San Francisco Chronicle

GOP’s difficult choice

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It looks to me like the Senate Republican­s have a difficult decision to make on their tax reform bill. On the one hand, they can choose to grant massive tax cuts for the wealthiest taxpayers and continue to receive those taxpayers’ donations. Or they can choose to not pass the tax cuts and continue to receive the votes of the people who elected them. Hopefully the politician­s will remember that the taxpayers who do not control the most money in this country do control the most votes.

Republican senators, which would you rather have: more donations or your jobs?

Dan Rosenthal, Ross

Rein in spending

I recently read “Massachuse­tts proposes new twist on Medicaid drug coverage” (Nov. 24). This is interestin­g because in October, California made a step toward transparen­cy in the drug market when Gov. Jerry Brown signed SB17 making drug companies justify large price increases. This California law and program in Massachuse­tts both represent the states’ desires to work within our current health care system while still making progress to rein in spending. Negotiatin­g prices and coverage using a government payer (Medicaid or Medicare) will have the most negotiatin­g power in the market and will lead the way for similar changes for private insurers as well.

As a student, my perspectiv­e is that the health care industry needs to shift to value-based reimbursem­ent in order to control spending. Yet, as a consumer, I understand the argument for personal freedom in choosing treatment and medication­s that individual­s select.

Despite these challenges against it, this new Massachuse­tts program reflects the shift to value-based reimbursem­ent in the health care industry as a whole. It will be interestin­g to see how the Department of Health and Human Services responds to the plan, and the steps that other states may take if it is approved.

Eileen Johnson, Walnut Creek

NIMBY county

Concerning “Marin belies reputation, looks down on pot shops” (Nov. 27): It’s not at all surprising that Marin County officials don’t want to grant licenses to marijuana sellers. This Bay Area region with the highest home prices has already rejected the constructi­on of low-cost housing, and will turn away anything it perceives will impact homeowners’ property values. Frankly, we should rechristen this “exclusive” location as “MariNIMBY.”

Demetrius McDaniel, Oakland

Retail behemoth

Regarding “Automation is a job creator — check with Amazon.com” (Insight, Nov. 26): Steve Glazer, in a recent Chronicle opinion piece, writes glowingly of Amazon as one of the biggest job creators in California. He makes no mention, however, of the hundreds of thousands of jobs lost in small, often mom-and-pop, businesses that have folded, unable to compete with the retail behemoth. Jeff Bezos has recently been declared the richest man in the world while a neighbor has had to close his small retail business, laying off dozens of longtime employees, that had been in his family for generation­s. Glazer’s statement that Amazon’s story is a vivid example of how automation can benefit society is as false in its math as it is in its assumption that we prefer robots to real people. Automation might well be our future, but please don’t disregard the many who have already lost their livelihood­s because of it.

John Neal, San Anselmo

Valued education

In response to “NAACP’s call to end learning gap in S.F.” (Nov. 26), I would first say that San Francisco needs to hire a superinten­dent who truly understand­s the root problem of poor black student performanc­e in the schools. During my tenure teaching in both Alameda and San Mateo counties’ public schools (30 years), I always had a very diverse student body makeup. I had some very high-achieving black and other minority students, as well as many very low-achieving black students.

The common denominato­r for the poor-achieving minority

No benefits

Regarding the NIMBYism concerning cannabis shops: Perhaps the districts that don’t want them should not benefit from the taxes they generate.

Roberta Scott, San Francisco students (as well as the white ones) was family structure (or lack thereof ). It was not socioecono­mic, it was not racial, it was purely whether the student came from a home that valued and demanded that the student obey school rules and follow through with assigned work at home.

A home that insisted on academics first, and sports and other extracurri­cular activities second. Superinten­dent Vincent Matthews thinks that the district needs to develop strategies to address the outcomes. Sadly, the strategies must be developed from inside the black community. Until this happens, nothing the school district does will turn these underachie­ving students around.

Martin Von, San Francisco

AF3IRM’s activism

Regarding “Their visions just keep expanding” (Insight, Nov. 26): In naming Priscilla Chan the 2017 Visionary of the Year, The Chronicle is continuing to recognize fine individual­s with strong ties to the tech world and Silicon Valley. However, it might also be time to recognize an activist group doing important work here in the Bay Area as a possible future recipient of this award, namely AF3IRM.

This organizati­on brings attention to vital issues like domestic violence, transgende­r and immigrant rights, and sex traffickin­g. While many techrelate­d ideas are benefiting people around the nation and across the globe, AF3IRM is bringing much-needed attention to problems that plague many population­s by promoting social awareness and political activism.

Luisa Westbrook, San Francisco

Comparable ads

How offensive can an ad for medical marijuana on the side of a bus be after our families are regularly inundated with ads for erectile dysfunctio­n everyday on our TV sets?

Barbara Gauger, Menlo Park

 ?? Liz Hafalia / The Chronicle ?? Founder Lynette Shaw and bud tender Paul Kalman help a client at Alliance for Medical Marijuana in Fairfax.
Liz Hafalia / The Chronicle Founder Lynette Shaw and bud tender Paul Kalman help a client at Alliance for Medical Marijuana in Fairfax.

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