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“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

April 13, 2014 Posted by | Election 2014, Election 2016, GOP Presidential Candidates | , , , , , | Leave a comment

“As Dumb As It Is Predictable”: The Dumbest Thing The Right Is Saying About Sebelius’ Replacement

President Obama may have had troubles with the Healthcare.gov rollout, but he’s rolling out a replacement for departing Health and Human Services Secretary Kathleen Sebelius nicely. Appointing Sylvia Mathews Burwell, who was confirmed last year to head the Office of Management and Budget 96-0, virtually insures he’ll get someone into Sebelius’ seat before midterm politics heat up.

That doesn’t mean the right won’t try to throw garbage at the centrist and well-respected Burwell. On PJ Tatler today they’re calling her “the person who shut down the veterans’ memorials,” because as OMB chief, she signed the memo telling agencies “to execute plans for an orderly shutdown due to the absence of appropriations” when Sen. Ted Cruz and the GOP shut down the government last year.

You’ll recall that Cruz and the right had the audacity to blame Obama and the Democrats for the shutdown, which backfired on them spectacularly. But not before Cruz, Sarah Palin and a Confederate-flag-waving moron challenged the closure of the World War II veterans’ memorial with a protest that moved to the White House, where Larry Klayman told President Obama “to put the Quran down … and come out figuratively with your hands up.” Good times.

So yeah, they’re going to try that whole thing again, but it’s not going to work. (An aside: this NBC News story calls Burwell “the woman who ordered the government shutdown,” which at the time probably seemed like a feature writer’s flourish to pull people into a dull story about the OMB director, but in hindsight didn’t accurately describe the way the mess unfolded.)  Sen. John McCain immediately tweeted, “Sylvia Burwell is an excellent choice to be the next #HHS Secretary.” While righties are hoping that red state Democrats will turn on the woman who supposedly ordered the shutdown of veterans’ memorials, Sen. Joe Manchin praised Burwell’s appointment, too. (It probably helps that she’s from West Virginia.)

On the larger question of Sebelius’ legacy, we can only say that millions of people got health insurance, and millions more still need it. Ezra Klein trolled the right by declaring that it means “Obamacare has won,” which is pretty funny given that he helped lead the national freak-out over Healthcare.gov’s troubles back in October. Jonathan Cohn has a more balanced take in the New Republic. He acknowledges Sebelius’ management mistake in letting the federal exchange website’s troubles mount without letting the president know – there’s evidence she herself didn’t know – but he appropriately notes she’ll be remembered for the millions newly insured, particularly because she worked hard with Republican governors who bucked conservative constituencies to expand Medicaid.

Of course, confirming Burwell won’t mean the GOP stops trying to sabotage the Affordable Care Act. They had mostly stopped blaming Sebelius, because the new talking points say nobody could have made the law work, because by definition it can’t work. Having done everything in their power to insure it can’t work, which is literally costing American lives, they blame Obama for its shortcomings. However brilliant an HHS pick she may be, Sylvia Burwell can’t change that.

 

By: Joan Walsh, Editor at Large, Salon, April 11, 2014

April 12, 2014 Posted by | DHHS, Government Shut Down | , , , , , , , | Leave a comment

“LePage Vetoes Medicaid Expansion For All The Wrong Reasons”: Maine’s Paul LePage Is One Uninformed And Paranoid Governor

Maine’s Democratic state House Speaker, Mark Eves, noted the circumstances this week surrounding Medicaid expansion. “We have a bipartisan plan for life-saving health care for tens of thousands of Mainers,” he said. “It creates jobs, it save lives, it saves money.”

All of this happens to be true. Every state north of Virginia has either embraced Medicaid expansion or is working towards doing so – except Maine, where Gov. Paul LePage (R) refuses to cooperate. More than 60,000 low-income Mainers would benefit from the policy, on top of the economic and fiscal benefits, but the Republican governor nevertheless vetoed Medicaid expansion yesterday.

The measure also would have established a managed care system for all 320,000 beneficiaries, an effort to control costs in the $2.5 billion program, which is Maine’s version of the Medicaid health insurance program.

Under the Affordable Care Act, also known as Obamacare, the federal government offered to reimburse states for 100 percent of the cost of expansion for at least three years, then gradually reduce reimbursements rates to about 90 percent.

But in his veto message to the Legislature, LePage wrote that Maine could neither afford expansion nor trust the federal government to deliver on its promises.

The rejection didn’t come as a surprise, and Democratic state lawmakers will try to override LePage’s veto. By all accounts, however, they face an uphill climb – some GOP state lawmakers are on board with the policy, but probably not enough to generate a two-thirds majority.

But what was somewhat surprising was just how awful LePage’s defense was. The governor, struggling in his re-election bid this year, had plenty of time to come up with a credible rationale for blocking Medicaid expansion, but he didn’t come up with much.

“It is shortsighted to think federal funds will always be available, especially after watching the federal deficit climb and witnessing continual delays and changes from Washington,” he said in a statement.

I realize that Paul LePage sometimes struggles with policy details, but there are some rudimentary facts he should probably understand before telling 60,000 people they can’t have health insurance.

For example, if LePage is “watching the federal deficit climb,” he’s not watching closely enough. The federal deficit isn’t climbing; it’s shrinking. In fact, in recent years, we’ve seen the fastest deficit reduction than at any point since World War II. Does LePage not know that? Maybe he should have looked it up before issuing his statement?

What’s more, LePage is convinced federal funds may not “always be available” to finance Medicaid expansion. In other words, he’ll refuse the funds now because maybe, someday, far off in the future, Washington won’t offer the funds they’re promising to provide.

Sorry, 60,000 struggling Mainers. You can’t have access to affordable medical care because your governor is paranoid about a fiscal situation that may or may not materialize at some point.

These are the best arguments the governor’s office could come up with after having months to prepare?

 

By: Steve Benen, The Maddow Blog, April 10, 2014

April 11, 2014 Posted by | Affordable Care Act, Maine, Paul LePage | , , , , , | Leave a comment

“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

April 11, 2014 Posted by | Affordable Care Act, GOP, Medicaid Expansion | , , , , , , | Leave a comment

“Rube Goldberg Survives”: Face It Republicans, Health Reform Has Won

Holy seven million, Batman! The Affordable Care Act, a k a Obamacare, has made a stunning comeback from its shambolic start. As the March 31 deadline for 2014 coverage approached, there was a surge in applications at the “exchanges” — the special insurance marketplaces the law set up. And the original target of seven million signups, widely dismissed as unattainable, has been surpassed.

But what does it mean? That depends on whether you ask the law’s opponents or its supporters. You see, the opponents think that it means a lot, while the law’s supporters are being very cautious. And, in this one case, the enemies of health reform are right. This is a very big deal indeed.

Of course, you don’t find many Obamacare opponents admitting outright that 7.1 million and counting signups is a huge victory for reform. But their reaction to the results — It’s a fraud! They’re cooking the books! — tells the tale. Conservative thinking and Republican political strategy were based entirely on the assumption that it would always be October, that Obamacare’s rollout would be an unremitting tale of disaster. They have no idea what to do now that it’s turning into a success story.

So why are many reform supporters being diffident, telling us not to read too much into the figures? Well, at a technical level they’re right: The precise number of signups doesn’t matter much for the functioning of the law, and there may still be many problems despite the March surge. But I’d argue that they’re missing the forest for the trees.

The crucial thing to understand about the Affordable Care Act is that it’s a Rube Goldberg device, a complicated way to do something inherently simple. The biggest risk to reform has always been that the scheme would founder on its complexity. And now we know that this won’t happen.

Remember, giving everyone health insurance doesn’t have to be hard; you can just do it with a government-run program. Not only do many other advanced countries have “single-payer,” government-provided health insurance, but we ourselves have such a program — Medicare — for older Americans. If it had been politically possible, extending Medicare to everyone would have been technically easy.

But it wasn’t politically possible, for a couple of reasons. One was the power of the insurance industry, which couldn’t be cut out of the loop if you wanted health reform this decade. Another was the fact that the 170 million Americans receiving health insurance through employers are generally satisfied with their coverage, and any plan replacing that coverage with something new and unknown was a nonstarter.

So health reform had to be run largely through private insurers, and be an add-on to the existing system rather than a complete replacement. And, as a result, it had to be somewhat complex.

Now, the complexity shouldn’t be exaggerated: The basics of reform only take a few minutes to explain. And it has to be as complicated as it is. There’s a reason Republicans keep defaulting on their promise to propose an alternative to the Affordable Care Act: All the main elements of Obamacare, including the subsidies and the much-attacked individual mandate, are essential if you want to cover the uninsured.

Nonetheless, the Obama administration created a system in which people don’t simply receive a letter from the federal government saying “Congratulations, you are now covered.” Instead, people must go online or make a phone call and choose from a number of options, in which the cost of insurance depends on a calculation that includes varying subsidies, and so on. It’s a system in which many things can go wrong; the nightmare scenario has always been that conservatives would seize on technical problems to discredit health reform as a whole. And last fall that nightmare seemed to be coming true.

But the nightmare is over. It has long been clear, to anyone willing to study the issue, that the overall structure of Obamacare made sense given the political constraints. Now we know that the technical details can be managed, too. This thing is going to work.

And, yes, it’s also a big political victory for Democrats. They can point to a system that is already providing vital aid to millions of Americans, and Republicans — who were planning to run against a debacle — have nothing to offer in response. And I mean nothing. So far, not one of the supposed Obamacare horror stories featured in attack ads has stood up to scrutiny.

So my advice to reform supporters is, go ahead and celebrate. Oh, and feel free to ridicule right-wingers who confidently predicted doom.

Clearly, there’s a lot of work ahead, and we can count on the news media to play up every hitch and glitch as if it were an existential disaster. But Rube Goldberg has survived; health reform has won.

 

By: Paul Krugman, Op-Ed Columnist, The New York Times, April 3, 2014

April 6, 2014 Posted by | Affordable Care Act, Health Reform, Republicans | , , , , , , , | Leave a comment