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Right-Wing Media Push Absurd Idea That The Uninsured Can Just Go To The E.R.
Right-wing media attempted to pacify the millions of Americans who would lose their health insurance coverage if the American Health Care Act (AHCA) becomes law with the absurd notion that people do not need insurance to receive access to health care via the emergency room. In reality, laws requiring hospitals to treat patients regardless of their ability to pay apply only to emergency care to stabilize a patient; they do not constitute a mandate to provide all of a patient’s routine health care needs.
Right-wing media have attempted to defend Republicans in the House of Representatives who voted for the AHCA -- a previous version of which was expected to strip health insurance coverage from up to 24 million Americans -- by pushing the misleading idea that those without medical coverage can just go to the emergency room. On the May 7 edition of Fox Broadcasting’s Fox News Sunday, former Republican Speaker of the House Newt Gingrich dismissed late-night comedian Jimmy Kimmel’s heartfelt plea that no child should go without health care on account of their family’s finances, denouncing what he called the “mythology of the left” and claiming hospitals will treat a sick person regardless of their ability to pay. On the May 8 edition of Fox News’ Happening Now, The Blaze’s Lawrence Jones pushed the same narrative that those without health insurance can access care at emergency rooms when he attempted to defend Rep. Raul Labrador’s (R-ID) comments at a town hall that “nobody dies because they don’t have access to health care.” This narrative even made it’s way onto the May 9 edition of MSNBC’s Morning Joe, where host Joe Scarborough claimed that “we already have universal health care coverage; the problem is that so much of it is driven by emergency room visits.”
Hospital emergency rooms have been required to provide care for the uninsured since the Emergency Medical Treatment and Labor Act (EMTALA) was enacted in 1986, but the provider is required only to “stabilize a patient within its capacity.” EMTALA does not mandate that a hospital provide full medical treatments to an uninsured patient, only that “patients receive appropriate emergency care.” Aaron Carroll, a professor of pediatrics at the Indiana University School of Medicine, explained in a blog post that EMTALA requires only treatment of an emergency situation, not provision of the regular life-saving treatment necessary for many illnesses, such as diabetes:
Over 25 million people in the United States have diabetes, requiring regular access to medication to stay alive. They can’t get insulin in an emergency room. They can’t get needed eye exams or kidney function tests in the emergency room. They can’t get a checkup in the emergency room. But once they go into hypoglycemic shock or once their feet become gangrenous, then they can get examined and treated. Does that sound like access to health care?
Emergency rooms are designed to treat emergencies, not provide care for all health conditions, and they are a costly alternative to seeking treatment at a doctor’s office for a minor illness or injury. Since the passage of Affordable Care Act (ACA), more low-income Americans have had access to health insurance and, with it, regular preventative services. In fact, states that accepted the ACA’s expansion of Medicaid found new enrollees took advantage of this new access and were 62.9 percent more likely to visit a general care physician. Low-income Americans are now less likely to face crushing medical debt thanks in part to not having to bear the uninsured cost of emergency room visits and catastrophic care, which was the case for millions of Americans before the ACA became law. Dismantling the ACA, as columnist Michael Hiltzik explained in the Los Angeles Times, would put millions at risk of losing access to care and possibly facing medical bankruptcy once again.
During the May 8 edition of ABC's Jimmy Kimmel Live, Kimmel responded directly to Gingrich’s absurd emergency room claims by explaining that emergency care is often just one part of a patient’s treatment. Kimmel noted that his son has had “a dozen doctors appointments” since his initial emergency, along with numerous ancillary costs associated with his treatments, which “Newt forgot to mention.” The back-and-forth between Gingrich and Kimmel became a story unto itself, and it was the subject of a panel segment on the May 9 edition of CNN’s New Day, in which co-host Chris Cuomo reiterated that an emergency room is not the appropriate place to treat all of a person’s health care needs:
Broadcast networks are decreasing their climate coverage at a time when the case for reporting on the issue is become more and more compelling. By ignoring this serious matter, media are failing to inform audiences about pressing impacts on human migration patterns, women, and the economy.
In 2016, media had no shortage of compelling reasons to cover climate change -- from the revelation that it was the third consecutive hottest year on record to the United States’ election of a climate denier to its highest office. Yet broadcast news outlets’ coverage of climate change dropped a whopping 66 percent from 2015 to 2016, making it the third consecutive year of declining coverage.
When media turn a blind eye to climate change, they ignore an issue that will have devastating impacts and multiply existing threats across the globe. According to The New York Times, unmitigated climate change could displace between 50 million and 200 million people by 2050. But the effects of climate change are already visible. Un the U.S. last year, the federal government allocated $48 million in grants to resettle residents of Isle de Jean Charles in Louisiana, which represents “the first allocation of federal tax dollars to move an entire community struggling with the impacts of climate change.”
Climate change poses a particular threat to women. A whole host of studies have concluded that women will bear the brunt of climate change-induced natural disasters and severe weather events. According to a United Nations analysis, “Women are more vulnerable to the effects of climate change than men—primarily as they constitute the majority of the world’s poor and are more dependent for their livelihood on natural resources that are threatened by climate change.” The analysis also stated, “When coupled with unequal access to resources and to decision-making processes, limited mobility places women in rural areas in a position where they are disproportionately affected by climate change.”
The prospect of a warming planet also presents a huge risk to the global economy. Researchers at Stanford University and the University of California, Berkeley found that climate change could "reshape the global economy by reducing average global incomes roughly 23% by 2100 and widening global income inequality." The National Climate Assessment reported that in the U.S., “more than 5,790 square miles and more than $1 trillion of property are at risk of inundation from sea level rise of two feet above current level by 2050.” Not surprisingly, Bloomberg recently reported that most of the world’s biggest investors now consider climate change when making investment decisions.
More and more Americans are waking up to the threat of climate change. Recent polls have found that a majority of Americans are concerned about global warming and believe action should be taken to address it. And yet there’s an inverse relationship between Americans’ growing concern about climate and the media’s coverage of it.
By dropping the ball on climate change, media are doing audiences a huge disservice. As Washington Post Deputy Weather Editor Angela Fritz wrote, “The media have a responsibility to report the facts. If scientists agree an extreme weather event was made worse by climate change, viewers need to know that, not just because it is true, but because people do think it’s a problem. I don’t know whom network news and Congress are serving by turning a blind eye to climate change, but according to these poll results, it’s not the voters.”
President Donald Trump’s first 100 days in office have been defined, in part, by his administration’s hostility to the press. As Media Matters has documented, Trump has attacked the press well over 100 times to date. As Trump vilifies the press, Fox News hosts, contributors, and guests help cheer him on by supporting, enabling, and condoning his attempts to discredit mainstream media outlets.
Most of the Sunday news shows failed to cover the worldwide March for Science protests, an international demonstration partly meant to draw attention to President Donald Trump’s “disregard for evidence-based knowledge” and climate change denial.
Protesters across the world demonstrated on April 22 for Earth Day, many of whom demonstrated against Trump’s “proposal to sharply cut federal science and research budgets and his administration's skepticism about climate change and the need to slow global warming,” according to Reuters. Leading up to the protests, a number of scientists voiced their concerns about the Trump administration’s climate-denying appointments, “politically motivated data deletions” of environmental science citations, and general “woeful ignorance” of science and climate change.
Nonetheless, Sunday news shows generally ignored the events that attracted hundreds of thousands of protesters. ABC’s This Week, CBS’ Face the Nation, and NBC’s Meet the Press failed to mention the March for Science at all, according to a Media Matters review. CNN’s State of the Union only had a brief headline about the demonstrations, and Fox Broadcasting Co.’s Fox News Sunday only dedicated about one and a half minutes to the story.
Sunday shows’ lack of coverage of the march is representative of media’s dearth of climate change coverage in general. A recent Media Matters study found that in 2016, the evening newscasts and Sunday shows on ABC, CBS, and NBC, as well as Fox News Sunday, collectively decreased their total coverage of climate change by 66 percent compared to 2015.
Media Matters searched SnapStream for mentions of “March for Science,” “science,” and “march” on the April 23 editions of CNN’s State of the Union, ABC’s This Week, CBS’ Face the Nation, NBC’s Meet the Press, and Fox Broadcasting Co.’s Fox News Sunday.
NBC’s Chuck Todd and Fox’s Chris Wallace failed to explain Republican senators’ unprecedented obstructionism of former President Barack Obama’s judicial nominees when discussing a 2013 rule change made by Senate Democrats to forbid the filibustering of judicial nominees below the Supreme Court level.
Senate Majority Leader Mitch McConnell (R-KY) appeared on the April 2 editions of NBC’s Meet the Press and Fox Broadcasting Co.’s Fox News Sunday and declared that President Donald Trump’s Supreme Court nominee, Judge Neil Gorsuch, will be confirmed to the court. The hosts questioned McConnell on whether he would invoke the nuclear option -- a rule change that would eliminate the use of the filibuster for Supreme Court nominees -- if the Democrats filibuster Gorsuch’s nomination. Additionally, the hosts pointed out McConnell’s opposition to the rule change in 2013, which he now appears poised to use on behalf of Gorsuch:
CHUCK TODD (HOST): Do you have the votes to change the rules among Republicans? Do you have all 52 Republicans ready to stand behind you, that if the Democrats filibuster Neil Gorsuch, you have the votes to change the rules?
TODD: You're somebody, though, that was very concerned when this rule was changed by Harry Reid for judges below Supreme Court. If you regret what Harry Reid did, why continue down this slippery slope?
CHRIS WALLACE (HOST): You say that he’ll be confirmed one way or the other, so does that mean if you can’t stop a filibuster that you will go to the nuclear option and change the Senate rules so that you can cut off debate with 51 votes and confirm him?
WALLACE: Back in 2013, the Democrats invoked the nuclear option to allow a simple majority, 51 votes, on confirmation of lower court judges. At that time, you said that was a big mistake.
Both Todd and Wallace failed to explain why Democrats changed the rule in 2013. As Senate Minority Leader Chuck Schumer explained later on Meet the Press, Senate Republicans “had been holding back on just about all of so many lower court judges, including the very important D.C. Circuit,” by refusing to allow votes on the nominees, so Democrats changed the rules to address the emergency and fill vacant seats. However, the Democrats left the filibuster intact for Supreme Court nominees.
Republicans’ refusal to hold a vote on Obama’s nominees was unprecedented. In 2013, political science professor, Dr. Sheldon Goldman, calculated the level of Republican obstruction of Obama’s circuit court nominees and declared it “the highest that’s ever been recorded,” adding, “it approached total obstruction or delay.”
Republicans continued their obstruction of Obama’s judicial nominees after they took control of the Senate following the 2014 elections. As Mother Jones reported in May 2016:
Since taking control of the Senate in early 2015, Republicans have confirmed only 17 federal judges, a historically low number. The Senate confirmed just 11 judges in 2015, the fewest since 1960. There have been only two appellate court judges approved since Republicans took control, with seven appeals court nominations left pending. If the Senate doesn't confirm any appellate judges this year, it will have confirmed the fewest since the 1897-98 session, when there were just 25 circuit court judges nationwide, compared with 179 now. "Historically, we're in nearly unprecedented ground here," says Kyle Barry, director of justice programs at the liberal Alliance for Justice. "What's happening with Judge Garland is really part and parcel with how the Senate has been treating judicial nominees generally. The pace has been so historically bad, we've been seeing what amounts to outright obstruction."
Senate Republicans obstructed until the very end of the Obama presidency. After the Mother Jones article was published, Republicans allowed the confirmation of only three district court judges. In total, the GOP Senate allowed just 20 confirmations -- two appellate judges and 18 district court judges -- during the 114th Congress. By comparison, during the 110th Congress -- the last session of Congress during the George W. Bush presidency -- a Democratic majority confirmed 68 nominations -- 10 appellate judges and 58 district court judges. And Republicans completely blocked Obama’s Supreme Court nominee, Judge Merrick Garland, from having any public hearings or votes for 293 days.
Todd and Wallace whitewashed history by not presenting the proper context for the debate over Gorsuch’s nomination and the possible implementation of the nuclear option.
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U.S. senators are calling on broadcast networks to fulfill their duty and bolster their news coverage of climate change, after a Media Matters study found that the networks dramatically decreased their coverage of climate change in 2016, during a campaign in which the U.S. elected a climate denier as president.
Sens. Sheldon Whitehouse (D-RI) and Brian Schatz (D-HI) issued statements this week calling on the major broadcast networks to fulfill their responsibility and provide audiences with essential reporting on the impacts of and science surrounding climate change, as well as related policies. The senators’ statements were made in response to a study by Media Matters finding that in 2016, evening newscasts and Sunday shows on ABC, CBS, and NBC, as well as Fox Broadcast Co.'s Fox News Sunday, collectively decreased their total coverage of climate change by 66 percent compared to 2015.
Sen. Whitehouse stated:
The Trump presidency has brought into sharp focus the critical responsibility of an independent news media to cover the science and policy of climate change. … Donald Trump ran a campaign blissfully unconcerned about climate change, even referring to it as a "hoax." Now President Trump has an ardent climate change denier who received millions from big polluters running the EPA, the former CEO of ExxonMobil heading up the State Department, and other industry operatives making decisions that affect the health and safety of American families. More than ever, Americans will need the free press to deliver the real facts on climate change. We don’t have time to waste on alternative ones.
Sen. Schatz echoed Whitehouse’s sentiment, stating:
In a year when the American people were deciding who our next leader should be, you would think there would have been more discussions about climate change in our news programs, not less. This isn’t just shameful, it’s irresponsible. The climate is changing, and it’s affecting everything from the weather to our national security and our economy. Its impacts are already being felt and the American people deserve to know more about it.
Indeed, as Media Matters found, during the campaign, ABC, CBS, NBC, and Fox did not air a single segment about the ramifications and impacts of a Trump or Hillary Clinton administration as they relate to climate change.
In 2016, evening newscasts and Sunday shows on ABC, CBS, and NBC, as well as Fox Broadcast Co.'s Fox News Sunday, collectively decreased their total coverage of climate change by 66 percent compared to 2015, even though there were a host of important climate-related stories, including the announcement of 2015 as the hottest year on record, the signing of the Paris climate agreement, and numerous climate-related extreme weather events. There were also two presidential candidates to cover, and they held diametrically opposed positions on the Clean Power Plan, the Paris climate agreement, and even on whether climate change is a real, human-caused phenomenon. Apart from PBS, the networks also failed to devote significant coverage to climate-related policies, but they still found the time to uncritically air climate denial -- the majority of which came from now-President Donald Trump and his team.
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Women accounted for just one-quarter of total guests discussing foreign affairs and national security in 2016 during prime-time programming on CNN, Fox News, MSNBC and on the five major Sunday political talk shows. This stark disparity between women and men is actually a slight improvement over previously established trends for 2015 and 2014, but more work remains to be done to better include perspectives from women. Over the last 3 years, Media Matters has partnered with Foreign Policy Interrupted to expose and address gender disparities in news coverage of foreign affairs and national security.
During the first month of Donald Trump’s presidency, broadcast evening news shows and Sunday political talk shows devoted a total of just over 10 minutes to discussing the allegation that Trump is violating the U.S. Constitution by receiving foreign government payments. The scant reporting that did address this issue failed to mention that such conduct is an impeachable offense.
Article I, Section 9 of the Constitution, known as the Emoluments Clause, creates a broad prohibition on federal officeholders, including the president, receiving payments from foreign governments without the consent of Congress. It reads: “No title of nobility shall be granted by the United States: and no person holding any office of profit or trust under them, shall, without the consent of the Congress, accept of any present, emolument, office, or title, of any kind whatever, from any king, prince, or foreign state.”
The provision is much broader than a ban on receiving bribes. According to legal experts, even “fair market value transactions that result in any economic profit or benefit” count as an emolument, because the Founding Fathers wanted a “prophylactic” rule aimed at preventing even the appearance of corruption.
A president’s violation of the clause is an impeachable offense.
According to legal experts, Trump’s retention of an ownership interest in the Trump Organization as president means that he has been violating the Constitution since the moment he took the oath of office. Indeed, just two days after the inauguration, the watchdog organization Citizens for Responsibility and Ethics in Washington (CREW) filed a lawsuit in federal court “to stop President Trump from violating the Constitution.” A press release about the suit notes that the president “is now getting cash and favors from foreign governments, through guests and events at his hotels, leases in his buildings, and valuable real estate deals abroad.” (Other presidents have avoided violating the clause by placing their assets into an independently controlled blind trust, something Trump has refused to do.)
In what should serve as a prompt for investigative journalists, the exact nature of the emoluments Trump has received is unclear in many instances due to Trump’s refusal to release his tax returns. As Emoluments Clause expert Zephyr Teachout, an associate law professor who is a lawyer on CREW’s lawsuit, explained in The Washington Post, while some emoluments Trump is receiving are known -- including rent paid by the Qatari state airline at a Trump property, licensing fees paid by several foreign countries for rights to the TV show The Apprentice, and construction permits granted by the Indian government -- the full extent of his violations is unknown because “Trump hasn’t disclosed any information about his finances.”
In spite of Trump’s secretive business dealings, two concrete new violations emerged during the first month of his presidency.
According to a February 9 report from Politico, “A lobbying firm working for Saudi Arabia paid for a room at Donald Trump’s Washington hotel after Inauguration Day, marking the first publicly known payment on behalf of a foreign government to a Trump property since he became president.” The article notes that the payment “raises questions about whether it represents a violation of the foreign emoluments clause.”
Politico quoted Obama ethics attorney Norm Eisen, who described the payment as part of a “systemic problem,” and constitutional law expert Laurence Tribe, who said, “This example is bound to be one of a vast stream of instances.” Both Tribe and Eisen are lawyers on CREW’s lawsuit.
Then The Associated Press reported on February 14 that Trump was set to score an “unlikely” legal win in China by way of a “trademark for building construction services” following “a decade of grinding battle in China's courts.” According to the report, the legal victory “could signal a shift in fortune for the U.S. president's intellectual property in China. At stake are 49 pending trademark applications -- all made during his campaign -- and 77 marks already registered in his name, most of which will come up for renewal during his term.” (China announced the trademark two days after AP’s article.)
As the AP report aptly noted, “Trump's foreign trademarks have raised red flags with ethics lawyers across the political spectrum who say they present grave conflicts of interest and may violate the emoluments clause of the U.S. Constitution.” (Indeed, a post at the libertarian Volokh Conspiracy blog concluded that the trademark grant qualifies as an emolument received by Trump.)
The nation’s leading news programs have insufficiently covered a story about a president openly taking actions that not only violate the Constitution but also are grounds for impeachment.
CBS Evening News, ABC World News Tonight, and NBC Nightly News have each devoted a single segment to foreign payments to Trump.
A January 20 CBS Evening News segment didn’t mention the Emoluments Clause explicitly, but it included an interview with George Washington University law school professor Steven Schooner, who explained how Trump can profit from foreign governments via the Trump Organization.
ABC World News Tonight and NBC Nightly News each devoted brief segments on January 23 to CREW’s lawsuit.
In total, the issue was covered for just over seven minutes on broadcast nightly news between January 20 and February 20. None of the segments mentioned violating the Emoluments Clause is an impeachable offense:
Sunday political talk shows provided even less coverage. During the January 22 broadcast of ABC’s This Week, host George Stephanopoulos directly asked White House counselor Kellyanne Conway and Sen. Minority Leader Chuck Schumer (D-NY) about Trump and the Emoluments Clause. During the January 29 edition of NBC’s Meet the Press, host Chuck Todd asked White House chief of staff Reince Priebus why Muslim-majority countries with business ties to Trump were left out of Trump’s travel ban, although the Emoluments Clause was never directly cited. CBS’ Face the Nation, Fox Broadcasting Co.’s Fox News Sunday, and CNN’s State of the Union all failed to discuss the issue.
Sunday show coverage of the issue totaled just under four minutes, with no discussion of how the offense is grounds for impeachment:
Media Matters searched Nexis transcripts for ABC, NBC, CBS, Fox News, and CNN for "emoluments," "emolument," "Trump Organization," "Trump Hotel," Trump w/10 “trump international hotel,” Trump w/10 impeach, Trump w/10 constitution, Trump w/10 "conflict of interest," Trump w/10 conflicted, Trump w/10 payment, Trump w/10 “foreign payment,” and Trump w/10 divest. We identified segments that mentioned foreign payments to Trump in the context of conflict-of-interest questions and/or the Emoluments Clause directly, and then counted those segments for time in iQ media.
Graphics by Sarah Wasko.
Representation Of Economists Remained High In Fourth Quarter As Surprising Election Result Forced Outlets To Scramble For Explanations
The final quarter of 2016 saw an increase in cable and broadcast news coverage of the economy from the prior three-month period. Yet the proportion of economic coverage that focused on economic inequality decreased sharply as attacks on progressive economic policies rose. Fox News led the charge in attacking progressive policies and health care reform throughout the fourth quarter of the year, while the leading defender of progressive initiatives, MSNBC, aired most of its economic coverage after Election Day. The relative proportion of economists booked as guests during economic news segments remained higher than in years past but dropped as a percentage from the third to fourth quarters of 2016. The proportional representation of women in cable and broadcast evening news discussions of the economy reached a record, but dispiriting, high in the fourth quarter at a mere 30 percent of all guests.
Fox News’ 14 Seconds Of Coverage Continues Its Pattern Of Dismissing Hate Crimes Against People Of Color
Broadcast and cable news largely ignored the February 22 shooting of two Indian immigrants in Kansas in which the suspected attacker told the victims to “get out of my country,” devoting mere minutes to the attack. Fox News’ virtual failure to cover the attack fits into the network's larger pattern of severely downplaying hate crimes aimed at people of color.