Remember The Health-Care Reform Debate?: How The Landscape Has Changed
As a participant in the great health-care wars of 2010, it’s been — I don’t know: Amusing? Depressing? Annoying? Vindicating? — to watch Rep. Paul Ryan’s budget run over every principle or concern that Republicans considered so life-or-death a mere 400 days ago. A partial list:
Big changes need to be bipartisan changes. “The only bipartisanship we’ve seen on [the health-care] bill is in opposition to it,” said Eric Cantor, now the House majority leader. “When the stakes are this high – reforming 20 percent of the U.S. economy – there must be constructive conversations and negotiations from Republicans and Democrats in both houses of Congress,” wroteformer representative Tom Davis. The Ryan budget, which is unquestionably a more ambitious document than the Affordable Care Act, passed the House with no Democratic votes and four Republicans voting no. The only thing bipartisan was the opposition, etc. This appears to have given no Republicans anywhere any pause.
Polls matter. In March 2010, John Boehner was very, very upset that Democrats were working to pass a health-care law that a slight plurality opposed in polls. “President Obama made clear he is willing to say and do anything to defy the will of the people and force his job-killing health care plan through Congress,” he thundered. Last week, Speaker Boehner and the Republicans passed Ryan’s budget. How do its elements poll? Much, much worsethan the Affordable Care Act.
The Affordable Care Act’s Medicare cuts will devastate hospitals! Last fall, Ryan’s health-policy guru was saying,“The official Medicare actuaries have determined that approximately 15 percent of hospitals will be driven out of business in less than ten years if these cuts go through and called the cuts ‘clearly unworkable and almost certain to be overridden by Congress.’” Now those same cuts are in Ryan’s budget. C’est la vie, I guess (that’s French for “only Democratic cuts hurt hospitals”).
The Affordable Care Act’s savings don’t begin quickly enough! When the tax on expensive employer-provided insurance plans was pushed back to 2018, conservatives were outraged. “The odds are high that the excise tax will never actually happen,” wrote David Brooks. “There is no reason to think that the Congress of 2018 will be any braver than the Congress of today.” It was a fair argument: Cost savings that begin in the future are less certain than cost savings that begin now. So when does, say, Ryan’s voucherization of Medicare begin? Not 2012. And no, it’s not 2018. It’s 2022.
There’s no reform in the Affordable Care Act. “It would take Sherlock Holmes armed with the latest GPS technology and a pack of bloodhounds to find ‘reform’ in the $2.5 trillion version of the health-care bill we are supposed to vote on in the next few days,” then-Sen. Judd Gregg wrote. But apparently Holmes got his iPhone out, because now the Affordable Care Act is chock-full of reforms. In fact, it’s the model Republicans are following. “It’s exactly like Obamacare,” Sen. John Cornyn saidof the Ryan plan. “It is. It’s exactly like it.” And he meant that as a compliment!
The Congressional Budget Office will score anything you tell it to. “Garbage in, garbage out,” Sen. John McCain said. “Can you really rely on the numbers that the Congressional Budget Office comes out with?” asked Fox’s Steve Doocy. Now, of course, Republicans are touting CBO’s estimates of Ryan’s savings.
First, “do no harm.” That was former Republican National Committee Chairman Michael Steele’s big applause line. “Republicans want reform that should, first, do no harm, especially to our seniors,” he wrote in The Washington Post. Cantor said the Affordable Care Act would “cut Medicare for our seniors and increase premiums for many Virginians.” Say what you will about Ryan’s budget, but going from paying 25-30 percent of your Medicare costs to 70 percent cuts your Medicare while increasing your premiums. Steele also said that “we need to protect Medicare and not cut it in the name of ‘health-insurance reform.’ ” Instead, it’s getting cut in the name of tax cuts. To be fair, Ramesh Ponnuru saw this one coming, so I can’t say conservatives were denying it at the time.
I’m sure I’ve forgotten a couple, but that’s what the comment section is for. The natural next question is whether Democrats have been similarly hypocritical in their opposition to Ryan’s plan. So far as I can tell, we’ve not seen it: Democrats think the plan puts too much of a burden on the backs of seniors and the poor — two things they worried about constantly during the Affordable Care Act — and cuts too many taxes for the rich. They also note that the Congressional Budget Office says privatizing Medicare will make it more expensive — the same finding that led to liberal advocacy for a public option. But if I’m missing something here, I imagine it, too, will come up in comments.
By: Ezra Klein, The Washington Post, April 21, 2011
In Politics Of Temper Tantrums, Washington Post As Spineless As GOP In Debt Ceiling Debate
Yesterday, The Washington Post editorial page turned into Springfield, circa 1991. Not Springfield, Illinois or Springfield, Massachusetts. That more famous Springfield. The one that’s home to the Simpsons.
You see, 20 years ago Lisa Simpson wished for a world in which every nation laid down its arms and there was peace. And it was done. But then two crafty aliens landed in Springfield and took over the earth, armed only with a slingshot and a club.
What does that have to do with The Washington Post? Well, we’re just days into the debate about raising the debt ceiling and they’ve already given up.
Here’s what I mean:
Every politician knows that voting to raise the debt ceiling, particularly in an electoral environment like this one, is dangerous. Large swaths of the electorate are opposed. And the most angry and energized conservatives have made it an article of faith to punish legislators who facilitate more government spending. Voting to raise the debt ceiling is a tough vote–politically.
But on the merits, it’s got to be one of the easiest votes ever. Everyone from the U.S. Chamber of Commerce to former U.S. Labor Secretary Robert Reich agrees that we must raise the debt ceiling. That’s true of just about every economist of every political stripe, too. They say that if we don’t it will lead America, and perhaps the global economy, to literal economic ruin. The stakes couldn’t be higher.
Democrats are on board. They’re pushing for a “clean” vote on the debt ceiling—an up or down vote on that issue alone. In essence they’re saying: let’s do what needs to be done and get it over with. Then we can move on to the myriad other pressing matters confronting the nation.
Republicans are in a different place. They’re making increasingly belligerent demands to tie various kinds of “reforms” to the debt ceiling vote. Deep spending cuts. A balanced budget amendment. Caps on future spending. All sorts of things that may or may not have merit, but which are also deeply partisan and political. And they say they won’t vote to raise the debt ceiling unless their demands are met—if they vote for it at all.
Their position in a nutshell: I’m a Republican and I’m not going to prevent economic ruin unless I get these other things that I really, really, really want. It’s the politics of temper tantrum. Only this time the baby’s got his finger on the nuclear launch codes.
Cue the media. There’s a reason “freedom of the press” is enshrined in the First Amendment. It’s because the Founding Fathers envisioned a Fourth Estate that held government accountable at times just like these.
Instead, we get this: buried in the sixth paragraph of yesterday’s editorial about Standard and Poor’s, the Post dismisses the idea of a “clean vote” saying it’s “unrealistic as a political matter” because “you couldn’t get enough Republican votes in the House to increase the debt limit without some spending cuts attached.”
Well, I guess that’s that. The Republicans have rattled their slingshot and the Post editorial page has fled for the hills.
What’s even more galling is that you needed look no further than the front page of yesterday’s Post to see just how political the issue has become for Republicans. There, Philip Rucker told the sad story of Arizona freshman Republican Rep. David Schweikert. Schweikert concedes that failing to raise the debt ceiling will cause economic chaos, but then he surveys the angry faces of his Tea Party constituents in town hall after town hall and wrings his hands. Destroying the economy on one hand and lessening my chances for reelection on the other…oh what is a Republican to do!
Here’s an idea: suck it up and do the right thing. Vote for the bill and, if you lose your re-election, well, at least you have the comfort of knowing that you didn’t help ruin the world’s economy. Isn’t that what we say we want from our leaders? To take tough votes and put aside personal, ideological, or political goals when the nation’s interest calls for it?
Of course, as much as I would like to think otherwise, my saying so probably won’t encourage Republicans to do much of anything. If only there were an influential, well-respected, credible voice with a broad reach whose job it was to offer opinions like that… Sigh.
Perhaps not all is lost. In the aforementioned Simpsons episode the aliens are eventually vanquished when Moe the bartender hammers a nail through a board and chases them with it. There are a couple months to go in this debate. There’s still time for the Post to find its spine. Someone get them a nail and a board.
By: Anson Kaye, U.S. News and World Report, April 21, 2011
Tea Party: The Welfare State Is Out Of Control But Leave “My” Medicare Alone
About a month ago, Politico ran a much-discussed piece, insisting that the Republican Party and its base have become “fanatically anti-spending.” Tea Partiers, the article added, are obsessed with “cut, cut, cut,” and “taking a cleaver to government spending.”
I’ve pushed back against this, but a new Marist poll out today makes this much easier. The poll asked respondents:
“Do you support or oppose doing each of the following to deal with the federal budget deficit: cut Medicare and Medicaid?”
Among all registered voters, 80% opposed these cuts. Among self-identified Tea Party supporters, 70% opposed these cuts. Among self-identified Republicans, 73% opposed these cuts.
We’re talking about taxpayer-financed, socialized medicine, which Tea Partiers should oppose reflexively if they’re desperate to “cut, cut, cut.”
Except, they’re not.
When pressed on the radical nature of their agenda, congressional Republicans consistently claim the “American people” are on their side, even suggesting they have a popular mandate to pursue drastic policy measures that voters didn’t know about last year. But the data is hard to ignore — not only does the American mainstream oppose GOP cuts to Medicare and Medicaid, but even the Republicans’ own base isn’t on board.
I often think of this piece from Matt Taibbi, who attended a Tea Party rally last summer.
After Palin wraps up, I race to the parking lot in search of departing Medicare-motor-scooter conservatives. I come upon an elderly couple, Janice and David Wheelock, who are fairly itching to share their views.
“I’m anti-spending and anti-government,” crows David, as scooter-bound Janice looks on. “The welfare state is out of control.”
“OK,” I say. “And what do you do for a living?”
“Me?” he says proudly. “Oh, I’m a property appraiser. Have been my whole life.”
I frown. “Are either of you on Medicare?”
Silence: Then Janice, a nice enough woman, it seems, slowly raises her hand, offering a faint smile, as if to say, You got me!
“Let me get this straight,” I say to David. “You’ve been picking up a check from the government for decades, as a tax assessor, and your wife is on Medicare. How can you complain about the welfare state?”
“Well,” he says, “there’s a lot of people on welfare who don’t deserve it. Too many people are living off the government.”
“But,” I protest, “you live off the government. And have been your whole life!”
“Yeah,” he says, “but I don’t make very much.”
The point is that congressional Republicans are desperate to make devastating cuts, and think they’re on safe political ground. GOP officials might be surprised to learn just how many Americans rely on government spending, and want to keep the benefits that apply to them.
By: Steve Benen, Washington Monthly, Political Animal, April 19, 2011
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