“Truly Something To Behold”: Republicans War-Monger, Then Complain When We’re Overwhelmed By Sick Vets
It took very little time at all for reports of falsified records covering up delays at a Veterans Administration hospital in Phoenix to balloon into just another who’s up-who’s down Washington political story. From the New York Times’ front-page article today declaring in its headline that the “V.A. Accusations Aggravate Woes for White House”:
Republican lawmakers intensified their criticism of Mr. Obama, and some made it clear they intended to use the incidents at the hospitals as fodder for a broader political theme about incompetence in his administration.
“The election of President Obama ushered in a new era of big government and with it a renewed flurry of mismanagement,” Representative Kevin McCarthy of California, the House Republican whip, said in a statement. “If the president truly did not know about these scandals and mistakes, we should doubt his ability to properly manage the leviathan government that he helped create.”
Representative Eric Cantor of Virginia, the No. 2 Republican in the House, told reporters on Tuesday that Mr. Obama had not acted swiftly enough. He added that “it is time for our president to come forward and take responsibility for this and do the right thing by these veterans and begin to show that he actually cares about getting it straight.”
Meanwhile, after Obama addressed the Phoenix scandal at the White House this morning, Republican Senate leader Mitch McConnell huffed, “Unfortunately [we] have yet to hear” Obama treating the “VA crisis with the seriousness it deserves.”
The hypocrisy on view here is truly something to behold. If V.A. employees in Phoenix, or anywhere else, were engaged in fraud and cover-up of the sort that is being alleged, that is a travesty and heads will have to roll, as one already has. And it’s fair to ask, as we did with the bungled rollout of healthcare.gov, why the White House hasn’t paid more attention to the nuts and bolt functioning of the federal bureaucracy. But for Republicans to expand the scandal into a broader indictment of Obama’s overall handling of veterans affairs means overlooking some relevant context.
For starters, there is the matter of funding. If there’s been one side pushing for greater resources for the Veterans Administration in the age of austerity these past five years, it hasn’t been the Republicans. It was the much-maligned economic stimulus package of 2009 that included $1 billion for the V.A. While the V.A. itself was protected from the budget sequestration that Republicans fought to keep in place last year, many other veterans programs—providing mental health services and housing, among other things—were hit hard by the sequestration cuts. And when the Senate was poised to pass a $24 billion bill for federal healthcare an education programs for veterans three months ago, Senate Republicans, led by McConnell, blocked it in a filibuster, saying the bill would bust the budget and complaining that Senate Democrats had refused to allow an amendment on Iran sanctions to be attached to the bill.
But there is a whole other level of context to consider here as well. There is a pretty basic reason for backlogs at V.A. facilities and in the disability claims process, the other ongoing V.A. mess. Put simply: when you go to war, you get more wounded veterans, and in a country without a universal health care system, they are all funneled into this one agency with limited capacity. Every one of the Republican leaders quoted above attacking Obama for the V.A. backlogs strongly supported launching the wars in Iraq and Afghanistan that resulted in nearly 7,000 fatalities and a huge surge in medical needs and disability claims. Nearly one-half of veterans returning from Iraq and Afghanistan have filed claims for permanent disability compensation. These claims need to be assessed for their validity, just as we attempt to do with claims for other programs, such as Social Security disability, unless we want to simply throw open the doors on a compensation program that is already expected to cost close to a trillion dollars for Iraq and Afghanistan vets. Making the assessment all the more challenging is the nature of the disability claims being made. Awarding disability status for a missing limb is easy. Harder are the much larger numbers of claims for traumatic brain injury caused by the IED explosions that were the greatest threat to our service members in these two wars of occupation. Consider this graph:
Something, it appears, happened around 2003 that caused the rate of traumatic brain injuries in the U.S. military to spike. Now what could that have been? Whatever it was, it happened while Barack Obama was in the Illinois state Senate, giving an obscure speech against invading Iraq. He is now having to reckon with the fallout from that event, as is his responsibility to do as commander in chief. But you’d think that those who had actually played a part in bringing about that event would have enough self-awareness to resist scoring political points off of the years-later fallout. Apparently, though, even that is too much to ask.
By: Alec MacGinnis, The New Republic, May 21, 2014
“John Boehner Is A Ridiculous Man”: Lacking Political Courage, The Republican Establishment Has A Problem
As soon as I saw what John Boehner had done, I knew that the folks at Red State would lose their minds. While speaking at the Middletown, Ohio, Rotary Club, Speaker Boehner dismissed the possibility of truly repealing ObamaCare and mocked his colleagues in the House who lack the political courage to pass some kind of immigration reform.
On ObamaCare, Boehner said repeal wasn’t even the goal. The goal was to “repeal and replace.” But, as soon as he began to describe what replacing would mean, he made it clear that much of what had been done could not be undone:
“The challenge is that Obamacare is the law of the land. It is there and it has driven all types of changes in our health care delivery system. You can’t recreate an insurance market over night.
“Secondly, you’ve got the big hospital organizations buying up doctor’s groups because hospitals get reimbursed two or three times doctor’s do for the same procedure just because it’s a hospital. Those kinds of changes can’t be redone.
“So the biggest challenge we are going to have is — I do think at some point we’ll get there — is the transition of Obamacare back to a system that empowers patients and doctors to make choices that are good for their own health as opposed to doing what the government is dictating they should do.”
In other words, repeal is out of the question and “replace” means “tinker.”
Over at Red State, Daniel Horowitz is apoplectic:
Which means that he has no intention to repeal it.
It’s funny how we warned those who opposed the effort to defund Obamacare that they would never repeal it at a later date. They denied the charge at the time; now they are embracing it.
Maybe even more troubling to the base is Boehner’s attitude about immigration reform.
“Here’s the attitude. Ohhhh. Don’t make me do this. Ohhhh. This is too hard,” Boehner whined before a luncheon crowd at Brown’s Run County Club in Madison Township.
“We get elected to make choices. We get elected to solve problems and it’s remarkable to me how many of my colleagues just don’t want to … They’ll take the path of least resistance.”
Boehner said he’s been working for 16 or 17 months trying to push Congress to deal with immigration reform.
“I’ve had every brick and bat and arrow shot at me over this issue just because I wanted to deal with it. I didn’t say it was going to be easy,” he said.
Of course, a majority in the House wants to pass immigration reform, so Boehner could do it tomorrow if he was willing to put up with the grumbling in his own party. If he thinks it would cost him his leadership position, then he’s lacking political courage, too.
Here’s Horowitz’s response:
Yes, Mr. Boehner. We actually want to solve the immigration problem.
We want to deal with the problem of criminals being let out of jail.
We want to deal with the problem of Obama suspending deportations.
We want to deal with birthright citizenship and other magnets that allow foreigners to violate our sovereignty and take advantage of the welfare state.
We want to make immigration work for the American people, not for your donors.
Sadly, you have no interest in joining us in combating the President’s malfeasance. You are the one who is too scared to make hard decisions. It’s a lot easier to go along with the political class and cowardly hide behind the misleading canard of “reform” just for the purpose of pushing the same failed amnesty that has engendered endless cycles of illegal immigration and that is already spawning a new wave. It’s akin to saying conservatives are cowards for not dealing with “healthcare reform” because they don’t support Obamacare.
In the aftermath of the 2012 election, the Republican National Committee did a study to figure out why they lost and what they needed to do differently to win in the future. They basically concluded that they lost because they sounded too much like Red State. They couldn’t ignore the need for immigration reform anymore. They couldn’t continue to oppose gay equality. The New York Times’ Tom Edsall described the problem this way:
There is at least one crucial problem that the authors, all members of the establishment wing of the party, address only peripherally and with kid gloves: the extreme conservatism of the party’s primary and caucus voters — the people who actually pick nominees. For over three decades, these voters have episodically shown an inclination to go off the deep end and nominate general election losers in House and Senate races — or, in the case of very conservative states and districts, general election winners who push the party in the House and Senate to become an instrument of obstruction.
Ironically, it was Senate Minority Leader Mitch McConnell who conceived of the Party of No strategy that the GOP has followed with almost psychotic glee. President Obama’s reelection did not alter that strategy one iota. Somehow, the folks at Red State took the strategy seriously, as if it were about principle instead of a failed attempt to destroy Obama’s presidency.
So, now the Republican Establishment has a problem. They cannot govern according to their own lights. They literally cannot lead their own caucuses. When they whine about the results, they invite nothing more than simple ridicule.
By: Martin Longman, Washington Monthly, Ten Miles Square, April 25, 2014
“Last Gasps Of A Dying Movement”: Obamacare Obstructionists’ Self-Created Trap
Kevin McCarthy doesn’t have the best timing. The House majority whip released what he hoped would be the foundational document of Obamacare truthers, “Debunking Obamacare’s 7 million enrollees ‘success’ story,” the same day the White House announced that, in fact, 8.03 million Americans had enrolled in the insurance exchanges. Republicans will no doubt try to debunk the higher figure the same way, but the more we learn about who’s been covered under the Affordable Care Act, the harder it will be. It is, overwhelmingly, a success story.
I said the same thing back when the number was 7 million: Imagine how many more people might have been covered if shrill Republicans hadn’t made repealing and obstructing the ACA their top priority. The news that 35 percent of enrollees are under 35 is particularly heartening: it means many young people ignored the campaign to tell them not to sign up – remember that creepy Uncle Sam “doctor” and reports of cool campus keg parties? Yes, the president had Zach Galifianakis and Bradley Cooper – damn you, Bradley Cooper! Greg Gutfeld is still so angry at you – but imagine where we’d be without an organized national campaign to scare people out of signing up.
The campaign to discredit the act will continue. McCarthy’s dumb document lists five new metrics for measuring success, including how many enrollees have actually paid, and how many didn’t have insurance before. Those are old talking points, but they’ve added a new one – how many received subsidies — which is ugly in several ways. Republicans will use a high rate of subsidies, if that’s the case, to negate the act’s success, when in fact the subsidies were always key to it: You can’t have an individual mandate to purchase private insurance without making some provision to help those who can’t afford it. Affordability is why most didn’t have it in the first place.
But McCarthy also tacks on an ugly parenthetical, asking “how many received a subsidy (raising concerns about fraud).” Brian Beutler at the New Republic calls this an effort to “welfarize Obamacare,” to stigmatize it and also make it subject to the same hysteria about “fraud” that conservatives use to smear other social programs. Remember that Sen. Ted Cruz called the subsidies “sugar,” telling Sean Hannity that when Americans got a taste of it, they’d be “addicted to the sugar, addicted to the subsidies. And once that happens, in all likelihood, it never gets …”
“It’s over,” Hannity declared. “It never gets repealed.”
Exactly.
Still, a high rate of subsidies will let the GOP continue to demonize the “takers” vs. the “makers.” But some of them are going to have a big problem: A lot of the takers will turn out to be their voters. Poor Mitch McConnell: His own state of Kentucky, under the leadership of Democratic Gov. Steve Brashear, set up its own insurance exchange, expanded Medicaid and conducted a bold public health campaign to get folks into “Kynect.” Now Kentucky has reduced the number of uninsured by 40 percent – and many of those newly insured are McConnell’s aging white constituents.
McConnell seems appropriately alarmed. The man who has repeatedly pledged to “repeal” the law just this week told healthcare workers in Kentucky that repealing the law can’t happen while Obama is president, so “we’re going to figure out a way to get this fixed.” That softer tone isn’t sitting well with his Tea Party challenger Matt Bevin, who’s already accusing McConnell of being an Obamacare appeaser, but the Senate minority leader seems to be looking past Bevin to his November battle with Alison Lundergan Grimes.
The only thing that might get Republicans out of a mess of their own making is Democratic cowardice, and you can never underestimate the capacity of centrist and red state Democrats to sabotage themselves and their own party. We’ll see how hard Grimes hits McConnell over his role in obstructing the ACA; so far, it hasn’t been very hard at all. She needs to make him the man who’s trying to charge women more than men for insurance again; the man who’s trying to take healthcare away from 370,000 Kentuckians who have it thanks to Democrats.
Democrats have similar opportunities in Virginia and Arkansas. Republicans have been itching to make the midterms a referendum on Obamacare. Thursday’s news means that might not work the way they had planned.
By: Joan Walsh, Editor at Large, Salon, April 18, 2014
“2016 Versus 2014?”: Are 2016 GOP Presidential Candidates Rooting Against The Party in 2014?
Who’s afraid of Majority Leader Mitch McConnell? It may not only be the Obama administration, congressional Democrats and their allies. According to a new report from Time’s Zeke J. Miller, the ranks of people who are quietly rooting for Democrats to hold the Senate by the skin of their teeth include all manner of Republican presidential hopefuls. Miller writes:
Behind closed doors and in private conversations with reporters and donors, GOPers eyeing the White House in 2016 are privately signaling they wouldn’t mind seeing the party fall short in this year’s midterm elections. For all the benefits of a strong showing in 2014 after resounding defeat in 2012, senior political advisers to some of the top Republican presidential aspirants believe winning the Senate might be the worst thing that could happen.
Miller identifies GOP governors Chris Christie of New Jersey, Scott Walker of Wisconsin, Bobby Jindal of Louisiana and Rick Perry of Texas as being the prime movers in this, as they are all likely to contrast their can-do problem-solving with the feckless gridlock of Washington – gridlock that they’d have a harder time dealing with if the GOP controlled all of Congress. GOP senators too (Florida’s Marco Rubio, Texas’ Ted Cruz and Kentucky’s Rand Paul) would have a greater expectations problem if people actually expected them to do more than inveigh against Obama. Miller continues:
For candidates from either category, a GOP-controlled Senate and House would mean having to answer for their party’s legislative agenda in both a primary and a general election. Whether it be new fiscal deals struck with Obama or continued votes to repeal Obamacare, aides to potential candidates fear that congressional action may put a damper on their boss’ future campaigns by forcing them to either embrace or break with specific legislative proposal as opposed to general policy ideals.
All of these points are good and Miller’s article is worth a full read. I especially like the detail where he notes that GOP governors don’t talk so much about the GOP Congress (honestly little wonder given that the reviled Obamacare is way, way, way more popular than congressional Republicans).
But there’s another reason why Republicans should be wary of excessive success and it has to do with the schizophrenic nature of the modern electorate. The midterm electorate tends to be older and whiter than the presidential electorate and the electorate’s increasing polarization (where parties tend to run up steep margins among specific demographic groups, like Republicans among whites and Democrats among minorities) has produced off-year collections of voters that lean Democratic (because they’re younger and less white) in presidential years and lean Republican (because they’re older and whiter) in off-years. The upshot has in recent cycles been parties that have struggled to succeed with the other side’s electorate.
So while Republicans swore up and down that they were going to learn the lessons of 2012 about growing their base, success in 2014 could kill any steps in that direction (which, in fairness, haven’t much been in evidence).
National Journal’s Ron Brownstein explicated this phenomenon last June:
The peril for Republicans is that a good 2014 election could provide a “false positive” signal about their prospects for 2016, much as the 2010 landslide did for 2012. … The GOP can thrive in 2014 without solving [its youth voter] problem — but not in 2016. The same dynamic holds for Republicans’ minority problems. The GOP attracted 60 percent of white voters in 2010 and enjoyed a landslide. But because minority turnout increased so much just two years later, Romney lost badly while winning 59 percent of the white vote.
At The American Conservative, Scott Galupo (a former U.S. News contributor) sees something more than a “false positive” danger; he argues that GOP poobahs understand their party’s problem full well but are trapped.
Republicans, or at least a good portion of those who matter, know full well that the party has a problem going into 2016, quite apart from what happens this fall. The crux of it is this: there’s nothing they can do to change it in the near term. The adjustments they need to make in order to recapture the White House—find some way to deal with undocumented immigrants; give up on tax cuts for the wealthy; acknowledge the painful trade-offs of any serious Obamacare alternative—would jeopardize their grip on Congress.
It’s possible that Republican leaders are merely biding their time until the Senate is in hand. Why rock the boat when you can win by default? I suspect, however, that the truth is more inconvenient: Rocking the boat will be no easier in 2016 than it is now.
The bottom line of course is that deep down no one is going to root against their side winning – you take the victory in the hand rather than hoping that a narrow loss will bank-shot you to greater success in the future. But these considerations are a useful reminder that allied political interests aren’t always perfectly aligned and that sometimes short-term success can mask and even exacerbate long term problems.
By: Robert Schlesinger, U. S. News and World Report, April 9, 2014
“Health Care Nightmares”: There’s An Extraordinary Ugliness Of Spirit Abroad In Today’s GOP America
When it comes to health reform, Republicans suffer from delusions of disaster. They know, just know, that the Affordable Care Act is doomed to utter failure, so failure is what they see, never mind the facts on the ground.
Thus, on Tuesday, Mitch McConnell, the Senate minority leader, dismissed the push for pay equity as an attempt to “change the subject from the nightmare of Obamacare”; on the same day, the nonpartisan RAND Corporation released a study estimating “a net gain of 9.3 million in the number of American adults with health insurance coverage from September 2013 to mid-March 2014.” Some nightmare. And the overall gain, including children and those who signed up during the late-March enrollment surge, must be considerably larger.
But while Obamacare is looking like anything but a nightmare, there are indeed some nightmarish things happening on the health care front. For it turns out that there’s a startling ugliness of spirit abroad in modern America — and health reform has brought that ugliness out into the open.
Let’s start with the good news about reform, which keeps coming in. First, there was the amazing come-from-behind surge in enrollments. Then there were a series of surveys — from Gallup, the Urban Institute, and RAND — all suggesting large gains in coverage. Taken individually, any one of these indicators might be dismissed as an outlier, but taken together they paint an unmistakable picture of major progress.
But wait: What about all the people who lost their policies thanks to Obamacare? The answer is that this looks more than ever like a relatively small issue hyped by right-wing propaganda. RAND finds that fewer than a million people who previously had individual insurance became uninsured — and many of those transitions, one guesses, had nothing to do with Obamacare. It’s worth noting that, so far, not one of the supposed horror stories touted in Koch-backed anti-reform advertisements has stood up to scrutiny, suggesting that real horror stories are rare.
It will be months before we have a full picture, but it’s clear that the number of uninsured Americans has already dropped significantly — not least in Mr. McConnell’s home state. It appears that around 40 percent of Kentucky’s uninsured population has already gained coverage, and we can expect a lot more people to sign up next year.
Republicans clearly have no idea how to respond to these developments. They can’t offer any real alternative to Obamacare, because you can’t achieve the good stuff in the Affordable Care Act, like coverage for people with pre-existing medical conditions, without also including the stuff they hate, the requirement that everyone buy insurance and the subsidies that make that requirement possible. Their political strategy has been to talk vaguely about replacing reform while waiting for its inevitable collapse. And what if reform doesn’t collapse? They have no idea what to do.
At the state level, however, Republican governors and legislators are still in a position to block the act’s expansion of Medicaid, denying health care to millions of vulnerable Americans. And they have seized that opportunity with gusto: Most Republican-controlled states, totaling half the nation, have rejected Medicaid expansion. And it shows. The number of uninsured Americans is dropping much faster in states accepting Medicaid expansion than in states rejecting it.
What’s amazing about this wave of rejection is that it appears to be motivated by pure spite. The federal government is prepared to pay for Medicaid expansion, so it would cost the states nothing, and would, in fact, provide an inflow of dollars. The health economist Jonathan Gruber, one of the principal architects of health reform — and normally a very mild-mannered guy — recently summed it up: The Medicaid-rejection states “are willing to sacrifice billions of dollars of injections into their economy in order to punish poor people. It really is just almost awesome in its evilness.” Indeed.
And while supposed Obamacare horror stories keep on turning out to be false, it’s already quite easy to find examples of people who died because their states refused to expand Medicaid. According to one recent study, the death toll from Medicaid rejection is likely to run between 7,000 and 17,000 Americans each year.
But nobody expects to see a lot of prominent Republicans declaring that rejecting Medicaid expansion is wrong, that caring for Americans in need is more important than scoring political points against the Obama administration. As I said, there’s an extraordinary ugliness of spirit abroad in today’s America, which health reform has brought out into the open.
And that revelation, not reform itself — which is going pretty well — is the real Obamacare nightmare.
By: Paul Krugman, Op-Ed Columnist, The New York Times, April, 11, 2014
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