What Paul Ryan’s Constituents Think And Why It Matters
Rep. Paul Ryan’s (R) Wisconsin district isn’t competitive. Over the last decade, his most competitive race was the one he won by “only” 26 points. Last year, the margin was 38 points.
But when the Associated Press checked in with some of the far-right congressman’s constituents, they were aware of their representative’s plan to eliminate Medicare, and they weren’t exactly on board with the plan.
Brian Krutsch has been long one of many automatic votes here for Rep. Paul Ryan…. But this week, admiration has been tinged with apprehension as one of Ryan’s signature ideas — ending Medicare’s status as a full, guaranteed benefit for senior citizens — suddenly took a step toward reality.
“I think that’s one of the things they should probably leave alone — you know — unless it’s absolutely necessary,” Krutsch said as he took a break from reviewing job openings at the Rock County Job Center. “Old people need help with medical bills. There’s too many people under-insured right now — especially people like myself right now who don’t have insurance.”
Howard Gage, a 74-year-old Medicare recipient who owns a three-person video-production company, said he has voted for Ryan in all seven races, still supports the congressman and likes him as a person. But, he added, it’s hard to accept that fixing the budget should mean that his family wouldn’t receive the same Medicare benefits that he relies on.
“It bothers me that my kids or grandchildren might be affected by whatever has to be done” to curb spending, he said.
At face value, it’s interesting that those who elected Ryan aren’t at all sold on Ryan’s vision. If they’re not on board, it stands to reason more vulnerable Republican lawmakers from more competitive districts have reason to be concerned, and may very well balk at embracing such a radical move that won’t pass anyway.
But there’s more to it than that. As Greg Sargent explained, “These folks are worried about doing away with Medicare as we know it, but they are grappling with whether or not this will be necessary to put the nation on firmer fiscal footing.”
Right. Reading the piece, it seems these folks want to do the right thing. They’re uncomfortable with an extreme overhaul of Medicare, but they’re willing to listen to what’s “absolutely necessary.”
But the point is, the privatization of Medicare isn’t “necessary” at all. It won’t even lower health care costs. Paul Ryan’s plan is ostensibly about debt reduction, but even that’s a charade — he’s going after entitlements and other domestic priorities while slashing tax rates for the rich.
Or as Greg added, these voters “are proceeding from the premise that Ryan’s Medicare proposal is about fixing our fiscal situation in a way that would spread the pain around evenly — and not aware that it would shift the burden for fixing our fiscal situation downward, in keeping with conservative tax-cutting ideology.”
Guess what message Democrats should be pushing right now? Or put another way, what do you suppose those folks in Southeastern Wisconsin would say if they knew going after Medicare wouldn’t be at all necessary if Ryan weren’t so desperate to give millionaires another massive tax break?
By: Steve Benen, Washington Monthly-Political Animal, April 11, 2011
The Threat Of The Tea Party’s Budget Terrorism
Round one of the season’s big budget battle is over, with no real winners. Rounds two and three—the 2012 fiscal year budget and the debt ceiling—are bound to be nastier and more difficult. And it’s not just because budget-cutting is no fun and the Hill is so partisan. It’s that we now have a new element in the war against congressional impasse: the government suicide bomber.
It used to be, in budget battles past, that there was a common element that served as both a brake on emotional decision-making and an impetus for compromise. No one wanted to stop the entire government from operating, to deny basic services to people far away, literally and figuratively, from the partisan fights on the Hill. The floor fights had personal implications, as well, with lawmakers engaging in vitriolic, in-person arguments on the floor. I have a vivid memory of former Rep. Richard Gephardt somehow managing to slam the swinging doors in frustration as he exited the House chamber during one such battle. I remember former Rep. Ron Dellums, dressed exquisitely in a tuxedo—and not in honor of the budget fight vgb—as he pleaded for progress so he could attend the wedding of one of his children. “Mr. Speaker, can I please go love my son?” the former California lawmaker said.
As bad as those days were, they at least included a human element, and a common desire to avoid hurting their constituents. Now, lawmakers rarely debate each other on the House floor—they are more likely to come to the floor, make a two- or three-minute speech, then head back to their offices or party caucus meetings. And now, just as we have learned to adapt to airline security in a post-9/11 world, we have to contend with a federal budget terrorist mindset—the camp that is prepared to bring us all down to advance a political mission. What was once an ominous threat is now a battle cry, with antigovernment, Tea Party forces gleefully yelling “shut it down!”—as though all that was needed for peace and prosperity was to send home government workers.
There is a great deal of hypocrisy in some of that crowd; Michael Fletcher smartly reports in the Washington Post about the antigovernment mood in Oklahoma, which as a state benefits greatly from federal largesse. But while worries about the federal debt and deficit are justifiable, contempt for the very existence of government—and, by extension, the democratic process—is not. Members of Congress were elected to serve in the U.S. Capitol, not blow it up.
By: Susan Milligan, U.S. News and World Report, April 11, 2011
How The Media Promotes Ignorance And Stifles Debate
Friday night, my eyes were glued to to the news, as I awaited any and all emerging details about the possible government shutdown. As outlets began reporting that republicans and democrats had finally reached a deal, I immediately felt a sense of relief. Thank goodness, I thought, so much unnecessary suffering averted. But the relief didn’t last long, because in the pit of my stomach was fear for the many millions of people who will be affected by the $38 billion in budget cuts passed by congress. Unfortunately, the media feels differently, preferring to discuss ad-nausium the budget cut’s political ramifications for the two parties.
The same thing happened when the GOP was determined to shutdown the government if democrats did not sign on to defunding Planned Parenthood. Again, the media’s focus was not on the health of the 3 million people the organization treats every year, by providing cancer screenings, HIV and STI checks, and contraceptives. They focused on how this painted republicans as partisan ideologues, or the democrats as supporters for women’s rights, which party was to blame for the almost-shutdown, and most notably, the consequences this would have on their popularity.
Almost all of the reporting by the establishment media centers around how X will affect the democrats favorability numbers, or how Y will affect the republicans chances in 2012. Whether I was watching MSNBC or CNN, the sole concern was always on the political implications of the budget cuts, rather than the real life consequences for the many millions of Americans already suffering from unemployment, foreclosures, and sky-rocketing medical costs.
And therein lies the problem with our media establishment: Every major policy issue is strangled by the established “right vs left” consensus. Whether it’s civil liberties, our endless wars, healthcare reform, or the economy, all are presented through the prism of democrat and republican disagreement. Not only does this ignore the tribulation of people around the country, but most importantly the media omits discussion of issues that receive bipartisan support, which has increasingly become the case, issue after issue.
There is very little that republicans and democrats in office disagree on. They both support the wars, the private insurance industry, tax cuts for the wealthy, deregulation, budget cuts during an economic recession, and the list goes on. Perhaps this is because both parties are corporately owned by the same interests. The only real difference today remains their position on social issues. Republicans are still against women’s reproductive rights and marriage equality, while democrats remain pro-choice and advocates for ending institutionalized discrimination against homosexuals (although they don’t do a very good job at consistently standing up for these rights). While these issues are of great importance, they are not the only problems afflicting the nation.
Look no further than the lack of coverage on economic suffering for proof. Republicans want to cut all social spending, while democrats prefer to cut a fraction of social services that benefit the public at large. So rather than discussing alternatives to austerity aimed at the working class and poor, the media solely focuses on how much austerity is enough. Poll after poll shows that Americans overwhelmingly support increasing taxes on the wealthy to reduce the deficit. In addition, major cuts to Medicaid, Medicare, or Social Security to balance the budget are wildly unpopular. But the mainstream narrative does not even challenge whether budget cuts are necessary, or if other alternatives for deficit reduction exist, let alone the public’s opinion.
The media also refuses to bring up defense spending, which costs upwards of $1 trillion annually. Probably because both parties agree that the national security and warfare state are untouchable. Which is interesting, given that the public prefers cutting defense spending rather than social spending to reduce the deficit. Then again public support for the Afghanistan war is at an all-time low, but the bipartisan Washington consensus in support of the war remains unmoved. The fact that war spending is draining our treasury should be a significant story for the media, particularly since the government just launched another war in Libya, while ironically calling for fiscal responsibility.
If they aren’t even capable of exposing the cost of war, it is no surprise that the casualties of war, both the injured and dead, soldiers and civilians, are completely omitted from discussion. Again, this makes sense, given the bipartisan support for war, with tactical nuances making up the few points of contention. This was most apparent in the lead up to the Iraq war, which enjoyed strong bipartisan support, with the media following suit by forcing a pro-war narrative and firing those who loudly dissented.
The same is true for healthcare reform. Americans overwhelmingly support a single payer, medicare-for-all system, but since democrats and republicans are both in the pockets of the private insurance industry, single-payer is not a viable topic for debate on the airwaves. Even climate change has become a forgotten issue. Now that President Obama and his fellow democrats have adopted the Bush approach — i.e. refusing to cut greenhouse gas emissions, regulate resource exploiting industries, or invest in alternative energy — climate change and it’s very real, disastrous effects, are almost never examined.
It is no wonder so many Americans are turned off by politics. Many don’t realize how political decisions effect their everyday lives, from the quality of the water and air that they breath, to the seat-belts they wear and sick days they receive. If not for independent media outlets like Democracy Now! and independent journalists like Glenn Greenwald, Jeremy Scahill, and Marcy Wheeler, to name a few, I would be an apathetic liberal uninterested in “silly political debate”.
If the goal of the establishment media class is to portray significant political decisions as boring ideological nonsense, then they have succeeded. One doesn’t need to attend journalism school to understand that the mainstream media has failed at its job of informing the public and holding those in power accountable. Instead they have successfully promoted ignorance and stifled debate, to the detriment of truth and social justice.
By: Rania Khalek, CommonDreams.org, April 10, 2011
Why Are People Acting Like Health Care Reform Never Happened?
Ezra Klein, responding to the widespread perception that Paul Ryan has a plan to tackle medical cost inflation and Democrats don’t, points out that this is the opposite of the truth:
The Affordable Care Act’s central hope is that Medicare can lead the health-care system to pay for value, cut down on overtreatment, and cut out treatments that simply don’t work. The law develops Accountable Care Organizations, in which Medicare pays one provider to coordinate all of your care successfully, rather than paying many doctors and providers to add to your care no matter the cost or outcome, as is the current practice. It also begins experimenting with bundled payments, in which Medicare pays one lump-sum for all care related to the successful treatment of a condition rather than paying for every piece of care separately. To help these reforms succeed, and to help all doctors make more cost-effective treatment decisions, the law accelerates research on which drugs and treatments are most effective, and creates and funds the Patient-Centered Outcomes Research Institute to disseminate the data.
If those initiatives work, they head over to the Independent Payment Advisory Board (IPAB), which can implement cost-controlling reforms across Medicare without congressional approval — an effort to make continuous reform the default for Medicare, even if Congress is gridlocked or focused on other matters. And if they don’t work, then it’s up to the Center for Medicare and Medicaid Innovation, a funded body that will be continually testing payment and practice reforms, to keep searching and experimenting, and when it hits on successful ideas, handing them to the IPAB to implement throughout the system.
The law also goes after bad and wasted care: It cuts payments to hospitals with high rates of re-admission, as that tends to signal care isn’t being delivered well, or isn’t being follow up on effectively. It cuts payments to hospitals for care related to infections caught in the hospitals. It develops new plans to help Medicare base its purchasing decisions on value, and new programs to help Medicaid move patients with chronic illnesses into systems that rely on the sort of maintenance-based care that’s been shown to successfully lower costs and improve outcomes.
Keep in mind that the Congressional Budget Office made the very conservative decision not to assign savings to these measures, on the assumption that since they had never been tried before, there was no way of measuring how well they would work, so it gave them no financial savings value. And the Affordable Care Act also included a limit on the tax deduction for expensive health insurance, a powerful cost-saving tool that the CBO did score.
But to zoom out for a second, what Klein’s identifying here is part of a larger phenomenon. It’s not just that the debate about health care costs seems to take place as if the ACA never happened. The entire political debate seems to take place as if the ACA never happened. Moderate liberal Jacob Weisberg lamented liberal opposition to Paul Ryan as advocating government health care for the old but nobody else — when of course we now have government-provided health insurance for everybody else (except illegal immigrants.)
The deficit hawks embrace Paul Ryan’s plan as a starting point of a debate about deficit. (David Brooks today: “Because he had the courage to take the initiative, Paul Ryan’s budget plan will be the starting point for future discussions.”) But of course the ACA was not just a starting point but an enormous stride forward. Ryan proposes to undo much of it. Yet he is the courageous leader, and his critics passive observers.
What happened? The details of the ACA’s cost-containment are wonky, and few people paid attention to them. Staunch liberals either didn’t care about cost containment, or devoted their energy to agitating for more sweeping alternatives. Moderate liberals supported the measure, but, taking their cue from policy wonks, took the very honest posture of conceding that some parts might not work as planned, and thus contributed to a massive asymmetry of passion. Centrists simply assumed that any deficit plan that wasn’t a grand bipartisan deal could not be a real deficit plan, since their fundamental premise is that a grand bipartisan deal is the only way to address the deficit. And the whole health care issue was sucked into the vortex of an unhinged debate, so that millions of conservatives understand the whole package as nothing more than an assault on freedom, with little or no grasp of the particulars.
The end result of all this is a debate around an issue with a peculiar backwards character.
By: Jonathan Chait, The New Republic, April 4, 2011
What The Republican Budget Plans Tell Us About Republican Values
The Republicans want you to believe that they’re concerned about the deficit. Of course, that concern is a lie. They don’t care about the deficit. They only care about using the deficit as an excuse to pursue their extremist agenda. And the single most extreme part of it is their war on people. On workers. On women. On immigrants. On the environment that keeps us all healthy and alive. If they cared about the deficit itself, they’d have noticed that the previous three Republican presidents produced consecutively the largest deficits in human history, each outdoing his predecessor, and the most recent Republican president not merely shattering his father’s unprecedented standard, but actually having to destroy the federal surplus built by a Democratic president in order to do so. An impressive feat, by any measure. But when Republicans talk about deficits, you know they are lying. Republicans destroy surpluses and create record deficits. That’s the truth.
If Republicans cared about the deficit, they wouldn’t have held middle-class tax cuts hostage for a ransom of tax cuts for the very wealthy, tax cuts that the very wealthy do not need. Tax cuts for the wealthy that won’t create jobs or stimulate the economy. Tax cuts for the wealthy that added to the federal deficit, the same federal deficit Republicans now pretend to be so worried about that they need to slash and burn federal spending. Spending for such things as food assistance for low-income Americans, which Republicans want to cut even as they retain farm subsidies. Spending for such things as life-saving immunizations. Spending for such things as food and health assistance around the world, without which some 70,000 children could die. And not content to make Americans go hungry and die of preventable diseases, and for tens of thousands of children around the world to starve to death, rather than have the very wealthy pay more taxes, Republicans also have their “hearts” set on eliminating Medicare and eviscerating Medicaid. And they want to repeal the Obama health plan, even though doing so would make the deficit even worse.
Let’s not pretend that Republicans actually care about the deficit. If they did, their approach in addressing it would be responsible and humane. Republicans don’t care about the deficit. They only care about cutting government programs that help people in need. It’s part of their larger agenda of blatant class warfare. Republicans prefer that millions of people suffer, and that at least tens of thousands of people die, rather than that the very wealthy once again pay the taxes that eliminated the previous Republican deficits to create the previous Democratic surplus. Leave it to the mental health professionals to diagnose the psychology of such values. If anyone can afford mental health professionals, with states now also in budget crises thanks to the genius of tax cuts.
But lest you think that Republicans don’t have any spending priorities at all, keep in mind that they do want to use federal money, just so it is spent in pursuit of their Medieval social agenda. But that’s just relative pocket change. While Republicans seem actually to want for people in need to suffer and die, they also want to throw unfathomably budget-busting pallets of cash at their favorite budget sinkhole. As reported by Ryan Grim:
While media attention focuses on the cuts to government spending demanded by House Republicans and broadly accepted by Democrats, the Pentagon is poised to reap billions more in federal funds, according to sources close to the discussions. The confines of the budget negotiations established by the two parties results in a system where every extra dollar going to military spending ends up being offset by a dollar reduction in spending on domestic social programs.
Got that? It’s an actual tradeoff. Punish more people in need to free up more cash for the Pentagon. The Democrats actually proposed some reductions to the Pentagon budget, and in January Defense Secretary Robert Gates and Chairman of the Joint Chiefs Mike Mullen outlined plans for responsible Pentagon budget cuts:
“A major objective beyond creating monetary savings is to make this department less cumbersome, less top heavy and more agile and effective in the execution of its responsibilities,” Gates said. “My hope and expectation is that as a result of these changes over time, what had been a culture of endless money, where cost was rarely a consideration, will become a culture of savings and restraint.”
But Republicans know better than the Defense Secretary and the Chairman of the Joint Chiefs. Grim:
Democrats and Republicans are now moving toward an agreement that would increase defense spending. But Democratic sources close to the talks said the Democrats’ spending recommendation remains roughly $2 billion shy of that of their Republican counterparts. A spokesman for the Senate spending panel declined to comment, citing ongoing talks. A spokesman for Senate Democratic leadership did not respond to requests for comment.
So the Pentagon itself says it doesn’t need more money, but not only are Democrats being pushed to give them more, the Republicans are insisting that the amount the Democrats are offering, and which the Pentagon says it doesn’t need, still isn’t enough! But it’s so important that we cut the deficit that we have to cut funding that feeds the hungry, prevents disease, and cares for the sick. And keep in mind that it’s not as if the Pentagon is anything remotely close to being underfunded. So what is it? Do Republicans think the answer to everything is to throw money at it? Do they have so little respect for the men and women in American uniform that they think they need such hardware overkill in order to protect the homeland? Are Republicans perpetually mired in a state of priapic adolescent arrested development, thinking the measure of their machismo is the size of their arsenal? Or is it just good old corporate welfare for the military industrial complex? Maybe it’s some combination of all of the above. But it’s a staggeringly irresponsible waste of resources that does nothing to enhance our national security.
As The Center for Arms Control and Non-Proliferation made clear, the United States spends more than eight times as much on defense as does the next closest country, Russia. The United States spends more than twice as much as does the next major military presence, which is America’s combined NATO allies. And not that it will satisfy paranoid Republicans, but the United States spends more than three times as much as do imagined potential adversaries Russia, China, Saudi Arabia, Iran, Pakistan and Venezuela combined. And for those particularly paranoid Republicans, the United States also spends more than 10 times as much as does that most sinister of all perpetual antagonists: France. And to put it in terms of actual budget and policy priorities, there is this concise explanation from The Center on Budget and Policy Priorities:
Between fiscal year 2001 (the last year for which appropriations levels were set under President Clinton) and fiscal year 2008, funding for domestic discretionary programs has been more constrained than any other area of the budget and has shrunk both as a share of the budget and as a share of the economy. In contrast, appropriations for defense and other security-related programs have increased more rapidly than any other area of the budget — even more rapidly than the costs of the “big three” entitlement programs: Social Security, Medicare, and Medicaid.
Republicans don’t care about the budget. They are using the budget as an excuse and red herring to recast the very nature of the United States government, and the very nature of the United States. They don’t care if those in need suffer and die. They don’t care about jobs. They don’t care about a social safety net. They do care very much about protecting the very wealthy. They do care very much about wealthy corporations. And the one thing at which they want to throw truly unimaginable amounts of money is the military. This is a huge clue as to their mindset. Because when you stop and consider the consequences of causing more and more suffering and unrest among more and more people while at the same time ensuring that the military is much more powerful than any military anywhere needs be, the only conclusion that can be drawn is that Republican values are not only inhuman and inhumane, they are dangerous and creepy.
By: Laurence Lewis, Daily Kos, April 10, 2011
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