, sucker. Don't you know Obama's going to take it, sell it to some illegal muslims and put you on an ice floe when you get sick? John Boehner (not pronounced BON-er) told me so.
Aren't there a handful of places clamoring for the Guantanamo detainees? I know there's at least one because there's actually been sort of a campaign and I'm pretty sure that I've heard of another...
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You are either an idiot or a liar or a partisan blinded by ideology. You are also pissing up a rope by commenting on this story in this forum. What the fuck is wrong with you that you would do that?
You didn't read the whole pdf, you probably never will. You're not wrong and you're not entirely right. The one thing you are is the problem. Nothing good will ever be done on any side, no progress will ever be achieved without heartbreaking sacrifice and compromise because people like you exist.
Stop paralyzing humanity with your endless, petty, partisan bullshit.
I hate you.
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Those who favor reform should counter Mr Boehner's talking points with everything Walmart is willing to offer. IMHO.
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Also, I am not sure how you have determined that the overhead for the US government would be 2 cents on the dollar. I don't think that there are any government agencies working anywhere near that level of efficiency. If their were, our government would not cost so much.
Do some research on what is actually in this bill. Until you do that, blah blah blah, all I see is your mouth flapping.
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Shorter: You have no idea what you're talking about.
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Have any of you ever taken economics?
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I will readily agree that the private sector handles many things more efficiently than the government would, i.e. car manufacturing. But the bottom line is that the healthcare industry spends 25% of its revenue on administrative costs, because all the assholes at the top have to make $20 million a year plus bonuses or whatever. No government employee is ever going to be paid anywhere near that much money, not even the director of the department in charge of a public healthcare system.
Something like 60% of private insurance plans are already non-profit, by the way, and that hasn't killed business for the industry, because in the end, those non-profit insurance plans cost just as much and spend just as much of the proceeds inefficiently.
I don't see any problem with there being a public option if the public option does it better, i.e. not spending 25 cents of every dollar you put in on admin costs, when 2 cents will do just fine.
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Look, every poll of the public's satisfaction of health care shows that the citizens of countries with some form of universal insurance are more satisfied with their care than the U.S.:
http://www.webmd.com/healthy-aging/news/20041029/us-health-care-satisfaction-trails-others
Also? France has one of the highest cancer survival rates in the world.
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If that is where the insurance industry is coming from, I honestly don't care if they can compete against the government. Such a company should not be able to compete at all, in my opinion.
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Government-run health insurance won't necessarily run private health insurance out of business. First of all, the public option is becoming incredibly watered down. One option would only trigger the public plan if private insurance hasn't reduced cost by a set amount. This isn't single-payer health care we're talking about. The idea isn't to put private insurance out of business; it's to provide incentives for private insurance to lower costs for consumers. And you can be damn sure that this is the exactly the type of public plan our Blue Dog overlords will allow.
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Sixty percent of patients in New Zealand told researchers that they were able to get a same-day appointment with a doctor when sick, nearly double the 33% of Americans who got such speedy care. Only Canada scored lower, with 27% saying they could get same-day attention. Americans were also the most likely to have difficulty getting care on nights, weekends, or holidays without going to an emergency room.
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I am not really sure what relevance this has to an argument about the effectiveness of public healthcare.
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My argument though, is that government healthcare will only mean that you have to wait longer. Much longer.
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Also... please stop saying that Brits don't like the NHS, we might complain about it (we complain about EVERYTHING) but we are all watching the current madness in the USA in utter disbelief... Its not even a debate that we would ever have...
Option 1) The Government, does its job and looks after its people, when they are sick. (you know, like it also protects them from terrorists and other countrys and dodgy adverts n stuff)
Option 2) Private companys get to take advantage of the fact that you can't treat yourself for cancer (or whatevs) and so gets to screw you for as much money as it can... cause its that or death...
Plus bonus profits to them if they can avoid actually having to pay to treat your deadly taint-rot.
And don't say the free market solves all ills... because if that was true we wouldn't have companies being fined for price fixing!
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So the end-game for people like you is that private insurers need to be able to rule the roost and price 50 million people out of benefits, so that the rest of us can see a doctor without having our healthcare "rationed."
That doesn't seem like a very sound solution to the problem. It just sounds like a bunch of conservatives giving up.
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This idea that you'd end up "waiting longer" for basic care (i.e. generally feeling sick or unwell) is pure hearsay. What is your opinion based on? Studies have already shown that Americans have longer wait times for care than several countries with public healthcare systems.
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Next time you run into him, address him as "Mr. Boner". Given the GOP's penchant for peen, that should get his attention.
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Maybe that will be my weekend project. Or maybe I'll go get drunk instead.
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Maybe they're not in Republican districts?