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“Fostering Public Ignorance”: Health Care Reform Drives Republicans Stark Raving Mad

If insanity is defined as doing the same thing over and over and expecting a different result, it’s tempting to observe that congressional Republicans have gone stark, raving mad. My own GOP congressman, Rep. Tim Griffin, recently delivered himself of an opinion column boasting about having “voted more than 30 times to repeal all or parts of Obamacare.”

Only in politics does somebody expect praise for sheer futility.

Characteristically, Griffin’s column began by misrepresenting Senator Max Baucus. No, the retiring Montana Democrat didn’t call Obamacare a “train wreck.” In context, Baucus was complaining about Congress’s refusal to adequately fund programs helping people understand the law. With so much disinformation out there, he feared that public ignorance would lead to citizens initially missing out on its benefits.

But then fostering public ignorance is the whole GOP game plan at this point. Having been defeated in the House and Senate, failing to have Obamacare declared unconstitutional by the Supreme Court, and being rejected by voters in the 2012 presidential election, disinformation and sabotage are all they’ve got left.

In that spirit, Griffin quoted The Washington Examiner, one of those tycoon-funded right-wing propaganda publications reporting that “cost estimates from 17 of the nation’s largest insurance companies indicate that health insurance premiums will grow an average of 100 percent under Obamacare, and that some will soar more than 400 percent.”

Yeah, well the results are starting to come in. In California and New York, the nation’s two most populous states that have set up health care exchanges, premiums have dropped sharply below Congressional Budget Office projections.

According to the New York Times, “State insurance regulators say they have approved rates for 2014 that are at least 50 percent lower on average than those currently available in New York. Beginning in October, individuals in New York City who now pay $1,000 a month or more for coverage will be able to shop for health insurance for as little as $308 monthly. With federal subsidies, the cost will be even lower.”

Similar savings have been achieved in California. They can be expected anywhere that large numbers of Americans can be persuaded to buy into the program and quit playing health care roulette.

But then that’s how insurance works—auto insurance, life insurance homeowners’ insurance, all insurance. By spreading the risk, you lower the cost to individual customers.

That’s the basic insight that led Benjamin Franklin to found the Philadelphia Contribution for Insurance Against Loss by Fire back in 1752. The more people purchase private health insurance through Obamacare, the lower their premiums and the lower the eventual cost to taxpayers.

Not to mention the enormous gain in personal freedom to individuals who can no longer be denied coverage due to “pre-existing conditions,” bankrupted by unexpected medical conditions, or forced to keep a job they dislike for fear of losing health insurance. Under Obamacare they can take it with them.

A certain kind of Republican, however, still doesn’t get it. Here’s GOP patriarch Ronald Reagan in 1961 inveighing against the dangers of “socialized medicine.” Unless Americans rejected it, he predicted, “one of these days you and I are going to spend our sunset years telling our children and our children’s children what it once was like in America when men were free.”

And what was Reagan talking about? Medicare. Should it be enacted, he warned, the plan to provide for Grandma’s medical bills would lead to government seizure of all doctors’ offices and hospitals. An all-powerful state would dictate where Americans would live and what their jobs would be.

Of course the Gipper was only an actor, reading a tycoon-approved script. After he became president he vowed to protect Medicare, already one of the most popular and successful government programs in U.S. history—along with Social Security, another threat to freedom as the scripted Reagan saw it.

Some still do. A local Republican politician of my acquaintance once suggested that if I liked Obamacare so much I should leave the country. I responded that as the losing party, maybe he should emigrate.

And good luck finding a country without universal health insurance and with indoor plumbing.

It’s true that with Red State politicians dragging their feet and Republican congressmen whose offices routinely assist constituents to work out Medicare and Social Security problems telling reporters they’ll refuse to help with Obamacare, the short-term rollout could be bumpy.

Over time, however, the Republican right is setting itself up for epic failure. Partisan passions aside, people want and need reliable health insurance. Doctors, hospitals and pharmaceutical companies need it as well.

This too: never mind the politicians. Health insurance companies are going to market Obamacare bigtime. Since the law mandates that 80 percent of premiums must be spent on benefits, the only way the insurance industry can enhance profits is by finding more customers.

It’s the American way.

 

By: Gene Lyons, The National Memo, July 24, 2013

July 25, 2013 Posted by | Affordable Care Act, Health Reform | , , , , , , , | Leave a comment

“Populism Needs To Be Popular”: Not A Viable Political Strategy For Conservatives

Having already posted my thoughts on the problems associated with the Republican Party adopting some ideology or message of “libertarian populism,” I will note in passing Ramesh Ponnuru’s succinct rejection of the idea that combining hostility to state subsidies for big businesses and other special interests with the traditional conservative hostility to state “redistributive” efforts on behalf of the needy will work electoral magic.

It was not until Monday that Tim Carney, a libertarian-populist writer (and a colleague of mine at the American Enterprise Institute), got around to publishing a manifesto for the group. It is a document that contains several good ideas — but not a viable political strategy for conservatives.

The main focus of Carney’s work is that big government and big business collude at the expense of the little guy, and he recommends that Republicans run against that collusion in order to win working-class votes. In particular he wants them to break up the big banks, end corporate-welfare programs, clean up the tax code so that powerful interests no longer profit from it, and end regulations that protect established businesses from competitors (regulations that stifle food trucks, for example). He would also cut the payroll tax and end government policies that favor employer-based health insurance.

I’m sympathetic to most of the items on Carney’s list — and those on the list that fellow populist Conn Carroll has compiled. Taken together, though, they do not seem to amount to a winning political platform. A Republican party that took on the U.S. Export-Import Bank might improve its image a bit, but how many Americans really care enough about the issue to change their votes based on it? Nor does freeing the food trucks seem like it would win many votes, however right it might be as a policy matter….

Cutting the payroll tax, unlike most of these ideas, would tangibly affect most people’s lives by raising their take-home pay. If Republicans proposed it, though, they would surely be accused of jeopardizing Social Security and Medicare, which seems like a rather large political defect. Other Carroll proposals, such as ending student loans and the mortgage deduction, seem likely to be unpopular even at first glance.

Republicans ought to propose conservative answers to the concerns that are uppermost on most voters’ minds. The libertarian-populist method seems to be to start with the solutions and then to imagine that voters have the relevant concerns. And while many of the proposed solutions have great potential appeal to conservative voters, few would do much to expand their ranks.

In other words, if you want to sell a political party highly resistant to change a “new” ideology of “populism,” it had better be popular. Because it’s not, you typically find Republicans taking the easier route of defending government programs that benefit their own constituencies against the claims of those people. I don’t think it’s a winning formula in the long run, but it’s more promising than pretending the voters Republicans need would be happier if government stayed out of their lives altogether.

 

By: Ed Kilgore, Contributing Writer, Washington Monthly Political Animal, July 18, 2013

July 19, 2013 Posted by | Conservatives, Populism | , , , , , | Leave a comment

“Are These People On Drugs”: House GOP Apparently Wants To Be Even More Unpopular Than It Already Is

With the July 4 holiday behind them, House members might be expected to take up work on the immigration reform bill passed by the Senate. But they won’t. They’re looking at piecemeal reforms that will be heavier on border enforcement than the Senate bill – which doubled the number of border control agents, after the border control budget already doubled in size in the last decade — and even nuttier ideas.

Instead the House GOP is apparently making big plans for another debt ceiling hostage-taking, and this time they’ve got a strategy to demand big budget cuts from President Obama and the Democrats. According to the National Journal, House leaders are working on a “menu” of budget-slashing offers to Obama in exchange for lifting the debt ceiling for a short, medium or long period of time. Their template is Rep. Paul Ryan’s budget – the budget so unjust and biased against the poor that the U.S. Conference of Catholic Bishops took time out from restricting women’s rights to criticize the Ryan plan.

House members reluctantly voted to raise the debt ceiling in January promising to come back with a strengthened hand on behalf of budget cuts next time around (which will probably be the end of this year). So House Speaker John Boehner is reportedly meeting with Ryan and other conservatives like Louisiana Rep. Steve Scalise, who boasted about their talks to the National Journal. The key points:

For a long-term deal, one that gives Treasury borrowing authority for three-and-a-half years, Obama would have to agree to premium support. The plan to privatize Medicare, perhaps the most controversial aspect of the Ryan budget, is the holy grail for conservatives who say major deficit-reduction can only be achieved by making this type of cut to mandatory spending. “If the president wants to go big, there’s a big idea,” said Rep. Steve Scalise, chairman of the Republican Study Committee.

For a medium-sized increase in the debt-limit, Republicans want Obama to agree to cut spending in the SNAP food stamp program, block-grant Medicaid, or tinker with chained CPI.

For a smaller increase, there is talk of means-testing Social Security, for example, or ending certain agricultural subsidies.

…Even at the smallest end of the spectrum — another months-long extension of debt-limit — there is talk of pushing back the eligibility age for Social Security by an equal number of months.

Are these people on drugs? These are wildly unpopular ideas that have no chance of passing the Senate. (“Republicans are eager to look like they are giving the White House plenty of options, convinced that it is in their interest to appear engaged and flexible at the negotiating table,” the NJ’s Tim Alberta reports, apparently unironically.) Unfortunately, the president himself has come out behind the chained CPI, but given the enormousness of House GOP demands and delusion, he’s unlikely to get much for that concession. So one cheer for House GOP delusion.

Scalise seems to be the main source for the National Journal story, and you can imagine other members wincing at his clueless bluster. Not surprisingly, Scalise starred in another story today about the Obama team’s belief it will see some congressional movement on both immigration reform and the economy this summer. Not so fast, Scalise told the Washington Post: “We’re going to continue to be very aggressive in serving as a check and balance against the Obama administration. That’s what the country said in November. We’re very far apart.”

It’s interesting to note that Paul Ryan is key to these debt-ceiling strategy talks, according to the National Journal, when he’s also supposed to be key to comprehensive immigration reform. To his credit, Ryan has come out for something along the lines of the Senate bill, but the question is whether he’ll expend any political capital getting other members to join him. So far, he hasn’t. It looks like another round of debt-ceiling hostage taking is a higher priority for him.

Ironically, the fact that the deficit is falling faster than at any time since World War II is helping drive the House GOP’s extremism – they have to go for big, slashing cuts, because the deficit is already shrinking. Here’s hoping the extremism of the House GOP’s opening salvo will remind the Obama administration not to waste its time on another attempt at a “grand bargain” on deficit reduction.

 

By: Joan Walsh, Editor at Large, Salon, July 8, 2013

July 10, 2013 Posted by | Debt Ceiling, GOP | , , , , , , , | 3 Comments

“It’s Time For Republicans To Get Serious”: Spending Cuts In President Obama’s Budget Put Onus On Paul Ryan

When it comes to deficit reduction, President Barack Obama may have correctly taken the measure of Alan Simpson and Erskine Bowles and U.S. corporate leaders; that’s a reason why any deficit deal is more remote than ever.

Two and a half years ago, when the president refused to embrace the recommendations of his own deficit-reduction panel, he was criticized by the authors, Bowles, a former chief of staff to President Bill Clinton, and Simpson, a former Republican senator from Wyoming, as well as by business leaders.

The plan proposed a balance of spending reductions and tax increases of about $4 trillion over almost a decade; that would bring the long-term debt to a sustainable level, according to proponents, who said the president was abdicating leadership.

Privately, Obama saw the proposal as a trap. If he embraced it, Republicans would say, “let’s focus on areas where we agree — spending, including entitlement cuts — and return later to raising revenue.” Then, he feared, Simpson, Bowles and those worried executives would provide aid and comfort for that position, handing a devastating defeat to Democrats.

In these recurring budget battles, Obama deserves his share of blame. At the turn of the year, he was unwilling to hang tough for an entitlements-revenue deal as tax increases loomed for all Americans. He blinked and accepted a smaller tax increase on the wealthy. The White House then miscalculated that the mindless across-the-board spending cuts under sequestration were so bad that an alternative would emerge.

Yet, a month ago, Obama took a risk and proposed a budget containing cuts to entitlements cherished by his party. House Budget Committee Chairman Paul Ryan, a Wisconsin Republican, and his cohorts were unmoved; they wouldn’t give an inch on new revenue.

Simpson and Bowles gave Obama a pat on the back and largely refrained from criticizing Ryan or House Speaker John Boehner, while corporate leaders ducked.

Moreover, Simpson and Bowles have revised their plan and moved to the right, proposing proportionately more spending cuts and less in new revenue. Obama is playing ball, Ryan isn’t, and the two deficit hawks, and their CEO supporters, are rewarding the guy who is stiffing them.

Simpson and Bowles have been admirably persistent, open to some modifications and correctly insistent on the need to curb long-term health-care costs. A spokesman offered this explanation for their latest move to the right: Republicans now control the House. Sorry, Republicans had just won a huge victory, taking control of the House, and were on a high when Bowles-Simpson was first offered in December 2010.

What’s really going on is that their fervent hope for a deal rests on a naïve assumption that the able Ryan will strike a responsible compromise, even though he has made clear that he won’t.

The Republican position is that taxes went up as part of the deal on the so-called fiscal cliff, and there will be no more increases. In reality, all the tax cuts enacted under President George W. Bush were slated to expire anyway, and Republican congressional leaders, their backs against the wall, had to accept some higher levies on the wealthy.

Moreover, that $600 billion, over a decade, is only a little more than half of what Bowles-Simpson proposed. In addition, the new revenue is dwarfed by spending cuts, which have been more than twice as large.

Obama, for all his earlier timidity, showed political guts with his budget last month. He would lower cost-of-living adjustments for most Social Security recipients, means-test Medicare benefits for wealthier senior citizens and enact other reforms to entitlements that would amount to about as much as the deficit commission recommended.

This has infuriated the Democratic base, some of whom, unreasonably, oppose any cuts to Social Security or Medicare. Others warned that, whatever the merits, there was a political risk to a unilateral gesture, which would be rejected by the Republicans and rob the Democrats of a good issue.

So far, that’s proven to be the case.

Other Republican criticisms are equally dubious. The charge that Obama doesn’t deal with long-term health-care spending would be more credible if a stronger alternative were on the table. Obama’s Medicare cutbacks, over 20 years, are larger than Ryan’s. The sequestration cuts, now accepted by many Republicans, as the White House notes, provide no permanent entitlement changes. None.

There’s also sniping that the entitlement changes would be phased in only gradually. Well, that’s the only way to make entitlement changes politically viable. Consider the much-praised 1983 commission led by future Federal Reserve Chairman Alan Greenspan that made Social Security more solvent with spending cuts and higher taxes. It takes full effect in 2022, almost 40 years after it was enacted.

Corporate executives say they’re pessimistic about any long-term deficit changes and thus it’s better not to rock the boat. Who’s abdicating now?

Senate Democrats, after legitimate criticism for failing to pass a budget for years, did so this year. Now, it’s Ryan and the House Republicans who refuse to go to a conference to try to reconcile differences.

In Washington, there’s a propensity to find bipartisan fault in most conflicts. Often, that is on the mark.

Now, however, if Simpson and Bowles and the CEOs who warned about the dire need to get America’s fiscal house in order are serious, they have a clear target: Paul Ryan.

 

By: Albert R. Hunt, The National Memo, May 16, 2013

May 19, 2013 Posted by | Budget, Deficits | , , , , , , , | Leave a comment

“Gotta Nuke Something”: House Republicans Eyeing New Hostage Opportunity

The House Republicans are contemplating a new budget-hostage strategy, the Washington Post reports in a story that is both highly useful and inadvertently Onion-esque. The hallmark of Onion news reporting is conveying insanity as if it were sane in a completely deadpan way. The news contained within the story is that the House GOP is thinking of tying the next increase in the debt ceiling to tax reform. Under this proposed strategy, the Post reports, “The debt limit might be raised for only a few months, with the promise of another increase when tax reform legislation passes the Senate.”

If you didn’t fall out of your chair when reading that apparently anodyne sentence, let me explain why you should have. In 2011, House Republicans undertook a novel and radically new dangerous political tactic of using the debt limit as a political bargaining chip. Before, the opposition party had treated the debt limit increase as a necessary step, though one they would posture over and use to flay the administration. (Senator Barack Obama followed this pattern.) The Republicans instead decided to actually threaten not to raise the debt ceiling unless Obama granted them policy concessions. This was extraordinarily risky. By mixing together a vote that was needed to prevent economic calamity with inherently contentious debates over the size of government, it turned routine budget disputes into a financial Cuban Missile Crisis.

The official party rationale for this extraordinary tactic was that, risky though it may be to fail to lift the debt ceiling, failing to reduce the debt was even riskier. An extreme imminent crisis justified extreme tactics. The risk of becoming Greece outweighed the risk of a debt-limit snafu (though it was not, of course, high enough to justify even a partial repeal of the Bush tax cuts).

President Obama has taken these arguments at face value, offering to meet the opposition halfway, or more than halfway, in order to strike a deal. He has publicly offered significant cuts to spending on retirement programs. But some Republicans don’t want that deal, the Post reports, because “The proposals, included in the president’s budget request, outraged seniors, and some Republicans fear that embracing them would be political suicide.”

Oh! So you threaten to melt down the world economy unless Obama agrees to cut spending on retirement programs, and then he offers to do that, and then you decide it’s too unpopular?

The decision that they no longer care about the thing they were prepared to unleash worldwide economic havoc to achieve has not caused them to abandon the debt ceiling as a hostage. (It’s the party’s Nelson Muntz–ian approach to resolving policy disagreements: “Gotta nuke something.”) If obtaining retirement cuts went from so urgent it was worth threatening to nuke the world economy over to “meh,” the next step is to figure out the next thing to nuke the world economy over. That thing, the Post reports, is tax reform.

But what is the GOP position on tax reform? It’s that tax reform must cut tax rates and not raise any revenue at all. So House Republicans are prepared to refuse to raise the debt ceiling unless Democrats agree to let them cut tax rates without increasing revenue. Their extraordinary threat, first presented as a way to force a reduction in the deficit, is now being wielded to prevent a reduction in the deficit.

 

By: Jonathan Chait, Daily Intelligencer, New York Magazine, April 29, 2013

May 2, 2013 Posted by | Debt Ceiling, GOP | , , , , , , , | Leave a comment