Health Care Hypocrisy: How Paul Ryan And House Republicans Are Contradicting Themselves Over Medicare
In the debate over the House Republicans’ budget plan championed by Representative Paul Ryan, it’s been remarkable to watch the contortions and contradictions in the GOP on the issue of health care. The cornerstone of the Republican critique of the Affordable Care Act over the past year or so has been that it would lead to rationing. While Republicans initially manufactured lies about this issue—anyone remember death panels?—they eventually focused on one provision in the bill that was focused on cutting costs: the Independent Payment Advisory Board (IPAB). As specified in the legislation, the IPAB is a 15-member board of medical experts who are appointed by the president, confirmed by the Senate, and tasked with cutting costs in the Medicare system, unless Congress acts to alter the proposal or discontinue automatic implementation. The legislation also specifies that a goal of such cost-cutting should be to actually improve access for beneficiaries. At a time when rising health care costs are a concern for families’ pocketbooks and the federal budget, the IPAB was a means to maintain public oversight of Medicare but insulate it from the normal politics of congressional decision-making, thus helping ensure that best medicine was the driver of cost reductions.
Republicans, however, viciously attacked the IPAB as being a bunch of unelected bureaucrats making decisions to cut costs at the expense of the quality of care seniors would receive. The rhetoric became quite heated: Congressman Phil Roe went so far as to call the IPAB the “real death panel.” Other Republicans, like Representative John Fleming, likened the IPAB to communism, saying, “It will take you back to the old Soviet Union, that’s the way they did things—with a central planning committee that set prices, targeted costs.”
Now, more than a year after health care reform passed, Paul Ryan, facing stiff opposition to his plan to end Medicare as we know it, has taken to attacking the IPAB as a way to rebut his critics. He’s arguing that, while his plan would keep Medicare the same for current beneficiaries, the IPAB “puts a board in charge of cutting costs in Medicare” that will “automatically put price controls in Medicare” and “diminish the quality of care seniors receive.” It’s this sort of dishonest vitriol that has led to 73 House Republicans, as well as some Democrats, to cosponsor legislation to eliminate the IPAB.
What’s fascinating about the posture of these cosponsors is that it runs into direct conflict to the vote the House took mere days ago on the overall Ryan budget, which passed thanks to broad Republican support. Indeed, the budget, which the co-sponsors voted for, changes Medicare into a voucher program in which seniors can only choose from among private insurance options, eliminating the public insurance that is currently at the heart of Medicare. In other words, rather than public officials, elected or unelected, making decisions as to what is covered in Medicare, the Republicans just voted to more or less privatize the program. So, , after all of their complaining about how the IPAB moved too far away from public accountability, they’ve just proposed eliminating all such accountability, insisting instead that private insurance companies know best.
Would Americans really feel better with insurance companies deciding whether they or their parents get the care they need? Probably not. The truth is that Republicans are not actually worried about accountability or giving Americans more health care options. They are not even worried about cutting costs: Medicare has a much lower cost per beneficiary than private health care now, so it makes no sense to privatize it in order to lower costs. What they are worried about is public health care; they can’t stand it—and are even willing to contradict themselves and hand people’s health over to unelected, private insurers to defeat it.
By: Neera Tanden, Chief Operating Officer, Center for American Progress, April 30, 2011
The “Serious Republican Candidate”: Mitch Daniels Suddenly Discovers Planned Parenthood Funding
About a month ago, Time’s Joe Klein noted his disgust with the Republican presidential field, lamenting the fact that the candidates are “a bunch of vile, desperate-to-please, shameless, embarrassing losers.” The whole lot looks like a “dim-witted freak show.”
But, Klein said, the field may not be set. The columnist pleaded with Indiana Gov. Mitch Daniels (R) to run. “I may not agree with you on most things, but I respect you,” Klein said. He added that Daniels seems to respect himself enough not to behave like a “public clown.” This is an extremely common sentiment. Daniels, the former Bush budget director who helped create today’s fiscal mess, is supposed to be The Serious Republican Candidate For Serious People. He has no use for culture wars — Daniels famously called for a “truce” on these hot-button social issues — and despite his humiliating record, the governor at least pretends to care about fiscal sanity, earning unrestrained praise from the likes of David Brooks.
Perhaps now would be a good time for the political establishment to reevaluate their opinion of Mitch Daniels.
Gov. Mitch Daniels of Indiana said Friday that he would sign a bill cutting off Medicaid financing for Planned Parenthood, a move that lawmakers in several states have begun pondering as a new approach in the battle over abortion. Indiana becomes the first state to go forward.
Abortion rights supporters condemned the decision, saying it would leave 22,000 poor residents of Indiana, who use Planned Parenthood’s 28 health facilities in the state, with nowhere to go for a range of women’s services, from breast cancer screening to birth control.
Daniels, who apparently no longer has any use for his own rhetoric about a culture-war “truce,” said his decision was dictated by the fact that Planned Parenthood provides abortion services, adding that the health organization can resume its state funding by refusing to help women terminate their unwanted pregnancies.
That only 3% of Planned Parenthood’s operations deal with abortions, and that public funding of abortions is already legally prohibited, apparently didn’t matter.
What’s especially striking about this is how cruel and unnecessary it is. Daniels has been governor of Indiana for more than six years, and he’s never had a problem with Planned Parenthood funding. He was Bush’s budget director for more than two years, and he never had a problem with Planned Parenthood funding.
But now that he’s thinking about running for president, and has hysterical right-wing activists to impress, now Mitch Daniels has suddenly discovered Planned Parenthood funding — which has enjoyed bipartisan support for decades — is no longer acceptable to him.
It’s not as if Planned Parenthood, its mission, or its menu of health services has changed. The only thing that’s changed is the radicalism of new Republican Party and those who hope to lead it. The real-world effect of Daniels’ cruelty is unmistakable: fewer working-class families will have access to contraception, family planning services, pap smears, cancer screenings, and tests for sexually-transmitted diseases. Indiana has 28 Planned Parenthood centers in the state, and most of its patients live in poverty.
Also note that this was as clear a test of Daniels’ purported principles as we’ve seen to date — he had to choose between fiscal considerations (millions of dollars in federal health care funding) and culture-war considerations (cutting off a public health organization to satisfy rabid conservatives). As of late yesterday — Daniels made the announcement late on a Friday afternoon, probably out of embarrassment — the governor prioritized the latter over the former. To prove his right-wing bona fides, Daniels decided to put politics ahead of women’s health.
Ironically, the Republican who claims to oppose abortions is going to make it more likely more women will have unwanted pregnancies.
It’s indefensible. Daniels should be ashamed of himself and the pundits who praised Daniels’ “seriousness” should feel awfully foolish right about now.
By: Steve Benen, Political Animal, Washington Monthly, April 30, 2011
The Other: Most Americans Don’t Come From Mayflower Stock
To watch Mitt Romney these days, he of the creased blue jeans and family that looks like it came from a Betty Crocker mold, circa 1957, it’s hard to see a product of one of the most radical social and sexual experiments in American history.
But it’s true. White-bread Mitt is the great-grandson of a man who married five women. At the turn of the last century, Miles Romney was sent to Mexico by the bearded patriarchs of the Mormon Church, there to start a colony for those who thought it was divine right to have as many wives as they wanted. Romney’s father, George, was born in Mexico, a descendant of outlaws with harems.
I started thinking about the extraordinary family past of the possible Republican presidential nominee after reading part of Janny Scott’s fascinating new book, “A Singular Woman: The Untold Story of Barack Obama’s Mother.”
Scott, a former Times colleague, tells a story of family dislocation and fierce maternal independence. In Hawaii and Indonesia, young Barry Obama stood out like a redwood on the prairie, and was taunted for his skin color. The father he never knew was from a Kenyan goat-herding family, and the stepfather he barely knew was an Indonesian whose main passion was tennis. Obama was raised mostly by white grandparents from Kansas, and a free-spirited mother with a passion for education.
It’s a miracle of sorts, given the drift a boy with that background must have felt, that Obama’s own family with Michelle now seems so grounded — and normal. It’s also startling that Romney, whose ancestry includes six polygamous men with 41 wives, is now considered an icon for traditional family values. Mitt’s great-grandmother, Hannah Hood, wrote how she used to “walk the floor and shed tears of sorrow” over her husband’s many wives.
The background of both men is telling, in one sense: how success can emerge from the blender of American ethnicity and lifestyle experimentation. But it takes a generation, or more, for many people to get used to the novelty, as the long, despicable sideshow over Obama’s birth certificate demonstrates.
This shameful episode has little to do with reality and everything to do with the strangeness of Obama’s background — especially his race. Many Republicans refuse to accept that Obama could come from such an exotic stew and still be “American.” They have to delegitimize him. So, even though the certificate of live birth first made public in 2008 is a legal document that any court would have to recognize, they demanded more.
No American president has ever been so humiliated, and those who think it has nothing to do with race are deluding themselves. Donald Trump owes Obama an apology for doing more to stoke these coded fears about the president’s origins than anyone. But don’t hold your breath: a man without class or shame will not soon grow a conscience. The only consolation is that Trump’s disapproval ratings have skyrocketed since he decided to lead the liars’ caravan.
Had Romney been running for president 100 years ago he would be facing a similar campaign, albeit one led by Mormon-haters and the Trumps of his day. Remember, the United States nearly went to war with the theocracy in Utah Territory; at a time when polygamy was equated with slavery, President Buchanan dispatched the Army against defiant Mormon leaders. The religion’s founder, Joseph Smith, had as many as 48 wives, among them a 14-year-old girl.
The church renounced polygamy in 1890, as a condition of statehood for Utah. But the past was not easily expunged. When Utah sent Reed Smoot to the Senate in 1903, Congress refused to seat him. Smoot was an Apostle in the Mormon Church, and as such a suspected polygamist — though there was no evidence of multiple wives. After a four-year trial, and more than a thousand witnesses who were asked about every bit of Reed’s background and that of his church, he was allowed to take his place in the Senate. This was thanks in large part to the backing of the nation’s first progressive president, Teddy Roosevelt.
Today, six members of the Senate — counting the appointment of Dean Heller from Nevada this week — and two potential presidential candidates come from a church once described as a devil’s cult by mainstream Christians. If Romney wins next year, and Democrats retain the Senate, Mormons would hold not just the presidency but the Senate Majority post, in Harry Reid from Nevada. Their religion is not an issue, except with the same intolerant crowd who have followed Trump into the gutter.
Janny Scott’s book reminds us that most Americans don’t come from Mayflower stock. When I started mucking around in my own Irish ancestry, I found some border-crossers in Michigan’s Upper Peninsula, not unlike Romney’s people in Mexico. It looks like bootlegging, rather than extra wives, may have been at stake, but I can’t be sure.
At least one president, John F. Kennedy, came from bootlegging Irish heritage. It was always a side issue, the mist of his father’s past, though nobody ever forced Jack Kennedy to prove he wasn’t a criminal. He looked like most Americans, and that was enough.
By: Timothy Egan, The New York Times Opinion Pages, April 28, 2011
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