“Very Well-Insured Critics”: Serving The Smug, Shortsighted, Dopes And Demagogues, Obamacare Will Be There Even For Its Enemies
Obamacare’s enemies are right about the disastrous Web site launch and the president’s misleading mantra about “keeping your plan.” I’m furious at the White House myself for having botched these technical and messaging challenges — issues that anyone could have seen coming three years ago and whose amateur handling has given needless ammunition to the foes of expanded health coverage.
But for those of us who think the health security the Affordable Care Act provides marks a fundamental advance in America’s social contract, these White House failures don’t come close to the vices of Obamacare’s adversaries. Let’s just say it: To judge by their behavior, the Affordable Care Act’s enemies couldn’t care less about helping millions of low-income workers achieve health security, and every time they open their mouths, it shows.
When conservatives rant about the latest mess-ups attending the rollout, they never add the obvious empathetic refrain. It would be simple, really. They’d just need to preface or append to their daily attack a line like this: “Of course we all agree we need to find ways to get poor workers secure health coverage that protects their family from ruin in the event of serious illness.”
That’s all it would take. But they don’t say that. None of them. At least none that I can hear. A single omission might seem an oversight. A few might be a sign of distraction. But when day after day you wait in vain to hear such empathy amid the torrent of anti-Obamacare venom being spewed, you realize something bigger psychologically is at work.
Obamacare foes are more than just angry with the “lying” and the bungling they disdain. They are Very Well-Insured People. We all know about “VIPs.” Well, these are VWIPs. Or at least, a certain conservative species of VWIP.
For many on the right, being a VWIP seems to bring with it a certain blindness. They see the Web site comedy of errors and cry (rightly) “incompetence!” They see some people who have to change their health plan and cry (with some fairness) “liar!”
But that’s all they see. What they don’t see is nearly 50 million uninsured Americans, 20 million or so of whom stand to have relatively desperate lives made immeasurably more secure thanks to this law. These Americans will finally know what it’s like to go to bed at night certain that they can’t be wiped out financially by illness — and that free or affordable preventive care may help their loved ones uncover disease while there’s a chance for a cure.
Obamacare’s well-insured critics don’t see these Americans at all. And they seem unable to imagine what it would feel like to be one of them.
I want to be careful here. I know this isn’t the outlook of every Republican or conservative. John Kasich’s Medicaid expansion makes him the most prominent exception (though even Kasich can’t see the benefit for many Ohioans of Obamacare’s big private insurance expansion). Meanwhile, in yet another case in which your zip code seals your fate in the United States, millions of citizens who could have had Medicaid coverage will remain vulnerable, abandoned by well-insured GOP governors who think their job involves tending to well-insured GOP voters.
Poor uninsured workers didn’t make U.S. health care the costliest, most inefficient system on the planet. But these workers are the ones who suffer most under it. And VWIPs on the right don’t care.
New rule (as Bill Maher would say): Politicians and pundits who bash Obamacare should have displayed under their talking head or byline the source of their own coverage. Let’s caption Ted Cruz in flashing neon that reads, “Enjoys Gold-Plated Health Coverage from Goldman Sachs Spousal Plan.” Let’s have the subtitles for John Boehner and Eric Cantor read, “Has Never Worried About Going Broke From Illness A Day in His Life Thanks To Federal Government Insurance.”
And let Obamacare supporters begin their response to absurd claims that “Obamacare is the enemy” with this simple line: “Spoken like a Very Well-Insured Person.” (I’ve tried this on radio and TV — not only is it accurate, but it feels great to say so, too.)
My wife and I discovered we were uninsurable in the individual market in 2003. It was scary. And we’re the lucky ones — bona fide members of the Lower Upper Class with the wherewithal to maneuver to protect our family (and with access to the New York Times Magazine to write about the experience).
Obama said, “If you like your plan, you can keep it.”
The Very Well-Insured Obamacare critic effectively says to the uninsured, “If you enjoy being vulnerable to financial ruin or death from serious illness, under our plan you can keep that, too.”
Both of these positions are wrong.
But which, at the end of the day, seems more like a hanging offense?
The irony is that Obamacare’s protections will be there even for its enemies if, God forbid, they (or someone they love) find themselves sick, unattached to a large employer and looking for coverage in the individual market. I suppose that’s the beauty of the rule of law — it serves the smug and the shortsighted, the dopes and the demagogues along with the rest of us. Might be a more just world if it didn’t now and then, but them’s the breaks.
By: Matt Miller, Opinion Writer, The Washington Post, November 6, 2013
“What If We Just Called It NixonCare?”: Republicans Have No Business Being Upset About Obamacare
House Majority Leader Eric Cantor says Republicans will seek to delay a requirement of the 2010 Affordable Care Act that all Americans obtain health insurance or face a tax penalty. “With so many unanswered questions and the problems arising around this rollout, it doesn’t make any sense to impose this one percent mandate tax on the American people,” Cantor said last week.
While Republicans plot new ways to sabotage the Affordable Care Act, it’s easy to forget that for years they’ve been arguing that any comprehensive health insurance system be designed exactly like the one that officially began October 1st, glitches and all.
For as many years Democrats tried to graft healthcare onto Social Security and Medicare and pay for it through the payroll tax. But Republicans countered that any system must be based on private insurance and paid for with a combination of subsidies for low-income purchasers and a requirement that the younger and healthier sign up.
Not surprisingly, private health insurers cheered on the Republicans while doing whatever they could to block Democrats from creating a public insurance system.
In February 1974, Republican President Richard Nixon proposed, in essence, today’s Affordable Care Act. Under Nixon’s plan all but the smallest employers would provide insurance to their workers or pay a penalty, an expanded Medicaid-type program would insure the poor and subsidies would be provided to low-income individuals and small employers. Sound familiar?
Private insurers were delighted with the Nixon plan but Democrats preferred a system based on Social Security and Medicare and the two sides failed to agree.
Thirty years later a Republican governor, Mitt Romney, made Nixon’s plan the law in Massachusetts. Private insurers couldn’t have been happier although many Democrats in the state had hoped for a public system.
When today’s Republicans rage against the individual mandate in the Affordable Care Act, it’s useful to recall this was their idea as well.
In 1989, Stuart M. Butler of the conservative Heritage Foundation came up with a plan that would “mandate all households to obtain adequate insurance.”
Insurance companies loved Butler’s plan so much it found its way into several bills introduced by Republican lawmakers in 1993. Among the supporters were Senators Orrin Hatch (R-UT) and Charles Grassley (R-IA). Both now oppose the mandate under the Affordable Care Act. Newt Gingrich, who became Speaker of the House in 1995, was also a big proponent.
Romney’s heathcare plan in Massachusetts included the same mandate to purchase private insurance. “We got the idea of an individual mandate from [Newt Gingrich] and [Newt] got it from the Heritage Foundation,” said Romney, who thought the mandate “essential for bringing the health care costs down for everyone and getting everyone the health insurance they need.”
Now that the essential Republican plan for healthcare is being implemented nationally, health insurance companies are jubilant.
Last week, after the giant insurer Wellpoint raised its earnings estimates, CEO Joseph Swedish pointed to “the long-term membership growth opportunity through exchanges.” Other major health plans are equally bullish. “The emergence of public exchanges, private exchanges, Medicaid expansions … have the potential to create new opportunities for us to grow and serve in new ways,” UnitedHealth Group CEO Stephen J. Hemsley effused.
So why are today’s Republicans so upset with an Act they designed and their patrons adore? Because it’s the signature achievement of the Obama administration.
There’s a deep irony to all this. Had Democrats stuck to the original Democratic vision and built comprehensive health insurance on Social Security and Medicare, it would have been cheaper, simpler and more widely accepted by the public. And Republicans would be hollering anyway.
By: Robert Reich, The Robert Reich Blog, October 29, 2013
“The Republicans’ Food Stamp Fraud”: Telling Poor Children The Fourth Box Of Macaroni And Cheese Is Excessive Is Indecent
What’s the single worst thing the Obama-era Republicans have done? Tough one, I know.
But spare me a moment here—plus a thousand words down the page—and I think maybe you’ll agree with me that the single worst thing the Obama-era Republicans have done is try to push through a $40 billion cut to the food-stamps program. It’s just unspeakably cruel. They usually say publicly that it’s about saving money. But sometimes someone—one congressman in particular—lets slip the real reason: They want to punish poor people. The farm bill, which includes the food-stamp program, goes to conference committee next week. That’s where, the cliché has it, the two sides are supposed to “iron out their differences.” The only thing the Democrats on this committee should do with an iron is run it across the Republicans’ scowling faces.
The basic facts on the program. Its size fluctuates with the economy—when more people are working, the number of those on food stamps goes down. This, of course, isn’t one of those times. So right now the SNAP program, as it’s called, is serving nearly 48 million people in 23 million households. The average monthly individual benefit is $133, or about $4.50 a day. In 2011, 45 percent of recipients were children. Forty-one percent live in households where at least one person works. More than 900,000 are veterans. Large numbers are elderly or disabled or both.
It’s costing about $80 billion a year. Senate Democrats proposed a cut to the program. A small cut, but a cut all the same: $4 billion over 10 years. The Republicans in the House sought a cut of $20.5 billion over 10 years. But then the farm bill failed to pass. Remember that? When John Boehner didn’t have enough votes to pass his own bill? After that debacle, the House took the farm bill and split it into two parts—the subsidies for the large growers of rice and cotton and so forth, and the food-stamp program. Two separate bills. And this time, Eric Cantor doubled the cut: $40 billion over 10 years. This number, if it became law, would boot 3.8 million people—presumably, nearly half of them children—off the program in 2014, according to the Congressional Budget Office.
These would come on top of cuts to the program that kick in Nov. 1. The 2009 stimulus bill included extra food-stamp money because unemployment was so high after the financial meltdown that legislators knew more people would be applying for SNAP assistance. So there was a “stimulus bump” in food-stamp spending, but that is now ending. A family of four would see a $46 cut each month.
The proposed GOP cut is such a piddling amount of money, in terms of the whole federal budget and especially when spread out over 10 years. But nearly half of it is quite literally taking food out of the mouths of children. What’s the point? The point really is that Tea Party Republicans think these people don’t deserve the help. That’s some fascinating logic. The economy melts down because of something a bunch of crooked bankers do. The people at the bottom quarter of the economy, who’ve been getting jobbed for 30 years anyway and who always suffer the most in a downturn, start getting laid off in huge numbers. They have children to feed. Probably with no small amount of shame, they go in and sign up for food stamps.
And what do they get? Lectures about being lazy. You may have seen the now-infamous video of Tennessee Congressman Steve Fincher, who told a crowd over the summer that “the Bible says ‘If you don’t work, you don’t eat.’” This while Fincher, a cotton farmer, has enjoyed $3.5 million in federal farm subsidies. This year’s House bill ends “direct payments” to farmers whether they grow any crops or not—except for one kind: cotton farmers.
Religious bloggers have noted that Fincher got his theology wrong and that the relevant passage, from Paul’s Second Epistle to the Thessalonians, wasn’t remotely about punishing people too lazy to work. It was about punishing people who’d stopped working because they thought Jesus was returning any day now. So: mean bastard, hypocrite, and Scripture-mangling idiot to boot. Nice trifecta.
The other argument one sometimes hears concerns the dreadful curse of food-stamp fraud. The actual rate of food-stamp fraud—people selling their coupons for cash—is 1.3 percent, but this of course doesn’t prevent the right from finding a couple of garish anecdotes and making it seem as if they’re the norm. Voter fraud, Medicaid fraud, food-stamp fraud…Somehow, in Republican America, only poor people and blacks commit fraud.
This cut is the fraud, because it’s not really about fraud or austerity. It’s entirely about punishing the alleged 47 percent. The bottom half or third of the alleged 47 percent. It’s absolutely appalling. These folks have done a lot of miserable things in the past four years. But this—the morality of this is so repulsively backward, the indecency so operatically and ostentatiously broadcast, I think it takes the gold going away.
The conference process starts next Wednesday and is going to take maybe a few months. Michigan Senator Debbie Stabenow has taken the lead on this issue and has been terrific. Ditto Pat Leahy. Max Baucus, I’m told, is a good get to go a little wobbly (surprise). But this is one where the Democrats have to say this won’t stand. It’s one thing to shut down the government for two weeks and take quixotic stabs at Obamacare. Telling poor children that that fourth box of macaroni and cheese is excessive is something very different.
By: Michael Tomasky, The Daily Beast, October 26, 2013
“What Lesson Was Learned?”: For Republicans, It’s About “The How” Rather Than “The What” And “The Why”
So if the end of the fiscal crisis represents, as Ross Douthat calls it, a “Teachable Moment” for the GOP, what would that lesson, exactly, be? It mostly appears to be about strategy and tactics, not goals or ideology (or “principles” as ideologues like to say in their endless efforts to ascribe dishonesty and gutlessness to dissidents).
Even for Douthat, who clearly wants the memory of the Tea Folk (or to use his term, “populist”) failure in this incident to be seared into the collective memory of Republicans, it’s mostly about the how rather than the what and the why:
The mentality that drove the shutdown — a toxic combination of tactical irrationality and the elevation of that irrationality into a True Conservative (TM) litmus test — may have less influence in next year’s Beltway negotiations than it did this time around, thanks to the way this has ended for the defunders after John Boehner gave them pretty much all the rope that they’d been asking for. But just turn on talk radio or browse RedState or look at Ted Cruz’s approval ratings with Tea Partiers and you’ll see how potent this mentality remains, how quickly it could resurface, and how easily Republican politics and American governance alike could be warped by it in the future.
So for undeluded conservatives of all persuasions, lessons must be learned. If the party’s populists want to shape and redefine and ultimately remake the party, they can’t pull this kind of stunt again.
The problem was “the stunt,” not the violent antipathy towards a pale version of universal health coverage or the conviction that the New Deal/Great Society legacy is fatal to America or the belief that nearly half the country is composed of satanic blood-suckers and baby-killers.
Eric Cantor stressed this distinction between strategy and tactics, on the one hand, and ideology on the other in his speech to yesterday’s doomed House Republican Conference:
“We all agree Obamacare is an abomination. We all agree taxes are too high. We all agree spending is too high. We all agree Washington is getting in the way of job growth. We all agree we have a real debt crisis that will cripple future generations. We all agree on these fundamental conservative principles. . . . We must not confuse tactics with principles. The differences between us are dwarfed by the differences we have with the Democratic party, and we can do more for the American people united,” he told them.
In fact, I’m beginning to get the sense that the more loudly a conservative denounces the tactics of the fiscal fight as idiotic, the more he or she can be counted on to insist on agreeing with the ideology that motivated the idiocy in the first place.
One of my favorite characterizations of the whole “defund Obamacare” crusade was by the conservative blogger Allahpundit:
If “defund” was more likely than repeal, it was more likely in the sense that an 85-yard field goal is more likely than a 90-yard one.
But don’t confuse that strategic argument with any broader sense that conservatives or Republicans should rethink their entire militant opposition to the Affordable Care Act. No, it just means recognizing that getting rid of this law–as opposed to obstructing it and making sure the number of people benefitting from it is as small as possible–must await the kind of victory in 2016 that eluded the party last year.
Don’t get me wrong here: there’s great value to the nation in convincing one of our two major political parties to respect the results of elections and eschew wildly disruptive legislative strategies and tactics. But even if that “lesson was learned,” and the jury’s still out on that proposition, it’s not the same as a serious reconsideration of today’s radical conservatism, which may well emerge from this incident as strong as ever.
By: Ed Kilgore, Contributing Writer, Washington Monthly Political Animal, October 17, 2013
“A Concerted Right Wing Effort”: We Are The Ones Who Shut The Government Down
There are still some dead-enders on the right, who go through the motions and pretend Democrats should be blamed for the government shutdown, but it’s awfully difficult to take them seriously. At times, it doesn’t even seem as if those repeating the talking points believe their own rhetoric.
A fair number of Republicans, meanwhile, are admitting what is plainly true. Take Rep. Peter King’s (R-N.Y.) comments on “Fox News Sunday.” Watch on YouTube
For those who can’t watch clips online, King said:
“I’ve been against this government shutdown form the start. Now, I disagree with [Georgia Republican Tom Graves], we are the ones who did shut the government down. Charles Krauthammer called it the “suicide caucus.” I mean, Wall Street Journal said they were “kamikazes.” You don’t take the dramatic step of shutting down the government unless you have a real strategy and has a chance of working. It’s never had a chance of working; we’re now almost pushing ‘Obamacare’ to the side and we’re talking about other issues, and people are still out of work and the government is still shut down.”
When prominent Republicans appear on Fox to say Republicans are responsible for the shutdown, it’s safe to say the “maybe we can pin this on Democrats” gambit has run its course.
It’s not just King, either. The American Bridge super PAC put together a collection of Republicans holding their own party responsible for this fiasco. It’s not an especially short list.
What’s more, new reports over the weekend brought into focus how the right shaped its shutdown strategy months ago, and then carefully stuck to the game plan.
Sheryl Gay Stolberg and Mike McIntire had this report on Saturday.
Shortly after President Obama started his second term, a loose-knit coalition of conservative activists led by former Attorney General Edwin Meese III gathered in the capital to plot strategy. Their push to repeal Mr. Obama’s health care law was going nowhere, and they desperately needed a new plan.
Out of that session, held one morning in a location the members insist on keeping secret, came a little-noticed “blueprint to defunding Obamacare,” signed by Mr. Meese and leaders of more than three dozen conservative groups.
It articulated a take-no-prisoners legislative strategy that had long percolated in conservative circles: that Republicans could derail the health care overhaul if conservative lawmakers were willing to push fellow Republicans — including their cautious leaders — into cutting off financing for the entire federal government.
The piece included a familiar cast of right-wing characters — Heritage Action, FreedomWorks, Club for Growth, et al — adding the billionaire Koch brothers “have been deeply involved with financing the overall effort.”
In other words, it’s time for the nonsense over who bears responsibility for this to end.
A month ago, House Speaker John Boehner (R-Ohio) wanted to pass a clean spending bill to the White House to avoid a shutdown. At the time, House Majority Leader Eric Cantor (R-Va.) pushed the argument — in writing — that a clean CR was a win for Republicans. When they’re being at least a little honest, some House Republicans are willing to admit that Senate Democrats already compromised when they accepted the lower spending levels far-right lawmakers demanded.
And given all of this, those who continue to suggest Democrats deserve the blame are clearly working from the assumption that you and other Americans are easily suckered into believing nonsense.
By: Steve Benen, The Maddow Blog, October 7, 2013
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