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Why Polls Are Sinking For New GOP Governors Like Scott Walker

If you’ve  been wondering lately who’s been writing the Republican playbook, I think I’ve  found him. It’s none other than Lenny Dykstra.

Back in his baseball  playing days, Dykstra was a tough as nails leadoff hitter famous for filling  his cheeks with huge wads of tobacco and crashing into outfield walls.  After his playing days were over, he wowed the world with his stock-picking  acumen. Made millions. Drove fancy cars. Owned an $18 million  mansion. He even had a sink that cost $50,000. (It’s true.)

And then, it all came  tumbling down. He went bankrupt. His house was  seized. He was indicted.  And what did he do? He broke back into his old  house … and stole his  prized sink.

Back in November, a new  breed of Republican governor was enjoying its own “wow” moment. Rick  Snyder was the “one tough nerd” to get Michigan’s financial house in  order. Scott Walker was about to take a blow torch to Wisconsin unions.  Florida’s Rick Scott won perhaps the most coveted prize on the presidential  election map. They were supposed to be the leading edge of the Republican  revolution, finally doing what conservatives have long held Americans want  their leaders to do: fundamentally recalibrate the way government operates in  the public square, and disentangling it from the everyday lives of ordinary  people.

But in Sunday’s Washington  Post, Norman Ornstein of the right-leaning American Enterprise Institute took a  moment to detail the woes these boy wonders have since encountered. Rick  Snyder’s approval rating is at 33 percent. Scott Walker’s is 43  percent. Rick Scott: 29 percent.  [Read the U.S. News Debate: Should Congress Raise the Debt Ceiling?]

Seven months ago they were  the toast of the town. Now, milquetoast. What happened?

Well, as Ornstein  describes it, the governors launched initiatives aimed at “cutting benefits for  the poor and middle class while adding tax breaks for the rich” while also  trying to get rid of collective bargaining. As you might imagine,  that wasn’t very popular with a lot of people (for instance: the poor and  middle class). And, shockingly, it hasn’t done much to balance their state budgets either. So now, according to Ornstein, “the only areas left for  meaningful budget reductions are education, Medicaid, and prisons.”

Let’s see: Your approval  numbers are in the tank, and all you’ve got left are gutting schools, letting  out convicts, and taking healthcare away from disadvantaged kids.  I’m guessing, as a re-election strategy, that leaves something to be desired.

In other words: fellas, it  ain’t working. And what’s so surprising about all of this is that for  some, it’s so surprising. Is it really so hard to figure out that one of  the reasons government is its current size and shape is that people have needs  that they want their government to try and meet? It doesn’t always work,  of course. But frustration over government spending on programs that  aren’t working isn’t the same thing as saying people no longer want good public  schools. Understanding that distinction is the difference between doing  the hard, more complicated work of reforming something that isn’t working as  well as we would like, and becoming fixated on an ideological goal that doesn’t  end up fixing anything at all.

Which brings me back to  Mr. Dykstra and his beloved sink. Now, in fairness, those of us who have  been consigned to using standard-issue sinks can only dream about the  hydrological wonders of the $50k variety. Perhaps it dispensed nothing  but delicious milkshakes. More likely: Even as his world was crashing down,  Dykstra couldn’t take his eyes off the one thing he coveted the most. Now  it looks like he’s going to prison.

Republicans may be in for  a similar electoral fate. Instead of helping the people they were elected  to serve, they’ve gone about ruthlessly pursuing an elusive conservative holy  grail. Dismantling government—it’s the GOPs $50,000 sink. And they can’t  take their eyes off of it even as their house burns down around them.

By: Anson Kaye, U. S. News and World Report, June 13, 2011

June 14, 2011 Posted by | Bankruptcy, Collective Bargaining, Conservatives, Democracy, Elections, GOP, Government, Governors, Health Care, Ideologues, Ideology, Labor, Lawmakers, Medicaid, Middle Class, Politics, Public Employees, Republicans, Right Wing, State Legislatures, States, Voters, Wealthy | , , , , , , , , , , , , | Leave a comment

The GOP Health Care Assault On Planned Parenthood Exposes The Hypocrisy Of The Pro-Life Movement

I tend not to get involved in discussions on abortion because I have never been able to resolve the conflict which comes from understanding both sides of this difficult issue. I understand those who believe in the pro-choice approach. Certainly, a woman wants, needs and deserves to be in control of her own body and make the decisions that she believes are best.

But I also get the pro-life movement. If an individual believes that a life is ‘in being’ at the moment of conception, I can well appreciate the distress such a person would feel over such a life being terminated.

What I cannot understand is how the very people who are so profoundly committed to the pro-life movement seem to lose all care, concern and compassion for that life once the child is born into the world.

Nowhere is this hypocrisy more prominently on display than in the current war being waged by the GOP on Planned Parenthood – the organization that spends 97% of their efforts and money providing millions of impoverished American women with critical front-line health care, essential medical testing to discover disease before it is too late to successfully treat a patient, and the very family planning and sex education services that might help women avoid an unwanted pregnancy and thus moot the question of abortion.

Yes, the remaining 3% of the Planned Parenthood budget is dedicated to providing abortion services but, contrary to what the anti-abortion forces would have you believe, not one cent of taxpayer money – federal or state – pays for so much as an IV needle used in an abortion procedure. The legal prohibition against taxpayer money being spent on abortions is as clearly enforced as the Roe v. Wade decision that confirms a woman’s right to choose in the United States.

Despite the important work done by Planned Parenthood – and the lives they save – the GOP has made it a cornerstone of their social agenda to put this vital service to the working and non-working poor out of business.

Should you doubt that the organization does, in fact, save lives, take a look at this letter written by Maggie Davis of Saratoga Springs in response to her Congressman’s voting to defund Planned Parenthood.

I am writing this in answer to Congressman Gibson’s vote against the funding for Planned Parenthood. I have no idea why he did this. Regardless of the pro and con of Planned Parenthood, they do save lives. I speak from experience.In the early ’70s I went to Planned Parenthood here for a checkup and they found something that was wrong and advised me to see my doctor right away. I did and within one month I had to have surgery to save my life. I would not be here today writing this letter. If it were not for Planned Parenthood and Dr. Streit of Saratoga, I would be dead. I will always be thankful to Planned Parenthood for discovering something and telling me to go to my doctor.

Mr. Gibson, I think you should take another look at how many lives Planned Parenthood does save. When we voted for you, we expected you to work for the taxpayers who pay you.

Maggie Davis, Saratoga Springs

Via The Saratogian

So, how do the pro-life forces defend their position that Planned Parenthood must go because, on occasion, they perform medical procedures that end what these folks perceive to be lives in being while fully understanding that closing the organization’s doors will result in the loss of lives of women we know are in being?

How did the 240 Members of the House of Representatives (a total which included 10 Democrats) justify their votes when they passed a bill in February to defund Planned Parenthood knowing that while their vote may or may not have resulted in a few less abortions had the Senate agreed (they did not), that same vote would also take the lives of people like Maggie Davis as a result of the legislation?

Had the House had their way, how many additional abortions would result – under conditions one shudders to contemplate – due to the loss of the counseling services designed to help women avoid unwanted pregnancies?

Now, as we watch the GOP assault on Medicaid – the federal and state funded health program relied on by over 40% of women who visit Planned Parenthood – one is left to wonder just how much of this drive to destroy the state-based medical safety net is based on actual budgetary concerns or whether budget difficulties are simply a cover for the effort to win the battle against legal abortion.

And while we are looking at the questions, maybe someone can answer how the eleven states that have either passed or introduced legislation this year designed to ban groups like Planned Parenthood from receiving family-planning funding or prevent them from contracting with the state for payment for services provided by these organizations, justify their own actions?

The simple truth is that there is no rational way to conclude that these alleged pro-life forces are, in fact, pro-life as it is difficult to fathom how one can desire to protect the life of the unborn by sacrificing the life of the already born. If you believe in protecting the unborn, does it not necessarily follow that you are equally as concerned about protecting the lives of those already here in the flesh.

What I can work out is how pro-life politicians are, in reality, ‘pro’ their political careers and are more than willing to sacrifice the lives of the poor who rely on the services of Planned Parenthood to burnish their anti-abortion credentials.

Seriously, does it get any worse than that? Making the matter even more despicable is the reliance upon religion as the basis for the pro-life consciousness. I fully understand and respect that religions teach that taking the lives of the unborn is morally wrong just as I understand and respect that it is up to each individual to hear those teachings or not. This is the way we roll in America.

Yet, I am aware of nothing in any of the competing religious tomes suggesting that while is it essential to protect the unborn so that they may have life, protecting those currently here so that they might continue life is no big deal. I’m also pretty sure that the Bible does not endorse allowing people to get sick and die because ‘we can’t afford it.’

Here’s a thought for those dedicated GOP ‘fighters for life’ – show a little consistency and maybe you’ll have more success in convincing the public that your closely held religious beliefs are something more than just the worst kind of cynical and despicable politics.

Show you are as concerned for the lives and health of those already walking the planet as you profess to be for those who have not yet arrived. Then, and only then, can any one willing to scrutinize your motives view you as the God fearing, compassionate human beings you pretend to be.

Failing the same, even the most religious and zealous among us should not, in good conscious, avoid the fact that our elected officials are picking and choosing between the lives they save and the lives they sacrifice in the name of good politics.

If your beliefs lie with the pro-life side of the abortion issue, I respect that. I encourage you to continue your fight just as I heartily support both your right and need to do so.

But don’t effectuate that fight by requiring the taking of the lives and health of others because you have not yet won your battle.

While you may be right that compassion for life must begin with conception, there is no logical or emotional basis that suggests that the same compassion should end with birth.

Tell your elected representatives to back off on Planned Parenthood. Then, and only then can you truly be among those who are pro-life.

By: Rick Ungar, The Policy Page, Forbes, June 13, 2011

June 14, 2011 Posted by | Abortion, Anti-Choice, Class Warfare, Congress, Conservatives, Democracy, Equal Rights, GOP, Government, Health Care, Human Rights, Ideology, Lawmakers, Medicaid, Planned Parenthood, Politics, Pro-Choice, Public Health, Republicans, Right Wing, State Legislatures, States, Women, Women's Health, Womens Rights | , , , , , , , , , , , , , , , | Leave a comment

The GOP’s CIA Playbook: Destabilize Country To Sweep Back Into Power

Modern Republicans have a simple approach to politics when they are not in the White House: Make America as ungovernable as possible by using almost any means available, from challenging the legitimacy of opponents to spreading lies and disinformation to sabotaging the economy.

Over the past four decades or so, the Republicans have simply not played by the old give-and-take rules of politics. Indeed, if one were to step back and assess this Republican approach, what you would see is something akin to how the CIA has destabilized target countries, especially those that seek to organize themselves in defiance of capitalist orthodoxy.

To stop this spread of “socialism,” nearly anything goes. Take, for example, Chile in the early 1970s when socialist President Salvador Allende won an election and took steps aimed at improving the conditions of the country’s poor.

Under the direction of President Richard Nixon and Secretary of State Henry Kissinger, the CIA was dispatched to engage in psychological warfare against Allende’s government and to make the Chilean economy “scream.”

U.S. intelligence agencies secretly sponsored Chilean news outlets, like the influential newspaper El Mercurio, and supported “populist” uprisings of truckers and housewives. On the economic front, the CIA coordinated efforts to starve the Chilean government of funds and to drive unemployment higher.

Worsening joblessness could then be spun by the CIA-financed news outlets as proof that Allende’s policies didn’t work and that the only choice for Chile was to scrap its social programs. When Allende compromised with the Right, that had the additional benefit of causing friction between him and some of his supporters who wanted even more radical change.

As Chile became increasingly ungovernable, the stage was set for the violent overthrow of Allende, the installation of a rightist dictatorship, and the imposition of “free-market” economics that directed more wealth and power to Chile’s rich and their American corporate backers.

Though the Allende case in Chile is perhaps the best known example of this intelligence strategy (because it was investigated by a Senate committee in the mid-1970s), the CIA has employed this approach frequently around the world. Sometimes the target government is removed without violence, although other times a bloody coup d’etat has been part of the mix.

Home to Roost

So, it is perhaps fitting that a comparable approach to politics would eventually come home to roost in the United States, even to the point that some of the propaganda funding comes from outside sources (think of Rev. Sun Myung Moon’s Washington Times and Australian media mogul Rupert Murdoch’s News Corp.)

Obviously, given the wealth of the American elites, the relative proportion of the propaganda funding is derived more domestically in the United States than it would be in a place like Chile (or some other unfortunate Third World country that has gotten on Washington’s bad side).

But the concept remains the same: Control as much as possible what the population gets to see and hear; create chaos for your opponent’s government, economically and politically; blame if for the mess; and establish in the minds of the voters that their only way out is to submit, that the pain will stop once your side is back in power.

Today’s Republicans have fully embraced this concept of political warfare, whereas the Democrats generally have tried to play by the old rules, acquiescing when Republicans are in office with the goal of “making government work,” even if the Republicans are setting the agenda.

Unlike the Democrats and the Left, the Republicans and the Right have prepared themselves for this battle, almost as if they are following a CIA training manual. They have invested tens of billions of dollars in a propaganda infrastructure that operates 24/7, year-round, to spot and exploit missteps by political enemies.

This vertically integrated media machine allows useful information to move quickly from a right-wing blog to talk radio to Fox News to the Wall Street Journal to conservative magazines and book publishing. Right-wing propagandists are well-trained and well-funded so they can be deployed to all manner of public outlets to hammer home the talking points.

When a Democrat somehow does manage to get into the White House, Republicans in Congress (and even in the Courts) are ready to do their part in the destabilization campaign. Rather than grant traditional “honeymoon” periods of cooperation with the president’s early policies, the battle lines are drawn immediately.

In late 1992, for instance, Bill Clinton complained that his “honeymoon” didn’t even last through the transition, the two-plus months before a new president takes office. He found himself facing especially harsh hazing from the Washington press corps, as the mainstream media – seeking to shed its “liberal” label and goaded by the right-wing media – tried to demonstrate that it would be tougher on a Democrat than any Republican.

The mainstream press hyped minor “scandals” about Clinton’s Whitewater real estate investment and Travel-gate, a flap about some routine firings at the White House travel office. Meanwhile, the Right’s rapidly growing media was spreading false stories implicating Clinton in the death of White House aide Vince Foster and other “mysterious deaths.”

Republicans in Congress did all they could to feed the press hysteria, holding hearings and demanding that special prosecutors be appointed. When the Clinton administration relented, the choice of prosecutors was handed over to right-wing Republican Appeals Court Judge David Sentelle, who consciously picked political enemies of Clinton to oversee zealous investigations.

Finally Winning

The use of scandal-mongering to destabilize the Clinton administration finally peaked in late 1998 and early 1999 when the Republican-controlled House voted impeachment and Clinton had to endure (but survive) a humiliating trial in the Senate.

The Republican strategy, however, continued into Campaign 2000 with Vice President Al Gore facing attacks on his character and integrity. Gore was falsely painted as a delusional braggart, as both right-wing and mainstream media outlets freely misquoted him and subjected him to ridicule (while simultaneously bowing and scraping before Republican candidate George W. Bush).

When Gore managed to win the national popular vote anyway – and would have carried the key state of Florida if all legally cast ballots were counted – the Republicans and the Right rose up in fury demanding that the Florida count be stopped before Bush’s tiny lead completely disappeared. Starting a minor riot in Miami, the Republicans showed how far they would go to claim the White House again.

Five Republican partisans on the U.S. Supreme Court – wanting to ensure that the new president would keep their side in control of the courts and recognizing that their party was prepared to spread disorder if Gore prevailed – stopped the counting of votes and made Bush the “winner.” [For details, see the book, Neck Deep.]

Despite this partisan ruling, Gore and the Democrats stepped back from the political confrontation. The right-wing press cheered and gloated, while the mainstream news media urged the people to accept Bush as “legitimate” for the good of the country.

For most of Bush’s disastrous presidency, this dynamic remained the same. Though barely able to complete a coherent sentence, Bush was treated with great deference, even when he failed to protect the country from the 9/11 attacks and led the nation into an unprovoked war with Iraq. There were no combative investigations of Bush like those that surrounded Clinton.

Even at the end of Bush’s presidency – when his policies of deregulation, tax cuts for the rich and massive budget deficits combined to create the biggest financial crisis since the Great Depression – the prevailing message from the Establishment was that it was unfair to lay too much blame on Bush.

Shortly after Barack Obama took office in 2009, a Republican/right-wing talking point was to complain when anyone took note of the mess that Bush had left behind: “There you go again, blaming Bush.”

Getting Obama

Immediately, too, the Republicans and the Right set to work demonizing and destroying Obama’s presidency. Instead of allowing the Democrats to enact legislation aimed at addressing the financial and economic crisis, the Senate Republicans launched filibuster after filibuster.

When Obama and the Democrats did push through emergency legislation, such as the $787 billion stimulus package, they had to water it down to reach the 60-vote super-majority. The Republicans and the Right then quickly laid the blame for high unemployment on the “failed” stimulus.

There also were waves of propaganda pounding Obama’s legitimacy. The Right’s news media pressed bogus accusations that Obama had been born in Kenya and thus was not constitutionally eligible to be president. He was denounced as a socialist, a Muslim, a fascist, an enemy of Israel, and pretty much any other charge that might hit some American hot button.

When Obama welcomed American students back to school in 2009, the Right organized against his simple message – urging young people to work hard – as if it were some form of totalitarian mind control. His attempt to address the growing crisis in American health care was denounced as taking away freedoms and imposing “death panels.”

Soon, billionaires like oil man David Koch and media mogul Murdoch were promoting a “grassroots” rebellion against Obama called the Tea Party. Activists were showing up at presidential speeches with guns and brandishing weapons at rallies near Washington.

The high-decibel disruptions and the “screaming” economy created the impression of political chaos. Largely ignoring the role of the Republicans, the press faulted Obama for failing to live up to his campaign promise to bring greater bipartisanship to Washington.

Hearing the discord framed that way, many average Americans also blamed Obama; many of the President’s supporters grew demoralized; and, as happened with Allende in Chile, some on the Left turned against Obama for not doing more, faster.

By November 2010, the stage was set for a big Republican comeback. The party swept to victory in the House and fell just short in the Senate. But Congress was not the Republicans’ true goal. What they really want is the White House with all its executive powers.

However, following Obama’s success in killing Osama bin Laden on May 2 and with what is widely regarded as a weak Republican presidential field, the Right’s best hope for regaining complete control of the U.S. government in 2012 is to sink the U.S. economy.

Already, the Republican success in limiting the scope of the stimulus package and then labeling it a failure – combined with deep cuts in local, state and federal government spending – have helped push the economy back to the brink where a double-dip recession is now a serious concern.

Despite these worries – and a warning from Moody’s about a possible downgrade on U.S. debt if Congress delays action on raising the debt limit – the Republicans are vowing more brinksmanship over the debt-limit vote. Before acting, they are demanding major reductions in government spending (while refusing to raise taxes on the rich).

A Conundrum

So, Obama and the Democrats face another conundrum. If they slash spending too much, they will further stall the recovery. However, if they refuse to submit to this latest round of Republican blackmail, they risk a debt crisis that could have devastating consequences for the U.S. economy for years – even decades – to come.

Either way, the right-wing media and much of the mainstream press will put the blame on Obama and the Democrats. They will be held accountable for failing to govern.

The Republican propaganda machine will tell the American people that they must throw Obama and the Democrats out of office for stability to return. There will be assurances about how the “magic of the market” will bring back the bright days of prosperity.

Of course, the reality of a new Republican administration, especially with a GOP Congress, would be the return of the old right-wing nostrums: more tax cuts for the rich, less regulation of corporations, more military spending, and more privatization of social programs.

Any budget balancing will come at the expense of labor rights for union employees and shifting the costs for health care onto the backs of the elderly. Yet, all this will be surrounded by intense propaganda explaining the public pain as a hangover from misguided government “social engineering.”

There is, of course, the possibility that the American people will see through today’s Republican CIA-style strategy of “making the economy scream.” Americans might come to recognize the role of the pseudo-populist propagandists on Fox News and talk radio.

Or Republicans might have second thoughts about playing chicken on the debt limit and running the risk of a global depression. Such a gamble could redound against them. And, it’s hard to believe that even their most ardent billionaire-backers would find destruction of their stock portfolios that appealing.

But there can be a momentum to madness. We have seen throughout history that events can get out of hand, that thoroughly propagandized true believers can truly believe. Sometimes, they don’t understand they are simply being manipulated for a lesser goal. Once the chaos starts, it is hard to restore order.

That has been another bloody lesson from the CIA’s operations in countries around the world. These covert actions can have excessive or unintended consequences.

Ousting Allende turned Chile into a fascist dictatorship that sent assassins far and wide, including Washington, D.C. Ousting Mossadegh in Iran led to the tyranny of the Shah and ultimately to an extreme Islamist backlash. Ousting Arbenz in Guatemala led to the butchery of some 200,000 people and the rise of a narco-state. Such examples can go on and on.

However, these CIA-type techniques can be very seductive, both to U.S. presidents looking for a quick fix to some international problem and to a political party trying to gain a decisive edge for winning. These methods can be especially dangerous when the other side doesn’t organize effectively to counter them.

The hard reality in the United States today is that the Republicans and the Right are now fully organized, armed with a potent propaganda machine and possessing an extraordinary political will. They are well-positioned to roll the U.S. economy off the cliff and blame the catastrophe on Obama.

Indeed, that may be their best hope for winning Election 2012.

By: Robert Parry, Consortium News, AlterNet, June 9, 2011

June 13, 2011 Posted by | Birthers, Congress, Conservatives, Democracy, Democrats, Economy, Elections, Financial Institutions, Foreign Policy, GOP, Government, Government Shut Down, Health Reform, Ideologues, Ideology, Journalists, Koch Brothers, Labor, Lawmakers, Media, Politics, President Obama, Press, Republicans, Right Wing, Seniors, Supreme Court, Voters, Wall Street | , , , , , , , , , , , , , , , , | Leave a comment

Debt Ceiling Charade: Why Are Republicans Voting Against America’s Interests?

There isn’t much credibility left in Congress, perhaps none at all. In fact, the ceaseless C-SPAN sitcom we call government has offered plot lines from titillating tweets to illegitimate children, foreign lovers to shady cover-ups. But even their writers sometimes run out of ideas. Last week, when they thought you weren’t watching, they stooped to acting out their actual jobs: faking a vote on the debt ceiling.

A group of Republicans and Democrats alongside them turned sacred duty into dramedy. Pretending they would favor something they actually don’t endorse, they voted against their own beliefs and our national interests.

Of course, they first sold their banker buddies the good seats. Along with popcorn and reassurance that they weren’t actually planning a default on our debt, they were just pretending to do so in order to exact concessions.

These “leaders” admit that not raising the debt limit is untenable. Defaulting on our loans, we’re told, has the potential to wreck our economy. In fact, we’re supposed to be very concerned about this economy. It’s not “healthy”; it’s in “free-fall”; it’s “crumbling into ruin”.

But this belies the true damage these members of Congress seem intent to bring upon us. The economy is nothing besides the people that work, buy, save and invest within it. The collateral damage here isn’t to some numerical abstraction; it’s a serious and even fatal blow to Americans. We talk so much about the economy suffering; it’s easy to forget it’s actual people who stand to be hurt badly, over and again.

Even Republicans know raising the debt ceiling is not really negotiable. This issue is at core about whether or not we do what we say, whether or not America can be trusted. And raising the debt ceiling without precondition is about whether we make good on our promises not just to our creditors, but to each other. For all Republicans talk about not being able to afford things, it seems to apply only to food, health care, housing and electricity for their constituents. We’re flush when it comes to not collecting taxes from corporations, giving more to millionaires, subsidizing polluters and bombing other countries.

Without raising the debt ceiling free of conditions, we cannot honor our commitments to our grandparents who need to see their doctors and purchase their meds, to our children who need trained teachers and classrooms with heat and to our neighbors who need help when jobs are scarce and earnings don’t cover what life costs. Further gutting social spending will hurt those least equipped to sustain further injury. The jobless, the homeless, the young and the old will be the ones maimed.

With all this at stake, those of us without Goldman-sized bonuses to cover the cost of a heads-up beforehand are left watching in horror from the nose bleed section. This is a scripted show mocking not only we the people but the very exercise of elected office.

If voting among the masses is democracy in action – the votes of those we’ve voted for should be even more important. This is the logic behind representative democracy as our beloved Constitution has enabled it. This is the belief that has served us as a nation and as a people.

We all like to have occasional fun at the office. Some facebook checking, coffee drinking, office gossiping stress relief help the hours tick by. Republican House Members and some Democrats have turned workplace tricks into a dangerous practical joke on us, and we’re not laughing. This is the scariest kind of reality television. No more theatrics about our security and prosperity. Our elected leaders need to stop playing at their jobs and step up to do them.

By: Anat Shenker, AlterNet, June 12, 2011

June 13, 2011 Posted by | Banks, Congress, Conservatives, Constitution, Debt Ceiling, Deficits, Democracy, Democrats, Economy, Elections, GOP, Government, Government Shut Down, Lawmakers, Politics, Republicans, Right Wing, Voters | , , | Leave a comment

Medicare Saves Money: Ensuring Health Care At A Cost The Nation Can Afford

Every once in a while a politician comes up with an idea that’s so bad, so wrongheaded, that you’re almost grateful. For really bad ideas can help illustrate the extent to which policy discourse has gone off the rails.

And so it was with Senator Joseph Lieberman’s proposal, released last week, to raise the age for Medicare eligibility from 65 to 67.

Like Republicans who want to end Medicare as we know it and replace it with (grossly inadequate) insurance vouchers, Mr. Lieberman describes his proposal as a way to save Medicare. It wouldn’t actually do that. But more to the point, our goal shouldn’t be to “save Medicare,” whatever that means. It should be to ensure that Americans get the health care they need, at a cost the nation can afford.

And here’s what you need to know: Medicare actually saves money — a lot of money — compared with relying on private insurance companies. And this in turn means that pushing people out of Medicare, in addition to depriving many Americans of needed care, would almost surely end up increasing total health care costs.

The idea of Medicare as a money-saving program may seem hard to grasp. After all, hasn’t Medicare spending risen dramatically over time? Yes, it has: adjusting for overall inflation, Medicare spending per beneficiary rose more than 400 percent from 1969 to 2009.

But inflation-adjusted premiums on private health insurance rose more than 700 percent over the same period. So while it’s true that Medicare has done an inadequate job of controlling costs, the private sector has done much worse. And if we deny Medicare to 65- and 66-year-olds, we’ll be forcing them to get private insurance — if they can — that will cost much more than it would have cost to provide the same coverage through Medicare.

By the way, we have direct evidence about the higher costs of private insurance via the Medicare Advantage program, which allows Medicare beneficiaries to get their coverage through the private sector. This was supposed to save money; in fact, the program costs taxpayers substantially more per beneficiary than traditional Medicare.

And then there’s the international evidence. The United States has the most privatized health care system in the advanced world; it also has, by far, the most expensive care, without gaining any clear advantage in quality for all that spending. Health is one area in which the public sector consistently does a better job than the private sector at controlling costs.

Indeed, as the economist (and former Reagan adviser) Bruce Bartlett points out, high U.S. private spending on health care, compared with spending in other advanced countries, just about wipes out any benefit we might receive from our relatively low tax burden. So where’s the gain from pushing seniors out of an admittedly expensive system, Medicare, into even more expensive private health insurance?

Wait, it gets worse. Not every 65- or 66-year-old denied Medicare would be able to get private coverage — in fact, many would find themselves uninsured. So what would these seniors do?

Well, as the health economists Austin Frakt and Aaron Carroll document, right now Americans in their early 60s without health insurance routinely delay needed care, only to become very expensive Medicare recipients once they reach 65. This pattern would be even stronger and more destructive if Medicare eligibility were delayed. As a result, Mr. Frakt and Mr. Carroll suggest, Medicare spending might actually go up, not down, under Mr. Lieberman’s proposal.

O.K., the obvious question: If Medicare is so much better than private insurance, why didn’t the Affordable Care Act simply extend Medicare to cover everyone? The answer, of course, was interest-group politics: realistically, given the insurance industry’s power, Medicare for all wasn’t going to pass, so advocates of universal coverage, myself included, were willing to settle for half a loaf. But the fact that it seemed politically necessary to accept a second-best solution for younger Americans is no reason to start dismantling the superior system we already have for those 65 and over.

Now, none of what I have said should be taken as a reason to be complacent about rising health care costs. Both Medicare and private insurance will be unsustainable unless there are major cost-control efforts — the kind of efforts that are actually in the Affordable Care Act, and which Republicans demagogued with cries of “death panels.”

The point, however, is that privatizing health insurance for seniors, which is what Mr. Lieberman is in effect proposing — and which is the essence of the G.O.P. plan — hurts rather than helps the cause of cost control. If we really want to hold down costs, we should be seeking to offer Medicare-type programs to as many Americans as possible.

By: Paul Krugman, Op-Ed Columnist, The New York Times, June 12, 2011

June 13, 2011 Posted by | Affordable Care Act, Congress, Conservatives, Consumers, Economy, GOP, Government, Health Care, Health Care Costs, Health Reform, Ideologues, Ideology, Insurance Companies, Lawmakers, Medicare, Politics, Public Health, Republicans, Right Wing, Seniors, Single Payer, Under Insured, Uninsured | , , , , , , , , , , , , , | 1 Comment