The Republican Alternative To “ObamaCare” Is ObamaCare
On Saturday, David Fahrenthold wrote that “more than a year after Republicans first pledged to ‘repeal and replace’ President Obama’s new health-care law, the GOP is still struggling to answer a basic question. Replace it . . . with what?”
This shouldn’t be such a problem. Health care is a big issue. It’s been around a long time. The Republican Party should, in 2011, have a position on it. To understand why it doesn’t, it’s worth reading Newt Gingrich’s April 2006 comments on then-Gov. Mitt Romney’s Massachusetts reforms.
“The most exciting development of the past few weeks is what has been happening up in Massachusetts,” wrote Gingrich, or someone speaking for Gingrich, in his “Newt Notes” newsletter. “The health bill that Governor Romney signed into law this month has tremendous potential to effect major change in the American health system. We agree entirely with Governor Romney and Massachusetts legislators that our goal should be 100% insurance coverage for all Americans. … Individuals who can afford to purchase health insurance and simply choose not to place an unnecessary burden on a system that is on the verge of collapse; these free-riders undermine the entire health system by placing the onus of responsibility on taxpayers.”
In 2006, in other words, the Republican Party had an alternative to Obamacare. The only problem? It was Obamacare.
Between 1990 and 2007, the reigning Republican theory of health-care reform was that instead of handing the health-care system over to the government, they would put private insurers and personal responsibility at the core of their health-care reforms. During this period, everyone from Bob Dole to Jim DeMint to the Heritage Foundation endorsed this approach. But then Democrats, looking for a compromise, endorsed those same plans. And then Republicans, rather than pocketing the policy win, ran from their own ideas.
But insofar as the Republican Party had a plan for health-care reform, the individual mandate was it. That’s why Mitt Romney, Newt Gingrich, Tim Pawlenty, and Jon Huntsman either passed, endorsed, or expressed openness to an individual mandate. And that’s why Romney hasn’t paid for his plan: Almost every other serious candidate for the Republican nomination supported an individual mandate, too. It’s hard for Gingrich to take a clear shot at Romney for proposing what Gingrich called “the most exciting development” in health-care reform.
It’s also why the Republican Party can’t figure out an alternative to the Affordable Care Act. The Affordable Care Act was their alternative. Now they need an alternative to the alternative. But there are only so many policy approaches that make sense as an answer to our health-care problems. And Republicans have pretty much run out of them.
By: Ezra Klein, The Washington Post, December 27, 2011
Newt Praised Romneycare Before He Was Against It
From the WSJ’s use of the Internet comes a 2006 letter on the website of a former Newt Gingrich consulting company praising a then-new development in healthcare, the Massachusetts health care law – or, as it’s known today, Romneycare:
“The health bill that Governor Romney signed into law this month has tremendous potential to effect major change in the American health system,” said an April 2006 newsletter published by Mr. Gingrich’s former consulting company, the Center for Health Transformation.
The two-page “Newt Notes” analysis, found online by The Wall Street Journal even though it no longer appears on the center’s website, continued: “We agree entirely with Governor Romney and Massachusetts legislators that our goal should be 100% insurance coverage for all Americans.”
Mr. Gingrich’s rise to the top of the field has come in part from his bashing Mr. Romney for engineering a state health-care expansion that became a model for President Barack Obama’s 2010 health law. “Your plan essentially is one more big-government, bureaucratic, high-cost system,” Mr. Gingrich told Mr. Romney during an October debate in Las Vegas. He said Mr. Romney was trying to solve Massachusetts’ health-care problems “from the top down.”
R.C. Hammond, a spokesman for Mr. Gingrich, said the April 2006 essay shouldn’t be read as an endorsement of Mr. Romney’s health plan. He noted that it raised several questions about the Massachusetts effort, including whether the plan would work in the state. “Being critical…isn’t endorsing it,” he said.
Mr. Hammond said the Newt Notes essay wasn’t written by Mr. Gingrich himself.
It is true that the “Newt notes” wasn’t totally sanguine about the Romney health care plan, and Gingrich – or whoever the author was – warned its success depended on how it played out. However, there were other interesting bits in the “Newt notes,” such as this, per the original letter, flagged by Andrew Kaczynski:
The Romney plan attempts to bring everyone into the system. The individual mandate requires those who earn enough to afford insurance to purchase coverage, and subsidies will be made available to those individuals who cannot afford insurance on their own. We agree strongly with this principle, but the details are crucial when it comes to the structure of this plan…While the Commonwealth’s plan will naturally endure tremendous scrutiny from those who assert that the law will not work as intended, Massachusetts leaders are to be commended for this bipartisan proposal to tackle the enormous challenge of finding real solutions for creating a sustainable health system.
By: Maggie Haberman, Politico, December 26, 2011
Romney Doubles Down On Medicare Privatization
Mitt Romney clearly didn’t want to endorse Paul Ryan’s radical budget plan, which includes a measure to end Medicare. But now that he’s losing, Romney apparently feels as if he doesn’t have any choice.
After months of avoiding taking a firm stand on Ryan’s privatization scheme — Medicare’s guaranteed benefit would be scrapped, replaced with vouchers — Romney is suddenly on board with the far-right agenda without leaving himself much in the way of wiggle room. This began in earnest yesterday, when the Romney campaign boasted, “Mitt Romney supports what Paul Ryan did. He endorsed what Paul Ryan did.”
The Romney camp then further embraced the Ryan plan overnight, unveiling a new video attacking Newt Gingrich for having criticized Medicare privatization. Today, Romney was even more explicit at an event in Iowa, responding to a voter’s question.
“I spent a good deal of time with Congressman Ryan. When his plan came out, I applauded it, as an important step,” he said. “We’re going to have to make changes like the ones Paul Ryan proposed.”
Romney added that by using “vouchers,” he intends to help “protect” Medicare.
Right about now, I suspect there are a lot of folks at the DNC and at Obama for America HQ who are smiling.
Remember, Romney didn’t want to go to this point. He’s been entirely aware of how radioactive Ryan’s Medicare scheme was — polls showed the American mainstream hates it — and the fact that it cost Republicans at least one congressional special election this year, and will be a major issue in 2012. When Romney was confident that he’d be the nominee, he was comfortable avoiding this issue.
But now he’s stuck. Romney apparently intends to use his support for the Ryan plan to get ahead in the GOP nominating race, despite the general-election risks, working under the assumption that there won’t be a general-election for him unless he goes to the hard-right now.
I made the case yesterday that this is a major campaign development. Jonathan Cohn goes a little further today, explaining why this “may prove to be a critical moment.”
All of this frames a pretty stark choice for the next election…. [A] vote for President Obama will be a vote to implement Obamacare and keep Medicare, while a vote for the Republican nominee, assuming it’s Gingrich or Romney, will be a vote to eliminate the former and at least begin dismantling the latter (along with Medicaid, most likely).
Or to put it a bit more simply, the choice in the next election will be for universal health care for people of all ages or universal health care for nobody.
By: Steve Benen, Contributing Writer, Washington Monthly Political Animal, December 9, 2011
Romney Acknowledges ‘Exaggeration’ On Health Care
Before this year, Mitt Romney was only too pleased to tout his health care reform law in Massachusetts as the basis for a national plan. He said he thinks his measure is “a good model for the nation”; he argued “we’ll end up with a nation that’s taken a mandate approach”; and he boasted that his plan “allows every citizen in America to get health insurance.”
All of this, however, was before 2011. Yesterday, in an interview with the editorial board of the Washington Examiner, Byron York pressed the former governor on this point.
YORK: But you wouldn’t recommend that any state adopt the plan that was adopted in Massachusetts in its entirety?
ROMNEY: In its entirety, no. But there are principles that I think that are helpful and instructive for the states to learn from and I think that there are other states that have picked up some portion of what we did. [emphasis added]
So we’ve gone from a Republican who believes his own plan is a good model for the nation to a Republican who wouldn’t even recommend other states follow his lead.
But in 2007, when Tim Russert asked about this specific point, Romney said, “I happen to like what we did. I think it’s a good model for other states. Maybe not every state but most.”
He was reminded of this yesterday.
YORK: Governor, on health care, you’ve often said that the health care plan that you’ve created in Massachusetts would be a good model for some other states. You said, “Maybe not every state, but most.”
ROMNEY: I don’t think I said “most,” but —
YORK: On “Meet the Press” in 2007.
ROMNEY: Oh did I? Did I make that exaggeration? [Laughs]
As Greg Sargent responded, “I get that Romney was joking, but still: He just described his own past assertion about the success of his signature accomplishment — one that’s now politically inconvenient for him — as an ‘exaggeration.’”
Imagine what the political world — specifically, campaign reporters — would do if John Kerry or Al Gore called their own rhetoric about their key policy priority an “exaggeration.” Voters would never hear the end of it.
By: Steve Benen, Contributing Writer, Washington Monthly Political Animal, December 8, 2011
Affordable Care Act Delivers Big Savings For Seniors
Most of the Affordable Care Act won’t take effect for a few years — and if court rulings and the 2012 elections go a certain way, it may not take effect at all — but there’s already evidence that the reform law is working.
It’s making a big difference in providing coverage for young adults; it’s providing treatment options for women like Spike Dolomite Ward; and it’s slowing the growth in Medicare spending.
It’s also, as Jonathan Cohn explained, saving seniors quite a bit of money on prescription medication.
Under the terms of the Affordable Care Act — yes, Obamacare — pharmaceutical companies provide a 50 percent discount on name-brand drugs for seniors who hit the “donut hole.” The donut hole is the gap in coverage that begins once an individual Medicare beneficiary has purchased $2,840 in drugs over the course of a year. At that point, the beneficiary becomes completely responsible for prescription costs — in other words, he or she has to pay for them out of his pocket — until he or she has spent another $3,600.
It may not sound like a lot of money. But the seniors who hit the donut hole are, by definition, the ones with the most medical problems. Saving a few hundred dollars, on average, makes a real difference. And that’s precisely what’s happening, according to data the administration released today. According to its calculations, 2.65 million seniors hit the donut hole — and then saved an average of $569 each. The data runs through October. More seniors will hit the donut hole through year’s end, so the total number of beneficiaries who take advantage of the discount in 2012 should end up higher.
In an interview with USA Today, Jonathan Blum, director of the Center for Medicare, added, “We’re very pleased with the numbers. We found the Part D premiums have also stayed constant, despite predictions that they would go up in 2012.”
Seniors have been some of the biggest skeptics of the Affordable Care Act, but they’ve also seen some of the most direct benefits. Indeed, USAT’s report went on to note that as of the end of November, “more than 24 million people, or about half of those with traditional Medicare, have gone in for a free annual physical or other screening exam since the rules changed this year because of the health care law.”
If Republicans repeal the law, all of these benefits will simply disappear. It’s something voters may want to keep in mind.
By: Steve Benen, Contributing Writer, Washington Monthly Political Animal, December 7, 2011
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