“Sound And Fury Signifying Nothing”: Republicans; “Do What I Say, Not What I Don’t Do”
Think for a minute about the agenda that is being articulated by Republicans these days. And then, given the fact that they now control both houses of Congress, think about what they aren’t doing about it. For example:
* They say that we need to fight ISIS more aggressively (whatever that means). But President Obama has been asking Congress to pass an Authorization for the Use of Military Force against ISIS for months now. Nada.
* They say that we need to secure our borders. Most of them think we should build an impenetrable wall on our border with Mexico. Some of them even say that we should deport all 10 million undocumented immigrants. Have we seen a bill on any of that in Congress? No.
* They say that they want to repeal Obamacare. OK, they actually passed a bill to do that. But they’ve also said that they want to replace it. Anyone seen that plan floating around anywhere? Not so much.
* They say that the problem with gun violence is that we don’t do enough to provide mental health treatment. Congress could do something about that. Have they? No.
* We’ve heard a lot about criminal justice reform. And some bills even passed out of committees. But so far – nothing has actually come up for a vote.
* I don’t know about you, but I haven’t even heard any rumblings from Congress on anything we can do about jobs or wages.
* Of course, most Republicans deny that climate change even exists, so they’re not interested in doing anything about that.
That is the backdrop on which President Obama has stepped forward to take executive actions where he can. Here’s how Ed Kilgore described it:
If you look back at Obama’s record on big executive actions — on guns, climate change, and immigration — you see the same situation. It’s not that he’s fought for “liberal” as opposed to “conservative” policies in these areas. It’s that congressional Republicans, pressured by conservative opinion-leaders and interest groups, have refused to do anything at all…So there’s literally no one to hold bipartisan negotiations with on these issues, and no way to reach common ground.
Even if we simply look at the issues Republicans themselves have identified, none of them are stagnant. There is no such thing as a neutral position. Choosing to do nothing has consequences.
Republicans can shout all they want about how President Obama is by-passing Congress with his executive actions. But until they quit shouting and actually demonstrate that they can do something, it’s all sound and fury signifying nothing.
By: Nancy LeTourneau, Political Animal Blog, The Washington Monthly, January 21, 2016
“Health Reform Realities”: A Simple, Straightforward Single-Payer System Just Isn’t Going To Happen
Health reform is the signature achievement of the Obama presidency. It was the biggest expansion of the social safety net since Medicare was established in the 1960s. It more or less achieves a goal — access to health insurance for all Americans — that progressives have been trying to reach for three generations. And it is already producing dramatic results, with the percentage of uninsured Americans falling to record lows.
Obamacare is, however, what engineers would call a kludge: a somewhat awkward, clumsy device with lots of moving parts. This makes it more expensive than it should be, and will probably always cause a significant number of people to fall through the cracks.
The question for progressives — a question that is now central to the Democratic primary — is whether these failings mean that they should re-litigate their own biggest political success in almost half a century, and try for something better.
My answer, as you might guess, is that they shouldn’t, that they should seek incremental change on health care (Bring back the public option!) and focus their main efforts on other issues — that is, that Bernie Sanders is wrong about this and Hillary Clinton is right. But the main point is that we should think clearly about why health reform looks the way it does.
If we could start from scratch, many, perhaps most, health economists would recommend single-payer, a Medicare-type program covering everyone. But single-payer wasn’t a politically feasible goal in America, for three big reasons that aren’t going away.
First, like it or not, incumbent players have a lot of power. Private insurers played a major part in killing health reform in the early 1990s, so this time around reformers went for a system that preserved their role and gave them plenty of new business.
Second, single-payer would require a lot of additional tax revenue — and we would be talking about taxes on the middle class, not just the wealthy. It’s true that higher taxes would be offset by a sharp reduction or even elimination of private insurance premiums, but it would be difficult to make that case to the broad public, especially given the chorus of misinformation you know would dominate the airwaves.
Finally, and I suspect most important, switching to single-payer would impose a lot of disruption on tens of millions of families who currently have good coverage through their employers. You might say that they would end up just as well off, and it might well be true for most people — although not those with especially good policies. But getting voters to believe that would be a very steep climb.
What this means, as the health policy expert Harold Pollack points out, is that a simple, straightforward single-payer system just isn’t going to happen. Even if you imagine a political earthquake that eliminated the power of the insurance industry and objections to higher taxes, you’d still have to protect the interests of workers with better-than-average coverage, so that in practice single-payer, American style, would be almost as kludgy as Obamacare.
Which brings me to the Affordable Care Act, which was designed to bypass these obstacles. It was careful to preserve and even enlarge the role of private insurers. Its measures to cover the uninsured rely on a combination of regulation and subsidies, rather than simply on an expansion of government programs, so that the on-budget cost is limited — and can, in fact, be covered without raising middle-class taxes. Perhaps most crucially, it leaves employer-based insurance intact, so that the great majority of Americans have experienced no disruption, in fact no change in their health-care experience.
Even so, achieving this reform was a close-run thing: Democrats barely got it through during the brief period when they controlled Congress. Is there any realistic prospect that a drastic overhaul could be enacted any time soon — say, in the next eight years? No.
You might say that it’s still worth trying. But politics, like life, involves trade-offs.
There are many items on the progressive agenda, ranging from an effective climate change policy, to making college affordable for all, to restoring some of the lost bargaining power of workers. Making progress on any of these items is going to be a hard slog, even if Democrats hold the White House and, less likely, retake the Senate. Indeed, room for maneuver will be limited even if a post-Trump Republican Party moves away from the scorched-earth opposition it offered President Obama.
So progressives must set some priorities. And it’s really hard to see, given this picture, why it makes any sense to spend political capital on a quixotic attempt at a do-over, not of a political failure, but of health reform — their biggest victory in many years.
By: Paul Krugman, Op-Ed Columnist, The New York Times, January 18, 2016
“St. Joan Of The Tundra”: The Inevitability Of Palin’s Endorsement Of Trump
Notwithstanding the howls of pain and rage from supporters of Ted Cruz, Sarah Palin’s decision to endorse Donald Trump for president makes perfect sense when you think about what she has distinctively represented in the Republican Party. Yes, she’s a “conservative” in the sense of standing for maximum confrontation with Democrats and constantly accusing the party Establishment of acts of betrayal. But no, there’s nothing particularly ideological — or, for that matter, intellectual — about her approach to politics or issues. She represents almost perfectly the passion and resentment of grassroots cultural-issues activists. When John McCain vaulted her into national politics, she was known for two things other than her gender: She was a “walk the walk” role model for the anti-abortion movement, thanks to her small child Trig, and she had taken on the “crony capitalist” GOP Establishment in Alaska and won. Thus she was a fellow “maverick” with Christian-right street cred and a “game-changing” identity.
The remarkably widespread belief that Palin lost the 2008 presidential election for her party is even more far-fetched than the hope that she could win it. And so the many fans she made in that campaign developed — with a lot of help from Palin herself — a deep resentment of all of the Democrats, Republicans, and media elites who belittled her. In a very real sense, she was the authentic representative of those local right-to-life activists — disproportionately women — who had staffed countless GOP campaigns and gotten little in return (this was before the 2010 midterm elections began to produce serious anti-choice gains in the states) other than the thinly disguised contempt of Beltway Republicans. And after 2008 she generated a sort of perpetual motion machine in which her fans loved her precisely for the mockery she so reliably inspired.
Unfortunately for those fans, St. Joan of the Tundra was never quite up to the demands of a statewide — much less national — political career. So she opportunistically intervened in politics between books and television specials and widely broadcast family sagas, mostly through well-timed candidate endorsements. It’s striking, though not surprising, that Palin is now endorsing the nemesis of one of her most successful “Mama Grizzly” protégées, South Carolina’s Nikki Haley, on the turf of another, Iowa’s Joni Ernst.
But in many respects, the Trump campaign is the presidential campaign Palin herself might have aspired to run if she had the money and energy to do so. Her famous disregard for wonky facts and historical context is but a shadow of Trump’s. His facility with the big and effective lie can’t quite match Palin’s, who after all convinced many millions of people in a Facebook post that the Affordable Care Act authorized “death panels.” And both of them, of course, exemplify the demagogue’s zest for flouting standards of respectable discourse and playing the table-turning triumphant victim/conqueror of privileged elites.
Conservatism for both Trump and Palin simply supplies the raw material of politics and a preassembled group of aggrieved white people ready to follow anyone purporting to protect hard-earned threatened privileges, whether it’s Social Security and Medicare benefits or religious hegemony. So it’s natural Palin would gravitate to Trump rather than Cruz, who’s a professional ideologue but a mere amateur demagogue. The endorser and the endorsee were meant for each other.
By: Ed Kilgore, Daily Intelligencer, New York Magazine, January 19, 2016
“The Problem Is The Politics”: Sanders’ Single-Payer Plan Is A Distraction
If you’ve successfully landed on the beaches, but your forces are still taking heavy fire, what do you do? Do you concentrate on trying to hold the line and make further advances or do you sit in a circle and design a better landing craft?
The problem with Bernie Sanders’ health care vision isn’t the vision. His raw outline for a greatly simplified and less expensive health-care system is excellent in theory. The problem is the politics — the reality of which battle-scarred Hillary Clinton clearly has the better grasp.
This was the message Clinton tried to convey in the Sunday Democratic debate. Her most potent point on health-care reform centered on recalling the “public option” fiasco during the fight for the Affordable Care Act.
The public option was to be a government-run health plan competing with the private offerings in the health-care exchanges. It was a no-brainer to keep the insurance companies on a shorter leash. But, as Clinton noted, “even when the Democrats were in charge of the Congress, we couldn’t get the votes for that.”
John E. McDonough, a health policy expert at Harvard, has also been through the health-care wars. As a Massachusetts state legislator, McDonough led an unsuccessful campaign to bring single-payer to his liberal state. In a recent New England Journal of Medicine article, he explained why a similar effort in Sanders’ own state of Vermont failed.
Vermont was the great hope for we fans of single-payer. (I was waving pompoms.) The state is progressive and one footstep from Canada. Gov. Peter Shumlin was totally onboard. He spent four years trying to make a single-payer plan happen. Three major-league studies showed that it was economically feasible.
But even in Vermont, a clear public mandate for single payer never materialized. A rebellion against it almost cost Shumlin the governor’s job.
Asked about this on Sunday, Sanders took a swipe at Shumlin (who has endorsed Clinton).
“Let me just say that you might want to ask the governor of the state of Vermont why he could not do it,” Sanders responded. “I’m not the governor. I’m the senator from the state of Vermont.”
Yes, and as senator from Vermont, Sanders introduced several single-payer bills that went nowhere. The most recent one, the 2013 American Health Security Act, attracted not a single co-sponsor.
The plan Sanders released two hours before the debate remains too sketchy for a reliable independent analysis, according to McDonough. But lack of detail isn’t his biggest concern. It’s opening a new front in the battle to defend Obamacare.
“Republicans sent a bill to the President’s desk last week that would eliminate health insurance for 22 million Americans by 2018,” McDonough wrote me. “This is not beanbag. It’s the real deal, and we have to focus where it matters the most.”
“Bernie wants to lead us on a distraction tour while Republicans want to kill the progress we have made.”
How far have we come? Thanks to Obamacare, almost 18 million formerly uninsured Americans now have health coverage. A report just out of Georgetown University has the rate of uninsured Hispanic children falling to a historic low.
Insurers can no longer turn down people with pre-existing conditions. And important politically, Obamacare has demonstrated that universal coverage is doable without creating mass unemployment or “exploding” deficits. On the contrary.
Making Obamacare more Medicare-like through incremental steps may not feed the romantic urge to reinvent health-care reform from scratch, but there’s no other road, not in the America of 2016. Finally, let’s not forget that vanguard of reform is still on the beaches and taking fire.
Correction: The health policy expert at Harvard is John E. McDonough, not Thomas. We regret the error. This article has been updated to reflect that change.
By: Froma Harrop, Featured Post, The National Memo, January 19, 2016
“The Case Against Bernie Sanders”: The Despairing Vision He Paints Of Contemporary America Is Oversimplified
Until very recently, nobody had any cause to regret Bernie Sanders’s presidential campaign. Sanders is earnest and widely liked. He has tugged the terms of the political debate leftward in a way both moderates and left-wingers could appreciate. (Moderate liberals might not agree with Sanders’s ideas, but they can appreciate that his presence changes for the better a political landscape in which support for things like Mitt Romney’s old positions on health care and the environment were defined as hard-core liberalism.) Sanders’s rapid rise, in both early states and national polling, has made him a plausible threat to defeat Hillary Clinton. Suddenly, liberals who have used the nominating process to unilaterally vet Clinton, processing every development through its likely impact on her as the inevitable candidate, need to think anew. Do we support Sanders not just in his role as lovable Uncle Bernie, complaining about inequality, but as the actual Democratic nominee for president? My answer to that question is no.
Sanders’s core argument is that the problems of the American economy require far more drastic remedies than anything the Obama administration has done, or that Clinton proposes to build on. Clinton has put little pressure on Sanders’s fatalistic assessment, but the evidence for it is far weaker than he assumes. Sanders has grudgingly credited what he calls “the modest gains of the Affordable Care Act,” which seems like an exceedingly stingy assessment of a law that has already reduced the number of uninsured Americans by 20 million. The Dodd-Frank reforms of the financial industry may not have broken up the big banks, but they have, at the very least, deeply reduced systemic risk. The penalties for being too big to fail exceed the benefits, and, as a result, banks are actually breaking themselves up to avoid being large enough to be regulated as systemic risks.
It is true that the Great Recession inflicted catastrophic economic damage, and that fiscal policy did too little to alleviate it. The impression of economic failure hardened into place as the sluggish recovery dragged on for several years. Recently, conditions have improved. Unemployment has dropped, the number of people quitting their job has risen, and — as one would predict would happen when employers start to run short of available workers — average wages have started to climb. Whether the apparent rise in the median wage is the beginning of a sustained increase, or merely a short-lived blip, remains to be seen. At the very least, the conclusion that Obama’s policies have failed to raise living standards for average people is premature. And the progress under Obama refutes Sanders’s corollary point, that meaningful change is impossible without a revolutionary transformation that eliminates corporate power.
Nor should his proposed remedies be considered self-evidently benign. Evidence has shown that, at low levels, raising the minimum wage does little or nothing to kill jobs. At some point, though, the government could set a minimum wage too high for employers to be willing to pay it for certain jobs. Even liberal labor economists like Alan Krueger, who have supported more modest increases, have blanched at Sanders’s proposal for a $15 minimum wage.
Sanders’s worldview is not a fantasy. It is a serious critique based on ideas he has developed over many years, and it bears at least some relation to the instincts shared by all liberals. The moral urgency with which Sanders presents his ideas has helped shelter him from necessary internal criticism. Nobody on the left wants to defend Wall Street or downplay the pressure on middle- and working-class Americans. But Sanders’s ideas should not be waved through as a more honest or uncorrupted version of the liberal catechism. The despairing vision he paints of contemporary America is oversimplified.
Even those who do share Sanders’s critique of American politics and endorse his platform, though, should have serious doubts about his nomination. Sanders does bring some assets as a potential nominee — his rumpled style connotes authenticity, and his populist forays against Wall Street have appeal beyond the Democratic base. But his self-identification as a socialist poses an enormous obstacle, as Americans respond to “socialism” with overwhelming negativity. Likewise, his support for higher taxes on the middle class — while substantively sensible — also saddles him with a highly unpopular stance. He also has difficulty addressing issues outside his economic populism wheelhouse. In his opening statement at the debate the day after the Paris attacks, Sanders briefly and vaguely gestured toward the attacks before quickly turning back to his economic themes.
Against these liabilities, Sanders offers the left-wing version of a hoary political fantasy: that a more pure candidate can rally the People into a righteous uprising that would unsettle the conventional laws of politics. Versions of this have circulated in both parties for years, having notably inspired the disastrous Goldwater and McGovern campaigns. The Republican Party may well fall for it again this year. Sanders’s version involves the mobilization of a mass grassroots volunteer army that can depose the special interests. “The major political, strategic difference I have with Obama is it’s too late to do anything inside the Beltway,” he told Andrew Prokop. “You gotta take your case to the American people, mobilize them, and organize them at the grassroots level in a way that we have never done before.” But Obama did organize passionate volunteers on a massive scale — far broader than anything Sanders has done — and tried to keep his volunteers engaged throughout his presidency. Why would Sanders’s grassroots campaign succeed where Obama’s far larger one failed?
Sanders has promised to replace Obamacare with a single-payer plan, without having any remotely plausible prospects for doing so. Many advocates of single-payer imagine that only the power of insurance companies stands in their way, but the more imposing obstacles would be reassuring suspicious voters that the change in their insurance (from private to public) would not harm them and — more difficult still — raising the taxes to pay for it. As Sarah Kliff details, Vermont had to abandon hopes of creating its own single-payer plan. If Vermont, one of the most liberal states in America, can’t summon the political willpower for single-payer, it is impossible to imagine the country as a whole doing it. Not surprisingly, Sanders’s health-care plan uses the kind of magical-realism approach to fiscal policy usually found in Republican budgets, conjuring trillions of dollars in savings without defining their source.
The Sanders campaign represents a revolution of rising expectations. In 2008, the last time Democrats held a contested primary, the prospect of simply taking back the presidency from Republican control was nearly enough to motivate the party’s vote. The potential to enact dramatic change was merely a bonus. After nearly two terms of power, with the prospect of Republican rule now merely hypothetical, Democrats want more.
The paradox is that the president’s ability to deliver more change is far more limited. The current occupant of the Oval Office and his successor will have a House of Representatives firmly under right-wing rule, making the prospects of important progressive legislation impossible. This hardly renders the presidency impotent, obviously. The end of Obama’s term has shown that a creative president can still drive some change.
But here is a second irony: Those areas in which a Democratic Executive branch has no power are those in which Sanders demands aggressive action, and the areas in which the Executive branch still has power now are precisely those in which Sanders has the least to say. The president retains full command of foreign affairs; can use executive authority to drive social policy change in areas like criminal justice and gender; and can, at least in theory, staff the judiciary. What the next president won’t accomplish is to increase taxes, expand social programs, or do anything to reduce inequality, given the House Republicans’ fanatically pro-inequality positions across the board. The next Democratic presidential term will be mostly defensive, a bulwark against the enactment of the radical Ryan plan. What little progress liberals can expect will be concentrated in the non-Sanders realm.
So even if you fervently endorse Sanders’s policy vision (which, again for the sake of full candor, I do not), he has chosen an unusually poor time to make it the centerpiece of a presidential campaign. It can be rational for a party to move away from the center in order to set itself up for dramatic new policy changes; the risk the Republican Party accepted in 1980 when Ronald Reagan endorsed the radical new doctrine of supply-side economics allowed it to reshape the face of government. But it seems bizarre for Democrats to risk losing the presidency by embracing a politically radical doctrine that stands zero chance of enactment even if they win.
By: Jonathan Chait, Daily Intelligencer, New York Magazine, January 18, 2015