“Ideology Meets Idiocy”: The GOP’s Obamacare Youth Hoax
It’s rare for a political party to trumpet a position that unintentionally reveals its myopia, incoherence and expediency. Yet such is the trifecta with the Republican campaign to call attention to Obamacare’s young “victims.”
Republicans are obsessed with the supposed injustice being done to some healthy young people who will effectively subsidize their sicker elders when Obamacare’s individual mandate takes effect.
The crusaders are nothing if not convinced of the righteousness of their cause. “The whole scheme is enlisting young adults to overpay, so other people can have subsidies,” Dean Clancy, a vice president at FreedomWorks, told my Post colleague Sarah Kliff. “That unfairness reminded us of the military draft.”
Conservatives are therefore urging young Americans to resist. “I’m burning my Obamacare draft card,” runs one theatrical riff from a group called Young Americans for Liberty, “because I’m too busy paying student loans to pay for somebody else’s health insurance.” Republican policy advisors have urged the party to make such child abuse a big part of their anti-Obamacare message.
Sounds like a sexy argument, except for one thing. Republicans seem to have forgotten where most people aged 19 to 34 get health coverage: from their employer. And at virtually every company, young people pay the same premiums as employees who are much older than they are and who get more expensively sick than they do. In other words, the evil cross-subsidy Obamacare’s foes are storming the barricades to roll back already exists, at vastly larger scale, in corporate America.
These youngsters are already in chains! They’ve been put there by the private sector! And, inexplicably, young employees have entered this servitude of their own volition. (To extend the GOP’s draft analogy, it turns out there’s a voluntary army of health care masochists from sea to shining sea.)
How could injustice on this scale escape the GOP’s searing moral scrutiny?
After all, the president is only hoping that about 2.7 million young people will purchase coverage in the new exchanges. But 20 million Americans between the ages of 19 and 34 get coverage from their employer right now, according to an analysis by the Kaiser Family Foundation.
If you’re keeping score, that makes employer-based health care’s cross-subsidy about eight times more evil than Obamacare’s.
How does it work? Compare a typical, strapping young employee of 28 to her broken- down 58-year-old colleague. These two employees have very different annual health expenses. Yet under the nefarious plot known as “group health insurance,” they basically pay the same premiums. It turns out every big company in America is essentially a socialized health care republic, in which the young subsidize the old, and the healthy subsidize the sick — all of whom pay the same premiums for the same plans.
Similar dynamics explain why, in the federal health-care plan, spry 42-year-olds like Marco Rubio and Ted Cruz subsidize 79-year-old geezers like Chuck Grassley and Orrin Hatch.
Maybe that’s why Cruz always seems so angry.
Of course, most people in civilized nations know and accept that this is how insurance works. But Republicans nowadays aren’t like most people in civilized nations. They think Obamacare is a form of injustice akin to slavery. Which makes employer-provided health care slavery on steroids. Where’s the outrage? If conservatives were consistent and principled, they would devote far more time and effort to liberating 20 million young Americans from the socialism baked into employer-based insurance and look past the Obamacare exchanges as a puny sideshow.
But, alas, conservatives are not consistent and principled, save for their consistent determination to hurt the president politically.
It would be better if all those smart GOP thinkers devoted their talent and energy to the question of how they would expand coverage to the 50 million uninsured — but to raise that question is to enter the policy cul de sac in all its delicious irony.
Because the answer to that question is RomneyObamacare, the only sound way (as Republicans rightly taught us) that a country can move toward universal coverage using private health plans. The GOP could offer a tweaked version with slightly fewer regulations. Or structure it to offer universal catastrophic coverage to save money. But if Republicans were serious, they’d offer the same basic reform architecture.
So Republicans choose not to be serious. And it shows.
In the end, the GOP’s Obamacare youth hoax shows how silly a party can look when a political focus on one corner of a policy leads it to latch on to “insights” that utterly miss the big picture. It’s a reminder, if we needed another, of how close the connection can be between ideology and idiocy.
By: Matt Miller, Opinion Writer, The Washington Post, August 21, 2013
“Between The Right And A Hard Place”: Hey Republicans, Why Should My Family Suffer Because You Have A Partisan Axe To Grind?
When it comes to the federal health care system, congressional Republicans have found themselves in an increasingly awkward position. Their far-right base and allied right-wing activist groups continue to push GOP lawmakers to shut down the government — and quite possibly default on U.S. debts — in the hopes of sabotaging the Affordable Care Act.
And yet, many Americans who recognize the benefits of “Obamacare” continue to push in the opposite direction. We saw this two weeks ago in North Carolina, last week in Florida, and yesterday, this amazing clip out of Nevada was released by American Bridge. Watch on YouTube
In this clip, we see a small business owner in Las Vegas who had some straightforward questions for Rep. Joe Heck (R-Nev.): “Why would you oppose the ACA at every turn?” and “Why would you oppose something that’s helping me now?”
When local events erupted during the 2009 August recess, months before the Affordable Care Act became law, the right found it fairly easy to exploit public confusion — throw around some garbage talking points about “death panels” and “socialism,” and wait for scared people to go berserk.
But as Greg Sargent explained well yesterday, ” We’re a long way from the anti-Obamacare town halls of the magical Summer of ’09.” The public is starting to get a better sense of the benefits of the law, how it will help them and their families, and town-hall meetings that used to serve as opportunities to feed red meat to Fox viewers are suddenly becoming opportunities for mainstream Americans to ask Republican lawmakers aloud, “Why should my family suffer because you have a partisan axe to grind?”
Also note just how few answers GOP lawmakers have in response.
For the right, Republicans are eager to boast about voting to repeal the federal health care law several dozen times, but conservatives are unimpressed — the votes were a vanity exercise with no practical value for anyone on either side of the argument.
For the left, Republicans, as we see with Joe Heck in the above video, have tired cliches and shallow talking points about the number of pages in the legislation.
And for everyone in between, as we’ve seen in Nevada, Kentucky, and North Carolina, Republicans offer reassurances that there are some provisions in “Obamacare” that the GOP likes and wants to keep, which makes it that much more difficult to understand why those same Republicans have voted literally dozens of times to eliminate the Affordable Care Act in its entirety — including the parts they now say they support.
All the while, Republicans have said for nearly four years they’re ready to present a credible alternative to the reform law that’ll work even better than that darned Democratic version, but we’re still waiting, and by all appearances, the party still doesn’t have an actual health care policy.
Can’t anybody here play this game?
By: Steve Benen, The Maddow Blog, August 20, 2013
“Petulant Little Children”: Why The Republican Obamacare “No Strategy At All” Strategy Fell Apart
After President Obama signed the Affordable Care Act, conservative writer David Frum, who had been a speechwriter for George W. Bush, chided his compatriots for the strategy they had employed in opposing it. Had they worked with Obama on a compromise, he argued, the result could have been a more conservative version of the law; by simply opposing it in its entirety, they wound up with nothing once the law passed. For raising this criticism, Frum was declared a traitor and banished from the conservative movement; these days his (still conservative) ideas get a better hearing on the left than the right.
And what has been the Republican strategy on health-care reform since the ACA’s passage? Well, first they tried to kill it through the courts. That didn’t work, though they won for Republican governors the right to refuse the Medicaid dollars that would enable them to offer insurance to their states’ poor (congrats on that), though many of them are coming around to accept the money. In the one house of Congress they control, they’ve held dozens of symbolic repeal votes, so many that it’s become a national joke. They’re now threatening to shut down the government (very bad) or default on America’s debts (even worse) unless Obama agrees to shut the law down, a plan even many within their own party realize is insane. So they’ve ended up looking like petulant children who don’t know when they’ve lost, not to mention viciously cruel ideologues who would literally rather see people go without health insurance than allow them to get it through a system tainted in any way by contact with a law with Barack Obama’s signature on it.
So once again, they’re not getting what they want substantively, and they’re losing politically as well. Even Newt Gingrich—Newt Gingrich!—is criticizing them for not bothering to come up with the “replace” part of “repeal and replace.” Why didn’t they? It’s partly because, as I’ve argued before, the whole topic of health-care reform is something they just don’t care about. But Ed Kilgore adds an important insight: their stance of opposition to every single component of what is a pretty conservative reform plan not only left them defending the status quo, but has pushed them step by step so far to the right that they’ve now reached a point where they’ve almost rejected the very idea of insurance. They’re attacking Obamacare on the grounds that healthy people will have to buy insurance, but might not use it as much as sick people, even going so far as to encourage young people to stay uninsured. But that’s how insurance works! Is it a “bad deal” for many healthy young people? Absolutely, just like car insurance is a bad deal for people who never get into an accident, and homeowner’s insurance is a bad deal for people whose houses never burn down. You don’t have to be a health-care wonk to hear them saying these things and say, “Geez, these people are nuts.”
The real problem is that, as usually happens in a complex political world, the Republican “strategy” to oppose Obamacare was no strategy at all. It was a bunch of ad-hoc decisions, based on a mixture of reason, ill-informed judgment and emotion, made by people not necessarily working together, over an extended period of time. And now it’s falling apart.
By: Paul Waldman, Contributing Editor, The American Prospect, August 20, 2013
“An Inconvenient Truth”: The Big Republican Lie That Congress Is Exempt From Obamacare
Many lies persist simply because they sound plausible, or because they appear to confirm details of a broader trend that may well, in fact, be true. Decades ago, an upstate New York black teenager named Tawana Brawley was found in a trash bag, smeared with feces and with racial epithets written on her. She said she had been raped by six white men, and the charges – while horrifying – had the ring of truth.
It appeared to be a racist attack; why else would she be in such a condition? A grand jury found otherwise, and a prosecutor who was among the accused successfully sued her for defamation.
When Anthony Weiner at first denied he had sent photos of himself in his underpants to women on the Internet, suggesting his Twitter account had been hacked, it seemed plausible. His very name invited junior high school-level jokes, and people’s email and Twitter accounts are getting hacked all the time (not counting anything done by the NSA). Also, it just seemed insane that a sitting member of Congress, someone who had made no secret of his plans to seek the office of New York City mayor, would do something so categorically stupid and reckless. And yet, he did, and now he’s paying the price for it in the polls.
Everybody, or almost everybody, hates Congress these days, and there’s a determined group which really hates President Obama. So when conservatives and media types and even actual members of Congress –who should know better – make a claim about Congress getting special treatment under the new health care law, it seems like it would make sense. Congress and the Obama administration? Sparing the government from rules and regulations the rest of us have to follow? Well, doesn’t that sound like just the sort of thing those entitled rascals would do!
Except that it’s untrue. The Obama administration indeed made a fix to the way congressional employees will get their health care, but it was a fix that brought the workers back into the mainstream, putting them in the same category as the rest of us.
When Obamacare was being debated, opponents did everything they could to peel away support by raising issues ranging from “death panels” (a lie) and abortion (an issue sure to aggravate people on all sides). One item that did pass was a provision that required Congress and its employees to use the health care exchanges created for people who are uninsured or individually insured.
The exchanges might save a lot of people money; they might not. We’ll see. But people who work for large employers don’t have to think about it, since their employers are required to provide health insurance to full-time workers under the law.
The federal government, being quite a big employer, falls into this category. But Obamacare opponents, either out of spite or a desperate effort to kill the overall bill once and for all, stuck in a provision that requires congressional workers to use the exchanges anyway. This, in effect, is a special exception – except that the special exception didn’t benefit Congress; it punished it. It would have created a situation under which every full-time employee of a large company in the country would get coverage through work except for Congress and its employees. Obama’s recent edict ensures that the federal government will continue to make payments towards congressional employees health care – just as big employers must do across the country.
The amendment was petty and absurd. It was meant to flip a couple of votes, and it didn’t work. The Obama administration directive doesn’t fit into the convenient lie that government big-wigs are “exempting” themselves from the law. But we should all expect the government to live by the same laws the rest of us do – and that’s what the directive does.
By: Susan Milligan, U. S. News and World Report, August 19, 2013
“One Reform, Indivisible”: Republicans Who Deluded Supporters Into Believing Obamacare Wouldn’t Happen Will Pay Personal Price
Recent political reporting suggests that Republican leaders are in a state of high anxiety, trapped between an angry base that still views Obamacare as the moral equivalent of slavery and the reality that health reform is the law of the land and is going to happen.
But those leaders don’t deserve any sympathy. For one thing, that irrational base is a Frankenstein monster of their own creation. Beyond that, everything I’ve seen indicates that members of the Republican elite still don’t get the basics of health reform — and that this lack of understanding is in the process of turning into a major political liability.
On the unstoppability of Obamacare: We have this system in which Congress passes laws, the president signs them, and then they go into effect. The Affordable Care Act went through this process, and there is no legitimate way for Republicans to stop it.
Is there an illegitimate way? Well, the G.O.P. can try blackmail, either by threatening to shut down the government or, an even more extreme tactic, threatening not to raise the debt limit, which would force the United States government into default and risk financial chaos. And Republicans did somewhat successfully blackmail President Obama back in 2011.
However, that was then. They faced a president on the ropes after a stinging defeat in the midterm election, not a president triumphantly re-elected. Furthermore, even in 2011 Mr. Obama wouldn’t give ground on the essentials of health care reform, the signature achievement of his presidency. There’s no way he would undermine the reform at this late date.
Republican leaders seem to get this, even if the base doesn’t. What they don’t seem to get, however, is the integral nature of the reform. So let me help out by explaining, one more time, why Obamacare looks the way it does.
Start with the goal that almost everyone at least pretends to support: giving Americans with pre-existing medical conditions access to health insurance. Governments can, if they choose, require that insurance companies issue policies without regard to an individual’s medical history, “community rating,” and some states, including New York, have done just that. But we know what happens next: many healthy people don’t buy insurance, leaving a relatively bad risk pool, leading to high premiums that drive out even more healthy people.
To avoid this downward spiral, you need to induce healthy Americans to buy in; hence, the individual mandate, with a penalty for those who don’t purchase insurance. Finally, since buying insurance could be a hardship for lower-income Americans, you need subsidies to make insurance affordable for all.
So there you have it: health reform is a three-legged stool resting on community rating, individual mandates and subsidies. It requires all three legs.
But wait — hasn’t the administration delayed the employer mandate, which requires that large firms provide insurance to their employees? Yes, it has, and Republicans are trying to make it sound as if the employer mandate and the individual mandate are comparable. Some of them even seem to think that they can bully Mr. Obama into delaying the individual mandate too. But the individual mandate is an essential piece of the reform, which can’t and won’t be bargained away, while the employer mandate is a fairly minor add-on that arguably shouldn’t have been in the law to begin with.
I guess that after all the years of vilification it was predictable that Republican leaders would still fail to understand the principles behind health reform and that this would hamper their ability to craft an effective political response as the reform’s implementation draws near. But their rudest shock is yet to come. You see, this thing isn’t going to be the often-predicted “train wreck.” On the contrary, it’s going to work.
Oh, there will be problems, especially in states where Republican governors and legislators are doing all they can to sabotage the implementation. But the basic thrust of Obamacare is, as I’ve just explained, coherent and even fairly simple. Moreover, all the early indications are that the law will, in fact, give millions of Americans who currently lack access to health insurance the coverage they need, while giving millions more a big break in their health care costs. And because so many people will see clear benefits, health reform will prove irreversible.
This achievement will represent a huge defeat for the conservative agenda of weakening the safety net. And Republicans who deluded their supporters into believing that none of this would happen will probably pay a large personal price. But as I said, they have nobody but themselves to blame.
By: Paul Krugman, Op-Ed Columnist, The New York Times, August 18, 2013
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