“A New Round Of Shame”: Michele Bachmann’s Confusion Bubbles Over
Dorsey Shaw noted late yesterday that Rep. Michele Bachmann (R-Minn.) has had a “horrible, no good, very bad week.” It’s true — even by Bachmann’s awful standards, the ignominious congresswoman has had it rough lately.
Her CPAC speech was ridiculous, and left in tatters by fact-checkers. Asked for an explanation, Bachmann literally fled from a reporter confronting her with her own words. Bill O’Reilly invited her on to get back on track, but when Bachmann refused, he turned on her.
This, however, was the moment that arguably mattered most.
“Let’s repeal this failure before it literally kills women, kills children, kills senior citizens,” Bachmann said on the House floor. “Let’s not do that. Let’s love people. Let’s care about people. Let’s repeal it now while we can.”
I’m sure this probably makes some sense to Bachmann, but for those of us living in reality, it’s just crazy.
She went on to say, “What [President Obama] demanded and insisted upon is that the government have 100 percent control over health care,” Bachmann said. “100 percent control? The American people lose control? What did they get? They get health care — health insurance, I should say — that is more expensive than anything they’ve ever paid for before. And they get less for it. Well what a deal, Mr. President, Mr. Speaker. What a deal.”
For anyone with a rudimentary understanding of the issue, this is complete gibberish. Under current law, government doesn’t have “100 percent control over health care,” but rather, private insurers have a key role providing coverage for tens of millions of people. What’s more, consumer costs are lower, not higher, and they have more expansive coverage, not less.
It’s almost as if Michele Bachmann, after having been caught saying ridiculously untrue things, has no qualms about making matters worse, bringing a new round of shame to her and her constituents.
Of course, she can at least take some comfort in the fact that the House Republican leadership kept her on the House Intelligence Committee, inexplicably giving this deeply strange and unhinged lawmaker access to the nation’s most sensitive, highly-classified secrets.
By: Steve Benen, The Maddow Blog, March 22, 2013
“Ideology Over Sound Policy”: Republican Governors No Longer A Force For Moderation
Republican governors, who actually have to govern, used to be a moderating force on the most extreme aspects of Republican ideology. No longer. In major areas such as health care, taxes, and jobless benefits, ideology is trumping sound policy judgment in many gubernatorial mansions and state legislatures.
Healthcare
Antipathy toward “Obamacare,” not reasoned analysis, seems to be why many governors have expressed hesitation, if not outright opposition, to the Medicaid expansions under the Affordable Care Act, even though the federal government would pick up almost all of the costs. A similar antipathy (and probably a hope before the Supreme Court decision and 2012 election that the law would go away) led many governors to pass on the chance to use the flexibility that the it afforded them to design their own health insurance exchanges—new competitive marketplaces in which individuals and small businesses can choose among an array of affordable, comprehensive health insurance plans that the Affordable Care Act requires.
I’ve previously explained why Medicaid expansion is a good deal for the states. But as the map below from the Center on Budget and Policy Priorities’ report on the healthcare law’s Medicaid expansions shows, many states remain undecided or are leaning against expansion:

The Center’s report on the state health insurance exchange implementation shows that 26 states, including most of the states leaning against Medicaid expansion, have declined to either operate a state-based exchange or partner with the Department of Health and Human Services in designing their exchange. Under the law, that means they default to a “Federally facilitated exchange” that HHS will establish.
Taxes
In another disturbing development, numerous states are considering—or have already enacted—sweeping tax and budget proposals that follow recommendations of the American Legislative Exchange Council, also known as ALEC. As this CBPP report explains, ALEC’s recommendations for deep tax cuts and limits on revenues and spending reflect extreme “supply side” and antitax arguments that mainstream economic research discredited long ago.
CBPP’s most recent assessment finds that at least five states (Kansas, Louisiana, Nebraska, and both North and South Carolina) are considering eliminating income taxes. At least 11 others (Idaho, Indiana, Missouri, Montana, New Mexico, North Dakota, Ohio, Oklahoma, Pennsylvania, Texas, and Wisconsin) are considering deep tax cuts. And at least three states (Arizona, Arkansas, and Kansas) are considering harsh revenue limits.
Unemployment Insurance
Unemployment Insurance is a joint federal-state program in which states have traditionally offered up to 26 weeks of benefits to qualified workers who lose their jobs through no fault of their own, and the federal government typically provides additional weeks of emergency unemployment compensation when national unemployment is high. In the current jobs slump, by far the worst since the 1930s, seven states have cut back on the maximum number of weeks of regular benefits they offer. Because the maximum number of weeks of federal emergency benefits is proportional to the maximum number of weeks of state benefits, that means jobless workers in those states have seen a significant reduction in support while they look for work in what remains a tough labor market.
Research shows that Unemployment Insurance is valuable not only to unemployed workers and their families but also for the additional spending that it injects into the economy. States that have cut back on it are hurting struggling families and their own economic recovery.
The North Carolina Trifecta
North Carolina is the poster child for these disturbing trends in state governments.
The Tar Heel State is one of the five considering eliminating its income tax. The new Republican governor supports legislation that would prevent the state from expanding Medicaid or establishing a health insurance exchange. And, in July, the state will become the eighth to have reduced the maximum number of weeks of Unemployment Insurance it offers. Moreover, North Carolina also cut the maximum level of benefits which, under the “maintenance of effort” requirement for receiving emergency federal benefits, requires the federal government to cut off all emergency Unemployment Insurance to North Carolina.
Republican governors used to fight for Medicaid and Unemployment Insurance because they recognized how much their states benefited. Now, many are leading the effort to cut valuable programs in order to finance tax cuts for high-income households and businesses, while letting the chips fall where they may for those of more modest means.
By: Chad Stone, U. S. News and World Report, February 22, 2013
“Another Right Wing Freakout”: Sorry Rush, Gun Violence Is A Health Care Issue
How illogical has the right-wing media ‘debate’ about gun control become this week in the wake of President Obama moving forward on a host of violence prevention measures?
So illogical that conservative media voices expressed outrage, while spreading constant misinformation, about the role doctors might play in addressing gun violence in America. The right-wing Noise Machine cranked up the indignation because the Obama administration wants to make sure health care professional are allowed to communicate with their patients about guns and gun safety.
In other words, the right-wing Noise Machine is furious that the White House is treating gun violence, in part, as a health care issue when it so transparently is one.
Fact: The United States’ life expectancy rate is far lower than most other affluent countries, in part because of our rate of gun violence far outpaces those other countries.
Meanwhile, taxpayers here spend billions each year paying health care costs to treat gunshot victims, the strong majority of whom, research indicates, are uninsured. Taxpayers spend even more money covering societal costs, such as long-term psychological problems, disability, and the loss of productivity suffered by approximately 70,000 Americans who suffer non-fatal gun shot wounds annually.
Following the school gun massacre in Newtown, Conn. last month, Bloomberg News reported:
The cost of U.S. gun violence in work lost, medical care, insurance, criminal-justice expenses and pain and suffering amounted to as much as $174 billion in 2010, according to data compiled by the Pacific Institute for Research and Evaluation in Calverton, Maryland.
That averages out to more than $644 in costs for every gun owned in America. As economist Ted Miller, the Institute’s principal research scientist, told Bloomberg, “Gun ownership is like smoking, an expensive and dangerous habit.”
So yes, gun violence is America represents an epic and costly health care problem, which is why it makes sense to include health care providers in any comprehensive attempt to combat the crisis. (On Wednesday, the White House announced the administration would “issue guidance clarifying that the Affordable Care Act does not ban doctors from asking patients “about firearms in their patients’ homes and safe storage of those firearms.”)
As the Firearm & Injury Center at the University of Pennsylvania has concluded, “Healthcare providers have a vital role in preventing intentional and unintentional firearm injuries and their impact on patients, families and communities.” And that’s why the group Doctors for America applauded Obama’s gun violence imitative this week.
Meanwhile, the far-right allegation that Obama now requires physicians to press patients about gun use represents a complete fabrication. So was Rush Limbaugh’s claim that Obama’s trying to turn doctors into “snitches,” and Lou Dobbs’ fearmongering about the president turning doctors into “an agent of the federal government.”
The right-wing freak-out is built around the fake premise of, how dare Obama recruit doctors to fight his war on gun violence. (Drudge Report headline: “War on Crazy: Obama Deputizes Doctors”) That may be a conservative attempt to keep the gun debate focused on the issue of gun rights and the Second Amendment and away from the catastrophic, real-life costs that gun violence registers each year.
However, the right-wing media’s baseless assertion ignores the obvious fact that the health care industry in this country — doctors, hospitals, emergency rooms, mental health centers -remains inundated with gunshot wounds daily and deals with the life-changing crisis all the time. (Nearly 300 people are shot everyday in America.) Doctors don’t have to go snooping around acting as “snitches” in order to find the problem.
And the financial costs of those gunshots wounds is rising; improved trauma care means hospitals now save more gunshot victims, which in turn adds to larger, long-term health care and rehabilitation costs.
A 2005 study of hospital charges for firearm injuries in Pennsylvania found that the average charge for inpatient hospitalization due to firearm injuries was $30,814. That figure was more than double what gunshot injuries cost hospitals between 1996-1998.
An in-depth investigation on gunshot violence by the Milwaukee Journal in 2006 reported that the average bill for a shooting patient treated at the city’s Froedtert Hospital was $38,000. For gunshot victims who suffered spinal damage, the bill regularly reached six figures.
Truth is, any attempt to reduce gun violence in America must include a health care strategy, no matter how much whining Fox News and Rush Limbaugh do about it.
By: Eric Boehlert, The Huffington Post, January 18, 2013
“Tea Party Absolutism”: The High Cost Of Hating Government Levies An Enormous Unnecessary Cost On Everyone Else
The tourniquet applied by the outgoing Congress to the economy allows a two-month breather before we are consumed by the next deadline. The president and his party can allow themselves a brief moment of celebration for imposing higher taxes on the richest Americans, but the next stage in fixing the nation’s fiscal problems may not be as easy. By the end of February, lawmakers must find enough cuts in public spending to allow the debt ceiling to be raised. Two more months of uncertainty will prevent businesses and consumers from making spending decisions that would bolster the economic recovery.
The devil is not so much in the detail of the arguments to come as the big picture that frames the debilitating running debate. While the difference between the sides is ostensibly over taxes and public spending and borrowing, the more profound division is over where government should begin and end. For many of the Republican Party’s Tea Party insurgents, the choice is even more fundamental: whether there should be a government at all. Their unbending position, demanding an ever-diminishing role for the federal government, has levied an enormous unnecessary cost on everyone else.
Since Republicans regained control of the House in the 2010 mid-terms, when the Tea Party tide was in full force, they have attempted to freeze the size of government, coincidentally putting a brake on economic recovery. They have vetoed attempts at further economic stimulus, encouraged America’s economy to be downgraded by the ratings agencies by threatening not to extend the debt ceiling, and tried to veto any and every tax increase in the fiscal cliff talks. Their aim is to shrink government by starving it of funds. Such uncompromising absolutism has led to the dampening of business confidence and investment that would have created jobs.
It is not just the economy that has suffered from the absolute positions held by the anti-government rump in the GOP. Their insistence that the Founding Fathers intended us to be allowed to carry guns of any sort, including the rapid-fire assault weapon that killed 20 children and six adults in Newtown, Connecticut, last month, continues to hamper attempts to curb the nation’s murderous gun violence. Ghosts from the eighteenth century are preying on our school-children, abetted by those who believe that compromise on amending our gun laws is surrendering to the forces of big government. Such unbending absolutism costs human lives.
Similarly, suspicion of government is behind the growth in home schooling, that narrows the education of children, deprives them of a sense of community, and diminishes their social skills. It came as little surprise to read reports that the Newtown shooter was kept home from school by his mother, a “survivalist” or “Doomsday Prepper”, who stockpiled food and guns because she expected an imminent economic apocalypse. Such paranoia about the role of government is a recurring theme in our society’s most appalling massacres, from the bombing of the Federal Government Building in Oklahoma City in 1995 by the anti-government militiaman Timothy McVeigh, who killed 168, including 19 children, to the FBI siege of the anti-government Branch Davidian sect in Waco, Texas, in 1993, that left 76 dead.
Hostility to government also ensures that health care is unnecessarily expensive. The average cost of American health care is $8,233 per person per year, the most expensive in the developed world. In comparable Western countries such as France, which has a private health insurance mandate administered by the state, it is $3,974. In Britain, which for 65 years has enjoyed a taxation-funded national health system, it is $3,433. As much as Americans may prefer to believe that they have a health care system second to none, there is little discernible difference between the quality of health care provided, nor the efficacy of the medicine administered in the three countries, while dealing with the health insurance bureaucracy here is considerably more time-wasting, expensive, and irritating.
Changes in demography, with Americans living longer and using more medical resources to enjoy a tolerable quality of life, mean that health care costs will continue to rise unless reforms are made. The easiest way to reduce American health care costs would be for the federal government to provide a “single payer” alternative to compete with the near-monopolistic private health insurance companies. But such a system is considered an abomination by absolutists who demand that the federal government should keep out of healthcare. The harsh alternative is to cut the amount of care the system provides to the elderly. Again, an unbending attitude to the government’s role and responsibilities comes at an exorbitant cost.
Conservative theologians have devoted themselves to explaining why government interference is a bad thing. For Milton Friedman, the American system of government was so monetized from the moment the Republic was founded, and so open to corruption, that he always advocated small government – at least in the United States. For the Austrian thinker Friedrich Hayek, writing in his influential masterwork The Road to Serfdom, a burgeoning state could lead to tyranny. To be fair to Hayek, who wrote his topical tract as World War II was drawing to a close, he was principally concerned that free enterprise might continue to be stifled by the imperatives of the wartime command economy once peace was declared. In The Road to Serfdom, in a passage often ignored by contemporary conservatives, he insisted that all governments should provide a generous safety net for the needy, homes for the homeless, and universal health care.
Tea Party members owe less to conservative thinkers such as Friedman and Hayek than to uncompromising proponents of the untrammelled free market such as the libertarians Ayn Rand and Ron Paul. When the new Congress comes to head off another fiscal cliff crisis at the end of next month, it will take courage from the Republican leadership to keep their extreme wing in check. If they fail to do so and they demand too deep cuts to public spending too quickly, they will not only cause the American economy to return to recession but may find that the middle ground voters who decide elections will add together the vast cost of their allies’ absolutist intransigence and keep them in opposition forever.
By: Nicholas Wapshott, The National Memo (originally appeared at Reuters.com), January 7, 2013
“Please Proceed”: The Top Two Words Of 2012 That Describe Republicans Walk Down The Road To Oblivion
So many end of the year lists are cluttered with five, seven or even ten things. Not this one. What we have here is two words, delivered in a single phrase, that didn’t just define the fall election, but reflect the broad political situation going into 2013. Those words?
Please proceed.
These two words, delivered by President Obama at the second presidential debate, have already drawn praise from Markos as his favorite moment of the election season, but they apply far beyond Mitt Romney’s debate stumble.
In saying these words, President Obama invited the Republican nominee to carry on indulging in the right-wing, echo chamber fantasy. Romney’s confidence that the president could not have used the term terrorists in association with the Benghazi attacks was gestated in a conservative movement that’s become so divorced from reality, that it felt free to invent its own narrative of events, and so convinced of its fantasies that it felt sure they would be accepted by everyone else.
It can be argued that those words were not all that important in securing the election. By that point, whatever temporary boost Romney (remember him?) had gained in the first debate had already faded in all but the most Republican friendly—and ultimately inaccurate—polls. However, that moment was important as the point where one thing became crystal clear to a majority of Americans: Republicans have gone crazy. Granted, that’s been true for awhile, and absolutely definitively true since the elections in 2008, but Romney’s high-profile walk through conservative conspiracyland was the nail in the coffin for the GOP as a reasonable, mainstream alternative.
Those words continue to fit. They could be used at any point in the last month as the Republicans proved themselves ever further divorced from the national will. Please proceed in your rigid ideology that places minor adjustments in the top tax rate over the economy and jobs. Please proceed in hyperbolic attacks on modest changes in the health care system. Please proceed in blind obedience to the NRA even as they turn every school in America into Thunderdome Elementary. Please proceed to publicly, loudly demonstrate that you’re being driven by demons of orthodoxy … with no real idea who defines what’s orthodox.
Really, GOP, please proceed.
It’s far too early to write an obituary for the Republican Party. They’ve stumbled from their deathbed in the past, flooding midterm voting booths with tea party zombies that still stink up the House and far too many state legislatures across the country. But in 2012, they showed a remarkable ability, not to recover from mistakes, but to proceed down the road that leads to oblivion.
By: Mark Sumner, Daily Kos, December 31, 2012