“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
“A GOP Sociopathetic Scam”: Why Actual ACA ‘Victims’ Are So Elusive
It’s practically a running joke at this point. The Affordable Care Act’s conservative detractors have spent the last several months in a desperate search for “Obamacare victims” to be used in various partisan attacks, and quite a few regular folks have received quite a bit of attention.
The problem, of course, is that all of these examples, once they’re subjected to even minor scrutiny, have fallen apart – the “horror stories” really aren’t so horrible. Michael Hiltzik speculated last week that there may not be any genuine anecdotes to bolster the right’s claims.
What’s going on here? Paul Krugman offers one possible explanation.
Even supporters of health reform are somewhat surprised by the right’s apparent inability to come up with real cases of hardship. Surely there must be some people somewhere actually being hurt by a reform that affects millions of Americans. Why can’t the right find these people and exploit them?
The most likely answer is that the true losers from Obamacare generally aren’t very sympathetic. For the most part, they’re either very affluent people affected by the special taxes that help finance reform, or at least moderately well-off young men in very good health who can no longer buy cheap, minimalist plans. Neither group would play well in tear-jerker ads.
That’s as good an explanation as any. What the right needs are sympathetic figures – real, relatable Americans who are struggling, and whose plight was made worse by the Affordable Care Act. The most notable recent example came last week with a Michigan woman, Julie Boonstra, featured in an Americans for Prosperity attack ad and in RNC events, who’s paying less for better insurance without having to change doctors.
In other words, as far as health care policy is concerned, it’s not much of a horror story, though it’s presumably the best the right can come up with.
But taking this one step further, let’s also acknowledge the extent to which the right is using ACA beneficiaries as a cudgel to undermine their own interests.
Brian Beutler did a nice job this morning explaining that the practice of using Americans to harm their own health security is a “sociopathic new scam.”
[W]e’re really just talking about Julie Boonstra here.
If she and AFP get their way, she’ll be just as much a victim of Obamacare repeal as all the people who face health circumstances similar to hers. And the saddest part of that tragic irony is that Boonstra doesn’t even seem to understand what her circumstances are, or why it doesn’t make sense to devote her energies to repealing the law. Boonstra told the Dexter Leader, “People are asking me for the numbers and I don’t know those answers — that’s the heartbreak of all of this. It’s the uncertainty of not having those numbers that I have an issue with, because I always knew what I was paying and now I don’t, and I haven’t gone through the tests or seen my specialist yet.”
But that’s just not so. Anyone who’s studied the law knows it’s not so. Anyone who’s paid unexpected health bills in installments knows it’s not so. And well-heeled Affordable Care Act foes like Americans for Prosperity certainly know it’s not so. And in that sense AFP, and everyone else on the right “supporting” Julie Boonstra, are using her as a weapon in a war against herself.
To a very real degree, it’s tragic to watch the developments unfold in real time. For much of 2013, especially in the months leading up to the open-enrollment period, assorted far-right groups launched an organized campaign to encourage the uninsured to stay that way – on purpose – in order to help conservative organizations advance their ideological agenda. It was a truly offensive display in which wealthy activists on the right urged struggling Americans to deliberately put their wellbeing in jeopardy.
Months later, we’re at a similarly painful moment in the debate, in which many of the same groups and activists are now exploiting people to create misleading attack ads, all in the hopes of keeping people from having access to affordable health care.
By: Steve Benen, The Maddow Blog, February 24, 2014
“The Insurance Company Bailout That Republicans Love”: The GOP Has Found A Way To Be Even More Hypocritical Than Before
Remember when Republicans found insurance company bailouts outrageous? Good, because the Republicans don’t.
On Friday, the Obama Administration announced proposed payment rates for Medicare Advantage plans, the private insurance option within Medicare. The federal government pays insurers a fixed fee for each senior they enroll. The program’s goal is to provide seniors with more options and, ideally, foster competition that will lead to better management of care both within the traditional program and for those who get private insruance instead. But, for a long time, experts have said the federal government is actually paying the insurers too much—in other words, more than it costs to provide the same coverage through traditional Medicare.
In the late 1990s, when the program was known as “Medicare+Choice,” the Clinton Administration attempted to rectify this by reducing insurer fees. But experts subsequently found the government was still paying the plans too much, so the Obama Administration and its allies included additional Medicare Advantage cuts in the Affordable Care Act—leaving discretion over the exact rates to the Department of Health and Human Services and its actuaries. On Friday, HHS revealed its calculations for next year’s rates, based in part on projections for how health care spending for the country as a whole is changing.
The payment formula is complicated and even now, with a weekend to digest the announcement, analysts aren’t entirely sure how insurers would react and what that would mean for seniors in the plans. (As Phil Galewitz of Kaiser Health News reports, many independent experts seem to think the effects would be pretty minimal.) But insurers, who say better benefits account for whatever extra funds they get, have warned that cuts of virtually any magnitude will force insurers to offer less generous benefits, charge higher premiums, or withdraw from the program altogether—as some of them did in the late 1990s, following those cuts the Clinton Administration implemented. The insurers are lobbying the administration to use its discretion to reduce the cuts or, ideally, eliminate them altogether. If you live in Washington and have seen those ubiquitous “Seniors are Watching” advertisements on billboards and buses, you have some idea of how strongly the insurers feel about this.
But insurers aren’t the only ones making a fuss. Republicans are too—and they have been for a while. As you may recall, Republicans pounced on the new Medicare Advantage cuts as proof that Obamacare was bad for seniors—in the 2010 midterms and then, again, in the 2012 presidential election. It was pure political gold, since seniors (particularly white seniors) were among those most skeptical of Obama and his health care law in the first place. Of course, House Republicans voted for the very same cuts when Paul Ryan’s budgets had them. But that didn’t stop Republicans from attacking the cuts then—and it’s not stopping them now. “ObamaCare has already caused millions to lose the healthcare plans they liked, and now it is directly harming seniors who rely on the care they have through Medicare Advantage,” Eric Cantor, the House Majority Leader, said on Friday. “Our nation’s grandparents should not have to wake up tomorrow worried they no longer can access the care they want because of Obamacare.”
With this latest salvo, however, Republicans have actually found a way to be more hypocritical than before. For the last few weeks, Republicans and their allies have been in high dudgeon about Obamacare’s so-called risk corridor program, in which the federal government will subsidize insurers that take heavy losses for the next three years. Republicans and their allies have decried risk corridors as a “taxpayer bailout” of the insurers. But the policy justification for risk corridors is straightforward and, even to some conservatives, incontrovertible: They will ease the transition to a newly regulated insurance market, so that it’s possible to provide universal coverage through a system of private plans. And unlike the additional Medicare Advantage payments, the risk corridor program might actually end up being a net boon to the taxpayers, since the government also shares in unexpected insurer gains. (The Congressional Budget Office has actually predicted as much, though, as with many such projections, there’s a lot of uncertainty there.)
Maybe Republicans think that’s insufficient reason to pay the Obamacare insurers money—fine. But then how can they simultaneously insist government keep paying higher fees to Medicare insurers, given the case for them is a lot more dubious?
Congressional Democrats haven’t exactly covered themselves in glory over this issue. New York Senator Charles Schumer was among the Democrats who signed a bipartisan letter to HHS, urging the administration not to harm beneficiaries with payment reductions, though the senators stopped short of calling for outright reversal of the cuts. But the current Republican position makes no sense whatsoever, unless the GOP’s real priorities are (a) opposing anything the Obama Administration supports (b) sucking money away from the traditional, government-run Medicare program (c) stopping programs and spending that benefits the non-elderly uninsured. Readers can decide for themselves which of those explanations make the most sense—or whether, perhaps, it’s all of the above.
By: Jonathan Cohn, The New Republic, Fenbruary 24, 2014
“Health Care Horror Hooey”: Eliciting Human Sympathy For Purely Imaginary Victims
Remember the “death tax”? The estate tax is quite literally a millionaire’s tax — a tax that affects only a tiny minority of the population, and is mostly paid by a handful of very wealthy heirs. Nonetheless, right-wingers have successfully convinced many voters that the tax is a cruel burden on ordinary Americans — that all across the nation small businesses and family farms are being broken up to pay crushing estate tax liabilities.
You might think that such heart-wrenching cases are actually quite rare, but you’d be wrong: they aren’t rare; they’re nonexistent. In particular, nobody has ever come up with a real modern example of a family farm sold to meet estate taxes. The whole “death tax” campaign has rested on eliciting human sympathy for purely imaginary victims.
And now they’re trying a similar campaign against health reform.
I’m not sure whether conservatives realize yet that their Plan A on health reform — wait for Obamacare’s inevitable collapse, and reap the political rewards — isn’t working. But it isn’t. Enrollments have recovered strongly from the law’s disastrous start-up; in California, which had a working website from the beginning, enrollment has already exceeded first-year projections. The mix of people signed up so far is older than planners had hoped, but not enough so to cause big premium hikes, let alone the often-predicted “death spiral.”
And conservatives don’t really have a Plan B — in their world, nobody even dares mention the possibility that health reform might actually prove workable. Still, you can already see some on the right groping toward a new strategy, one that relies on highlighting examples of the terrible harm Obamacare does. There’s only one problem: they haven’t managed to come up with any real examples. Consider several recent ventures on the right:
■ In the official G.O.P. response to the State of the Union address, Representative Cathy McMorris Rodgers alluded to the case of “Bette in Spokane,” who supposedly lost her good health insurance coverage and was forced to pay nearly $700 more a month in premiums. Local reporters located the real Bette, and found that the story was completely misleading: her original policy provided very little protection, and she could get a much better plan for much less than the claimed cost.
■ In Louisiana, the AstroTurf (fake grass-roots) group Americans for Prosperity — the group appears to be largely financed and controlled by the Koch brothers and other wealthy donors — has been running ads targeting Senator Mary Landrieu. In these ads, we see what appear to be ordinary Louisiana residents receiving notices telling them that their insurance policies have been canceled because of Obamacare. But the people in the ads are, in fact, paid actors, and the scenes they play aren’t re-enactments of real events — they’re “emblematic,” says a spokesman for the group.
■ In Michigan, Americans for Prosperity is running an ad that does feature a real person. But is she telling a real story? In the ad, Julia Boonstra, who is suffering from leukemia, declares that her insurance has been canceled, that the new policy will have unaffordable out-of-pocket costs, and that “If I do not receive my medication, I will die.” But Glenn Kessler of The Washington Post tried to check the facts, and learned that thanks to lower premiums she will almost surely save nearly as much if not more than she will be paying in higher out-of-pocket costs. A spokesman for Americans for Prosperity responded to questions about the numbers with bluster and double-talk — this is about “a real person suffering from blood cancer, not some neat and tidy White House PowerPoint.”
Even supporters of health reform are somewhat surprised by the right’s apparent inability to come up with real cases of hardship. Surely there must be some people somewhere actually being hurt by a reform that affects millions of Americans. Why can’t the right find these people and exploit them?
The most likely answer is that the true losers from Obamacare generally aren’t very sympathetic. For the most part, they’re either very affluent people affected by the special taxes that help finance reform, or at least moderately well-off young men in very good health who can no longer buy cheap, minimalist plans. Neither group would play well in tear-jerker ads.
No, what the right wants are struggling average Americans, preferably women, facing financial devastation from health reform. So those are the tales they’re telling, even though they haven’t been able to come up with any real examples.
Hey, I have a suggestion: Why not have ads in which actors play Americans who have both lost their insurance thanks to Obamacare and lost the family farm to the death tax? I mean, once you’re just making stuff up, anything goes.
By: Paul Krugman, Op-Ed Columnist, The New York Times, February 23, 2014
“The Importance Of Having Health Insurance”: The 2014 Factor No One Is Talking About — Seniors Are Turning On The GOP
Congressional Republicans have passed a budget, raised the debt limit and punted on immigration reform with one goal in mind. They want to make the 2014 midterm elections about Obamacare.
The party seems to be so confident of this strategy that it doesn’t appear to have any “Plan B,” as The Washington Post‘s Greg Sargent continually points out.
While going all-in on the Affordable Care Act makes sense inside the right-wing mindset, where the law is one Fox News interview from disappearing to wherever Mitt Romney was supposed to go, seniors — America’s most reliable voters — may end up leading a backlash against a post-government-shutdown Republican Party that is even less popular now than when George W. Bush left office.
Undoubtably, the poll numbers for the president’s health law remain low months after HealthCare.gov’s bungled rollout — even though it has helped lead the country to the lowest uninsured rate in five years.
But since the 2010 election, after which real, live Americans began gaining health insurance coverage due to the Affordable Care Act, has there been even one election that has been swayed by Obamacare?
Having been the godfather of the law didn’t cost Mitt Romney the 2012 GOP primary. Having signed the bill into law didn’t cost President Obama his re-election. It didn’t stop Democrats from picking up seats in the Senate and the House. Since 2012, Governor Chris Christie (R-NJ) was re-elected after accepting Medicaid expansion and Terry McAuliffe won Virginia’s governorship with a jobs plan centered upon expanding Medicaid.
In Florida, Democrat Alex Sink narrowly leads Republican David Jolly in a special election to replace Rep. Bill Young (R-FL), who passed away late last year. As Jolly attacks Sink on Obamacare, Sink defends the most popular part of the law — the ban on insurers considering pre-existing conditions — and attacks Jolly on Medicare.
Republicans exploited seniors’ fears of Medicare cuts in 2010 — then voted for the same cuts when they took the House. They also went a step further by proposing a plan to radically remake the single-payer system that provides health coverage to every American 65 or older.
Jolly, a lobbyist, has never officially endorsed or voted for the plan created by Rep. Paul Ryan (R-WI) to turn Medicare into a voucher system. However, nearly every sitting Republican member of the House has.
Ryan’s plan and opposition to Obamacare earned him boos when he spoke at the AARP convention as Mitt Romney’s running mate in 2012. And it was certainly part of the reason he was barely visible in the last few weeks of the campaign.
And since the 2012 election, Republicans’ standing with seniors has only deteriorated.
“In 2010, seniors voted for Republicans by a 21-point margin (38 percent to 59 percent),” Democracy Corps’ Erica Siefert noted in her post “Why Seniors Are Turning Against The GOP,” published months before the government shutdown.
In the latest McClatchy-Marist National Poll, the GOP only had a 4-point margin over Democrats.
The same poll found that 58 percent of adults 45-59 and 54 percent of those 60 and older had an unfavorable view of the president. However, 73 percent of adults 45-59 and 74 percent of those 60 and older also reported an unfavorable view of Republicans in Congress.
Democrats recognize that Obamacare may be a liability and are circulating talking points that call attention to the fact that “65 percent of voters agree with the statement ‘we’ve wasted too much time talking about Obamacare and we have other problems to deal with.’” This aligns with polls that show again and again that most people would rather keep and fix the law than repeal it completely.
But it’s quite possible that the GOP’s stand on Medicare could ultimately be more harmful to their prospects than Obamacare is for Democrats.
Any Republican who sticks with repeal can be charged with wanting to raise prescription drug prices for seniors. Along with eliminating the closing of the Medicare drug “donut hole,” repeal also would erase subsidies that are potentially helping millions of older Americans afford care.
“I just cried, I was so relieved,” said 58-year-old Maureen Grey after using her new plan — purchased with the help of Obamacare subsidies — to visit a doctor.
Adults aged 55-64 make up 31 percent of the new enrollees in the health care marketplaces set up by the law. A new Associated Press report notes that workers nearing retirement have been hardest hit by the Great Recession and are in the most desperate need of what the law offers:
Aging boomers are more likely to be in debt as they enter retirement than were previous generations, with many having purchased more expensive homes with smaller down payments, said economist Olivia Mitchell of University of Pennsylvania’s Wharton School. One in five has unpaid medical bills and 17 percent are underwater with their home values. Fourteen percent are uninsured.
As of December, 46 percent of older jobseekers were among the long-term unemployed compared with less than 25 percent before the recession.
And those financial setbacks happened just as their health care needs became more acute. Americans in their mid-50s to mid-60s are more likely to be diagnosed with diabetes than other age groups, younger or older, accounting for 3 in 10 of the adult diabetes diagnoses in the United States each year. And every year after age 50, the rate of cancer diagnosis climbs.
For many of these Americans, the Medicare guarantee isn’t some distant, theoretical promise. It’s a necessity.
And with Obamacare bridging the gap until retirement, Republicans may find that their decision to make the 2014 election about health care will be as ill-advised as shutting down the government to defund it.
By: Jason Sattler, The National Memo, February 18, 2014
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