“Still Relying On Their Race-Baiting Playbook”: The GOP’s Massive 2013 Mistake, How The Party Ignored Its Terminal Illness
We did a whole “Hardball” hour Friday on how the GOP ratcheted up the crazy this year. Chris Matthews made me break down Rep. Steve King’s crazy anti-Mexican “calves the size of cantaloupes” slur, and I was forced to wonder why he’s thinking with such a sculpter’s eye for detail about another man’s calves, while otherizing him into a beast of burden, not quite human. Way to go for that Latino vote in 2014, GOP.
But the long list of crazy made me realize that despite the RNC autopsy that kicked off 2013, looking at ways to make sure it wasn’t merely the party of “stuffy old men,” the GOP apparently learned nothing from its 2012 drubbing. With the stumbles of the Affordable Care Act, that might seem OK, and there will be no penalty for their year of dithering and race-baiting. Rep. Michele Bachmann says the ACA’s problems make Republicans “look like geniuses,” and while it’s easy to mock her non-genius, her party looks better politically than it did a month ago. Polls show a dizzying swing from October, when the GOP’s not-genius government shutdown put Democrats ahead in generic 2014 balloting. Now some polls have Republicans in the lead.
Still, it may turn out that the ACA troubles were a brilliant Democratic plot to distract Republicans from their demographic terminal illness, and convince them that the Kill Obamacare playbook is all they need for 2014. Republicans have made absolutely zero progress in reaching out to any of the demographic groups – women, young people or Latinos – that the RNC’s autopsy agreed they had to, in order to stay alive as their older white base ages into that great Tea Party rally in the sky.
I know, Oprah got in trouble for suggesting that racism will ease when this generation of racists, well, dies. I wrote in my book that it makes me uncomfortable to hear allies suggest we just need to wait for old white Republicans to die off – they’re talking about a lot of people in my family. Yet it’s striking to me how comfortable Republicans seem relying on their ancient race-baiting playbook, and ignoring the country we’re becoming.
It’s easy to mock Steve “calves the size of cantaloupes” King. He’s a doofus. But Sen. Ted “I won’t study with people from the minor Ivies” Cruz is just as bad, and arguably worse.
National reporters and pundits collude in the GOP’s denialism. The National Journal’s Alex Seitz-Wald, a Salon alum, wrote a piece I wish I had, showing how many times Republicans and their media enablers have asked “can Obama recover” from this or that real or imagined catastrophe. From the BP oil spill to this seeming “dithering” over Syria, Obama’s presidency has been written off as terminally ill before, only to recover, again and again. (Actually, the first use of “Can Obama recover?” Seitz-Wald finds was on CNN’s Larry King after the Jeremiah Wright mess blew up in May 2008. Needless to say, he recovered that time too.)
Now if only his colleagues Josh Kraushaar and Ron Fournier would read Seitz-Wald, because they are making the National Journal the hub of breathless “Can Obama recover?” reporting.
Certainly Obamacare seems to be recovering, albeit slowly. Ezra Klein, who kicked off liberal wonk panic about the ACA in October, thinks Obamacare is “turning the corner,” and will gradually ramp up, perhaps a month behind schedule but not too late for a successful Jan. 1 rollout of new insurance plans. And this amazing Washington Post story, about Kentuckians, many of them presumably Republicans, lining up for ACA coverage shows that when a state wants the program to work, it can work. A 35-year-old father of five with diabetes, who’d never had health insurance and had racked up $23,000 in hospital bills, rejoiced when he got enrolled. “Well, thank God,” he said, laughing. “I believe I’m going to be a Democrat.”
I don’t think Democrats should be celebrating just yet. A lot can still go wrong, and there’s an industry devoted to finding and surfacing (or exaggerating or even concocting) scary Obamacare stories. Still, listening once again to Sen. Ted Cruz (on “Hardball”) warning that people will become “addicted to the sugar” of ACA subsidies is a reminder of how the Tea Party leaders actually hate the Tea Party base. They’d privatize Medicare and Social Security and deny Mitch McConnell’s constituents health insurance. It’s amazing that Oprah gets grief for talking about when the Tea Party’s racist base will die, when leaders like Cruz are the ones who would literally hasten that day.
By: Joan Walsh, Editor at Large, Salon, December 1, 2013
“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
“Coverage That Is Surprisingly Affordable”: As Glitches Fade, Obamacare Approval Will Rise
The latest polls on Obamacare are bleak. A Kaiser Family Foundation survey found that almost half of those questioned last week had an unfavorable opinion of the law. Just a third had a favorable opinion, even less than the 40 percent support for the law in the Nov. 14 Gallup poll.
But those poll numbers will change as more people like Bob Freukes of St. Louis and Donna Smith of Denver are finally able to shop for coverage on the new health insurance websites — and find coverage that is surprisingly affordable.
Considering all the negative stories about the malfunctioning HealthCare.gov website and policy cancellations folks have been receiving, the steep decline in support for Obamacare shouldn’t surprise anyone.
But in the very week that poll numbers reached an all-time low, people who had tried for more than a month to enroll online in a health plan were finally able to do so.
Just minutes after the administration’s tech surge team said 90 percent of applicants were now able to enroll online, I started getting emails from people eager to share their success stories.
“My wife and I are both self-employed small sole proprietors,” wrote Freukes, a photographer. “This will be the first time in our married lives we will have health insurance.”
Freukes said that over the course of the past year, he and his wife — married 30 years and are now in their fifties — rarely went to the doctor because of the expense.
“We paid for doctor visits, prescriptions, eye glasses and everything else out of [our] own pockets, always knowing we were one major illness away from bankruptcy.
“We tried to find an affordable policy, but the going rate for my wife and me was roughly $900-$1,400 dollars a month with deductibles in the $5,000 range.” Considering that their combined annual income is often no more than $25,000, health insurance was out of the question.
Not only will they finally have coverage starting January 1, it will cost the Freukes less than they had expected because of the federal tax credits available to low- and middle-income individuals who buy coverage on the state exchanges. In fact, with the tax credits, the Freukes will not have to pay monthly premiums at all.
“I sat rubbing my eyes in amazement as the website did the math. Our portion of the premium for both plans was ZERO. No cost to us at all. I was stunned.”
Donna Smith wasn’t that fortunate, but she at long last will be able to get a comprehensive policy that she can afford.
Like Bob Freukes, it took Smith weeks of effort before she was finally able to enroll in a plan. Her delay, though, was caused by a different, though no less frustrating quirk in the system. Colorado is one of 13 states and the District of Columbia operating their own exchanges, which generally have experienced fewer problems than the federal website, where residents of most states have been sent. Several thousand people were able to begin the application process in Colorado but they had to wait — and wait and wait — while state officials checked to see if the applicants were eligible for Medicaid.
Smith knew her income was too high to qualify for Medicaid, but she nevertheless had to fill out an extensive questionnaire and was put in what she described as a “bureaucratic black hole” for 37 days. It was an agonizing wait for Smith, a cancer survivor who — along with husband Larry — had to file for bankruptcy several years ago because of medical debt. If her name sounds familiar, by the way, it might be because you’ve seen her in the movies. When she wrote filmmaker Michael Moore about her plight, he included her in the 2007 documentary, SiCKO. Since then she has been an active supporter of health care reform.
After she finally got the Medicaid denial she was expecting, Smith called Connect for Health Colorado — the name of the state exchange — and worked with an employee to complete her application.
“If people can get through the Medicaid process, I think they’ll be pleasantly surprised,” said Smith, who has been paying $875 a month for an individual policy. Beginning next year, she will be covered in a better plan, but it will cost her only $450 a month after factoring in a $72 federal tax credit.
As happy as she was to discover she will soon have affordable coverage —and that it can’t be canceled if her cancer returns, thanks to Obamacare — she still believes a single-payer, Medicare-for-all type system would be better.
She has a point. The Affordable Care Act is far from perfect. But in the coming months and years, millions of us who have been unable to find affordable coverage will at long last be insured. Poll numbers will eventually reflect that.
By: Wendell Potter, The Center for Public Integrity, November 25, 2013
“A Sobering Reminder”: The Number Of Uninsured Americans Increased By 7.9 Million Under George W. Bush
The week President Obama took office, initial jobless claims, the statistic that immediately gauges layoffs, hit a 26-year high with 637,000 applying for unemployment insurance in one week. It was clear that the president was inheriting a record deficit, a cratering economy and two floundering wars. But buried in all those crises was an unspoken slow-motion disaster that people rarely mentioned: the steady crumbling of our health care system.
“When [former president Bill] Clinton left office, the number of uninsured Americans stood at 38.4 million,” Ron Brownstein wrote in 2009. “By the time [former president George W.] Bush left office that number had grown to just over 46.3 million, an increase of nearly 8 million or 20.6 percent.”
The numbers were just as bad when you looked at the share of the uninsured.
When Clinton left office, 13.7 percent of the population was uninsured. Bush left with 15.4 percent lacking coverage. And the only health reform the last Republican to occupy the White House enacted in his eight years was to add an unfunded prescription drug benefit that guaranteed cuts would need to be made at some point.
So the 15.4 percent of Americans Bush left uninsured in 2008 continued to rise in 2009 to 16.1 percent, then peaked at 16.3 percent in 2010. In 2011, it dipped to 15.7 percent, the biggest drop since 1999. The last census report showed that 48.6 million Americans were uninsured – that’s 15.4 percent. Exactly where it was in 2008.
It would be easy to credit the recovering economy for the rise of insured Americans — initial jobless claims last week were half of what they were when Obama took office. But the percentage of the uninsured is now lower than it was in 2006, before the Great Recession hit.
The New York Times‘ Paul Krugman calls the Affordable Care Act’s role in bringing health-cost growth to its lowest rate on record the law’s “secret success.” But the other secret success is how Obamacare is helping to reverse the growth of the uninsured population. This began in 2011 with children and young adults being able to stay on their parents’ plans until age 26, covering more than three million. And it continues this year with millions of Americans being added to the Medicaid rolls and millions likely to sign up for private plans, if the law’s health care exchanges begin working well enough.
Still Republicans are playing up the estimated 5 million cancellations of plans due to Obamacare the same way they played up the deficit and faltering economy President Obama inherited as if it had been his fault.
We won’t know how many of these people end up in new plans until next year, but we do know that nearly all of them will pay the same or less with a new plan that cannot deny them coverage or charge them more if they get sick.
“To sum up, lots of people losing coverage are losing policies they never liked much, that they would have dropped soon anyway, and that would have left them facing potential financial ruin if they got sick,” The New Republic‘s Jonathan Cohn wrote. “Even those with truly good policies had no guarantees that in one year, let alone two or three, they’d still be able to pay for them.”
Now, millions of Americans are being offered affordable health insurance possibly for the first time in their lives, promising to cut the ranks of the uninsured by millions in just a few years.
While Republicans are mourning cancellations of the exact kinds of plans that left massive holes in our health care system, the question is: Where were those crocodile tears when almost 8 million Americans became uninsured under George W. Bush… and Republicans did nothing to stop it?
By: Jason Sattler, The National Memo, November 29, 2013
“Obamacare’s Secret Success”: Health Reform Is Starting To Look Like A Bigger Success Than Even Its Most Ardent Advocates Expected
The law establishing Obamacare was officially titled the Patient Protection and Affordable Care Act. And the “affordable” bit wasn’t just about subsidizing premiums. It was also supposed to be about “bending the curve” — slowing the seemingly inexorable rise in health costs.
Much of the Beltway establishment scoffed at the promise of cost savings. The prevalent attitude in Washington is that reform isn’t real unless the little people suffer; serious savings are supposed to come from things like raising the Medicare age (which the Congressional Budget Office recently concluded would, in fact, hardly save any money) and throwing millions of Americans off Medicaid. True, a 2011 letter signed by hundreds of health and labor economists pointed out that “the Affordable Care Act contains essentially every cost-containment provision policy analysts have considered effective in reducing the rate of medical spending.” But such expert views were largely ignored.
So, how’s it going? The health exchanges are off to a famously rocky start, but many, though by no means all, of the cost-control measures have already kicked in. Has the curve been bent?
The answer, amazingly, is yes. In fact, the slowdown in health costs has been dramatic.
O.K., the obligatory caveats. First of all, we don’t know how long the good news will last. Health costs in the United States slowed dramatically in the 1990s (although not this dramatically), probably thanks to the rise of health maintenance organizations, but cost growth picked up again after 2000. Second, we don’t know for sure how much of the good news is because of the Affordable Care Act.
Still, the facts are striking. Since 2010, when the act was passed, real health spending per capita — that is, total spending adjusted for overall inflation and population growth — has risen less than a third as rapidly as its long-term average. Real spending per Medicare recipient hasn’t risen at all; real spending per Medicaid beneficiary has actually fallen slightly.
What could account for this good news? One obvious answer is the still-depressed economy, which might be causing people to forgo expensive medical care. But this explanation turns out to be problematic in multiple ways. For one thing, the economy had stabilized by 2010, even if the recovery was fairly weak, yet health costs continued to slow. For another, it’s hard to see why a weak economy would have more effect in reducing the prices of health services than it has on overall inflation. Finally, Medicare spending shouldn’t be affected by the weak economy, yet it has slowed even more dramatically than private spending.
A better story focuses on what appears to be a decline in some kinds of medical innovation — in particular, an absence of expensive new blockbuster drugs, even as existing drugs go off-patent and can be replaced with cheaper generic brands. This is a real phenomenon; it is, in fact, the main reason the Medicare drug program has ended up costing less than originally projected. But since drugs are only about 10 percent of health spending, it can only explain so much.
So what aspects of Obamacare might be causing health costs to slow? One clear answer is the act’s reduction in Medicare “overpayments” — mainly a reduction in the subsidies to private insurers offering Medicare Advantage Plans, but also cuts in some provider payments. A less certain but likely source of savings involves changes in the way Medicare pays for services. The program now penalizes hospitals if many of their patients end up being readmitted soon after being released — an indicator of poor care — and readmission rates have, in fact, fallen substantially. Medicare is also encouraging a shift from fee-for-service, in which doctors and hospitals get paid by the procedure, to “accountable care,” in which health organizations get rewarded for overall success in improving care while controlling costs.
Furthermore, there’s evidence that Medicare savings “spill over” to the rest of the health care system — that when Medicare manages to slow cost growth, private insurance gets cheaper, too.
And the biggest savings may be yet to come. The Independent Payment Advisory Board, a panel with the power to impose cost-saving measures (subject to Congressional overrides) if Medicare spending grows above target, hasn’t yet been established, in part because of the near-certainty that any appointments to the board would be filibustered by Republicans yelling about “death panels.” Now that the filibuster has been reformed, the board can come into being.
The news on health costs is, in short, remarkably good. You won’t hear much about this good news until and unless the Obamacare website gets fixed. But under the surface, health reform is starting to look like a bigger success than even its most ardent advocates expected.
By: Paul Krugman, Op-Ed Columnist, The New York Times, November 28, 2013
Share This Blog
Unknown Feed- An error has occurred; the feed is probably down. Try again later.
mykeystrokes.com 