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“Everyone Just Chill Out”: Memo To Democratic Chicken Littles, The Sky Is Not Falling

Ah, now this is what politics is supposed to be like: Ruthless Republicans, gleeful at the prospect that they might increase the net total of human suffering. Timorous Democrats, panicking at the first hint of political difficulty and rushing to assemble a circular firing squad. And the news media bringing out the “Dems In Disarray!” headlines they keep in storage for just this purpose.

The problems of the last couple weeks “could threaten Democratic priorities for years,” says Ron Brownstein. It’s just like Hurricane Katrina, says The New York Times (minus the 1,500 dead people, I guess they mean, though they don’t say so). “On the broader question of whether Obama can rebuild an effective presidency after this debacle,” says Dana Milbank, “it’s starting to look as if it may be game over.” Ruth Marcus also declares this presidency all but dead: “Can he recover? I’m sorry to say: I’m not at all confident.”

Oh please. Everyone just chill out.

It’s incredible how often reporters and pundits proclaim that what’s happening this week is the most important political development in years, and the balance of political advantage today will remain just as it is indefinitely into the future. Then a few weeks or months later things change, and they forget about what they said before, declaring once again that today’s situation is how things will be forevermore. Not long ago, people were saying that the fact that Obama couldn’t get a congressional vote authorizing a bombing campaign in Syria had crippled his presidency. Then the Republicans shut down the government, and people were saying they wouldn’t win another election in our lifetimes. That’s just in the last few months. And now people are saying that Obama’s second term, which has three years left to go, is an unrecoverable disaster.

So let’s try to see things from a less panicky perspective. The rollout has been a mess, but it’s important to remember that this period is all a preparation for the actual implementation of the law. Nothing that’s happening now is permanent. People have gotten cancellation notices, but no one has lost their coverage. The website sucked when it debuted, it sucks slightly less now, but there’s still lots of time for people to sign up for plans that take effect next year. And if things aren’t working properly by December, they’ll probably extend the open enrollment period to a point at which everything’s working. That’s a hassle, sure. But you can’t call the Affordable Care Act a failure until it takes effect and does or does not achieve its goals. That would be like calling your team’s season a failure because they lost a couple of pre-season games.

A few Democrats will probably vote today for the Republican bill that purports to address the problem of cancellations but it’s an attempt to gut the entire ACA. That’s because they’re cowards and fools, who think that they can protect themselves from a momentary political headwind by rushing into the Republicans’ arms. And you know what will happen? Nothing. You can just add this vote to the 47 prior ones repealing the law; it’ll have the same impact. It won’t ever get to the Senate, and even if it did it wouldn’t ever be signed by the President. It isn’t even worth paying attention to.

Here’s what’s going to happen. The administrative fix Obama announced yesterday will temporarily staunch the political bleeding. But it will have very little effect on the actual insurance market, which is a good thing. In some states, insurance commissioners won’t let the insurance companies continue to sell the junk plans we’ve been talking about. In others, insurers won’t want to go back and re-offer the plans they cancelled. Some of the people with the junk plans will end up keeping them, but most of them will end up going to the exchanges. Many will find that they can get subsidies, or even without them find an affordable plan. Some may find that they’re paying more for a plan that offers real insurance. Those in the latter group will grumble, but it won’t be front-page news anymore, because the media are extraordinarily fickle, and they’ve already told that story.

Over the next year, the rest of the law will be implemented. There may be problems here and there, but overall it will probably go reasonably well. There will be plenty of things Democrats can point to in order to convince people that it was a good idea, like the fact that now nobody can be denied coverage because of a pre-existing condition, or the fact that millions of people who couldn’t afford coverage or were denied before now have it. There will also be things Republicans will say to try to convince people it was a terrible idea, like the fact that premiums didn’t plummet, and health care is still expensive, and Obamacare didn’t give every little girl a pony.

And what else will happen in the next year? Other things. The economy may get worse, or it may get better. There may be a foreign crisis. Controversies we can’t yet anticipate will emerge, explode, then disappear. A young singer may move her posterior about in a suggestive manner, causing a nation to drop everything and talk about nothing else for a week. We might start talking about immigration reform again. There’s going to be another budget battle. In other words, all sorts of things could affect the next election, and the election after that.

So yes, this is a difficult period for President Obama, and for the Affordable Care Act. But everyone needs to take a deep breath and remember that things will change. They always do.

 

By: Paul Waldman, Contributing Editor, The American Prospect, November 15, 2015

November 16, 2013 Posted by | Affordable Care Act, Obamacare | , , , , , , | Leave a comment

“The GOP Is Driving In Circles”: Like Past Outreach Efforts, “Burning Glass” Is Doomed To Failure

Just days after Republican Ken Cuccinelli discovered that running as the transvaginal ultrasound candidate may have been a mistake in increasingly blue Virginia, three Republican women are launching a new effort to solve the GOP’s serious problem with female voters.

The Republican Party’s outreach to women — to the degree that it reaches out at all — has clearly not been working. Poll after poll shows that women favor the Democratic Party over the Republicans, and recent elections have confirmed it. President Obama topped Mitt Romney by 9 percent among women in 2012, and Terry McAuliffe beat Cuccinelli by an identical amount in Virginia in 2013. Among unmarried women, the gender gap is even more severe.

As Jonathan Martin reports in the New York Times, Republican consultants Katie Packer Gage, Ashley O’Connor and Christine Matthews hope to reverse the trend by launching a group called Burning Glass Consulting.

“We want to get smarter about how we communicate the Republican message specifically to women,” Gage told the Times. “Certainly there are challenges with other demographic groups, but women represent 53 percent of the electorate.”

According to the report, “The three strategists will undertake public opinion research, TV ads and general consulting for Republican candidates about how to better reach that majority.”

If this sounds familiar, it’s because the Republican Party has been down this road before. Just eight months ago, the Republican National Committee itself declared its intention to “stop talking to itself,” and improve outreach to minorities, the working class, and the same women that Burning Glass intends to target today.

“Instead of driving around in circles on an ideological cul-de-sac, we need a party whose brand of conservatism invites and inspires new people to visit us,” the Republican consultants who wrote the report optimistically suggested.

The suggestion didn’t take. On the contrary, Republicans have managed to move even further out of the mainstream — at a grave cost to their already tattered reputation.

Ultimately, Burning Glass Consultants will encounter the same problem the RNC did. Sure, a more moderate tone couldn’t hurt the Republican Party’s efforts to win over women — it may even help them on the margins. But there is no message fix that could paper over the fact that elected Republicans are devoting their efforts to shuttering women’s health clinics, restricting access to contraception, and trashing the Affordable Care Act’s maternity coverage, among a long, long list of other policies that are genuinely hostile to women.

Yes, the Republican Party would benefit if far-right candidates like Richard Mourdock would stop telling women that they can’t undergo an abortion after being raped, because “God intended” for them to be attacked. But the GOP would be even better off if that wasn’t the party’s official platform.

Burning Glass’ effort to attract female voters is surely well intentioned. But as Republicans are finding out in their unsuccessful push to attract Hispanic voters, actions speak louder than words.

By: Henry Decker, the National Memo, November 12, 2013

November 14, 2013 Posted by | GOP, War On Women, Women's Health | , , , , , , | Leave a comment

“No Outside Commission Here”: Lara Logan Won’t Lose Her Job Because CBS Doesn’t Fear Liberals The Way It Fears Conservatives

In case you haven’t heard, CBS News is in a bit (but only a bit) of hot water over a story 60 Minutes recently aired about the attack on the American consulate in Benghazi. It centered on a breathless account from a security contractor, who just happened to have written a book about it being published by a conservative imprint of a publishing house owned by CBS (that’s synergy, baby). He told of the harrowing events of that night, including his own heroism and the spinelessness of the big shots who sit in their cushy offices while men of action like him do what must be done and get hung out to dry. The only problem was, he appears to be a liar who fabricated much of what 60 Minutes relayed in the story, which was reported by Lara Logan.

After insisting for weeks that everything in its story checked out, CBS finally conceded that the contractor, one Dylan Davies, was lying to them and through them to their audience. On Sunday night, Logan delivered an extraordinarily half-assed on-air apology, full of passive verbs and obfuscations plainly intended to minimize the whole thing; most critically, it gave no indication that CBS is going to make any effort to figure out why it happened. So who’s going to be punished for this enormous screw-up? I’ll tell you who: Nobody.

We’ll get to why in a moment. This incident has been compared to the one that occurred back in 2004, when Dan Rather aired a report on 60 Minutes II relying on documents purporting to show the steps taken by George W. Bush and his family to get him into the “Champagne Unit” of the Texas Air Guard so that he wouldn’t have to go to Vietnam, and documenting what he did and didn’t do once he got in. The documents proved to be forgeries (essentially an effort to frame a guilty man, but that’s a topic for another day), and the fallout was severe. 60 Minutes II was canceled, four producers were fired, and Rather himself, despite a storied decades-long career at CBS, was pushed out as well; he gave his last broadcast as anchor of the CBS Evening News in the spring of 2005 (here’s the whole story).

A lot of people thought it happened because Dan Rather was a liberal who was out to get Bush. There’s no doubt where Lara Logan stood on Benghazi; here’s a speech she gave in 2012, making clear her belief that investigations are for pussies and what the U.S. needed to do was start killing some people posthaste: “The last time we were attacked like this was the USS Cole, which was a prelude to the 1998 embassy bombings, which was a prelude to 9/11,” she said. “And you’re sending in FBI to investigate? I hope to God that you’re sending in your best clandestine warriors who are going to exact revenge and let the world know that the United States will not be attacked on its own soil, that its ambassadors will not be murdered, and the United States will not stand by and do nothing about it.” With the talk of “exact[ing] revenge,” Logan sounded less like a journalist who values the perception of fairness and objectivity and more like a right-wing radio host. But that doesn’t necessarily mean she was incapable of subsequently producing careful, accurate reporting on the topic. The problem is, she didn’t.

But Logan won’t get pushed out like Rather did. The first reason is that Rather was heading toward the end of his career; folks at CBS were already looking past him. Logan, on the other hand, is young, beautiful (this is television we’re talking about, after all), and perceived as a rising star. But much more important is that there was an organized campaign to get Rather, and there isn’t an organized campaign to get Logan, at least not one that CBS fears.

It’s true that Media Matters has been criticizing this story from the beginning, though it hasn’t actually called for Logan or anyone else to get fired (full disclosure: I worked at Media Matters from 2005 to 2009). But it’s basically alone. There aren’t Democratic senators holding hearings, there aren’t a hundred left-wing radio hosts drumming up outrage, and there’s little visible pressure coming from the White House to encourage heads to roll. In the case of the National Guard report, the conservative movement put on a top-to-bottom, full-court press to make sure Dan Rather was punished. They had hated him for years, and when they got their chance they did everything in their power to crush him.

The plain fact of it is that news organizations like CBS are afraid of the right, but they aren’t afraid of the left. Big media outlets like CBS are terrified of right-wing pressure campaigns, precisely because most journalists are, in fact, liberals. That doesn’t mean the news has a liberal bias (there are lots of biases in the news, and reporters injecting their ideological beliefs about policy into their stories is about the 20th most consequential), but it does mean that they’re overly sensitive about being called liberal. The way they usually handle that fear is to bend over backward to be contemptuous of Democrats and to take every opportunity they can to prove that they aren’t what conservatives say they are.

If Logan got fired for this—or if anybody got fired for this—well that would only be taken by the right as evidence that those liberals at CBS will do Barack Obama’s bidding. And that’s the last thing they want to be seen as doing. After the National Guard story, CBS went so far as to hire an outside commission to investigate; it produced a 224-page report on the matter, and all those people got fired, including the news division’s biggest star. Is it going to do anything similar with the Benghazi story debacle? I wouldn’t bet on it. More likely CBS is just going to say, we made some mistakes but it’s all in the past now, and we have full confidence in Lara Logan’s journalistic integrity and professionalism. Move along, nothing to see here.

 

By: Paul Waldman, Contributing Editor, The American Prospect, November 12, 2013

November 13, 2013 Posted by | Benghazi, Journalism, Media | , , , , , , | Leave a comment

“This Is How Obamacare Works”: Listen Up Dipsticks, You Can’t Fix Health Insurance Without Changing Health Insurance

Bill Clinton has been one of Obamacare’s most effective advocates—the “Secretary of Explaining Things,” as President Obama famously called him. But in a new interview already getting attention and sure to get more, Clinton didn’t explain things very well. He made a statement that’s likely to create some misimpressions about the possibilities of health care reform, while giving the administration and its allies yet another political headache. But maybe it’s also an opportunity to have a serious conversation about the law’s tradeoffs—the one that should have happened a while ago.

In the interview, with Ozy Media, the former president fielded a question about the health care law. “The big lesson,” he said, “is that we’re better off with this law without it.” He went on to put the technological problems of healthcare.gov into some perspective: Medicare Part D had similar problems, he noted, “and they fixed it.” And he made a plea with Republican lawmakers to stop blocking the expansion of Medicaid. Fine, fine, and fine.

But then Clinton made news. He said that some young people facing higher premiums under the new system should have the right to keep their old plans, even if it requires a change in the law. Clinton framed it carefully: He said specifically he had in mind only those young people whose incomes were higher than four times the poverty line, making them ineligible for subsidies. (That’s about $45,000 for a single adult.) But he also suggested it was a matter of principle, because those people had heard the vow that they could keep their plans: “I personally believe, even if it takes a change to the law, the president should honor the commitment the federal government made to those people and let them keep what they got.”

Clinton’s statement makes it seem as if there is some simple way to let people keep their current plans—to avoid any disruption in the existing non-group market while still delivering the law’s benefits. As readers of this space know, no such magic solution exists. Broadly speaking, the Affordable Care Act seeks to make two sets of changes to what’s called the “non-group” market. It establishes a minimum set of benefits, which means everything from covering “essential” services to eliminating annual or lifetime limits on payments. At the same time, the law prohibits insurers from discriminating among customers: They can’t charge higher prices, withhold benefits, or deny coverage altogether to people who represent medical risks. They have to take everybody, varying price only for age (within a three-to-one ratio) and for tobacco use.

If you buy your own insurance now, it probably doesn’t live up to these standards. For starters, it probably isn’t as comprehensive as you think. It may not cover prescription drugs, for example, or it might leave out rehabilitative services and mental health. It might expose you to out-of-pocket expenses greater than $6,350 (if you have a single person’s policy) or a $12,700 (if you have a family policy). Until three years ago, when Obamacare’s first regulations went into effect, it was even possible the insurer could yank it retroactively—a process known as “rescission”—if you got sick and the carrier scrubbed your medical records for some previous sign of illness, maybe even one you didn’t know you had.

In addition, unless you live in a handful of states, the premiums you are paying come from insurers who knew, going in, they wouldn’t have to cover people who represent high medical risks. If the policy is affordable, that’s because the insurer figured you were pretty healthy and unlikely to have big medical bills. If you’ve had the policy for a while, and prices haven’t gone way up, that’s because the insurer is still making money from this arrangement—which means, overall, the people in this plan aren’t very sick. Until now, insurers have been able to hike premiums on plans that start to lose healthy customers, and they keep doing so until they become unaffordable—leaving those remaining subscribers unable to find new policies at affordable rates.

The Affordable Care Act includes a so-called grandfather clause. That allows insurers to keep renewing plans, without changes or benefits and prices, as long as they were available before March 2010, when the Affordable Care Act became law. But the non-group market is volatile: Very few people stay on plans for more than two years anyway. And the grandfather clause is narrow, by design: If insurers made even modest changes, the protection goes away. Those plans are subject to the new regulations that take effect in January. As a result, the majority of people who buy insurance on their own are learning they can’t have what they had before, even though Obama promised everybody they could. Either their premiums are going up, as insurers accommodate the new regulations, or the plans are disappearing altogether. In those cases, people have to find new plans. And the sticker price of what they’ll find is higher than what they pay now.

This is not a glitch or an accident. This is the way health care reform is supposed to work. And it’s important to put these changes into context. For one thing, it’s a small number of people relative to the population as a whole. The vast majority of Americans get coverage through employers or a large government program like Medicare. These changes don’t really affect them. The law also anticipates these changes by, among other things, offering tax credits that discount the premiums—in many cases, by thousands of dollars. (Other provisions of the law, like a limit on insurance company profits and overhead, should restrain prices more.) As a result, many people buying coverage on their own will be paying less money for benefits that are as good, if not better, than what they have now.

But there are real people who must pay more and, in some cases, put up with less. Some of them are people walking around with junk insurance, the kind are practically worthless because they pay out so little. Some of them are young people, particularly young men, whom insurers have coveted and wooed with absurdly low premiums—and make too much money to qualify for substantial subsidies. And some of them are reasonably affluent, healthy people with generous, open-ended policies that are hard to find even through employers. Insurers kept selling them because they could restrict enrollment to healthy people. Absent that ability, insurers are canceling them or raising premiums so high only the truly rich can pay for them.

Those people are the ones everybody is hearing about now, partly because they are a compelling, sometimes well-connected group—and partly because, absent a well-functioning website, stories of people benefitting from the law’s changes aren’t competing for attention. It’s impossible to know how big this group is. The data on existing coverage just isn’t that good. The anecdotes are frequently, although not always, more complicated than they seem at first blush. It’s probably one to two percent of the population, which doesn’t sound like much—except that, in a country of 300 million, that’s 3 to 6 million people. Most experts I trust think they represent a minority of people buying coverage on their own, but nobody can say with certainty.

Is that a worthwhile tradeoff for reform? Obviously that’s a matter of opinion. The fact that some people—even a small, relatively affluent group—are giving up something they had makes their plight (genuinely) more sympathetic. They are right to feel burned, since Obama did not make clear his promise might not apply to them. And there’s a principled argument about whether people should be responsible for services they’re unlikely to use presently, whether it’s fifty-something year olds paying for maternity care or twenty-something year olds paying for cardiac stress tests.

But the principle of broad-risk sharing—of the healthy subsidizing the sick, of the young subsidizing the old, and everybody paying for services like pediatrics and maternity care—is one built into the insurance most Americans already have. Employers, after all, don’t charge employees different premiums because of their age or gender. What’s more, the people with good, affordable coverage in the old non-group market were the beneficiaries of a system that marginalized many more. They were paying relatively cheap rates for insurance only because insurers trusted they were unlikely to get sick. Of course, some of them did get sick. And when it happened, many made an unpleasant discovery: The policies they carried left them exposed to huge bills. Giving up these plans isn’t merely an act of altruism. It’s also an act of enlightened self-interest.

Oddly, Clinton himself recognized this: In his soliloquy, he mentioned that a young man he met was upset at having to pay more for a plan—even though the young man knew it would help him more if he got sick. As Clinton surely knows, the whole point of reform—not just the pricing and benefit requirements, but also the individual mandate, which Clinton has repeatedly endorsed—is that people need to take steps to protect themselves against future hardship.

Rhetorically, Clinton’s statement actually isn’t that different from what Obama said in his interview with NBC’s Chuck Todd the other night—that he’d like to find a way to let more people keep their coverage. But it wouldn’t be easy to do. Attempting to rewrite the grandfather clause, so that it applies to more existing plans, could cause insurers to raise prices in 2014 for 2015. It’s also not clear that insurers could or would quickly renew existing policies at existing prices. Clinton mentioned specifically that something should be done only for those people facing higher prices—another echo of Obama’s statement. But distinguishing between groups wouldn’t be easy.

Maybe there’s some muddled, half-solution that will ease the transition without causing real damage. Or maybe there’s some brilliant administrative or legislative fix the experts can’t see. But absent an infusion of extra money—say, to create some kind of transitional assistance fund—any effort to slow changes to the non-group market might not just stop the bad things from happening. It might also stop the good. The latter might outweigh the former, by quite a lot.

You wouldn’t know it from all the press, but Obamacare actually disrupts very little relative to what it accomplishes. The problem is that eliminating disruption altogether simply isn’t possible. You can’t fix health insurance without changing health insurance. And there are bound to be some people for whom that change isn’t good. Those trade-offs should be clear. Maybe now they are.

 

By: Jonathan Cohn, The New Republic, November 12, 2013

November 13, 2013 Posted by | Affordable Care Act, Obamacare | , , , , , , , | 1 Comment

“60 Minutes, 90 Seconds”: CBS News, Lindsey Graham And The Exploitation Of Fools Gold

The 90-second “apology” aired on 60 Minutes last night for the shabby reporting and conflicts of interest associated with Lara Logan’s Benghazi! report two weeks ago was, quite literally, the least CBS and its beleaguered reporter could do. Here’s the story , via the New York Times‘ Stelter and Carter:

Ms. Logan said that Dylan Davies, one of the main sources for a two-week-old piece about the attack on the American diplomatic mission in Benghazi, Libya, had misled the program’s staff when he gave an account of rushing to the compound the night the attack took place. “It was a mistake to include him in our report. For that, we are very sorry,” Ms. Logan said.

The apology lasted only 90 seconds and revealed nothing new about why CBS had trusted Mr. Davies, who appeared on the program under the pseudonym Morgan Jones. Off-camera, CBS executives were left to wonder how viewers would react to the exceptionally rare correction.

HuffPost’s Jack Mirkinson summarized the reaction of media critics as notably unimpressed:

Predictably, her Sunday mea culpa offered little insight into why Davies was chosen as the key source for the report, and why “60 Minutes” had so fervently defended him, even amid mounting evidence of his unreliability. Also unmentioned was what role, if any, corporate ties played in placing Davies at the heart of the piece. A conservative imprint of Simon and Schuster, which is also owned by CBS, had published a book about Benghazi by Davies. That book has since been recalled.

The lack of investigative zeal exhibited by this showcase of investigative journalism–before, during and after the episode aired–is interesting. You almost wonder if the folk at CBS aren’t smirking behind their hands that they’ve finally managed to get the ancient “liberal bias” monkey off their backs in one fell swoop.

Unfortunately, a messed-up report that raises more questions than it answers provides still more cannon-fodder for congressional Republicans, particularly Sen. Lindsey Graham, who seems about ten minutes away from threatening a fresh government shutdown if he doesn’t get everyone’s attention when he regales South Carolina conservatives with his latest “investigations” of Benghazi!

As WaPo’s Emily Heil notes:

The South Carolina Republican’s umbrage was apparently inspired by a segment he’d caught on “60 Minutes” featuring a man claiming to be an eyewitness to the violence. But on Friday, CBS reporter Lara Logan retracted the story, explaining that she and her team had been duped by a source in whom they no longer “had confidence.”

Graham isn’t walking back on the pledge to hold up President Obama’s nominees, though. Like a bell that can’t be un-rung, he said Sunday on CNN’s “State of the Union,” nothing’s changed.

Of course not. Graham’s exploitation of the fool’s gold of Benghazi! will never end until he was won renomination in 2014 or is finally dragged out the Senate kicking and screaming. But Logan and 60 Minutes have, I am sure, earned his undying gratitude for making the subject topical again.

 

By: Ed Kilgore, Contributing Writer, Washington Monthly Political Animal, November 11, 2013

November 12, 2013 Posted by | Benghazi, Journalism, Media | , , , , , , | 1 Comment