“The ‘Wingnut Hole’ Measured”: 5 Million Without Insurance Thanks To GOP Refusal
Because of the decision on Obamacare by the Supreme Court, which left the decision to expand Medicaid (a key part of Obamacare) up to the individual states, most Republican-controlled states refused said expansion, leaving substantial portions of the citizenry in the lurch.
Ed Kilgore has been calling this the “wingnut hole,” and many have been speculating about its size. How many Americans will go without health insurance simply because the GOP dislikes the president? Well, happy 2014, dear readers: initial estimates are in, and we have 5 million lucky winners!
About 5 million people will be without health care next year that they would have gotten simply if they lived somewhere else in America. . . . The court effectively left it up to states to decide whether to open Medicaid, the federal-state program for the poor and disabled, to more people, primarily poor working adults without children. . . .
Twenty-five states declined. That leaves 4.8 million people in those states without the health care coverage that their peers elsewhere are getting through the expansion of Medicaid, according to a Kaiser Family Foundation estimate. More than one-fifth of them live in Texas alone, Kaiser’s analysis found.
That’s approximately the combined population of Delaware, Vermont, the District of Columbia, North Dakota, South Dakota, Wyoming and Alaska. Or alternatively, either Alabama, South Carolina, Colorado or the whole of Norway alone.
The Supreme Court decision was doubly unfortunate, because Republican states tend to be poorer than average and contain a disproportionate number of potential beneficiaries who are losing out. Obamacare, by virtue of distributing benefits downward, was aimed at those very people; it never occurred to the law’s architects that the vagaries of politics and law might give states a way out, and so they didn’t design a backup coverage mechanism.
Some refusenik states, like Iowa, might go forward with an Obamacare-instead-of-Medicaid expansion, but most probably will do nothing. Prospects are bad enough that health-care industry groups have basically given up trying to push through the expansion by lobbying and are just biding their time until conditions are more favorable.
It’s worth remembering that the federal government will pay 100 percent of the cost of the Medicaid expansion through 2016 and 90 percent of the cost afterward. It could very well work out that refusenik states will not even save money because of additional spending on the uninsured in emergency rooms and elsewhere.
But regardless of the pitiful sums involved, make no mistake: This action is utterly gratuitous. Combined with the probable coming Republican refusal to extend unemployment benefits that George wrote about this morning, this is a particularly stiff kick in the teeth to the United States’ most vulnerable citizens to usher in the new year.
By: Ryan Cooper, The Plum Line, The Washington Post, December 31, 2013
“Call It A Comeback”: More Than 9 Million Americans Have Health Insurance Through Obamacare
You don’t get much credit for fixing something that should have worked in the first place, but the Obama administration has avoided a major catastrophe by delivering on its promise to fix HealthCare.gov for most Americans.
After two months of barely functioning, the federal online health care exchanges delivered, racking up 975,000 enrollments in the month of December. That brings the total number of people who have picked a plan through an exchange since October 1 to about two million. The administration reached about two-thirds of its goal of enrolling 3.3 million by the end of 2013 after being fully operational one-third of the time. And it turns out most of the enrollments came during the one-week extension the White House gave itself after the initial problems with the site became apparent.
Four million people have qualified for Medicaid, according to ACASignups.net. Another 3.1 million young adults are covered by their parents’ health insurance, thanks to a provision in the Affordable Care Act (ACA).
This means over nine million people have gained coverage through the ACA since it first became law.
That number could easily shrink or grow as insurers report on how many people purchased ACA-compliant policies directly through them. It’s also unclear how many canceled policies were replaced by plans purchased through the exchanges.
Looking at the rate of enrollments for Medicare Part D, president of health research firm Avalere Health Dan Mendelson believes that the administration can hit its goal of seven million enrollments by the close of open enrollment on March 31.
“Where they are, with about two million enrolled, if they continue to enroll at the present rate, and there’s a little acceleration at the end, they could get to seven million,” Mendelson told the Washington Post‘s Sarah Kliff.
However, Republicans are still predicting doom for the president’s signature legislative accomplishment, suggesting that the disastrous rollout of the exchanges is just the beginning of the problems.
“Just about everyone on the right is still living in October, the annus horribilis of Obamacare (yes, I know it was just a month, and I don’t care), and is waiting to move in for the kill after the whole thing collapses,” The New York Times‘ Paul Krugman wrote.
Republicans are assuming that the estimated 3 percent of Americans who will be paying more under the law along with disruptions of relationships with doctors will overwhelm both the news of millions gaining coverage and Republican states denying Medicaid expansion to five million working people.
Predictions of Obamacare’s death made sense when it seemed a very real possibility that HealthCare.gov could not be fixed.
Now that those predictions have been proven wrong, the law will have a chance to be judged on its merits.
By: Jason Satler, The National Memo, December 30, 2013
“Embracing Debunked Conspiracy Theories”: How The GOP Became A Party Of Benghazi “Truthers”
After a year of demanding answers about the terrorist attack that took place in Benghazi on September 11, 2012, the right wing got them in the form of a well-reported exposé by The New York Times‘ David Kirkpatrick.
And they don’t like these answers at all.
From the night of the murders, Republicans have been shamefully trying to politicize the attack that killed four Americans including Ambassador Chris Stevens, first as a means of stopping the re-election of President Obama, and then to damage the reputation of former secretary of state and possible candidate for president in 2016, Hillary Clinton.
Within hours of Stevens’ death, GOP nominee Mitt Romney accused the Obama administration of “sympathizing” with extremists, as the State Department tried to protect the lives of diplomatic personnel in the face of protests across Northern Africa ginned up in opposition to an offensive depiction of Islamic religious iconography being spread on YouTube. Sensing they had a crisis to parallel 1980′s taking of hostages in Iran, Republicans continued to wage a campaign designed to paint the Obama administration as weak on terror. The Romney campaign suggested that the president was refusing to label the attack as “terrorism” and Senators John McCain (R-AZ) and Lindsey Graham (R-SC) suggested former UN Ambassador Susan Rice was lying and covering up the involvement of al-Qaeda when she offered CIA-approved talking points that the video played a major role in the attack.
Kirkpatrick’s reporting substantiates just about everything Ambassador Rice said as she appeared on several Sunday morning news shows just days after the attack:
Months of investigation by The New York Times, centered on extensive interviews with Libyans in Benghazi who had direct knowledge of the attack there and its context, turned up no evidence that al-Qaeda or other international terrorist groups had any role in the assault. The attack was led, instead, by fighters who had benefited directly from NATO’s extensive air power and logistics support during the uprising against Colonel Qaddafi. And contrary to claims by some members of Congress, it was fueled in large part by anger at an American-made video denigrating Islam.
This reporting closely echoes the original investigation ordered by Secretary Clinton and led by Thomas Pickering, an esteemed diplomat who served under Presidents Ford, Reagan, George H.W. Bush and Clinton.
It was clear that the video played a role, even before Kirkpatrick’s report. But it was unclear if it was the actual motivation for the attack or just a major factor in the unrest destabilizing the region. The Times‘ Middle East correspondent clearly asserts it was central.
It was also unclear if al-Qaeda had played a role in the killings. But this new report likely won’t settle that question, despite Kirkpatrick’s certainty, because the makeup of the terror network is so murky. ”There’s a long-running debate among experts about whether al-Qaeda is more of a centralized, top-down organization, a network of affiliates with varying ties to a core leadership or the vanguard of a broader movement better described as ‘Sunni jihadism,’” Politico Magazine’s Blake Hounshell points out.
All of this leads to a question Secretary Clinton asked when testifying in front of a Senate committee.
“What difference – at this point, what difference does it make?” Clinton said.
Republicans argue that this question disrespects the lives of those four Americans who died in Benghazi. They assert that the president expressly told the military to “stand down” instead of trying to help the men. They accuse Clinton of purposeful negligence and evasion. These claims have all been debunked — there was no stand-down order and Clinton was not directly responsible for the security of an impromptu trip Stevens decided to take on his own, yet she still took responsibility for the tragedy.
The government failed to secure diplomatic resources, as it has under both Democratic and Republican presidents. The involvement of the CIA means that some of the story will likely remain cloaked in secrecy. But no misconduct has ever been proven.
The right wing clearly is not interested in answers, only raising questions—entirely for partisan purposes.
In the aftermath of 9/11, as the Bush/Cheney administration refused a bipartisan investigation of the attacks for a year, anyone who challenged the official story of the attacks and suggested government complicity was labeled a “truther,” a smear that helped cost Van Jones a job in the Obama administration more than a half-decade later.
Rep. Darrell Issa (R-CA), the chairman of the House Oversight Committee, told Meet the Press on Sunday, “What we do know is September 11 [2012] was not an accident.”
He defended his year-long investigation into the tragedy in Benghazi, asserting the same disproven speculation that he has helped fester for months, and concluding, “they went out on five stations and told the story that was, at best, a coverup for CIA, and at worst, something that cast away this idea that there was a real terrorist operation in Benghazi.”
The congressman is still suggesting the military may have purposely refused to help Americans under attack and the administration is covering up the truth, though what it offered, even in the fog of the immediate aftermath of the murders, closely matches some of the best reporting on the subject.
If Issa made those claims about the original 9/11 attacks, we know what he would have been called.
But since much of his party has embraced vague conspiracy theories that suggest the president of the United States either wanted a terrorist attack weeks before an election or “covered up” a terrorist attack that he called a terrorist attack several times before that election, he’s just another Republican.
By: Jason Sattler, The National Memo, December 30, 2013
“The GOP’s Insane Race Strategy”: A Monstrous Injustice, Shoulder-To-Shoulder With The Worst Villains In American History
Over at TMS today, Harold Pollack highlights a stark paper from Perspectives on Politics. The Republican shameful record on minority voting during the 2012 election was a common story on the left. But after closer study, the results are in, and they aren’t pretty:
Our results indicate that proposal and passage are highly partisan, strategic, and racialized affairs. These findings are consistent with a scenario in which the targeted demobilization of minority voters and African Americans is a central driver of recent legislative developments.
Harold unpacks the study:
Bentele and O’Brien’s statistical analysis of 2006-2011 data makes plain what was already pretty obvious. Republican governors and legislatures have sought to hinder minority turnout for partisan purposes. States were especially likely to pass restrictive voting laws if Republicans were politically dominant, but where the state observed rising minority turnout or where the state was becoming more competitive in the national presidential race. Variables that capture the strategic value to Republicans of minority voter suppression are more powerful predictors of restrictive voting legislation than is actual incidence of voter fraud.
And sure, as Harold says, this is utterly disgraceful. But perhaps the most baffling aspect about this kind of behavior is that it doesn’t even work anymore. The GOP lost in 2012. Trying to systematically disenfranchise people along racial lines is a monstrous injustice that puts you shoulder-to-shoulder with some of the worst villains in American history. But if it doesn’t even work—and in fact inspires a larger overreaction, as seems to be the case, what is the point?
I think, as Josh Marshall suggested awhile ago putting this phenomenon in historical context, that these are longstanding political habits the downsides of which have only recently come into focus, as the country becomes steadily less white:
Does this mean the GOP is ‘racist’? No. At least not in its entirety. But it benefited mightily from it. What it means is that our politics is significantly framed around the politics of race and, on balance, it’s been a winning issue for the GOP for the 40 or 50 odd years since white Southerners moved into the Republican party and created a powerful electoral anchor for the party. They raised their sails to the winds of racial animosity and it worked in spades. For decades, you got more white votes pushing this brand of politics than you lost in minority votes. It was a good political bargain. But as the racial composition of the electorate changed, we reached a tipping, one that became visible in sharp relief in 2012.
It’s hard to know from the outside just what combination of wishful thinking, epistemic closure, belief in fake voter fraud, etc., motivates this kind of behavior. But it has to be true that the actual party operatives designing and pushing through these measures which are so obviously aimed at minority citizens know exactly what they’re doing. Here’s hoping that in the future, they’re cynical enough to know that strategy has run its course.
By: Ryan Cooper, Washington Monthly Political Animal, December 30, 2013
“Artificially Polarizing The Country”: Redistricting Reform Should Be Priority Number One
I became political aware at a young age and took a keen interest in the 1980 Republican primaries when I was only nine and ten years old. I still have cartoons I drew at the time that depicted Ronald Reagan as a warmonger intent on blowing up the world with nuclear weapons. This wasn’t something I learned from my parents. It was my own opinion. In retrospect, it was a little bit alarmist. I should have been worried about other things, like the long-term destruction of the middle class or a propensity to sell TOW missiles to Iran to pay a ransom for hostages held by Hizbollah in order to illegally transfer the proceeds to the Contras in Nicaragua. But, a nine year old’s capacity to imagine evil only goes so far.
When I see a book title like Tip and the Gipper: When Politics Worked, I want to claw my eyeballs out. Yet, I do understand what Chris Matthews is pining for, and it isn’t the fjords. However much Tip O’Neill and Ronald Reagan disagreed, they were civil to each other, and they knew how to strike a deal without threatening to default on the country’s debts. For Washington insiders of a certain age, there is a keen sense of nostalgia for the old days when politicians didn’t go home to their districts every weekend but stayed in town and socialized with each other.
Perhaps no one represents this group better than Cokie Roberts, who was almost literally raised in the Capitol Building. Her father, Hale Boggs, represented Louisiana’s 2nd District in 1941-43 and then from 1947 to 1972, when his plane disappeared in Alaska. By the time of his death, he had risen to be the Majority Leader, the same position held today by Eric Cantor. By that time, Cokie Roberts was an adult, but her mother, Liddy Boggs, went on to represent the New Orleans-based district until she retired to look after her dying daughter (Cokie’s sister) in 1990. I found a set of interviews that Ms. Roberts did with the Office of the Historian of the House of Representatives in 2007 and 2008, (you can read the interviews here in .pdf form) in which she describes her life growing up in the corridors of power and how things have changed.
In the following excerpt, she laments the use of the gerrymander, which she calls “picking your own voters.” In her opinion, the increasing efficiency with which the political parties draw the congressional maps is one of the main reasons why Congress is so deadlocked. Keep in mind that she said this in 2008, before things got even worse after the 2010 census and subsequent redrawing of district maps.
ROBERTS: I think that what this business of picking your voters—first of all, is so anti-democratic—it does a few very, very bad things. It creates a far more partisan chamber because you only worry about getting attacked from the true believers of your own party in a primary rather than a general election. Look what just happened to Chris [Christopher B.] Cannon as a perfect example of that.
You do only represent people who are just like you, so that your desire or even ability to compromise is far less than it used to be. I’ll give you an example. Bob Livingston used to represent a district that was 30- percent black. So he voted for fair housing, he voted for Martin Luther King holiday, he voted for a variety of things that were not the things that people whose representative in the state legislature was David Duke expected him to do. But he could explain to the yahoos in his district that he had to do it because of the black constituency when it was actually stuff that he wanted to do. Then it was redistricted to be lily-white conservative Republicans, and, you know, it’s almost impossible for that person—it was [David] Vitter, I don’t know who it is now—to do that. You just have to be fighting your constituency all the time to do something that would be a sort of national interest thing to do. And that’s true on both sides. It just makes legislating and governing much, much harder.
The President [George W. Bush], actually, was talking to me—I don’t often get to say, “The President was talking to me about it,” {laughter}—when I went with him to meet the Pope. We were talking about immigration, and he’s, you know, he’s basically just furious about immigration, about the failure of the bill, and he said, “It’s all about the way districts are drawn.” And it is fundamentally anti-democratic because the whole idea is you get to throw these people out. In 2006, I must say I was heartened, not for partisan reasons, but I thought they had drawn the districts so cleverly that you’d never be able to register that vote of no confidence, which an off-year election is—it’s either a vote of confidence or no confidence—I was afraid that that had been taken away from the voters, which would really be different from what the Founders had in mind. So the fact that even with that, you were able to change parties and register that vote was heartening, but it’s much harder than it should be.
There has been some debate recently about whether or not Justice Ginsburg should strategically retire from the Supreme Court to prevent a Republican president from appointing her successor. Ginsburg defends her continued presence of the Court by arguing that President Obama will be succeeded by a Democrat because “The Democrats do fine in presidential elections; their problem is they can’t get out the vote in the midterm elections.” She’s probably right in her prediction about Obama’s successor, but she is definitely correct that the Democrats have trouble getting out their vote in midterm elections. With the districts drawn the way there are, this threatens to prevent the people from expressing their vote of confidence or no confidence.
According to the Cook Political Report, the Democrats should have won the 2012 House elections.
By Cook’s calculations, House Democrats out-earned their Republican counterparts by 1.17 million votes. Read another way, Democrats won 50.59 percent of the two-party vote. Still, they won just 46.21 percent of seats, leaving the Republicans with 234 seats and Democrats with 201.
It was the second time in 70 years that a party won the majority of the vote but didn’t win a majority of the House seats, according to the analysis.
So, there are really two things here worthy of consideration. The first is that the gerrymander has the effect of artificially polarizing the country by creating districts that are only really contestable in primary, rather than general elections. Politicians are punished for cooperating more than they should be.
The second problem is a partisan one that only hurts the left. Democrats get less seats than they should have.
Yet, the first problem hurts the left, too, because it leads to dysfunctional government, which leads to a general disdain of government in the populace, which creates distrust about the government’s ability to do big things.
For these reasons, I believe that progressives should consider redistricting reform their top priority. Unless we can solve this problem, we will never be competing on a level playing field, and our ability to do great things will continue to erode.
Unlike Chris Matthews and Cokie Roberts, I don’t want to go back to some idyllic time of bipartisan cooperation that barely existed in reality, but I do want a fair shake and a government that works again.
By: Martin Longman, Washington Monthly Political Animal, December 28, 2013