“States Of Health”: Obamacare And GOP Obstructionism
Ours can be an unforgiving country. Paul Sullivan was in his fifties, college-educated, and ran a successful small business in the Houston area. He owned a house and three cars. Then the local economy fell apart. Business dried up. He had savings, but, like more than a million people today in Harris County, Texas, he didn’t have health insurance. “I should have known better,” he says. When an illness put him in the hospital and his doctor found a precancerous lesion that required treatment, the unaffordable medical bills arrived. He had to sell his cars and, eventually, his house. To his shock, he had to move into a homeless shelter, carrying his belongings in a suitcase wherever he went.
This week, the centerpiece of the Affordable Care Act, which provides health-insurance coverage to millions of people like Sullivan, is slated to go into effect. Republican leaders have described the event in apocalyptic terms, as Republican leaders have described proposals to expand health coverage for three-quarters of a century. In 1946, Senator Robert Taft denounced President Harry Truman’s plan for national health insurance as “the most socialistic measure this Congress has ever had before it.” Fifteen years later, Ronald Reagan argued that, if Medicare were to be enacted, “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 now comes Senate Minority Leader Mitch McConnell describing the Affordable Care Act as a “monstrosity,” “a disaster,” and the “single worst piece of legislation passed in the last fifty years.” Lacking the votes to repeal the law, Republican hard-liners want to shut down the federal government unless Democrats agree to halt its implementation.
The law’s actual manifestation, however, is rather anodyne: as of October 1st, healthcare.gov is scheduled to open for business. A Web site where people who don’t have health coverage through an employer or the government can find a range of health plans available to them, it resembles nothing more sinister than an eBay for insurance. Because it’s a marketplace, prices keep falling lower than the Congressional Budget Office predicted, by more than sixteen per cent on average. Federal subsidies trim costs even further, and more people living near the poverty level will qualify for free Medicaid coverage.
How this will unfold, though, depends on where you live. Governors and legislatures in about half the states—from California to New York, Minnesota to Maryland—are working faithfully to implement the law with as few glitches as possible. In the other half—Indiana to Texas, Utah to South Carolina—they are working equally faithfully to obstruct its implementation. Still fundamentally in dispute is whether we as a society have a duty to protect people like Paul Sullivan. Not only do conservatives not think so; they seem to see providing that protection as a threat to America itself.
Obstructionism has taken three forms. The first is a refusal by some states to accept federal funds to expand their Medicaid programs. Under the law, the funds cover a hundred per cent of state costs for three years and no less than ninety per cent thereafter. Every calculation shows substantial savings for state budgets and millions more people covered. Nonetheless, twenty-five states are turning down the assistance. The second is a refusal to operate a state health exchange that would provide individuals with insurance options. In effect, conservatives are choosing to make Washington set up the insurance market, and then complaining about a government takeover. The third form of obstructionism is outright sabotage. Conservative groups are campaigning to persuade young people, in particular, that going without insurance is “better for you”—advice that no responsible parent would ever give to a child. Congress has also tied up funding for the Web site, making delays and snags that much more inevitable.
Some states are going further, passing measures to make it difficult for people to enroll. The health-care-reform act enables local health centers and other organizations to provide “navigators” to help those who have difficulties enrolling, because they are ill, or disabled, or simply overwhelmed by the choices. Medicare has a virtually identical program to help senior citizens sort through their coverage options. No one has had a problem with Medicare navigators. But more than a dozen states have passed measures subjecting health-exchange navigators to strict requirements: licensing exams, heavy licensing fees, insurance bonds. Florida has attempted to ban them from county health departments, where large numbers of uninsured people go for care. Tennessee recently adopted an emergency rule declaring that anyone who could be described as an “enrollment assister” must undergo a criminal background check, fingerprinting, and twelve hours of course work. The hurdles would hamper hospital financial counsellors in the state—and, by some interpretations, ordinary good Samaritans—from simply helping someone get insurance.
This kind of obstructionism has been seen before. After the Supreme Court’s ruling in Brown v. Board of Education, in 1954, Virginia shut down schools in Charlottesville, Norfolk, and Warren County rather than accept black children in white schools. When the courts forced the schools to open, the governor followed a number of other Southern states in instituting hurdles such as “pupil placement” reviews, “freedom of choice” plans that provided nothing of the sort, and incessant legal delays. While in some states meaningful progress occurred rapidly, in others it took many years. We face a similar situation with health-care reform. In some states, Paul Sullivan’s fate will become rare. In others, it will remain a reality for an unconscionable number of people. Of some three thousand counties in the nation, a hundred and fourteen account for half of the uninsured. Sixty-two of those counties are in states that have accepted the key elements of Obamacare, including funding to expand Medicaid. Fifty-two are not.
So far, the health-care-reform law has allowed more than three million people under the age of twenty-six to stay on their parents’ insurance policy. The seventeen million children with preëxisting medical conditions cannot be excluded from insurance eligibility or forced to pay inflated rates. And more than twenty million uninsured will gain protection they didn’t have. It won’t be the thirty-two million hoped for, and it’s becoming clear that the meaning of the plan’s legacy will be fought over not for a few months but for years. Still, state by state, a new norm is coming into being: if you’re a freelancer, or between jobs, or want to start your own business but have a family member with a serious health issue, or if you become injured or ill, you are entitled to basic protection.
Conservatives keep hoping that they can drive the system to collapse. That won’t happen. Enough people, states, and health-care interests are committed to making it work, just as the Massachusetts version has for the past seven years. And people now have a straightforward way to resist the forces of obstruction: sign up for coverage, if they don’t have it, and help others do so as well.
By: Atul Gawande, MD, The New Yorker, Published September 29, 2013
“The Revised GOP Ransom Note”: House Republicans Now Willing To Fund Government In Exchange For One Year Obamacare Delay
House Republicans are preparing to introduce a new, last minute Continuing Resolution that would fund the operations of government for a few more months in exchange for an agreement by Senate Democrats and the White House to delay the execution of Obamacare for one year.
This newest bid is being presented as a “compromise” as the initial proposal put forward by the House—one that was rejected by the Senate—hinged the funding of government on the full defunding of the Affordable Care Act.
Compromise?
I suppose it is if you consider that someone holding a gun to your head and demanding ten million dollars to spare your life becomes a “compromiser” when he suddenly drops the price to seven million after you’ve told your assailer that you can’t or won’t pay.
Or maybe you would consider a foreign power threating our country with thermonuclear destruction unless we surrender to them as being willing to compromise if they modify their demand so as to leave us with everything east of the Mississippi if we are prepared to give up all the territory to the west?
For those who would fool themselves into believing that the latest House offer is some effort to find “middle ground”, ask yourself this question—
Why do these people wish to delay enforcement of the Affordable Care Act for one year?
Does anyone imagine that those who have been seeking to deny funding to government absent the delay or destruction of a law that was passed by Congress, signed into being by the President, and approved by the Supreme Court actually want to hold off the implementation of that law so they can improve it?
At no time—since the blitzkrieg of misinformation and outright lies that have been peddled by Obamacare opponents following the Act’s creation–have the House Republicans so much as once suggested that they would like to improve the law. Having voted more than 40 times to repeal or defund the law, have they ever, since passage, voted on proposed amendments to the law that they claim would improve the healthcare reform act?
Never.
Indeed, they are not even pretending to want to make it better via a delay as not so much as one Republican elected official who has paraded in front of the TV cameras today to pitch defunding or delay has so much as hinted than an extra year would give Congress time to make some ‘fixes’ or ‘changes.’
So, again, why the one year extension?
The better to keep the issue ‘hot’ for Republicans going into the 2014 midterm elections.
After all, nothing is going to change in the next year that would improve the Republicans’ chances of doing away with the law.
Should the GOP hold the House in the 2014 elections and pick up enough seats in the Senate to gain a majority, absolutely nobody believes for a moment that the GOP could gain enough Senate seats so as to grant them the capability of overturning a presidential veto.
And, like it or not, the Democrats will hold the White House through 2016.
And yet, every Republican mug I see on the television screen today tells me that they are doing this for me.
Really?
My premium rates are scheduled to go down rather dramatically upon the opening of the healthcare exchange in my state. So, what exactly are these House Republicans doing for me—and the millions of other Americans who cannot get coverage due to preexisting conditions (like acne) or face using up their lifetime maximums when a serious illness strikes? What exactly are Ted Cruz and his friends doing for those who are denied their paid for coverage after they get sick by insurance companies who don’t want to pay off and can find a spelling error on the insured’s application? What about the millions of Americans who simply have been unable to afford health insurance coverage without the benefit of the government subsidies or those who are married forever to their job—whether they like it or not— because, to leave it, would mean putting their family in jeopardy should someone get sick?
Still, if the GOP continues to feel the need to use healthcare policy to hold up funding of the government, and they are truly doing this for my benefit, I have an additional policy change I’d like Speaker Boehner to add to the new House legislation—things that would truly be for my benefit and the benefit of my family—
I would like the Speaker to make the Continuing Resolution to keep the government’s doors open contingent upon gun control legislation that requires registration of all weapons at the time of purchase. That would be doing something that could truly help me and my family.
And before anyone tries to tell me that this would be unacceptable because—unlike Obamacare where the majority of the country currently opposes the law, the majority of Americans love their guns—I suggest you review the polls revealing that more Americans favor changes in gun registration laws than the number of Americans who oppose the Affordable Care Act.
I could go on with more ransom demands for the Speaker but I’ll settle for just this one. After all, Boehner only plans to fund the government through this December in exchange for destroying the Affordable Care Act so I don’t want to be too greedy as to what I would expect for a three month extension of an operating government.
If the House Republicans are unwilling to link the funding of government to the things that will really be of value to me, then I can only hope that the Senate Democrats and the President hold the line and allow the GOP to get what is coming to them for their behavior.
While I hate to see so many of my fellow Americans suffer the problems and serious inconveniences that are inevitable in a government shut down, I—like so many Americans that the right-wing prefers to pretend do not exist—have had enough of these eighty to one hundred extremists in Congress standing in the way of trying to make life better for so many Americans just so they can be re-elected . These are, after all, elected officials that come from congressional districts where constituents continue to be incapable of grasping that the debt ceiling debate is about paying for debts we’ve already incurred and not some limitation on what government can borrow or spend in the following year.
I also highlight that these people on the right prefer to pretend I do exist because of their continued suggestion that “Americans” do not want the healthcare reform law. Not so much as one supporter of defunding or delaying Obamacare, who has spoken to the cameras today, has said “some Americans” or “most Americans”. They simply say that this law is a train wreck and Americans don’t want it.
Like it or not, I am an American and I do want this alleged train wreck as do enough of my fellow Americans to constitute at least forty percent of the electorate. So, I would very much appreciate it if Rep. Jeb Henserling and the remaining band of the GOP talking heads haunting the airwaves would stop lumping me in with their political distortions.
The President is flat-out right on this one. If the Republicans want to argue over what should—or should not—be included in the next fiscal year’s budget, I’m all for it. Each branch of Congress can pass their version of a budget and the two can get into the conference committee room and beat each other up until they come to a budget agreement they can send over to the White House for signature.
But if these 100 or so Members of Congress want to screw up people’s lives because they have a fundamental problem with our system of government, we should give them no quarter.
And make no mistake, it is precisely these people’s resentment of how our government was created to operate that drives them to these extremist positions—no matter how much they pretend to be ‘strict constitutionalists’.
Just because GOP legislators like to carry a copy of the Constitution in their suit pocket doesn’t mean they’ve ever read it or could care less what it actually says. It just means they have pockets large enough to hold fat oil company checks and a tiny copy of our founding document at the same time.
By: Rick Ungar, Op-Ed Contributor, Forbes, September 29, 2013
“In A State Of Classic Denial”: The GOP Leadership Has Become Completely Delusional
You have to wonder if the GOP leadership has begun to lose touch with political reality.
They are laying out a series of demands that Democrats must meet in order to avoid a shutdown of the government — or an economic disaster that would result if the government defaults on its debts and refuses to pay financial obligations. Everyone acknowledges that either of these events would have dire consequences for the entire country and its economy.
Why do they believe that Democrats have a greater self-interest in avoiding these dire consequences than they do, when they themselves will be blamed? That makes no political sense.
And there is little question they will be blamed. The polling has made it clear for some time that most Americans will blame the GOP if either of these catastrophes ensue — and the focus of that blame will shift to the Republicans more and more as the days pass.
From a purely political point of view, it’s as if your opponent in a war threatens that he will blow his own head off if you do not surrender. What?
Maybe they assume that Democrats care more about the economy of the United States, the jobs of their fellow Americans and the availability of public services than they do — but that is not a message you’d think they would want to send to the voters.
And they are forgetting something else. The political situation has fundamentally changed since the last debt-ceiling crisis in 2011.
In 2011, the Tea Party leadership of the GOP was coming off a big win in the 2010 mid-terms. Last year their positions were once again tested in the General Election, and they were rejected by the voters.
Second, in 2011 President Obama could ill afford a government default that could have destroyed the momentum of the fragile recovery a year before his re-election. Next year the voters will not be deciding whether to re-elect President Obama. They will be deciding who they elect to Congress.
Do the Republicans really want to be held responsible for another financial calamity when it is their turn to face the voters? In fact, many observers believe that such a development would create exactly the kind of wave that could wipe out their already fragile majority in the House and dash their best hope in the foreseeable future to take back the Senate.
This increasing lack of connection to political reality may result in part from classic denial. They are unwilling to accept that their extremist ideological views are massively unpopular with an increasingly progressive electorate.
Last election they simply refused to believe that all of those Hispanics, African Americans, women and young people would come to the polls. Even their pollsters refused to believe that the electorate was changing. They were actually stunned that they lost.
They continue to refuse to believe the fact that with every passing year, the electorate is less and less sympathetic to their extremist views. Polls show that Millenial voters are the most progressive generation in 50 years. Every year a new class of those Millenial voters replaces a group of older, less progressive voters in the electorate. What’s more, every year there are more and more Hispanics and Asian Americans who voted over 70 percent for Obama. And of course — as a recent poll in the Virginia governor’s race makes clear — they persist in driving away more and more women voters with their opposition to women’s reproductive rights, attacks on education, child nutrition and universal background checks on guns.
The Tea Party Republicans appear to have abandoned hope that they can achieve their goals through the established — democratic — political process. After all, virtually all of their demands are extremely unpopular with the broader electorate and they overwhelmingly lost the last election.
Most Americans do not support their demand to defund Obamacare — and the law’s popularity will only grow once it goes into effect — as its benefits become clear and the “horrors” predicted by its opponents fail to materialize.
Most Americans simply do not support policies that take food from the mouths of hungry children in order to give more tax breaks to millionaires, or gut the provisions of the Dodd-Frank law that rein in Wall Street banks, or privatize Medicare.
So they have resorted to the tactic of choice for small extremist minorities: hostage-taking. They are threatening to blow up the economy if they don’t get their way.
And that is precisely why the president and Democrats in Congress are so clear that they will not cede to GOP demands. If Democrats were to allow hostage-taking to work, GOP extremists would try the same tactic again and again. There would be no end to the hostage-taking in order to force the majority of Americans to agree to the positions of a small minority that have been rejected in democratic elections.
And the GOP leadership is ignoring one final factor. When voters cast their ballots they not only ask who is on their side, they also ask who is competent to provide leadership.
Many Republicans in Congress have announced they are willing to risk shutdown or default to avoid the “horrors” of Obamacare, which they say is the worst law ever passed by Congress. Really?
Next time you get into a plane, ask yourself how you would feel about having a delusional pilot so out of touch with reality that he would recklessly risk the well-being of all on board to fly through a tornado because he wants to fly to the mythical land of Oz.
Voters are not generally wild about entrusting leadership to a bunch of reckless adolescents who see nothing wrong with playing chicken racing their cars toward each other to see who will swerve first.
Recklessness, lack of connection with reality, failure to recognize that actions have consequences — those are not the qualities that voters find appealing in candidates for higher office.
One way or another, the GOP will ultimately fold — that is virtually certain. The only question is whether someone in Republicanland who has yet not drunk the Tea Party Kool Aid will grab the yoke and pull the GOP out of this spiral dive — or whether they are forced to surrender as they emerge from a pile of rubble on the canyon floor.
By: Robert Creamer, The Huffington Post Blog, September 27, 2013
“The Republican Tomacco Dilemma”: The GOP Can’t Have It Both Ways On Obamacare
I have to admit that the conservative narrative regarding Obamacare has got me a little bit confused. The problem is that the critics of the Affordable Care Act keep making contradictory arguments about the law.
So we learned yesterday from former Heritage Foundation chieftain Jim DeMint that, in his view, President Obama’s comfortable re-election can’t be seen as the electorate signaling acceptance of the law. DeMint essentially said voters didn’t know what they were doing when they re-elected Obama. “Because of Romney and Romneycare, we did not litigate the Obamacare issue,” DeMint told Bloomberg Businessweek’s Joshua Green. Never mind that GOP nominee Mitt Romney talked about repealing Obamacare at virtually every opportunity and even ran ads promising to do so on his first day in office.
No, despite the fact that the entire GOP campaigned against Obamacare and, more broadly, that it was the dominant political issue for most of President Obama’s first term, the case against Obamacare never got a hearing. Or something. Deep down, DeMint is saying, people hate Obamacare – they just don’t know how to properly express it. Thank god the American people have Jim DeMint to tell them what they think.
But wait. Earlier this week we learned from Texas GOP Sen. Ted Cruz that if there’s one thing everyone in this great country agrees on, it’s that Obamacare is a raging failure which “the American people” want ended at once – but that Cruz bears the burden of being the only person in Washington who listens to the American people. (Truly, he is generous to not only represent the Lone Star State but the entirety of the country.) Here’s what Cruz said in his marathon speech earlier this week:
Everyone in America understands Obamacare is destroying jobs. It is driving up health care costs. It is killing health benefits. It is shattering the economy. All across the country in all 50 States – it doesn’t matter what State you go to, you can go to any State in the Union, it doesn’t matter if you are talking to Republicans or Democrats or Independents or Libertarians – Americans understand this thing is not working.
Cruz and DeMint need to get together here because they can’t both be right. Either DeMint is correct that years and years of Republican denunciation of Obamacare, not to mention a $2 billion presidential campaign in which the law played a central role, left the American people uninformed about how they truly feel about the law or they are unanimously and rabidly declaring their hatred for it, in a unified voice that only Ted Cruz can hear. But they can’t be both unconvinced of the conservative case and also vociferously in favor of it. (And yes, I understand that DeMint and Cruz and Cruz’s father did a road show in August, but to suggest that the Heritage Foundation’s traveling circus managed to educate the populace in a way that the entirety of U.S. politics from 2009 until last month failed to strains credulity in ways that even the Heritage Foundation hasn’t heretofore managed.)
The GOP has another inherent contradiction in its case against the law. I call it the “tomacco dilemma.” Tomacco, for those not steeped in “The Simpsons,” is a terrible-tasting, highly addictive, radioactive hybrid between a tomato and tobacco. People can’t stand its taste but eat it compulsively. And conservatives seem to think that Obamacare is tomacco.
Consider again Cruz’s description of the law: “Everyone in America understands Obamacare is destroying jobs. … All across the country in all 50 States … Americans understand this thing is not working.” And yet it’s vitally important for conservatives that the law be stopped dead in its tracks before the next phase of implementation on October 1, because once Americans get used to it, they will never give it up.
So David Horowitz writes on RedState (which, it’s worth noting, stands firmly behind Cruz’s quixotic defund push):
It’s time we cut through the clutter of this debate and break it down to one central point. Republicans will never have enough power to repeal Obamacare through the front door. The dependency will be immutable long before the possibility that they will win back the Senate and the White House.
By 2016, the next time the GOP could possibly win back the White House and full control of the Senate, he says, “dependency” will be so widespread that the GOP will be powerless to stop it. “Dependency” is in this case another way of saying “popularity.” Think about it: If Obamacare is a job-destroying, economy-shattering, health-benefit-killing disaster now, how is it that within a mere three years it will have taken its place as part of the fabled third rail of American politics? Obamacare can be hated or it can be dangerously popular, but it can’t be both.
It’s no wonder polls show that most Americans don’t understand the law – not even its most vocal critics can agree about what’s wrong with it.
By: Robert Schlesinger, U. S. News and World Report, September 27, 2013
“When You Are On Fire”: Exactly How Much Republican Pyromania Are We Expected To Accept?
It must be difficult to be a Democratic Member of Congress right now. You are perpetually on call to put out a fire your Republican colleagues are determined to set, but they can’t make up their minds whether to burn down the house or the whole neighborhood.
Originally John Boehner wanted to give his charges the chance for an extended temper tantrum about Obamacare timed to conclude when the moment arrived to keep the federal government functioning, perhaps with a bit less money. Nope, that wasn’t sufficient. So the GOP headed directly towards a government shutdown, until Boehner and company looked about two inches beyond their own noses and saw that the public was (tragically) more tolerant towards a debt limit default threat than a shutdown. So the House GOP leaders moved in that direction. But they soon discovered getting the entire House GOP to vote for a debt limit increase would require a measure that incarnated every conservative policy fantasy in sight, and they are still struggling to get the votes. So now they may throw some sand in the gears of the continuing appropriations resolution and perhaps generate a mini-shutdown as a tonic to the troops, and hope that between the appropriations and debt limit measures they can slake the destructive furies of the Republican Party and its often-caustic right-wing chorus, and maybe even mark up a victory or two if Democrats conclude concessions are better than economy-wreaking chaos.
But at the moment, chaos reigns.
Even the jaded fans of pointless drama at Politico seem to think it’s out of control, per a Sherman/Bresnahan report:
Boehner and his team have now cycled through three fiscal strategies in about as many weeks, as rank-and-file Republicans jump from one approach to another in a so-far losing effort to emerge victorious from a budget showdown with President Barack Obama and the Democrats.
Now it’s on to “Plan C,” or whatever Republicans call this third iteration of government funding-debt ceiling strategy….
At this point, it’s difficult to conclusively determine where all the House GOP’s maneuvering and false starts will end.
I’m beginning to wonder if the whole idea is to convince Democrats that they need to consult abnormal psychology textbooks every time they deal with a fresh GOP demand.
Back when I worked for (pre-apostasy) Zell Miller, a very sensitive internal political memo laying out Zell’s secret re-election year agenda got accidentally taken off a fax machine at an out-of-state governors’ conference and handed to a reporter for the Atlanta Journal-Constitution. It was all so weird and unlikely that the big story wasn’t what was in the document, but that Zell’s minions had gone to such lengths to leak it. “This is great,” I recall a colleague saying with real enthusiasm. “They think we’re completely crazy.”
Being completely out of control does create some leverage, particularly if the firebug is willing to set fire to himself (“When you are on fire,” Richard Pryor famously observed after nearly incinerating himself in a freebase cocaine accident, “people get out of your way.”). So people start thinking about making concessions they wouldn’t otherwise consider, or contemplating scenarios they wouldn’t otherwise entertain. As Ezra Klein said with disgust this morning:
It’s a mark of the insane and reckless turn in our politics that shutting down the government so one of our to major political parties can get the brinksmanship out of its system is emerging as the sober, responsible thing to do. But here we are, greatest nation the world has ever known.
Today’s Republicans really do make America exceptional. But I don’t know exactly how much pyromania we are expected to accept.
By: Ed Kilgore, Contributing Writer, Washington Monthly Political Animal, September 27, 2013
Share This Blog
Unknown Feed- An error has occurred; the feed is probably down. Try again later.
mykeystrokes.com 