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“Forget About Repealing Obamacare”: Too Many “Message” Votes Have Put The GOP In A Bind

If at first you don’t succeed, try, try again? That certainly seems to be the motto of House Republicans. Last week, the House GOP took its 56th vote to repeal the Affordable Care Act, President Barack Obama’s signature health care reform law.

The bill’s prospects for consideration in the Senate are low and the president has repeatedly promised to veto such a measure anyway. After 56 tries, the House votes to repeal the health care law have become so commonplace that hardly anyone in Washington even blinks an eye at them anymore. Even the president says he’s lost count of how many repeal votes there have been. If House Republicans are serious in their quest to roll back the Affordable Care Act, why do they keep pursuing a strategy they know is doomed to fail?

They do it because these multiple repeal votes aren’t a serious attempt to void the health care law. They are merely symbolic message votes. Voting to repeal the Affordable Care Act was a popular campaign message for candidates on the right, and the recent House vote gave them a chance to fulfill their election year promises.

The repeal votes also give the Republican party a platform to continue talking about their opposition to the health law and to highlight its differences with the president. However, too many “message” votes may have also put the party in a bind. After 56 votes on essentially the same piece of legislation, the Republican party has faced criticism, according to The Hill, for failing to articulate an alternative plan. The repeated symbolic votes also expose the party to criticism for failing to lead in a critical policy area. The time spent in fruitless endeavors to repeal the law could have instead been used to negotiate on policies to fix the Affordable Care Act’s weaknesses. When it comes to health care policy, Republicans have simply become the party of no.

It’s time to switch tactics. Following the House votes last week, Sen. Orrin Hatch, R-Utah, Sen. Richard Burr, R-N.C., and Rep. Fred Upton, R-Mich., released a proposal for an alternative health care plan. The proposal is a good first step and perhaps necessary as, for the first time, three House Republicans voted against repeal of the Affordable Care Act in protest of their party’s apparent lack of a plan to replace it.

In addition to putting an actual health care plan on the table, Republicans may also want to consider trying to make changes to the current health care law in pieces. There could be opportunity for negotiation on aspects of the law that remain unpopular, such as the medical device tax, the Medicare Independent Payment Advisory Board and the definition of a full-time work week. Further, the Supreme Court ruling on the King v. Burwell case later this year regarding the legality of the subsidies being provided for the purchase of health insurance on the federal exchanges could provide Republicans with another opportunity to change the law. If the Supreme Court rules against the subsidies, a legislative fix may be necessary. By taking advantage of these opportunities, the party might be able to make the law more palatable for its constituency and improve its credibility in the process.

House Republicans have made their disdain for the Affordable Care Act very clear. A 57th vote to repeal the law will not be necessary, especially since it, too, would be doomed to fail as long as Obama is in office. However, it’s entirely possible we’ll see one. By focusing strictly on repeal of the entire law, Republicans risk giving the impression that they are completely unwilling to engage in meaningful debate on health care policy. The party should instead work to improve the law and continue putting forward ideas to do so.

A great example of this can be found at the state level. Following the Supreme Court’s decision that the Affordable Care Act’s Medicaid expansion was optional, several Republican governors have proposed alternative Medicaid plans to the administration. Some have already been successful in putting their imprint on the president’s initial policy because they came to the table in a serious manner. Republicans at the federal level would do well to follow suit.

 

By: Cary Gibson, a Government Relations Consultant with Prime Policy Group; Thomas Jefferson Street Blog, U. S. News and World Report, February 10, 2015

February 15, 2015 Posted by | Affordable Care Act, House Republicans, Obamacare | , , , , , , , | 1 Comment

“A Lesson Not Learned”: There’s Another Shutdown Fight In Washington. Republicans Will Lose This One, Too

Congressional Republicans are in a tough spot. Funding for the Department of Homeland Security expires on February 27, but conservatives are demanding that any DHS funding bill also block President Barack Obama’s executive actions on immigration. That’s unacceptable to Senate Democrats, who filibustered the legislation three times last week.

And now we’re stuck. Some Republican senators are urging their House colleagues to accept a “clean” funding bill that doesn’t block Obama’s unilateral actions, but that’s unacceptable to House Republicans. “The House did its job,” Speaker John Boehner said Wednesday. “Now it’s time for the Senate to do their work.” No one is quite sure how this will end. “I guess the lesson learned is don’t put yourself in a box you can’t figure out a way to get out of,” Republican Senator Shelley Moore Capito said.

The exact outcome may be unpredictable, but this impasse wasn’t.

Think back two months ago, when Congress needed to reach an agreement to fund the entire government. Conservatives were still seething at the president for taking executive action on immigration and wanted to use the government funding deadline as leverage to enact concessions from Obama. Republican leadership, on the other hand, was terrified that another government shutdown would be a political disaster for the GOP, just as they regained full control over Congress. And, they argued, Republicans would have more leverage in the 114th Congress, having won the Senate in November. The compromise was to fund the government through the rest of the fiscal yearwith the exception of the Department of Homeland Security, which was funded only until February 27.

Conservatives weren’t happy with the deal, but Boehner’s job was safe. More importantly, the Republican leadership had limited the political downside of a potential shutdown. Now, it wouldn’t be a full government shutdown, just one department. Given the Tea Party’s fury at Obama, that was a huge victory for Boehner.

But even though the current impasse was the best case scenario for Republicans, they still are in a tough position. The practical effects of a DHS shutdown are relatively minor, since most of DHS’s employees are classified as essential and thus would continue to work in the case of a shutdown. But the political implications of it are much worse. Obama can criticize the GOP for putting the U.S.’s national security at risk. “I can think of few more effective ways for Republicans to re-surrender national security as an issue to Obama than by taking the Department of Homeland Security hostage like this,” The New Republic’s Brian Beutler wrote in December. And that’s exactly what Obama has done in recent weeks. As February 27 approaches, Obama and other Democrats will only amplify that message.

Republicans are already trying to avoid blame for a DHS shutdown. “If there’s a shutdown, it wouldn’t be because of us,” Republican Senator Orrin Hatch said Tuesday. “The Democrats are filibustering it. I don’t know how we get blamed for that this time.” Hatch is rightDemocrats did filibuster the House-passed legislation on three separate occasions. But Republicans will probably take the blame. That’s how the politics of the filibuster work. The minority uses it to obstruct legislation and the majority takes the blame. Americans know that Republicans control both chambers of Congress. They aren’t paying attention to parliamentarian rules.

In all likelihood, this will end the same way every funding fight ends these days: Republican leadership will eventually bring up a clean bill and it will pass with mostly Democratic votes. That’s long been the GOP game plan. It’s also possible that Republican leadership will see this fight, with its relatively small stakes, as a good opportunity to build credibility with the Tea Party by standing up to Obama and refusing to pass a clean bill.

Neither of those outcomes are good for the GOP. But this is what happens when one ideological group has outsized control over a party and wants to pick funding fights that they are certain to lose.

 

By: Danny Vinik, The New Republic, February 12, 2015

February 15, 2015 Posted by | Dept of Homeland Security, Government Shut Down, Republicans | , , , , , , , , | Leave a comment

“Money Makes Crazy”: The GOP Consensus On Money Is Crazy, Full-On Conspiracy-Theory Crazy

Monetary policy probably won’t be a major issue in the 2016 campaign, but it should be. It is, after all, extremely important, and the Republican base and many leading politicians have strong views about the Federal Reserve and its conduct. And the eventual presidential nominee will surely have to endorse the party line.

So it matters that the emerging G.O.P. consensus on money is crazy — full-on conspiracy-theory crazy.

Right now, the most obvious manifestation of money madness is Senator Rand Paul’s “Audit the Fed” campaign. Mr. Paul likes to warn that the Fed’s efforts to bolster the economy may lead to hyperinflation; he loves talking about the wheelbarrows of cash that people carted around in Weimar Germany. But he’s been saying that since 2009, and it keeps not happening. So now he has a new line: The Fed is an overleveraged bank, just as Lehman Brothers was, and could experience a disastrous collapse of confidence any day now.

This story is wrong on so many levels that reporters are having a hard time keeping up, but let’s simply note that the Fed’s “liabilities” consist of cash, and those who hold that cash have the option of converting it into, well, cash. No, the Fed can’t fall victim to a bank run. But is Mr. Paul being ostracized for his views? Not at all.

Moreover, while Mr. Paul may currently be the poster child for off-the-wall monetary views, he’s far from alone. A lot has been written about the 2010 open letter from leading Republicans to Ben Bernanke, then the Fed chairman, demanding that he cease efforts to support the economy, warning that such efforts would lead to inflation and “currency debasement.” Less has been written about the simultaneous turn of seemingly respectable figures to conspiracy theories.

There was, for example, the 2010 op-ed article by Representative Paul Ryan, who remains the G.O.P.’s de facto intellectual leader, and John Taylor, the party’s favorite monetary economist. Fed policy, they declared, “looks an awful lot like an attempt to bail out fiscal policy, and such attempts call the Fed’s independence into question.” That statement looks an awful lot like a claim that Mr. Bernanke and colleagues were betraying their trust in order to help out the Obama administration — a claim for which there is no evidence whatsoever.

Oh, and suppose you believe that the Fed’s actions did help avert what would otherwise have been a fiscal crisis. This is supposed to be a bad thing?

You may think that at least some of the current presidential aspirants are staying well clear of the fever swamps, but don’t be so sure. Jeb Bush appears to be getting his economic agenda, such as it is, from the George W. Bush Institute’s 4% Growth Project. And the head of that project, Amity Shlaes, is a prominent “inflation truther,” someone who claims that the government is greatly understating the true rate of inflation.

So monetary crazy is pervasive in today’s G.O.P. But why? Class interests no doubt play a role — the wealthy tend to be lenders rather than borrowers, and they benefit at least in relative terms from deflationary policies. But I also suspect that conservatives have a deep psychological problem with modern monetary systems.

You see, in the conservative worldview, markets aren’t just a useful way to organize the economy; they’re a moral structure: People get paid what they deserve, and what goods cost is what they are truly worth to society. You could say that to the free-market true believer, to know the price of everything is also to know the value of everything.

Modern money — consisting of pieces of paper or their digital equivalent that are issued by the Fed, not created by the heroic efforts of entrepreneurs — is an affront to that worldview. Mr. Ryan is on record declaring that his views on monetary policy come from a speech given by one of Ayn Rand’s fictional characters. And what the speaker declares is that money is “the base of a moral existence. Destroyers seize gold and leave to its owners a counterfeit pile of paper. … Paper is a check drawn by legal looters.”

Once you understand that this is how many conservatives really think, it all falls into place. Of course they predict disaster from monetary expansion, no matter the circumstances. Of course they are undaunted in their views no matter how wrong their predictions have been in the past. Of course they are quick to accuse the Fed of vile motives. From their point of view, monetary policy isn’t really a technical issue, a question of what works; it’s a matter of theology: Printing money is evil.

So as I said, monetary policy should be an issue in 2016. Because there’s a pretty good chance that someone who either gets his monetary economics from Ayn Rand, or at any rate feels the need to defer to such views, will get to appoint the next head of the Federal Reserve.

 

By: Paul Krugman, Op-Ed Contributor, The New York Times, February 13, 2015

February 15, 2015 Posted by | Federal Reserve, Fiscal Policy, GOP Presidential Candidates | , , , , , , , | 2 Comments

“GOP Irrational Hostility”: A Mean-Spirited Interpretation Would Deny Millions Health Care Coverage

Millions of Americans only recently rescued from worry and hardship by acquiring health insurance now face losing it because Obamacare’s foes won’t end their obsessive opposition.

The latest threat to the Affordable Care Act is a Supreme Court case, due to be decided this spring, that will determine whether all Americans are eligible for the subsidies that make coverage affordable. The Court should allow working families all across the country to keep their life-saving subsidies.

The case turns on the kind of technicality that only a lawyer could love. The law says citizens are eligible for subsidies purchased through health-insurance exchanges established “by the State.”

Because of intense ideological hostility, 36 state governments betrayed their uninsured residents and refused to set up exchanges. In those cases, the law called for the federal government to set up exchanges for the states.

Obamacare’s implacable enemies are arguing that only Americans who were lucky enough to live in the 14 states that set up their own exchanges are eligible for subsidies, thereby excluding those who live in two-thirds of our country.

Since 85 percent of purchasers need subsidies to make insurance affordable — the subsidies cut monthly premiums on average from $346 to $82 — that nonsensical, mean-spirited interpretation would deny millions of working Americans decent health insurance.

That’s not what Congress intended when it passed the most sweeping reform of American health care in nearly 50 years. It didn’t mean to punish millions of citizens by denying them health insurance because of what state they live in. The architects of reform — the chairmen of the relevant committees — confirmed this obvious truth in a recent op-ed.

And it’s not only the five million Americans losing coverage who will suffer if the Supreme Court rules against national subsidies. The whole system will risk collapse as healthier enrollees succumb to the cost squeeze first and drop out, leaving sicker, more desperate, more expensive clients behind. Other components of the law — such as the one requiring large employers to offer coverage to their workers — could also be questioned in states that didn’t establish their own exchanges.

Trying to downplay the impact of a potential decision that would cut off millions of Americans from their health insurance, some Obamacare opponents claim states would quickly set up their own exchanges in response.

But there’s no sign that irrational hostility has weakened much to the law — even as millions of Americans experience its benefits, and besides, the vast majority of state legislatures will be out of session by the time the High Court rules in June, so no quick fix will be available.

Another answer would be to change the health-care law to remove any uncertainty about who’s eligible for subsidies, but of course the new GOP majority in Congress is too busy trying to repeal the law altogether to usefully amend it.

Indeed, the current legal attack on the Affordable Care Act is only part of an unrelenting five-year campaign of opposition, one that will presumably continue regardless of the Supreme Court’s decision in this case. There’s no clear historical precedent for so much time, effort and emotion being poured into resisting an improvement in the material well-being of fellow citizens.

Think how American health care could be improved if all that angry passion was redirected into fruitful cooperation! Not even its biggest supporters are content with the Affordable Care Act as it is. Health care is still too expensive, too many people are still left out, health outcomes are still disappointing.

But we can’t address those problems until fiery Obamacare opposition cools. The Supreme Court can help the process along by acknowledging that Congress intended for all Americans — not just those living in certain states — to have access to affordable health care.

 

By: William Rice, The National Memo, February 12, 2015

February 15, 2015 Posted by | Affordable Care Act, Health Exchanges, Republicans | , , , , , | Leave a comment

“The Insurgent Strategy”: It’s Going To Be Hard To Convince Voters Of Republicans’ Compassion On The Economy

In recent months, Republicans have been searching for ways to talk about the economy that go beyond their traditional supply-side focus on growth, which says that if we do a few key things (cut taxes, reduce regulations), the economy will grow and everyone will benefit. Since the conversation about economics has shifted to things like inequality and wage stagnation, potential 2016 candidates want to show that they’re concerned about more than growth; this need is particularly acute in the wake of 2012, when Mitt Romney was caricatured as a ruthless plutocrat crushing the dreams of regular people in order to amass his vast fortune, all while heaping contempt on the “47 percent.”

Many Republicans believe that this entirely explains Romney’s loss, and if they can convince voters that they understand their struggles and have ideas to help them, then victory in 2016 is possible. But that would require them to counter some powerful and deeply ingrained stereotypes about their party. As Brendan Nyhan explains today, there is some political science research into the question of whether it can be done, under the heading of “issue ownership” and “issue trespassing”:

The Republican focus on inequality could address this vulnerability by helping the party look more caring, reducing the G.O.P.’s “damaging reputation for caring only about the economic interests of the rich,” as National Review‘s Ramesh Ponnuru put it.

But there is risk in issue-trespassing of the sort that the Republicans are attempting. One political science study found that the strategy is rarely successful and that voters tend to rely on party stereotypes instead — a conclusion that is reinforced by miscues like the infamous Dukakis tank ride. Democrats are already likening Jeb Bush to Mr. Romney in an attempt to buttress the stereotype of the G.O.P. as the party of the rich.

And even if the move to address inequality lessens Republican image problems, it will be only a stopgap. Assuming the economy continues to improve, Republicans will be forced to pursue what Lynn Vavreck, an Upshot contributor, calls an “insurgent” strategy in 2016, trying to focus the election on another issue in which its presidential candidate has an inherent advantage.

Unfortunately, good insurgent issues are hard to find. Inequality doesn’t look like a winner for Republicans in this election. That’s why Mr. Bush, like Mr. Dukakis, has struck some analysts as sounding like a technocrat — he can’t run on the economy and doesn’t have a good alternative issue or trait to emphasize (unlike his brother George, who successfully ran as the Not Clinton candidate in 2000).

The Dukakis example is an interesting and revealing one. In 1988, at the end of a huge military build-up, Dukakis tried to argue that the question wasn’t whether our military was big, but whether we were making smart decisions about what weapons we purchased and what we did with them. Then somebody thought it would be good for him to take a ride in a tank, just to show that he liked big things that go boom just as much as any Republican, ignoring the fact that it would violate the most important rule of presidential campaigning, which is “No hats.” Your candidate should never, ever put on a hat. The Republicans made an ad mocking him for riding in a tank, and suddenly the discussion on defense was back on the strong/weak axis, not on the smart/dumb axis Dukakis wanted.

In 2016, all it’s going to take is one thing to undo months of careful attempts by the Republican candidate to show he’s compassionate and understands people’s economic needs. Maybe it’ll be an infelicitous remark the candidate makes, or it might even be something someone else says. But the Democrats will be waiting to show the voters that the nominee is just like every other Republican, and when it happens they’ll be on it like white on rice.

 

By: Paul Waldman, Contributing Editor, The American Prospect; Contributor, The Plum, Line, The Washington Post, February 13, 2015

February 15, 2015 Posted by | Compassionate Conservatism, Economic Inequality, Republicans | , , , , , , | Leave a comment