“The Importance Of Having Health Insurance”: The 2014 Factor No One Is Talking About — Seniors Are Turning On The GOP
Congressional Republicans have passed a budget, raised the debt limit and punted on immigration reform with one goal in mind. They want to make the 2014 midterm elections about Obamacare.
The party seems to be so confident of this strategy that it doesn’t appear to have any “Plan B,” as The Washington Post‘s Greg Sargent continually points out.
While going all-in on the Affordable Care Act makes sense inside the right-wing mindset, where the law is one Fox News interview from disappearing to wherever Mitt Romney was supposed to go, seniors — America’s most reliable voters — may end up leading a backlash against a post-government-shutdown Republican Party that is even less popular now than when George W. Bush left office.
Undoubtably, the poll numbers for the president’s health law remain low months after HealthCare.gov’s bungled rollout — even though it has helped lead the country to the lowest uninsured rate in five years.
But since the 2010 election, after which real, live Americans began gaining health insurance coverage due to the Affordable Care Act, has there been even one election that has been swayed by Obamacare?
Having been the godfather of the law didn’t cost Mitt Romney the 2012 GOP primary. Having signed the bill into law didn’t cost President Obama his re-election. It didn’t stop Democrats from picking up seats in the Senate and the House. Since 2012, Governor Chris Christie (R-NJ) was re-elected after accepting Medicaid expansion and Terry McAuliffe won Virginia’s governorship with a jobs plan centered upon expanding Medicaid.
In Florida, Democrat Alex Sink narrowly leads Republican David Jolly in a special election to replace Rep. Bill Young (R-FL), who passed away late last year. As Jolly attacks Sink on Obamacare, Sink defends the most popular part of the law — the ban on insurers considering pre-existing conditions — and attacks Jolly on Medicare.
Republicans exploited seniors’ fears of Medicare cuts in 2010 — then voted for the same cuts when they took the House. They also went a step further by proposing a plan to radically remake the single-payer system that provides health coverage to every American 65 or older.
Jolly, a lobbyist, has never officially endorsed or voted for the plan created by Rep. Paul Ryan (R-WI) to turn Medicare into a voucher system. However, nearly every sitting Republican member of the House has.
Ryan’s plan and opposition to Obamacare earned him boos when he spoke at the AARP convention as Mitt Romney’s running mate in 2012. And it was certainly part of the reason he was barely visible in the last few weeks of the campaign.
And since the 2012 election, Republicans’ standing with seniors has only deteriorated.
“In 2010, seniors voted for Republicans by a 21-point margin (38 percent to 59 percent),” Democracy Corps’ Erica Siefert noted in her post “Why Seniors Are Turning Against The GOP,” published months before the government shutdown.
In the latest McClatchy-Marist National Poll, the GOP only had a 4-point margin over Democrats.
The same poll found that 58 percent of adults 45-59 and 54 percent of those 60 and older had an unfavorable view of the president. However, 73 percent of adults 45-59 and 74 percent of those 60 and older also reported an unfavorable view of Republicans in Congress.
Democrats recognize that Obamacare may be a liability and are circulating talking points that call attention to the fact that “65 percent of voters agree with the statement ‘we’ve wasted too much time talking about Obamacare and we have other problems to deal with.’” This aligns with polls that show again and again that most people would rather keep and fix the law than repeal it completely.
But it’s quite possible that the GOP’s stand on Medicare could ultimately be more harmful to their prospects than Obamacare is for Democrats.
Any Republican who sticks with repeal can be charged with wanting to raise prescription drug prices for seniors. Along with eliminating the closing of the Medicare drug “donut hole,” repeal also would erase subsidies that are potentially helping millions of older Americans afford care.
“I just cried, I was so relieved,” said 58-year-old Maureen Grey after using her new plan — purchased with the help of Obamacare subsidies — to visit a doctor.
Adults aged 55-64 make up 31 percent of the new enrollees in the health care marketplaces set up by the law. A new Associated Press report notes that workers nearing retirement have been hardest hit by the Great Recession and are in the most desperate need of what the law offers:
Aging boomers are more likely to be in debt as they enter retirement than were previous generations, with many having purchased more expensive homes with smaller down payments, said economist Olivia Mitchell of University of Pennsylvania’s Wharton School. One in five has unpaid medical bills and 17 percent are underwater with their home values. Fourteen percent are uninsured.
As of December, 46 percent of older jobseekers were among the long-term unemployed compared with less than 25 percent before the recession.
And those financial setbacks happened just as their health care needs became more acute. Americans in their mid-50s to mid-60s are more likely to be diagnosed with diabetes than other age groups, younger or older, accounting for 3 in 10 of the adult diabetes diagnoses in the United States each year. And every year after age 50, the rate of cancer diagnosis climbs.
For many of these Americans, the Medicare guarantee isn’t some distant, theoretical promise. It’s a necessity.
And with Obamacare bridging the gap until retirement, Republicans may find that their decision to make the 2014 election about health care will be as ill-advised as shutting down the government to defund it.
By: Jason Sattler, The National Memo, February 18, 2014
“John Boehner’s Sunshine Band”: A Cartoon Festival Of Illusions That Would Embarrass Disney’s Brilliant Fantasists
From now on, it’s the Zip-a-dee-doo-dah House.
The political world stopped for a moment when Speaker John Boehner broke into the jaunty old Disney tune — “My, oh my, what a wonderful day” — after a news conference in which he threw in the towel on the debt ceiling fight. He found himself trapped between the immovable object of Democrats determined that they’d never again let Republicans take the nation’s credit hostage and the irresistible force of a dysfunctional, crisis-addicted GOP majority of which he is the putative leader. Boehner decided to skip away in song.
Feb. 11, 2014, was , in fact, a wonderful day. It marked the end of a dismal experiment that saw the right wing of the conservative movement do all it could to make the United States look like a country incapable of governing itself rationally. We were so caught up in our own nasty politics that we forgot that we’re supposed to be a model for how democracy should work. There will be other episodes of foolishness, but the debt-ceiling bomb finally has been defused.
Moreover, there were lessons here that should be applied from now on. The first is that refusing to negotiate over matters that should not be subject to negotiation is the sensible thing to do. President Obama learned this the hard way after the debilitating budget battle of 2011.
It’s true that both parties have played political games around the debt ceiling. But until our recent tea party turn, politicians kept these symbolic skirmishes within safe limits. The 28 House Republicans who faced reality by voting to move on for another year sent a signal that they want to return to those prudent habits.
But this means that 199 Republicans voted to go over the cliff. Or, to be more precise, many pretended they were willing to take that leap to appease big conservative funders and organizations, knowing that a minority of their GOP colleagues and the Democrats would bail them out. These profiles in convenience included Reps. Paul Ryan (R-Wis.), chairman of the Budget Committee, and Cathy McMorris Rodgers (R-Wash.), who chairs the House Republican Conference.
This tells us something important: The House Republican majority now governs largely through gestures and is driven almost entirely by internal party fractiousness and narrow political imperatives. When Boehner tried to tie the debt ceiling vote to a popular proposal to restore modest cuts to military pensions, Rep. Tom Cotton (R-Ark.) complained that he could not vote to raise the debt limit but also didn’t want to vote against the pension restoration.
It’s a perfect parable: Cotton, an Army veteran who is trying to unseat Sen. Mark Pryor, a Democrat, this fall, felt a need to placate pro-spending and anti-spending interest groups at the same time and didn’t want Boehner to call his bluff. No wonder the speaker gave up on mollifying his caucus and, bless him, offered his ironic melody about all the sunshine coming his way.
Something else happened on Tuesday: Fully 193 of the 195 Democrats voting were prepared to shoulder the burden of hiking the debt ceiling. This vote, like many before it, proved that there is a moderate governing majority in the House. It could work its will again and again if only Boehner were willing to put bills on the floor and give practical-minded Republicans a chance join with Democrats to enact them.
This proposition deserves a test on immigration reform. Supporters should be thinking about a discharge petition to force Boehner’s hand — or maybe even to allow him to do what he’s said privately he’d like to do. If a majority of House members signed it, there could be a successful vote for the immigration bill the Senate already passed.
The largest lesson is to those who make a living bemoaning Washington gridlock and demanding a return to old-fashioned, bipartisan, good-faith negotiations.
That would be very nice if we were dealing with the GOP of yesteryear. We’re not. The debt-ceiling vote confirms what has long been obvious: Getting to yes on anything begins with an acknowledgment of how many members of Boehner’s caucus are ready to blow up our governing process and how many others feign a desire to do so to avoid political pain from their right.
The Zip-a-dee-doo-dah House has become a cartoon festival of illusions that would embarrass Disney’s brilliant fantasists. Exposing the fantasies is the first step toward sunshine.
By: E. J. Dionne, Jr., Opinion Writer, The Washington Post, February 12, 2014
“Liberals, Conservatives, And The Meaning Of Work”: Ideological Republicans Do Not Understand What It Means To Be Human
It appears that those who talk so much about “economic freedom” aren’t too happy when ordinary people have more choices.
It isn’t often that we spend an entire week talking about a Congressional Budget Office report and its implications, but the one currently occupying Washington’s attention—about the effects of the Affordable Care Act on the labor force—is actually pretty revealing. To catch you up, the CBO said that due to the fact that under the ACA people are no longer tied to jobs they’d prefer to leave because they can’t get health insurance on the individual market (“job lock”), many will do things like retire early, take time off to stay at home with kids, or quit and start businesses. They projected that these departures will add up to the equivalent of 2 to 2.5 million full-time positions. At first, Republicans cried “Obamacare will kill 2 million jobs!”, but when everyone, including the CBO’s director, said that was a blatantly misleading reading of what the report actually said, they changed their tune. And here’s where it gets interesting, because this debate is getting to the heart of what work means, what freedom is—and for whom—and just what kind of an economy we want to have.
Paul Ryan may have been the first Republican to articulate the new attack based on the CBO’s report, when in a hearing on Wendnesday he lamented that fewer Americans would “get on the ladder of life, to begin working, getting the dignity of work, getting more opportunities, rising the income, joining the middle class.” The argument was quickly picked up by others. “I think any law you pass that discourages people from working can’t be a good idea. Why would we want to do that? ” asked Senator Roy Blunt on Fox News Sunday. Representative Tom Cole said the same thing on This Week: “Anything that discourages work—and that’s essentially what the CBO found, that this discourages some people from working, not a good thing at a time when the economy’s still struggling.” Representative Trey Gowdy said, “What the liberals and the Democrats want you to believe is, ‘Well, but you’ll have time to write poetry.’ Well, that’s great until you try and buy your grandkid a birthday present or you try and pay the heating bill.”
You might read that and wonder, “Just how dumb do they think people are?” If you’re, say, a 63-year-old who has enough savings to retire but doesn’t want to wait until you’re 65 and can get Medicare, the fact that you can now buy private insurance doesn’t mean you’ve failed to “get on the ladder of life.” Nobody is going to say, “Wait—I can buy insurance now, even though I once had cancer? Woo-hoo, no more work for me, ever!”
But to be honest, I’m a little torn about how far to go in interpreting the arguments Republicans are making. On one hand, it’s obvious that they are saying what they are because they feel obligated to take any and every opportunity to cry that Obamacare is destroying America, and they’ll do that no matter what the facts are. If the CBO report had said that the ACA had no effect at all on job lock, they’d probably be arguing exactly the opposite of what they are now, that it was diminishing Americans’ freedom by keeping them in jobs they hate.
On the other hand, it’s hard to say that at the moment they’re not being candid about what they really believe. Job lock never really bothered them before, and I think that’s because it’s a case of the market diminishing people’s freedom. Conservatives get very upset when the government diminishes freedom, but if the market does it, well them’s the breaks. If you got screwed by market forces, then that just means you’re a loser, and they’re the party of winners. David Atkins may go a little far here, but he’s right to point to a basic difference in how people of different ideologies view what it means to be human:
It is not an inaccurate or extreme statement to declare that ideological Republicans do not understand what it means to be human. They view human beings as economic units to be plugged at their lowest possible price into a maximally efficient market that provides the greatest possible returns on investment to the wealthy few, with any resulting human resentment and misery dulled by humility before a pleasure-fearing angry God promising rewards to the obedient in the hereafter. It is a dark, meager, shriveled and cramped vision of humanity.
I’d modify that to say that while most conservatives may view lives devoted to non-money-making endeavors as frivolous, it’s only when certain people take advantage of the kind of freedom we’re talking about that they get genuinely perturbed. They aren’t campaigning for a higher estate tax so the Paris Hiltons of the world will be forced to get jobs and contribute meaningfully to society instead of laying about all day spending their forebears’ money. It’s the idea of someone of modest means having the ability to organize their lives to work less that they find morally intolerable.
But conservatives should be quite satisfied with the way the American economy is organized, particularly compared to our peer nations. Unions are a desiccated husk of what they once were, leaving workers with little or no power. Wages are stagnant and benefits are shrinking, while corporate profits and the share of wealth held by those at the top are at or near all-time highs. Our safety net is, by international standards, quite meager. The United States is the only advanced industrialized democracy that does not mandate by law that everyone get paid vacation. If you’re lucky enough to have it, chances are you get two weeks at most. The European Union, by contrast, requires four weeks of paid vacation for all workers, and some countries in Europe go beyond even that.
In other words, this is the economy conservatives built. And yet when just one area of uncertainty is removed for ordinary people—the fear that you’ll lose your health coverage if you leave your job or work fewer hours—they begin delivering lectures to the lesser folk about “the dignity of work.” This is from a bunch of rich white guys who spend their days hobnobbing with other rich white guys. What I’d suggest is that they ask the people who clean their toilets about how much dignity and fulfillment they derive from their work, and then ask them whether they’d feel less dignified if they knew they could leave their jobs and still get health coverage. For a group of people who spend so much time talking about “economic freedom,” conservatives seem awfully hesitant to let too many people taste it.
In the real economy—not the economy of a Republican congressman’s imagining, where the only perspective that matters is that of the guy in the corner office, but the real economy—bosses are sometimes kind and sometimes beastly, compensation is sometimes fair and sometimes stingy, and for most people, work is the thing you do so you can carve out a little bit of time to do the things you’d rather be doing. It would be a wonderful world if everyone drew limitless fulfillment, engagement, and purpose from their work. But this is not that world.
Unfortunately, government can’t make everyone love their jobs so much they leap out of bed in the morning. But what it can do is stop the gross injustices, keep the ruthless from harming the helpless, soften the market’s cruelties and give people at least a chance to reach the kind of lives they want. Is that too much to ask?
By: Paul Waldman, Contributing Editor, The American Prospect, February 10, 2014
“Overrated, Useless Fools”: Why This Congress Will Never Achieve Anything Significant
As I wrote last month and also several other times over the past five or so years, “comprehensive immigration reform” — defined as a bill making it possible for currently undocumented residents to earn legal status and/or citizenship — can’t happen now because Republicans control the House of Representatives, conservatives control the Republican Party, and conservatives oppose granting legal status to undocumented immigrants. It’s a very simple calculation, and most discussions of the political status of immigration reform could start and end with some variation on that explanation.
But people need something to talk about, and politicians need reasons to go on Sunday shows. Elected officials need to “signal” to important donors and interest groups that they are doing everything in their power to enact the preferred policies of those important donors and interest groups. There is really more incentive for Republicans to talk about immigration reform than to actually pass it. Obviously lots of Republicans do sincerely want immigration reform to pass. But those Republicans don’t have a majority in the House, and until that changes, immigration reform will be practically politically impossible.
Last month, Speaker of the House John Boehner said he was confident that immigration reform could pass this year. That confidence lasted a few weeks. By the end of last week, the GOP had settled on an adequate excuse for declining to pursue their recently announced immigration “list of principles”: They can’t do anything at all because they don’t trust President Obama.
Which, fine. It’s a pretty lame excuse, but Speaker Boehner was not going to say, “I don’t have the clout or the power to unilaterally force a plurality of xenophobes and cowards ensconced in safe white districts to support a major Democratic policy priority.” Republicans were going to blame Democrats no matter what.
The flaw in their excuse, obviously, is that it leaves the GOP open to the line Sen. Chuck Schumer used on Sunday: If Obama is the problem, then Congress can pass a reform bill that won’t go into effect until 2017, when there will be a new president.
“It’s been a tough week for immigration,” he said. “But all three, many of the Republicans have said the following — Mitch McConnell, John Boehner, Paul Ryan, even Jim DeMint — they have said that they want to do immigration reform, but they don’t trust the President to enforce the law, particularly the enforcement parts. So there’s a simple solution.”
Unfortunately, coming up with a clever workaround to the arbitrarily chosen GOP excuse won’t change the fact that the arbitrarily chosen GOP excuse is only being used to distract from intractable political reality. Addressing the made-up problem won’t fix the actual one. Schumer gets points for “calling Boehner’s bluff,” but Boehner will not now be like, “well, fair point, you got me, now I guess we have to pass this bill.”
Still, it was a fun couple of weeks of once again debating whether immigration reform would pass soon! Perhaps members of Congress play this elaborate game — hyping major legislation, walking it back, calling out one another’s “bluffs” — mainly to keep the political class occupied.
It has become incredibly difficult even to pass the recurring omnibus bills — like the farm bill, which took a few years to make it through the House, and the transportation bill, which will likely cause Congress to melt down in acrimony and dysfunction once again later this fall — that Congress uses to keep the government funded and operating. The idea that new initiatives and major reforms might be possible with this Congress is just fantasy. Comprehensive tax reform? Immigration reform? “Entitlement reform”? Various politicians will claim, over the next few months, that all of those things and more could happen before the next Congress is sworn in. They will be wrong, but the political press, in need of something to talk about, will take the idea seriously for a while anyway.
By: Alex Pareene, Salon, February 10, 2014
“The Silence Of The Austerians”: Here’s Why 2014 Could Be The Year America Finally Ditches its Inane Deficit Obsession
The year 2013 will be seen as a year of crushing intellectual defeat for advocates of fiscal austerity. There were many smaller victories, but this big one came in April. Researchers at the University of Massachusetts examined the Austerian ur-paper, “Growth in a Time of Debt,” by Carmen Reinhart and Ken Rogoff, which said that countries whose debt-to-GDP ratio reaches 90 percent experience dramatically slower growth. The UMass folks found not only dodgy statistics and backwards causation, but a goof in the paper’s Excel spreadsheet. The causation and statistics errors were more serious, but the fact that elites around the globe had gleefully embraced something with a flub any office temp could understand was horribly embarrassing.
It was an intellectual rout that badly wrong-footed the Austerians, who have since been notably half-hearted in the face of a resurgent left now campaigning on economic justice. This includes, for example, increasing Social Security benefits, which was unthinkable two years ago, when the fight to stop benefits from being cut was nearly lost.
The question for 2014, then, will be whether this triumph can be consolidated and expanded into the policy sphere. Because despite the intellectual collapse, Austerian assumptions and reasoning still dominate United States policy, which is undertaking fiscal consolidation at a pace not seen since the WWII demobilization. If the current Austerian death grip on the framework of policy negotiation can be broken, there might be a chance.
The answer to this question turns on how one views intellectual debate. Given the history of the last few years, one could be forgiven for thinking it’s pointless. As the Polish economist Michal Kalecki demonstrated brilliantly, there are powerful cultural and class-based reasons for both political and business elites to favor austerity now.
We see this today, as Steve Randy Waldman has demonstrated, in the blatant double standards applied to austerity as compared to inequality or raising the minimum wage. Consider a recent paper by the liberal economist Jared Bernstein, which while outlining much excellent evidence about the economic harm of inequality, is stuffed with unnecessary hedging and hesitation. The Reinhart and Rogoff paper, by contrast, was weak even without knowing about the Excel and stats errors (as Paul Krugman, among others, observed at the time), but elites nearly tripped over their own feet seizing on it anyway. Their bogus “90 percent” conclusion was stated as economic fact by everyone from Paul Ryan to the Washington Post editorial board.
However, biased reasoning is different than no reasoning at all. Seizing on a fig leaf paper fulfills a deep psychological need. Current elites may be largely greedy, corrupt hypocrites, but the cultural credibility of science is such that what amounts to outright class warfare must have an “evidence-based” patina. It’s far too gauche to simply ram through one’s favored policies because you want all the money or to kick the poor.
Therefore, fiscal policy in 2014 and 2015 will hinge on whether the Austerian coalition can be split (assuming, as is probable, that progressive Democrats don’t sweep the 2014 midterms).
Roughly speaking, we’re talking about the center and the right, and there are good reasons to suppose that neither will be brought around. For the center, it takes an intellectual defeat roughly akin to the Battle of Trafalgar to get them to grudgingly abandon austerity. (And if some hack economist churns out another pro-austerity paper, they will probably grab it eagerly.) Meanwhile, “straight” reporters have been culturally conditioned to code deficit reduction as a non-ideological good thing, so even very recent straight reporting still contains buried Austerian assumptions.
And on the right, things look especially hopeless. Denial and motivated reasoning are so epidemic that even Mitt Romney believed the “unskewed” polls before the 2012 election. Ivory tower arguments alone are useless here.
However, all hope is not lost. The key is to change what is considered acceptable for budgetary negotiations. Right now, they all assume that any new spending must be “offset” by cuts elsewhere. That aversion to deficit spending is 100% Austerian.
So while Republicans are largely immune to evidence, it’s also true they don’t actually care about the deficit in and of itself. They favor reduced taxes on the rich, and cutting social insurance. What’s more, conservative reformists at places like National Affairs have gotten louder and bolder in their advocacy of new thinking, even including infrastructure spending.
So if the center, especially including President Obama, can be persuaded to drop their deficit obsession (and again, it’s hardly possible to overstate how badly this debate has been lost), we could trade tax cuts for some austerity relief, like re-extending unemployment benefits and food stamps. And, it’s important to note, both spending increases and tax cuts count as austerity relief. Tax cuts, especially on the rich, aren’t very good stimulus, but they still put money into people’s pockets.
But the main point is to shift ground for negotiation. This strategy of “tax cuts for more spending” has been suggested many times in the past few years and gone nowhere. But before that, it has been the basis for many successful bipartisan deals, including expanding Medicaid in the 80s and the CHIP program in the 90s.
So while the deck is stacked against the anti-Austerians, continuing the intellectual battle is by no account useless. It’s highly possible to influence even a crooked debate.
By: Ryan Cooper, The New Republic, February 5, 2014