“In An Awkward Spot”: How Mitt Romney Advocated Obamacare And Lied About It
In 2009, Mitt Romney had a problem. He was running for the Republican presidential nomination, and the towering achievement of his governorship in Massachusetts — health-care reform — had been embraced by President Obama. Romneycare played almost no role in Romney’s 2008 presidential run, but the emergence of the issue onto the national agenda threatened to link Romney with a president Republicans had already come to loathe.
His solution was simple. He seized upon the one major difference between his plan and Obama’s, which was that Obama favored a public health insurance option. The public plan had commanded enormous public attention, and Romney used to it frame Masscare as a conservative reform relying on private health insurance, and against Obama’s proposal to create a government plan that, Romney claimed, would balloon into a massive entitlement. Andrew Kaczynski collects several televised appearances and one op-ed in which Romney holds up Masscare as a national model.
This tactic backfired when Obama had to jettison the public plan, and Republicans came to focus on the individual mandate as the locus of evil in Obamacare. What was once a Republican idea in good standing was now, suddenly, unconstitutional and the greatest threat to freedom in American history.
This left Romney in an awkward spot.
It’s hard to run for president as the advocate of an idea that your party considers the greatest threat to freedom in history. His response was to simply revise the past, much as he did with abortion. Romney now claimed he had never advocated a federal version of his Masscare program. Here’s Romney at the December 11 GOP presidential debate:
Speaker Gingrich said that he was for a federal individual mandate. That’s something I’ve always opposed. What we did in our state was designed by the people in our state for the needs of our state. You believe in the 10th Amendment. I believe in the 10th Amendment. The people of Massachusetts favor our plan three to one. They don’t like it, they can get rid of it. (COUGH) That’s the great thing about (COUGH) a democracy, where individuals under the 10th Amendment have the power to craft their own solutions.
The coughs are in the original transcript, for what it’s worth. I’ll leave it to the psychiatrists to say whether we ought to read anything into them.
And here’s Romney at a January 23 debate:
My health care plan, by the way, is one that under our Constitution we’re allowed to have. The people in our state chose a plan which I think is working for our state.
At the time we crafted it, I was asked time and again, “Is this something that you would have the federal government do?” I said absolutely not.
I do not support a federal mandate. I do not support a federal one-size-fits-all plan. I believe in the Constitution.
This is clearly untrue. Romney, as Kaczynski has shown, repeatedly held up the Massachusetts model in 2009. For instance, from the USA Today op-ed:
There’s a better way. And the lessons we learned in Massachusetts could help Washington find it. ..
For health care reform to succeed in Washington, the president must finally do what he promised during the campaign: Work with Republicans as well as Democrats.
Massachusetts also proved that you don’t need government insurance. Our citizens purchase private, free-market medical insurance. There is no “public option.” …
Our experience also demonstrates that getting every citizen insured doesn’t have to break the bank. First, we established incentives for those who were uninsured to buy insurance. Using tax penalties, as we did, or tax credits, as others have proposed, encourages “free riders” to take responsibility for themselves rather than pass their medical costs on to others. This doesn’t cost the government a single dollar.
The remarkable thing is that none of Romney’s opponents challenged these demonstrably false claims. If you check the transcripts of the debates, Romney simply lies about what he advocated, and then everybody lets it go.
Among other things, this underscores the sheer incompetence of his opposition. Kaczynski is an excellent researcher, but it’s not as if he had to comb the ends of the Earth to find these nuggets. He culled them from such sources as USA Today and Meet the Press. Every opposing campaign either failed to look up this basic stuff or failed to train the candidate to understand it. Romney is now on the verge of escaping with the party nomination having embraced a program his party considers inimical to freedom itself and blatantly lied about having done so without any major opponents pointing this out. It’s pretty incredible.
By: Jonathan Chait, Daily Intel, March 5, 2012
“Opus Dei”: Rick Santorum’s Old-Time Religion
Rick Santorum, a proudly letter-of-the-canon-law kind of Catholic, was once a good bit more relaxed in the practice of his natal faith, according to a profile of the Republican presidential hopeful’s religious journey that appears in today’s New York Times.
Reporters Sheryl Gay Stolberg and Laurie Goodstein attribute the hardening of Santorum’s religious beliefs to his relationship with his father-in-law, Dr. Kenneth L. Garver, a physician and father of 11. Garver’s daughter, Karen, who went on to marry Santorum, apparently went through something of a rebellious period: as a young woman, she was romantically involved with a doctor who performed abortions who was many years her senior. But when she married the man who would go on to become a congressman and then a U.S. senator, her rebellious days came to a close.
From Stolberg and Goodstein’s article:
The Santorums’ beliefs are reflected in a succession of lifestyle decisions, including eschewing birth control, home schooling their younger children and sending the older boys to a private academy affiliated with Opus Dei, an influential Catholic movement that emphasizes spiritual holiness.
That description of Opus Dei kind of snapped my head back for a minute. Opus Dei is essentially a secret society of laypeople whose members generally hail from among society’s higher ranks, affording the organization a degree of temporal power not typical of your everyday prayer circle. Stark distinctions are made regarding the roles played by the sexes.
There are various strata of membership in Opus Dei. For instance, married people, known as supernumeraries, play a different role from the single people, called numeraries, who live in Opus Dei housing. Here’s a bit from an article about Opus Dei that appeared in the Jesuit magazine, America, in 1995:
According to two former numeraries, women numeraries are required to clean the men’s centers and cook for them. When the women arrive to clean, they explained, the men vacate so as not to come in contact with the women. I asked [Opus Dei spokesperson] Bill Schmitt if women had a problem with this. “No. Not at all.” It is a paid work of the “family” of Opus Dei and is seen as an apostolate. The women more often than not hire others to do the cooking and cleaning. “They like doing it. It’s not forced on them. It’s one thing that’s open to them if they want to do it. They don’t have to do it.”
“That’s totally wrong,” said Ann Schweninger when she heard that last statement. “I had no choice. When in Opus Dei you’re asked, you’re being told.” According to Ms. Schweninger [a former Opus Dei member], it is “bad spirit” to refuse. Women are told that it is important to have a love for things of the home and domestic duties. “And since that’s part of the spirit of Opus Dei, to refuse to do that when you’re asked is bad spirit. So nobody refuses.”
In other words, no home ec classes for the Santorum boys.
The Santorums, of course, are entitled to practice their religion as they see fit — an entitlement, if you will, that is one of those things that truly does make America great. The problem is, Rick Santorum thinks you should live by his religious beliefs, too. In a chilling Washington Post Outlook piece, Sarah Posner imagines what Santorum’s America would look like.
By: Adel Stan, Washington Monthly Political Animal, March 4, 2012
Our Great Moral Decline: “Two Distinct Monologues”
Asked to explain his support for Rick Santorum in Michigan’s primary, voter Sandy Munro said, “Now what we need is a strong political leader to do something to get us out of the moral slump that we’re in.”
Mr Santorum would agree, having noted that “Satan has his sights on the United States of America.” As would Mitt Romney, who has attacked the decay caused by Barack Obama’s “secular agenda”. Newt Gingrich has gone the furthest, stating, “A country that has been now since 1963 relentlessly in the courts driving God out of public life shouldn’t be surprised at all the problems we have.”
But what are these problems? When considering America’s moral decline, my first instinct was to look at the crime rate. If Satan is at work in America, he’s probably nicking wallets and assaulting old ladies. But over the past several decades the crime rate has fallen dramatically, despite what you may think. The homicide rate has been cut in half since 1991; violent crime and property crime are also way down. Even those pesky kids are committing less crime. There are some caveats to these statistics, as my colleague points out, but I think we can conclude that crime is not the cause of America’s moral decline.
So let’s look elsewhere. Abortion has returned as a hot-button issue, perhaps it is eating away at our moral fiber. Hmm, the abortion rate declined by 8% between 2000 and 2008. Increases in divorce and infidelity could be considered indicators of our moral decay. There’s just one problem: according to the Center for Disease Control and Prevention, the divorce rate is the lowest it has been since the early 1970s. This is in part due to the recession, but infidelity is down too.
Other areas that might indicate declining virtue are also going against the perceived trend. For example, charitable giving is up after a decline during the recession. The teenage pregnancy rate is at its lowest level in 40 years. And according to Education Week, “the nation’s graduation rate stands at 72 percent, the highest level of high school completion in more than two decades.” So where is the evidence of this moral decline?
Here’s one for the declinists: the number of Americans not affiliated with any religion has increased, while the number of those attending worship services has declined. And here’s another: out-of-wedlock births have increased in America so that now at least four in ten children are born to unmarried women. This is something Mr Santorum has focused on during the campaign, and he is right in pointing out that the children of unwed mothers in America tend to do worse in terms of health, schooling and income later in life.
But here’s where the real debate over America’s moral position comes into focus. As the New York Times notes, out-of-wedlock births are increasing in much of the developed world—for example, over half of babies in Iceland and Sweden are born to unwed mothers. But according to Wendy Manning, a professor of sociology at Bowling Green State University, “In Sweden, you see very little variation in the outcome of children based on marital status. Everybody does fairly well… In the US, there’s much more disparity.”
So out-of-wedlock birth need not correspond to worse outcomes for children. And if it didn’t in America, should we still consider out-of-wedlock births a moral problem? One could ask a similar question about religion. While rates of religious participation may be declining in America, young people today have similar moral beliefs as their parents and grandparents. So is the decline in religious observance a moral problem?
When it comes to out-of-wedlock births, the issue is complicated because discouraging these types of the births may be a more efficient way of securing children than the type of nanny-state intervention that can be found in a country like Sweden. But in general, I think the debate over America’s moral position comes down to this: Republicans want the best outcomes based on solutions that fit into preconceived notions of what society should look like. So even if there are few tangible harms that point to our moral decay, any move away from their vision of society is evidence of declining virtue. Democrats, on the other hand, are more concerned with outcomes, even if that means upending the way things were (or accepting that they have been upended and cannot be restored).
So in the case of out-of-wedlock births, Republicans would probably see the increase as a moral problem regardless of the outcome. Whereas Democrats might feel more comfortable with, say, promoting a corresponding increase in stable familial relationships outside of marriage. It is a dynamic we’ve seen elsewhere recently, in regard to issues like gay marriage and contraception. And it leads to a debate over what “moral” really means. If “immoral” means “causing avoidable harm to other people” then gay marriage, pornography, sex, reality TV, soft-drug use and euthanasia are hardly immoral, even if distasteful to some.
But as we grind through the Republican primary process, it seems like the debate over morality in America has less to do with moral outcomes and more to do with a vision of how society should look based on idealistic remembrances of how things were. So people like Mr Munro and the Republican candidates believe America is in a moral slump. The odd thing is, people on the left might actually agree, though for very different reasons. They are upset by the perceived greed of the 1%, and the broad acceptance of torture and war as foreign-policy tools. In the end, the debate over morality more closely resembles two distinct monologues.
By: Democracy in America Blog, The Economist, March 2, 2012
There’s More To Women’s Health Than Contraception
If you have been listening to the contraception debate in Washington (sort of hard to avoid, isn’t it?), you may be under the impression that preventive health for women equals contraception. Or contraception equals women’s preventive health. (We’re putting aside, for the purpose of this post, the debate about religion, conscience and the role of government).
The Senate has defeated one bid to overturn the administration rule requiring employers to provide an insurance plan with first-dollar coverage of birth control, and it’s not clear what the House will do. But the issue is likely to percolate in Washington, state legislatures and the courts for some time to come.
The health reform law, and the regulations being developed to implement it, has a far more expansive definition of prevention and what it means for women’s health. Here are more details on the new regulations and a tutorial from Kaiser.edu. According to the new women’s preventive health rule, new health plans must cover, without cost-sharing, a lot more than the pill:
- well-woman visits;
- screening for gestational diabetes;
- human papillomavirus (HPV) DNA testing for women 30 years and older;
- sexually-transmitted infection counseling;
- human immunodeficiency virus (HIV) screening and counseling;
- FDA-approved contraception methods and contraceptive counseling;
- breastfeeding support, supplies, and counseling; and
- domestic violence screening and counseling.
These requirements will go into effect in August (with another year allowed to finalize how the religious exemptions will work). Grandfathered plans won’t have to follow the new rule, while they maintain their “grandfather” status. Over time, many health plans will go through changes that will mean that they will no longer be “grandfathered.” Then they too will have to follow the new regulations.
Of course, more women will get these benefits, simply because more women will be insured. Approximately one in five women of reproductive age is currently uninsured. Most of them will get coverage, including preventive services, starting in 2014 whether through Medicaid, through subsidized coverage in the exchanges or by buying coverage. Right now, coverage of maternity benefits is spotty on the individual insurance market, but the plans in the health exchanges will cover it.
The law also requires many other preventive services – some free – for men, women and children. They have not gotten much attention in the polarized birth control debate.
The conversation (and press coverage) about the contraceptive rules have included lots of misinformation about abortion. Politicians who misstate policy don’t help, but reporters need to know what the law does and does not do.
The health law does not mandate abortion coverage and this preventive health rule does not change that. In fact, states under health reform have the explicit ability to limit abortion coverage in policies sold in state exchanges and several have already taken action to do precisely that. Plans that do cover abortion in the exchange will have to wall that off in a way to keep it apart from the federal subsidies.
A few more stray but relevant facts:
According to the Kaiser.edu materials, about two-thirds of women aged 15 to 44 use contraception – and do so for about 30 years.
Most employer-based insurance plans do cover contraception, though there are often co-pays. Among large employers, more than 80 percent cover contraception.
Federal Medicaid dollars do not cover abortion under the Hyde Amendment (except for rape, incest or when the life of the mother is in danger) – although some states use their own money to cover abortion in some circumstances. But Medicaid does cover contraception. In fact, Medicaid pays for more than 70 percent of publicly financed family planning services.
And Title X funds family planning clinics (created in 1970 under the Nixon presidency). According to HHS, about 5 million women and men get family planning services through more than 4,500 community-based clinics. Someone with religious objections to providing contraceptives for employees is indirectly paying for Medicaid birth control coverage – and indirectly for the tax subsidies of employer-sponsored insurance – just as we all pay taxes that fund some things we agree with and some we don’t.
By: Joanne Kenen, Association of Health Care Journalists, March 1, 2012
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