Government Shutdown Over Pap Smears: GOP Culture War Is Alive And Well
Last night Ryan Grim reported that the GOP may force a government shutdown largely over funding for Planned Parenthood under Title X:
At a late-night White House meeting between the president and key congressional leaders, House Speaker John Boehner (R-Ohio) made clear that his conference would not approve funding for the government if any money were allowed to flow to Planned Parenthood through legislation known as Title X. “This comes down to women’s health issues related to Title X,” a person in the meeting told HuffPost.
The negotiations are dominated by men: All of the principal negotiators in both parties are male, as are most of the senior staff involved. (House Democrats, led by Minority Leader Nancy Pelosi (Calif.), have largely been left out of key talks.)
House Republicans have been insisting the roadblock to cutting a new budget deal is not just the culture-war riders attached to the spending plan, but a source familiar with a top-level White House meeting earlier Thursday said most of the discussion in fact was about the riders.
The Hyde Amendment already prevents government funding for abortions, and abortions are a tiny part of the services Planned Parenthood provides.
The government is on the verge of being shut down because Republicans want to inset a provision into the budget that would prevent millions of women from getting contraception or cancer screening. This could be brinkmanship:Because the Republican base sees a shutdown as an end unto itself, the Republican leadership has a really strong political incentive to stretch this out as long as possible and cut a deal at the last minute. If this is the case, then culture war rhetoric serves as political cover for Republican leaders who want to cut a deal that might be hard to sell to the base.
In the past few weeks, we’ve been treated to a bevy of coverage insisting that Republicans have abandoned the culture war and are focusing on fiscal issues. Republicans like these stories because they make them look less extreme. But as Greg noted earlier today: “In its current form, at least, the budget debate is not meaningfully about fiscal matters. It’s over abortion, women’s health, and whether our environmental policies should be premised on climate science.”
What’s more, it’s not like pursuing the culture war and trying to defund the federal social safety net for women are mutually exclusive goals. In this case, they’re complimenting each other — when you’re trying to appease the Republican base, there isn’t a much better sweet spot intersection between the culture war and fiscal conservatism than women’s reproductive health.
By: Adam Serwer, The Washington Post, April 8, 2011
Government Shutdown: It’s Not Really About Spending
If the federal government shuts down at midnight on Friday — which seems likely unless negotiations take a sudden turn toward rationality — it will not be because of disagreements over spending. It will be because Republicans are refusing to budge on these ideological demands:
• No federal financing for Planned Parenthood because it performs abortions. Instead, state administration of federal family planning funds, which means that Republican governors and legislatures will not spend them.
• No local financing for abortion services in the District of Columbia.
• No foreign aid to countries that might use the money for abortion or family planning. And no aid to the United Nations Population Fund, which supports family-planning services.
• No regulation of greenhouse gases by the Environmental Protection Agency.
• No funds for health care reform or the new consumer protection bureau established in the wake of the financial collapse.
Abortion. Environmental protection. Health care. Nothing to do with jobs or the economy; instead, all the hoary greatest hits of the Republican Party, only this time it has the power to wreak national havoc: furloughing 800,000 federal workers, suspending paychecks for soldiers and punishing millions of Americans who will have to wait for tax refunds, Social Security applications, small-business loans, and even most city services in Washington. The damage to a brittle economy will be substantial.
Democrats have already gone much too far in giving in to the House demands for spending cuts. The $33 billion that they have agreed to cut will pull an enormous amount of money from the economy at exactly the wrong time, and will damage dozens of vital programs.
But it turns out that all those excessive cuts they volunteered were worth far less to the Republicans than the policy riders that are the real holdup to a deal. After President Obama appeared on television late Wednesday night to urge the two sides to keep talking, negotiators say, the issue of the spending cuts barely even came up. All the talk was about the abortion demands and the other issues.
Democrats in the White House and the Senate say they will not give in to this policy extortion, and we hope they do not weaken. These issues have no place in a stopgap spending bill a few minutes from midnight.
A measure to prohibit the Environmental Protection Agency from regulating greenhouse gas emissions came up for a Senate vote on Wednesday and failed. If Republicans want to have yet another legislative debate about abortion and family planning, let them try to pass a separate bill containing their restrictions. But that bill would fail, too, and they know it, so they have chosen extortion.
The lack of seriousness in the House is reflected in the taunting bill it passed on Thursday to keep the government open for another week at an absurdly high cost of $12 billion in cuts and the ban on District of Columbia abortion financing. The Senate and the White House said it was a nonstarter. Many of the same House members who earlier had said they would refuse to approve another short-term spending bill voted for this one, clearly hoping they could use its inevitable failure in the Senate to blame the Democrats for the shutdown. What could be more cynical?
The public is not going to be fooled once it sees what the Republicans, pushed by Tea Party members, were really holding out for. There are a few hours left to stop this dangerous game, and for the Republicans to start doing their job, which, if they’ve forgotten, is to serve the American people.
By: Editorial, The New York Times, April 8, 2011
No More Fence Straddling: Even Moderates Should Condemn Paul Ryan’s Budget
Political moderates and on-the-fencers have had it easy up to now on budget issues. They could condemn “both sides” and insist on the need for “courage” in tackling the deficit.
Thanks to Rep. Paul Ryan’s budget and the Republicans’ maximalist stance in negotiations to avert a government shutdown, the days of straddling are over.
Ryan’s truly outrageous proposal, built on heaping sacrifice onto the poor, slashing scholarship aid to college students and bestowing benefits on the rich, ought to force middle-of-the-roaders to take sides. No one who is even remotely moderate can possibly support what Ryan has in mind.
And please, let’s dispense with the idea that Ryan is courageous in offering his design. There is nothing courageous about asking for give-backs from the least advantaged and least powerful in our society. It takes no guts to demand a lot from groups that have little to give and tend to vote against your party anyway.
And there is nothing daring about a conservative Republican delivering yet more benefits to the wealthiest people in our society, the sort who privately finance the big ad campaigns to elect conservatives to Congress.
Ryan gives the game away by including the repeal of financial reform in his “budget” plan. What does this have to do with fiscal balance? Welcome to the Wall Street Protection Act of 2011.
Oh, yes, and this budget has nothing to do with deficit reduction. Ryan would hack away at expenditures for the poor. The Center on Budget and Policy Priorities estimates he gets about two-thirds of his $4.3 trillion in actual cuts from programs for low- income Americans. Note that this $4.3 trillion almost exactly matches the $4.2 trillion he proposes in tax cuts over a decade. Welcome to the Bah Humbug Act of 2011.
But you’d expect a progressive to feel this way. What’s striking is that Ryan is pushing moderates to stand up for a government that will have enough money to perform the functions now seen as basic in the 21st century. These notably include helping those who can’t afford health insurance to get decent medical care, a goal Ryan would have the government abandon, slowly but surely.
Erskine Bowles and Alan Simpson, the co-chairs of the deficit commission and the heroes of the budget-cutting center, put out a statement saying some nice things about the idea of the Ryan budget. They called it “serious, honest, straightforward,” even though there is much about its accounting that is none of those.
But then they got to the real point, declaring themselves “concerned that it falls short of the balanced, comprehensive approach” needed for bipartisan accord because it “largely exempts defense spending from reductions and would not apply any of the savings from eliminating or reducing tax expenditures as part of tax reform to deficit reduction.”
Ryan, they argued, “relies on much larger reductions in domestic discretionary spending than does the commission proposal, while also calling for savings in some safety-net programs — cuts which would place a disproportionately adverse effect on certain disadvantaged populations.”
This is much like what I said, with an added layer of diplomacy. When even deficit hawks begin choking, however politely, on a proposal whose main motivation is ideological, you know there is an opening for a coalition between moderates and progressives on behalf of sane, decent government.
The Republican approach to shutdown talks should reinforce this possibility. Democrats have nearly given away the store to avoid a crackup, yet Republican leaders, under pressure from their right wing, have continued to ask for more and more and more. My word, even President Obama has finally gotten impatient.
However the shutdown saga ends, the negotiating styles of the two sides ought to tell moderates that they can no longer pretend that the two ends of our politics are equally “extreme.” No, conservatives are the ones who’ve been radicalized. The Ryan budget is definitive evidence of this.
It is conservatives who would transform our government from a very modestly compassionate instrument into a machine dedicated to expanding existing privileges while doing as little as possible for the marginalized and the aspiring — those who, with a little help from government, might find it a bit easier to reach for better lives.
Moderation involves a balance between government and the private sector, between risk and security, between our respect for incentives and our desire for greater fairness. The war against moderation has begun. Will moderates join the battle?
By: E. J. Dionne, Opinion Writer, The Washington Post, April 6, 2011
Cutting Medicaid Means Cutting Care For The Poor, Sick And Elderly
The part of Paul Ryan’s budget that’s going to get the most attention is his proposal to privatize and voucherize Medicare. But the part that worries me the most is his effort to slash Medicaid, with no real theory as to how to make up the cuts.
Ryan’s op-ed introducing his budget lists Medicaid under “welfare reform,” reflecting the widespread belief that Medicaid is a program for the poor. That belief is wrong, or at least incomplete. A full two-thirds of Medicaid’s spending goes to seniors and people with disabilities — even though seniors and the disabled are only a quarter of Medicaid’s members. Sharply cutting Medicaid means sharply cutting their benefits, as that’s where the bulk of Medicaid’s money goes. This is not just about the free health care given to some hypothetical class of undeserving and unemployed Medicaid queens.
But perhaps cutting it wouldn’t be so bad if there were a lot of waste in Medicaid. But there isn’t. Medicaid is cheap. Arguably too cheap. Its reimbursements are so low many doctors won’t accept Medicaid patients. Its costs grew less quickly than those of private insurance over the past decade, and at this point, a Medicaid plan is about 20 percent cheaper than an equivalent private-insurance plan. As it happens, I don’t think Medicaid is a great program, and I’d be perfectly happy to see it moved onto the exchanges once health-care reform is up and running. But the reason that’s unlikely to happen isn’t ideology. It’s money. Giving Medicaid members private insurance would cost many billions of dollars.
That’s why it’s well understood that converting Medicaid into block grants means cutting people off from using it, or limiting what they can use it for. You can see CBO director Doug Elmendorf say exactly the same thing here. There’s just not another way to cut costs in the program. You can, of course, work to cut costs outside of the program, either by helping people avoid becoming disabled or making it cheaper to treat patients once they become disabled or sick, but those sorts of health-system reforms are beyond the ambitions of Ryan’s budget.
To get around some of this, Ryan’s op-ed talks about state flexibility, with the implication being that states have some secret Medicaid policies they’ve been dying to try but that the federal government simply hasn’t let them attempt. But the truth is there’s been a tremendous amount of experimentation in Medicaid over recent decades. Indiana converted its Medicaid program into health savings accounts. Tennessee based its program around managed care. Massachusetts folded its Medicaid money into Mitt Romney’s health-care reforms. Oregon tried to rank treatments by value. Some of these reforms have worked well and some haven’t worked at all, but none have solved the basic problem that covering the sick and disabled costs money, and you can’t get around that by trying to redesign their insurance packages. For that reason, block-granting Medicaid ultimately means cutting health-care coverage to the poor, the elderly and the disabled, even as it doesn’t actually address the factors driving costs throughout the health-care system.
By: Ezra Klein, The Washington Post, April 5, 2011
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