“We’re Done Getting Mugged”: Hey Republicans, Obamacare Is Off The Table!
There’s an increasingly obvious problem with the efforts of GOP congressional leaders to tamp down “base” support for a “defunding Obamacare” drive linked to a continuing resolution to keep the federal government operating this fall: they’re talking about other measures to cripple Obamacare–e.g., a delay in key provisions like the individual mandate–perhaps linked to other “hostages” like the debit limit, instead of talking about using whatever leverage they have to achieve other Republican objectives.
On Wednesday I compared these leaders to a parent trying to bribe an unruly child demanding ice cream with a double scoop sometime later. But what if ice cream production has come to a halt? Can the kids be talked into gorging themselves on some other kind of sugary treat?
I don’t know, but at Salon, the exceptionally well plugged-in Brian Beutler thinks it’s time for Republicans to stop talking about ice cream:
Even in the dour days of 2011, when Dems were defeated, morose, and willing to negotiate away almost anything, major provisions of Obamacare were off the table. In 2013, almost everything is off the table. They’re done getting mugged by the GOP. Funding the government and increasing the debt limit are fundamental responsibilities of Congress, and Republicans won’t get more than a couple fig leafs for marshalling enough votes to accomplish them….
I can imagine Democrats putting something genuinely marginal to the ACA on the table. Like I said, a fig leaf. But not the individual mandate. Getting many people into the insurance exchanges, and particularly young healthy people, is crucial to the law’s success, and the mandate is the only stick they have (and it’s a pretty flimsy one) to prod them in there. Everything else is carrots. It’s conceivable to me that the inducements, and the national enrollment outreach effort, will be successful enough on their own to render the mandate ancillary in 2014. But postponing it is too big of a risk.
Republicans should know this. I think GOP leaders do know it, and for the sake of stability and a calming autumn, I sure hope they do. If they don’t, they’ll blunder into these discussions completely blind to how empty they’re about to come up. They’ll feel like they got rolled, when in reality they’ll have simply been mistaken about the terms of the negotiation. And that’s the only way I can imagine these crazed theatrics transforming into a genuine crisis.
If, of course, GOP leaders talk their firebrands out of a frontal assault on Obamacare that they really, really want to undertake on grounds that it’s more realistic to pursue delays that Democrats won’t agree to under any circumstances, then the consequences will go beyond a turbulent autumn in Washington. The GOP congressional leadership really will suffer a massive loss of grassroots conservative confidence, and you could be looking at a national party unmistakably under the heel of Ted Cruz.
By: Ed Kilgore, Contributing Writer, Washington Monthly Political Animal, August 16, 2013
“Kill The Law, Kill The Patient”: The Most Insane Conservative Anti-Obamacare Gambit Ever
In a last-ditch effort to stop Obamacare, Tea Party groups are trying to sabotage the healthcare law in a way that could leave young people without coverage and increase insurance premiums for everyone else. It assumes that the end of “repealing Obamacare” justifies the means of potentially years of worse health.
The gambit, as explained by Sarah Kliff of the Washington Post, is to convince young people to eschew the Affordable Care Act’s health insurance exchanges and the subsidies they offer in order to destabilize the insurance risk pools. And now the leader of the effort is talking to Salon about the idea.
First, some background. The “plan,” such as it is, works like this: Young people tend to be healthier and thus cheaper to insure, so they essentially subsidize the cost of older and sick people. If enough young people don’t sign up, and the pool is mostly older and sick people, costs will skyrocket. A price “death spiral” is health policy experts’ biggest fear with the law, but it’s exactly what the conservative groups want to artificially induce, thus dooming the law.
To that end, conservatives are trying to rally young people to skip the healthcare exchange and pay the fine for violating the individual mandate to have health insurance. They’re making their case with GIFs, Op-Eds and a campaign to burn Obamacare draft cards (which don’t actually exist, but can be downloaded from FreedomWorks’ website for later incineration). Americans for Prosperity is even considering setting up kiosks at Universal Fighting Championship matches and college football games to tell people not to enroll.
But, if this gambit is successful, wouldn’t that lead to millions of young people living without health insurance, and older and sick people paying higher health insurance premiums? And since Obama will never repeal his signature law, we’re talking about at least three years of intentionally inflicted misery, all for a shot at repealing Obamacare sometime in the future and replacing it with something that doesn’t even exist yet. What about the human toll?
We asked Dean Clancy, the vice president of FreedomWorks who is spearheading the effort. “Yes, we would like to hasten the collapse of the exchanges, but the purpose is not to drive up anybody’s insurance. The purpose is to get this law defunded or delayed so we can get to a patient-centered system,” Clancy said in a telephone conversation Thursday evening. “Without young people, Obamacare can’t work.”
Regardless of intention, wouldn’t it have the effect of driving up premiums? “I would not say it will drive up premiums for older Americans, I would say it will allow premiums to rise,” he said. “It would allow premiums to rise faster than they otherwise would if everybody bought the overpriced coverage, including the younger, healthier people.”
And what about young people who currently lack insurance – 90 percent of whom will qualify for subsidies in the Obamacare exchanges — what should they do? “You can get coverage outside the exchanges,” Clancy said, pointing to catastrophic care plans, healthcare savings accounts, or even Medicaid.
Even without the subsidies, which are only available through the exchanges, Clancy said, it would still be cheaper for young people to pay the fine and go their own way. “We encourage people to go for a health savings account with a high deductible policy, and to pay cash for repeat medical expenses. It’s a great way to save money and helps the system be more efficient,” he said. Plus, there’s always free-riding: “And they have to take you when you get sick, that’ll be in the law now.”
What if you get in a car accident or something and don’t have time to sign up for insurance? A pause as he consulted with the communications director, who was also on the call. “In that case, you may incur some costs,” Clancy acknowledged. “You may have to deal with, as people do today who don’t have funds available, paying it back in installments, or uncompensated care, or you can sign up for Medicaid.” In other words, you’re on your own. Most uninsured people can’t afford medical bills.
“Just to be clear, we’re telling people: ‘Do what you think is best for you,’” he added. “But understand that if Obamacare continues, you’re going to have to pay more and more to get less and less.”
For Judy Feder, a prominent health policy expert at Georgetown who supports the health reform law, this approach is “crazy.” “It’s not even killing the patient to save the patient — it would stick with killing the patient. They just want to kill the law, which doesn’t save anybody,” she said.
It’s hard to overstate how nihilistic this plan is. If the scheme succeeds — which it will not, since more than enough young people are saying they’ll purchase insurance through the exchange — not only would some people lack good health coverage they’d otherwise be entitled to, but costs would be higher on everyone else. “It is as outrageous as you say it is,” Feder confirmed.
This is basically the “Cloward–Piven strategy” Glenn Beck always rants about, but 1) applied to healthcare instead of the economy, and 2) real.
By: Alex Seitz-Wald, Salon, August 2, 2013
“No Unchecked Corporate Power”: If Republicans Love Competition, Why Do They Still Hate Obamacare?
When asked what makes the world work, any self-respecting right-wing Republican knows the politically correct answer: competition! (With at least one exclamation point.) It is the paramount principle and universal solvent perennially touted by the right to cure whatever ails us – in the abstract.
What they don’t seem to like so much, in reality, is the competitive impact of the Affordable Care Act, which is forcing health insurance companies into a contested marketplace – and seems to be driving down rates, state by state. The latest data arrived this week from New York, where insurance regulators announced that the new rates approved for 2014 will be 50 percent lower, on average, than current rates.
That stunning report follows similar news from California, where rates may drop by as much as 29 percent, as well as Oregon, Rhode Island, Vermont and several other states where the early indications show rates declining. Based on data compiled from 10 states and the District of Columbia, the Department of Health and Human Services says that 2014 premiums for mid-range (or “silver”) health care plans in those states will be nearly 20 percent lower on average than its own earlier estimates.
The reason is simple, as anyone familiar with the American health care marketplace knows. Most states until now have had no meaningful competition among insurance companies — and certainly nothing like the health insurance “exchanges” created by Obamacare to guide consumer choices.
In states that have actively promoted the exchanges, real competition is arising thanks to a marketplace that allows consumers to examine and understand choices, plans, and prices with ease. “That’s a very different dynamic for these companies, and it’s prodding them to be more aggressive and competitive in their pricing,” explains Sabrina Corlette, a research professor at Georgetown University’s Center on Health Insurance Reform.
For those of us who preferred (and still favor) a single-payer system providing Medicare to everyone, the compromises of Obamacare always provoked doubts about efficiency and fairness. Many liberals supported the Affordable Care Act reluctantly as a bad deal that was acceptable only in lieu of no deal.
But why do self-styled conservatives continue to hate health care reform with such ferocity? They may not care that it is truly “pro-life” and “pro-family,” with the clear promise of saving thousands of lives annually among families that were previously uninsured. Yet they should surely appreciate a statute that promotes competition where there was none, improving services and reducing prices through freer enterprise.
Solving that conundrum exposes one of the ugly little secrets of the Republican right today – and one of many reasons why that movement no longer merits the honorable title of “conservative.” For what we can now observe in practice is that the Republicans perversely prefer a corporate marketplace without competition over a marketplace with competition overseen by government. While European conservatives have long accepted the need for strictly regulated markets, especially in health care, their American counterparts would rather allow corporate power to run unchecked at whatever cost.
It is an ideological preference that damages public health, ruins finances both public and private, and actually kills people every day, but it also swells corporate profits – which seems to be the primary value cherished by Obamacare’s partisan opponents. Such destructive irrationality is what passes for “conservatism” in our time.
So the congressional Republicans persistently attack and undermine reform, as they did by passing a resolution this week to delay the law’s individual mandate. Rather than do anything productive, they proceeded with that meaningless action. And they did so despite warnings from the insurance industry that a delay would only increase rates for everyone.
Supporters of the Affordable Care Act have long reassured each other that the law would gain popularity someday. But if present trends continue, the public may come to realize as early as next year that the benefits of Obamacare greatly outweigh the flaws – and that the law’s opponents offer nothing to most Americans except higher rates, less coverage, and a sicker, sadder, harder life.
By: Joe Conason, The National Memo, July 19, 2013
“Your Tax Dollars At Work, Or Not”: Marco Rubio Wants To Amend The Constitution To Repeal Obamacare
Sen. Marco Rubio (R-FL) proposed a constitutional amendment Tuesday that, if approved, would nullify Obamacare’s individual mandate. The amendment is the latest in a string of failed GOP attempts to repeal Obamacare, which many Republicans still view as unconstitutional.
The “Right to Refuse” amendment would make any laws that tax Americans who fail to purchase goods or services unconstitutional, targeting the Affordable Care Act’s stipulation that nearly all Americans must purchase health insurance. The amendment was introduced by Rep. Steven Palazzo (R-MS) in the House in February.
In a press release, Rubio cited the recent Internal Revenue Service scandal as one of his reasons for introducing the bill:
“ObamaCare is a disastrous policy that is not only destructive to job creation, it will also unleash the corrupt and scandal-ridden IRS on taxpayers simply for not buying health insurance,” said Rubio. “We should put our faith in the American people to decide what goods and services they want to buy, not have Congress dictate it and have the IRS empowered to harass Americans to make sure they do it.”
The Supreme Court ruled in 2012 that Obamacare’s individual mandate could be considered a tax, and therefore was upheld under the constitution. But that hasn’t stopped many Republicans from claiming Obamacare is unconstitutional — the act has survived at least 37 repeal attempts since Republicans took control of the House in 2011, the most recent repeal vote occurring in mid-May. Since news broke in May that the IRS flagged certain conservative groups applying for tax-exempt status for additional scrutiny, several Republican leaders have used the scandal to question whether the IRS can be trusted to implement Obamacare.
Constitutional amendments are far more difficult to pass than bills — amendments proposed by Congress require a two-thirds majority vote in the House and Senate. With a Democrat-controlled Senate, Rubio and Palazzo’s amendment would have difficulty achieving even a simple majority. Rubio has been billed as a rising star in the Republican party and likely 2016 presidential candidate, but his fervent opposition to Obamacare — along with several other positions — show that his views don’t stray far from the status quo of the Republican party.
By: Katie Valentine, Think Progress, June 4, 2013
“The Emperors Waterloo Defeat”: Jim DeMint Returns To Obamacare Roots With Move To Heritage Foundation
South Carolina senator Jim DeMint announced Thursday morning that he will be leaving the Senate in January to run conservative think tank The Heritage Foundation.
Although he said in a statement that “I’m leaving the Senate now, but I’m not leaving the fight,” adding that “the conservative movement needs strong leadership in the battle of ideas,” his departure from the Senate could be a significant blow to the right wing. DeMint, who holds extreme far-right positions on virtually all social and fiscal issues, has been the unofficial Senate leader of the Tea Party. As founder of the Senate Conservatives Fund, he has helped nominate far-right candidates in several Senate races, and has not been afraid to break with party leadership in primary battles. While some DeMint-backed candidates (like Marco Rubio and Rand Paul) won their elections and helped swing the Republican caucus to the right, others (like Sharron Angle and Christine O’Donnell) blew winnable elections for the GOP — helping Democrats maintain their majority.
Between his extreme rhetoric and his flat rejection of ideological dissent within his caucus, DeMint is in many ways the perfect embodiment of the modern Republican Party. Despite his laughable claim that he left the Senate “a better place” than he found it — as Buzzfeed’s Andrew Kaczynski points out, the American public disagrees — in truth, his legacy is better summed up by New York senator Chuck Schumer: “Certainly his effect on the political system may have been more beneficial to Democrats than Republicans.”
For DeMint, the move to The Heritage Foundation represents the closing of a full circle with regards to the issue that made him and the Tea Party a household name: Obamacare. Although he famously declared in 2009 that “this health care issue Is D-Day for freedom in America,” and that defeating the law would be Obama’s “Waterloo,” the senator was actually for individual mandates before he was against them. Back in 2007, DeMint praised the mandate in Mitt Romney’s Massachusetts health care law for “making freedom work for everyone.”
His new job will be a return to those roots; after all, the individual mandate was originally developed in 1989 by Heritage Foundation health care expert Stuart Butler.
Of course, just like DeMint, the Foundation now believes that the law “must be repealed.” In fact, if Heritage Action for America’s post-campaign video dramatically declaring war against President Obama is any indication of the Foundation’s priorities, then DeMint’s hyper-partisan brand of politics is a perfect fit for the think tank.
Heritage may be a perfect fit for DeMint, as well. Despite winning huge headlines as a senator, his actual legislative record is close to nonexistent. Additionally, as Kaczynski notes in Buzzfeed, DeMint is currently one of the poorest members of the Senate; his new job represents a significant pay raise, and if he plays his cards right — perhaps following Dick Armey’s example at FreedomWorks — then DeMint’s work in the right-wing private sector could set him up for life.
By: Henry Decker, The National Memo, December 6, 2012
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