“Hatred Overwhelming Judgment”: The “Refuse To Enroll” Campaign Gets To Work Against Obamacare
When Reuters reported last week that Republicans and their allies “are mobilizing … to dissuade uninsured Americans from obtaining health coverage,” it caused a bit of a stir. After all, what kind of people would invest time and energy into convincing struggling families to turn down access to affordable health care? Who would be so callous as to put partisan spite over the basic health care needs of their community?
Well, now we know. The Dayton Daily News has hidden the story behind a paywall, but the paper reported yesterday on groups like the “Citizens’ Council for Health Freedom,” which is rallying behind the “Refuse to Enroll” campaign.
With time running out, opponents of the Affordable Care Act have taken to the airwaves in Ohio and elsewhere with ad campaigns not only attacking the bill’s merits but also actively encouraging uninsured Americans not to sign up for coverage under the health care law.
The Obama administration has acknowledged the success of the law, commonly referred to as Obamacare, depends in large part on broad-based participation in federal and state-run health exchanges that will begin selling government-subsidized health plans to the uninsured on Oct. 1.
The anti-enrollment campaigns reflect the resignation and desperation of many Obamacare opponents who have given up hope of a government repeal or court-ordered injunction to stop full implementation of the law beginning next year.
This is clearly an important stage in the larger fight. Desperate right-wing activists know the law won’t be repealed; they know it can’t be stopped in the courts; and they know there’s a limit to Republican efforts to sabotage the federal health care system. So they’ve been reduced to one last-ditch effort: convince people with no health care coverage to voluntarily turn down affordable insurance so as to advance their ideological cause.
And why do conservative activists want this? It’s not altogether clear, exactly, but apparently their hatred for President Obama has overwhelmed their judgment and basic sense of morality to a degree that can only be considered alarming.
Twila Brase, for example, is putting the “Refuse to Enroll” campaign on her radio show, which is “broadcast on more than 350 stations nationwide, including the American Family Radio Network with stations throughout Ohio.” And she’ll have lots of company, including support from her Koch brothers allies.
The conservative group Americans for Prosperity, which has a chapter in Ohio, has launched another campaign attacking Obamacare with television and online ads that began airing in Ohio last week.
Joan McCarter summarized this nicely: conservatives “have to convince people that either paying through the nose for insurance or going without, all to make a political point, makes sense. Because ‘Freedom’ means never being able to go to the doctor. Seriously. They are spending millions of dollars to try to con people out of getting affordable health insurance.”
To reiterate what we discussed last week, I hope folks will pause to let this sink in for a moment. Unlike every other industrialized democracy on the planet, the United States — easily the wealthiest nation on earth — has tolerated a significant chunk of its population going without basic health care coverage. These Americans and their families can’t afford to see a doctor and are one serious illness from financial ruin. Many have died because they live in a country that allows people to go without access to basic care.
After nearly a century of politicians talking about the problem, President Obama actually signed the Affordable Care Act into law three years ago, giving working families a level of health-care security they’ve never had before, and throwing a life preserver to the uninsured. Now, Republicans aren’t just actively trying to sabotage the law, they’re telling struggling Americans it’s better to drown than accept the life preserver.
By: Steve Benen, The Maddow Blog, July 30, 2013
“Beneath Any Reasonable Standards Of Elected Officials”: The Unprecedented And Contemptible Attempts To Sabotage Obamacare
When Mike Lee pledges to try to shut down the government unless President Obama knuckles under and defunds Obamacare entirely, it is not news—it is par for the course for the take-no-prisoners extremist senator from Utah. When the Senate Republicans’ No. 2 and No. 3 leaders, John Cornyn and John Thune, sign on to the blackmail plan, it is news—of the most depressing variety.
I am not the only one who has written about House and Senate Republicans’ monomaniacal focus on sabotaging the implementation of Obamacare—Greg Sargent, Steve Benen, Jon Chait, Jon Bernstein, Ezra Klein, and many others have written powerful pieces. But it is now spinning out of control.
It is important to emphasize that this set of moves is simply unprecedented. The clear comparison is the Medicare prescription drug plan. When it passed Congress in 2003, Democrats had many reasons to be furious. The initial partnership between President Bush and Sen. Edward Kennedy had resulted in an admirably bipartisan bill—it passed the Senate with 74 votes. Republicans then pulled a bait and switch, taking out all of the provisions that Kennedy had put in to bring along Senate Democrats, jamming the resulting bill through the House in a three-hour late-night vote marathon that blatantly violated House rules and included something close to outright bribery on the House floor, and then passing the bill through the Senate with just 54 votes—while along the way excluding the duly elected conferees, Tom Daschle (the Democratic leader!) and Jay Rockefeller, from the conference committee deliberations.
The implementation of that bill was a huge challenge, and had many rocky moments. It required educating millions of seniors, most not computer-literate, about the often complicated choices they had to create or change their prescription coverage. Imagine if Democrats had gone all out to block or disrupt the implementation—using filibusters to deny funding, sending threatening letters to companies or outside interests who mobilized to educate Medicare recipients, putting on major campaigns to convince seniors that this was a plot to deny them Medicare, comparing it to the ill-fated Medicare reform plan that passed in 1989 and, after a revolt by seniors, was repealed the next year.
Almost certainly, Democrats could have tarnished one of George W. Bush’s signature achievements, causing Republicans major heartburn in the 2004 presidential and congressional elections—and in the process hurting millions of Medicare recipients and their families. Instead, Democrats worked with Republicans, and with Mark McClellan, the Bush administration official in charge of implementation, to smooth out the process and make it work—and it has been a smashing success.
Contrast that with Obamacare. For three years, Republicans in the Senate refused to confirm anybody to head the Centers for Medicare and Medicaid Services, the post that McClellan had held in 2003-04—in order to damage the possibility of a smooth rollout of the health reform plan. Guerrilla efforts to cut off funding, dozens of votes to repeal, abusive comments by leaders, attempts to discourage states from participating in Medicaid expansion or crafting exchanges, threatening letters to associations that might publicize the availability of insurance on exchanges, and now a new set of threats—to have a government shutdown, or to refuse to raise the debt ceiling, unless the president agrees to stop all funding for implementation of the plan.
I remember being shocked when some congressional Democrats appeared to be rooting for the surge in troops in Iraq to fail—which would mean more casualties among Americans and Iraqis, but a huge embarrassment for Bush, and vindication of their skepticism. But of course they did not try to sabotage the surge by disrupting funding or interfering in the negotiations in Iraq with competing Shiite, Sunni, and Kurdish power centers. To do so would have been close to treasonous.
What is going on now to sabotage Obamacare is not treasonous—just sharply beneath any reasonable standards of elected officials with the fiduciary responsibility of governing. A good example is the letter Senate Republican Leaders Mitch McConnell and Cornyn sent to the NFL, demanding that it not cooperate with the Obama administration in a public-education campaign to tell their fans about what benefits would be available to them and how the plan would work—a letter that clearly implied deleterious consequences if the league went ahead anyhow. McConnell and Cornyn got their desired result. NFL Commissioner Roger Goodell quickly capitulated. (When I came to Washington in 1969-70, one of my great pleasures was meeting and getting to know Charles Goodell, the courageous Republican senator from New York who took on his own president on Vietnam and was quietly courageous on many other controversial issues. Roger Goodell is his son—although you would not know it from this craven action.)
When a law is enacted, representatives who opposed it have some choices (which are not mutually exclusive). They can try to repeal it, which is perfectly acceptable—unless it becomes an effort at grandstanding so overdone that it detracts from other basic responsibilities of governing. They can try to amend it to make it work better—not just perfectly acceptable but desirable, if the goal is to improve a cumbersome law to work better for the betterment of the society and its people. They can strive to make sure that the law does the most for Americans it is intended to serve, including their own constituents, while doing the least damage to the society and the economy. Or they can step aside and leave the burden of implementation to those who supported the law and got it enacted in the first place.
But to do everything possible to undercut and destroy its implementation—which in this case means finding ways to deny coverage to many who lack any health insurance; to keep millions who might be able to get better and cheaper coverage in the dark about their new options; to create disruption for the health providers who are trying to implement the law, including insurers, hospitals, and physicians; to threaten the even greater disruption via a government shutdown or breach of the debt limit in order to blackmail the president into abandoning the law; and to hope to benefit politically from all the resulting turmoil—is simply unacceptable, even contemptible. One might expect this kind of behavior from a few grenade-throwing firebrands. That the effort is spearheaded by the Republican leaders of the House and Senate—even if Speaker John Boehner is motivated by fear of his caucus, and McConnell and Cornyn by fear of Kentucky and Texas Republican activists—takes one’s breath away.
By: Norm Ornstein, The National Journal, July 24, 2013
“Fostering Public Ignorance”: Health Care Reform Drives Republicans Stark Raving Mad
If insanity is defined as doing the same thing over and over and expecting a different result, it’s tempting to observe that congressional Republicans have gone stark, raving mad. My own GOP congressman, Rep. Tim Griffin, recently delivered himself of an opinion column boasting about having “voted more than 30 times to repeal all or parts of Obamacare.”
Only in politics does somebody expect praise for sheer futility.
Characteristically, Griffin’s column began by misrepresenting Senator Max Baucus. No, the retiring Montana Democrat didn’t call Obamacare a “train wreck.” In context, Baucus was complaining about Congress’s refusal to adequately fund programs helping people understand the law. With so much disinformation out there, he feared that public ignorance would lead to citizens initially missing out on its benefits.
But then fostering public ignorance is the whole GOP game plan at this point. Having been defeated in the House and Senate, failing to have Obamacare declared unconstitutional by the Supreme Court, and being rejected by voters in the 2012 presidential election, disinformation and sabotage are all they’ve got left.
In that spirit, Griffin quoted The Washington Examiner, one of those tycoon-funded right-wing propaganda publications reporting that “cost estimates from 17 of the nation’s largest insurance companies indicate that health insurance premiums will grow an average of 100 percent under Obamacare, and that some will soar more than 400 percent.”
Yeah, well the results are starting to come in. In California and New York, the nation’s two most populous states that have set up health care exchanges, premiums have dropped sharply below Congressional Budget Office projections.
According to the New York Times, “State insurance regulators say they have approved rates for 2014 that are at least 50 percent lower on average than those currently available in New York. Beginning in October, individuals in New York City who now pay $1,000 a month or more for coverage will be able to shop for health insurance for as little as $308 monthly. With federal subsidies, the cost will be even lower.”
Similar savings have been achieved in California. They can be expected anywhere that large numbers of Americans can be persuaded to buy into the program and quit playing health care roulette.
But then that’s how insurance works—auto insurance, life insurance homeowners’ insurance, all insurance. By spreading the risk, you lower the cost to individual customers.
That’s the basic insight that led Benjamin Franklin to found the Philadelphia Contribution for Insurance Against Loss by Fire back in 1752. The more people purchase private health insurance through Obamacare, the lower their premiums and the lower the eventual cost to taxpayers.
Not to mention the enormous gain in personal freedom to individuals who can no longer be denied coverage due to “pre-existing conditions,” bankrupted by unexpected medical conditions, or forced to keep a job they dislike for fear of losing health insurance. Under Obamacare they can take it with them.
A certain kind of Republican, however, still doesn’t get it. Here’s GOP patriarch Ronald Reagan in 1961 inveighing against the dangers of “socialized medicine.” Unless Americans rejected it, he predicted, “one of these days you and I are going to spend our sunset years telling our children and our children’s children what it once was like in America when men were free.”
And what was Reagan talking about? Medicare. Should it be enacted, he warned, the plan to provide for Grandma’s medical bills would lead to government seizure of all doctors’ offices and hospitals. An all-powerful state would dictate where Americans would live and what their jobs would be.
Of course the Gipper was only an actor, reading a tycoon-approved script. After he became president he vowed to protect Medicare, already one of the most popular and successful government programs in U.S. history—along with Social Security, another threat to freedom as the scripted Reagan saw it.
Some still do. A local Republican politician of my acquaintance once suggested that if I liked Obamacare so much I should leave the country. I responded that as the losing party, maybe he should emigrate.
And good luck finding a country without universal health insurance and with indoor plumbing.
It’s true that with Red State politicians dragging their feet and Republican congressmen whose offices routinely assist constituents to work out Medicare and Social Security problems telling reporters they’ll refuse to help with Obamacare, the short-term rollout could be bumpy.
Over time, however, the Republican right is setting itself up for epic failure. Partisan passions aside, people want and need reliable health insurance. Doctors, hospitals and pharmaceutical companies need it as well.
This too: never mind the politicians. Health insurance companies are going to market Obamacare bigtime. Since the law mandates that 80 percent of premiums must be spent on benefits, the only way the insurance industry can enhance profits is by finding more customers.
It’s the American way.
By: Gene Lyons, The National Memo, July 24, 2013
“Political Skullduggery”: Indiana Fudges Truth On Health Exchange Rates To Make Obamacare Look Bad
Sometimes, the political urge simply overwhelms anything resembling common sense and appropriate behavior.
Witness the latest example of political skullduggery playing out in the great State of Indiana where GOP Governor Mike Pence has found it necessary to take extreme liberties with the reporting of the state’s healthcare exchange data—all to justify his anti-Obamacare political positioning.
Anyone paying attention to data projecting what a health insurance policy will likely cost on the newly formed individual policy insurance exchanges could hardly miss the headlines late last week announcing that premiums for health insurance policies stood to rise to an average monthly price of $570—a 72 percent increase over current rates in Indiana.
Of course, if this data is correct, it would be quite a blow to Indiana residents at the hand of the dreaded Obamacare.
At first glance—the only glance the Indiana officials intend for you to see—this is certainly disturbing news. Even those willing to accept the projections and claims made by the President during last week’s health care address—where he referred to the ‘good news’ in California, Oregon, Washington and, particularly, New York—would have to come to the understanding that there may, indeed, be states where the law is going to badly hurt consumers.
Fortunately, there are those whose job it is to dig below the surface of that ‘first glance’ to discover the truth of any situation—and, in this situation, we learn that Indiana has sought to play cute in its efforts to present a grim picture of the healthcare reform law, even when the data reveals otherwise.
You see, while the states that have already released their projections have based their price expectations on what insurance company filings suggest will be the cost of a ‘Silver’ plan (the second least expensive option to be offered on the exchanges), Indiana decided to publish their projections based on a calculation that took all the levels of plans to be offered—ranging from the less expensive Bronze and Silver plan to the most expensive Gold and Platinum plans—and averaged them all together to come up with their projected rates.
As Sy Mukherjee points out, “That’s like saying the average cost of a car in an Indiana dealership is $100,000 because it sells $20,000 Fords, $60,000 BMWs, and $220,000 Lamborghinis — technically true, but highly misleading.”
Exactly.
What possible benefit can there be to taking an average of costs ranging from most expensive to least expensive when we know full well that the overwhelming majority of those living in Indiana—and, for that matter, everywhere else—will purchase the policies in the lower cost ranges?
How do we know this?
We know this because we have the evidence of buying patterns provided by the State of Massachusetts, a state that has been utilizing this system for quite some time now.
As Sarah Kliff at the Washington Post reports—
“In Massachusetts, 8 percent of enrollees bought a gold plan. Eighty-four percent chose bronze or silver. At least one carrier in Indiana seems to agree with this distribution. In state rate filings, Physicians Health Plan of Indiana estimates that 45 percent of its enrollees will pick bronze and 38 percent take up silver. It is expected that the average mix of Individual Market will be more toward less rich benefit plans and credit should be given for the associated reduction in induced utilization,” the company wrote in its filing. In other words, the average plan cost isn’t a great estimation of what the average person will pay.”
Ms. Kliff also did a little digging to discover that the actual prices for Bronze and Silver plans in Indiana are going to be far below the $512 a month estimate provided by the state’s government.
“Anthem’s rate filing includes projections for health insurance costs in their bronze plans. A 47-year-old male who does not smoke would be charged, on average, $307 per month. Sample plans from another plan, MDWise, predict a 47-year-old man will be charged $294 and $391 for a bronze and silver plan, respectively.”
While you may find the actual rates of the policies to be made available on the Indiana individual exchange to be good news or bad— depending on what you currently pay for health coverage—one would at least hope that the state would want to put out an honest analysis.
“No Unchecked Corporate Power”: If Republicans Love Competition, Why Do They Still Hate Obamacare?
When asked what makes the world work, any self-respecting right-wing Republican knows the politically correct answer: competition! (With at least one exclamation point.) It is the paramount principle and universal solvent perennially touted by the right to cure whatever ails us – in the abstract.
What they don’t seem to like so much, in reality, is the competitive impact of the Affordable Care Act, which is forcing health insurance companies into a contested marketplace – and seems to be driving down rates, state by state. The latest data arrived this week from New York, where insurance regulators announced that the new rates approved for 2014 will be 50 percent lower, on average, than current rates.
That stunning report follows similar news from California, where rates may drop by as much as 29 percent, as well as Oregon, Rhode Island, Vermont and several other states where the early indications show rates declining. Based on data compiled from 10 states and the District of Columbia, the Department of Health and Human Services says that 2014 premiums for mid-range (or “silver”) health care plans in those states will be nearly 20 percent lower on average than its own earlier estimates.
The reason is simple, as anyone familiar with the American health care marketplace knows. Most states until now have had no meaningful competition among insurance companies — and certainly nothing like the health insurance “exchanges” created by Obamacare to guide consumer choices.
In states that have actively promoted the exchanges, real competition is arising thanks to a marketplace that allows consumers to examine and understand choices, plans, and prices with ease. “That’s a very different dynamic for these companies, and it’s prodding them to be more aggressive and competitive in their pricing,” explains Sabrina Corlette, a research professor at Georgetown University’s Center on Health Insurance Reform.
For those of us who preferred (and still favor) a single-payer system providing Medicare to everyone, the compromises of Obamacare always provoked doubts about efficiency and fairness. Many liberals supported the Affordable Care Act reluctantly as a bad deal that was acceptable only in lieu of no deal.
But why do self-styled conservatives continue to hate health care reform with such ferocity? They may not care that it is truly “pro-life” and “pro-family,” with the clear promise of saving thousands of lives annually among families that were previously uninsured. Yet they should surely appreciate a statute that promotes competition where there was none, improving services and reducing prices through freer enterprise.
Solving that conundrum exposes one of the ugly little secrets of the Republican right today – and one of many reasons why that movement no longer merits the honorable title of “conservative.” For what we can now observe in practice is that the Republicans perversely prefer a corporate marketplace without competition over a marketplace with competition overseen by government. While European conservatives have long accepted the need for strictly regulated markets, especially in health care, their American counterparts would rather allow corporate power to run unchecked at whatever cost.
It is an ideological preference that damages public health, ruins finances both public and private, and actually kills people every day, but it also swells corporate profits – which seems to be the primary value cherished by Obamacare’s partisan opponents. Such destructive irrationality is what passes for “conservatism” in our time.
So the congressional Republicans persistently attack and undermine reform, as they did by passing a resolution this week to delay the law’s individual mandate. Rather than do anything productive, they proceeded with that meaningless action. And they did so despite warnings from the insurance industry that a delay would only increase rates for everyone.
Supporters of the Affordable Care Act have long reassured each other that the law would gain popularity someday. But if present trends continue, the public may come to realize as early as next year that the benefits of Obamacare greatly outweigh the flaws – and that the law’s opponents offer nothing to most Americans except higher rates, less coverage, and a sicker, sadder, harder life.
By: Joe Conason, The National Memo, July 19, 2013
Share This Blog
Unknown Feed- An error has occurred; the feed is probably down. Try again later.
mykeystrokes.com 