By: E. J. Dionne, Jr., Opinion Writer, The Washington Post, September 7, 2012
“Redistribution Fallacy”: Desperate Times Make Desperate Measures Appealing
Desperate times make desperate measures appealing. The Romney campaign and its allies, sensing lasting damage from their candidate’s dismissal of 47 percent of the voters, including swaths of likely Republican votes, has decided use this as a teaching moment. Exhibit A is a 1998 video of Barack Obama that is worth a look. The Romney campaign has focused on the part where Obama says, “I actually believe in redistribution, at least at a certain level to make sure that everybody’s got a shot.” (The context in which he makes that conclusion is interesting because it shows, unlike Romney, a consistent philosophy that believes government, despite its considerable flaws, can be a catalyst for opportunity.)
Some Republicans believe the way to defeat Obama is to convince people that he is a socialist, in contrast to Romney, who believes in free enterprise and individual initiative. Ezra Klein has already pointed out the fallacy here: Romney believes in redistribution himself through his support of food stamps and other social programs. But while Mr. Klein comes at redistribution from top to bottom, I would come from the opposite direction: Mitt Romney supports the massive wealth transfer that has been enabled by government policies — most notably the tax code — and that has been accelerating over the past three decades and has always grown more under Republican administrations. Indeed, Romney’s economic plan is based on further tax cuts for the wealthiest Americans.
Barack Obama wants this debate, and my impression is he will win it. He can whipsaw Romney from bottom to top. “Which redistribution programs do you want to get rid of, Mr. Romney? Social security, Medicare, aid to veterans? Many of those people are in your 47%. And how many more tax cuts do you think the wealthy need? How low should their tax rates go? You talk about half the population as if they are just dependents, and you talk about the wealthy as needing more support, but I never hear you talking about what I think this race is all about: the middle class.”
By: Carter Eskew, The Insiders, The Washington Post, September 20, 2012
“The Real Moochers”: Obama Supporters Subsidize Romney Supporters With Their Taxes
In a video posted yesterday, Mitt Romney slammed the people who support President Obama, saying they are most likely “dependent on government.” Romney’s comments were recorded as he spoke at to an exclusive group of donors at a private meeting. Obama’s fans think of themselves as “victims,” he said. They believe they are “entitled to healthcare, to food, to housing, to you name it.” He added, “My job is not to worry about those people. I’ll never convince them that they should take personal responsibility and care for their lives.”
Many on both left and right have criticized Romney for his lack of empathy and rejection of the social contract. However, it’s easy to understand why Romney might view America this way. After all, Republicans supposedly represent those with more money, and Democrats supposedly represent those with less—sometimes much less. It’s plausible that Romney’s supporters would pick up the tab (through their taxes) for social programs that benefit Obama’s supporters. For the same reason, it’s plausible that Red states would subsidize Blue states, and Red counties would subsidize Blue counties where the poor people live.
But, although it’s plausible, it’s completely wrong. When Romney says his job isn’t to care about those who depend on government for healthcare, food, and housing, he’s talking about his base. Across America, Obama’s supporters actually subsidize Romney’s supporters.
Blue States Subsidize Red States
Studies show that states that elect Democrats contribute the most in federal taxes relative to what they consume in government services. Conversely, many states that elect Republicans contribute the least in taxes relative to the services they consume. This is true even though many Democratic states contain large, poor, urban populations of color.
Here’s the evidence: The 10 “Tax Producing States” listed below, left, contribute the most in tax revenues relative to the services they consume. They usually vote Democratic. The ten “Tax Dependent States” listed below consume the most in government services relative to the taxes they pay. And they usually vote Republican. (Each state’s name is shown in blue if voters there lean toward Obama, and red if they lean toward Romney, as per Nate Silver’s 538 blog.)

More detailed analysis confirms this pattern. Even the libertarians at the journal Reason acknowledge this so-called “Red/Blue Paradox.”
Blue Counties Subsidize Red Counties
The same imbalance prevails within states, at the county level. The Blue counties contribute the most state taxes relative to the services they consume. The Red counties consume the most services relative to the taxes they pay. For example, a recent study documented the pattern in Washington state. King County, the solidly-Democratic county that surrounds Seattle, provides “nearly 42% of the state’s tax revenues, yet receives only 25% of the money spend from Washington’s general fund.” Conversely, five counties that require the most in services relative to the taxes they pay are largely Republican.
California shows a similar pattern. Republican Modoc and Tulare Counties consume the most in taxpayer-funded services from the state on a per-capita basis. Says San Francisco Chronicle writer Kevin Fagan: “The prevailing attitude among the right-wing ranchers and modern hippies who define Modoc County is of fierce self-reliance—but more people here than just about anywhere else depend on welfare checks of some kind to get by.” In contrast, famously liberal San Francisco and Marin Counties generate the most tax revenues for the state on a per capita basis.
Why Red States Need Blue State’s Tax Dollars
Why do people in Red states and counties resent government spending so passionately even as they need so much of it? The central problem is poverty. Many of the residents of these counties are poor. They are ill-prepared to make a decent living no matter how hard they tug on their own bootstraps. For example, in California’s conservative Modoc county only 12 percent of adults over 25 have a bachelor’s degree. Nearly 20 percent live below the poverty line. Many Modoc residents can’t afford to send their children to college. They need government programs to survive, let alone improve their financial outlook.
Without government support it’s hard to see a way to break the cycle of poverty and dependence. At least so far, the formula of small government, limited services, low investment, and low taxes that conservative states have implemented for themselves hasn’t helped their economies much. (See my earlier column.)
This situation would be funny if it weren’t so tragic. When a tax protester yelled “Keep your goddamn government hands off my Medicare” many scoffed at that one person’s ignorance. But most Americans who rail against taxes and the size of government are profoundly unaware that taxes they hate fund the programs they want and need. And they are unaware that the states and counties inhabited by “welfare queens” and “freeloading illegals” are actually sending them the money that keeps them fed, cared for, and educated.
Put It to a Vote
Let’s put the question of a tax rates to a national referendum and see what Americans really want. Allow voters in each county to decide whether to keep their state and federal taxes at their current level or to lower them. The catch is this: If you vote to lower your taxes then your county or state can’t take out any more money than it puts in. Perhaps this would make everyone happy. Red counties would get the lower taxes and vastly reduced services they want. And people in Blue counties (once they stop trying to give their money to people who don’t want to receive it) would keep more of their hard-earned cash, and enjoy vastly better-funded local services. Let’s give it a try.
By: David Brodwin, U. S. News and World Report, September 18, 2012
“Dual Eligible’s”: Cut Medicaid And You Cut Health Care For The Elderly And Disabled
Gov. Romney and Rep. Ryan have been adamant that their Medicare proposals won’t affect people over 55. That may be true. But their Medicaid proposals sure will. A lot of health care for the elderly comes from Medicaid. We call those people “dual-eligibles”, because they qualify for both Medicare and Medicaid. Some dual-eligible are younger disabled people, but about two-thirds are 65 or older. The Kaiser Family Foundation reports:
Dual eligibles as a share of total Medicaid enrollees ranged from a low of 10 percent in Arizona and Utah to a high of 26 percent in Maine, due to demographic differences and policy preferences across the states. Similarly, spending on dual eligibles as a percentage of total Medicaid spending ranged from a low of 18 percent in Arizona to a high of 59 percent in North Dakota.
Lots of Medicaid money goes to the elderly. Cut Medicaid, and you likely cut some of that. Here’s more:
One quarter (25%) of Medicaid spending for dual eligibles went toward Medicare premiums and cost-sharing for Medicare services in 2008. Five percent of spending for duals was for acute care services not covered by Medicare (e.g., dental, vision, and hearing services). Another 1 percent of Medicaid dual eligible spending was for prescription drugs, a percentage that has fallen significantly since coverage for nearly all prescribed drugs for duals was shifted from Medicaid to Medicare Part D in 2006. The remaining 69% of Medicaid spending was for long-term care services, which are generally not covered by Medicare or private insurance.
That Medicaid money is going to Medicare premiums! It’s also going to actual care. Cut Medicaid, and you likely cut some of that.
It’s about time someone pointed that out. The health care proposals of Gov. Romney and Rep. Ryan will absolutely impact some elderly people way earlier than a decade. Unless they’ve changed their minds again.
By: Aaron Carroll, Washington Monthly Political Animal, September 7, 2012
“Hope And Change 2012”: Building On An Existing Narrative With A Forward Vision
The man who ran on hope and change didn’t walk away from them. He redefined them for the long haul.
And a president who has been accused of being a collectivist and a socialist didn’t abandon a vision of shared burdens and purposes. He replied forcefully with a call for a renewal of citizenship, “the idea that this country only works when we accept certain obligations to one another, and to future generations.”
“We, the people, recognize that we have responsibilities as well as rights,” he declared, “that our destinies are bound together; that a freedom that only asks what’s in it for me, a freedom without commitment to others, a freedom without love or charity or duty or patriotism, is unworthy of our founding ideals, and those who died in their defense.
Rarely has an American election been defined by such a sharp clash of philosophies. When Obama told a fired-up Convention crowd that the contest will involve “the clearest choice of any time in a generation” and “a choice between two fundamentally different visions for the future,” he was not exaggerating. On Wednesday, he took the Republicans’ new radical individualism head on.
Obama’s was a speech aimed less at shaking up the campaign than in building on an existing narrative. The president did not defend his economic record. He left that to Bill Clinton. He did not even promise rapid recovery. On the contrary, he told voters: “I won’t pretend the path I’m offering is quick and easy.”
Indeed, he seemed to reach back to John F. Kennedy’s call on the nation to ask not what the country could do for them, but what they could do for the country. “As citizens,” Obama said, “we understand that America is not about what can be done for us. It’s about what can be done by us, together, through the hard and frustrating work of self-government.”
And thus his redefinition of hope and change. Faced with assertions that he can no longer inspire the elation he called forth four years ago, Obama challenged those who had supported him to stay in the fight for the longer-term and do the work required for saving their original vision.
“If you turn away now — if you buy into the cynicism that the change we fought for isn’t possible…well, change will not happen,” the president said. “If you give up on the idea that your voice can make a difference, then other voices will fill the void: lobbyists and special interests; the people with the $10 million checks who are trying to buy this election and those who are making it harder for you to vote. . . .”
Of course, this is an election, not a philosophical exercise, so Obama was concrete about his differences with Mitt Romney and the Republicans’ vision of a spare government that would ask even less of the already successful. He criticized his foes on Medicare and Social Security, on their refusal to accept any deficit plans that included higher taxes on the wealthy, on education spending and tuition aid.
“Over and over, we have been told by our opponents that bigger tax cuts and fewer regulations are the only way; that since government can’t do everything, it should do almost nothing,” he said. “If you can’t afford health insurance, hope that you don’t get sick. If a company releases toxic pollution into the air your children breathe, well, that’s just the price of progress.”
And he mocked the GOP’s diagnosis of more tax cuts in all economic circumstances: “Feel a cold coming on? Take two tax cuts, roll back some regulations, and call us in the morning!”
In defining his vision for “moving forward,” Obama spoke more of goals than of policies, highlighting an expansion of manufacturing, energy independence, education and job training, and climate change, an issue that has largely been absent from the public discussion since 2010.
Politicians usually run campaigns based on what they will do, or have done, for voters. Obama will certainly do his share of this, and did some of it Thursday.
Yet his heart seems not to lie in transactional politics. He prefers challenges to promises, obligations to privileges, reason to emotion. “The path we offer may be harder,” he said, “but it leads to a better place.” This is not a typical campaign pledge. It implies neither ease nor comfort but burdens worth bearing and responsibilities worth shouldering. It is still a form of hope, but one that requires far more than going to rallies and cheering.
“Making Medicaid Matter”: The Real-World Impact For Today’s Struggling Americans
Much of the 2012 policy debate, such as it is, has focused on Medicare, and with good reason — the Romney-Ryan plan to replace the Medicare system with a voucher plan is important and worth scrutinizing in detail.
But in his convention speech last night, Bill Clinton not only stressed Medicare, he also delivered a forceful reminder about the importance of Medicaid and what would happen to the program under Republican rule:
“Now, folks, this is serious, because it gets worse. And you won’t be laughing when I finish telling you this: they also want to block-grant Medicaid, and cut it by a third over the coming 10 years.
“Of course, that’s going to really hurt a lot of poor kids. But that’s not all. A lot of folks don’t know it, but nearly two-thirds of Medicaid is spent on nursing home care for Medicare seniors who are eligible for Medicaid.
“It’s going to end [Medicaid] as we know it. And a lot of that money is also spent to help people with disabilities, including a lot of middle-class families whose kids have Down’s Syndrome or autism or other severe conditions.
And honestly, let’s think about it, if that happens, I don’t know what those families are going to do. So I know what I’m going to do. I’m going to do everything I can to see that it doesn’t happen. We can’t let it happen.”
The future of Medicare is obviously important and should be a central issue in the presidential race, but as Matt Yglesias noted, “Medicaid is the one where much more is at stake on the ballot.”
Why? Because the Romney-Ryan plan, with a position they’re not at all bashful about, would block-grant Medicaid, leaving states with fewer resources, and leaving the poor and disabled in even more jeopardy.
Remember, unlike Medicare, Medicaid is a partnership between federal and state governments. The program undermines state budgets in a big way during economic downturns — more people begin to rely on the program and states, which can’t run deficits, struggle badly with the finances — and the moment a Romney-Ryan administration gives states the flexibility to do so, Republicans governors will start improving their finances by taking health care from the most vulnerable, who don’t exactly have lobbyists looking out for them.
What’s more, as Clinton reminded us, for all of Romney’s talk about leaving seniors’ benefits intact, the moment the GOP guts Medicaid, plenty of elderly Americans will feel the effects.
There’s no shortage of policy differences between the two major-party campaigns, but this is one of the more dramatic areas of disagreement, especially as it relates to the real-world impact of struggling Americans. Medicaid deserves to be an important part of the national debate, and kudos to Clinton for giving the issue the spotlight.
By: Steve Benen, The Maddow Blog, September 6, 2012