By: Jay Inslee, Steve Beshear and Dannel P. Malloy, Opinion Pages, The Washington Post, Published: November 17, 2013: Jay Inslee, a Democrat, is governor of Washington. Steve Beshear, a Democrat, is governor of Kentucky. Dannel P. Malloy, a Democrat, is governor of Connecticut.
“When The Dog Catches The Car”: Why Taking Over The Senate May Not Do Republicans Much Good
There’s an old story about a freshman member of the House who is getting shown around by a senior member on his first day, and the freshman asks about the other party. “I want to meet the enemy,” he says. “No, son,” says the old bull, “they’re the opposition. The Senate is the enemy.” I thought about that today as the prospect of a Republican takeover of the Senate becomes more of a possibility. If the GOP controlled both houses, would Republicans be able to present a united front against President Obama, one that might actually accomplish any practical goals? There are some clues in the maneuvering that’s going on right now over health care as Republicans look forward to this fall’s elections.
To begin with, we should acknowledge that a Republican takeover of the upper house is anything but a sure thing. The midterms are still seven and a half months away, and a lot could happen between now and then. There could be an economic crisis, or months of solid job growth, or an alien invasion, or who knows what. But barring anything dramatic, we know it is going to be very, very close. The map is just horrible for Democrats — not only are they defending 21 seats while Republicans are defending only 15, many of those Democratic seats are in conservative states such as Alaska, Arkansas and South Dakota, where any Democrat is going to be at a disadvantage. Combine that with the fact that the president’s party almost always loses seats in the sixth year of his presidency and with Obama’s relatively low approval ratings (43.3 percent in the latest Huffington Post/Pollster average), and it’s going to be a nail-biter. Larry Sabato’s Crystal Ball predicts the Senate on Election Day as 48 Democrats, 49 Republicans and three toss-ups.
If the Republicans do take the Senate, they won’t have a lot of time to savor the victory, because two years later they’re going to be the ones defending more seats (see Sean Trende’s analysis for more details). That makes it entirely possible, maybe even likely, that Republicans will have control of both houses for only two years, and after 2016 we’ll go back to the way things are now. So can they legislate during that time?
To a certain degree, the question is moot as long as Obama is president. Anything big and consequential on the Republican agenda would get vetoed. But you can accomplish a lot by thinking relatively small. The question is whether Republicans — or to be more specific, House Republicans — are capable of doing that.
I’ll point you to two articles written in the last couple of days. The first, by Dylan Scott in Talking Points Memo, discusses some of the ways Senate Republicans and the insurance industry are thinking about the possibility of a GOP Senate takeover. There’s a lot of discussion about some of the features of the Affordable Care Act (ACA) that might be trimmed back. Could you cut or eliminate a tax on insurance policies? What about restoring cuts to Medicare Advantage? Might you introduce a lower-level “copper” plan to be sold on the exchanges, which would be less comprehensive than the gold, silver and bronze plans?
Now let’s turn to the House. Last night, The Post’s Robert Costa reported that House Republican leaders are coalescing around an alternative to the ACA that would do some of the things Republicans have been advocating for years: repeal the ACA, institute medical malpractice reform, let people buy insurance across state lines and a few other things.
See the difference? The senators accept that the ACA is law and are thinking about how they’d like to change it. The House members are coming up with another way to make a futile, symbolic shaking of their fists in the general direction of the White House. And this may offer a clue to how legislating would proceed in a Republican Congress. The House, still dominated by extremely conservative Republicans for whom any hint of compromise is considered the highest treason, could continue to pass one doomed bill after another, while the Senate tries to write bills that have at least some chance of ever becoming law.
And that would be just fine with Barack Obama. If he’s faced with both houses controlled by the opposition, there’s nothing he’d rather see than them fighting with each other and passing only unrealistic bills that he can veto without worrying about any backlash from the public.
By: Paul Waldman, Contributing Editor, The American Prospect; Published at The Plum Line, The Washington Post, March 17, 2014
“Paul Ryan And The Brown Bag”: Once Again, The Congressman Just Doesn’t Get It
House Budget Committee Chairman Paul Ryan (R-Wis.) covered a fair amount of ground in his speech this morning at the Conservative Political Action Conference (CPAC), but there was one story in particular that stood out.
“This reminds me of a story I heard from Eloise Anderson. She serves in the cabinet of my friend Governor Scott Walker. She once met a young boy from a poor family. And every day at school, he would get a free lunch from a government program. But he told Eloise he didn’t want a free lunch. He wanted his own lunch – one in a brown-paper bag just like the other kids’. He wanted one, he said, because he knew a kid with a brown-paper bag had someone who cared for him.
“That’s what the Left just doesn’t understand.”
I’ve read this a few times, hoping Ryan had some other subtle subtext, but I’m afraid the congressman really is as confused as his anecdote suggests.
The child may have wanted a lunch in a brown-paper bag, but – and I hope Ryan pauses to really think about this – his family is poor. The boy “didn’t want a free lunch,” but – and this is key – he didn’t want to be hungry, either.
It’s true that Republican policymakers could take away that free lunch the child received at the school, but that doesn’t mean the boy’s family will suddenly have more money to pack a healthy lunch in a brown-paper bag.
What’s more, it’s also true this kid may come from a struggling family, but it doesn’t mean he lacks “someone who cares for him”; it means he and his family lack the resources needed to send him to school with a good meal. Robert Schlesinger added, “A kid with a brown paper bag does have someone who loves them; but the kid without the brown paper bag, the one whose parent either won’t or can’t – because they’re working hard to get ahead and give themselves and their families better lives – deserves a society that loves and cares for them too.”
That’s what Paul Ryan just doesn’t understand.
In the same speech, the Wisconsin Republican added:
“The reason [Democrats[ keep talking about income inequality is because they can’t talk about economic growth. They have spent five, long years in power, and all they have to show for it is this lousy website.”
That’d be a good point, just so long as one overlooks the Recovery Act that ended the Great Recession, the millions of new jobs, health care reform that brought coverage to millions, the rescue of the auto industry, Wall Street reform, the end of the war in Iraq, counter-terrorism successes, the repeal of “Don’t Ask, Don’t Tell,” and student-loan reform, among other things.
Oh, and the health care website was fixed a few months ago.
Other that, though, Ryan’s on strong ground.
Update: In the school-lunch anecdote, I falsely assumed Ryan had the basic details of the story right. He didn’t: “Via Wonkette, the school lunch story appears to have been recycled from a story and altered beyond recognition in the process. The original story had nothing to do with a child turning down a free lunch. It’s about a kid, Maurice, who met a private benefactor, Laura, asking to literally have his lunch placed in a brown paper bag.”
By: Steve Benen, The Maddow Blog, March 6, 2014
“Obamacare’s Real Promise”: If You Lose Your Health-Care Plan, You Can Get A New One
The furor over “if you like your plan, you can keep it” touches on a deep fear in American life: That your health-care insurance can be taken from you. That fear is so powerful because it happens so often: Almost everyone in the country can lose their health insurance at any time, for all kinds of reasons — and every year, millions do.
If you’re one of the 149 million people who get health insurance through your employer, you can lose your plan if you get fired, or if the H.R. department decides to change plans, or if you have to move to a branch in another state.
If you’re one of the 51 million people who get Medicaid, you could lose your plan because your income rises and you’re no longer eligible or because your state cut its Medicaid budget and made you ineligible. You could lose it because you moved from Minnesota, where childless adults making less than 75 percent of the poverty line are eligible, to Texas, where there’s no coverage for childless adults.
If you’re one of the 15 million Americans who buys insurance on the individual market, you could lose your plan because your insurer decides to stop offering it or decides to jack up the price by 35 percent. And that’s assuming you’re one of the lucky people who weren’t denied coverage based on preexisting conditions in the first place.
Then, of course, there are the 50 million people who don’t have a plan in the first place. The vast majority of them desperately want health-care coverage. But it turns out that just because you want a plan doesn’t mean you can get one.
Virtually the only people whose health coverage is reasonably safe are those on fee-for-service Medicare and some forms of veterans insurance. And even there, enrollees are only safe until the day policymakers decide to change premiums or benefit packages.
President Obama’s critics are right: Obamacare doesn’t guarantee that everyone who likes their health insurance can keep it. In some cases, Obamacare is the reason people will lose health insurance they liked.
What Obamacare comes pretty close to guaranteeing, though, is that everyone who needs health insurance, or who wants health insurance, can get it.
It guarantees that if you lose the plan you liked — perhaps because you were fired from your job, or because you left your job to start a new business, or because your income made you ineligible for Medicaid — you’ll have a choice of new plans you can purchase, you’ll know that no insurer can turn you away, and you’ll be able to get financial help if you need it. In states that accept the Medicaid expansion, it guarantees that anyone who makes less than 133 percent of poverty can get fully subsidized insurance.
Health insurance isn’t such a fraught topic in countries such as Canada and France because people don’t live in constant fear of losing their ability to get routine medical care. A decade from now, that will be true in the U.S., too. But it’s not true yet, and paradoxically, that’s one reason health reform is so difficult. The status quo has left people rightly fearful, and when people are afraid, change is even scarier.
By: Ezra Klein, Wonkblog, The Washington Post, December 8, 2013
“Feigning Outrage”: The GOP’s Health Reform Playbook
The last thing Republicans want right now is to repeal the Affordable Care Act.
They may claim it is destroying the country, but they need it, and desperately, to rebuild their party. They even have a detailed playbook to exploit it, outlining how and when to stage attacks against Democrats who support it in order to inflict maximum damage in the months before the 2014 midterm elections.
As Jonathan Weisman and Sheryl Gay Stolberg reported in this morning’s Times, House Republicans have been organizing their strategy behind closed doors for the last month. They began by capitalizing on the gifts given them by the White House in the form of the malfunctioning health care website and President Obama’s false promise that no one need lose an insurance policy. Then they moved on to claims that personal data is insecure on the insurance exchanges.
Next, according to the playbook, will come criticism of premium price hikes, and breast-beating about changes to Medicare Advantage plans, as well as the possibility that people will lose their doctors under some policies.
Republicans will also hold hearings, and come armed with anecdotes from outraged citizens who suddenly find their new health insurance options aren’t perfect.
Reform has given new life to a party that was in the depths after the shutdown debacle just last month.
This deep concern about Americans’ access to quality insurance is entirely new and utterly insincere, of course. Nearly one in 10 people on Medicare — 4 million people — are dissatisfied with that program, according to surveys, but you don’t hear their complaints broadcast at hearings or at Republican news conferences. In 2010, long before the health reform law took effect, 20 percent of people on employer-based insurance expressed dissatisfaction with their plans, as did a third of people on the individual market. They complained about high deductibles and constrained networks of doctors and hospitals, just as many of them will under the new system. And they complained about cancelled policies.
Republicans never cared about those concerns before the Affordable Care Act came around, and they don’t really care now, even though they’re doing a great job of feigning outrage. They’re simply using these grievances, magnified by anecdotal media coverage, to batter Democrats who are still standing up for the president’s program.
Some of those Democrats are fighting back. They’re pointing out, as the White House did yesterday, that the growth in health care costs is slowing significantly. They’re trying to highlight people who are saving money on their new policies, or who can buy insurance even if they are sick. And they will try to broadcast the voices of the previously uninsured, who have never appeared in a Republican diatribe and never will.
But the most attention, as always, will be paid to the shrillest critics. Just remember, as their attacks pick up in volume in the months to come, that they were prepared long in advance, as cheap as canned laughter.
By: David Firestone, Editors Blog, The New York Times, November 21, 2013
“How We Got Obamacare To Work”: We Urge Congress To Get Out Of The Way And Support Efforts To Make Health-Care Reform Work
In our states — Washington, Kentucky and Connecticut — the Affordable Care Act, or “Obamacare,” is working. Tens of thousands of our residents have enrolled in affordable health-care coverage. Many of them could not get insurance before the law was enacted.
People keep asking us why our states have been successful. Here’s a hint: It’s not about our Web sites.
Sure, having functioning Web sites for our health-care exchanges makes the job of meeting the enormous demand for affordable coverage much easier, but each of our state Web sites has had its share of technical glitches. As we have demonstrated on a near-daily basis, Web sites can continually be improved to meet consumers’ needs.
The Affordable Care Act has been successful in our states because our political and community leaders grasped the importance of expanding health-care coverage and have avoided the temptation to use health-care reform as a political football.
In Washington, the legislature authorized Medicaid expansion with overwhelmingly bipartisan votes in the House and Senate this summer because legislators understood that it could help create more than 10,000 jobs, save more than $300 million for the state in the first 18 months, and, most important, provide several hundred thousand uninsured Washingtonians with health coverage.
In Kentucky, two independent studies showed that the Bluegrass State couldn’t afford not to expand Medicaid. Expansion offered huge savings in the state budget and is expected to create 17,000 jobs.
In Connecticut, more than 50 percent of enrollment in the state exchange, Access Health CT, is for private health insurance. The Connecticut exchange has a customer satisfaction level of 96.5 percent, according to a survey of users in October, with more than 82 percent of enrollees either “extremely likely” or “very likely” to recommend the exchange to a colleague or friend.
In our states, elected leaders have decided to put people, not politics, first.
President Obama announced an administrative change last week that would allow insurance companies to continue offering existing plans to those who want to keep them. It is up to state insurance commissioners to determine how and whether this option works for their states, and individual states will come to different conclusions.
What we all agree with completely, though, is the president’s insistence that our country cannot go back to the dark days before health-care reform, when people were regularly dropped from coverage, and those with “bare bones” plans ended up in medical bankruptcy when serious illness struck, many times because their insurance didn’t cover much of anything.
Thanks to health-care reform and the robust exchanges in our states, people are getting better coverage at a better price.
One such person is Brad Camp, a small-business owner in Kingston, Wash., who received a cancellation notice in September from his insurance carrier. He went to the state exchange, the Washington Healthplanfinder, and for close to the same premium his family was paying before got upfront coverage for doctor’s office visits and prescription drug , vision and dental coverage. His family was able to keep the same insurance carrier and doctors and qualified for tax credits to help cover the cost.
Since Howard Stovall opened his sign and graphics business in Lexington, Ky., in 1998, he has paid half the cost of health insurance for his eight employees. With the help of Stovall’s longtime insurance agent and Kentucky’s health exchange, Kynect, Stovall’s employees are saving 5 percent to 40 percent each on new health insurance plans with better benefits. Stovall can afford to provide additional employee benefits, including full disability coverage and part of the cost of vision and dental plans, while still saving the business 50 percent compared with the old plans.
In Connecticut, Anne Masterson was able to reduce her monthly premiums from $965 to $313 for similar coverage, including a $145 tax credit. Masterson is able to use her annual premium savings of $8,000 to pay bills or save for retirement.
These sorts of stories could be happening in every state if politicians would quit rooting for failure and directly undermining implementation of the Affordable Care Act — and, instead, put their constituents first. Health reform is working for the people of Washington, Kentucky and Connecticut because elected leaders on both sides of the aisle came together to do what is right for their residents.
We urge Congress to get out of the way and to support efforts to make health-care reform work for everyone. We urge our fellow governors, most especially those in states that refused to expand Medicaid, to make health-care reform work for their people too.
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