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“Running Out Of Fresh Attacks”: Republicans Revive Mitt Romney’s Favorite Medicare Attack

With HealthCare.gov substantially improved and new insurance signups surging, Republicans have been forced to pivot to a new line of attack against the Affordable Care Act. On Tuesday, the National Republican Senatorial Committee issued a series of news releases accusing Democratic candidates of cutting Medicare through their support of the health care reform law.

“As the ObamaCare disaster continues to unfold, Mark Pryor and National Democrats have resorted to deceiving seniors using their old and discredited MediScare playbook,” reads the release targeting Senator Mark Pryor (D-AR).

“What’s new this year is the blatant hypocrisy that Mark Pryor and his liberal allies in Washington are exhibiting,” it continues. “Pryor’s deciding vote for ObamaCare cut $717 billion from Medicare—including nearly $5.4 billion directly from Arkansas ($10,296 per Medicare recipient in Arkansas).”

CNN reports that the NRSC campaign will target Senators Pryor, Mark Begich (D-AK), Kay Hagan (D-NC), Mary Landrieu (D-LA), Mark Udall (D-CO), Tom Udall (D-NM), Dick Durbin (D-IL), Jeanne Shaheen (D-NH), Jeff Merkley (D-OR), and Al Franken (D-MN), along with Senate candidates Rep. Bruce Braley (D-IA) and Rep. Gary Peters (D-MI).

If this line of attack sounds familiar, it’s because it was a centerpiece of Mitt Romney and Paul Ryan’s case against the Affordable Care Act in the 2012 elections. The Republican ticket repeatedly accused President Obama of having “robbed” and “raided” $716 billion from Medicare to “pay for Obamacare, a risky, unproven, federal takeover of health care.”

Of course, that attack ignored the fact that the overwhelming majority of the $716 billion actually represented reductions in how much Medicare pays hospitals and insurers, as WonkBlog’s Sarah Kliff explained last August. Medicare benefits themselves are not affected.

It also ignored the fact that Ryan’s own budget included the exact same $716 billion in cuts (with the implied promise of deeper cuts in the future to pay for trillions of dollars in new defense spending and tax cuts). He has also kept the savings in subsequent budget proposals. Nearly every Republican in Congress — including Rep. Tom Cotton (R-AR), Pryor’s chief rival in his 2014 re-election bid — has supported Ryan’s budget plans, significantly blunting the accusation’s impact.

Nonetheless, House Speaker John Boehner’s (R-OH) spokesman Brendan Buck told MSNBC that the attack is “a tried and true campaign hit” — ignoring that it totally failed to blunt the Democratic Party’s sweeping victory in 2012.

There’s no denying that Republicans had a good political month targeting the Affordable Care Act’s rocky rollout. But the fact that they are already returning to this easily debunked attack, which was proven to be unpersuasive in the last election, raises the question of whether they are running out of fresh attacks against the law. And with repeal seemingly off the table, one wonders where Republicans will turn if good news about the law continues to trickle out.

 

By: Henry Decker, Featured Post, The National Memo, December 4, 2013

December 6, 2013 Posted by | Affordable Care Act, Medicare | , , , , , , , | Leave a comment

“Treading Carefully”: Paul Ryan’s Big, Tricky Budget Moment Is Here

Congress has been historically inactive this year. But with the clock winding down on 2013, there is still a glimmer of hope that bicameral negotiations could produce a modest budget deal that would replace some of the sequester cuts.

For Rep. Paul Ryan (R-Wis.), the House GOP budget guru and potential presidential aspirant, that presents both an opportunity and a challenge. A bipartisan deal could serve as a rare (for him) legislative achievement that pads his credentials and charts the GOP’s course heading into the next election cycle. Yet at the same time, Ryan would risk spurning the GOP base — and its vocal Ted Cruz types — if he’s perceived as bending too far to Democratic demands.

Ryan and his Senate counterpart Sen. Patty Murray (D-Wash.) are believed to be close to a very small deal that would eliminate some of the automatic budget cuts scheduled to go into effect over the next two years. Though nothing is finalized, the deal would reportedly nix about one-third of the sequester-mandated cuts, splitting the reinstated funds between defense and non-defense spending.

Since Republicans won’t go for tax increases, and Democrats won’t tackle entitlement reform without also touching revenue, Murray and Ryan have been reduced to “pulling together odds and ends to make a deal, including non-tax revenue like auctioning broadband spectrum and airport security fees, as well as increasing employee contributions to federal workers’ retirement programs,” wrote MSNBC’s Suzy Khimm.

In short: The negotiators are looking at a tiny deal, far less than the sweeping budget overhaul Ryan has famously proposed before in his spending blueprints.

Still, a deal would be a success for a Congress so dysfunctional it triggered a two-week government shutdown and flirted with debt default. Republicans would love to roll back some of the cuts to defense spending. And Democrats are eager for a deal that would wipe out some of the cuts to cherished domestic programs like Head Start.

Such a deal, if passed, would also be a significant accomplishment for Ryan to add to his otherwise unimpressive legislative record.

Though a noted policy wonk, none of Ryan’s radical budget bills have gone anywhere in Congress. In fact, only two Ryan-drafted bills, neither of which were anything truly groundbreaking, have become law in the congressman’s entire House career. One bill named a post office; the other amended a tax on arrows.

A deal would thus “burnish an image of someone willing to find — and tout — common ground in a historically divided Washington,” wrote Politico’s Jake Sherman and John Bresnahan. “It’s a credential that could serve him well as he looks to grab the chairmanship of the Ways and Means Committee or run for his party’s nomination before the 2016 presidential contest.”

Still, an agreement almost assuredly wouldn’t do anything about long-term GOP priorities Ryan has championed before, like cutting entitlement spending.

And there’s the rub for Ryan: A small deal could turn off both conservative lawmakers and voters.

Conservative House members dug in on their impossible demands during the shutdown even as it obliterated the party’s approval rating. Those same members could balk at a proposed deal that doesn’t cut deeper. And though a deal could still pass with the help of Democratic votes, Speaker John Boehner (R-Ohio) would risk further splitting his fragile caucus by cobbling together a Democratic-heavy coalition.

A mini-deal could also be problematic for Ryan’s perceived presidential ambitions if it causes the party’s right flank, which plays a disproportionately large role in the primary nominating process, to sour on him.

“If the Tea Party turns up the rhetorical heat, would Ryan risk a presidential bid to rescue the country from another government shutdown?” wrote Salon’s Joan Walsh. “I’ve never seen him stand up to that kind of ideological pressure from the right, but there could be a first time.”

If he’s keen on keeping his conservative hero status and pursuing a 2016 run, Ryan really ought to tread carefully.

 

By: John Terbush, The Week, December 4, 2013

December 5, 2013 Posted by | Budget, Paul Ryan | , , , , , , , | 1 Comment

“We Are All Fragile Beings”: Obamacare Saved My Family From Financial Ruin

House Speaker John Boehner and his tea party friends shut down the U.S. government because of people like me. I am the mother of an insurance hog, someone who could have blown through his lifetime limit of health coverage by the time he was 14. My son has managed to survive despite seemingly insurmountable challenges, and he wears his preexisting condition like a Super Bowl ring.

Mason, now 16, was probably born with his brain tumor. We discovered it six years ago. Biopsies showed a slow-growing mass, which was the good news. The bad news was that the tumor could not be removed because it had grown around essential structures in his brain. Under the care of some of the country’s finest specialists, Mason had frequent scans. There was little we could do between tests but hope for the best. Like other children his age, Mason played basketball, argued with his siblings and avoided cleaning his bedroom. He managed to undergo chemotherapy for eight months without getting too sick. He insisted on finding ways to laugh, saying things like: “I have brain cancer. What’s your problem?” It was an uneasy peace — until the tumor ruptured in December 2010, three years after his initial diagnosis, and Mason suffered a massive cerebral hemorrhage.

Mason spent most of eighth grade in the hospital. In the six months he was hospitalized, he spent 65 days in the pediatric intensive care unit. He underwent four brain surgeries. Halfway through his hospitalization, the Affordable Care Act was passed, alleviating lifetime limits on coverage and saving us from the financial abyss. Mason moved to a rehabilitation hospital where he was retaught the most basic skills — sitting up, eating and standing. We faithfully paid the premiums on the employer-sponsored plan through which our family is covered, along with the rest of our bills, thanking God and whoever else would listen for our good fortune to have coverage.

The biggest fear for families such as mine is that we will lose our health insurance and be rendered uninsurable because one of us has been sick. The Affordable Care Act does away with dreaded clauses barring preexisting conditions. It also enables us to keep Mason on our insurance until he is 26; then, he will be able to purchase his own coverage on an insurance exchange. At least, that was the plan until last Tuesday, when the government was shut down in protest of such excesses.

As far as the brain tumor goes, our family might have drawn the short straw. Maybe our story lacks a certain universal appeal. People might be thinking to themselves, “I’m so sorry that happened to you, but odds are it won’t happen to me.” I hope it doesn’t, really.

But having lived in hospitals with Mason for months, I have seen that bad things — accidents, freak illnesses — happen to smart, cautious and otherwise undeserving people. It’s one thing we all have in common. We are fragile beings. So what is wrong with allowing us to purchase a financial safety net? What’s so un-American about that?

If I could get John Boehner and Ted Cruz on a conference call, I would explain this to them. I would tell them that, while they were busy trying to derail the Affordable Care Act over the past two years, Mason has again learned to walk, talk, eat and shoot a three-point basket.

 

By: Janine Urbaniak Reid, a writer in the San Francisco Bay Area, is working on a memoir about her son’s diagnosis; October 9, 2013; Published in The Washington Post Opinions Section, December 4, 2013

December 5, 2013 Posted by | Affordable Care Act, Obamacare | , , , , , , , | Leave a comment

“Reality Be Damned”: Do Republicans Need A Plan B On ObamaCare?

For years, Republicans have trotted out the same message: ObamaCare is a massive disaster, and the public knows it. And when Healthcare.gov crashed out of the starting gate, that message proved quite resonant.

Yet as ObamaCare begins to turn the corner, Democrats are going back on the offensive, touting the law’s benefits and successes in hopes of boosting support for it — and the party — ahead of the 2014 elections. Republicans, meanwhile, have so far stood by the same critiques, betting that the law will still be seen as a failure come Election Day.

Which raises a thorny question for the GOP: What if ObamaCare works?

Undoubtedly, ObamaCare is now functioning better than it was in October. Though problems remain for the exchange site — the back end is still a mess, often sending bogus or incomplete information to insurers — enrollments are reportedly surging through both the federal and state-run marketplaces.

Good news in hand, the White House and congressional Democrats this week launched a campaign of daily pro-ObamaCare messaging to promote the law ahead of the December 23 enrollment deadline for coverage that kicks in January 1, 2014. Their goal is to present a “raw two-sided picture,” according to Politico, with “Democrats delivering benefits on one side, and Republicans trying to deny them on the other.”

“My main message today is: We’re not going back,” Obama declared in a reboot speech Tuesday.

If ObamaCare keeps improving, the GOP’s “we told you ObamaCare was a mess” pitch could quickly wear thin. And if it does, Republicans will find themselves in need of a new argument or a legislative alternative.

So far, they don’t really have either.

On the messaging front, House Speaker John Boehner (R-Ohio) on Tuesday repeated boilerplate GOP criticisms that the law is “fundamentally flawed,” and that it “continues to wreak havoc on American families, small businesses, and our economy.” Other GOP leaders similarly contended that the law is still a problem-plagued failure.

That the message hasn’t changed despite ObamaCare’s turnaround proves that “Republican complaints of two months ago were purely opportunistic,” wrote Jamelle Bouie over at the Daily Beast.

“For them, it just doesn’t matter if Healthcare.gov is working, since ObamaCare is destined to fail, reality be damned!” he added. “At most, the broken website was useful fodder for attacks on the administration. Now that it’s made progress, the GOP will revert to its usual declarations that the Affordable Care Act is a hopeless disaster.”

The GOP has also yet to offer a credible legislative alternative to ObamaCare. Though there are several Republican bills that would reform the health-care system, they’re generally considered suspect, and none have consensus support within the GOP. Boehner on Tuesday tellingly dodged a question about whether he would even bring up such a bill up for a vote, saying only, “We’ll see.”

Polls have shown that while voters aren’t too keen on the health-care law, they’re willing to give it a chance. Indeed, the first few months of ObamaCare’s disastrous rollout could be a distant memory once coverage and benefits kick in next year.

Which points to another problem for Republicans: Their anti-ObamaCare crusade will be tough to sustain once people begin to see the law’s benefits in action. Mother Jones‘ Kevin Drum sussed out that point, writing, “Once the benefits of a new program start flowing, it’s very, very hard to turn them off.”

By the middle of 2014, ObamaCare is going to have a huge client base; it will be working pretty well; and it will be increasingly obvious that the disaster scenarios have been overblown….

Given all this, it’s hard to see ObamaCare being a huge campaign winner. For that, you need people with grievances, and the GOP is unlikely to find them in large enough numbers. The currently covered will stay covered. Doctors and hospitals will be treating more patients. ObamaCare’s taxes don’t touch anyone with an income less than $200,000. Aside from the Tea Partiers who object on the usual abstract grounds that ObamaCare is a liberty-crushing Stalinesque takeover of the medical industry, it’s going to be hard to gin up a huge amount of opposition. [Mother Jones]

Republicans have so far committed themselves to staunchly opposing ObamaCare no matter what, even producing a playbook for attacking the law from here to November 2014. But if ObamaCare continues to improve, the GOP might need to draw up a new play — or risk getting burned at the polls.

 

By: John Terbush, The Week, December 4, 2013

December 5, 2013 Posted by | Affordable Care Act, Republicans | , , , , | Leave a comment

“Another Media Black Eye”: John Boehner Inadvertently Exposes Sloppy Media Coverage Of Obamacare Costs

House Speaker John Boehner loves to tell stories about people getting a raw deal from Obamacare. This week, he decided to tell one about himself.

As you may recall, Obamacare treats members of Congress and their staff differently from other working Americans. Thanks to a provision added to the law by Charles Grassley, the Republican Senator from Iowa, certain Capitol Hill workers can’t get insurance like other federal employees—i.e., via the Federal Employees Health Benefits Plan. Instead, they must get coverage through one of the new Obamacare exchanges. For many, that means enrolling through the District of Columbia exchange.

This week, Boehner did just that. But, as his advisers later explained to media outlets, the Speaker had trouble. The website had technical problems, they said, and it took hours for Boehner to complete process. When he finally found a policy, he discovered it would cost a lot more. Politico got the full story, including a quote from Boehner spokesman Brendan Buck. “The Boehners are fortunate enough to be able to afford higher costs. But many Americans seeing their costs go up are not. It’s because of them that this law needs to go.” Soon it was all over social media.

But this story turns out to be a lot more complicated than either Boehner or the initial press accounts suggested. In fact, it’s an almost perfect example of how media coverage of Obamacare has failed to provide scrutiny, context or a sense of scale. For one thing, the circumstances of Boehner’s effort to use the D.C. website are a bit murky. Boehner had said he couldn’t get through to anybody on the Exchange’s help line. A spokesman for the exchange challenged that account, telling local NBC reporter Scott MacFarlane that a representative called Boehner’s office, only to be put on hold while patriotic music played in the background. After 35 minutes, according to this account, the representative hung up. It’s impossible to know which account is correct. But if the D.C. Exchange version is right, then, as Steve Benen observes, “Boehner complained about how long the process took, but when he got a call to complete the enrollment process, the Speaker kept the exchange rep on hold for over half an hour.”

In any event, the real issue here is what Boehner will pay for insurance next year—and what, if anything, that says about the law as a whole. It’s true that Boehner’s 2014 premiums will be higher than his 2013 premiums have been. But that’s because of a set of relatively unique factors. They’re a bit hard to explain: Michael Hiltzik of the Los Angeles Times has the full story if you want it. The simplistic version is that Boehner is paying more because he works on Capitol Hill and, at 64, he is relatively old. Unless you, too, work on Capitol Hill and are relatively old, his experience tells you very little about what will happen to you. Among other things, most large employers aren’t dropping coverage and sending their full-time workers into the exchanges. Only the U.S. Congress is—and that’s because of Grassley’s screwy amendment, which was, by all accounts, designed to embarrass the Democrats rather than become law.

Of course, the same factors that will mean higher premiums for older Capitol Hill workers will mean lower premiums for younger ones. An example of somebody benefitting from this dynamic is Drew Hammill, spokesman for House Democratic Leader Nancy Pelosi. Taking into account the employer contribution, he’ll be paying $88 a month for his insurance next year. This year he has paid $186. His story appeared in a Wall Street Journal article about the different heath insurance experiences for different workers on Capitol Hill. The article, by Louise Radofsky, was balanced and fair. It was also the exception. There have been plenty of stories focusing on the older workers paying more, but almost none about younger workers paying less. You could make a case for focusing on the former more heavily: Hardship is bigger news than unexpected good luck. But by such a lopsided margin? That’s hard to justify.

And that pattern, unfortunately, is one we’ve seen over and over in this debate. People giving up their current plans get tons of attention. People getting new coverage don’t. Those Americans paying higher premiums next year have been all over the media. Those Americans paying lower premiums haven’t. There are exceptions. In the L.A. Times, Hiltzik had a terrific article Tuesday about Californians gaining coverage and saving money through California’s exchange. But those articles are hard to find.

Obamacare is a complicated story to tell, with good news and bad news and plenty in between. The media should cover all of it. But for the last few weeks it has mostly told one side of the story—the side that Boehner and his allies want you to hear.

 

By: Jonathan Cohn, The New Republic, November 26, 2013

December 1, 2013 Posted by | Affordable Care Act, Media | , , , , , , , | Leave a comment