“Will Congress Be As Brave As Shinseki?”: Will The Honorable Politicians Please Stand Up?
If you want a prime example of what’s wrong with our politics, study the response to the veterans’ health-care scandal. You would think from the coverage that the only issue that mattered to politicians was whether Gen. Eric Shinseki should be fired.
Shinseki is a true patriot, and his resignation as Veterans Affairs secretary on Friday calls Congress’s bluff. He played his part in a Washington sacrificial ritual. Will the politicians now be honorable enough to account for their own mistakes?
Thanks to Shinseki’s latest selfless act for his country, you can at least hope that we will move on to the underlying questions here, to wit: Why was the shortage of primary care doctors in the VA system not highlighted much earlier? Why did it take a scandal to make us face up to the vast increase in the number of veterans who need medical attention? And why don’t we think enough about how abstract budget numbers connect to the missions we’re asking government agencies to carry out?
It’s an election year, so it’s not surprising that the Republicans are using the scandal against President Obama and the Democrats, though there is a certain shamelessness about the ads they’ve been running, given the failures of the previous administration.
Shinseki and Obama might have averted this by pushing Congress much harder, much earlier to give the agency the tools it needed to do right by vets. And as a general matter, I wish Obama spent more time than he has on fixing government and improving administration. Progressives rightly assert that active, competent government can make things better — which means they need to place a high priority on making it work better. This would include, as The Post editorialized, a serious engagement with civil service reform.
It’s also fair to ask why Shinseki did not move faster elsewhere, notably on what the Iraq and Afghanistan Veterans of America called the department’s “egregious failure to process the claims of our veterans” in a timely and effective way. (For what it’s worth, I raised this concern in a column in November 2012.)
But this is where the story gets more complicated. Shinseki eventually made real progress on the claims issue and other inherited messes. He got little public credit, though many friends of veterans saw him as a reformer and refused to join the resignation chorus. Both House Speaker John Boehner and Minority Leader Nancy Pelosi deserve praise for insisting to the end that Shinseki’s departure wouldn’t solve the system’s problems.
The most important of these is not that VA employees falsified data about the excessive waiting times for veterans seeking appointments with doctors, as outrageous as this was. It is, as the New York Times reported last week, “an acute shortage of doctors, particularly primary care ones, to handle a patient population swelled both by aging veterans from the Vietnam War and younger ones who served in Iraq and Afghanistan.” Dealing with this isn’t sexy, just essential.
Sen. Bernie Sanders (I-Vt.), the chairman of the Senate Veterans’ Affairs Committee who wanted Shinseki to stay, is trying to push the discussion in the right direction. A Sanders bill to expand VA funding across a wide range of areas went down in a Republican filibuster in February. The new bill he hopes will come up for a vote this week focuses specifically on the health system.
It would authorize private care for veterans facing emergencies, which is similar to a House Republican idea. But Sanders would also broaden veterans’ access to other forms of government health care, fund 27 new VA facilities, and use scholarships or loan forgiveness to entice medical students to serve in the VA program.
Shinseki himself proposed other reforms in a speech he gave just before he quit, among them an end to incentives that have encouraged agency supervisors to produce fake information on waiting times.
If there is any cause that should be bipartisan, it’s care for our veterans. But too often, what passes for bipartisanship is the cheap and easy stuff. It tells you how political this process has been so far that so many of the Democrats who joined Republicans in asking for Shinseki to go are in tough election races this fall.
Now that Shinseki is gone, there are no excuses for avoiding the administrative challenges that Obama needs to confront and the policy errors for which Congress must also take responsibility.
By: E. J. Dionne, Jr., Opinion Writer, The Washington Post, June 1, 2014
“Let’s Not Be Misled”: In VA Scandal, Let’s Have Accountability For All — Including Congress
While Congress eagerly prepares its latest political stunt – a resolution to oust Gen. Eric Shinseki as Veterans Affairs Secretary – members might want to consider their own responsibility for the scandalous inadequacy of veterans’ health care. Unlike most of them, especially on the Republican side, Shinseki opposed the incompetent war plans of the Bush administration that left so many American service men and women grievously wounded. And unlike most of them, especially on the Republican side, Shinseki has done much to reduce the backlog of veterans seeking care, despite the congressional failure to provide sufficient funding.
Anyone paying attention knows by now that those secret waiting lists at VA facilities – which may have led to the premature deaths of scores of injured veterans – are a direct consequence of policy decisions made in the White House years before Barack Obama got there. The misguided invasion of Iraq, carried out with insufficient numbers of troops shielded by insufficient armor, led directly to thousands of new cases of traumatic brain injury, post-traumatic stress disorder (PTSD), and other physical and mental illnesses requiring speedy treatment.
A substantial portion of the estimated three-trillion-dollar price of that war is represented by the cost of decent care for veterans. But even as that war raged on, the Bush administration and Republicans in Congress repeatedly refused to appropriate sufficient funding for VA health care. This financial stinginess toward vets was consistent with Bush’s refusal to take any steps to pay for his expensive war (and to protect his skewed tax cuts instead). As Alec McGillis explained in The New Republic, legislators who voted for war while opposing expansion of the VA are hypocrites, particularly when they claim to care about veterans. So are the Republican governors who claim to care about vets but refuse to expand Medicaid, which would provide coverage for more than 250,000 impoverished veterans.
Breaking down the voting record, year after year, the pattern along party lines is clear: Republicans regularly seek cuts in VA funding and oppose Democratic efforts to increase that funding – a pattern that extends back to the first years of the Iraq and Afghan conflicts and continues to this day. As recently as last February, Senate Republicans filibustered a Democratic bill that would have added $20 billion in VA funding over the next decade, which would have built at least 26 new VA health care facilities. The Republicans killed that bill because Democratic leaders refused to add an amendment on Iran sanctions – designed to scuttle the ongoing nuclear negotiations – and because they just don’t want to spend more money on vets. Senator Bernie Sanders, the Vermont independent who chairs the Veterans Affairs Committee, said the costs of the expansion bill would be covered by savings from the end of troop deployments in Iraq and Afghanistan. But with cruel irony, according to The Washington Post, “Republicans indicated that they prefer to dedicate the savings toward deficit reduction” rather than improved services.
What those who have served should get is the kind of care that has made the VA among the most successful health systems in the world (for those who can access its services). Instead they will get political swaggering, as members of Congress seek to score points against President Obama by attacking Shinseki, and dogmatic opportunism, as right-wing ideologues insist the VA is just another big government program to cut or even abolish. The Republicans who are susceptible to such proposals should be very careful, lest they arouse the anger of the normally conservative American Legion and Veterans of Foreign Wars, whose leaders react with anger and outrage to the idea of privatization. As American Legion commander Dan Dellinger said in congressional testimony last week, his organization overwhelmingly “finds that veterans are extremely satisfied with their health care team and medical providers.”
So let’s not be misled about the VA by Washington’s loudmouths and poseurs – the warmongers who never face up to the price of their enthusiasm in lives and treasure. When politicians demand accountability from their betters, including a war hero like Eric Shinseki, let’s remember that they should be held accountable, too.
By: Joe Conason, Editor in Chief, NationalMemo.com; Featured Post, The National Memo, May 23, 2014
“Not Much Of A Deal”: The Trouble With The Minimum-Wage “Compromise”
Senate Democrats had originally planned to move forward this week on legislation to increase the federal minimum wage to $10.10, but it was delayed in part so the chamber could tackle extended unemployment benefits, which may pass later today.
The delay, however, also carried an unintended consequence: the prospect of a “compromise” on the issue, spearheaded by Sen. Susan Collins (R-Maine).
Democratic leaders so far are sticking to the $10.10-an-hour wage they’re proposing, while many Republicans, including more moderate lawmakers, say they are likely to filibuster the bill.
But the moderate Maine Republican says she’s leading a bipartisan group of senators hoping to strike a deal.
Collins hasn’t released the details of her proposal, which makes sense given that the talks are still ongoing, but Roll Call’s piece suggests she’s open to a minimum-wage increase, so long as it’s smaller. By some accounts, the Maine Republican is eyeing a $9/hour minimum wage, up from the current $7.25/hour, which would be phased in slowly over three years.
But Collins also hopes to trade this modest minimum-wage increase for a partial rollback of the employer mandate in the Affordable Care Act and some small business tax cuts.
The senator is calling her plan “a work in progress.”
One might also call it “something that won’t happen.”
Greg Sargent had a good piece on this yesterday, noting that Dems don’t seem to have much of an incentive to drop their target minimum-wage threshold.
For one thing, Democratic aides point out, the idea of such a compromise may be fanciful. Even if it were possible to win over a few Republicans for a lower raise, you’d probably risk losing at least a few Democrats on the left, putting 60 out of reach (Republicans would still filibuster the proposal).
Indeed, the office of Senator Tom Harkin – the chief proponent of a hike to $10.10 – tells me he’ll oppose any hike short of that…. Labor is already putting Dems on notice that supporting a smaller hike is unacceptable.
Even the balance of the so-called “compromise” is off. As Collins sees it, Republicans would get quite a bit in exchange for Democrats making important concessions on their popular, election-year idea.
That’s not much of a “deal.”
Complicating matters, even if Dems went along with Collins’ offer, there’s no reason to believe House Republicans would accept any proposal to increase the minimum wage by any amount.
It sets Senate Democrats up with a choice: fight for the $10.10 minimum-wage increase they want (and watch Senate Republicans kill it) or pursue a $9 minimum-wage increase they don’t want (and watch House Republicans kill it).
Don’t be too surprised if the party sees this as an easy call.
By: Steve Benen, The Maddow Blog, April 3, 2014
“It’s Worth Taking Seriously”: Washington Is Ignoring Obama’s Budget. You Shouldn’t
Mere hours after the White House released President Obama’s budget, Washington had reached a consensus about it: It’s “irrelevant.”
As this argument goes, the House and Senate have already agreed on a fiscal policy plan—the agreement from House Budget Chairman Paul Ryan and Senate Budget Chairman Patty Murray that Congress passed in the fall. Ryan-Murray lays out the basic parameters of what the government will take in and spend, not just for 2014 but also for 2015. Neither party wants to revisit that pact. And to the extent Obama is proposing new ideas for the long term, like pouring money into early childhood education, the Republicans simply aren’t interested in passing them. That would seem to render Obama’s new budget an exercise in pure political symbolism, and maybe empty symbolism at that.
I take a different view—and not simply because I’m nerdy enough to think of reading 200-plus pages of figures and charts as an opportunity, rather than a burden. For one thing, some of Obama’s budget proposals could still become legislation—not as sweeping initiatives, for sure, but as scaled-down pilots or add-ons to other pieces of legislation. It’s already happened once, in the Ryan-Murray spending agreement. Mostly that pact was about restoring some of the funding that various federal agencies had lost, because of budget sequestration. But the Administration and its Capitol Hill allies managed to squeeze out a little extra funding for early childhood programs. One reason: Obama’s call for a massive, $75 billion investment in the previous year’s budget put the issue onto the agenda.
The Administration may have another chance to scrounge up new funding for early childhood this year, now that leaders in both parties have expressed interest in reauthorizing and improving the Child Care and Development Block Grant, which is the federal government’s biggest program for financing day care. And that’s not the only pending legislation that could give the Administration and its allies a chance to fight for funds. Congress could take up a major highway bill, since the existing federal law expires in September. That’s an opportunity to drum up support for infrastructure projects, which include ports that need dredging as well as roads that need building.
“We can’t simply throw up our hands and not pass a highway bill,” one senior administration official said on Tuesday. And while this particular Congress has shown an unusual proclivity for doing nothing, thanks mostly to Republican intransigence, the two parties seem to have some of the same topics on their minds. Both Ryan and Senator Marco Rubio has expressed interest in expanding the Earned Income Tax Credit, so that childless adults can get benefits closer to the ones that families already receive. Obama’s budget calls for the same thing. House Ways and Means Chairman Dave Camp has talked about closing corporate tax loopholes, bolstering tax breaks for the working poor, and even throwing a little funding at infrastructure. Obama’s budget includes versions of all of these.
The parties are still far apart—very, very far apart—on the specifics. Republicans and Democrats have fundamental disagreements about how to fund highway creation and maintenance, with one side supporting new taxes and the other favoring tax cuts. (You can guess who wants what.) The Republican EITC proposals would give more money to childless adults by giving less money to families; Obama’s proposal would increase funding across the board. But particularly when it comes to some of the provisions of Camp’s tax plan, a senior administration official said on Tuesday, “there’s basis for a serious conversation.”
Of course, Camp isn’t the problem. It’s the House Republican leaders, who are in no rush to put his plan—or anybody else’s plan—on the agenda if they can avoid it. That’s partly because an election is coming up. Republicans figure they will pick up seats in the midterms, giving them more leverage over any fiscal negotiations taking place. But a budget unlikely to generate legislation can still have meaning, as a statement of priorities. In this case, the Obama budget is a preview of the agenda Democrats will adopt whenever full-scale fiscal negotiations start up again—which, as Bob Greenstein of the Center on Budget and Policy Priorities points out, is likely to happen sometime in 2015:
2014 likely won’t be a year of significant budgetary action beyond the appropriations bills. But 2015 may well be. Policymakers likely will seek to negotiate another budget deal to ease the scheduled sequestration budget cuts for 2016 and beyond and also may consider tax reform and other measures. Both the new Obama budget and the budget proposal that House Budget Committee Chair Paul Ryan will unveil in a few weeks will offer dueling frameworks for a year-long debate on where fiscal and program policy should go, in advance of larger decisions next year.
That’s precisely the sort of information voters should have in November, when they decide which parties control the two houses of Congress.
The stakes in the fall may not be nearly as big as they were in 2008, when Obama was promising to reform health care and stop climate change—or in 2010, when Republicans were vowing to roll back Obama’s accomplishments and, then, roll back parts of the Great Society and New Deal. But those were unusually grandiose times. The difference between Democratic and Republican visions of government are still large—and in 2015, when the current spending agreement runs out, lawmakers will have to reconcile them. Obama’s budget is one vision for how to do that, which makes it worth taking seriously.
By: Jonathan Cohn, The New Republic, March 4, 2014
“When The Pot Calls The Kettle Lazy”: Thanks To Boehner’s ‘Leadership’, Capitol Hill Has Set New Benchmarks For Ineptitude
House Speaker John Boehner (R-Ohio) hosted a lively press conference with Capitol Hill reporters yesterday – the “boner” joke won’t be forgotten anytime soon – but there was something in his opening statement that was so audacious, I’m surprised it was largely ignored.
“You know, back in 2012 the president chose politics over governing. He took the year off, got little done, and this year I’m beginning to see the same pattern of behavior. We’ve seen more and more that the president has no interest in doing the big things that he got elected to do.”
Boehner added that President Obama intends to “pack it in for the year” and “just wait for the election.”
There’s hypocritical rhetoric. There’s breathtaking hypocritical rhetoric. Then there’s rhetoric so hypocritical that it ruptures the space-time continuum.
Reasonable people can debate the merits of competing proposals or policy strategies, but for Speaker Boehner to suggest President Obama is uninterested in governing, lacks ambition, and intends to do nothing for the rest of the 2014 is so head-spinning that it’s genuinely alarming Boehner was able to say the words out loud without laughing hysterically.
Let’s briefly review reality in case it still matters. John Boehner claimed the Speaker’s gavel three years ago, and since that time, he’s racked up zero major legislative accomplishments. While Obama has at times been desperate to get something, anything, done with this Congress, Boehner has tried and failed to lead House Republicans towards anything resembling governing.
The result has been the least productive Congress since clerks started keeping track several generations ago. Thanks to Boehner’s “leadership,” Capitol Hill is establishing new benchmarks for ineptitude, giving the “do-nothing Congress” phrase an updated definition to reflect levels of ineffectiveness few thought possible before 2011.
And yet the Speaker wants to complain that Obama “got little done” after Republicans took control of the House majority.
As for the president having “no interest” in doing “big things,” this is the exact opposite of our version of reality. Obama it appears is preoccupied with doing big things – the Speaker should have listened a little closer to the State of the Union address being delivered a few feet in front of him – while Boehner has said it’s time for Americans to start expecting less. Indeed, House Republicans leaders have been quite explicit on this point, saying the GOP does not like and does not want big policy breakthroughs.
Finally, the very idea that the president intends to coast through the rest of 2014 without doing any actual work buries the needle on the Irony-o-meter because it’s House Republicans who’ve already announced, more than once, that they intend to coast through the rest of 2014 without doing any actual work.
We’ve become all too familiar with the GOP’s reliance on the “I’m rubber, you’re glue” game, but this is ridiculous.
I have no idea whether Boehner actually believes what he said yesterday. But whether the rest of us should believe his comments is clear.
By: Steve Benen, The Maddow Blog, February 28, 2014
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