mykeystrokes.com

"Do or Do not. There is no try."

Newt Gingrich And “The Food Stamp President”

Newt Gingrich doubled down on his clever new slur against President Obama as “the food stamp president.” He tried the line in a Friday speech to the Georgia Republican convention, and he used it again on “Meet the Press Sunday.” It’s a short hop from Gingrich’s slur to Ronald Reagan’s attacks on “strapping young bucks” buying “T-bone steaks” with food stamps. Blaming our first black president for the sharp rise in food-stamp reliance (which resulted from the economic crash that happened on the watch of our most recent white president) is just the latest version of Rush Limbaugh suggesting that Obama’s social policy amounts to “reparations” for black people.

But when host David Gregory suggested the term had racial overtones, Gingrich replied “That’s bizarre,” and added, “I have never said anything about President Obama which is racist.” That’s not quite as extreme or silly as Donald Trump declaring “I am the least racist person there is,” but it’s up there. He also told Georgia Republicans Friday that 2012 will be the most momentous election “since 1860,” which happens to be the year we elected the anti-slavery Abraham Lincoln president, and he suggested the U.S. bring back a “voting standard” that requires voters to  prove they know American history — which sounds a lot like the “poll tests” outlawed by the Voting Rights Act.

Just last week Gingrich said Obama “knows how to get the whole country to resemble Detroit,” which just happens to be home to many black people. And last year Gingrich accused Obama of “Kenyan anti-colonialist behavior” that made him “outside our comprehension” as Americans, spreading Dinesh D’Souza’s idiocy that Obama inherited angry African anti-colonialism from the Kenyan father he never knew. “This is a person who is fundamentally out of touch with how the world works, who happened to have played a wonderful con, as a result of which he is now president,” Gingrich told the National Review Online last year.

All this from the guy who’s supposed to be the “smart” candidate for the GOP nomination?

Republicans have done well with their quest to stigmatize social welfare programs as handouts to the undeserving, and to pretend that most of the undeserving are black people. But it may not be working as well today. Paul Ryan’s class-war budget is going down in flames, largely because seniors are up in arms over Ryan’s attacks on Medicare. Ryan and his GOP allies tried to be clever, making sure his plans to phase out Medicare wouldn’t apply to today’s seniors, who happen to be disproportionately white and disproportionately Republican. But seniors are seeing through the ruse, telling Ryan and the GOP that they want to protect Medicare for their children, too. Even Gingrich is now backing away from the Ryan budget, telling Gregory it’s too “radical” and “too big a jump.” A jump off a political cliff for Republicans, that is.

Let’s hope Gingrich’s attacks on our “food stamp president” backfire, too. I learned about the ex-GOP speaker’s latest use of the term from the group Catholic Democrats, which Tweeted Sunday morning that the twice-divorced Catholic convert ought to have a look at Catholic social teaching if he’s going to call himself a Catholic. The American bishops have lately been trying to remind Americans (and themselves, perhaps) that Catholic social teaching is about more than abortion. The church has long been a force on behalf of the poor and powerless, going back to Pope Leo XIII’s encyclical Rerum Novarum (On the Condition of Labor) at the height of the Gilded Age in 1891, which put the church on the side of labor organizing, through Pope Benedict’s “Caritas in Veritate” (Charity in Truth) of 2009, which restated the church’s commitment to support for workers and the poor worldwide, in the wake of the greed-driven financial crisis of 2008.

House Speaker John Boehner got a taste of the rising Catholic concern for social justice when 83 Catholic scholars wrote to Boehner protesting his attacks on programs for the poor, after Boehner was chosen as Catholic University’s commencement speaker. They didn’t call on the university to cancel Boehner’s address, unlike Catholic conservatives who protested Obama’s commencement address at Notre Dame in 2009). They wrote:

Your voting record is at variance from one of the church’s most ancient moral teachings. From the apostles to the present, the Magisterium of the Church has insisted that those in power are morally obliged to preference the needs of the poor. Your record in support of legislation to address the desperate needs of the poor is among the worst in Congress. This fundamental concern should have great urgency for Catholic policymakers. Yet, even now, you work in opposition to it.

The scholars also noted that the U.S. Conference of Catholic Bishops called Boehner-promoted Ryan budget as “anti-life” for its cuts to programs for pregnant women and children. Boehner’s commencement address went on Saturday with a quiet protest from students who wore green placards reading “Where’s the compassion, Speaker Boehner?” over their graduation gowns. Of course the Catholic Boehner didn’t address the controversy; instead he shed tears remembering how his high school football coach called him the morning he became speaker to tell him “you can do it,” which he considered an answer to his prayers.

Boehner may have been crying about what his support of the Ryan budget is doing to House GOP re-election chances. Gingrich could find that his racially coded attacks on Obama backfire as well. Both the poverty rate and the unemployment rate for white Americans have doubled since the start of this recession. Maybe Republican policies will succeed in uniting Americans across racial lines for a change, as more people see them as favoring one minority — the super-rich — over the rest of us.

By: Joan Walsh, Editor at Large, Salon, May 15, 2011

May 15, 2011 Posted by | Bigotry, Class Warfare, Conservatives, Economic Recovery, Economy, Elections, GOP, Ideologues, Ideology, Income Gap, Medicare, Middle Class, Politics, President Obama, Racism, Rep Paul Ryan, Republicans, Right Wing, Seniors | , , , , , , , , , , , , , , | Leave a comment

Paul Ryan’s Moral Barbarism

Karl Rove’s column the other day joined the many conservatives expressing their hurt and anger that President Obama would depict Paul Ryan’s budget as harming sick and vulnerable citizens:

Mr. Obama likes campaigning more than governing. And for this president, campaigning means knocking down straw men and delivering a steady stream of misleading attacks. It means depicting opponents as indecent, heartless people who take special delight in targeting seniors and autistic children.

In fact, Obama has never accused Ryan, or anybody, of having a “special delight” in targetting seniors and autistic children. But he has accused them of pursuing policies that would harm, among others, seniors and autistic children. That’s because it’s incontrovertably true. The Center on Budget and Policy Priorities delves into the details of Ryan’s plan to slash Medicaid by more than a third over the next decade, and in half over the next two decades:

  • Seniors:   An overwhelming majority of Medicare beneficiaries who live in nursing homes rely on Medicaid for their nursing home coverage.  Because the Ryan plan would require such deep cuts in federal Medicaid funding, it would inevitably result in less coverage for nursing home residents and shift more of the cost of nursing home care to elderly beneficiaries and their families.  A sharp reduction in the quality of nursing home care would be virtually inevitable, due to the large reduction that would occur in the resources made available to pay for such care.
  • People with disabilities:   These individuals constitute 15 percent of Medicaid beneficiaries but account for 42 percent of all Medicaid expenditures, mostly because of their extensive health and long-term care needs.  Capping federal Medicaid funding would place significant financial pressure on states to scale back eligibility and coverage for this high-cost population, many of whom would be unable to obtain coverage elsewhere because of their medical conditions.
  • Children:   Currently, state Medicaid programs must provide children with health care services and treatments they need for their healthy development through the Early Periodic Screening, Diagnostic and Treatment (EPSDT) aspect of Medicaid, which provides regular preventive care for children and all follow-up diagnostic and treatment services that children are found to need.  A block grant would likely permit states to drop EPSDT coverage, meaning that children, particularly those with special health care needs, would not be able to access some care that medical professionals find they need (because Medicaid would no longer cover certain health services and treatments for children, and their parents wouldn’t be able to afford to pay for that care on their own).
  • Working parents and pregnant women:   Many state Medicaid programs already have extremely restrictive eligibility criteria for parents.  In the typical state, working parents are ineligible for Medicaid if their income exceeds 64 percent of the poverty line (or $14,304 a year for a family of four), and unemployed parents are ineligible if their income exceeds 37 percent of the poverty line ($8,270 a year for a family of four).  Under a block grant, states could cut these already low eligibility levels even further, cap enrollment, and/or require low-income parents to pay more for health services.  States could do the same for low-income pregnant women who rely on Medicaid for their prenatal care, resulting in them forgoing services that are critical to ensuring a healthy pregnancy.

Now, Rove appears to be a pathological liar, or at least so deeply enmeshed in partisan spin it’s not clear that a distinction exists in his mind between objective truth and claims that are useful to his side. But many other conservatives have likewise expressed what has the ring of genuine outrage that Obama would accuse Ryan of snatching medical care away from people in nursing homes, very poor families, special needs children, and so on. I think it reflects, in part, an inability or lack of desire to think with any specificty about the concrete ramifications of imposing extremely deep cuts to Medicaid. Who do they think is on Medicaid? Prosperous, healthy people?

No, Medicaid is a bare-bones program throwing a lifeline to people who are in bad shape. Cutting Medicaid may be the politically easiest way for Ryan to clear budget room to preserve Bush-era revenue levels, as Medicaid patients have little political clout. But it is, well, deeply immoral. I’m actually surprised that conservatives not only can’t seem to imagine (or care about) the consequences of such policies, but they can’t even imagine that people like Obama would actually feel moral outrage at their plan. They can’t imagine a liberal objection as representing anything other than an attempt to score political points. It’s bizarre. I mean, of course Obama finds it morally objectionable to take away medical care to people in nursing homes and children with special needs. That’s why he’s a Democrat.

By: Jonathan Chait, The New Republic, May 3, 2011

May 3, 2011 Posted by | Conservatives, Democrats, GOP, Governors, Health Care, Health Care Costs, Health Reform, Medicaid, Politics, President Obama, Rep Paul Ryan, Republicans, Seniors, States | , , , , , , , , | Leave a comment

Health Care Hypocrisy: How Paul Ryan And House Republicans Are Contradicting Themselves Over Medicare

In the debate over the House Republicans’ budget plan championed by Representative Paul Ryan, it’s been remarkable to watch the contortions and contradictions in the GOP on the issue of health care. The cornerstone of the Republican critique of the Affordable Care Act over the past year or so has been that it would lead to rationing. While Republicans initially manufactured lies about this issue—anyone remember death panels?—they eventually focused on one provision in the bill that was focused on cutting costs: the Independent Payment Advisory Board (IPAB). As specified in the legislation, the IPAB is a 15-member board of medical experts who are appointed by the president, confirmed by the Senate, and tasked with cutting costs in the Medicare system, unless Congress acts to alter the proposal or discontinue automatic implementation. The legislation also specifies that a goal of such cost-cutting should be to actually improve access for beneficiaries. At a time when rising health care costs are a concern for families’ pocketbooks and the federal budget, the IPAB was a means to maintain public oversight of Medicare but insulate it from the normal politics of congressional decision-making, thus helping ensure that best medicine was the driver of cost reductions.

Republicans, however, viciously attacked the IPAB as being a bunch of unelected bureaucrats making decisions to cut costs at the expense of the quality of care seniors would receive. The rhetoric became quite heated: Congressman Phil Roe went so far as to call the IPAB the “real death panel.” Other Republicans, like Representative John Fleming, likened the IPAB to communism, saying, “It will take you back to the old Soviet Union, that’s the way they did things—with a central planning committee that set prices, targeted costs.”

Now, more than a year after health care reform passed, Paul Ryan, facing stiff opposition to his plan to end Medicare as we know it, has taken to attacking the IPAB as a way to rebut his critics. He’s arguing that, while his plan would keep Medicare the same for current beneficiaries, the IPAB “puts a board in charge of cutting costs in Medicare” that will “automatically put price controls in Medicare” and “diminish the quality of care seniors receive.” It’s this sort of dishonest vitriol that has led to 73 House Republicans, as well as some Democrats, to cosponsor legislation to eliminate the IPAB.

What’s fascinating about the posture of these cosponsors is that it runs into direct conflict to the vote the House took mere days ago on the overall Ryan budget, which passed thanks to broad Republican support. Indeed, the budget, which the co-sponsors voted for, changes Medicare into a voucher program in which seniors can only choose from among private insurance options, eliminating the public insurance that is currently at the heart of Medicare. In other words, rather than public officials, elected or unelected, making decisions as to what is covered in Medicare, the Republicans just voted to more or less privatize the program. So, , after all of their complaining about how the IPAB moved too far away from public accountability, they’ve just proposed eliminating all such accountability, insisting instead that private insurance companies know best.

Would Americans really feel better with insurance companies deciding whether they or their parents get the care they need? Probably not. The truth is that Republicans are not actually worried about accountability or giving Americans more health care options. They are not even worried about cutting costs: Medicare has a much lower cost per beneficiary than private health care now, so it makes no sense to privatize it in order to lower costs. What they are worried about is public health care; they can’t stand it—and are even willing to contradict themselves and hand people’s health over to unelected, private insurers to defeat it.

By: Neera Tanden, Chief Operating Officer, Center for American Progress, April 30, 2011

May 1, 2011 Posted by | Affordable Care Act, Conservatives, Death Panels, Federal Budget, GOP, Health Care, Health Care Costs, Health Reform, Insurance Companies, Medicare, Middle Class, Politics, Public Health, Rep Paul Ryan, Republicans, Right Wing, Seniors, Uninsured | , , , , , , , , , , | Leave a comment

The Ryan Plan For Medicaid: Not Good For Low-Income Americans Or State Budgets

With Washington looking for ways to rein in costly entitlement programs and state governments struggling to balance budgets, conservatives have revived an old nostrum: turning Medicaid into a block grant program.

The desire for fiscal relief is understandable. Medicaid insures low-income people and in these tough economic times, enrollment and costs — for the federal government and state governments — have swelled.

Representative Paul Ryan, and the House Republicans, are now proposing to ease Washington’s strain by capping federal contributions. Like his proposal for Medicare, that would only shift the burden — this time onto both state governments and beneficiaries.

Still, some governors may be tempted. His plan promises them greater flexibility to manage their programs — and achieve greater efficiency and save money. That may sound good, but the truth is, no foreseeable efficiencies will compensate for the big loss of federal contribution.

Mr. Ryan also wants to repeal the health care reform law and its requirement that states expand their Medicaid rolls starting in 2014. Once again Washington would pay the vast bulk of the added cost, so states would be turning down a very good deal to save a lesser amount of money.

Here’s how Medicaid currently works: Washington sets minimum requirements for who can enroll and what services must be covered, and pays half of the bill in the richest states and three-quarters of the bill in the poorest state. If people are poor enough to qualify and a medical service recommended by their doctors is covered, the state and federal governments will pick up the tab, with minimal co-payments by the beneficiaries. That is a big plus for enrollees’ health, and a healthy population is good for everyone. But the costs are undeniably high.

Enter the House Republicans’ budget proposal. Instead of a commitment to insure as many people as meet the criteria, it would substitute a set amount per state. Starting in 2013, the grant would probably equal what the state would have received anyway through federal matching funds, although that is not spelled out. After that, the block grant would rise each year only at the national rate of inflation, with adjustments for population growth.

There are several problems with that, starting with that inflation-pegged rate of growth, which could not possibly keep pace with the rising cost of medical care. The Congressional Budget Office estimates that federal payments would be 35 percent lower in 2022 than currently projected and 49 percent lower in 2030.

To make up the difference, states would probably have to cut payments to doctors, hospitals or nursing homes; curtail eligibility; reduce benefits; or increase their own payments for Medicaid. The problems do not end there. If a bad economy led to a sharp jump in unemployment, a state’s grant would remain the same. Nor would the block grant grow fast enough to accommodate expensive advances in medicine, rising demand for long-term care, or unexpected health care needs in the wake of epidemics or natural disasters. This would put an ever-tightening squeeze on states, forcing them to drop enrollees, cut services or pump up their own contributions.

This is not the way to go. The real problem is not Medicaid. Contrary to most perceptions, it is a relatively efficient program — with low administrative costs, a high reliance on managed care and much lower payments to providers than other public and private insurance.

The real problem is soaring medical costs. The Ryan plan does little to address that. The health care law, which Republicans have vowed to repeal, seeks to reform the entire system to deliver quality care at lower cost.

To encourage that process, President Obama recently proposed a simplified matching rate for Medicaid, which would reward states for efficiencies and automatically increase federal payments if a recession drives up enrollments and state costs. The president’s approach is better for low-income Americans and for state budgets as well.

By: The New York Times, Editorial, April 30, 2011

April 30, 2011 Posted by | Affordable Care Act, Budget, Deficits, GOP, Government, Governors, Health Care, Health Care Costs, Health Reform, Jobs, Lawmakers, Medicaid, Medicare, Politics, President Obama, Rep Paul Ryan, Republicans, States | , , , , , , , , | Leave a comment

Yes, Paul Ryan Does Cut Taxes For The Rich

A number of conservatives have asserted that, contrary to what I’ve written, the House Republican budget written by Paul Ryan does not cut taxes for high earners. (See John McCormack, Ramesh Ponnuru, Charles Krauthammer, and McCormack again quoting Ryan.) Here’s the argument. Ryan keeps overall tax levels the same as they are right now by making the tax cuts permanent. He would then reduce the corporate tax rate and the top income tax rate by ten percentage points, from 35% to 25%. But he would make up for that additional revenue loss by closing “loopholes and deductions,” many of which benefit the rich. Therefore, his plan doesn’t really cut taxes on the rich.

There are four problems with this claim, each of them fatal.

First, the argument simply reflects a legitimate difference in baselines. Under current law, the Bush tax cuts are in full effect, but expire at the end of 2012. Keep Bush-era tax levels in place is not a tax cut compared with the tax code now, but it is a tax cut compared with the tax code in 2013. Which is the true baseline? I think both sides have a point, and Congressional scorekeepers have taken to using both baselines.

When President Obama accuses Ryan of cutting taxes for the rich, he’s using the post-2012 baseline. I consider that the best point of reference because the most important force in our political system is inertia. Given our multiple veto points, it takes great effort to enact a policy change that the parties disagree upon. Ryan proposes to make that change. Therefore, I think it’s fair to describe him as “cutting taxes,” even if revenues did remain at present levels (which I dispute, but more on that later.) I do think there’s merit in both baselines. The argument that Obama is lying about Ryan — that calling him a tax-cutter is, in Krauthammer’s characteristically understated phrasing, “scurrilous” — rests upon the assumption that the current-policy baseline is not only more preferable but the only remotely honest point of reference. That seems like a huge stretch.

Second, even if we accept Ryan’s preferred baseline, his description of his plan is hard to accept at face value. Tax reform is a trade where you take away deductions (that’s hard) and use the money to reduce rates (that’s easy.) The rate reductions are specified. The reduced deductions aren’t. Another way to put this is that Ryan has proposed a specific tax cut that would benefit the affluent, accompanied by utterly vague promises to find offsets. At the very least, the rate-lowering portion ought to carry more weight than the deduction-closing portion.

Third, even if we accept both Ryan’s baseline and assume he will match every dollar in lost revenue from the rate cuts with another dollar in reduced deductions, he will almost certainly wind up cutting taxes for the rich relative even to the post-Bush tax code. Ryan implies that his plan would leave the rich paying the same effective tax rates as they do now because he’s “getting rid of loopholes and deductions, which by the way are enjoyed by the top [tax] rate filers, the people in the top two brackets.” But he hasn’t put out any details. In 1995, House Republicans loudly promised to promote shared sacrifice by rooting out corporate welfare in the tax code. The actual savings they produced turned out to consist of proposals that hurt the poor (by cutting the Earned Income Tax Credit), benefited business (by letting them swipe funds from employee pensions, keeping the money as profit and thus increasing corporate tax revenue), or other reverse-Robin Hood measures.

Now, Ryan was not around then. But we can get a measure of his intentions from the more specific tax plan laid out in his “Roadmap” from 2010. That plan constituted a massive tax cut for the rich, combined with a tax hike on the middle class.

The Tax Policy Center examined various proposals to reduce tax deductions while using the revenue to lower rates across the board. All the plans decreased the tax burden for the top-earning 1%. The problem is that tax deductions are just not worth as much to very rich people as low tax rates.

It’s true that the Bowles-Simpson deficit reduction plan includes proposals that would lower rates to around 25% while increasing the effective tax rate paid by the very rich. To do that, you have to do things like raise the estate tax rate and completely eliminate the preferential treatment of capital gains. But Ryan’s budget promises instead — and this is the only specific policy commitment in its tax section, other than lowering rates — to expand the preferential treatment of income from wealth:

Raising taxes on capital is another idea that purports to affect the wealthy but actually hurts all participants in the economy. Mainstream economics, not to mention common sense, teaches that raising taxes on any activity generally results in less of it. Economics and common sense also teach that the size of a nation’s capital stock – the pool of saved money available for investment and job creation – has an effect on employment, productivity, and wages. Tax reform should promote savings and investment because more savings and more investment mean a larger stock of capital available for job creation. That means more jobs, more productivity, and higher wages for all American workers.

Fourth — almost there! — even if you reject everything I’ve written to this point, Ryan’s plan includes the repeal of all the taxes in the Affordable Care Act, including the taxes on the affluent. Here’s the Path to Prosperity’s description of health care taxes he proposes to undo:

The new law imposes a 0.9 percent surtax on wages and a 3.8 percent surtax on interest, dividends, and capital gains. Both taxes only apply to filers in the top two income brackets, but as discussed elsewhere in this section, those filers include small businesses employing millions of Americans, and the new taxes on capital will reduce the pool of capital available for investment and job creation.

There. Per Paul Ryan, these are upper-bracket taxes he proposes to lower. He could keep those taxes in effect, and cover a few of the uninsured people he throws off their coverage, or make the progressively-more-inadequate health care vouchers he uses to replace Medicare slightly less inadequate. But he chooses not to do that, because he believes it’s more important to tax capital at lower rates. It’s fine for him to believe that. But he and his defenders have to stop insisting that he doesn’t propose tax cuts for the rich. He indisputably does so.

By: Jonathan Chait, The New Republic, April 20, 2011

April 23, 2011 Posted by | Affordable Care Act, Budget, Businesses, Congress, Conservatives, Corporations, Deficits, Democrats, Economic Recovery, Economy, GOP, Government, Health Care, Health Reform, Jobs, Politics, President Obama, Rep Paul Ryan, Republicans, Right Wing, Tax Loopholes, Taxes, Uninsured, Wealthy | , , , , , , , , , , , , | Leave a comment