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Gov. Piyush Jindal has apparently produced more smoke and mirrors in the unveiling of the administration’s plans to lease four LSU Health System hospitals in South Louisiana to private medical facilities.

Bruce Greenstein, Jindal’s Secretary of Health and Hospitals, and LSU Executive Vice President Frank Opelka made major productions of the announcement on Monday that Louisiana Children’s Medical Center (LCMC) would take over operations of the LSU Interim Hospital in New Orleans and eventually the as-yet unfinished $1.1 billion new academic medical center.

At the same time, it was announced that Lafayette General Health System would assume operations of University Medical Center in Lafayette and that Ochsner Health System and Terrebonne General Medical Center would partner to run Leonard J. Chabert Medical Center in Houma.

Jindal and DHH officials are calling the deals “partnerships,” but a closer look into the arrangements reveals that the administration may well simply be shuffling Medicaid dollars in a circuitous route in an effort to secure more federal Medicaid matching dollars, a practice that could be frowned upon by the Center for Medicare and Medicaid Services (CMS).

Another problem may arise when the University Medical Center Medical Corp. Board is supplanted by the LCMC which will run the academic medical center as the “sole member” of the University Medical Center’s management board.

That’s because when private property was expropriated for the construction of the academic medical center, it was for a “public purpose,” the operation of a state-run hospital to serve as a safety net for New Orleans’s indigent population. Because the facility will no longer be a state-run hospital under the auspices of LSU, the legality of the expropriations could be called into question.

Opelka, however, said the plan is for LCMC, which already operates Touro Infirmary, to be the parent corporation over Touro, LCMC and the UMC boards.

Monday’s memorandums of understanding (MOU) announced by the administration commit the private hospitals to continue care of the poor and uninsured and to train the state’s future physicians.

As recently as September, the LSU Board of Supervisors approved a plan to lay off 600 personnel at the Interim LSU Public Hospital in New Orleans.

Now, suddenly, the MOUs are announced that miraculously, will make all the planned layoffs unnecessary.

It’s enough to make one wonder what transpired in the three months between September and the first week in December—especially since no official explanation has been given for the sudden reversal. It seems unlikely that such a complex agreement involving the transfer of upwards of $2 billion—or more—in buildings and equipment could be worked out in such a short time.

Negotiations, in fact, will continue in secret on financial arrangements that will be instrumental in any final agreement for the private entities to take over operations of the state hospitals.

The agreements, in addition to requiring nearly $30 million in payments from the private hospitals, call for the state to make higher Medicaid payments to those same facilities.

Hospitals are paid the same rate for Medicaid patients but there are avenues by which additional payments may be made for higher volumes of Medicaid patients. These are Disproportionate Share Hospital (DSH) allotments and the state’s relative new Low-Income and Needy Care Collaboration Agreement (LINCCA).

Additionally, a supplemental Upper Payment Limit (UPL) program for physicians was developed by the state to pay physicians the difference between the average commercial rate and the Medicaid rate.

Under terms of the agreement, the three private hospitals will pay the state almost $30 million in advance financial committees, according to documents provided by Opelka and DHH. Those documents provided little additional information about how the lease agreements will be structured.

So, why would these private medical facilities agree to pay the state to take over state hospitals that are losing money?

The answer to that could lie in those DSH and LINCCA payments made by the state to the hospitals.

If that is the case, the hospitals would be using Medicaid money received from the state to pay back to the state the so-called Milestone lease payments and the state, in turn, would use the lease payments—that same Medicaid money—to leverage more federal Medicaid money with which Jindal would plug a $300 million hole in the state’s Medicaid budget.

Smoke and mirrors.

“Certainly we believe that conducting public business, even when using personal means of communication, is subject to public records law.”

—Commissioner of Administration Kristy Nichols, apparently trying to explain that the administration never, ever intended to conceal informatin from the public—no way, no how.

“Please be careful to send stuff from Kyle (π-yush Jindal communications director Kyle Plotkin) like what you just sent….only to my gmail. May have accidentally hit my state addy (address), but they (the governor’s office) are very particular.”

—Department of Health and Hospitals Secretary Bruce Greenstein health policy adviser Calder Lynch, directing a DHH employee not to use a state government email account. (No word if this was cleared through Kristy Nichols.)

“People use private accounts to hide things. If government business is conducted or information about it is sent or received on personal computers or through personal email accounts, that does not keep it from being the public’s business.”

—Kenneth Bunting, executive director of the National Freedom of Information Coalition at the University of Missouri.

Sneaky. Duplicitous. Underhanded. Deceitful. Devious. Dishonest. Fraudulent. Mendacious. Untruthful. Despicable.

Those are just a few words to describe the latest tactic employed by Jindal-Teepell & Co. in the administration’s ongoing almost five-year campaign of deliberate misinformation, distortion and obfuscation in an effort to conceal the state’s business from the public.

We normally attempt to mix in a little humor, sarcasm and snarky comments when we write about Piyush, but his act is beginning to wear a little thin.

Between his flitting about the entire country while ignoring pressing problems at home, lying to the public, making himself inaccessible to state media (while courting Fox Network, CNN, and other national media) and running roughshod over state employees, legislators, and anyone else who appears even slightly hessitant to drink his Kool-Aid, he simply is no longer funny.

His coy response to inquiries about national political aspirations that he “has the job he wants” no longer sells.

His insistence that he has “the most transparent, open and accountable” administration in Louisiana history is nothing more than a blatant lie. And like Joseph Goebbels, he apparently believes that if he tells a lie, makes it big enough and repeats it often enough, people will believe it.

Some do. Many of his adoring followers appear to reside north of Alexandria. But those numbers are growing smaller as more and more the citizens of this state are beginning to peel away the layers of pseudo purity, honesty and sincerity with which he has camouflaged himself so as to hide the real Piyush.

This squeaky clean governor refused to return $55,000 in campaign funds illegally laundered through a bank in St. Tammany Parish. His (or Timmy Teepell’s) explanation was that the money was accepted in good faith, so it is Jindal’s to keep. We suppose if he deposited a campaign check that subsequently bounced, Teepell would also suggest that the bank should not look to the campaign for reimbursement because it was “accepted in good faith.”

The long and short of it is this guy cannot be trusted. He will say or do whatever is politically expedient which makes him no different than any other snake oil salesman. He has, it turns out, no moral compass, no conscience and no soul.

But when a governor—or any of his minions—touting his openness and transparency instructs his staff to use private email accounts when discussing state business so as to avoid disclosure under the state’s public records laws, something is terribly lacking in the overall character makeup of the man with whom we have entrusted the state’s leadership.

That’s the story broken by enterprising AP reporter Melinda Deslatte on Monday.

For those of you who still believe Piyush is straightforward and honest with the voters of this state, let’s recap Deslatte’s story.

The Associated Press, she wrote, received copies of emails not provided in response to public records requests that revealed non-state government email addresses were used literally dozens of times by state officials last summer.

The subject of those emails dealt with a public relations campaign for slashing $523 million from the state Medicaid budget.

Piyush can’t even be original with that practice; former Alaska Gov. Sarah Palin had initiated the practice during her administration before her 2008 campaign for vice president. So did former Massachusetts Gov. Mitt Romney. Both got busted.

And now, Mr. Clean is caught with dirty fingers. It is nothing more than a sneaky effort to circumvent state law and Piyush should be held accountable for it.

For 144 state legislators who have shrunk from confronting Piyush, this should serve as a wakeup call; after all, they were also being kept in the dark on this.

One would think closing state prisons without giving area legislators a heads-up would have stirred legislative grumbling.

One would presume that closing hospitals without informing legislators would create some type of legislative backlash.

One would assume that demoting four legislators from committee assignments would bring lawmakers together in a united front.

One would think that firing a university president, agency heads, rank and file employees, and physicians would provoke a public outcry.

One would be wrong on all counts; this, apparently, is a state of sheeple who either have their heads where only their proctologists can find them or just don’t give a damn.

Apparently the only ones who bother to keep informed and who care about what is happening are those directly affected: teachers who are constantly denigrated by an absentee governor who chose as his chief of staff/right-hand man one Timmy Teepell, a man who was home schooled and knows not one whit about what public school teachers go through in dealing with discipline problems, apathetic parents or inadequate classroom resources (that have to be made up out of the teachers’ pockets). Nor do Jindal-Teepell realize—or care—that many teachers remain at school long after the last student has gone home and who work far into the night on lesson plans and grading papers. In short, they don’t have a clue.

There also are college administrators and professors who see their budgets being chopped in half and students who see their tuition costs rising by 40 percent against already prohibitive student loans. And to think, this governor chose as his campaign manager/right-hand man one Timmy Teepell who never set foot in a college classroom and who names to the board of supervisors of the state’s flagship university a man who has one semester of college.

And there are those state employees who have been privatized out of their careers and who faced the very real possibility earlier this year of seeing their retirement benefits slashed by as much as 85 percent (and remember, state employees are not eligible for social security benefits).

And to think, this governor announced that Teepell was leaving his administration in November of 2011 to head up the Baton Rouge office of OnMessage, a Virginia political consulting firm. Only problem is, OnMessage, a year later still has no local address or local telephone number and Teepell’s vehicle is parked on practically a daily basis in the rear parking lot of the State Capitol. Could he be running his private Baton Rouge OnMessage office out of the governor’s office? Hard to say because no one in the governor’s office is talking. But Jindal’s non-profit propaganda organization, Believe in Louisiana, has paid Teepell, through OnMessage, hundreds of thousands of dollars since Teepell supposedly left the governor’s office.

The emails were provided to AP by an administration official who, for obvious reasons, asked not to be identified. That makes us wonder if it could have been the same administration official who once told LouisianaVoice that Jindal was “dysfunctional.”

Commissioner of Administration Kristy Nichols, apparently backed into a transparent corner said, “Certainly we believe that conducting public business, even when using personal means of communication, is subject to public records law.”

How disingenuous can one be, given the fact that this administration has hidden behind something called the “deliberative process” since Day One?

The emails obtained by AP, however, were not included in the 3,800 documents and emails provided by the Department of Health and Hospitals (DHH) in response to a request for information on discussions surrounding the health care cuts. So where was the public records law on that occasion, Kristy?

In one email exchange, Calder Lynch, a health policy adviser to DHH Secretary Bruce Greenstein, instructed a communications employee to send certain types of items to Lynch’s personal Gmail account instead of his state government email address.

That should come as no surprise to anyone. It was Greenstein, after all, who at his Senate confirmation hearing in June of 2011 refused to divulge the name of the winner of a 10-year, $300 million state Medicaid contract.

It turned out that the winner was a company called CNSI, a company for whom Greenstein had previously been employed. Once the name of the company was released—and then only after senators all but threatened Greenstein with thumbscrews—Greenstein insisted that he had built a “firewall” between him and the selection process and that he had had no contact with the company during that process.

Emails—state emails, no less—however, revealed that Greenstein had been in constant communication with his former employer prior to and during the selection of the contract winner.

Such is the definition of transparency and accountability in this administration.

The question that remains now is just how much longer will the state’s citizens—and a mostly compliant legislature, complete with a lapdog House Speaker (neutered, of course) and equally ambitious Senate President—continue to let Piyush Jindal make a laughingstock of the state and a cruel joke of the strictly theoretical definition of the separation of powers, checks and balances and three branches of government?

By now, only a recluse living on a houseboat somewhere in the murky bayous of Louisiana is unaware that Piyush Jindal deflects all questions about his presidential aspirations with the stock line, “I have the job I want.”

Yeah, right. That’s why the Boy Blunder spends more time on the road than Hope and Crosby (if you don’t get that, don’t worry about it; you’d have no reason to know the reference unless you’re into really old ‘40s and ‘50s movies).

So, let’s try this one: He’s been absent so much that his photo has appeared on milk cartons throughout Louisiana.

Positioning himself for a presidential run in 2016? Ridiculous!

That’s why he was named chairman of the National Republican Governors’ Association for 2013.

And that’s why he started taking potshots at Mitt Romney literally hours after Romney lost the presidential election to President Obama.

And that, apparently, is why he wrote that sophomoric essay on the so-called fiscal cliff facing Congress for Politico that contains all the intellectual depth of that essay he wrote about his conducting an exorcism on “Susan,” a fellow student at Brown University.

That little article brought appropriate ridicule from New York Times columnist Jonathan Chait who pointed out, correctly, that Jindal has little to no grasp of fiscal realities.

Chait could have been really cruel had he simply pointed out that Piyush has failed to have a balanced budget a single year since becoming governor. And he could have slam-dunked Piyush had he told his readers of Jindal’s patchwork on the state budget with one-time money.

Instead, Chait was satisfied with just smirking a little as he referred to Piyush as a sitting governor “with presidential ambitions.

National aspirations? That’s just crazy talk. Why on earth would he choose to ignore the Louisiana media’s repeated requests for interviews while courting Politico, the Washington Post, CNN and Fox News if he planned on moving up the political food chain?

Presidential ambitions? Why would anyone think such a thing?

Well, if you happen to be LSU mass communications professor Bob Mann, who also has a political blog called Something Like the Truth, you might cruise the internet highway in search of domain names.

That’s what Mann did and the results came quickly. He typed in key words like “Bobby Jindal,” “president,” and “2016.”

Bingo!

Up popped http://www.jindal2016.com/, and when he keyed it in, his search automatically redirected him to Gov. Piyush’s campaign website, http://www.bobbyjindal.com/.

“That really jumped out at me,” Mann said. “To me, it says they want people who think Jindal is running for president to find bobbyjindal.com. Mann, a leading political expert (his curriculum vitae includes work for Sens. Russell Long, John Breaux and Bennett Johnston and former Gov. Kathleen Blanco), said he considers his discovery just another indication that Piyush will run in 2016. “There’s no doubt whatsoever about it; he wants to be president.”

Jindal’s office, to no one’s surprise, did not respond to a request for comment (one has to wonder why he retains a press secretary) on the website. A spokesperson for Jindal’s campaign office, however, disavows ownership of the site and is unsure of the reason it redirects to the governor’s website.

Is it just us or has Jeff Hughes ripped a page from the Woody Jenkins playbook in his campaign for the State Supreme Court with that tacky “newspaper?”

For that matter, how is it that Jeff Hughes runs on a campaign of rock-solid conservatism, garnering endorsements from Piyush Jindal, the Louisiana Republican Party and the Tea Party while at the same time reaping boat loads of campaign contributions from the plaintiff bar?

And how is it that Jeff Hughes on the one hand touts his support for right to life, firearms, “traditional” marriage and capital punishment while citing the new chief justice as a New Orleans liberal and says that his election would give conservative Republicans a majority on the Supreme Court and at the same time insisting that he would never in a million years allow his personal views supplant a strict application of the law.

That, folks, in hockey parlance is known as the hat trick.

For that matter, how does his high school basketball prowess qualify him for anything but a college scouting report?

And what makes the fact that he wrote the opinion on the First Circuit Court of Appeal denying the appeal of convicted serial killer Derrick Todd Lee significant? Given the evidence in that case, a first-year law student could have written it and in all likelihood, it wasn’t Hughes at all, but a law clerk who did the actual writing that Hughes signed.

In this, the last week leading up to Saturday’s runoff between Hughes and Judge John Michael Guidry, we received two mail-outs from Hughes. One, a slick, 9 by 6-inch card contained the headline: “Bummed About Obama?” and text that proclaimed that “19 states how have legalized marijuana and 9 states and the District of Columbia now allow gay marriage.”

Beneath that shocking news bulletin was the message, “Protect your rights here in Louisiana—vote Judge Jeff Hughes.”

Now, whether you like or despise Obama, whether you endorse the legalization of marijuana or gay marriage should never be an issue in an election for the Louisiana Supreme Court. Minnesota notwithstanding, a candidate for a judgeship has absolutely no business espousing his political viewpoint on political issues, hot-button or otherwise. That is simply improper and inappropriate.

And yet, Jeff Hughes maintains in that pseudo-newspaper, “I am a strict constructionist. It is the duty of the legislature, not judges, to make the law. I consider the Constitution to be an inspired document.”

During his unsuccessful 2008 campaign for Congress against Donald Cazayoux, Jenkins published several issues of what appeared to be a tabloid newspaper which, as it turned out, was nothing more than an oversized campaign brochure that praised Woody Jenkins.

Now Jeff Hughes has cloned that idea, mailing out the Louisiana Judicial Report.

At first glance, it looks like a real, bona fide, sure-fire tabloid newspaper, complete with the official Seal of Louisiana in the upper left hand corner, next to the masthead. “Supreme Court at Stake,” the headline screamed at the reader just before the paper disappeared into the recycle bin. Not an individual Supreme Court seat at stake, mind you, but the entire cotton-pickin’ court apparently is at risk in this one election.

The “newspaper” contains an assortment of hot “news stories” about liberal Democrats, conservative Republicans, student-athlete Jeff Hughes, the lack of experience of John Michael Guidry, the boyhood of Jeff Hughes, ads saying Hughes is a “pro-life champion,” his two-time All-District basketball career at Denham Springs High School and Livingston Parish MVP, the obligatory family photo, a list of “key” endorsements and a half-page ad denying that he is aligned with the plaintiff bar in the so-called “legacy lawsuits,” litigation by landowners against oil companies for not cleaning up their property once exploration was completed.

The ad says that after the legislature passed legislation prohibiting the legacy lawsuits, the oil companies (he refers to them as “billionaires”) are supporting Guidry and the landowners (“millionaires”) support Hughes, all of which somehow makes no sense whatsoever.

“As a judge, my job is not to favor or reward any group but to apply the Constitutions and laws to the facts of each case,” Hughes said in the ad. “That’s what I will always try to do in every controversy.

“Here’s some advice: ignore the big money being spent on TV (ironically, that would be Hughes money to a large extent) and think about the issues that actually affect you and your family.

“If you’re pro-life, pro-gun, and pro-traditional marriage, then vote Jeff Hughes.”

Wait. What?