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New Study: Raising Medicare Eligibility Age Erodes Social Security Benefits

A proposal to increase the Medicare eligibility age, which the Super Committee is considering, would drive up health care costs to the point where they would consume almost half of the Social Security check of a middle-class retiree, according to a new analysis by Social Security Works.

In his testimony before the Super Committee yesterday, Erskine Bowles, a Morgan Stanley executive and co-chair of the President’s Fiscal Commission, recommended raising the Medicare eligibility age to 67 as a way to bridge the differences between Democrats and Republicans on the Super Committee.

Bowles explained his support for the policy on the grounds that the Affordable Care Act (ACA) made “other coverage available” to 65- and 66-year-olds, by providing subsidies to purchase health care in the private sector.

Bowles’ testimony in favor of raising the age comes on the heels of public endorsements by the American Hospital Association, the leading trade association for the nation’s for-profit hospitals, and the Healthcare Leadership Consortium, a consortium of health insurance companies, pharmaceutical companies, and other medical providers.

The Center on Budget & Policy Priorities, a center-left think tank, criticized Bowles’ compromise for being “to the right of Boehner’s offer to Obama in July.” They dismissed, in particular, Bowles’ reliance on the ACA to justify raising the Medicare eligibility age. Robert Greenstein, the Center’s President, wrote that without assurance that ACA will withstand overwhelming Republican political and legal opposition, Bowles’ proposal to raise the Medicare eligibility age “would risk leaving many 65- and 66-year-olds with no insurance at all at the very time of life when they are developing more medical conditions and problems due to their age.”

Even if ACA is successfully implemented, however, many experts believe raising the Medicare eligibility age would be poor policy. A study by the Kaiser Family Foundation found that raising the Medicare eligibility age to 67 would increase health care costs across the economy, saving the government little money. What money the government would save, the Kaiser study found, would come from shifting the costs of care onto patients — especially, but not only, individuals aged 65 and 66, who would no longer be eligible for Medicare.

A new analysis of the Kaiser study by Social Security Works shows that the increase in out-of-pocket costs for 3.3 million people aged 65 and 66 would take a large bite out of affected seniors’ already modest Social Security checks.

From Social Security Works’ analysis:

Of the 3.3 million people aged 65 and 66 who would pay more out-of-pocket for health care if they were no longer eligible for Medicare, the following two groups would be hit especially hard:

    • Out-of-pocket health care costs would increase, on average, by $4,300 in 2014 for 960,000 people aged 65 and 66 who purchase coverage through a health insurance exchange and have incomes exceeding 400 percent of the federal poverty level ($43,560), making them ineligible for subsidies available to exchange participants with lower incomes.
    • Under current law, these 65- and 66-year-old retirees’ average out-of-pocket costs would be $6,800 in 2014, out of a total Social Security benefit of $24,469. If forced out of Medicare and onto the health insurance exchanges, their average out-of-pocket health care costs would grow to $11,100, out of a total Social Security benefit of $24,469. [Figure 1] As a result, if the Medicare eligibility age is raised, out-of-pocket health care costs would go from consuming 28 percent to 45 percent of those 65- and 66-year-old retirees’ Social Security check.

      Sources: Social Security Works analysis of estimates from Social Security Trustees, 2011, and Kaiser Family Foundation, 2011.
  • Out-of-pocket costs would increase, on average, by $1,200 for 240,000 people aged 65 and 66 who purchase coverage through a health insurance exchange and have incomes between 300 and 400 percent of the federal poverty level ($32,670-$43,560). Under current law, these 65- and 66-year-old retirees’ average out-of-pocket costs would be $4,800 in 2014, out of a total Social Security benefit of $18,464. If forced out of Medicare and onto the health insurance exchanges, their average out-of-pocket health care costs would grow to $6,000, out of a total Social Security benefit of $18,464. As a result, if the Medicare eligibility age is raised, out-of-pocket health care costs would go from consuming 26 percent to 32 percent of those 65- and 66-year-old retirees’ Social Security check.

Costs to Social Security beneficiaries could be substantially higher than estimated here. The out-of-pocket costs discussed in Social Security Works’ analysis do not include the cost of medical services that are not covered by Medicare at all, including dental care and most kinds of long-term care, such as permanent residency in a nursing home. Accounting for these medical services would not have any bearing on the amount that out-of-pocket costs would increase if the Medicare eligibility were raised to 67. It would, however, show average out-of-pocket costs to be considerably larger under both current law and if the Medicare eligibility were raised to 67.

By: Daniel Marans, Policy Director, Social Security Works, Published in Huffington Post, November 4, 2011

November 7, 2011 Posted by | Affordable Care Act, Health Care, Health Reform | , , , , | Leave a comment

Mitt Romney: The Corporate ‘Person’ And The One Percent

For Mitt Romney, the fundamental argument underpinning his presidential candidacy is his experience as a top executive at Bain Capital, the huge Boston-based private equity firm. That is especially true now because he must disown his most important achievement as Massachusetts governor — health care reform — in order to assuage the Tea Party extremists in his own party. But what does his business career tell us about the economic policies that might be pursued by the Republican front-runner — and about his worldview? Much could have been gleaned from the career history of George W. Bush, if only voters had paid closer attention to the unflattering reports of his experience as oilman and baseball team owner that accumulated in 1999 and 2000.

As the stories behind Romney’s success unfold in the coming campaign, the answer is likely to be that Bain Capital has prospered during the past quarter-century promoting a harsher brand of enterprise — one that ruins communities, impoverishes workers, and exports American jobs, all in the name of shareholder “value.”

In the current issue of New York Magazine, reporter Benjamin Wallace-Wells begins the process of unpacking what Romney and his colleagues in management consulting and private equity have wrought upon the U.S. economy. Wallace-Wells opens his narrative with a telling recent anecdote from the campaign trail in Iowa, where Romney lectured a disbelieving crowd on the issue of corporate personhood. When a heckler urged raising taxes on corporations, Romney replied with condescension: “Corporations are people too, my friend….”

Of course in the strictest sense he was right: The management, shareholders, and workers of every corporation are indeed human beings, and it is to those human beings that the money earned by corporations, after taxes, is paid. But as Wallace-Wells discovers, Romney and company have done much to change how those earnings are apportioned, encouraging massive increases in the amount appropriated by management and huge reductions in wages and benefits paid to workers. Creating incentives for managers to maximize stock prices — which would explode their own compensation — simultaneously undermined old-fashioned corporate responsibility toward employees, communities, and the nation as a whole. The deepest implication of the consultant creed that Romney represents is an ugly Darwinism — or so Wallace-Wells suggests.

But as consultants, there was only so much that Romney and the Bain crowd could do to change any corporation. Wanting to put their theories into practice, and sensing that big profits could ensue, they formed Bain Capital, whose record in corporate takeovers and turnarounds became the envy of the industry — and the ruin of thousands of workers and their families unlucky enough to become collateral damage.

The improved efficiency and productivity of private enterprise over the past two decades certainly were not without benefit to society, in lower prices, better technology and even, for a while, higher employment. But the perfect “alignment” of incentives between corporate managers and shareholders, without any regulatory brakes, led to worsening economic inequality, executive recklessness, stock manipulation, and a laser-like focus on the short term — in short, all of the ills that underlie American economic decline. Those same incentives have been trained on the political system to ensure decisions that benefit those same overpaid, seemingly sociopathic bankers and investors — now known as the “one percent.” They could scarcely hope for a more sympathetic candidate than the man from Bain.

By: Joe Conason, The National Memo, October 25, 2011

October 26, 2011 Posted by | Class Warfare, Conservatives, Consumers, Corporations, Economic Recovery, GOP, GOP Presidential Candidates, Health Reform, Ideologues, Middle Class | , , , , , , , , , | Leave a comment

Making The Court A Priority For Progressives

This week the U.S. Supreme Court opened a new term, for the first time in Barack Obama’s presidency without a new Justice joining the high court. Also this week, two of the Justices testified before Congress in an historic hearing on the role of judges under the U.S. Constitution. A new national conversation about the third branch and the Constitution is gaining the attention of more Americans every day, and it’s one all of us should join.

History shows that nearly every major political issue ends up in the  courts.  Our nation’s federal courts are where social security appeals are heard, employment cases decided, immigration issues settled, and where Americans vindicate their most cherished Constitutional rights. This year is no different.

This Supreme Court term, lasting through June 2012, promises to be a  significant one, with decisions affecting every American. The cases  the court will decide this term alone highlight what’s really at stake for all Americans, far beyond any single election or individual term in office.

Consider these important questions the Court is poised to decide: the constitutionality of the Obama Administration’s landmark health care reform legislation; the constitutionality of warrantless surveillance of Americans using GPS tracking devices; the constitutionality of Arizona’s controversial racial profiling immigration law;  questions relating to the Family and Medical Leave Act; the constitutionality of  religious organizations discriminating in hiring decisions; constitutional questions about the reliability of eyewitness testimony  in criminal cases (a key issue in the recent Georgia execution of Troy  Davis).

This is a veritable hit parade of issues progressives, independents—indeed all Americans—care deeply about.

Until recently, the courts were generally friendly to progressive public policies.  Indeed the federal courts helped to enable the social  and economic progress that has made our country stronger and more  inclusive over time. Courts were able to do so by adhering to the text and history of the U.S. Constitution and its amendments, and applying  the Constitution’s core principles and values to questions of the day.

Conservatives, unhappy with idea that the Constitution guarantees more opportunity all our citizens instead of just for the  already privileged few, have in recent years mounted a concerted political effort to remake the federal judiciary in their image: to be more activist and more closely aligned with their political views. Americans used to be able to sleep at night knowing the federal courts  were good guardians of our most cherished constitutional principles.   Now, the rights many Americans take for granted, like equal access at  the voting booth and the ability to challenge discrimination at work, increasingly find a hostile and activist audience in the nation’s courts.

But progressives have a chance to turn the tide. Today, there are a  record number of vacancies in our federal courtrooms, as a new Center for American Progress study  released this week shows. Unprecedented obstruction by conservative  U.S. Senators has led to an abysmal rate of judicial confirmations. This has left a level of empty judgeships not seen at any time under any  president in U.S. history. Fully two thirds of the country is living  in a jurisdiction without enough judges for the cases that are piling up. It means less access to justice and longer delays in court for the American worker and small business owner.

It doesn’t have to be this way. Progressives need to work together  to support making our judiciary more progressive—and to support the  confirmation of President Obama’s nominees. It’s time for the  judiciary to be a priority for progressives.

The judges progressives want on the bench are judges for all Americans—judges who follow the text and history of the Constitution and apply it faithfully to the questions before them. At a time when  the Tea Party is cherry-picking select provisions of the Constitution and discarding others to win short-term political arguments, we need the  federal judiciary to be a strong guardian of all of our Constitution’s provisions and amendments for the long-term. With increasingly conservative state legislatures rolling back gains progressives have  championed for decades, we need our courts to protect our Constitutional  values from the political winds of the moment.  These values—liberty, freedom, equality—have driven America’s progress since its  founding, and are what make America exceptional around the world today.

Our courts matter for all Americans. And who is on the courts should  matter to anyone who cares about the Constitution and the opportunities and protections it promises. It’s time for progressives to unite and  support getting more progressive judges on the federal bench. Nothing  less than the long term health of our democracy depends on it.

 

By: Andrew Blotky, Center for American Progress, Originally Published in Huffington Post, October 20, 2011

October 21, 2011 Posted by | Democracy, Democrats, Elections, GOP, Health Reform, Ideology, Republicans, Right Wing, Teaparty | , , , , , , , , | Leave a comment

Can The Left Stage A Tea Party?

Why hasn’t there been a Tea Party on the left? And can President Obama and the American left develop a functional relationship?

That those two questions are not asked very often is a sign of how much of the nation’s political energy has been monopolized by the right from the beginning of Obama’s term. This has skewed media coverage of almost every issue, created the impression that the president is far more liberal than he is, and turned the nation’s agenda away from progressive reform.

A quiet left has also been very bad for political moderates. The entire political agenda has shifted far to the right because the Tea Party and extremely conservative ideas have earned so much attention. The political center doesn’t stand a chance unless there is a fair fight between the right and the left.

It’s not surprising that Obama’s election unleashed a conservative backlash. Ironically, disillusionment with George W. Bush’s presidency had pushed Republican politics right, not left. Given the public’s negative verdict on Bush, conservatives shrewdly argued that his failures were caused by his lack of fealty to conservative doctrine. He was cast as a big spender (even if a large chunk of the largess went to Iraq). He was called too liberal on immigration and a big-government guy for bailing out the banks, using federal power to reform the schools and championing a Medicare prescription drug benefit.

Conservative funders realized that pumping up the Tea Party movement was the most efficient way to build opposition to Obama’s initiatives. And the media became infatuated with the Tea Party in the summer of 2009, covering its disruptions of congressional town halls with an enthusiasm not visible this summer when many Republicans faced tough questions from their more progressive constituents.

Obama’s victory, in the meantime, partly demobilized the left. With Democrats in control of the White House and both houses of Congress, stepped-up organizing didn’t seem quite so urgent.

The administration was complicit in this, viewing the left’s primary role as supporting whatever the president believed needed to be done. Dissent was discouraged as counterproductive.

This was not entirely foolish. Facing ferocious resistance from the right, Obama needed all the friends he could get. He feared that left-wing criticism would meld in the public mind with right-wing criticism and weaken him overall.

But the absence of a strong, organized left made it easier for conservatives to label Obama as a left-winger. His health-care reform is remarkably conservative — yes, it did build on the ideas implemented in Massachusetts that Mitt Romney once bragged about. It was nothing close to the single-payer plan the left always preferred. His stimulus proposal was too small, not too large. His new Wall Street regulations were a long way from a complete overhaul of American capitalism. Yet Republicans swept the 2010 elections because they painted Obama and the Democrats as being far to the left of their actual achievements.

This week, progressives will highlight a new effort to pursue the road not taken at a conference convened by the Campaign for America’s Future that opens Monday. It is a cooperative venture with a large number of other organizations, notably the American Dream Movement led by Van Jones, a former Obama administration official who wants to show the country what a truly progressive agenda around jobs, health care and equality would look like.  Jones freely acknowledges that “we can learn many important lessons from the recent achievements of the libertarian, populist right” and says of the progressive left: “This is our ‘Tea Party’ moment — in a positive sense.” The anti-Wall Street demonstators seem to have that sense, too.

What’s been missing in the Obama presidency is the productive interaction with outside groups that Franklin Roosevelt enjoyed with the labor movement and Lyndon B. Johnson with the civil rights movement. Both pushed FDR and LBJ in more progressive directions while also lending them support against their conservative adversaries.

The question for the left now, says Robert Borosage of the Campaign for America’s Future, is whether progressives can “establish independence and momentum” while also being able “to make a strategic voting choice.” The idea is not to pretend that Obama is as progressive as his core supporters want him to be, but to rally support for him nonetheless as the man standing between the country and the right wing.

A real left could usefully instruct Americans as to just how moderate the president they elected in 2008 is — and how far to the right conservatives have strayed.

 

By: E. J. Dionne, Jr., Opinion Writer, The Washington Post, October 2, 2011

October 3, 2011 Posted by | Democracy, Elections, GOP, Health Reform, Ideologues, Ideology, Middle Class, Politics, President Obama, Republicans, Voters | , , , , , , , , | Leave a comment

Leadership: A Quality That Continues To Elude Republicans

New Jersey Gov. Chris Christie (R) delivered a closely-watched speech the other day, in which he went after President Obama over, among other things, the issue of leadership. “We continue wait and hope that our president will finally stop being a bystander in the Oval Office,” the governor said. “We hope that he will shake off the paralysis that has made it impossible for him to take on the really big things.”

The next day, I received a few emails from liberal friends, all of whom are Obama detractors from the left, who seemed giddy but bemused by the fusion of Republican talking points and liberal complaints. They don’t love Christie, but they seemed to love the rhetorical shots Christie was taking at the president.

I find much of this pretty bizarre, not just because dyed-in-the-wool lefties are applauding cheap GOP talking points, but primarily because the argument itself is so weak. John Dickerson had a good piece yesterday on the nature of presidential leadership.

What the president’s critics really mean when they say the president “isn’t leading” is that he hasn’t announced that he is supporting their plans, or that he hasn’t decided to commit public suicide by announcing a position for which they can then denounce him.

By any measure, Obama is a leader. The first stimulus plan, health care reform, and financial regulatory reform he pushed for are all significant pieces of legislation. Christie’s measurement of leadership is doing “big things” even if they are unpopular. Health care, as Republicans will tell you, represents about one-fifth of the economy. Obama certainly wasn’t facing the prospect of popularity when he pushed for changing it.

I remember taking a class on leadership and being surprised, as a naive grad student, how complicated it was. Leadership at a conceptual level seems straightforward and obvious — a person steps up, presents a vision, and encourages others to follow him or her. There is, however, far more to it than that, and there are even different models of leadership (transactional vs. transformational, for example).

But for the purposes of conversation, the notion that Barack Obama is a “bystander,” too overcome by “paralysis” to do “big things,” isn’t just wrong, it’s ridiculous. Indeed, as far as the right is concerned, the attack is itself in conflict with the conservative notion that Obama is destroying American civilization with his radical agenda. One can be a bystander and one can be a radical activist hell bent on gutting our cherished traditions from within — but one cannot be both.

Contradictions aside, what are we to use as a metric for evaluating a president as a leader? If the metric has to do with making controversial decisions to advance the greater good, Obama has clearly done this repeatedly, including his unpopular-but-successful rescue of the American auto industry. If the metric relates to accomplishments, Obama’s record is lengthy (health care, Wall Street reform, Recovery Act, DADT repeal, student loan reform, New START, etc.). If the metric has to do with making tough calls when combating enemies, Obama’s role in killing Osama bin Laden would appear to meet that standard, too.

Has Obama compromised? Sure, but so has every other successful president. Has he fallen short on several goals? Of course, but he’s leading at time of nearly impossible circumstances, after inheriting a Republican mess of unimaginable proportions, and his tenure hasn’t even lasted three years. Is Obama struggling to get things done with this tragically dysfunctional Congress? Obviously, but there’s no point in blaming the president for the structural impediments of the American system of government. As Dickerson explained, “Calling for leadership is a trick both parties use to arouse anger and keep us from thinking too much more about the underlying issue. If only we had a leader, everything would be solved, they’d like us to think. But we should think more about what it actually takes to be president — what kind of leadership works and what kind of leadership doesn’t.”

Ultimately, the president’s critics are raising the wrong complaint. For the right, the criticism should be that Obama may be an effective leader, but he’s effectively leading the nation in a liberal direction they disapprove of. For the left, the criticism should be that Obama isn’t leading the nation to the left quickly or aggressively enough.

But to characterize him as a passive bystander is absurd.

By: Steve Benen, Washington Monthly Political Animal, September 29, 2011

September 30, 2011 Posted by | Conservatives, Democracy, Democrats, Elections, GOP, Government, Health Reform, Ideologues, Teaparty | , , , , , , , | 1 Comment