Some have suggested piecemeal repeal of the most obnoxious features of the Affordable Care Act (ACA). The risk of this approach is comparable to that in cancer surgery: you might not get it all. In 906 pages of arcane statutory language, a lot can be hidden.

I suggest instead that we wipe the slate clean with a total repeal, and then consider reenacting any features that most agree are good. This would be the most efficient method because the list of items is shorter. Much shorter.

The most popular part is probably the elimination of "pre-existings." You can't eliminate the uninsurable condition of course, only the insurance company's ability to deny coverage to people who have it. How would such an isolated law work?

In a free market, coverage for people with pre-existings might well be available, without any law?if insurers could simply charge a premium reflecting their risk, or limit the potential pay-out. The premium, naturally, could be very high. That would be a strong incentive to buy insurance when young and healthy, and resist temptations to spend the premium money on iPods and new cars instead. But for many it is already too late.

The U.S. already has the equivalent of fire insurance for those whose house is burning down. It is called Medicaid. Roll into the emergency room desperately ill, and the hospital will treat you, and probably enroll you in Medicaid?likely after you have spent through any assets and lost your SUV and your home.

To prevent such personal tragedies, how about a law that simply said: "Insurance companies must take all comers, without price discrimination for pre-existing conditions." This is called "guaranteed issue" and "community rating" (GI/CR).

GI/CR would work well, if insurance were a magical money multiplier (MMM): put $100 in the slot machine, pull the lever, and watch $6 million in medical services pour out. The problem is that if a lot of healthy people who don't expect to need medical services decline to feed in their premiums, knowing they can always do so as soon as they get sick, premiums will have to escalate rapidly. This is called adverse selection (only sick people sign up), or the death spiral. It has happened every time GI/CR has been tried.

This popular part of ACA is impossible without the hated and unconstitutional individual and employer mandates.

What about doing away with limits on lifetime coverage? Limiting out-of-pocket expenditures? Doing away with copayments? All of these have the same problem: lack of an MMM, such as a money tree or the Philosopher's Stone that turns base metal into gold. The more we require insurance to pay out, the more money has to be poured in, with the inevitable loss to administrative overhead.

How about "giving doctors incentives to be more efficient"? In a free market, that is called the profit motive. In the ACA, the "incentives" are sticks painted to look like carrots, involving vast new reporting systems, with payments funneled through managed-care mechanisms. The choice is freedom?or ACA bureaucracies. Which of the some 159 new bureaucracies do we want to keep?

What about "affordability" provisions? Since prices are going up, in ACA "affordable" means forcing someone else to pay. It's a matter of redistributing money from those who earn more than 400% of the federal poverty level (around $88,000) to those who earn less. Americans are divided into winners and losers, guaranteeing constant fights over one's share of a shrinking pie.

One part everyone might favor is the one about allowing people to keep their insurance plan and their doctor if they like them.

Oh, that's not in the bill. That was just a Presidential promise. The ACA has rules for "grandfathering" some plans?a good term since they are not expected to have a long life expectancy. ACA also appears to be designed to drive independent doctors out of practice, and it virtually outlaws new doctor-owned hospitals.

If we continue to scour through the ACA looking for isolated good points that will make things better or less costly, rather than worse and more expensive, I predict that our thought experiment will lead to what in mathematics is called the "null set."

So far I have found no such provisions, zero. Nought, nada, nichts, zilch.

http://www.aapsonline.org/
Braley Statement on Staff Sergeant Salvatore Giunta Receiving Medal of Honor

Washington, DC - Congressman Bruce Braley (D-Iowa) released the following statement today after Hiawatha native Staff Sergeant Salvatore Giunta received the Medal of Honor at a White House ceremony. Giunta is the first living soldier to receive the military's most prestigious combat medal for service in Iraq or Afghanistan.  Braley attended the ceremony.

"Staff Sergeant Salvatore Giunta represents the absolute best our military has to offer and all Iowans should be proud of his service," Braley said. "At a time when any other person might have taken cover, Staff Sgt. Giunta put himself directly in the line of fire to rescue a fellow soldier. While Staff Sgt. Giunta has described himself as 'average' and 'mediocre,' his courage, leadership and selfless action paint a more accurate picture of the man we honor today. On behalf of all First District Iowans, I want to congratulate Staff Sgt. Giunta on this tremendous honor and thank him for his extraordinary service."

According to the White House, Giunta is recognized for the following action:

Then-Specialist Salvatore A. Giunta distinguished himself by acts of gallantry at the risk of his life above and beyond the call of duty while serving as a rifle team leader with Company B, 2d Battalion (Airborne), 503d Infantry Regiment during combat operations against an armed enemy in the Korengal Valley, Afghanistan on October 25, 2007.

When an insurgent force ambush split Specialist Giunta's squad into two groups, he exposed himself to enemy fire to pull a comrade back to cover. Later, while engaging the enemy and attempting to link up with the rest of his squad, Specialist Giunta noticed two insurgents carrying away a fellow soldier. He immediately engaged the enemy, killing one and wounding the other, and provided medical aid to his wounded comrade while the rest of his squad caught up and provided security.  His courage and leadership while under extreme enemy fire were integral to his platoon's ability to defeat an enemy ambush and recover a fellow American paratrooper from enemy hands.

WASHINGTON - November 16, 2010 - Senator Chuck Grassley paid tribute to Staff Sergeant Salvatore A. Giunta, a native of Hiawatha, at his ceremony to receive the Medal of Honor.  The Medal of Honor is the nation's highest medal for valor in combat that can be awarded to members of the armed forces.  Giunta received the Medal of Honor for valorous actions performed on October 25, 2007, during combat operations in Afghanistan.   Giunta, a graduate of Kennedy High School in Cedar Rapids, is the first living recipient of the Medal of Honor since the Vietnam War.

"It was humbling to watch as Staff Sgt. Giunta received the Medal of Honor.  While he would probably be the last to say so, Staff Sgt. Giunta's selfless and honorable actions are truly deserving of the highest honor given to an American service member. May God bless him and all those protecting our nation."

Click here to watch the video of the Medal of Honor ceremony.

Click here to watch a video blog Senator Grassley taped after the Medal of Honor ceremony.

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SPRINGFIELD -- The mayors of Illinois' nine riverfront communities with gaming casinos are asking state lawmakers in Springfield to reject proposed slot machines at Illinois' horse tracks. The mayors agree that these riverfront communities are already struggling and can't afford to lose more jobs in such a poor economic climate.

The mayors of Aurora, Elgin, Joliet, Peoria, Alton, East St. Louis, Des Plaines, Rock Island and Metropolis said their towns have formed a new coalition called Cities Against Slots at the Tracks (CAST). Representatives from the coalition will participate in a drive-down to Springfield on November 16 - the first day of the General Assembly fall veto session -- to protest the legislation. The Mayor of Peoria, which receives a share of local revenue from the nearby Par-a-Dice Casino, has signed on and the organization expects other groups to support the coalition as well.

One of the slots at the racetracks proposals would allow 6,300 slot machines at Illinois' six racetracks, and would create five additional casino licenses --- one license each for Chicago, Lake County, Danville, Ford Heights and Rockford. The millionaire owner of Arlington Racetrack wants slot machines for the track when Arlington Heights has a 7 percent unemployment rate, one of the lowest in the state. The nine riverboat cities have unemployment rates ranging from 8.9 percent to 17.2 percent as of September 2010.

"The intent of the original Illinois Riverboat Gambling Act of 1990 was to create jobs in older Illinois River communities with a need for economic development projects," said Aurora Mayor Thomas Weisner, whose city has the Hollywood Casino. "We should continue to focus on the original intent of the act, which is providing jobs and economic development for river cities, not for millionaire track owners and well to do communities," said Weisner.

"Elgin's riverboat, the Grand Victoria, will suffer terribly with slots at nearby horse tracks," said Mayor Ed Schock.  "This legislation further divides the state's pool of gambling revenues and shortchanges the same river communities that the original riverboat gambling law was meant to support," Schock said.

Joliet Mayor Art Schultz has two riverboat casinos in his city. "We are working with riverboat owners to examine the potential impact of slots at the tracks. We believe that this legislation will be extremely harmful to Joliet, Will County and surrounding communities by decreasing our riverboat revenues," Mayor Schultz said.

According to a report from the General Assembly's Commission on Government Forecasting and Accountability, the riverboat gambling industry is already suffering in Illinois from many factors.

• In Fiscal Year (FY) 2010, the State's share of horse racing, lottery, and riverboat revenue reached $1.019 billion, a 4.5% decline from FY 2009 levels. This is the lowest combined total for these revenue sources since FY 2001. The $48 million falloff in overall gaming receipts was almost entirely due to a decline in riverboat transfers to the Education Assistance Fund as lottery transfers and horse racing revenues held flat in FY 2010.

• In FY 2010, lottery transfers comprised 61.7% of total gaming revenues, whereas riverboat transfers comprised 37.6%, and horse racing comprised of 0.7%. Overall gaming per-capita spending declined 3.0% in FY 2010 to $188. This was the third consecutive year of a decline in overall per-capita spending after three consecutive years of increases. 

• Statewide adjusted gross receipts (AGR) for Illinois riverboats in FY 2010 were down 5.0% from FY 2009 levels while admissions were up slightly at 0.6%. This is the third consecutive year of declines in total AGR. State revenues from riverboat gambling totaled $398.4 million, which was a 10.3% decline from FY 2009 levels and was the lowest amount generated since FY 2000. 

• Several factors have contributed to the dramatic downturn in riverboat figures over the last three fiscal years. These factors include the struggling economy, increased competition from other states, and the effects of the graduated tax structure. However, the numbers continue to suggest that the biggest contributor to the drop in Illinois casino revenues is the indoor smoking ban. Since the indoor smoking ban began in January 2008, adjusted gross receipts for Illinois riverboats have fallen a combined 28.0% from pre-smoking ban levels.

• From a regional standpoint, when comparing CY 2007 (pre-smoking ban) vs. CY 2009, AGR for the Chicago area riverboats have dropped 32.8% since the indoor smoking ban began, while the receipts for Indiana's four closest riverboats in the Chicago area have only fallen 0.4%. Similarly, Illinois' AGR figures are down 26.3% for Illinois' two St. Louis area riverboats between CY 2007 and CY 2009, while the AGR of Missouri's St. Louis region riverboats are up 19.5% (although part of this increase is due to a new riverboat in St. Louis). 

• Using FY 2010 adjusted gross receipts as a guideline, Illinois made up 36.3% of total receipts in the Quad City region (compared to Iowa's 63.7%), 20.6% of total receipts in the St. Louis region (compared to Missouri's 79.4%), and 46.7% of total receipts in the Chicago region (compared to Indiana's 53.3%).

• Riverboats created $84.6 million in local revenue for governments in FY2010, down from $116.1 million in FY 2007. 

East St. Louis Mayor Alvin Parks said his city is already suffering from a massive new casino in St. Louis, Missouri, a city with no smoking ban. "It's hard enough to compete with Missouri's new sparkling Lumiere Casino but East St. Louis shouldn't also have to compete with slot machines at nearby Fairmount Park," Parks said.

Des Plaines Mayor Marty Moylan, whose new casino is scheduled to open in November 2011, said the legislation will hurt Des Plaines and coalition of mayors will work tirelessly to defeat slots at the tracks legislation. 

The casino gaming industry provides nearly 7,543 jobs, and every year injects more than $1 billion into the state's economy. In 2008, we spent nearly $145.5 million with local vendors and suppliers and stimulate tourism, attracting numerous of out-of-state visitors a year to our communities.

"If we are talking about saving jobs in Illinois, let's protect the employment of more than 7,500 people already working at our riverboat casinos in the state," Moylan said.

 

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Davenport, Iowa - Mississippi Valley Regional Blood Center will begin welcoming blood donors to its new Donor Center in Moline with a ribbon-cutting ceremony scheduled for 12:30 p.m. on Monday, November 15. The new Donor Center is located at 3600 16th Street in Moline (at the southeast corner of 16th St. and 36th Ave.). Blood donors will join MVRBC staff and officials from the Quad Cities Chamber of Commerce in officially opening the site.

Previously, the Blood Center operated Donor Centers that were located about four miles apart along Hwy. 5 (John Deere Road / Blackhawk Road) Moline and Rock Island. The new site is located about halfway between those locations, which are now closed. "Our new site has more space, more donor beds and more appointment slots," said Kirby Winn, Director of Public Relations. "It all adds up to more opportunities for blood donors to help patients at local hospitals."

Donors may schedule appointments by contacting MVRBC at (563) 359-5401 or online at www.bloodcenter.org. Hours of operation at the new location are:

Mondays & Thursdays: 10:30 a.m.-7 p.m.

Tuesdays & Wednesdays: 7 a.m.-7 p.m.

Fridays & Saturdays: 7-11:30 a.m.

The community is invited to attend an Open House at the new location from 8:30 - 11 a.m. on Saturday, December 4. Coffee, hot chocolate and bagels will be provided during the Open House, which will give current and prospective blood donors an opportunity to tour the location and learn about blood donation and the Blood Center's role in the community.

MVRBC is the provider of blood and blood components used for transfusion at all Quad City Area Hospitals. Working together with volunteer donors, MVRBC provides more than 25,000 units of blood and components each year to Genesis Medical Center hospitals in Davenport, DeWitt and Silvis; Hammond-Henry Hospital in Geneseo; Mercy Medical Center in Clinton; Select Specialty Hospital in Davenport and Trinity Regional Health System hospitals in Bettendorf, Moline, Muscatine and Rock Island. From its headquarters in Davenport, MVRBC serves a total of 75 hospitals in Illinois, Iowa, Missouri and Wisconsin. For additional information, see www.bloodcenter.org.

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(MAQUOKETA, IA) Iowa artist Brent Houzenga brings his street art stylings to Maquoketa this month. His mixed media works are influenced by modern art, comic books, graffiti, and punk rock poster art.

Houzenga's work offers an eclectic mix of painting styles incorporating drips and graffiti with stencils on found objects including reclaimed windows, rustic frames, and antique photographs. The artist has exhibited throughout Iowa and across the U.S. including the Alcove Gallery in Atlanta, Georgia, The Hive
Gallery in Los Angeles, and Art Whino Austin at Seventy-Seven Gallery in Austin, Texas. The exhibit will also feature a screening of Hybrid Pioneer, a documentary film about Brent Houzenga and his work by Des Moines film maker Kristian Day.

Maquoketa Art Experience will host an opening reception for Brent Houzenga and Kristian Day on Friday, November 19 from 6-8 p.m. at 124 S. Main Street in Maquoketa.

The exhibit will run through January 5th.

Maquoketa Art Experience is dedicated to bringing accomplished artists to Maquoketa for short- and long-term residencies, workshops, and exhibitions. For more information contact Paula Neuhaus at maquoketaartexperience@hotmail.com or by calling 563.652.9925.

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The beauty and bounty of Iowa's own natural resources are too often underestimated.  Driving through 14 counties in Iowa this week, the harvested landscape greeted passersby as far as the eye could see.  Windshield farming is a favorite pastime I've long enjoyed.  As a lifelong Iowan, I very much appreciate our "beautiful land between two rivers."  During this season of Thanksgiving, I appreciate even more its bountiful gifts that keep on giving.

Consider how Iowa's agricultural abundance has made important contributions to global food security, humanitarian relief, economic growth, job creation and national security.  Harnessing Iowa's natural resources -- from traditional row crops to biomass and wind -- bears untold potential to help achieve America's goal to increase the supply and demand for clean, renewable, homegrown energy in the 21st century.

Without a doubt, agriculture helps anchor the state's economy, supporting tens of thousands of jobs, from transportation, to farm machinery, manufacturing, seed, financial services and the emerging renewable energy industries, including 39 ethanol refineries and dozens of wind farms.

The modern "windmills" dotting Iowa's landscape are helping the state lead the country in the percentage of wind-powered electricity consumption, 17-20 percent in 2010.  Iowa's booming wind energy industry shows how good public policy can achieve a public good.  In the U.S. Senate, I wrote the original federal tax incentives to encourage private sector investment and growth of this emerging industry.  Today, Iowa wind farms boost local property tax receipts; provide new income for landowners; support hundreds of manufacturing jobs, from Newton, to Cedar Rapids and Fort Madison; and generate a growing source of clean energy.

Before "green jobs" and "green energy" became politically popular, Iowa farmers for generations have honored a culture of conservation and conscientious stewardship.  Maintaining and improving water and soil quality is fundamental to a farmer's livelihood, land values and long-term prosperity.  From reduced tillage, to installing terraces and cover crops, farmers look for ways to protect valuable natural resources.  The federal government also encourages producers to maintain and expand their conservation practices through the Conservation Stewardship Program (CSP).  The 2008 farm bill authorized funds that in the last year dedicated more than $20 million to Iowa farmers, covering nearly 800,000 acres.  To be considered for the next round of funding, farmers must apply before January 7, 2011.  Check in with the local USDA Natural Resources Conservation field office or its website: www.nrcs.usda.gov to learn more about eligibility requirements.

Iowa's agricultural abundance once again set a high bar this harvest season.  According to the USDA, Iowa's corn crop is estimated to reach over 2.1 billion bushels, averaging 167 bushels per acre compared to the national average of 154 bushels.  Corn yields slid behind last year's average due to unseasonably wet conditions in July.  The USDA estimates the soybean harvest in Iowa will average 52 bushels per acre.  With Mother Nature's cooperation and commitment to sound stewardship, Iowa farmers stand ready to feed a growing world population and displace a growing percentage of fossil fuels with clean-burning renewable energy.

Wrapping up my 30th annual road trip across Iowa, I've met face-to-face with constituents in each of Iowa's 99 counties at least once every year since 1980.  I appreciate the opportunity to listen and discuss the issues that matter the most to Iowans.  The factory floor, classrooms, hospitals, coffee shops and Main Street businesses provide an unrivaled exchange of ideas to help me better represent Iowans in Washington.

As Iowans gather around their Thanksgiving table to recount their blessings with friends and family, Barbara and I join in giving thanks to farmers whose hard work puts food on our tables 365 days a year and to Iowa's agricultural bounty that keeps on giving year after year.  I also give thanks for the trust that Iowans have placed in me to serve our state in the United States Senate.  It's an honor and a privilege that I work to uphold every day of the year.

by Senator Chuck Grassley, R-IA, Friday, November 12, 2010

DAVENPORT, IA, November 15, 2010

The River Music Experience (RME) is proud to present nationally known folksinger, Danika Holmes, in concert on November 20, 2010 at 8:30 PM. The concert will be held at The Redstone Room located at 129 Main Street, Davenport, Iowa. Tickets are $7.00 and can be purchased at http://rivermusicexperience.eventquick.com/emmpublic/ or at the door.

Singer, songwriter and musician, Danika Holmes, is a specialty in the folk music world. Music critics agree that Danika is charming and energetic with a welcoming tone in her voice, which is as gentle as a breeze.

Currently, Danika's music is being broadcast on independent radio stations, blogs, and podcasts around the world. She performs regularly with her band, has opened for The Nadas, and her show was aired on Iowa Public Television and Radio. "Second Chances," Danika's debut album, was released in March of 2010. Shortly thereafter, a fan favorite, "Lock Me In Tonight," was made into Danika's first music video and was released in June 2010.

"Danika Holmes is a rising star in the heartland!" says Bill Sullivan of The Rock and Roll Report.

"She's a true American talent... I couldn't stop listening!" - Mike Wolfe of The History Channel's "American Pickers."

This will be Danika's second show at the Redstone Room, and is sure to be a sold out crowd.  Danika's passion for music, the influence of her parents, and life experiences have shaped her into the writer and artist she has become.

Danika Holmes is available for a phone or in-person interview.  Please contact Danika directly via her email @ danikaholmes@yahoo.com

For more information, please visit Danika's website at http://www.danikaholmes.com, or for MP3's, contact information, bio, etc., visit Danika's online press kit at http://www.sonicbids.com/epk/epk.aspx?epk_id=260156.

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Local Construction Firm Receives Outstanding Philanthropy Award

Davenport, IA - On November 10, 2010, Russell Construction was honored as the 2010 Association of Fundraising Professionals (AFP) - Quad Cities Chapter, Outstanding Philanthropic Award Winner at the I-Wireless Center in Moline, IL.

As a company dedicated to giving back to the local community, Russell Construction was honored to be the latest recipient of this prestigious award, which is based on merit and was last awarded in 2006 to KWQC-TV6. Since its inception in 1983, Russell Construction's commitment to philanthropy in the Quad Cities community has been vast in scope and size. "Lasting Community Impact" is among the company's core values and is shown through the company's employees and leadership.
 
Over the last 15 years, Russell Construction had donated more than $832,000 to local non-profit and community service agencies across the Quad Cities. This coupled with over $197,000 donated to local charities, through a corporate annual charity golf outing, brings Russell's total financial contributions to more than $1 million over a 15 year period.

A monetary donation to local charity organizations is one way Russell gives back to the Quad Cities community. The entire company actively volunteers and fundraisers for area organizations such as the United Way of the Quad Cities, Junior Achievement, Big Brothers Big Sisters and the Mississippi Valley Regional Blood Center. In 2009, employees donated approximately 4008.5 of personal and 1311.5 of work hours to local non-profit agencies.

"I originally founded this company with the inspiration of building a value-driven company dedicated to the customers and communities it served. We have retained this commitment for the last 27 years and we will remain committed to it for the next 27," stated Jim Russell President and CEO of Russell Construction.

The Association of Fundraising Professionals represents 26,000 members in 172 chapters in the United States, Canada, Mexico, and China working to advance philanthropy through advocacy, research, education, and certification programs. For more information on the Quad Cities Chapter of AFP, please
visit their website at www.afpquadcities.com.

Established in 1983, Russell Construction is a regional provider of Construction Management, Design Build and General Contracting services. For more information on Russell Construction, please visit their corporate website at www.russellco.com.

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Quad Cities Photography Club PROUDLY PRESENTS

2 Seminars Featuring

Mark Rasmussen's "Capturing the Magic Light"
Saturday, January 15, 2011
&
Stan Bousson's "Eagle Photography with Live Photo Shoot"
Sunday, January 16, 2011

SteepleGate Inn
Davenport, Iowa

For more details and reservations, www.QCPhotoclub.com

 

?Seating is limited to the first 100 participants so sign up early!?

WASHINGTON -- Sen. Chuck Grassley and Sen. Herb Kohl are asking the federal government to move forward in implementing new physician payment sunshine provisions.  The senators said some drug and medical device makers are preparing to meet the new requirements but in the absence of clear guidance from the federal government, are preparing payment data in non-uniform ways, causing the material to be difficult for the public to use.

Kohl is chairman of the Senate Special Committee on Aging and Grassley is ranking member of the Senate Committee on Finance.  They sponsored the Physician Payment Sunshine Act, which became law as part of the health care overhaul enacted this year.  The new provisions require drug and medical device manufacturers to disclose to the Department of Health and Human Services anything of value given to physicians, such as payments, gifts, honoraria or travel above certain minimum thresholds.  The goal is to inform consumers in case they want to consider the role such payments or gifts play in the provision of medical care.  The senators said the information will be collected in 2012 but some companies are preparing now, and greater guidance from the agency would help the utility of the information for the public.

The text of the senators' letter is available here.

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