“Ignoring The Bigger Picture”: Shinseki’s Resignation Doesn’t Change The VA’s Daunting Problems
The resignation of Veterans Affairs Secretary Eric Shinseki was a foregone conclusion by the time it happened on Friday morning. After shocking problems at a VA hospital were revealed in an election year (in Arizona, no less, represented by Senator John McCain, one of the administration’s most powerful foils inside the Beltway) and the heavy suggestion that more mismanagement across the country will soon be made public, Democrats in what promise to be razor-thin House and Senate races had virtually no choice but to call for his resignation as a tide of desperate, angry veterans flooded cable news airwaves and local newspapers.
There was then no way Shinseki could have stayed on in the face of these calls from the very party to whom he owed his nomination; his resignation was the only way to simmer down the scandal that filled up most of the news hole over the past few weeks. (Note that the two most powerful people in Washington not calling on Shinseki to resign were John Boehner and Eric Cantor. They knew that every day he stayed was a good one for Republicans.)
It doesn’t mean his resignation was the right thing to do in practice—in fact, it very well may delay implementation of solutions and make the VA’s problems worse—but it was simply a fact of nature in the political ecosystem.
Now the VA will be set on a new course, and it’s crucial that attention is paid to the true scandal: the overwhelming medical and mental burden suffered by thousands of young men and women returning from largely elective wars in Iraq and Afghanistan, and our continuing inability to fully care for them.
Last year, the Institute of Medicine released a Congressionally-mandated 794-page study outlining the challenges facing these veterans. Though the findings didn’t result in the same media firestorm, they should have:
More than 16,000 troops were wounded in Afghanistan and 32,000 in Iraq.
In contrast with virtually every previous American conflict, “the all-volunteer military has experienced numerous deployments of individual service members; has seen increased deployments of women, parents of young children, and reserve and National Guard troops; and in some cases has been subject to longer deployments and shorter times at home between deployments.”
Scientific literature shows as many as 22.8 percent of these returning vets—nearly a quarter—suffer from mild traumatic brain injuries, while as many as 20 percent suffer with post-traumatic stress disorder. Up to 37 percent struggle with combat-related depression, and 39 percent for problematic alcohol use.
For many recent years, the unemployment rate for returning vets was nearly double that of the civilian population, which of course isn’t particularly low. (It has been coming down some recently).
As many as 45 percent of female troops experienced sexual trauma in the military, which is driving quite a bit of PTSD in those troops above and beyond what they would have experienced because of combat.
The unfolding VA scandal involves unacceptable cover-ups of coverage problems at VA hospitals, but that is not mutually exclusive with a system that is fundamentally unable to deal with the problems at hand. In fact, the latter may have fostered the former. We don’t fully know yet, and the upcoming investigations should shed light on these issues.
But over the coming weeks, the politicians that have been rushing to appear on camera along with the outlets eager to cover this story should focus on the bigger picture: the crisis facing returning veterans and the current inability of the federal government to help them. There are many reasons why this has happened. And at the heart of all this is yet another scandal, one that continues to echo through American politics over a decade after it began: the decision to commit, and keep, American troops involved in two messy ground wars with unclear goals and uncertain, at best, benefits.
By: George Zornick, The Nation, May 30, 2014
“Content-Free Carping”: From VA To Obamacare To Medicare
At the moment most Republicans are looking at the VA scandal that broke out in Phoenix as a sheer political bonanza without any long-term significance: a federal agency responsible for an especially valued constituency (veterans) has screwed up fatally on Barack Obama’s “watch.” That’s enough to powerfully reinforce a number of important conservative memes about Obama (and indirectly, Democrats): he and his people are incompetent, they don’t have the normal patriotic impulse to take care of veterans, and when held accountable they stonewall and lie.
But a few voices are beginning to figure out how to link the VA mess not only to the overriding issues of Obamacare, but to the “socialized medicine” treatment of Obamacare that would be applied to Medicare, too, if the political climate was right.
Here’s the Cleveland Plan Dealer‘s Kevin O’Brien spelling it all out:
Putting a government bureaucracy in charge of one’s health is a gamble likely to end badly.
And yet, if Obamacare stands, that is precisely the gamble each and every American eventually will take.
There is no better predictor of the course of a single-payer medical system in the United States than the VA system, because it is a single-payer system….
Americans who watch this story play out and fail to make the clear and obvious connection to Obamacare will be guilty of willful ignorance. The systemic flaw is identical. It’s just magnified on a massive scale. Rather than making a false promise to treat all of the ills of a relatively few sick and injured military veterans, Obamacare has put the federal government on the path to taking responsibility for the medical needs — and the attendant costs — of the entire U.S. population.
Like most conservative attacks on “bureaucracy,” O’Brien’s ignores the powerful bureaucracies that operate in the private sector with even less accountability. As TNR’s Jonathan Cohn puts it:
It’s worth remembering that some of the problems veterans are having right now have very little to do with the VA and a whole lot to do with American health care. As Phil Longman, author of Best Care Anywhere, noted in his own congressional testimony last week, long waits for services are actually pretty common in the U.S.—even for people with serious medical conditions—because the demand for services exceeds the supply of physicians. (“It took me two-and-a-half years to find a primary care physician in Northwest Washington who was still taking patients,” he noted.) The difference is that the VA actually set guidelines for waiting times and monitors compliance, however poorly. That doesn’t happen in the private sector. The victims of those waits suffer, too. They just don’t get the same attention.
But nonetheless, the longer the VA scandal stays in the public eye, the more we will hear arguments the VA should be broken up and its services privatized with federal regulations and subsidies replacing federal bureaucracies–creating a system much like the one contemplated by Obamacare, as it happens. But at the same time, we’ll be told Obamacare itself is a failure because it involves the government in guarteeing heath care. And where conservatives speak to each other quietly, it will be understood that Medicare is subject to the same complaints and deserves the same fate.
No wonder most GOP pols confine themselves to content-free carping about Obama being responsible for the VA scandal.
By: Ed Kilgore, Contributing Writer, Washington Monthly Political Animal. May 22, 2014
“Feeling A Bit Of Anxiety”: Cantor’s Cause For Concern In The Commonwealth
The idea that House Majority Leader Eric Cantor (R-Va.) would worry at all about his re-election seems hard to believe. The conservative Republican has fared quite well in all of his campaigns; he’s already quite powerful by Capitol Hill standards; and in the not-too-distant future, Cantor might even be well positioned to be Speaker of the House.
And yet, the Majority Leader appears to be feeling quite a bit of anxiety about his future.
House Majority Leader Eric Cantor is boasting in a new campaign mailer of shutting down a plan to give “amnesty” to “illegal aliens,” a strongly worded statement from a Republican leader who’s spoken favorably about acting on immigration.
The flier sent by his re-election campaign comes as Cantor is under pressure ahead of his June 10 GOP primary in Virginia – and as the narrow window for action on immigration legislation in the House is closing fast. Cantor’s flier underscores how vexing the issue is for the GOP.
In the larger context, it’s not helpful for Republicans when the Majority Leader brags about killing a bill that gives “amnesty” to “illegal aliens,” while his party tries to maintain a half-hearted pretense that blames President Obama for the demise of immigration reform.
But at this point, Cantor doesn’t appear to care too much about the larger context or message coherence. He’s worried about losing – the rest can be worked out later.
In fact, the degree of Cantor’s anxiety is pretty remarkable. The Majority Leader is up against David Brat, a conservative economist at Randolph-Macon College, who’s eagerly telling primary voters that Cantor isn’t right-wing enough. What was once seen as token opposition, however, has clearly gotten the incumbent’s attention.
Cantor was concerned enough last month to launch a television attack ad, which was followed by Cantor’s anti-immigrant mailing, which culminated in yet another television attack ad that the congressman’s campaign unveiled yesterday.
These are not the actions of a confident incumbent.
As best as I can tell, there are no publicly available polls out of this Virginia district (though it’s safe to say Cantor has invested in some surveys of his own). With that in mind, it’s hard to say with any confidence whether the Majority Leader is overreacting to a pesky annoyance or a credible challenger.
But Jenna Portnoy and Robert Costa reported recently that it’s probably the former, not the latter.
Most Republicans continue to believe Cantor is safe; he won a primary challenge two years ago with nearly 80 percent of the vote. But the prospect of a competitive and bruising challenge to the second-ranking Republican in Congress is embarrassing to Cantor – and is rattling GOP leaders at a time when the party is trying to unify its divided ranks.
We’ll know soon enough just how serious the threat is – the primary is in 13 days – but as the election draws closer, let’s not forget that Cantor was booed and heckled by Republican activists in his own district just two weeks ago.
No wonder he seems so nervous.
By: Steve Benen, The Maddow Blog, May 28, 2014
“The Winds Of No Change”: Defining Moments For The Tea Party Movement And The GOP
In his latest New York Times column, Ross Douthat notes the civil war over the “GOP civil war” narrative of this election cycle, and argues the real proof of the Tea Party pudding will be in the 2016 Republican presidential campaign:
[T]here are several politicians, all elected as insurgents and all potential presidential candidates in 2016, who still aspire to be the Tea Party’s version of Obama: Marco Rubio, Rand Paul and Ted Cruz. And because each embodies different facets of the Tea Party phenomenon, each would write a very different conclusion to its story.
A Rubio victory would probably make the Tea Party seem a little less ideological in hindsight, a little more Middle American and populist, and more like a course correction after George W. Bush’s “compassionate conservatism” than a transformative event.
A Cruz triumph would lend itself to a more ideological reading of the Tea Party’s impact, but one that fit readily into existing categories: It would suggest that Tea Party-ism was essentially the old Reagan catechism in a tricorn hat, movement conservatism under a “don’t tread on me” banner.
A Paul victory would write a starkly libertarian conclusion to the Tea Party’s story, making it seem much more revolutionary — a true break with both Reaganism and Bushism, with an uncertain future waiting beyond.
I tend to agree with Douthat on his basic point: nothing quite defines a political party like its presidential nominees, which is why presidential nominating contests are important beyond their impact on general elections. But I still think he underestimates the extent to which the GOP has already internalized the Tea Party message, even as the Tea Folk are mostly conservative “base” activists who have been radicalized in recent years. Consider this line:
[T]he one thing about Republican politics that pretty clearly wasn’t “Tea Party” was the man the G.O.P. ultimately nominated in 2012.
Is that really true? Pretty early in the 2012 cycle, Romney embraced the single most important programmatic demand of the Tea Party Movement, the Republican Study Committee’s Cut, Cap and Balance Pledge, which offered a permanent, constitutional limitation on the size and cost and therefore the functions of the federal government. And in the defining moment of the general election campaign, the 47% video, Romney embraced and articulated the resentment of “winners” against “losers” that was at the heart of the Tea Party Movement’s founding event, Rick Santelli’s Rant.
You can object that Mitt was just pandering, and didn’t really mean the things he said in those two instances, just as he really wasn’t the savage immigrant-basher he seemed to be when going after poor clueless Rick Perry–or for that matter, the Movement Conservative favorite he purported to be in 2008. But it really doesn’t matter, does it? He was pushed in that direction again and again by the prevailing winds in his party, and no matter who wins what 2014 primaries, or which flavor of tea is selling best at any given moment, the wind’s still blowing in that direction today.
By: Ed Kilgore, Contributing Writer, Washington Monthly Political Animal, May 27, 2014
“GOP’s Post-Obama Problem”: Why They’re Lost Without Him — And With The Electorate He Helped Create
With the 2014 congressional primary season almost behind us, the conventional wisdom has hardened: The Republican establishment has vanquished its Tea Party tormentors. The progressive response to that narrative — that the establishment only “won” by capitulating to the Tea Party — is hardening, too. I want to challenge that a little.
When North Carolina State Sen. Thom Tillis won the GOP Senate nomination in early May, it seemed ridiculous to claim the Tea Party had been defeated, though he technically had a Tea Party rival: Tillis was as extreme as his opponent, supporting personhood legislation and tax cuts for the wealthy, opposing immigration reform and boasting that he’d personally stopped the state’s Medicaid expansion. I argued at the time that the story was not the Tea Party’s defeat, but its victory: the extent to which it had taken over the Republican establishment.
That didn’t seem true in the wake of Tuesday night’s election results, particularly in Kentucky. Credit where it’s due: Mitch McConnell crushed Matt Bevin. Sure, he did it by courting his Tea Party junior Sen. Rand Paul and by sliming and outspending Bevin. And sure, he won by a smaller margin than any incumbent GOP senator who’d faced a primary in the last 80 years.
But he won, even after making a deal with Harry Reid to reopen the government that was supposed to be his undoing. So did Idaho Rep. Mike Simpson, a Boehner ally with a Tea Party rival, while in Georgia, the three candidates tied to the Tea Party lost, to two more polished and mainstream conservatives, Rep. Jack Kingston and businessman David Perdue, who face a July run-off. And looking ahead, South Carolina’s Lindsey Graham, Kansas’s Pat Roberts and Tennessee’s Lamar Alexander look likely to beat back Tea Party challengers. In 2010, when even conservative incumbents like Utah’s Bob Bennett and South Carolina’s Bob Inglis lost their seats in Congress, all of those races likely would have turned out differently.
Something’s changed, and liberals can’t ignore it. Democrats won’t be running against neophytes or crackpots likely to self-destruct before November. Yet the GOP establishment’s short-term wins mask a long-term nightmare: The party has no real plan for American politics once Barack Obama goes off to enjoy a long retirement, or for the electorate he’s helped create.
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