“What The VA Scandal Is Not About”: Conservative’s Desire To Privatize All Health Care
While the media furor over revelations of potentially death-dealing delays in eligibility determinations and care scheduling at the Veterans Administration is leading to all sorts of promiscuous talk by conservatives about the inherent incompetence of government and/or the need to privatize all government health-related services (presumably including the provision of insurance by Medicare), let’s be clear what the scandal is not about, as noted by CBS’ Rebecca Kaplan:
There…doesn’t appear to be a major quality problem among the agency’s doctors and nurses either, even though it appears that not enough veterans can get through the door to see them. Veterans’ advocates who appeared before Congress last week agreed that once veterans get access to care within the VA system, it is high-quality care. The problem is getting access to that care in the first place.
The American Customer Satisfaction Index (ACSI), the nation’s only cross-industry measure of customer satisfaction, ranks VA customer satisfaction among the best in the nation — equal to or better than ratings for private sector hospitals. When asked if they would use a VA medical center the next time they need inpatient or outpatient care, veterans in the 2013 ACSI survey overwhelmingly indicated that they would (96 and 95 percent, respectively).
Backlogs in eligibility determinations would exist whether veterans were being sent to VA hospitals for care, or to private hospitals with a voucher in their hands. And physician shortages and scheduling backlogs are hardly an unfamiliar phenomenon at private health care facilities.
Of course conservatives will try to use the issues at VA to undermine any and all public involvement in health care. But the only way to make absolutely sure veterans aren’t placed at risk by inefficient eligibility or scheduling systems is to deny them care altogether. Replacing public health care bureaucracies with private health care bureaucracies won’t fix the problems, and could make the care itself a lot worse and a lot more expensive.
By: Ed Kilgore, Contributing Writer, Washington Monthly Political Animal, May 23, 2014
“Red Flags In His Closet”: Jindal Repudiates His Communist Past
The shamelessness of Louisiana Gov. Bobby Jindal is not a topic I have arbitrarily chosen to emphasize at this blog. It’s just that the man provides so many fresh outrages so often.
It’s old news by now that in the course of this year’s Louisiana legislative session, Jindal has flip-flopped entirely on the Common Core education initiative that he and his state once championed. But rather than quietly checking a box on the subject for his vetting by conservative activists once he formally launches his 2016 presidential campaign, Bobby’s now howling at the moon, per this report from the Times-Pic‘s Julia O’Donoghue:
After weeks of ratcheting up the anti-Common Core rhetoric, Gov. Bobby Jindal issued some of his most blistering remarks on the academic standards yet Wednesday night (May 21).
“We support higher standards and rigor in the classroom, but every day, concern among parents is growing over Common Core. The feds are taking over and rushing this. Let’s face it: centralized planning didn’t work in Russia, it’s not working with our health care system and it won’t work in education. Education is best left to local control,” said Jindal through a written statement.
Russia? Russia?
This is so over the top that even Louisiana Republicans who have long supported Jindal are protesting, like his staunch ally as head of the state Board of Elementary and Secondary Education, Chas Roemer:
Common Core backers say Jindal’s remarks about the academic standards have become more about national politics than local education policy. The governor is expected to launch a 2016 presidential campaign and he has his eye on Iowa caucus goers more than Louisiana citizens, said Chas Roemer, president of state Board of Elementary and Secondary Education.
“This is presidential politics,” said Roemer, a Common Core supporter, about the governor’s statement. “This is the politics of our governor, who is running for president.”
Jindal was a Common Core backer as recently as a year ago. Louisiana became one of over 40 states to officially adopt Common Core back in 2010. The academic benchmarks were developed through a collaboration of governors and education officials from states across the country, including Jindal.
So if Common Core is indeed part of a commie plot, Jindal has some red flags in his own closet, along with an exorcism.
By: Ed Kilgore, Contributing Writer, Washington Monthly Political Animal, May 23, 2014
“GOP’s New Plutocratic Populism”: A Bizarre Vision Of The Working Class
Fresh off his victory over Tea Party challenger Matt Bevin, Senate Minority Leader Mitch McConnell headed to the American Enterprise Institute Thursday to make himself over as a GOP populist. The party, as you’ve heard, has decided it needs “middle-class outreach” – since it’s given up on outreach to women, Latinos, African-Americans and the LGBT community – and thus some intellectuals and politicians have tried to craft “a middle class agenda.”
While the party should continue to stand for the free market and business interests, McConnell said, it had to face facts: “For most Americans whose daily concerns revolve around aging parents, long commutes, shrinking budgets and obscenely high tuition bills, these hymns to entrepreneurialism are as a practical matter largely irrelevant. And the audience for them is probably a lot smaller than we think.”
That, you’ll recall, was the takeaway from Mitt Romney’s 2012 campaign, where the plutocrat’s self-satisfied slogan “You built that!” was meant to mock Obama’s declaring that nobody builds a business entirely alone, but seemed to mock anyone who drew a paycheck, which is most of us.
But what is the tangible help McConnell and his friends are now offering to middle-class families? Very little, it turns out. McConnell had the audacity to present his union-busting National Right to Work Act as a pro-middle class reform, ignoring the way the labor movement actually built the middle class from the 1940s through the 1970s. Oh well.
The AEI event also included Sens. Mike Lee and Tim Scott, along with House Majority Leader Eric Cantor and writers like Ross Douthat, Ramesh Ponnuru and Reihan Salam, who contributed to a collection of essays on the new middle-class agenda called “Room to Grow.” They talked about helping single mothers, tackling student debt and ending corporate cronyism. But they offered very few ideas that would make a difference, and their good ideas are strangled by GOP orthodoxy. Lee wants to develop a package of tax cuts and credits for the middle class, for instance, but it adds $2.4 billion to the deficit so he hasn’t worked out his numbers.
The Utah Tea Party favorite also proposes to help the middle class while cracking down on the poor: Since he believes poverty programs create a “disincentive to work,” he wants to cut them and step up work requirements for those who do get help. “We don’t want people to have to make that kind of awful choice” between welfare and work, Lee told a reporter, so we’ll cut back welfare and make it harder to access. Bless his heart.
Ending corporate cronyism seems like a place the two parties might find common ground, but every time Democrats and a few Republicans put together a proposal for cutting the tax loopholes that make the tax code so unfair, conservatives squash it.
Still, let’s give the folks behind “Room to Grow” credit for trying, again, to buck the prevailing pro-plutocrat direction of their party. In the conservative Washington Free Beacon, Matthew Continetti praised the agenda, but offered a caveat. “I do not doubt for a moment that if the Republican Party adopted Room to Grow as its platform tomorrow, then both the GOP and the country would enjoy a better future,” he wrote. But he remembered a similar reception for Douthat and Salam’s widely praised “Grand New Party: How Republicans Can Win the Working Class and Save The American Dream,” and concluded the GOP “is no closer to embracing the ideas of Salam [and] Douthat…than it was when we celebrated the publication of ‘Grand New Party’ at the Watergate in 2008.”
Continetti deserves credit for explaining exactly why that is:
The outreach Republicans make to single women and to minorities inevitably repels the groups that give the party 48 percent of the popular vote—Christians and seniors and men. As has been made abundantly clear, 48 percent of the popular vote does not a presidential victory make. But 48 percent is not quite something to sniff at either. That number can always go down.
So if the GOP can craft an agenda that it can sell to Christian senior men, this middle-class thing is a go. Otherwise, it’s going to have to wait for people with the courage to sacrifice part of that 48 percent to get to 51 percent.
By: Joan Walsh, Editor at Large, Salon, May 23, 2014
“Why Republicans Love Taxing The Poor”: This Hurts Us More Than It Hurts You
The reformist wing of the Republican Party, which has a new book of policy essays out today, is a coterie of right-leaning intellectuals engaged in the Lord’s work of reimagining a non-plutocratic agenda for the party. The eternal problem with the reformists, however, is that they’re all playing an inside game, vying for influence within the party and seeking the ear of its leading figures. The need to maintain the good graces of the powers-that-be causes them to couch their advice with a delicacy that routinely veers into outright fantasy.
Ramesh Ponnuru, one of the contributors to the new volume, provides a case in point. In his Bloomberg View column, Ponnuru argues that Republicans should counter the Democrats’ campaign to lift the minimum wage by proposing instead to increase the Earned Income Tax Credit, which “would give Republicans a way to show that they want to help the poor — and that their stated objections to raising the minimum wage are sincere.”
One problem with this plan to get Republicans to increase the Earned Income Tax Credit is that, as Ezra Klein points out, they’re currently fighting extremely hard to cut the Earned Income Tax Credit. Ponnuru’s column doesn’t mention this highly relevant detail.
What’s more, one of the main reasons the Earned Income Tax Credit exists is to cushion the impact of state taxes, which often force workers on the bottom half of the income spectrum to pay higher rates than the rich. And why are state taxes so regressive? Well, a main reason is that Republicans want it this way. The states that raise the highest proportion of their taxes from the poor are Republican states. The EITC is in large part a way of using the federal tax code to cancel out Republican-led policies of taking money from poor people, so naturally Republicans at the national level oppose it, too.
Should Republicans start endorsing plans to give poor people more money? Well, sure, that would be great. It would also be great if Boko Haram came up with some new policies to help educate girls. In the meantime, a more realistic goal might be to just stop hurting the poor.
Obviously, Ponnuru’s policy goal here is admirable. It would be lovely to have a Republican Party that was not monomaniacally focused on redistributing income upward. (How such a reform could be pulled off without upsetting the basic parameters of the party — no new taxes, high military spending, no cuts for current retirees — is a problem none of the reformists have answered and that probably has no answer.)
I can see why Ponnuru needs to present his idea, which is a 180-degree reversal of the Republican agenda, as “a way to show that they want to help the poor.” The trouble is they don’t want to help the poor, if you define “help” as “letting them have more money,” as opposed to “giving them the kick in the ass they need to stop being lazy moochers.”
By: Jonathan Chait, Daily Intelligencer, New York Magazine, May 22, 2014
“Magnolia Melee”: This One Could Be A Mystery Right Down To June 3
There will be eight states holding primaries on June 3, the largest number of the year. But there are only two holding one of the competitive GOP Senate primaries that are the talk of the cycle. And with Joni Ernst increasingly looking like a sure winner (either in the primary or in a subsequent state convention) in Iowa, the big contest is the one where for some time now handicappers have figured the Tea Party folk have the best chance of beating a Republican incumbent, in Mississippi.
Insults from activists notwithstanding, it’s hard to call Thad Cochran a RINO with a straight face. He has a lifetime rating of 79% (over six terms in the Senate) from the American Conservative Union, and a 72% lifetime rating from the Koch-aligned Americans for Prosperity. He’s been endorsed by the National Right to Life Committee, as well as by such mainline conservative groups as the U.S. Chamber.
But he’s not one to indulge much in conservative fire-breathing, and he belongs to an older generation of conservatives who saw no problem with getting as much out of the federal budget for a very poor state like Mississippi as possible. As a senior appropriator (and ranking GOP member of the Ag Committee, still important to big growers in Mississippi), he’s done his job. He’s also 76 years old, and has been in Congress since 1972.
So like Richard Luger in 2012, Cochran was an obvious target for an ideological purge, and the biggest of the right-wing outside groups, the Club for Growth and the Senate Conservatives Fund, have heavily invested in Chris McDaniel, a state legislator and former nationally syndicated conservative radio talk show host. Citizens United is about to join the crusade with some late ads.
There’s been relatively little polling on the race, but there is evidence McDaniel has been gaining on or even moving ahead of Cochran, who has the support of the very conservative State GOP leadership, including Gov. Phil Bryant and former Gov. Haley Barbour. Nobody quite knows how or whether to factor in the bizarre incident that’s been unfolding since Easter, when a “constitutional conservative” blogger close to the McDaniel campaign took pictures of Cochran’s disabled wife in a nursing facility as part of an effort to suggest he’s having an affair with a staff member. Nobody’s proved the McDaniel campaign had any involvement beyond telling the blogger to take down the offensive post when it briefly appeared. And normally in cases like this you’d think the underlying smear would get out there and do some damage even it purveyor was discredited. On the other hand, nobody’s going to much believe that Cochran, insofar as he is not Strom Thurmond, is some sort of septuagenarian lothario.
Barring some reliable late polling, this one could be a mystery right down to June 3. Since Cochran isn’t likely to have a personality transplant and start shrieking about The Welfare or Common Core like the Chamber’s candidates in North Carolina and Georgia, this could be a true and interesting test of whether a state whose Republican voters are both atavistically conservative and heavily dependent on Uncle Sugar will vote their furies or their needs.
By: Ed Kilgore, Contributing Writer, Washington Monthly Political Animal, May 22, 2014
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