“We Can’t Handle The Truth!”: House GOP Leaders Scramble After Accidentally Telling The Truth
With a tip of the hat to Michael Kinsley, it appears half the House Republican leadership committed gaffes in recent days by accidentally telling the truth. They’re now scrambling to reverse course.
Late last week, for example, Rep. Cathy McMorris Rodgers (R-Wash.), the chair of the House Republican Conference, conceded to her local newspaper that the Affordable Care Act is unlikely to be repealed. Though she wants to “look at reforming the exchanges,” the local report added that McMorris Rodgers “said the framework established by the law likely will persist and reforms should take place within its structure.”
This was a perfectly sensible position for a House GOP leader to take. Yesterday, the congresswoman’s office assured the right she has no use for such reasonableness.
“The headline is not an accurate or representative portrayal of what the congresswoman said in the interview, what her voting record reflects, or what she believes. She will continue fighting to repeal Obamacare at every opportunity moving forward and replace it with patient-centered reforms,” McMorris Rodgers spokesman Nate Hodson said.
Also last week, House Speaker John Boehner (R-Ohio) conceded that opposition from rank-and-file House Republicans is to blame for the demise of immigration reform, and he was filmed openly mocking their reluctance to work hard. This morning, he walked it all back.
House Speaker John A. Boehner (R-Ohio) reiterated Tuesday that he believes that the major impediment to moving forward with comprehensive immigration reform is a distrust of President Obama, and not an unwillingness of the members of his caucus to take up the legislation. […]
Boehner reassured members of the GOP House caucus during a closed-door meeting Tuesday morning that he was not mocking them and that he believes Obama is the reason immigration reform has not moved forward.
The message from Boehner and McMorris Rodgers couldn’t be more obvious: they’re awfully sorry they got caught accidentally telling the truth.
This isn’t even a close call. In McMorris Rodgers’ case, what she told her local paper made perfect sense. The Affordable Care Act isn’t going anywhere, so it stands to reason policymakers should move past trying to destroy “Obamacare” and start looking for how best to make the system work effectively.
So why does her office insist she’ll “continue fighting to repeal Obamacare at every opportunity”? Why bother? How many millions of Americans will lose coverage if she succeeds?
As for Boehner, what the Speaker said last week was entirely true: the “blame Obama” talking point is transparently dumb, so Boehner’s candor about who ultimately bears responsibility was a welcome change of pace. Why run back to Capitol Hill now to deny what is plainly true?
Worse, Boehner told reporters, “There was no mocking.”
Mr. Speaker, there’s no point in fibbing when we’ve seen the video.
By: Steve Benen, The Maddow Blog, April 29, 2014
“John Boehner Is A Ridiculous Man”: Lacking Political Courage, The Republican Establishment Has A Problem
As soon as I saw what John Boehner had done, I knew that the folks at Red State would lose their minds. While speaking at the Middletown, Ohio, Rotary Club, Speaker Boehner dismissed the possibility of truly repealing ObamaCare and mocked his colleagues in the House who lack the political courage to pass some kind of immigration reform.
On ObamaCare, Boehner said repeal wasn’t even the goal. The goal was to “repeal and replace.” But, as soon as he began to describe what replacing would mean, he made it clear that much of what had been done could not be undone:
“The challenge is that Obamacare is the law of the land. It is there and it has driven all types of changes in our health care delivery system. You can’t recreate an insurance market over night.
“Secondly, you’ve got the big hospital organizations buying up doctor’s groups because hospitals get reimbursed two or three times doctor’s do for the same procedure just because it’s a hospital. Those kinds of changes can’t be redone.
“So the biggest challenge we are going to have is — I do think at some point we’ll get there — is the transition of Obamacare back to a system that empowers patients and doctors to make choices that are good for their own health as opposed to doing what the government is dictating they should do.”
In other words, repeal is out of the question and “replace” means “tinker.”
Over at Red State, Daniel Horowitz is apoplectic:
Which means that he has no intention to repeal it.
It’s funny how we warned those who opposed the effort to defund Obamacare that they would never repeal it at a later date. They denied the charge at the time; now they are embracing it.
Maybe even more troubling to the base is Boehner’s attitude about immigration reform.
“Here’s the attitude. Ohhhh. Don’t make me do this. Ohhhh. This is too hard,” Boehner whined before a luncheon crowd at Brown’s Run County Club in Madison Township.
“We get elected to make choices. We get elected to solve problems and it’s remarkable to me how many of my colleagues just don’t want to … They’ll take the path of least resistance.”
Boehner said he’s been working for 16 or 17 months trying to push Congress to deal with immigration reform.
“I’ve had every brick and bat and arrow shot at me over this issue just because I wanted to deal with it. I didn’t say it was going to be easy,” he said.
Of course, a majority in the House wants to pass immigration reform, so Boehner could do it tomorrow if he was willing to put up with the grumbling in his own party. If he thinks it would cost him his leadership position, then he’s lacking political courage, too.
Here’s Horowitz’s response:
Yes, Mr. Boehner. We actually want to solve the immigration problem.
We want to deal with the problem of criminals being let out of jail.
We want to deal with the problem of Obama suspending deportations.
We want to deal with birthright citizenship and other magnets that allow foreigners to violate our sovereignty and take advantage of the welfare state.
We want to make immigration work for the American people, not for your donors.
Sadly, you have no interest in joining us in combating the President’s malfeasance. You are the one who is too scared to make hard decisions. It’s a lot easier to go along with the political class and cowardly hide behind the misleading canard of “reform” just for the purpose of pushing the same failed amnesty that has engendered endless cycles of illegal immigration and that is already spawning a new wave. It’s akin to saying conservatives are cowards for not dealing with “healthcare reform” because they don’t support Obamacare.
In the aftermath of the 2012 election, the Republican National Committee did a study to figure out why they lost and what they needed to do differently to win in the future. They basically concluded that they lost because they sounded too much like Red State. They couldn’t ignore the need for immigration reform anymore. They couldn’t continue to oppose gay equality. The New York Times’ Tom Edsall described the problem this way:
There is at least one crucial problem that the authors, all members of the establishment wing of the party, address only peripherally and with kid gloves: the extreme conservatism of the party’s primary and caucus voters — the people who actually pick nominees. For over three decades, these voters have episodically shown an inclination to go off the deep end and nominate general election losers in House and Senate races — or, in the case of very conservative states and districts, general election winners who push the party in the House and Senate to become an instrument of obstruction.
Ironically, it was Senate Minority Leader Mitch McConnell who conceived of the Party of No strategy that the GOP has followed with almost psychotic glee. President Obama’s reelection did not alter that strategy one iota. Somehow, the folks at Red State took the strategy seriously, as if it were about principle instead of a failed attempt to destroy Obama’s presidency.
So, now the Republican Establishment has a problem. They cannot govern according to their own lights. They literally cannot lead their own caucuses. When they whine about the results, they invite nothing more than simple ridicule.
By: Martin Longman, Washington Monthly, Ten Miles Square, April 25, 2014
“BobbyCare”: Jindal’s Generic Obamacare Alternative
If congressional Republicans need a fresh excuse to delay settling on an Obamacare “replacement” plan, Bobby Jindal’s given them one by throwing another plan into the mix. But on further examination, the Genius’ proposal is sort of the ultimate Generic Conservative Plan, complete with a Generic Conservative label, the Freedom and Empowerment Plan. It was released by Jindal’s pocket “think tank,” America Next.
Is there any hoary conservative health policy pet rock this plan omits? I don’t see any on a quick examination. You got your interstate insurance sales. You got “tort reform.” You got new incentives for setting up Health Savings Accounts. You got state-run high-risk pools for those with pre-existing conditions. You got a shift in the tax code from deductions for employer-sponsored health insurance to individually purchased health insurance. There’s a Medicaid block grant, and for extra measure, borrowed from the Ryan Budget, there’s Medicare converted to a premium support system for private insurance instead of single-payer government-supplied insurance.
There are a couple of wrinkles that stand out. Unlike, say, John McCain’s 2008 health care proposal, which BobbyCare resembles, Jindal would deploy not tax credits for insurance purposes but a new standard deduction. Wouldn’t that be regressive in its impact? No problem, says Jindal: po’ folks with little use for a tax deduction could share the state-run high-risk pools designed for those with preexisting conditions, providing an appropriately fenced-off health insurance ghetto for the poor and the sick (I’m sure that would fare really well in the federal and state appropriations processes).
Jindal’s plan is also a little vague about the transition to voucherized Medicare, though he suggests traditional Medicare should include a cap on “catastrophic” health expenses, presumably to reduce reliance on Medigap policies.
One provision isn’t vague at all:
[R]epeal of Obamacare will remove the law’s anti-conscience mandates, and the funding of plans that cover abortions. But true health reform should go further, instituting conscience protections for businesses and medical providers, as well as a permanent ban on federal funding of abortions, consistent with the Hyde Amendment protections passed by Congress every year since 1976.
BobbyCare is the work of a genius only if hunting and collecting past proposals is a brilliant endeavor (indeed, he seems concerned to take credit for Medicare as Premium Support away from Ryan by noting the 1999 commission he chaired proposed something similar). It will probably undercut support for more novel and politically feasible Republican proposals like the Coburn-Burr-Hatch plan. But no matter: the Legend of Bobby Jindal, Boy Genius, will get another layer of thin varnish.
By: Ed Kilgore, Contributing Writer, Washington Monthly Political Animal, April 2, 2014
“And Four Years Later?”: How Much “Repeal” Must “Replace” Involve?
If you’re wondering why it’s taking so long for congressional Republicans to unite behind an Obamacare Replacement plan when there are several of them out there, look no further than the North Carolina U.S. Senate primary, where “Establishment” candidate Thom Tillis has incautiously said not all aspects of Obamacare are bad, yet appears to be afraid to endorse the “replacement” bill originally cosponsored by the senior senator from that state, Richard Burr. WaPo’s Greg Sargent has more:
Tillis has so far refrained from endorsing the Burr plan. And similarly, in interviews, he has claimed that of course he would replace Obamacare with something that would protect people with preexisting conditions and others who need protection, without specifying what that replacement would be. Republicans appear increasingly aware that they can’t be just for repeal, and have to promise replacements that would accomplishment some of what Obamacare accomplishes….
As the case of Tillis shows…Republicans must also simultaneously remain vague enough about those replacements so as to avoid embracing the tradeoffs they would require — since specificity there risks angering the right. Indeed, Tillis’ embrace of even some of Obamacare’s general goals has drawn fire from his primary opponent, Tea Partyer Greg Brannon.
The Coburn-Burr-Hatch proposal is dangerous politically for a primary-challenged Republican because it simultaneously embraces aspects of Obamacare (an insurance purchasing exchange, albeit one selling “deregulated”—which means less generous—products; and subsidies for purchases on those exchanges by certain low-income folk) and aspects of more conventional conservative health care thinking that are wildly disruptive of the status quo at a time when Republicans are making big hay over Obamacare “disruptions” (notably the partial rollback of the federal tax write-off for employer-based plans). Indeed, messing with employer-based coverage has been a conservative policy pet rock for years, even though GOP politicians have been leery of it since John McCain proposed junking it in 2008, and left himself exposed to a “tax increase” charge.
There simply isn’t, and can’t be, an “Obamacare replacement” proposal that lets everyone who likes the status quo keep it, while dealing with pre-existing condition exclusions, expanding coverage, and holding down costs. This is why Republicans prefer to insist they want to repeal Obamacare and are stilling “working” on a replacement, four years after enactment of the Affordable Care Act.
By: Ed Kilgore, Contributing Writer, Washington Monthly Political Animal, April 1, 2014
“Reality Is Starting To Set In”: Is The “Mend It” Period Of The Affordable Care Act’s Evolution Beginning?
All of a sudden, people in Washington seem to want to fix the Affordable Care Act. And regardless of their motivations, that should be—well, maybe “celebrated” is too strong a word, but we can see it as a necessary and positive development. Is it possible that the arguments about whether the ACA was a good idea or should have been passed in the first place are actually going to fade away, and we can get down to the businesses of strengthening the parts of it that are working and fixing the parts that aren’t? It might be so.
Sure, cretinous congressional candidates will continue to display their seriousness by pumping paper copies of the law with bullets, probably for years to come. But with this year’s open enrollment period coming to an end in a few days, a particular reality is starting to set in, namely that, however you feel about the law, millions of Americans have now gotten health insurance because of it. Repealing it would mean taking that insurance away. So let’s look at what people whose political fortunes are dependent on some measure of anti-ACA grandstanding are doing.
First, a group of centrist Democrats, mostly from conservative states, offered a plan to make some changes to the ACA, some of which are more meaningful and reasonable than others. Yes, they’re doing it because they want to give themselves some political cover. But that’s OK. Meanwhile, some Republicans are, for the umpteenth time, crafting a package of things they claim will “replace” the ACA. Of course it’s the same few things they’ve always advocated—make it impossible for people to sue for medical malpractice (AKA “tort reform”), let people buy insurance across state lines, encourage health savings accounts. Nobody who has thought about health care for five minutes thinks those “reforms” would do anything to address real health care challenges, but more importantly, they wouldn’t prevent the massive upheaval that would occur if you repealed the ACA. And that’s a reality that will become increasingly clear: the disruption of taking away the ACA now would be even greater than the disruption the law brought about in the first place.
So if Republicans took over the Senate, there would be a brief period of kabuki, in which they would attempt to pass their reform package, then President Obama would say, “This is a joke” and veto if it passed. Then they’d have to decide if they actually wanted to address their specific complaints about the ACA. And yes, we have to start from the assumption that everything conservatives say about the Affordable Care Act is offered in bad faith (sorry, conservatives, but you’ve earned it). That doesn’t mean, however, that they can’t prove that assumption wrong at some later date.
Democrats should respond by welcoming a more particular debate about the ACA, starting from the presumption that it’s law now and millions of people are dependent on it, so the question is what needs adjustment. Republicans can no longer just shout “This law sucks, because freedom!” It’s too late for that.
And some context is in order. Before the law was even passed, many of its advocates were careful to note that no matter how much care went into its design, adjustments were going to be required as it was implemented. That’s how things always go with complicated laws: conditions change, certain features don’t work the way they were supposed to, and unforeseen challenges emerge. Revising existing legislation is a substantial part of lawmaking, and always has been. For instance, when Social Security was created in 1935, it was written to exclude agricultural and domestic workers, which included most blacks in the South (there’s some debate about whether this was actually done in order to secure the support of Southern segregationists). That didn’t change until the 1950s. Survivor benefits for spouses and children were also added later. Cost of living adjustments were added later. In other words, the most successful and popular social program in American history required a lot of changes and alterations as it evolved, and no one ever expected that the ACA would be any different.
There are going to be changes to the ACA in the coming years, just as there should be. The trick now will be making sure the right changes are made.
By: Paul Waldman, Contributing Editor, The American Prospect, March 28, 2014
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