“Overheated, Half-Baked Advice”: No, Obama Doesn’t Have To Fire Everybody In The White House
In the wake of the disastrous rollout of HealthCare.gov, President Obama’s inner circle is taking a pounding.
Several anonymous Democrats recently dumped on Obama’s White House political aides in the pages of The Hill newspaper, suggesting they should be fired for dropping the ball on their boss’s top domestic priority.
Ron Fournier took a more direct approach. In a National Journal piece titled “Fire Your Team, Mr. President,” Fournier argued that Obama will never regain his standing with the public unless he overhauls his staff “so thoroughly that the new blood imposes change on how he manages the federal bureaucracy and leads.”
The “off with their heads” approach is just the latest manifestation of longstanding criticism that Obama’s group of advisers is far too insular, which in this case resulted in utter embarrassment for the administration.
But this overheated advice is half-baked for a few reasons.
Yes, the HealthCare.gov rollout is a headache for the White House, but early problems are typical of new government programs. In particular, ObamaCare’s hiccups are reminiscent of Social Security’s at the beginning. The eventual government audits may find instances of individual incompetence, but even if so, there likely won’t be evidence of a systemwide governmental breakdown warranting mass firings.
In fact, the Obama administration has a rather impressive managerial history, pulling off an $800 billion stimulus free of graft and boondoggles, executing the auto industry bailout, and providing scientific expertise to stop the BP underwater oil gusher. Any assessment of the Obama administration’s competence should factor in all it has done before demanding across-the-board career sacrifices.
Furthermore, panic firings breed more panic. Jimmy Carter learned this the hard way in 1979. Suffering from low approval ratings and a sputtering agenda, Carter sparked a fresh wave of support and renewed grassroots spirit with his daring “Crisis of Confidence” speech. But a few days later, he snuffed out his own momentum by demanding the resignation of his entire cabinet.
One Carter-era reporter recently told Politico, “Wholesale sacking of cabinet officers usually comes off as desperation,” and fed the perception of Carter as a “floundering leader.”
Contrast that to Franklin Roosevelt, who was suffering his lowest approval ratings in 1939 as fears circulated that the Social Security Board had failed to collect necessary wage data from employers and would be unable to cut millions of checks. Did FDR start firing people left and right? Nope. As his top Social Security man recounted decades later, “He wasn’t interested in it. He was bored stiff. I couldn’t have kept him interested in any of my woes. He laughed them off.”
Some people today say Roosevelt was a pretty good leader.
By: Bill Scher, The Week, December 5, 2013
“Running Out Of Fresh Attacks”: Republicans Revive Mitt Romney’s Favorite Medicare Attack
With HealthCare.gov substantially improved and new insurance signups surging, Republicans have been forced to pivot to a new line of attack against the Affordable Care Act. On Tuesday, the National Republican Senatorial Committee issued a series of news releases accusing Democratic candidates of cutting Medicare through their support of the health care reform law.
“As the ObamaCare disaster continues to unfold, Mark Pryor and National Democrats have resorted to deceiving seniors using their old and discredited MediScare playbook,” reads the release targeting Senator Mark Pryor (D-AR).
“What’s new this year is the blatant hypocrisy that Mark Pryor and his liberal allies in Washington are exhibiting,” it continues. “Pryor’s deciding vote for ObamaCare cut $717 billion from Medicare—including nearly $5.4 billion directly from Arkansas ($10,296 per Medicare recipient in Arkansas).”
CNN reports that the NRSC campaign will target Senators Pryor, Mark Begich (D-AK), Kay Hagan (D-NC), Mary Landrieu (D-LA), Mark Udall (D-CO), Tom Udall (D-NM), Dick Durbin (D-IL), Jeanne Shaheen (D-NH), Jeff Merkley (D-OR), and Al Franken (D-MN), along with Senate candidates Rep. Bruce Braley (D-IA) and Rep. Gary Peters (D-MI).
If this line of attack sounds familiar, it’s because it was a centerpiece of Mitt Romney and Paul Ryan’s case against the Affordable Care Act in the 2012 elections. The Republican ticket repeatedly accused President Obama of having “robbed” and “raided” $716 billion from Medicare to “pay for Obamacare, a risky, unproven, federal takeover of health care.”
Of course, that attack ignored the fact that the overwhelming majority of the $716 billion actually represented reductions in how much Medicare pays hospitals and insurers, as WonkBlog’s Sarah Kliff explained last August. Medicare benefits themselves are not affected.
It also ignored the fact that Ryan’s own budget included the exact same $716 billion in cuts (with the implied promise of deeper cuts in the future to pay for trillions of dollars in new defense spending and tax cuts). He has also kept the savings in subsequent budget proposals. Nearly every Republican in Congress — including Rep. Tom Cotton (R-AR), Pryor’s chief rival in his 2014 re-election bid — has supported Ryan’s budget plans, significantly blunting the accusation’s impact.
Nonetheless, House Speaker John Boehner’s (R-OH) spokesman Brendan Buck told MSNBC that the attack is “a tried and true campaign hit” — ignoring that it totally failed to blunt the Democratic Party’s sweeping victory in 2012.
There’s no denying that Republicans had a good political month targeting the Affordable Care Act’s rocky rollout. But the fact that they are already returning to this easily debunked attack, which was proven to be unpersuasive in the last election, raises the question of whether they are running out of fresh attacks against the law. And with repeal seemingly off the table, one wonders where Republicans will turn if good news about the law continues to trickle out.
By: Henry Decker, Featured Post, The National Memo, December 4, 2013
“Voters Wil Not Forget”: Opposition To Obamacare Will Come Back To Haunt Conservatives
It is truly amazing to me to read through the blogs, the press releases from the Republican anti-Obamacare war room, the phalanx of Koch-brothers’ sponsored think tanks and web sites – one message: FAILURE.
Let’s leave aside that their cagey rhetoric has shifted from “repeal” to “a fix,” but that their policy position remains the same: kill it. Republicans will continue their onslaught against the Affordable Care Act because they believe it is a political attack that will work for them and unite their party, at least in the short run.
They complain about the problems with the website, yet they love that it didn’t work well. They are euphoric when it fails. Do they want it to succeed? Heck no.
They offer up people who have had problems switching their health care plans, with big smiles on their faces. Another Congressional hearing is called for to condemn the ACA, according to the Republicans.
Peter Roff, one of my esteemed colleagues on this blog, publishes a list from the Heritage Foundation on why the ACA will fail (never mind that much of what Heritage called for is in the law, like the individual mandate).
But forget all that. I would cite much of this list as precisely why Obamacare will work (see Roff’s Heritage list here):
- The new plans available under the law will provide better coverage for a better price. This is not a broken promise by the president but the end result. Think about the benefits: no pre existing conditions; no canceling of your plan when you get sick; no caps on coverage; no huge costs for women over what men pay; keeping children on the plan until they are 26.
- There will be more options for consumers to choose from, not less. They won’t be forced into inferior plans.
- The new approach to Medicaid will allow people to shop for and purchase their plans, not arrive in emergency rooms often too late for help and with exorbitant costs. This will be a vast improvement on where we are now. Sadly, many Republican governors want to keep these people from getting insurance by rejecting federal funds to help with the Medicaid expansion.
- The ACA will lead to more stable families with better health care, not penalize people for success or getting married, as Heritage asserts.
- There will be better care for women, more coverage, and it won’t destroy our religious liberties. Pardon the sexism, but that is a “straw man.”
- Probably the most absurd claim from Heritage is that the ACA is a job killer. If we are providing health care to an additional 30-40 million Americans, it will create jobs in the health care field, not kill them. More doctors, more nurses, more ways to care for patients. Businesses will have more productive workers, fewer who are sick and out of work, and costs will decrease as more people are covered.
I do have one prediction for my friend Peter Roff and those Republicans who are staking the political future of their party on killing the ACA: When this succeeds, voters will not forget, and they will remember the horror stories of the old system. The more the focus is on patient care, better treatment through R&D, keeping people healthy, access for millions, the more that Democrats will benefit from the contrast. Republicans should be very careful not to argue too strongly for failure, it will come back to haunt them.
By: Peter Fenn, U. S. News and World Report, December 5, 2013
“We Are All Fragile Beings”: Obamacare Saved My Family From Financial Ruin
House Speaker John Boehner and his tea party friends shut down the U.S. government because of people like me. I am the mother of an insurance hog, someone who could have blown through his lifetime limit of health coverage by the time he was 14. My son has managed to survive despite seemingly insurmountable challenges, and he wears his preexisting condition like a Super Bowl ring.
Mason, now 16, was probably born with his brain tumor. We discovered it six years ago. Biopsies showed a slow-growing mass, which was the good news. The bad news was that the tumor could not be removed because it had grown around essential structures in his brain. Under the care of some of the country’s finest specialists, Mason had frequent scans. There was little we could do between tests but hope for the best. Like other children his age, Mason played basketball, argued with his siblings and avoided cleaning his bedroom. He managed to undergo chemotherapy for eight months without getting too sick. He insisted on finding ways to laugh, saying things like: “I have brain cancer. What’s your problem?” It was an uneasy peace — until the tumor ruptured in December 2010, three years after his initial diagnosis, and Mason suffered a massive cerebral hemorrhage.
Mason spent most of eighth grade in the hospital. In the six months he was hospitalized, he spent 65 days in the pediatric intensive care unit. He underwent four brain surgeries. Halfway through his hospitalization, the Affordable Care Act was passed, alleviating lifetime limits on coverage and saving us from the financial abyss. Mason moved to a rehabilitation hospital where he was retaught the most basic skills — sitting up, eating and standing. We faithfully paid the premiums on the employer-sponsored plan through which our family is covered, along with the rest of our bills, thanking God and whoever else would listen for our good fortune to have coverage.
The biggest fear for families such as mine is that we will lose our health insurance and be rendered uninsurable because one of us has been sick. The Affordable Care Act does away with dreaded clauses barring preexisting conditions. It also enables us to keep Mason on our insurance until he is 26; then, he will be able to purchase his own coverage on an insurance exchange. At least, that was the plan until last Tuesday, when the government was shut down in protest of such excesses.
As far as the brain tumor goes, our family might have drawn the short straw. Maybe our story lacks a certain universal appeal. People might be thinking to themselves, “I’m so sorry that happened to you, but odds are it won’t happen to me.” I hope it doesn’t, really.
But having lived in hospitals with Mason for months, I have seen that bad things — accidents, freak illnesses — happen to smart, cautious and otherwise undeserving people. It’s one thing we all have in common. We are fragile beings. So what is wrong with allowing us to purchase a financial safety net? What’s so un-American about that?
If I could get John Boehner and Ted Cruz on a conference call, I would explain this to them. I would tell them that, while they were busy trying to derail the Affordable Care Act over the past two years, Mason has again learned to walk, talk, eat and shoot a three-point basket.
By: Janine Urbaniak Reid, a writer in the San Francisco Bay Area, is working on a memoir about her son’s diagnosis; October 9, 2013; Published in The Washington Post Opinions Section, December 4, 2013
“Reality Be Damned”: Do Republicans Need A Plan B On ObamaCare?
For years, Republicans have trotted out the same message: ObamaCare is a massive disaster, and the public knows it. And when Healthcare.gov crashed out of the starting gate, that message proved quite resonant.
Yet as ObamaCare begins to turn the corner, Democrats are going back on the offensive, touting the law’s benefits and successes in hopes of boosting support for it — and the party — ahead of the 2014 elections. Republicans, meanwhile, have so far stood by the same critiques, betting that the law will still be seen as a failure come Election Day.
Which raises a thorny question for the GOP: What if ObamaCare works?
Undoubtedly, ObamaCare is now functioning better than it was in October. Though problems remain for the exchange site — the back end is still a mess, often sending bogus or incomplete information to insurers — enrollments are reportedly surging through both the federal and state-run marketplaces.
Good news in hand, the White House and congressional Democrats this week launched a campaign of daily pro-ObamaCare messaging to promote the law ahead of the December 23 enrollment deadline for coverage that kicks in January 1, 2014. Their goal is to present a “raw two-sided picture,” according to Politico, with “Democrats delivering benefits on one side, and Republicans trying to deny them on the other.”
“My main message today is: We’re not going back,” Obama declared in a reboot speech Tuesday.
If ObamaCare keeps improving, the GOP’s “we told you ObamaCare was a mess” pitch could quickly wear thin. And if it does, Republicans will find themselves in need of a new argument or a legislative alternative.
So far, they don’t really have either.
On the messaging front, House Speaker John Boehner (R-Ohio) on Tuesday repeated boilerplate GOP criticisms that the law is “fundamentally flawed,” and that it “continues to wreak havoc on American families, small businesses, and our economy.” Other GOP leaders similarly contended that the law is still a problem-plagued failure.
That the message hasn’t changed despite ObamaCare’s turnaround proves that “Republican complaints of two months ago were purely opportunistic,” wrote Jamelle Bouie over at the Daily Beast.
“For them, it just doesn’t matter if Healthcare.gov is working, since ObamaCare is destined to fail, reality be damned!” he added. “At most, the broken website was useful fodder for attacks on the administration. Now that it’s made progress, the GOP will revert to its usual declarations that the Affordable Care Act is a hopeless disaster.”
The GOP has also yet to offer a credible legislative alternative to ObamaCare. Though there are several Republican bills that would reform the health-care system, they’re generally considered suspect, and none have consensus support within the GOP. Boehner on Tuesday tellingly dodged a question about whether he would even bring up such a bill up for a vote, saying only, “We’ll see.”
Polls have shown that while voters aren’t too keen on the health-care law, they’re willing to give it a chance. Indeed, the first few months of ObamaCare’s disastrous rollout could be a distant memory once coverage and benefits kick in next year.
Which points to another problem for Republicans: Their anti-ObamaCare crusade will be tough to sustain once people begin to see the law’s benefits in action. Mother Jones‘ Kevin Drum sussed out that point, writing, “Once the benefits of a new program start flowing, it’s very, very hard to turn them off.”
By the middle of 2014, ObamaCare is going to have a huge client base; it will be working pretty well; and it will be increasingly obvious that the disaster scenarios have been overblown….
Given all this, it’s hard to see ObamaCare being a huge campaign winner. For that, you need people with grievances, and the GOP is unlikely to find them in large enough numbers. The currently covered will stay covered. Doctors and hospitals will be treating more patients. ObamaCare’s taxes don’t touch anyone with an income less than $200,000. Aside from the Tea Partiers who object on the usual abstract grounds that ObamaCare is a liberty-crushing Stalinesque takeover of the medical industry, it’s going to be hard to gin up a huge amount of opposition. [Mother Jones]
Republicans have so far committed themselves to staunchly opposing ObamaCare no matter what, even producing a playbook for attacking the law from here to November 2014. But if ObamaCare continues to improve, the GOP might need to draw up a new play — or risk getting burned at the polls.
By: John Terbush, The Week, December 4, 2013
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