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“Reproductive Rights Are Political”: Yes, Planned Parenthood Has To Be In The Politics Business

On Sunday’s “Meet the Press” Chuck Todd, a journalist I respect, asked an interesting, but odd, question of Cecile Richards, the president of Planned Parenthood: “Should you be in the politics business?”

This is a circular argument: Planned Parenthood has been in the politics business since it opened its doors. Female sexuality, and the control thereof, has always been inherently political. The term “sexual revolution” is not an abstract concept – the introduction of the pill 50 years ago was what marked the full entry of American women into the workforce. The pill is credited with a third of the increase in wages for American women.

There is nothing more physically and economically determinative to a woman than deciding if or when to have children, a decision to which Planned Parenthood has made an enormous contribution for millions of us.

This is why social conservatives continue to attack not just abortion, but contraception – if you’re against abortion and contraception, it’s not just about abortion. And it’s why Planned Parenthood has become a talisman to the right, a symbol of what they fear most – women controlling their own reproductive destiny. Two-thirds of the 1 million abortions in this country are done by private practitioners other than Planned Parenthood, but there are no mass protests and bloody fetus pictures outside their offices.

Why? Because Ruth Bader Ginsburg is right – the right’s War on Women is fundamentally a war on poor women. Two-thirds of women who have an abortion already have a child, and the overwhelming reason cited for the procedure is that they can’t afford another one. There’s a reason the original Roe plaintiff, Norma McCorvey, was working class. Rich women could get abortions before Roe, and they will if the Supreme Court overturns it next spring – which is possible, since the court has taken up the Texas abortion restrictions.

Historically, fights over female autonomy are hardly unique to either our country or even our millennia. Sex and power for women have always been intertwined and an object of fascination, fear and political manipulation for men.

Anne Boleyn was executed by Henry VIII for accusations of infidelity – and not producing a son, as were many royal wives, never mind that the man determines the sex of the child. Her daughter Elizabeth I, arguably Britain’s greatest monarch, was the Virgin Queen, precisely because once she married and surrendered her sexuality to a man it diminished her imperium.

So what it comes down to, again, is that this is about power. House Republicans are creating a Planned Parenthood investigative “committee” to weaken political opponents and catalyze their base, the same way they set up the Benghazi “committee” to weaken Hillary Clinton and fire up conservatives.

And in the states, right-wing Republicans are attacking Planned Parenthood with every political means at their disposal, including electing retrograde state legislatures that in turn enact horrific, humiliating laws designed to slut-shame women out of having abortions and restrict access to contraception.

What angers conservatives about Planned Parenthood isn’t just what they do – contraception, reproductive health care and, yes, abortions. It’s how the organization does it – without judgment or shame – and the result it produces: women in control of their own bodies, both physically and politically.

 

By: Laura K. Chapin, U. S. News and World Report, October 6, 2015

October 8, 2015 Posted by | Cecile Richards, Planned Parenthood, Reproductive Rights, War On Women | , , , , , , , | 1 Comment

“Why The GOP Is The True Party Of ‘Free Stuff'”: Bush’s Logrolling Directs Almost All The Benefits To People Who Don’t Need It

While other candidates are a lot crazier, Jeb Bush is clearly the most fumble-brained option in the presidential race. He can’t seem to string two words together without committing a grievous political faux pas. Whether it was his call for “phasing out” Medicare, or his scorn for women’s health issues, or his claim that Asians are the real anchor babies, he’s got a serious case of foot-in-mouth disease.

Now he’s out with a fresh clunker, this time about how Republicans, unlike Democrats, won’t try to lure black voters with “free stuff.” Primary voting is months away, and already Bush is flirting with language that may have lost Mitt Romney the election.

Bush’s argument — that Democrats cynically use welfare to buy black votes and thereby trap them in a cycle of dependency — is seriously mistaken, as well as deeply hypocritical. But a more fundamental mistake is the picture of government Bush envisions. Put simply, handing out “free stuff” of one sort or another is perhaps the most important job governments can do.

First, let’s tackle why black people vote Democratic. I think the answer can be illustrated best in two words: Strom Thurmond. He was a South Carolina Democrat when he broke the record for the longest Senate filibuster ever trying to stop the 1957 Civil Rights Act. But after a much more aggressive civil rights bill passed in 1964, he switched parties, eventually followed by most of the other Dixiecrats. As Philip Bump demonstrates, blacks unsurprisingly did the opposite at the same time, shifting very heavily towards the Democratic Party.

In other words, government benefits play, at best, an incidental role in black support for the Democrats. Republicans today are not segregationists, but they are the inheritors of a legacy of outright white supremacy. Thurmond was in the Senate until 2003. At his 100th birthday party in 2002, then-Senate Majority Leader Trent Lott (R-Miss.) praised Thurmond’s 1948 run for president under a third party apartheid ticket. (Lott later resigned as leader after his comments were made public.) Democrats have not been the finest stewards of black fortunes, but it’s pretty obvious that they’re better than the alternative.

That brings me to the hypocrisy. While Democrats support social benefits in a wishy-washy way, conservatives are absolutely obsessed with directing huge monetary benefits to their favored constituencies — namely, the rich.

George W. Bush’s tax cuts were violently skewed towards the wealthy — over 73 percent of the benefits went to the top income quintile, and fully 30 percent to 1 percenters alone. Jeb Bush aims to pull the same trick, proposing another corpulent set of tax breaks — only this time, over half of the benefits would accrue to the top 1 percent alone. You can’t win an election solely with the support of billionaires, of course, but Bush and his allies have also already raised over $120 million. Not, one suspects, a coincidence.

Overall, welfare benefits for the top income quintile — largely a result of conservative policymaking — cost roughly $355 billion yearly. Meanwhile, what passes for new policy in Republican circles — a child tax credit — is a government benefit for middle- and upper-class parents that carefully and deliberately excludes the poor.

But it would be a mistake to stop here. Good government types often rail against the blatant cronyism of Bush family politics — i.e., you give me hundreds of millions of dollars for my presidential campaign, and I’ll cut the capital gains tax so you can better loot your company — but making good policy isn’t as simple as being against patronage in general. As Francis Fukuyama points out in Political Order and Political Decay, Boss Tweed-style patronage politics can also be a first step towards an efficient, decent modern state. There is no bright line between handing out jobs to one’s ethnic community in return for votes, and constructing a modern bureaucracy that provides universal social benefits like clean air and water, low crime, a safety net, and so forth.

For what are governments good for, if not providing universal security and prosperity for as many citizens as possible? Even in a jalopy country like the U.S., the vast majority of state activity is dedicated towards this end, at least ostensibly. The military, to defend the nation; Social Security, to provide for the retired and disabled; Medicare, Medicaid, and ObamaCare, to provide universal access to health care; various safety net programs like food stamps and the Earned Income Tax Credit, to keep people from destitution — these together, plus interest on the national debt, account for 84 percent of direct federal spending. Many of these could be improved, or are badly misused, but that’s their bedrock ideological justification. Other nations with better versions of similar policies show that universal high-quality health care and an end to poverty are easily within our grasp.

So the problem with Bush’s logrolling — and Republican policy in general — is mainly that it directs almost all the benefits to people who don’t need it.

 

By: Ryan Cooper, The Week, September 28, 2015

September 29, 2015 Posted by | Black Voters, Economic Inequality, GOP, Jeb Bush | , , , , , , , | 1 Comment

“Ideology Standing In The Way”: How To Get Sicker, Die Sooner, And Pay More For It

It is painful that five years after passage of the Affordable Care Act, 19 states still have not taken advantage of its option to expand Medicaid. It becomes more so with each new report on the deeply flawed U.S. health system.

The latest, from the National Academy of Sciences, finds that rich people live about 13 years longer than poor people. The researchers note that consequently, rich people end up getting the lion’s share of Social Security benefits. Such inequity should be attacked at its root. At the very least, we could use available tools to help low-income people get health insurance.

The NAS report is far from the first to highlight problems in our approach and results. The Commonwealth Fund last year examined health systems in 11 western industrialized nations. For the fourth time in a decade, the United States system placed first in cost and last in what it delivers. Our system is less fair, less efficient, makes us less healthy and gives us shorter lives. All that for an average of $8,508 per person, way more than second-place Norway at $5,669. In case you were wondering, Britain’s socialized National Health Service was No. 1 at less than half the U.S. cost.

That information landed just as Allan Detsky published a New Yorker analysis of two 2013 reports on global health systems by the Organization for Economic Cooperation and Development and the National Institutes of Health. The study of the 34 OECD countries found an alarming trend: The United States ranked 20th for life expectancy at birth in 1990 and fell to 27th in 2010. On a measure combining level of health and length of life, we plunged from 14th to 26th.

The NIH report by the federal Institute of Medicine found that Americans fared worse than people in 16 “peer” countries in nine areas: infant mortality, injuries and homicides, teen pregnancy, HIV and AIDS, drug-related deaths, obesity and diabetes, heart disease, chronic lung disease, and disability. Why? The authors cite a larger uninsured population than peer countries, worse health habits, more poverty, and more neighborhoods designed to require automobiles.

We have gained a few new tools since some of those studies were done. Some, such as Michelle Obama’s “Let’s Move” initiative and money for electronic medical records in the stimulus law, are nudging us slowly in a better direction. Among the most significant advances are the ACA’s new marketplaces (where individuals can buy insurance regardless of their health status) and the law’s expansion of Medicaid (even though the Supreme Court transformed it into an option that states could take or leave).

The Medicaid expansion is designed for people who make too much to qualify for traditional Medicaid but too little to afford even subsidized private insurance plans. In states that have rejected the expansion, nearly 4 million people are stuck in an absurd coverage gap. That’s even though the federal government is footing the entire bill for the additional enrollees until 2016 and will pay at least 90 percent for them after that.

If we’re already spending a huge amount on health care, why should we sink more into it? It’s a good question — yet we might not have to spend more if we were spending more wisely. We could start by slashing our astonishing medical pricing. It costs more than eight times as much for an MRI here as in Switzerland, a typical example from a study of nine countries released last year by the International Federation of Health Plans. Just this month, The New York Times reported on a 62-year-old drug that went from $13.50 to $750 per tablet overnight.

How can we get a grip on costs? In part by getting a grip on politics. Medicare, overcoming “death panels” alarmism, recently announced it will reimburse doctors for discussing end-of-life choices with patients. That may lead to a decline in expensive, painful and futile treatments. Next, we should lift bans on research into gun violence, the better to reduce shootings and their public health costs.

Ideology is standing in the way on guns, as it is in the 19 states refusing so far to expand Medicaid. The struggles of purple-state Virginia have been among the most epic. Democratic Gov. Terry McAuliffe has been repeatedly thwarted by Republican lawmakers in his push to expand Medicaid. Last year, a disloyal Democratic lawmaker resigned and threw the state Senate into GOP hands. This year Democrats are trying to win back the chamber and, along with it, the slim chance of a Medicaid deal. In the meantime, some 350,000 Virginians are stranded in the coverage gap.

And this, dear readers, is how you get to be last place in the developed world.

 

By: Jill Lawrence, The National Memo, September 24, 2015

September 25, 2015 Posted by | Affordable Care Act, Health Care Costs, Medicaid Expansion, Uninsured | , , , , , , , | 1 Comment

“Republicans Aim For Their Own Feet”: An Unerring Genius For Alienating Exactly The Demographics It Needs

What do women want? Republicans are trying to answer that question and, as usual, they are getting it wrong.

The party has an unerring genius for alienating exactly the demographics it needs to win the White House. Republicans have made it harder for students, urbanites, and minorities to vote. Many of their presidential candidates are competing over who can deport the most immigrants and build the best border wall. Why should the GOP approach to women be any different?

Donald Trump, who has been flamboyantly insulting to immigrants, isn’t helping Republicans with women, either. His history of crude insults about female appearances led NBC’s Chuck Todd to ask him, “Why do looks matter to you so much?” He still talks in weird generalizations and 1950s stereotypes about women (see: “I cherish women” or “women love me” or “I understand the importance of women”).

You’d think Carly Fiorina, another presidential contender from the business world, and the only woman in the GOP field, would have a better handle on this. But she has become a lightning rod because she opposes a requirement that businesses offer paid leave to new parents. She wants it to be a perk companies offer to attract workers.

The United States is the only advanced country that doesn’t give employees paid parental leave, as President Obama has noted repeatedly. But Fiorina says requiring paid parental leave discourages the hiring and promotion of women. Besides, she asks, who would pay for it?

Fiorina’s position, however, carries its own health and monetary costs. Mothers who don’t take leave are less likely to breastfeed or bring a baby to doctor appointments. And low-income workers who take unpaid leave to care for an infant often rely on government help. “When a low-wage worker cannot even have a sick day or a paid leave day after the birth of an infant, she is far more likely to go on assistance, public assistance,” Sen. Kirsten Gillibrand (D-NY) sponsor of a bill requiring paid leave, told Fortune magazine. The upshot is that taxpayers foot the bill, she added.

As for the politics of paid leave, Fiorina’s stand is a loser. Polls show 60 to 80 percent of Americans support requiring paid leave for new parents. That 80 percent figure, from a CBS/New York Times poll in May, includes 71 percent of Republicans and 85 percent of women.

Now abortion is preoccupying the GOP, thrust there by conservatives who secretly filmed Planned Parenthood executives talking casually and graphically about the mechanics and costs of donating tissue from aborted fetuses for research. Republican candidates have grabbed at the chance to demonstrate their credentials as cultural conservatives — emphasizing their opposition to abortion and demanding an end to federal funding of Planned Parenthood, even if that leads to a government shutdown. Some 50 advocacy groups are co-sponsoring protests in nearly 300 cities this weekend to highlight what the Family Research Council calls “Planned Parenthood’s harvesting and selling of aborted baby parts.”

Ohio governor John Kasich explained the rising prominence of the abortion issue this way recently on CNN: “Now that the issue of gay marriage is kind of off the table, we’re kind of down to one social issue.”

The nature of the GOP primary electorate requires that Republican candidates take as hard a line as they can against abortion and explain in great detail their positions on exceptions, restrictions, and any shifts in thinking they may have undergone. They may be convinced that this won’t hurt them with women or moderates in a general election. Gallup found in May that 21 percent of Americans would only vote for a candidate who shared their view on abortion. That’s an all-time high in the 19 years the question has been asked, but they were about equally divided on both sides of the issue.

So does that make it a wash? Probably not. For one thing, the tide seems to be turning in the other direction. Half of Americans told Gallup in May that they were “pro-choice” on abortion compared with 44 percent who said they were “pro-life.” Analyst Lydia Saad wrote that was the first statistically significant lead for the “pro-choice” position in seven years. In addition, polls show pluralities of Americans have positive views of Planned Parenthood and oppose cutting off its federal money.

That hasn’t stopped various Republican hopefuls from calling for a Justice Department investigation into Planned Parenthood. Bobby Jindal, the Louisiana governor, has even vowed to sic the IRS on the group. The crusade is a classic example of overreach that could backfire in a general election. Republicans are their own worst enemy on this, but here’s the real problem: They are jeopardizing health care for low-income women who need birth control, cancer screening, or — yes — an abortion. The potential political bonanza for the Democratic nominee is not worth that price.

 

By: Jill Lawrence, The National Memo, August 20, 2015

September 1, 2015 Posted by | GOP, Paid Leave, Women's Health | , , , , , , , | 1 Comment

“Marco Rubio; Let Me Be Your Front Man, Republicans”: To Continue To Advocate The Fiscal And Regulatory Policies The GOP Craves

Today, Marco Rubio delivers a speech in Detroit, where he will again make the case to Republicans that the solution to their economic vulnerabilities lies in nominating Marco Rubio. “If I’m our nominee … We will be the party of the bartenders and the maids, of the people that clean our rooms and fix our cars,” Rubio promises. The choice of working-class occupations is hardly an accident — Rubio is describing the occupations held by his parents when they came to the United States. Rubio’s idea of a “party of” is quite literal — he means the party would be identified with the classes of the parents of its candidate rather than, say, its policies.

Many Republicans blame Mitt Romney’s defeat on his personal wealth, and there has been a renewed vogue for the always-popular appeal to personal working-class authenticity. Scott Walker has a story about buying a really cheap sweater. John Kasich is the son of a mailman. (National Review’s Kasich profile begins, “Have you heard that John Kasich’s dad was a mailman? If not, then you’ve probably never been around Ohio’s Republican governor.”) Hillary Clinton, too, reaches back to her mother to cast herself as the child of working-class toil. But Clinton grounds her appeal to hard-pressed Americans primarily in terms of her policy platform, which she has emphasized in a series of detailed speeches.

Rubio is unusually clear about his strategy to respond to Clinton’s arguments about policy with appeals to his background. “If I’m our nominee, how is Hillary Clinton gonna lecture me about living paycheck to paycheck?” he said at the first Republican debate. “I was raised paycheck to paycheck. How is she — how is she gonna lecture me — how is she gonna lecture me about student loans? I owed over $100,000 just four years ago.” This is Rubio’s plan. Clinton will attack the Republican economic program, and Rubio will talk about his life story.

Rubio’s platform is not entirely devoid of appeals to the working class. He emphasizes an expanded child-tax credit, which would provide benefits to families of modest means. George W. Bush, likewise, portrayed his tax cut as a plan aimed primarily at people like a low-income waitress mom, even though the overall impact was to make the tax code much more regressive. Rubio’s program would have the same effect, but more so. Even Rubio’s tax-cut plan, the most allegedly moderate aspect of his platform, would overwhelmingly benefit the wealthy. Other elements would compound the impact. Rubio would raise the Social Security retirement age, a change with little impact on white-collar workers, but a punishing blow to people who work on their feet or in some other physically demanding way. He would repeal Obamacare, whose benefits are heavily tilted toward low-income workers:

Rubio has sketched out a vague concept that would replace Obamacare, which — to the extent its effects can be defined — would shift much higher costs onto low-income workers, like bartenders and maids.

Rubio has voted for the Ryan budget, which would effect the largest upward redistribution of resources in American history. Indeed, he has set himself to Ryan’s right, criticizing the chairman’s compromise to slightly ease the impact of budget sequestration. He was also an early supporter of the 2013 government shutdown.

Rubio promises to repeal Dodd-Frank, a position that finds immense favor on Wall Street. Rubio may be the most forthrightly pro–Wall Street candidate in the race. His undiluted attack on Dodd-Frank prompted a grateful Richard Bove to write a column headlined “Thank You, Marco Rubio.” Bove is the author of Guardians of Prosperity: Why America Needs Big Banks. Some critics of Dodd-Frank favor (or like to position themselves as favoring) even more stringent regulation. Bove makes no such pretense. His book’s own summary begins, “Since the financial crisis, amid outrage at the likes of Citigroup and JPMorgan Chase and Washington’s rejiggering of the financial system, the banking industry has had one major defender: Richard X. Bove.”

It is positions like this — along with his past, retracted but perhaps still secretly held support for immigration reform — that have endeared Rubio to his party’s donor class. “At the American Enterprise Institute’s annual donor retreat in Sea Island, Ga., one attendee says Rubio got rave reviews from a crowd that included several billionaires,” reported National Review’s Eliana Johnson. “And in late January, the senator impressed the libertarian-leaning crowd at the Koch brothers’ donor conference in Palm Springs, Calif., and came out on top of an informal straw poll conducted there.”

In 2004, Democrats did not think they could frontally attack the Bush administration’s hawkish policies, so they wanted to use their candidate’s biography instead. That was the all-but-explicit message of John Kerry, who promised Democrats his military background would insulate him from attacks. Republicans who favor tax cuts for the rich, cuts in social benefits for working-class Americans, and deregulation of Wall Street face a similar dilemma. What these donors want is a candidate who will continue to advocate the fiscal and regulatory policies they crave, but can sell it to the public. Rubio is all but explicitly making the case for himself as the front man to make that sale.

 

By: Jonathan Chait, Daily Intelligencer, New York Magazine, August 20, 2015

August 21, 2015 Posted by | GOP Presidential Candidates, Marco Rubio, Republicans | , , , , , , , | 1 Comment