Wednesday, August 3, 2011

Making Money Working



From TPM Muckraker, posted before our national celebration of Freedom:

A Luxembourg-based subsidiary of Koch Industries has admitted to making illegal campaign contributions to political candidates and committees.



INVISTA is a limited liability company involved in the textile manufacturing business that is organized in Luxembourg but headquartered in Kansas. They admitted in a filing with the Federal Election Commission that was disclosed this week that they made 12 contributions totally $26,800 to various political committees between Nov. 2005 and Oct. 2009.



INVESTA voluntarily disclosed the violations to the FEC in Aug. 2010 after an investigation by Koch Companies Public Sector (KCPA), which represents Koch Industries and their affiliates, and outside counsel. Their investigation revealed that the employees involved with making the donation decisions did not know INVESTA was a foreign entity and did not know that foreign corporations could not contribute to state elections like corporations could.
For me, the news (and puzzle) is not that they did it, but that they self-reported it. Note that the action is: (a) pre-Citizens United; (b) inadvertent (because the employees of the foreign company "did not know" they were working for a foreign company); and (c) some Koch internal watchdog entity fessed up.



The fine is "$4,700 for violating the law" under an "conciliation agreement" plus an agreement get the money returned. The effect is to appear to confirm the foreign donations ban, but I'm wondering why KCPA came forward.



But something's going on that's not being reported. Why did they fess up? Businesses don't usually fess up about anything. They always make the feds prove it, even for minor stuff like perfectly clean sawdust in milk.



Yet on this story, there's nothing but silence on that aspect. For instance, here's the same tale from HuffPost (my emphasis):

INVISTA's contributions were disclosed to the FEC after lawyers for Koch Industries discovered the illegal contributions and relayed the information to the FEC for review.
All very voluntary, and no digging for causes.



If I'm managing this strategically from atop the Olympian clouds at Koch Brothers Central, I'd work the response more cleverly into my geo-political grand schemata. After all, I want all election contribution restrictions overturned, don't I. So is this minor event a bit of hyper-clever mis-direction by the Koch Olympians, or a mistake by a corporate underling working in a sub-office of a subsidiary (in this case, the Koch internal watchdog group)?



Could be either, but I suspect that this was handled too quickly and at too low a level for Olympian eyeballs, by relatively honest people who were hired to do non-geo-political wrangling — i.e., keeping the numerous acquired toilet-paper and textile companies in that giant Kochish octopus on the right side of basic and mundane law.



Pushing the Citizens United envelope is not mundane, however. So if I'm right, you may not see that kind of compliant response again. But in any case, expect a challenge to the foreign corp limitation from somewhere. After all, the Chinese would love a piece of the purchase-a-politico game, assuming they don't already have their own set of retainers under contract. It's going to happen.



But for now, kudos to Koch lower-downs for (inadvertently?) doing the right thing. Hope you have a backup plan in case the bosses aren't pleased.



GP




Today, the CMS Office of the Actuary released its report on how much the United States spends on health care now and in the future. The report shows a 3.9 percent growth in health spending in 2010 – an historic low. Overall Medicare cost growth dropped from 7.9 to 4.5 percent between 2009 and 2010.  This slow-down occurred at the same time that many seniors with Medicare received cheaper prescription drugs. According to the report, private health spending has and will continue to be low in the next few years.  And the report estimates that private benefit spending growth per enrollee will be 3 percent this year, rather than 4.7 percent thanks in part to the Affordable Care Act’s policy that allows young adults to stay on their parent’s plan.



The report concludes that:



Average annual growth in national health spending is expected to be 0.1 percentage point higher (5.8 percent) under current law compared to projected average growth prior to the passage of the Affordable Care Act (5.7 percent) for 2010 through 2020. Simultaneously, by 2020, thirty million Americans are expected to gain health insurance coverage as a result of the Affordable Care Act.




The bottom line from the report is clear: more Americans will get coverage and save money and health expenditure growth will remain virtually the same.  But the report doesn’t tell the whole story.



The Affordable Care Act creates changes to the health care system that typically don’t show up on an accounting table. We know these new provisions will save money for the health care system, even if today’s report doesn’t credit these strategies with reducing costs. These provisions include:




  • The Administration’s Partnership for Patients: Better Care, Lower Costs, a new private-publicpartnership to achieve two goals: reduce preventable hospital-acquired conditions by 40 percent and reduce hospital readmissions by 20 percent between 2010 and 2013.  Over 2,000 hospitals as well as employers, physicians, nurses, and patient advocates have committed to these goals which, over the next ten years, could reduce costs to Medicare by about $50 billion and help put our nation on the path toward a more sustainable health care system.


  • Support for voluntary Accountable Care Organizations that make it easier for health care providers to work together to coordinate care for an individual patient across care settings – including doctor’s offices, hospitals, and long-term care facilities. The Affordable Care Act rewards ACOs that lower health care costs while providing high quality care, and could generate as much as $960 million in Medicare savings over three years.


  • Bundled payment programs that will reward doctors and hospitals for working together to provide higher quality care to patients rather than bill for each individual procedure or test.


  • Demonstrations launched by the new Innovation Center that will build and test models that will save money for both Medicare and the private sector, and then expand the use of the models that work.


  • Important investments in programs that save money over the long-term like prevention and wellness programs.



Americans know that these common-sense strategies will reduce health care costs. Preventing disease and illness before it happens can keep people out of the hospital or the doctor’s office in the first place. Making health care more efficient improves the quality of care and saves money. And investing in new innovations can help generate new ideas and new delivery system reforms that reduce costs. Further, these provisions of the law represent ideas that hospitals, doctors, and employers all over America have been putting into practice for years, where they’ve been able to increase the quality of health care and reduce costs. 



We are confident that these reforms – in addition to those in the law – will help make our health care system more efficient, provide better health care to millions of Americans, and bring down health care costs for all of us.



Nancy-Ann DeParle is White House Deputy Chief of Staff














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