UnFree Spin.

Manufacturers design games primarily for women over 55 with lots of time and disposable income, and casinos near retirement communities…operate small fleets of jitneys that shuttle back and forth to assisted-living centers. As a come-on, one casino advertises free oxygen-tank refills for its players, and heart defibrillators are increasingly becoming standard equipment inside casinos…As one old Las Vegas hand put it, the country’s casinos are now providing ‘day care for the elderly.’” The NY Times Magazine delves into the fantastic rise of slot machines as the casinos’ prime cash cow.

Viagra in every Pot.

From gratefully accepting a basic level of assistance back in the early decades of Social Security, America’s elderly have come to expect everything their durable little hearts desire.” Steve Chapman of Slate examines the growing problem of the “greedy grandparents”. As I said after passage of the GOP Medicare bill, it’s ridiculous that we’re even considering a prescription drug benefit for the nation’s wealthiest generation, when so many Americans don’t even have basic health insurance yet. And, as Chapman notes, with the retirement of the Boomers, things are going to get worse before they get better.

Botched Prescription?

In a boon for President Bush’s reelection chances, the GOP succeed in remaking Medicare. (At least the Dems can content themselves with defeating the energy bill.) To be honest, I haven’t been following this bill as closely as I should…I always get a bit annoyed when both parties prostrate themselves before the AARP, far and away the richest (and most likely to vote) portion of the electorate. In fact, the US spends 12 times more on its oldest, wealthiest citizens than it does on its children, even though kids are three times more likely to live below the poverty line. Hence, budget and deficit-busting prescription drug giveaways in the midst of child poverty…great investment.)

All that being said, Medicare is one of the foundations of the American social safety net, just as AFDC was until 1996, and as such this act is a biggie. Mickey Kaus of Slate seems to think the bill is actually good for Dems, while Urban Institute experts believe the back door to privatization is in fact only “window dressing.” But still, most Senators I trust came down against it (including John McCain, who railed against the giveaways to drug-makers in the bill.) And, while I still find it absurd that we’re giving prescription drug benefits to a select portion of the electorate before finding a way to insure every citizen, even paying lip service to the idea of privatizing Medicare does not seem a step in the right direction towards universal health care.

Finally, if this bill is so innocuous, why are the GOP so gung-ho for it? I hope it’s because they believe they wrested the Medicare issue away from the Democrats rather than due to any real movement towards privatization in the bill. Still, I fret. I mean, would you trust a prescription filled out by a cat-slaughterer?

Internecine Warfare.

As Dean scores another Internet coup and looks even more competitive in New Hampshire, the DLC tries to scare the left into submission with polls suggesting a mass defection of white males (veterans notwithstanding, I presume.) Perhaps it should be noted that Mark Penn is currently working for the Lieberman campaign. In related news, Jonathans Chait and Cohn debate Dean’s effect on the race in TNR. And, finally, John Edwards announces his health care plan in New Hampshire in Clintonesque fashion. (Veteran link via Follow Me Here.)

Think Different.

Dick Gephardt tries to separate from the Democratic herd by offering a bold health care proposal that also repeals the ridiculous Dubya tax cuts. It was interesting to read of Gephardt’s proposal right after finishing Jacob Hacker’s The Divided Welfare State, since his proposal buttresses Hacker’s main point. Rather than develop a new public health care infrastructure a la the 1994 Clinton plan, Gephardt’s plan basically follows the path of least resistance and subcontracts health care out to private insurance companies. This will no doubt make it easier to pass in our neo-con political climate than the ’94 Clinton bill. That being said, as Hacker notes, letting the private sector run our social welfare regime severely cuts back on the redistributive potential of health care reform. But, hey, private universal health care coverage is better than no universal health care coverage. And it’s a smart move by Gephardt to appeal to the base.

Ailing Body Politic.

As the GOP Senate flexes its newfound muscle and slashes a number of domestic programs, President Clinton emerges to assail Dubya’s health policies. Keep it up, Republicans, and watch Dubya’s numbers founder.