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“A Government That Can’t Govern”: What Happens When One Party Is Perfectly Happy To Stay In The Minority

Over the weekend, our friend Jonathan Bernstein wrote an interesting post discussing the point, not uncommon on the left but nonetheless true, that the problem with our politics today isn’t “polarization” or “Washington” but the Republican Party. His argument is basically that the GOP is caught in a series of overlapping vicious cycles that not only make governing impossible for everyone, but become extraordinarily difficult to break out of. As the base grows more extreme, it demands more ideological purity from primary candidates, leading to more ideological officeholders for whom obstruction of governance is an end in itself, marginalizing moderates and leaving no one with clout in the party to argue for a more sensible course, and in each subsequent election those demanding more and more purity become the loudest voices, and on and on. John Hunstman would probably tell you that he would have had a better chance of beating Barack Obama than Mitt Romney (who spent so much time pandering to the right) did, but nobody in the GOP cares what John Huntsman thinks.

There’s one point Bernstein makes that shows just how serious this situation is: “Perhaps the biggest cause is the perverse incentives created by the conservative marketplace. Simply put, a large portion of the party, including the GOP-aligned partisan press and even many politicians, profit from having Democrats in office. Typically, democracies ‘work’ in part because political parties have strong incentives to hold office, which causes them once they win to try hard to enact public policy that keeps people satisfied with their government. That appears to be undermined for today’s Republicans.” It’s often noted that some people on each side benefit when the other side is in power. For instance, magazines like this one. When there’s a Republican in the White House, liberal magazines tend to get more subscribers, as liberals get angry at the President and become more interested in reading about everything he’s doing wrong. The same is true of conservative magazines when there’s a Democratic president. The boosting of certain people’s fortunes when the other side is in power stretches through ideological media to some political figures. For instance, Dennis Kucinich became a national figure not long after September 11 when he started giving speeches criticizing the War on Terror, tapping into the frustration many people on the left felt.

So George W. Bush was very good for Dennis Kucinich, and you’ll notice that once Barack Obama was elected, Kucinich faded from view. But Kucinich never had the ability to push the Democratic party along a particular path. The people on the right who benefit from being out of power, on the other hand, are much more influential within the party. And today, there are many people within the GOP who like the current situation pretty well. It isn’t that they have no governing agenda that they’d implement if given the chance, but just obstructing the Democratic agenda is going quite well for them. Rush Limbaugh and Rand Paul and even Mitch McConnell are perfectly happy with how things are going for them right now. The basic urge to get power runs up against all the incentives now built into the GOP that make getting power more difficult. Officeholders could change their tune a bit and make the Republican party more popular, but they’re not going to do it if it means they’re more likely to get booted in a primary.

So we could find ourselves endlessly trapped in the situation we’re in now. Democrats keep winning presidential elections because the Republican Party is repellent to a majority of Americans. The geographic distribution of the American population nevertheless makes it possible for Republicans to hold on to the House, and at least control enough of the Senate to grind things to a halt by filibustering everything (and Democrats are too frightened to change the filibuster rules). With the exception of the occasional bill here and there that Republicans get intimidated into letting go through, governing pretty much ceases, with the exception of whatever the President can accomplish via regulation and executive agency actions (those agencies that the Republicans don’t manage to hamstring, that is). And there you have it: a government that can’t govern.

 

By: Paul Waldman, Contributing Editor, The American Prospect, April 8, 2013

April 9, 2013 Posted by | Government, Politics | , , , , , , , | 1 Comment

“The GOP Trickle Down Effect”: Sequestration Takes A Toll On Cancer And Medicare Patients

A funny thing happened on Rush Limbaugh’s radio show yesterday. The Republican host was complaining about a Washington Post report on sequestration cuts hurting cancer patients in the Medicare program, and told his listeners to ignore the news. “All of this is manufactured and made up,” Limbaugh said. How does he know? Because the sequester didn’t include “any cuts in Medicare,” he added.

And then Limbaugh got a call from a conservative oncologist — in this case, a physician who apparently shares the host’s worldview and has no use for the Washington Post — who conceded that the report is, in fact, accurate, forcing Limbaugh to change the subject.

Sequestration cuts are affecting Medicare — though not as much as some other programs — and as Sarah Kliff explained, cancer clinics really are turning away thousands of patients as a result of the Republican spending cuts.

Oncologists say the reduced funding, which took effect for Medicare on April 1, makes it impossible to administer expensive chemotherapy drugs while staying afloat financially.

Patients at these clinics would need to seek treatment elsewhere, such as at hospitals that might not have the capacity to accommodate them.

Kliff talked to one Long Island oncologist who said he and his staff held an emergency meeting earlier this week and decided they would no longer see one-third of their 16,000 Medicare patients. “It’s a choice between seeing these patients and staying in business,” Jeff Vacirca, chief executive of North Shore Hematology Oncology Associates said.

But if Medicare was supposed to be shielded from the sequestration policy, how is this happening? It has to do with how medical offices are reimbursed for medications that need to be administered by a physician — such as those given to cancer patients.

The New York Daily News reported today:

The so-called sequester cuts will force three-quarters of the thousands of cancer clinics nationwide to start referring Medicare patients to hospitals, according to the American Society of Clinical Oncology and other cancer treatment groups, which have appealed to the White House and Congress for help.

Elderly cancer patients are being hit hard because their drugs are among the handful of pharmaceuticals that were affected by the sequester cuts.

Medicare reimbursed oncologists for the cost of chemo drugs, plus 6%. But under the sequester, the federal government is now providing only 4% on top of the drugs’ cost, which can run $900 to $15,000 for a full course, depending on the cancer.

That 2% difference may not sound like much, but given the costs involved, it’s an enormous pay cut for the cancer clinics, which some are now saying is a prohibitive new expense they can’t afford.

Ted Okon, director of the Community Oncology Alliance, told Kliff, “If you get cut on the service side, you can either absorb it or make do with fewer nurses. This is a drug that we’re purchasing. The costs don’t change and you can’t do without it. There isn’t really wiggle room.”

Note, this doesn’t mean the sequester is necessarily cutting off cancer patients, but rather, it means these patients are being told by their local oncology clinics that they’ll have to seek care at hospitals — where the care will be less efficient and more expensive.

In case anyone’s forgotten, it’s within Congress’ power to simply turn the sequester off. The whole thing could take five minutes. But for now, congressional Republicans have ruled out the possibility of turning it off, and have also ruled out the possibility of a compromise to replace these brutal spending cuts.

With each passing day, we learn of increasingly drastic consequences associated with the policy.

 

By: Steve Benen, The Maddow Blog, April 5, 2013

April 7, 2013 Posted by | Sequestration | , , , , , , , , | 1 Comment

“More Republican Fringe Views”: Tinfoil Hats, Black Helicopters, And The Politics Of Paranoia

Public Policy Polling released the results of an interesting survey this week, which you probably heard a bit about — it dealt with public attitudes towards conspiracy theories (some of which weren’t really conspiracy theories). Not surprisingly, we learned that a lot of folks believe a lot of strange stuff.

But it’s worth appreciating the fact that this phenomenon isn’t limited to the general public. We’re occasionally reminded that federal lawmakers buy into some bizarre conspiracy theories, too.

We talked yesterday, for example, about the Arms Trade Treaty at the United Nations, and the oddity of watching Republicans align themselves with the position adopted by Iran, North Korea, and Syria. Let’s also take a moment, though, to highlight the GOP’s reasons for doing so. For example, Rep. John Fleming (R-La.) appeared on a right-wing radio show yesterday, arguing that the treaty would “literally change” and “essentially repeal” the Second Amendment. This is patently ridiculous, but Fleming said it anyway.

Sen. Rand Paul (R-Ky.), whose affinity for conspiracy theories is bordering on unhealthy, wrote a fundraising letter on the treaty for the National Association for Gun Rights that was truly crazy, even for him.

“I don’t know about you, but watching anti-American globalists plot against our Constitution makes me sick. […]

If we’re to succeed, we must fight back now. That’s why I’m helping lead the fight to defeat the UN “Small Arms Treaty” in the United States Senate. And it’s why I need your help today.

Will you join me by taking a public stand against the UN “Small Arms Treaty” and sign the Official Firearms Sovereignty Survey right away? Ultimately, UN bureaucrats will stop at nothing to register, ban and CONFISCATE firearms owned by private citizens like YOU.

Paul’s letter added that the United Nations intends to “force” the United States to “CONFISCATE and DESTROY ALL ‘unauthorized’ civilian firearms,” while creating “an INTERNATIONAL gun registry, setting the stage for full-scale gun CONFISCATION,” which isn’t part of the Arms Trade Treaty and also isn’t sane.

But it does offer a reminder about why the politics of paranoia makes governing so difficult.

Reflecting on the hysterical opposition to the ATT, Greg Sargent raised an important point yesterday.

Republican Senators (and too many red state Dems) have fallen into line behind the NRA’s lurid claims not just about the treaty, but also about gun control, endorsing its paranoid and false claim that expanding background checks would create a national gun registry. With United States Senators eagerly feeding such fringe views rather than engaging in genuine policy debate, is it any wonder that it’s a major struggle to implement even the most modest and sensible effort to limit the ongoing murder of innocents, one that is supported by nine in 10 Americans?

I strongly agree, and the more I thought about it, the more I started noticing how broadly applicable this is.

We couldn’t pass a disability treaty because Republicans believed conspiracy theories. We can’t address global warming because Republicans believe the entirety of climate science is a giant conspiracy. We couldn’t pass bipartisan health care reform in part because Republicans were too heavily invested in the “death panel” conspiracy theory.

This problem, in other words, keeps coming up, and probably won’t get any better until the electorate sends fewer conspiracy theorists to Washington.

 

By: Steve Benen, The Madow Blog, April 4, 2013

April 6, 2013 Posted by | Conspiracy Theories, GOP | , , , , , , , | Leave a comment

“Remembering The Affair To Remember”: In New Bipartisan Spirit, Have Members Of Congress Tell Each Other About Their Affairs

It’s kind of nice to have Mark Sanford back.

Perhaps not if you’re from South Carolina. It is my strong impression that many South Carolinians are tired of their former governor, who so famously snuck off to Argentina for some extramarital recreation while his aides claimed he was camping on a national hiking path. A resident of Columbia, the state capital, told me that he had been in Peru, on a train to the legendary ruins of Machu Picchu, when a local resident asked him where he hailed from.

At the mention of the words “South Carolina,” the Peruvian nodded happily. “Appalachian Trail!” he cried.

After skulking around in political exile for several years, Sanford staged a sort of a comeback on Tuesday, winning the Republican nomination for his old House seat. It was a triumph of sorts, although one that only required defeating a former county legislator who did not live in the district, in a race that attracted the excited participation of about 10 percent of eligible citizens.

At his victory party, Sanford said the campaign had been “an amazing journey.” Since the great disaster of 2009, Sanford has taken to mentioning “this journey called life” rather frequently. Perhaps, in a perfect world, a guy who got in trouble for jetting off to assignations on the taxpayers’ dime would not focus quite so much on travel metaphors.

Sanford will now run against Democrat Elizabeth Colbert Busch, a local businesswoman and sister of the comedian Stephen Colbert. She seems to be planning a deeply noncomedic campaign. But, still, hosting this race would be way more fun than being in Texas, wondering whether Rick Perry is going to run for a fourth — or is it fifth? — term.

Or in Tennessee, where lawmakers have just introduced bills to eliminate U.S. Senate primaries and let the state legislators pick the nominees. These new decision-makers would presumably include the members who recently expressed concern that the mop sink in a newly renovated Capitol men’s lavatory might actually be a special foot-washing facility for Muslims.

Or New York City, where a Democratic state senator has just been indicted on a charge of trying to bribe his way into the Republican nomination for mayor. Through the alleged services of a Republican city councilman, who has represented himself as a member of both the Tea Party and a tribe of Theodish pagans, making him what The Village Voice called “the first openly elected heathen in the nation.”

O.K., the heathen part was pretty good. However, dwelling on this story will only cause New Yorkers to revisit the fact that three of the last four full-time majority leaders of the New York State Senate have wound up under felony indictment.

I’d rather keep track of Mark Sanford’s evolution. So far, his spin strategy has been all about empathy and forgiveness. (“It’s only really in our brokenness that we really begin to understand each other.”) By the end of the primary, you had the impression that the key to a new bipartisan spirit in Washington would be having all the members of Congress tell each other about their affairs.

“There are too many people in politics who think that they know it all. And I think that they project this whole image of perfection,” he told Jake Tapper on CNN.

Not a problem here.

Since we last had Sanford to kick around, he’s been divorced and gotten engaged to the Argentinian squeeze. He virtually never mentions her and she barely got a shout-out on primary victory night. (“She completely surprised me,” claimed Sanford, who told Tapper that he just turned the corner on his way into the ballroom and there she was.)

His ex-wife, Jenny, has written a book about her marriage, and now South Carolinians know that Sanford is not just fiscally conservative; he’s also so personally cheap that he once gave his spouse a $25 used bicycle as a combined birthday-Christmas present. Also, there’s the revelation that he excused some of his mysterious absences from home by saying he needed to go off and relieve the stress he felt due to thinning hair.

Sanford has always had a terrible case of chronic self-absorption. Now that he’s talking about his feelings so much, it’s turned into a creepy New Age egomania. It began with his post-Appalachian-Trail press conference, when he rambled on and on about his love life as if the assembled reporters were best pals who’d invited him out for a drink. (“It was interesting how this thing has gone down. …”) More recently, according to New York magazine, he went to visit Jenny, who used to run his campaigns, and asked his still deeply estranged ex-spouse if she’d do another. “I could pay you this time,” he added empathetically.

Her refusal was probably a surprise. Like the victory night fiancée.

 

By: Gail Collins, Op-Ed Columnist, The New York Times, April 3, 2013

April 5, 2013 Posted by | Congress | , , , , , , , , | Leave a comment

“Punishment And Humiliation”: Why Is North Dakota Torturing Women?

According to a recent United Nations report, North Dakota is torturing women. Seriously. Juan Méndez, the United Nation’s special rapporteur on torture, has included lack of access to abortion in his yearly report on torture and other cruel, inhuman or degrading treatment or punishment. Considering North Dakota’s new law which bans abortion after six weeks, it stands to reason that the state is torturing its female citizens.

I’m not trying to be trite—I do believe, as Méndez does, that forcing women to carry pregnancies they don’t want is cruel:

International and regional human rights bodies have begun to recognize that abuse and mistreatment of women seeking reproductive health services can cause tremendous and lasting physical and emotional suffering, inflicted on the basis of gender. Examples of such violations include abusive treatment and humiliation in institutional settings; involuntary sterilization; denial of legally available health services such as abortion and post-abortion care.

But if you believe abortion is a “convenience,” rather than a human right, saying as much is controversial. To the American anti-choice movement, it’s even laughable.

But how else would you describe laws that are meant to punish women for being sexually active? Sure, anti-choice legislation and activism prides itself on showy pro-woman rhetoric. Women’s Right To Know! Women Deserve Better Than Abortion! But at the end of the day, forced pregnancy is less about protecting women or “life” than it is about punishment and humiliation.

Rape exceptions are the clearest example. While I agree that forcing a woman to carry a pregnancy that is the result of rape is an even further assault on women’s bodily integrity, the foundation of a rape exception is that some women “deserve” abortions and some don’t. The underlying message is pretty clear—a woman who has been forced to have sex has done nothing wrong, a woman who had consensual sex has. (Bill Napoli’s now-infamous example of a “sodomized virgin” comes to mind.”)

Other restrictions and attempted limits on abortion access prove just as transparent. In 2007, for example, legislators in Ohio pushed a bill that would have mandated women get a written not from the father of the fetus before being able to obtain an abortion. If they didn’t know who the father was, they would not be allowed to access the procedure. This is about humiliating women and making the decision to have an abortion as difficult as possible.

A report from the Center for Reproductive Rights, Reproductive Rights Violations as Torture and Cruel, Inhuman, or Degrading Treatment or Punishment: A Critical Human Rights Analysis, points out that degrading treatment is defined as an act “aimed at humiliating the victim, regardless of whether severe pain was inflicted.” Anti-choice legislation seems to be written with that exact goal in mind.

Ultrasound laws—frequently called women’s “right to know” laws—are pushed under the guise of making sure women fully understand what they’re about to do. As if women are so stupid that they don’t realize what getting an abortion is. One Rhode Island doctor said a bill mandating ultrasounds before abortions “turned the ultrasound into a torture machine.” And for women whose wanted pregnancies are ending, these laws are beyond cruel. One woman in Texas who was forced to have three sonograms in one day and listen to a doctor describe her doomed fetus in detail called the experience a “superfluous layer of torment” and recalled sobbing throughout the procedure.

Can anyone really argue that Savita Halappanavar was not tortured in Ireland? Despite excruciating pain and the fact that her pregnancy was ending, Savita was denied an abortion because doctors wanted to wait for her fetus’s heartbeat to stop. She died in pain asking for help. It’s the same fate Republicans would have for American women—don’t forget the ironically named “Protect Life Act” that would have allowed hospitals to deny dying women life-saving abortions.

Americans are catching on. The majority of people in the U.S. consider themselves “pro-choice,” and though most support some sort of limits on access, many are wary of punitive legislation like ultrasound laws and laws that allow health care providers or pharmacists to deny procedures or medications. And the more people find out what these restrictions are really about—as they did with ultrasound mandates thanks to media and social media—the more likely, I believe, they’ll be to oppose them.

So perhaps there is progress being made. But the fight won’t end until all women—whether they’re in North Dakota, Ireland or anywhere else—can access abortion without shame, fear, humiliation or government interference. Anything else is cruel—and yes, torture.

 

By: Jessica Valenti, The Nation, April 3, 2013

April 5, 2013 Posted by | Abortion, Women's Health | , , , , , , , | Leave a comment