Throughout their all-out campaign to stop health care reform, Republican leaders have relied on questionable forecasts from the Lewin Group, a subsidiary of insurer UnitedHealth Group. Now, another study funded by UnitedHealth has some unwelcome news for the GOP braintrust: the red states they represent are the unhealthiest in the nation. Following on the heels of the Commonwealth Fund's 2009 Scorecard of state health care system performance, the United Health Foundation's report is just the latest confirmation that health care is worst where Republicans poll best.

As Forbes noted:

The annual ranking looks at 22 indicators of health, including everything from how many children receive recommended vaccinations, to obesity and smoking rates, to cancer deaths.

The diagnosis isn't pretty for Republicans committed to denying the health care their constituents need most of all. The 2009 rankings (above) reveal that nine of the top 10 healthiest states voted for Barack Obama in 2008. Conversely, 9 of the 10 cellar dwellers backed John McCain in 2008; four years earlier, the 15 unhealthiest states voted for George W. Bush for President.

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Everything you need to know about the descent of the conservative movement into a hypocritical caricature is illustrated by two of its proudest constituencies: Republican deficit hawks and so-called "born again virgins." Having already violated the moral strictures they claim to hold dearest, each now asks the American people to join them in pretending their sin never happened. But unlike a generation of Republican leaders who built a mountain of national debt for the United States, the secondary virgins only screwed themselves.

The Republicans' shameless cynicism was perfectly captured by Vice President Dick Cheney, who in 2002 proclaimed, "Reagan proved deficits don't matter."

Not, that is, if a Republican is in the White House. But when Barack Obama stepped into the Oval Office and the $1.2 trillion deficit George W. Bush left for him there, the GOP quickly changed its tune. While the national debt tripled under Ronald Reagan and doubled again under President Bush, House Minority Leader John Boehner in February decried the $787 billion emergency economic recovery spending as "one big down payment on a new American socialist experiment." By June, Boehner warned of the "crushing debt Washington Democrats are running up." And Senator Judd Gregg (R-NH), Obama's aborted choice for Commerce Secretary, slapped the President last month, "we're basically on the path to a banana-republic-type of financial situation in this country." And, Gregg added:

"You can't keep throwing debt on top of debt."

Of course, throwing debt on top of debt is precisely what Gregg and his GOP allies have done for over a generation.

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Revelations that the FBI, the Pentagon and even his medical colleagues were aware of Fort Hood shooting suspect Nidal Malik Hasan's extremist ideology have raised serious questions about the U.S. military's ability to screen, monitor and remove dangerous personnel from its ranks. But far from justifying the discrimination against patriotic American Muslims predictably called for by the usual suspects, the Fort Hood bloodbath should remind Americans that extremisms of all stripes have no place in the armed forces of the United States.

A nation which has chosen to depend on an all-volunteer military must have clear standards for admitting and retaining those courageous few who wish to serve in its name. Needless to say, they should not pose a threat to themselves or their fellow servicemen and women. They should uphold their oath to the Constitution of the United States and its government. And importantly, they should not undermine either American national security objectives or our timeless democratic values by advancing their own.

To be sure, as the always execrable Michelle Malkin fumed in the wake of the Fort Hood slaughter, potential Al Qaeda sympathizers and possibly deranged Muslim extremists like Major Hasan and Sgt. Hasan Akbar must be prevented from entering or quickly weeded out of the American military.

But the danger to America's security at home and goals abroad hardly ends there.

Consider the growing infiltration of neo-Nazi groups within the armed services. In 2006 and again in 2009, the Southern Poverty Law Center, a group which monitors racist and right-wing militia groups, concluded:

A decade after the Pentagon declared a zero-tolerance policy for racist hate groups, recruiting shortfalls caused by the war in Iraq have allowed "large numbers of neo-Nazis and skinhead extremists" to infiltrate the military, according to a watchdog organization...

The report quotes Scott Barfield, a Defense Department investigator, saying, "Recruiters are knowingly allowing neo-Nazis and white supremacists to join the armed forces, and commanders don't remove them from the military even after we positively identify them as extremists or gang members."

That zero-tolerance policy was put in place in the aftermath of the devastating Oklahoma City bombing which killed 168 Americans, the largest death toll from a terrorist attack on the U.S. homeland before 9/11.

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This Veterans Day is an especially painful reminder of the immeasurable sacrifices American military men and women make every day to protect our nation. Even as tens of thousands of U.S. troops remain in Iraq and thousands more are poised to join their comrades in Afghanistan, Americans are still grieving over the tragedy at Fort Hood.

On this day, we remember that the liberty we enjoy was earned by generations past and present of soldiers, sailors, airmen and marines. Now defended by an all-volunteer force which selflessly answered the call of service, Americans are immensely fortunate and forever indebted to our military men and women.

They honor us all every day. On Veterans Day and every other, we should honor their sacrifices, remember the fallen, help the wounded and comfort their families.

The Defense Department has a helpful directory of groups and charities which provide services and support to our veterans, troops and military families. For information on how you can help support the victims of the Fort Hood tragedy, visit the BBB listings for the Fort Hood Chaplain's Fund, the local Red Cross, USO Fort Hood, Fort Hood Fisher House and other charities serving Fort Hood and the Killeen, Texas community.

For months, Crooks and Liars has documented an often overlooked but inescapable truth of the contentious health-care reform debate: Health care is generally worst in those red states where the Republican political leadership is most opposed to reform. (For example, see here, here, here and here.) Only now, after the narrow House vote this weekend, did CNN look at the Republican Senators committed to blocking health care for their residents who need it most.

Monday's "Keeping Them Honest" segment hosted by Anderson Cooper came three days after Texas Governor Rick Perry and Newt Gingrich in a Washington Post op-ed proclaimed the Lone Star State a model for health care policy. But as Cooper finally discovered, Texas "lawmakers voting against health care reform" happen to represent "the state with the worst number of people covered by health insurance."

RANDI KAYE, CNN CORRESPONDENT: Anderson, here's what we found out today. There are more uninsured in red states than there are in blue states, which is interesting since all Republican senators are expected to vote against the public health care option.

As for Texas, which leads the nation with a staggering 25% of its population uninsured, the human toll of Republican obstructionism is devastating:

COOPER: And what about Texas? The state with the most uninsured, I mean --- with the most uninsured?

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Everything, they say, is bigger in the Texas. So it is with the failure of the health care system. Leading the nation with a jaw-dropping 25% of its residents uninsured, Texas ranked 46th in the Commonwealth Fund's 2009 scorecard of state health care performance. All of which makes Friday's op-ed by Newt Gingrich and Governor Rick Perry touting the mess in Texas all the more puzzling.

Just two days after the CBO dismissed a House Republican plan that would barely dent the rolls of the uninsured, Perry and Gingrich blasted Democratic health care reform in a Washington Post screed titled, "Let States Lead the Way." Besides dredging up Newt's worn out 1990's vintage talking points on unfunded mandates, the duo insist it is the Lone Star State which should be at the front of that vanguard:

Texas, for example, has adopted approaches to controlling health-care costs while improving choice, advancing quality of care and expanding coverage. Consider the successful 2003 tort reform. Fewer frivolous lawsuits have attracted record numbers of doctors to the state as medical malpractice insurance premiums dropped by half. Christus Health, a large Catholic nonprofit system with a significant presence in Texas, spent about $100 million on liability defense payments in 2003. Last year, Christus spent $2.3 million on such payments. Much of that savings has gone into expanding health-care services in low-income neighborhoods.

As the Post's Erza Klein asks, "how's that working out?"

The answer, of course, is quite poorly. While from 2007 to 2009 Texas nudged its way from a horrific 48th to a merely miserable 46th in the Commonwealth Fund rankings, the health care system there remains an ongoing calamity for its residents. Among the poster children for the failure of red state health care, Perry's state brought up the rear across the five indicators measured. When it comes to health care access and equity, Texas is dead last. (See table above.)

While it is predictable that Republicans Gingrich and Perry cite Texas' draconian tort reform law as an example for the nation, the data is far from clear as to its benefits in actually reducing malpractice premiums, lowering costs and attracting physicians to the underserved state.

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Back in 2003, Republican leaders praised the AARP for its support of President Bush's unfunded and deeply flawed Medicare prescription benefit. But now that the 40 million member organization has endorsed the House Democrats' health care reform bill, the GOP is declaring war on its one-time ally. Helping lead the attack is an array of industry-funded front groups and their reactionary has-been spokesmen like Pat Boone.

Last week, Republican Congressmen Dave Reichert (R-WA) and Mike Pence (R-IN) implied the nation's leading organization for seniors was in for the ACORN treatment from the GOP and its media allies. Despite the thorough debunking of right-wing claims that Democratic health care reform proposals would slash Medicare benefits for46 million American elderly:

Pence and Reichert suggested that support was the result of corruption inside the AARP and not based on the interests of its membership.

"What you've got here is a backroom deal," Pence said of reform measures expected to be introduced by Senate Majority Leader Harry Reid this afternoon. "Democrats are protecting the salaries of the heads of groups like AARP while cutting Medicare"...

The GOP is using more than just rhetoric to go after the group. Rep. Dave Reichert (R-WA) claims to have launched an investigation into AARP in his home state. Reichert says his "ongoing" investigation focuses on whether AARP should be classified as an insurance company because of its revenue from royalties the group gets from licensing its brand for insurance products.

Sounding the clarion call for conservatives is aging singer turned World Net Daily regular Pat Boone. Boone, who in recent months branded Barack Obama a "president without a country" who is "waterboarding America" over "socialistic health care and a host of other ultraliberal causes," is also the celebrity mouthpiece for the 60 Plus Association.

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A gaffe, Michael Kinsley famously mused, is what results when a politician inadvertently tells the truth. And so it was Monday when Utah Republican Senator Orrin Hatch came clean about his party's scorched-earth opposition to health care reform being championed by President Obama and Congressional Democrats. Hatch acknowledged, as I've long argued, that the GOP is worried not that Obama's health care initiatives might fail, but that they might succeed.

As he did in his pivotal effort to block Bill Clinton's health care efforts starting in 1993, conservative strategist Bill Kristol warned his Republican allies then as now that that a victory for President Obama would earn his party the thanks of a grateful public and guarantee Democratic majorities for the foreseeable future. In an interview with CNS Monday, Senator Hatch revealed that was his darkest fear as well:

HATCH: That's their goal. Move people into government that way. Do it in increments. They've actually said it. They've said it out loud.

Q: This is a step-by-step approach --

HATCH: A step-by-step approach to socialized medicine. And if they get there, of course, you're going to have a very rough time having a two-party system in this country, because almost everybody's going to say, "All we ever were, all we ever are, all we ever hope to be depends on the Democratic Party."

Q: They'll have reduced the American people to dependency on the federal government.

HATCH: Yeah, you got that right. That's their goal. That's what keeps Democrats in power.

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Back in September, a study by Harvard Medical School found that over 44,000 Americans die each year due to lack of health insurance. Now, in a complete reversal of both logic and the truth, Senate Minority Leader Mitch McConnell (R-KY) announced that it is the availability of a public insurance option which could prove fatal. Of course, McConnell's announcement that the public option "may cost you your life" should come as no surprise. After all, in July he echoed George W. Bush and Tom Delay in declaring that thanks to the emergency room, Americans "don't go without health care."

Mitch McConnell's latest fear-mongering came during an appearance on Dennis Miller's radio show. Blasting the "opt-out" version of the public option in the Senate bill, the Senator from the state ranked 45th in health care performance insisted access to coverage could be deadly:

MCCONNELL: Well, it doesn't make any difference frankly whether you opt-in or you opt-out, it's still a government plan. You know, Medicaid, the program for the poor now, states can opt-out of that, but none of them have. I think if you have any kind of government insurance program, you're going to be stuck with it and it will lead us in the direction of the European style, you know, sort of British-style, single payer, government run system. And those systems are known for delays, denial of care and, you know, if your particular malady doesn't fit the government regulation, you don't get the medication.

MILLER: Right.

MCCONNELL: And it may cost you your life. I mean, we don't want to go down that path.

While he has generally left the myth-making about "death panels" and "pulling the plug on grandma" to Sarah Palin, Chuck Grassley and other tall tale tellers in the GOP, Senator McConnell has otherwise been fabricator-in-chief when it comes to Republican talking points on health care.

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In the wake of its shocking assessment that employer-provided health insurance now covers only 54.6% of the American people, Thomson Reuters released a disturbing assessment of wasteful spending in the U.S. health care system. Echoing the estimates of Obama OMB chief Peter Orszag and others, the analysis highlighted by Keith Olbermann Tuesday concluded that the United States wastes up to $700 billion a year - a third of the nation's total $2 trillion health care spending.

As Robert Kelley, vice president of healthcare analytics at Thomson Reuters and author of the white paper, put it:

"The bad news is that an estimated $700 billion is wasted annually. That's one-third of the nation's healthcare bill. The good news is that by attacking waste, healthcare costs can be reduced without adversely affecting the quality of care or access to care. That's the point of this report - to identify areas in the healthcare system that can generate game-changing savings."

Those game-changing savings, TR found, could be found across a broad range of health care spending. Between $600 billion and $850 billion, it estimated, is wasted on:

• Unnecessary Care (40% of healthcare waste): Unwarranted treatment, such as the over-use of antibiotics and the use of diagnostic lab tests to protect against malpractice exposure, accounts for $250 billion to $325 billion in annual healthcare spending.
• Fraud (19% of healthcare waste): Healthcare fraud costs $125 billion to $175 billion each year, manifesting itself in everything from fraudulent Medicare claims to kickbacks for referrals for unnecessary services.
• Administrative Inefficiency (17% of healthcare waste): The large volume of redundant paperwork in the U.S healthcare system accounts for $100 billion to $150 billion in spending annually.
• Healthcare Provider Errors (12% of healthcare waste): Medical mistakes account for $75 billion to $100 billion in unnecessary spending each year.
• Preventable Conditions (6% of healthcare waste): Approximately $25 billion to $50 billion is spent annually on hospitalizations to address conditions such as uncontrolled diabetes, which are much less costly to treat when individuals receive timely access to outpatient care.
• Lack of Care Coordination (6% of healthcare waste): Inefficient communication between providers, including lack of access to medical records when specialists intervene, leads to duplication of tests and inappropriate treatments that cost $25 billion to $50 billion annually.

But in its catalog of health care spending horrors, however, Thomson Reuters may have understated potential savings in one area while overstating them in another.

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While the Obama White House, Senate Majority Leader Harry Reid and Congressional Democrats debate among themselves whether the so-called "opt out" public health insurance option endorsed by Reid will be included in reform legislation, Minnesota Governor and GOP presidential wannabee Tim Pawlenty has already weighed in. Asked if he would "lead a charge" in his state to opt out, Pawlenty replied, "I think so because I don't like government run health care."

That's easy for him to say. As it turns out, Minnesota is the exception that proves the rule of red state socialism. An increasingly blue state with the 4th best health care system in the nation, the Land of 10,000 Lakes sends far more tax dollars to Washington than it receives in federal spending in return. But for Pawlenty's fellow Republican refuseniks, leaders of red states offering dismal health care and a beneficiaries of a one-way transfer of taxpayer funds from DC, opting out may not be an option.

In recent weeks, Texas secessionists and Georgia legislators have echoed Pawlenty's confused reading of the Tenth Amendment by endorsing a state veto over federal health reform mandates. But just in time for the debate over the merits of a state-by-state "opt out" of a national public health insurance option, the Commonwealth Fund has released its 2009 state health care scorecard. As in 2007, the data reveals the critical condition of red state health care. All of which could present Republican governors and legislatures with a dilemma: Will they refuse to offer lower cost insurance coverage for their residents by rejecting a system funded in part by blue state taxpayers?

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In recent days, Republican leaders have scored a series of political victories in their eternal quest for tort reform. Last week, the Congressional Budget Office (CBO) told Senator Orrin Hatch (R-UT) that an onerous package of malpractice curbs he championed could save the government an estimated $54 billion over 10 years. That came on the heels of President Obama's latest offer to support limited tort reform as an olive branch to recalcitrant Republicans balking at his health care proposals, including funding for a $25 million pilot program.

But largely overlooked in the heated discussions of damage award caps, special health courts, expert panels and national compensation schedules is the inescapable truth that the medical malpractice system has only a negligible impact on overall American health care costs. Republican horror stories of a torrent of baseless malpractice suits producing "jackpot justice" that fuels rising premiums for physicians and patients alike while driving doctors from practice simply don't comport with reality. The overstated, overblown, over the top and often outright false GOP claims suggest that the Republicans' real target is not the flawed American malpractice system, but instead the nation's trial lawyers whose campaign contributions help bankroll the Democratic Party.

Here, then, is a look at Republican Malpractice Myths:

1. An Explosion of Malpractice Litigation
2. A System Plagued by Frivolous Lawsuits
3. Rising Damage Awards Key to Higher Malpractice Premiums
4. Rising Malpractice Insurance Rates Driving Doctors from Practice
5. Medical Malpractice Reform Would Save U.S. $200 Billion Annually
6. Defensive Medicine Costs $200 Billion a Year

For the details and data behind each, continue reading.

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Seemingly with each passing day, General Stanley McChrystal grows in the esteem of President Obama's conservative foes. After having savaged General Eric Shinseki for his pre-Iraq war testimony that the occupation would require "several hundreds of thousands" of American troops, Republicans have seized on McChrystal's public demands for more forces in Afghanistan as their latest battering ram to bludgeon Obama on national security. And as it turns out, McChrystal's inadvertent leak earlier this month regarding a classified CIA analysis puts him in the same company as Republicans John Boehner, Pete Hoekstra, Pat Roberts and, of course, Dick Cheney.

McChrystal in his leaked report and unprecedented public speech in London has put tremendous pressure on President Obama to quadruple the Bush-era commitment to the Afghan conflict. General McChrystal didn't merely announce that short of deploying as many as 60,000 more troops, the U.S. effort in Afghanistan "will likely result in failure." He also set out to demolish straw man alternatives to his escalated counterinsurgency plan, including:

"A paper has been written that recommends that we use a plan called 'Chaosistan', and that we let Afghanistan become a Somalia-like haven of chaos that we simply manage from outside."

But as Newsweek reported, that "paper" to which General McChrystal casually referred is almost surely a classified CIA assessment:

Two U.S. intelligence officials, who asked for anonymity when discussing a sensitive matter, say that the reference almost certainly comes from a recently published, and secret, CIA analysis titled "Chaosistan" (not "Chaostan"). Prepared by a "red team" of CIA analysts, the document, says one official, picks apart conventional analyses of the war and explains how forces inside Afghanistan--from hostile ethnic groups to intrusive neighbors to societal damage caused by past Taliban rule--work against the notions of a central Afghan government. The paper is not quite the policy proposal McChrystal implied it was, say the officials, since intelligence analysts don't generally recommend policy options.

Of course, the same Republican voices which lauded the leak of McChrystal's report and his UK grandstanding will doubtless remain silent now. Because while many in the GOP called for the prosecution of those behind the publication of the NSA domestic surveillance story, they themselves selectively leaked classified national security information for partisan political purposes.

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Among the most pernicious and blatantly false Republican talking points designed to obstruct health care reform is the fear-mongering claim that Democratic proposals will lead to "rationing." Of course, with almost 50 million uninsured and another 25 million underinsured, Mitch McConnell's dystopian future of a system which "denies, delays, or rations health care" is already today's nightmare for millions of Americans. But as it turns out, recent studies show that the market failure that is the crumbling U.S. health care system is producing a another, often hidden crisis: self-rationing.

As McClatchy reported last week, a new Consumers Union survey revealed that due to skyrocketing costs and reductions in coverage, Americans are forced to deny themselves needed medical treatment. Among the findings of CU's poll of a 1,002 respondents:

In the new poll 59 percent said that the cost of their health care had increased more than their other expenses over the past two years. Fifty-one percent said they had faced difficult health care choices in the past year. The most common responses were putting off a doctor visit because of cost (28 percent), not being unable to afford medical bills or medication (25 percent), and putting off a medical procedure because of cost (22 percent).

Twenty-eight percent said they had lost or experienced cutbacks in their health care coverage in the past year. The greatest concerns about health care expressed by respondents were a major financial loss or setback from medical cost due to an illness or accident (73 percent), not being able to afford health care in the future (73 percent), necessary care being denied or rationed by health insurance companies (73 percent), and the prospect of rising costs forcing them to choose between health care and other necessities (64 percent).

Those dismal results echoed the shocking revelations from an April 2009 Thomson Reuters survey.

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Just in time for the debate over the merits of a state-by-state "opt out" of a national public health insurance option, the Commonwealth Fund has released its 2009 state health care scorecard. As in 2007, the data reveals the critical condition of red state health care. All of which could present Republican governors and legislatures with a dilemma: will they refuse to offer lower cost insurance coverage for their residents by rejecting a system funded in part by blue state taxpayers?

Given the contentious ongoing debate in the Senate, crystal ball-gazing for any public option, whether national, opt-in or opt-out is premature. But the Commonwealth Fund's analysis of health care indicators shows the stakes for its red state opponents. While nine of the top 10 performing states voted for Barack Obama in 2008, four of the bottom five (including Arkansas, Mississippi, Oklahoma and Louisiana) and 14 of the last 20 backed John McCain. (That at least is an improvement from the 2007 data, in which all 10 cellar dwellers had voted for George W. Bush three years earlier.)

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