North Dakota and the ACA

Not that a lot of North Dakotans read my blog, but this stuff is bound to be googled a lot in the near future (signups for the insurance exchange and medicaid expansion start on October 1st), and I found it very hard to find anything, so once I finally stumbled on useful information, I figured it would be good to put it all into one place.

First of all, the basics: open enrollment starts October 1st, coverage kicks in January 1st, and open enrollment ends on March 31st. Everyone who lives in ND and is either a U.S. citizen or a resident alien is eligible for the exchange.

There’s the main site for health care stuff, https://www.healthcare.gov/. Clicking on the “See your options” button will get you the standard insurance-questionnaire and lead you to possible options of what you may or may not be eligible for, and also a short FAQ with some other issues relating to changes as a consequence of the ACA (Also known as Obamacare).

If you’re looking at Medicaid, ignore the part where it says you should go to ND’s medicaid website for more info. They’ve not updated anything to reflect the coming changes yet. This will probably be the most useful bit of advice:

Starting October 1, 2013, fill out an application for the Health Insurance Marketplace. When you finish this application, we’ll tell you which programs you and your family qualify for. If it looks like anyone is eligible for Medicaid, we’ll let the Medicaid agency know so your coverage can start in 2014.
[…]
North Dakota will expand its Medicaid program in 2014 to cover households with incomes up to 133% of the federal poverty level. That works out to about $15,800 a year for 1 person or $32,500 for a family of 4.

If you’re looking at reduced premiums for coverage from the exchange, there’s a calculator that can give estimates, but nothing will be “official” until October 1st and the calculator is for national averages not for ND specifically, so the quotes may be somewhat inaccurate. The calculator is at http://kff.org/interactive/subsidy-calculator/

The actual application forms etc. won’t be available until October 1st. As far as I can tell, it’ll be possible to apply online at https://www.healthcare.gov/marketplace/individual/#state=north-dakota; via mail (downloadable forms will be available Oct. 1st); and in person with the help of certain “navigators” (see below).

There will also be information sessions throughout October on the ACA: http://www.itstartswithbluend.com/sessions.php and there’s a toll free info line at 1-800-318-2596. Aside from that, four locations are meant to serve as “navigators”, meaning they are supposed to supply people with information to help with submitting applications, clarifying issues regarding the different plans etc., and also help people with applying and otherwise navigating through the application process. The information I found lists the following as the “navigators” for ND, but the sites of these places don’t say anything on the topic, so it may not be accurate:

Family HealthCare Center, Fargo – http://www.famhealthcare.org/index.html

Coal County Community Health Center, Beulah – http://www.coalcountryhealth.com/

Northland Community Health Center, Turtle Lake – http://www.northlandchc.org/

Valley health Community Center, Northwood – http://mabu-vchc.taopowered.net/

Feministe is apparently never going to learn this lesson

In February, there was that atrocious “in my feminist utopia, there wouldn’t be any sex work” piece which I took apart here. I noticed today that there was a new pingback to that post. It turned out to be this piece that talked about feministe’s problem with anti-sex-work narratives, which includes discussion of another shittastic piece posted at feministe 10 days ago, which in its original version indulged in fantasies of violence* against those who propose decriminalization**, even though given the choice between decriminalization and illegality, decriminalization leads to more reduction of harm towards sex workers***.

Unlike with the last piece, I won’t bother taking it apart line by line, if only because there’s really not that much content to be picked about. I do want to point out some of the most problematic bits, though. For one, what the article amounts to is a description of the strong reaction of a young privileged woman for the first time seeing deprivation and misery. As the article at Literate Perversions points out, the feministe article is not actually about the poor, drug-addicted women she describes:

Not a single word of her post is actually about the people in the city; it is entirely about how seeing them makes her feel. The people themselves are exotic others, with as much substance as if they had been green-screened into the background.

The othering is in fact entirely literal, when Pahman writes that what she sees “is ‘the other’ America, third world living conditions, the neighborhoods blighted.” There’s plenty of non-literal othering as well, for example in the fact that the piece manages not to include a word about their conditions or their own positions on the legality of prostitution from the people the article is supposedly about. Instead, we get indirect relation of what “every sexual abuse counselor, advocate and outreach team” she’s met told her when she asked them about legalization of prostitution, namely that none of them advocate for legalization**** of “this dire circumstance [she] was witness to” (which, as described below, was not just prostitution, or in any way wholly caused by prostitution). It’s entirely about her experience of going to the inner city for the first time ever and feeling shocked and overwhelmed at the deprivation and misery she saw from her van, and then unloading her feelz on an easy target.
And doing so indirectly, to boot, by pretending that it’s white privileged feminists who’ve never been within hearing distance of grinding poverty who are pro-decriminalization, while those people who live “in reality” as she claims of herself are those who are against it; when actually most prohibitionist rhetoric comes from the well established middle-class white feminists, while the voices for decriminalization are generally from those who are part of the communities in which sex work occurs in one way or another (example: http://www.twitlonger.com/show/n_1rmct2k ). Because screaming at sex workers themselves that they should stop advocating for themselves would be kinda awkward; much better to pretend one is screaming at clueless suburbanites instead.

The second major problem is the extreme simplification of the problems of American inner cities. She describes scenes that are caused by the complex interaction of American sociolopolitical structures, such as a history of sexism; a history of racial discrimination, for example in housing (redlining, white flight, etc.); decades of economic policies that increase inequality and erode the social safety net; the War on Drugs; and, yes, the policies regarding prostitution. But her reaction to this complex image focuses solely on how angry what she saw makes her at people who promote decriminalization of prostitution. At no point during that entire triade did any of the other contributing causes get even a token mention; at no point did it apparently occur to the author that prostitution isn’t going to be any more illegal than it already is, and yet there it is, apparently causing all the misery she desribes, all by itself, such as in this unreflective bit:

As I take brown bags of food into boarded up and blighted out crack houses where 20 women live, pregnant, addicted, and sought after by the police. When raids are done it is the women who are arrested and jailed, not the Johns.

Well, guess what wouldn’t happen to prostitutes if prostitution were legal; and not a word about the harm caused by the War on Drugs, either, no matter how self-evident its contribution to the quoted scenario#.

Then, of course, there’s the strawmanning. Most advocacy for decriminalization is as part of harm reduction, which pretty blatantly states that there’s harm that needs reducing. It’s about letting sex-workers speak for themselves and their needs at AIDS/HIV-related conferences, about providing resources such as Ugly Mugs, about forming labor movements of sex workers so that they can take power and thus defend and strike back against their oppressors. Yet Pahman claims that people who call prostitution sex-work and are against prostitution being illegal are pretending there’s no harm being done to sex workers, and that discussions of the agency of sex workers are actually claims about sex workers voluntarily or freely choosing## to be prostitutes.

And lastly, there’s the problem of feministe having published that; and published it with the line on wanting to do violence against people who support decriminalization (who are often sex workers themselves) intact, to boot. This is not “centering sex worker voices”; despite that being the title of her response to the last fuckup (not a retraction, mind you), Jill Filipovic of feministe has clearly no desire to actually do that. Much better to publish a ranty prohibitionist bit that erases sex worker voices and even fantasizes about violence against them.

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*the removed bit went like this:

Some may say “well that is why we must legalize it” and I want to spit in their face. I want to grasp my fingers around their neck and choke the ignorance from them.. I guess violence begets violence because my eyes go red when feminists lecture about “sex work.”

**the author called it legalization, because the author doesn’t know what she’s talking about. I don’t actually know anyone on the pro-sex-worker side who calls for legalization; it’s always about decriminalization.

***some links to various articles/studies about effects of different laws on the harms related to sex work:
-> discussions of two reports on the effects of the “Swedish Model” in Norway; includes links to the report, but they’re in Norwegian: https://feministire.wordpress.com/2012/07/01/the-oslo-report-on-violence-against-sex-workers/ , https://feministire.wordpress.com/2013/05/13/the-latest-on-norways-sex-purchase-ban/
-> the actual report discussed in the first of the above articles, in English: http://humboldt1982.files.wordpress.com/2012/12/dangerous-liaisons.pdf
-> a NZ report on the effects of their decriminalization law: http://www.justice.govt.nz/policy/commercial-property-and-regulatory/prostitution/prostitution-law-review-committee/publications/plrc-report/documents/report.pdf
-> the new WHO guidelines for STI prevention and treatment among sex workers: http://www.who.int/hiv/pub/guidelines/sex_worker/en/index.html
-> South African position paper citing the reasons for supporting decriminalization: http://www.nswp.org/sites/nswp.org/files/Policy%20Brief%20Position%20Paper%20on%20Sex.pdf
-> a paper describing how possession of condoms is used as evidence for prostitution in places where any part of sex work is criminalized, with predictable consequences for health (it’s not just a NYC thing) http://www.nswp.org/sites/nswp.org/files/criminalizing-condoms-20120717%5B1%5D.pdf

****well, neither do sex-work advocates. But since we don’t get direct quotes from those people she’s asked about this, we can’t know whether they want it to stay illegal, or whether they’re pro-decriminalization. It’s a bit like those polls that said people were unhappy with Obamacare being used to support Republican opposition to it, when many people were unhappy with it cuz it didn’t go far enough.

#OTOH, who knows; maybe her opinion on drug policy is just as ass-backwards as her opinion on sex-work policy, and she would love to get violent against people who think the War on Drugs should end.

##This is pretty much why I’m opposed to the compatibilist conflation of free will and agency. Failing to clearly delineate the difference between those concepts leads to this kind of bullshit, or at least allow it to continue unchallenged.

North Dakota’s War on Uteri, continued

Just got back from the Fargo rally organized by Stand Up For Women North Dakota against the ridiculously restrictive anti-abortion laws winding its way through the legislature. It was fucking cold, and I ended up standing for most of it on a 3 meter tall pile of snow and ice. Also, I was pleasantly surprised by actually getting to listen to a Republican who was a)actually one of the organizers of this rally; b)commented favorably on the importance of freedom from religion; and c)actually said that she’d expect people to hold her accountable in her office on a school board should she ever try to get religion into the curriculum. I didn’t know such Republicans even existed in this country anywhere.

Anyway, the rally (and its sister rallies in Bismarck and Grand Forks) was specifically a call for the governor of ND to veto proposed laws which have made it through both house and senate, and which should land on his desk sometime today. Three of them I’ve mentioned in my previous post on this, while the fourth one is one that had previously escaped my attention. The bills are: SB2305, a TRAP law designed to close down the last clinic in ND; HB1305, meant to prohibit “abortions for sex selection or genetic abnormalities”; HB1456, a “heartbeat” bill; and SB2368, which is the one I’d previously missed and which actually proposes to cross out the “within present constitutional limits” part and replace it with a “state’s compelling interest in the unborn human life from the time the unborn child is capable of feeling pain” line (among other shit*; basically, this is an attempt at a 20-week-abortion ban), and which also includes this last minute attempt to block the federal sex-ed grant that NDSU received and that was finally unblocked as (currently) perfectly within ND law (emphasis mine):

Except as required by federal law, no funds of this state or any agency, county, municipality, school district, or any other subdivision thereof, or institution under the control of the state board of higher education, and no federal funds passing through the state treasury or a state agency may be used:
1. As family planning funds by any person or public or private agency which performs, refers, or encourages abortion; or
2. To contract with, or provide financial or other support to individuals, organizations, or entities performing, inducing, referring for, or counseling in favor of, abortions.

As of this moment, the bills have neither been signed nor vetoed by the governor; and this morning, when asked, all he had to say on the topic was basically “blah blah flood is more important blah blah won’t comment until they’re on my desk” (audio found here. And even if he vetoes it, the same shit that just went down in Arkansas can also happen here: the veto can still be overridden. I don’t know that there’s much hope that it won’t come to that, one way or another. (UPDATE: ND Governor Dalrymple is a douche canoe)

And even if by some miraculous event the laws get vetoed AND the veto won’t get overridden, there’s still SCR4009, which also has been passed and which means ND will have a referendum on a personhood amendment in 2014.

Worst state for uterus-bearers, indeed.

UPDATE: here’s a picture, and here’s the InForum article about the rally

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*for example: they define abortions for ectopic pregnancies and to remove dead fetuses out of existence; it excludes even major psychological damage from the “substantial and irreversible physical impairment of a major bodily function” which would allow for an exception to the law, and specifically excludes being diagnosed as suicidal from being a medical emergency;

North Dakota’s War on Uteri*

First, here’s the series Rachel Maddow did on the abortion clinics in states with only one such clinic:

Threats and traps push Mississippi to the brink of 40-year rights rollback
Last bastions of an unprotected right under attack
Women bear burden of extremist effort to undermine Roe v. Wade
GOP war on women continues to rage in the states
UPDATE: here’s another clip for that series, this time with Melissa Harris-Perry: Anti-abortion crusade misses target, hurts vulnerable women

Second, this is what’s going on in North Dakota in terms of proposed legislation:
North Dakota Lawmakers Have Plenty of Anti-Abortion Bills to Choose From, plenty meaning all these different bills: SCR4009, a fetal personhood bill which would require a 2014 vote to amend the constitustion and which was just approved by the ND Senate; SB2302, which would have banned chemical abortions and all abortions except those to save a woman’s life, which luckily seems to have failed in the senate 18 to 29; SB2303 another personhood bill, which passed the senate 25 to 22 and is now in another Committee Hearing; and SB2305, a TRAP law designed to close down the last clinic in ND, which has also passed the senate 30 to 17. Oh, and then there’s the newly proposedHB1305, which would prohibit “abortions for sex selection or genetic abnormalities” (which really just amounts to “please jump through more hoops”)
UPDATE: another one: HB1456, a “heartbeat” bill, passed by the house 63 to 28

And in addition to the anti-abortion bills, we have an anti-poor-people bill, HB1385, proposing a Fee to Get Welfare, by making welfare applicants pay for the mandatory drug test themselves (Because we all know people applying for welfare have lot’s of spare cash, amiright?); the deeply uninformative SB2175 titled “The liabilities of husband and wife” which seems to want to make separated-but-still-married folks responsible for each other’s debts; which sounds kinda dangerous.

And then there’s NDSU president Bresciani, caving in to assholes in the legislature and freezing funding two professors at NDSU have received to promote proper sex ed in this state: Sex Ed Program Provokes Fight Over Planned Parenthood in North Dakota

In conclusion, this state fucking sucks.

P.S.: completely unrelated to the topic at hand, ND is apparently also one of those states throwing a fit over federal gun laws: HB1183, a bill “relating to forbidding state governmental entities from providing aid and assistance to the federal government or any other governmental entity for the investigation, enforcement, and prosecution of federal firearms laws not in force as of January”.

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*title changed, because I just realized I was doing what I criticize other people for. So: anti-abortion legislation concerns many women, but not all, since some don’t have uteri and can’t get pregnant; and on the other hand, it also concerns some non-women because they have uteri, i.e. trans men and some genderqueer folks.

The WSJ has opinions on non-rich folks again

Donald J. Boudreaux and Mark J. Perry at the Wall Street Journal would like you to know that the shrinking middle class is a mean and “spectacularly wrong” progressive trope; or rather, a “progressive” trope. Scare quotes are apparently necessary (link). Wanna have a look at their arguments?

First, the CPI overestimates inflation by underestimating the value of improvements in product quality and variety.

The what now? Variety I can understand, because increased variations on the same crap are how this consumer economy works. But how is making Planned Obsolescence into a basic production model, and how is lowering quality of products so they can be sold at a profit at Walmart an “improvement in quality”?

Would you prefer 1980 medical care at 1980 prices, or 2013 care at 2013 prices? Most of us wouldn’t hesitate to choose the latter.

1980’s care I can pay for, vs. 2013 care I can’t? Yeah, let me think about that one.

Asides from that, it’s complete BS that the increase in costs has anything to do with the increase in quality, since the US does not in fact have the best healthcare in the world, yet has the most expensive healthcare in the world. Quite the contrary, the US is below average in many aspects of healthcare as compared to other OECD countries, while at the same time spending 2.5 times the OECD average on healthcare costs. And many of the procedures cost more than in other countries, as well:
table comparing costs of 7 common medical procedures in several European countries, Canada, Australia, and U.S. Prices in the U.S. are consistently highest

And lastly, it’s not actually relevant that current care is more technologically advanced. A middle-class by definition should be able to afford a middle-level of care, regardless of its level of advancement.

Second, this wage figure ignores the rise over the past few decades in the portion of worker pay taken as (nontaxable) fringe benefits. This is no small matter—health benefits, pensions, paid leave and the rest now amount to an average of almost 31% of total compensation for all civilian workers according to the BLS.

You mean the ridiculously more expensive healthcare makes up a larger chunk of a paycheck? Shocking. Also, pensions are rarely pensions anymore, they’re 401k, which just became nearly worthless during the world economic crisis, regardless of how much money people put into them.

Third and most important, the average hourly wage is held down by the great increase of women and immigrants into the workforce over the past three decades. Precisely because the U.S. economy was flexible and strong, it created millions of jobs for the influx of many often lesser-skilled workers who sought employment during these years.

You can tell this is ass-backwards bullshit by the part where women are unskilled workers (the impressive sexism of that aside for a moment). The reality is once again the opposite: jobs entered into by women have become de-skilled as they entered them.
Aside from that… when a job that used to be a highly trained union job, but is now classified as a low-skilled non-union job, that means fewer middle-class jobs. When these jobs disappear entirely, and are replaced by non-unionized, unskilled service industry jobs, that’s once again fewer middle-class jobs. It’s not the magical appearance of uneducated wimmins and furriners that is causing this shift of the US workforce. It’s the lack of affordable education, de-skilling, and de-unionizing of jobs that did that; and those jobs were then filled by people entering the workforce, including women and immigrants.
And on the note of “unskilled labor”… you know what an easy solution to that problem is? Providing training and education for said labor; another thing that’s increasingly hard to come by, because education is becoming more expensive, because apprenticeships for union-jobs are becoming scarce, and because ever higher levels of education are required for ever lower-skilled work.

Since almost all lesser-skilled workers entering the workforce in any given year are paid wages lower than the average, the measured statistic, “average hourly wage,” remained stagnant over the years—even while the real wages of actual flesh-and-blood workers employed in any given year rose over time as they gained more experience and skills.

apparently only people who’ve been in the middle-class in the 1980’s count. O.o
Dudes, having a larger proportion of people in poverty jobs by definition shrinks the Middle Class.

No single measure of well-being is more informative or important than life expectancy. Happily, an American born today can expect to live approximately 79 years—a full five years longer than in 1980 and more than a decade longer than in 1950.

which is also still below OECD average, by a whole year. It also rose slower than in other OECD countries, and slower than in the 40’s, 50’s, and 60’s. But once again, this doesn’t actually tell us shit about the Middle Class, since this is an U.S.-wide average. What might tell us something about the situation of the Middle Class is the fact that the life expectancy gap between the poor and the rich is growing; and unless we assume that the rich have gained enormously and/or poor people are dying much younger at much higher rates, the most likely explanation is a shifting of people out of the middle-ground. You know, a shrinking middle class.

According to the Bureau of Economic Analysis, spending by households on many of modern life’s “basics”—food at home, automobiles, clothing and footwear, household furnishings and equipment, and housing and utilities—fell from 53% of disposable income in 1950 to 44% in 1970 to 32% today.

I notice that housing, education, and healthcare are not listed.

while income inequality might be rising when measured in dollars, it is falling when reckoned in what’s most important—our ability to consume.

consumption is what’s most important?! *barf*

Despite assertions by progressives who complain about stagnant wages, inequality and the (always) disappearing middle class, middle-class Americans have more buying power than ever before.

Considering the ridiculous degrees of indebtedness of Americans, this is a horribly callous thing to say. And kind of wrong, since increased debt accounts for the increased consumerism; it’s not an indicator of Middle-Class-ness.

They […] have much greater access to the services and consumer products bought by billionaires.

like 1st class education, 1st class healthcare, protection from volatile energy prices and increased natural disasters? Oh, that’s not what you meant, is it. You meant gadgets. Oh well then: since both Bill Gates and a college student can afford an iPad, that must mean the Middle Class isn’t shrinking. WTF?

Incidentally, I looked at income distribution in the U.S. in 1980 and 2010. in 1980, median income was $44000; in 2010, it was $49000. The percentage of people living in neighborhoods between 80% and 125% of that median shrunk in that time from about 55% of the population to just over 40% of the population.

Looks to me like the middle segment of income earners in the U.S. shrunk. Huh.

Think Progress gets something wrong

couple weeks ago, The article Idaho Lawmaker Compares Abortion To Prostitution* appeared on Think Progress. It’s in the style of their many other “Republicans say outrageously horrible things” articles, but I think they screwed it up this time.

Mind you, saying that “Prostitution is a choice “more so than an abortion would be […] Because (in an abortion) there’s two beating hearts. And then there’s one” is pure, unadulterated bullshit. Both are choices about one’s bodily autonomy, and consequently neither is more of a choice than another. Aside from that, these two issues have little to do with each other though, as one is a medical procedure, and another is a form of making money. So the Republican in question, State Rep. Ron Mendive from Idaho, was definitely being a fuckweasel and talking out of his ass. And being anti-choice, which one wouldn’t know from reading the Think Progress articl, because the article never mentions that rather salient point. And then, the article also buys into incredibly toxic narratives about sex work, to boot. The writer of the article, Annie-Rose Strasser, introduces Mendive’s comments as follows (emphasis mine):

Presenting abortion and prostitution as cavaler [sic] choices women make and ignoring the real danger of sex slavery, State Rep. Ron Mendive (R) elicited “audible gasps” on Wednesday during a meeting with representatives from the group, which later condemned his comparison

As far as I can tell, dude was talking about prostitution, not sex slavery. Those are two entirely different things, and conflating them like that is toxic bullshit. Besides, how does it help victims of actual sex slavery for prostitution to be illegal? How does it help to criminalize that which the enslaved folks are being forced to do against their will? doesn’t that merely criminalize the victims? Also, I don’t know about “cavalier choices”. I can’t find a good source for what the dude actually said, but he seems to have talked in general about a “double standard” where abortion is seen as a choice, but prostitution isn’t. That’s not saying they’re “cavalier choices”, it’s just saying they’re choices. And I’m afraid that he’s kind of right about this: there is a double standard. And since the Think Progress article doesn’t provide the context of this comment, it’s hard to tell whether what he said was outrageously shitty or not. If he argued for legalization of prostitution on the basis of bodily autonomy, then he’d be right. If he was trying to argue that both should be illegal, he’d be a toxic assface. But that isolated quote, by itself, is simply true.
And then there’s a quote by one of the ACLU folks about this comparison:

He was correlating a criminal action with something that is constitutionally protected. Those are two completely separate issues,

ok, they’re two completely different issues, but not because one is legal and one isn’t. Comparing legal and illegal things is how you figure out whether something should remain illegal or not (see for example alcohol vs weed comparisons). Now again, the article doesn’t provide the context of this speech**,focusing more on the outrage than on actually reporting details that would show why that comparison is supposed to be so outrageous. It simply assumes that the comparison is outrageous per se, not because it is being used in an outrageous argument that both should be illegal to undo the double standard. If he had instead argued that prostitution should be legal because it’s also about the freedom of choice about one’s body, he’d have a point***.

So my complaint about this article is twofold: for one, bringing sex slavery into this is irresponsible. It’s very similar to arguing against weed by arguing that it may lead to driving under the influence. For two, writing an article as if it should be obvious that a comparison like that would be a Todd Akin moment regardless of context is false and irresponsible. There are contexts in which arguing that there exists such a double standard is indeed perfectly valid. So the context should have been included, the context being that he’s an anti-choicer who was trying to argue that giving women choices leads to horrible things; like abortion, or prostitution.
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*the url ends with /idaho-sex-slavery/ which… um… no. O.o
**the RHealitycheck article it links to does though. Despite being much shorter, it actually bothers to show WHY his argument was outrageous, by including the context. THAT is how the article should have been written.
***granted, that would be an amazingly weird thing to argue for a Republican, but we’re supposed to be upset at what he said; and for that, you need to show why it’s supposed to be upsetting, ffs.