“Hatred Overwhelming Judgment”: The “Refuse To Enroll” Campaign Gets To Work Against Obamacare
When Reuters reported last week that Republicans and their allies “are mobilizing … to dissuade uninsured Americans from obtaining health coverage,” it caused a bit of a stir. After all, what kind of people would invest time and energy into convincing struggling families to turn down access to affordable health care? Who would be so callous as to put partisan spite over the basic health care needs of their community?
Well, now we know. The Dayton Daily News has hidden the story behind a paywall, but the paper reported yesterday on groups like the “Citizens’ Council for Health Freedom,” which is rallying behind the “Refuse to Enroll” campaign.
With time running out, opponents of the Affordable Care Act have taken to the airwaves in Ohio and elsewhere with ad campaigns not only attacking the bill’s merits but also actively encouraging uninsured Americans not to sign up for coverage under the health care law.
The Obama administration has acknowledged the success of the law, commonly referred to as Obamacare, depends in large part on broad-based participation in federal and state-run health exchanges that will begin selling government-subsidized health plans to the uninsured on Oct. 1.
The anti-enrollment campaigns reflect the resignation and desperation of many Obamacare opponents who have given up hope of a government repeal or court-ordered injunction to stop full implementation of the law beginning next year.
This is clearly an important stage in the larger fight. Desperate right-wing activists know the law won’t be repealed; they know it can’t be stopped in the courts; and they know there’s a limit to Republican efforts to sabotage the federal health care system. So they’ve been reduced to one last-ditch effort: convince people with no health care coverage to voluntarily turn down affordable insurance so as to advance their ideological cause.
And why do conservative activists want this? It’s not altogether clear, exactly, but apparently their hatred for President Obama has overwhelmed their judgment and basic sense of morality to a degree that can only be considered alarming.
Twila Brase, for example, is putting the “Refuse to Enroll” campaign on her radio show, which is “broadcast on more than 350 stations nationwide, including the American Family Radio Network with stations throughout Ohio.” And she’ll have lots of company, including support from her Koch brothers allies.
The conservative group Americans for Prosperity, which has a chapter in Ohio, has launched another campaign attacking Obamacare with television and online ads that began airing in Ohio last week.
Joan McCarter summarized this nicely: conservatives “have to convince people that either paying through the nose for insurance or going without, all to make a political point, makes sense. Because ‘Freedom’ means never being able to go to the doctor. Seriously. They are spending millions of dollars to try to con people out of getting affordable health insurance.”
To reiterate what we discussed last week, I hope folks will pause to let this sink in for a moment. Unlike every other industrialized democracy on the planet, the United States — easily the wealthiest nation on earth — has tolerated a significant chunk of its population going without basic health care coverage. These Americans and their families can’t afford to see a doctor and are one serious illness from financial ruin. Many have died because they live in a country that allows people to go without access to basic care.
After nearly a century of politicians talking about the problem, President Obama actually signed the Affordable Care Act into law three years ago, giving working families a level of health-care security they’ve never had before, and throwing a life preserver to the uninsured. Now, Republicans aren’t just actively trying to sabotage the law, they’re telling struggling Americans it’s better to drown than accept the life preserver.
By: Steve Benen, The Maddow Blog, July 30, 2013
“Hello Public Option”: The Public’s Inch-Deep Hate Affair With The Individual Mandate
Maybe the individual mandate is doomed, as an agitated-slash-celebratory Twitterverse seemed convinced after conservative Supreme Court justices posed challenging questions about it (shocking!) on the second day of arguments on the Affordable Care Act. If the justices vote later this year to kill it, with the possibility that the whole law will collapse as a result, Republicans would be vindicated in their fight against “big government.” But in practical terms, would the country really know what it has lost?
From a political standpoint, the mandate invented by the GOP of yore (“yore” being a dozen years ago) has been manna for today’s GOP. Polling shows the requirement to buy insurance or pay a fine — meant to discourage freeloaders — has become highly unpopular. Strangely, the dreaded mandate is not particularly unpopular in Massachusetts, the only state that charges penalties for not buying coverage.
Disapproval of the individual mandate nationally, meanwhile, seems to be a mile wide but not all that deep. There’s evidence that many people don’t understand what it is, why it is, and how it would affect them, and that their answers change depending on word choice and word sequence.
They like it better – about even with disapprovers in a Pew poll — if the last thing they hear is about subsidies to help lower-income people buy insurance. They like it somewhat when it’s explained that without it, people would just buy insurance when they got sick (driving up costs for everyone) or alternatively, insurance companies could not be required to cover people with existing medical problems (because without a mandate, there wouldn’t be enough healthy people in the pool). They like it best – 61 percent approval in a Kaiser Family Foundation poll — when they’re told it won’t apply to most people because they have insurance through work.
That spike to 61 percent, nearly twice as high as the 33 percent who support the mandate when asked a simple up-or-down question, is telling. It suggests many Americans aren’t comrades-in-arms with conservatives waging an ideological battle – they’re just people nervous about change and relieved to hear it won’t affect them.
Attitudes toward the overall health law are just as complicated as those toward the mandate. A new CNN/ORC International poll, like most polls, finds that the law is unpopular – favored by 43 percent, opposed by 50 percent. Breaking down the numbers further, CNN found 43 percent favor it, 37 percent oppose the law because it’s too liberal, and 10 percent oppose it because it’s not liberal enough. Hello public option!
You have to wonder if that 10 percent – which has gone as high as 14 percent in earlier CNN polls – keeps doggedly voicing opposition to the law in hopes the Supreme Court will strike it down and force Congress to regroup. At some point, as 50 million uninsured rises to 60 million and 70 million and higher, as more states approach the astonishing Texas rate of 26 percent uninsured, Congress may decide it has to do something. And, barred from effectively regulating the private market, there will be no options except the public option – Medicare for all.
That should be a safe course. After all, the policy already exists. But in the current climate it’s not hard to envision a conservative challenge to Medicare, and who knows what the Supreme Court might do?
By: Jill Lawrence, The National Journal, March 27, 2012
Don’t Blame The GOP For Mitt Romney’s Flip-Flops
As former Gov. Mitt Romney gets battered by the likes of George Will, expect to hear a lot more arguments along the following lines.
It’s not Romney who is the flip-flopper. It’s the conservative movement. It was only three years ago that Jim DeMint was praising the Massachusetts healthcare plan. Post-2009, conservatives have flip-flopped on individual mandates, they have flip-flopped on monetary policy, in these cases they have adopted ever more extreme positions.
Yes Romney has had to shape-shift to keep pace, and that’s unfortunate. But don’t blame him—blame them.
God bless David, but this is too cute. It’s impossible to deny, at this point, that the idea of an individual mandate emerged from the right. Former Speaker of the House Newt Gingrich was forced to admit this onstage in the primary debate in Las Vegas.
But that hardly means the conservative movement has flip-flopped on the issue.
Sure, it was a feature of the Senate Republican alternative to Hillarycare, but that was spearheaded by Sens. Lincoln Chafee and Bob Dole. If Frum would like to make the case that those guys were emblematic movement conservatives, he can go right ahead.
I was around Capitol Hill in the late-’90s and, truth be told, I don’t remember hearing much about the mandate at all.
After Hillarycare unraveled, the healthcare debate came to focus on the late Rep. Charlie Norwood‘s “patients’ bill of rights.”
It was a genteel, middle-of-the-road proposal, sure to appeal to women voters (guaranteed access to OB-GYNs was a frequent talking point). It rattled around for a few years, garnered bipartisan support, but most Republicans were happy to see it wither.
On substance, conservatives pointed out, rightly, that the bill wouldn’t do anything to increase access to insurance. And so they proposed market-friendly solutions (“association health plans,” for example) that would have reduced the number of uninsured citizens by a few million.
That the patients bill of rights did nothing for the uninsured was always slightly embarrassing for Democrats to admit—but this was the safe, piecemeal strategy they had embraced until 2009, when they got regulations of that sort on insurance companies and coverage for most of the uninsured, the costs for which would have to be borne by healthy people not paying into insurance pools (hence the need for an individual mandate).
Look: I’m not denying that some Republicans have been more than a little squirrelly on the mandate. I’m just saying it was never an issue that movement conservatives seriously fought for, to the extent that they thought about it all.
Now, onto Michael Gerson, who praises Romney’s pragmatism and downplays the risk that he’ll flip-flop away from the movement after Inauguration Day. Moreover, Gerson argues that Romney’s “multiple choice” reputation will actually strengthen the movement’s grip on his presidency:
Precisely because he has a history of ideological heresy, it would be difficult for him to abandon his current, more conservative iteration. He has committed himself on key conservative issues. Having flipped, he could not flop without risking a conservative revolt. As a result, conservatives would have considerable leverage over a Romney administration.
This is interesting, I’ll admit.
I would agree with Gerson that the chances of Romney switching back to pro-choice on abortion is vanishingly small. Ditto for embryonic stem-cell research. There really is no plausible way for Romney to climb back from these positions.
And when Romney said recently that “the idea of spending trillions and trillions of dollars to try to reduce CO2 emissions is not the right course for us,” I was inclined to believe him. I can’t see his administration spending a penny on climate change.
The problem with Romney isn’t that he’s changed his mind on this or that issue. Every politician not named Rep. Ron Paul has done this.
The question Gerson and movement conservatives should be asking themselves about Romney isn’t whether, having checked the right box now, he’ll uncheck it later. It should be: Do you think he’d spend political capital or risk his presidency on any issue that you care about?
Put another way: Do you believe that Mitt Romney is more than nominally pro-life? Will he fight to change the status quo on abortion?
I suppose Gerson’s assurance depends, too, on what constitutes a “key issue.” Does the building of a border fence count? If so, does Gerson really believe that President Romney is going to build a “high-tech fence” to “secure the border”?
How about gays in the military? Romney’s most recent position on the issue is that he didn’t think “Don’t ask, don’t tell” should have been interfered with. Does Gerson think Romney, a la former Sen. Rick Santorum, will fight to reinstate the policy?
Does Gerson think that Romney will try to dismantle Obamacare in its entirety—or just the “worst aspects” of it?
Romney isn’t just a flip-flopper. He’s just downright weaselly.
By: Scott Galupo, U. S. News and World Report, November 2, 2011
The Candidates Weren’t The Only Ones On Display In Tampa
The point of presidential candidate debates is to offer the public a chance to scrutinize and evaluate those seeking national office. Occasionally, though, voters get the chance to scrutinize and evaluate those in the audience, which is nearly as interesting.
The candidates seeking the Republican presidential nomination are a pretty scary bunch — remember, one of them stands a reasonably good chance of becoming the leader of the free world in about 17 months — and the two-hour display on CNN last night was a depressing reminder of what’s become of the GOP in the 21st century. That said, maybe it’s just me, but I’m starting to find the audiences for these debates even more disconcerting.
Wolf Blitzer posed a hypothetical scenario to Ron Paul, asking about a young man who makes a good living, but decides to forgo health insurance. Then, tragedy strikes and he needs care. Paul stuck to the libertarian line. “But congressman,” the moderator said, “are you saying that society should just let him die?”
And at that point, some in the audience shouted, “Yeah,” and applauded.
Earlier in the debate, Blitzer asked Rick Perry about his attacks on Federal Reserve Chairman Ben Bernanke. “I said that, if you are allowing the Federal Reserve to be used for political purposes, that it would be almost treasonous,” Perry said. “I think that is a very clear statement of fact.”
The audience loved this, too.
What’s more, note that in last week’s debate, the mere observation that Perry has signed off on the executions of 234 people in Texas, more than any other governor in modern times, was enough to generate applause from a different GOP audience.
Taken together, over the last five days, we’ve learned that the way to impress Republican voters, at least the ones who show up for events like these, is to support letting the uninsured die, accusing the Fed of treason for trying to improve the economy, and executing lots of people.
There’s a deep strain of madness running through Republican politics in 2011, and it appears to be getting worse. Those wondering why the GOP presidential field appears weak, insipid, and shallow need look no further than the voters they choose to pander to.
By: Steve Benen, Contributing Writer, Washington Monthly Political Animal, September 13, 2011
“The Rising”: Return Of The Big GOP Medicare Lie
The participant’s in last night’s GOP presidential debate once again took the opportunity to pretend that the Affordable Care Act (“Obamacare”) put a massive dent in Medicare by cutting $500 billion from the program.
Michele Bachmann told us that “We know that President Obama stole over $500 billion out of Medicare to switch it over to Obamacare.” Mitt Romney intoned “He cut Medicare by $500 billion. This is a Democratic president the liberal, so to speak, cut Medicare.”
Yeah…except that nobody stole anything and Medicare was not cut by $500 billion.
Here are the facts:
For starters, nobody cut anything from the Medicare budget in the health care reform bill. The actions taken in the legislation are designed to slow the growth of Medicare spending without cutting benefits. Further, not one cent that would have gone to Medicare is somehow being shifted over to a program created by Obamacare (for first time readers, I readily use the term Obamacare because I believe that this name will ultimately stand as an honor to the President who made it happen.)
With respect to the infamous $500 billion, the non-partisan Congressional Budget Office has made it clear that the bulk of the projected savings will come from two primary sources—ending the subsidies to health insurance companies who offer Medicare Advantage programs and reining in the growth of payments to physicians. The remainder will, hopefully, come from cutting back on the waste and fraud that have long been rampant in the Medicare system.
Let’s begin with the Medicare Advantage program. Established via the Medicare Modernization Act of 2003. the program—a Bush/GOP creation—was ostensibly invented to encourage Medicare beneficiaries to gravitate towards privately operated insurance programs pursuant to the theory that the private sector could do a better job of delivering care to our seniors than the government.
I say ‘ostensibly’ because the true purpose was to create a windfall for the private insurance companies who have done so much for so long for so many Republican elected officials.
The way the script played out, the private insurance companies said that they would only be able to paricipate in the program if, and only if, the government gave them a head start by agreeing to subsidize their “start up costs” until the year 2010.
As a result of the deal, Medicare found itself paying, on average, an 11% surcharge on medical services and procedures provided by Medicare Advantage plans. This was enough to guarantee the insurance providers a tidy profit fully comprised of the government subsidies, creating one of the greatest examples of corporate welfare in the history of the nation.
Not surprisingly, the health insurers took advantage of the windfall to attract customers by offering very low premium charges, not to mention free gym memberships, one pair of eyeglasses per year, spa treatments, zero co-pays and assorted other benefits not available to those who opted to take their Medicare directly from the government. And why not? The insurers don’t need to make a penny from those who were insured as each customer guarantees them an 11 percent return on any medical benefit receieved courtesy of the Medicare program. Thus, they are more than happy to offer a free toaster to anyone who agrees to sign up.
What Obamacare did was put an end to the subsidies, thereby reducing future costs to the program by billions while continuing to provide Medicare beneficiaries with the benefits promised.
By any standards, this was a no-brainer in terms of reigning in the growing costs of Medicare and creating a system that is fair to all beneficiaries.
Now, the doctors.
This gets a bit tricky and, to be honest, I don’t really believe that these savings will ever materialize.
At the heart of the discussion is a formula that was designed during the Clinton Administration called the Medicare Sustainable Growth Rate, or SGR. The approach was created in an attempt to control Medicare spending for physician services with the idea being that the yearly increase in the expense per Medicare beneficiary should be tied to the growth in GDP. Thus, when actual Medicare spending exceeds the annual target in a given year, the SGR requires that physicians, and other system providers, must take a cut in order to bring the spending back in line with the annual spending targets.
The docs, understandably, do not like the idea of taking less in their Medicare payments. As a result, Congress has been delaying the cuts for years, constantly rolling them over into the next year at which time they roll them over again and again. Were Congress to ever stop delaying the SGR cuts, the physicians would find themselves feeling the cumulative pain of the delays with a one time Medicare rate reduction in excess of 20 percent.
These cuts are factored into the Medicare savings projections, along with hoped for savings to come by encouraging physicians to try some different approaches to practicing medicine.
Will this ever happen? Probably not.
So, while a skeptic can argue that these projected savings may never materialize, one cannot argue that this is, somehow, a cut to the Medicare program.
The bottom line is that there is nothing in the ACA that takes anything away from Medicare beneficiaries, now or in the future. Yet, the GOP continues to do its best to scare the hell out of seniors, the most reliable voter block in the nation.
We need to take this very seriously.
If the 2010 elections taught us anything, it is that a frightened voter population will do some crazy things. So, it’s on us to make sure that our grandparents and parents understand that Repubican fear peddlers are selling nothing but lies and that falling for the lies could result in the end of Medicare as we know it if the Republicans are permitted to gain full control of the government.
If you would like more information on this to share with family and friends, just let me know. The effort to mislead our senior citizens worked well in 2010. We simply cannot permit it to work again in 2012.
By: Rick Ungar, Mother Jones, September 13, 2011
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