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“Like A Drunk In A Bar Fight”: Why Republicans Will Never Stop Lying About Obamacare

Politically speaking, here’s the thing about those melodramatic ads attacking the Affordable Care Act currently running on TV: In terms of actual policy, they’re as futile as the 40-odd votes to repeal the law that House Republicans have already cast.

GOP hardliners are like a drunk in a bar fight threatening to whip somebody twice his size if only his friends would let go of his arms.

It’s all over but the shouting.

Even if Republicans make big gains in the 2014 congressional elections, they can’t possibly win enough votes to overcome a presidential veto. What’s more, chances of capturing the White House in 2016 on a platform of canceling millions of Americans’ health insurance benefits appear so remote as to be downright delusional. Like it or not, the ACA is here to stay.

Indeed, governors and legislatures in previously recalcitrant states including New Hampshire, Tennessee, Pennsylvania, Utah and Virginia are considering Medicaid expansion they’d previously shunned. Despite early signup problems with the federal HealthCare.gov exchange, signups for individual private policies have increased to where it now appears the ACA will come close to meeting its projected goal of 7 million enrollees by the March 31 deadline.

Moreover, for all the predictions of actuarial doom heard on Fox News and elsewhere—supposedly caused by an imbalance of old, sick enrollees versus younger, healthier ones—the Washington Post reported last month that “the Kaiser Family Foundation estimates that if the market’s age distribution freezes at its current level—an extremely unlikely scenario—‘overall costs in individual market plans would be about 2.4 percent higher than premium revenues.’”

That’s a minor problem, but nothing like a “death spiral.”

In terms of affecting health care policy, then, the TV ads are largely symbolic — scripted melodramas calculated to arouse the partisan passions of the GOP “base” in states where control of the U.S. Senate could be determined this fall. Financed by Americans for Prosperity, the Scrooge McDuck-style front group controlled by the Koch brothers and fellow anti-government tycoons, they’re aimed less at killing the Affordable Care Act than convincing voters that Democrats are their enemies.

Maybe that’s why the ad campaign has proven so singularly unpersuasive to skeptics. In Lousiana, where Democratic Sen. Mary Landrieu is up for re-election this fall, AFP has run a commercial featuring a group of actors pretending to be ordinary Louisiana citizens whose health insurance was canceled due to “Obamacare.” But it’s make-believe; a scripted TV drama as fictive as a Viagra advertisment.

In Arkansas, virtually every news program features a pretty, AFP-sponsored actress plaintively begging viewers to remind Democratic Sen. Mark Pryor that health care is about “people,” and that “the law just doesn’t work.” More in sorrow than anger, it seems, because Pryor remains personally popular.

Pryor’s opponent, Koch-financed Rep. Tom Cotton, tells a touching tale about one “Elizabeth, from Pulaski County” whose premiums have allegedly risen 85 percent under the new law “simply because Washington politicians and bureaucrats think they know what’s best for her and her family.”

I found myself wondering what kind of insurance plan the otherwise unidentified Elizabeth used to have, or if she’s like one of those imaginary digitally enhanced hotties that Internet ads assure me are just a mouse-click away.

Supposedly factual AFP ads have proven even less persuasive to skeptical journalists. In Michigan, 49-year-old leukemia patient Julie Boonstra earnestly explained to viewers that her existing health care policy had been canceled due to the Affordable Care Act, implying that she’d also lost her doctor and been broadsided by ruinous costs.

Fact checks by the Washington Post and Detroit News, however, determined that Boonstra hadn’t lost her doctor at all. What’s more, her monthly premiums under the Affordable Care Act cost roughly half what she’d been paying ($571, from $1,100). Her out-of-pocket expenses almost precisely matched those savings — overall, a wash.

A determined opponent of the law, apart from her understandable anxiety about changing insurance carriers while fighting cancer, Boonstra turned out to have suffered no real losses. Not to mention that she now has a policy that can’t be rescinded due to a “previously existing condition.”

And so it goes. Los Angeles Times economics columnist Michael Hiltzik has made a minor specialty out of fact checking these successive tales of woe. It’s left him wondering if there are really any “Obamacare” victims at all.

“What a lot of these stories have in common,” he writes “are, first of all, a subject largely unaware of his or her options under the ACA or unwilling to determine them; and, second, shockingly uninformed and incurious news reporters, including some big names in the business, who don’t bother to look into the facts of the cases they’re offering for public consumption.”

Politically, however, printed facts rarely prevail against televised fictions. Anyway, repealing the Affordable Care Act isn’t the point. It’s inflaming the GOP base and defeating Democrats.

 

By: Gene Lyons, The National Memo, February 26, 2014

February 27, 2014 Posted by | Affordable Care Act, Obamacare, Republicans | , , , , , , | Leave a comment

“Texas, Where Crazy Gets Elected”: There’s Crazy, And Then There’s Texas Crazy

So what happens in Texas when the Republican gubernatorial candidate invites Ted Nugent to the state to campaign for him not long after the Motor City Motormouth has called the President of the United States a “subhuman mongrel,” not to mention a “Communist” and a “gangster”? Would you believe, as Maxwell Smart used to say, that the candidate increases his lead? Well that’s what has happened. There’s crazy, and then there’s Texas crazy.

In a poll that came out Monday, conducted as the Nugent controversy was brewing, Republican Greg Abbott leads Democrat Wendy Davis by 11 points, which Politico notes is up from six points in a poll last year.  Now there are surely other reasons for this little surgette, but it certainly shows that Abbott’s decision to keep company with Nugent did him no harm at all in the state.

You think that’s bad, get a load of this, from the same poll. The candidate leading the Democratic field for the right to seek John Cornyn’s Senate seat is a woman named Kesha Rogers. Two of her top ideas? Impeach Barack Obama and repeal the Affordable Care Act. Yes, you read it right. She’s the leading Democrat. She’s also a La Rouchie, a fact that far from hiding she seems intent to rub in the other candidates’ faces: I can ramble on about crazy worldwide banking conspiracies all I want, she seems to be saying, but as long as I want to impeach Obama and repeal Obamacare, you can’t touch me! There’s crazy, and there’s Texas crazy.

This would all be merely amusing, but there’s another side to Texas crazy. Let’s get serious now for a few paragraphs.

If you read me often enough, you know that one of my themes is that the Democrats, with enough money, creativity, and guts, ought to be able to turn Obamacare into a positive. Millions of people across the country, especially in the states that opted in and accepted the Medicaid money, have insurance now and the peace of mind about themselves and their children that comes with it. Besides which, have you noticed that all the Republican hoo-ha about these alleged horror stories never holds up on examination? Paul Krugman wrote a terrific column on this topic Monday. Literally every high-profile Obamacare-nightmare story retailed by one of these yoyos turns out, once reporters start poking around, not to be at all as advertised. So we have a party that loathes the ACA and its effects and many millions of dollars to go find its victims, and so far it hasn’t really turned up one.

Now—back to Texas. Two recent briefing papers from academics affiliated with the excellent Scholars’ Strategy Network shed considerable light on what Obamacare could be doing for Texas, if only its politicians would permit it.

Texas—hold on to your ten-gallon hat, because this is a shocker—leads the country in the percentage of its people who are uninsured; a gaudy 24.6 percent. Nearly 37 percent of Hispanics are without coverage, as are 22 percent of African Americans, and 23 percent of women. That’s a small army of people who would benefit from the state having accepted the federal Medicaid money and set up an exchange. But Texas’s leaders from Rick Perry on down are having none of it.

In one paper, Jessica Sharac, Peter Shin, and Sara Rosenbaum of George Washington University cite a recent study noting that “if Texas had agreed to expand Medicaid, more than two million uninsured people would likely have gained health insurance.” In another, Ling Zhu and Markie McBrayer of the University of Houston compare how poor people are faring so far in Texas and California, the latter of course being among the states that have accepted the Medicaid expansion. They write: “More than 2.2 million Californians were added to that state’s expanded Medicaid program by the end of January, compared to just over 80,000 Texans who signed up after realizing they were already eligible for the existing state Medicaid program.”

Together, the papers (they’re very short, you should go read them) paint the picture you’d expect. Our two largest states, one working to insure its people and the other doing everything in its power to prevent that. And remember—Texas could be doing this at very minimal cost. Washington is paying full freight on the expansion until 2016, and then a slightly declining share, but still, 90 percent every year after 2019. It’s almost free. And Texas ain’t playin’. Indeed Perry turned down (cue Dr. Evil) nine billion dollars.

So now let’s circle back to the governor’s race. Of course, Abbott opened his campaign last fall pounding Davis on Obamacare, thundering that she’d open the door to this iniquity. Davis has been talking a lot about Ted Nugent, but she’s had rather little to say on the subject of Perry refusing, and Abbott vowing to continue to refuse, $9 billion.

Would all those uninsured Latinos and blacks and women be energized to come out and vote for the candidate who dared to make a big issue of this? I admit it’s hard to say. But Davis is a long shot anyway. Nothing against her—Jesus himself could come back and run as a Democrat in that state, and rather than pull that Democratic lever for Him, most Texans would just wonder when the Redeemer went socialist on them (answer: he always was!).

Of course it would be risky. Of course she’d drop in the polls for a while. But she’d still have nearly eight months to explain to people that $9 billion is real money, that all this is happening anyway whether Texas Republicans like it or not, and since it is happening well by cracky she’s not going to leave millions of Texans not getting what their counterparts in other states are getting. As it is, those people have no one really fighting for them. That’s Texas crazy, too.

 

By: Michael Tomasky, The Daily Beast, February 26, 2014

February 27, 2014 Posted by | Affordable Care Act, Medicaid Expansion, Texas | , , , , , , | 1 Comment

“Willful Republican Obfuscation”: The GOP Takes Another ObamaCare Study Way Out Of Context

It’s no secret that Republicans are pinning their midterm election hopes on ObamaCare.

So it should be no surprise that the GOP has tried to cast virtually all news about the health care law as proof that ObamaCare will kill jobs and send insurance costs soaring. The only problem with that strategy is that the underlying arguments are often disingenuous.

In the latest case, a new report from the Centers for Medicare & Medicaid Services estimates that ObamaCare could raise insurance premiums for nearly two-thirds of small businesses, affecting some 11 million employees. Before ObamaCare, those small businesses were paying below-average rates — often by having younger, healthier workers whom insurers could charge less to cover — but new rules designed to level the insurance marketplace will cause those rates to rise, according to the report.

Naturally, right-wing blogs and Republican lawmakers seized on the report to bash ObamaCare. The report revealed another “broken promise” from the Obama administration, House Speaker John Boehner (R-Ohio) said in a statement, calling it “another punch in the gut for Americans already struggling in the president’s economy.”

The reality of the report’s conclusions, though, are a bit more nuanced.

While the report did find that insurance premiums would probably go up, it did not determine that insurance costs overall would spike. That’s because the report focused only on the impact of ObamaCare’s new rules, and not, crucially, on the impact of its new benefits.

ObamaCare contains a wealth of subsidies, tax breaks, and the like — many of them geared specifically toward small businesses — that are intended to drive down individuals’ insurance costs. When you factor in all the positives, “Obamacare may well be the best thing Washington has done for American small business in decades,” The New Yorker’s James Surowiecki wrote last year.

The CMS report acknowledged that fact, hedging that there was “a rather large degree of uncertainty associated with this estimate” and that the true impact “will be based on far more factors than the three that are focused on in this report so understanding the effects of just these provisions will always be challenging.” And the report specifically mentioned one nongovernmental analysis of the entire law which found that it would have a “minimal” impact on small business premiums.

Moreover, the report estimated that costs would drop for the remaining one-third of small businesses. Why? They’re currently paying above-average rates, so the market-leveling rules will actually benefit them.

The GOP hand-wringing comes on the heels of its failed attempt to claim a separate federal report confirmed that ObamaCare will be a job killer. That nonpartisan Congressional Budget Office report actually found that the law would lead to a reduction of labor, not jobs, as incentives made it easier for people to work less or retire early. The GOP’s claim was so bogus, in fact, that the CBO released a follow-up statement thoroughly debunking it as an egregious distortion of the truth.

Republicans understandably want to make the health care law look bad to boost their election prospects. But skewing the findings on ObamaCare only hurts their credibility and reveals the party’s willful obfuscation on the issue.

 

By: Jon Terbush, The Week, February 25, 2014

February 26, 2014 Posted by | Affordable Care Act, GOP, Small Businesses | , , , , , , | Leave a comment

“It’s Easier Than Honesty”: Winning A Debate By Quashing Scrutiny

In her party’s official response to the State of the Union a few weeks ago, Rep. Cathy McMorris Rodgers (R-Wash.), the House Republican Conference chair, shared an anecdote about “Bette in Spokane,” the latest in a series of “Obamacare victims.” As is usually the case, within a day or two, the story was debunked.

Once McMorris Rodgers realized her story was wrong, the congresswoman, instead of apologizing, tried to go on the offensive. “It’s sad partisan politicians are attacking Bette,” she argued.

In reality, no one had “attacked” the woman in the story. Rather, McMorris Rodgers’ anecdote was fact checked and proven to be wrong. To suggest that scrutinizing suspect claims is somehow improper is absurd, but that was nevertheless the congresswoman’s reaction.

It was apparently a sign of things to come.

Last week, the Koch-financed Americans for Prosperity launched a new attack ad targeting Rep. Gary Peters, a Democratic U.S. Senate candidate in Michigan. The spot features Julie Boonstra, a Michigan woman who’s paying less money for better insurance without having to change doctors, but who was nevertheless presented in the ad as yet another ACA victim.

Peters, not surprisingly, believes AFP should provide more information to bolster the claims in its ad. The right, no longer willing to defend the deceptive commercial, has decided to attack Peters.

U.S. Rep. Gary Peters, D-Mich., wants to be a United States senator, but he has a problem. He’s engaged in a “war on women” – make that a single woman – whom he’s trying to silence because he doesn’t like the story she has to tell. […]

Julie Boonstra deserves a medal for what she is doing. Peters should hang his head in shame.

It’s a fascinating rhetorical gambit, worth appreciating for its rare combination of audacity and mendacity. What’s more, it’s increasingly becoming the standard response to one of the right’s more glaring problems in the health care debate: all of the conservatives’ evidence keeps falling apart.

Let’s say you have a movement of sorts and your goal is to deliberately tear down the nation’s health care system, no matter the consequences. Let’s also say you have the bright idea of using anecdotal evidence to highlight “victims” in order to prove how awful the system is, only to have pesky reporters discover that all of your evidence is bogus and the victims haven’t really been victimized at all.

At this point, you have a few choices. You could, for example, find a new hobby and stop trying to prevent Americans from having access to affordable health care. Or you could cast a new line, hoping to find some elusive, legitimate horror stories that won’t be debunked a day or so later.

But these are strategies based on conventional thinking. What you really need is a very different kind of plan: one in which you keep presenting bogus anecdotes, but discourage those who know what they’re talking about from pointing out your errors. What you want is to promote misleading propaganda with impunity – more mendacity, less scrutiny.

And how do you do that? By lashing out angrily against those noting the facts. Those who recognize the AFP’s Boonstra ad as misleading are obviously attacking a woman with cancer and should be ashamed of themselves – or so the story goes.

I suppose it’s clever, in an Alice in Wonderland sort of way, but it’s no way to have a credible policy debate. Indeed, it seems some of these conservatives are effectively giving up on the very idea of a serious discourse – they not only want to present misleading anecdotes, they also want to intimidate those who might dare to note reality by accusing them of being heartless bullies.

As Greg Sargent put it the other day, many on the right have essentially declared “that the emotional content of these victims’ stories should shield such ads from scrutiny.” Fact-checking suspect claims “will be met with charges of insensitivity to the victims.”

I guess it’s easier than honesty.

Postscript: The Wall Street Journal ran a piece yesterday arguing that the Affordable Care Act cost a woman her cancer medication. The piece was quickly embraced by the right, but it was debunked by Michael Hiltzik a few hours later.

If recent history is any guide, this means Hiltzik should expect to be accused of not caring about people with cancer. Sorry, Mike.

 

By: Steve Benen, The Maddow Blog, February 25, 2014

February 26, 2014 Posted by | Affordable Care Act, Americans for Prosperity, Republicans | , , , , , , | Leave a comment

“Discrimination Lapel Pins”: These “Religious Freedom” Bills Are The New Stand-Your-Ground Laws

Awaiting signature on the desk of Arizona Governor Jan Brewer is a bill that might be the most insidious attack on LGBT rights to ever pass both houses of a state legislature. SB1062 would allow anyone—be it an individual, association, partnership, corporation, church, religious assembly, foundation, or other legal entity—to deny services to others simply by asserting their religious beliefs. Interpreted broadly, the bill could override many equal protection clauses in Arizona law, including civil rights: A restaurateur could deny service to an out-of-wedlock mother, a cop could refuse to intervene in a domestic dispute if his religion allows for husbands beating their wives, and a hotel chain could refuse to rent rooms to Jews, Hindus, or Muslims.

Republican legislators have made the intended target of the bill clear in their statements, repeatedly citing a New Mexican photographer who was sued when he refused to shoot a lesbian couple’s commitment ceremony. They claim the bill’s detractors are exaggerating its possible effects and are demonstrating hostility towards people of faith. But there is ample reason to believe that a law like this would open the door to discrimination. Once laws are passed, people who may otherwise be afraid of engaging in questionable behaviors may feel emboldened to do so. Moreover, these laws will likely be used by juries as legitimate reasons to dismiss cases against future defendants—after all, the law is the law.

The perfect case in point for all of this? The stand-your-ground laws which have been enacted in several states across America.

These laws were ostensibly passed to protect citizens from criminals by removing the need to retreat or escape when attacked, the rationale being that criminals would think twice knowing that their victims could legally defend themselves with proportionate force. And yet SYG defenses have been used with alarming frequency, and in scenarios unimaginable when these laws were passed, including by drug dealers and gang members. States which have enacted SYG laws have seen an 8 percent rise in “justifiable homicides,” possibly indicating that those with knowledge of the law are willing to take chances in situations where the law might apply.

Furthermore, SYG defenses are shockingly successful. Seventy percent of people who have invoked the defense have avoided prosecution. In fact, SYG laws seem to have tilted the odds in favor of the shooter: In states that have it, 13.6 percent of homicides have been ruled justifiable, while in those that don’t, only 7.2 percent have been deemed such. Unsurprisingly, the success of a SYG defense has a decidedly racial bias—white-on-black killings are far more likely to be deemed “justified” than any other kind.

What does this all mean for bills like SB1062? Granting people the legal right to invoke religious beliefs to justify their right to refuse service will embolden many people who might have otherwise been afraid to do so. Moreover, the defense could end up being a largely successful one. Certainly jurors who might already be biased will be unafraid to side with the defendants, but even those who might not agree with the law will be hard pressed not to accept its validity; should a defendant make a somewhat rational case for why their religious beliefs would be violated by providing these services, the jurors would be forced by the law to acquit. The law would not only provide cover to judges and juries who might otherwise harbor sentiments against the defendants for whatever reason, but would even compel those who aren’t biased to rule in favor of the accused parties.

Many have compared these laws to the gay propaganda bill that passed in Russia last June, some expressing dismay that such laws could be enacted here in America. In the sense that the Russian law seems to have emboldened many Russians to hunt down LGBT people (a law recently passed in Nigeria seems to doing the same thing), it’s not hard to draw the same conclusions here. These Republican legislators claim to want to protect people of faith, yet they did not invoke a single legitimate instance where a person’s freedom of religion is compromised by having to serve others. Purporting to be against discrimination, these lawmakers are trying to use the victim card against the very people they want to discriminate against. Yet there is a tacit social contract we all sign in pluralistic societies: Even when we do not agree with everyone’s beliefs or lifestyles, we still agree to treat each other fairly.

There’s something vaguely desperate about these laws, the last gasp of a cause aware that it’s dying. They are unlikely to pass constitutional muster; they hardly seem to be trying to do so. In all likelihood, Brewer will veto SB1062. As law, it would not only cause a ridiculous pileup in the courts but could tear at the social fabric of the state, exposing certain prejudices that best remain hidden—the landmines are too numerous for the governor to risk so late into her term. Still, this will hardly be the last we hear of these dubious “religious freedom” arguments. Every step in the civil rights movement was met with resistance. Now that the push for LGBT rights has gained such momentum, the backlash will only get stronger.

 

By: Eric Sasson, The New Republic, February 24, 2014

February 26, 2014 Posted by | Arizona, Civil Rights, Discrimination | , , , , , , | Leave a comment