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“Operating On The Fringe”: Are Conservatives Getting Crazier?

Every four years, presidential candidates from both parties say, “This is the most important election of our lifetimes.” Reporters predict that this will be the most negative campaign in history. Partisans say that if their side loses, the disaster will echo through decades, and we believe that our opponents are more dastardly than they’ve ever been. And over the last couple of years, we liberals have looked at conservatives and thought that they have reached levels of craziness unseen before.

So historian/author/smart guy Rick Perlstein, who knows more about the conservative movement of the last half-century than pretty much anyone, warns us that what we’re seeing now is really nothing new:

Over fifteen years of studying the American right professionally — especially in their communications with each other, in their own memos and media since the 1950s — I have yet to find a truly novel development, a real innovation, in far-right “thought.” Right-wing radio hosts fingering liberal billionaires like George Soros, who use their gigantic fortunes – built by virtue of private enterprise under the Constitution – out to “socialize” the United States? 1954: Here’s a right-wing radio host fingering “gigantic fortunes, built by virtue of private enterprise under the Constitution … being used to ‘socialize’ the United States.” Presidential candidate Newt Gingrich, “fed up with elitist judges” arrogantly imposing their “radically un-American views” — including judges on the Supreme Court, whose rulings he’s pledged to defy? 1958: Nine Men Against America: The Supreme Court and its Attack on American Liberties, still on sale at sovereignstates.org.

Although Perlstein acknowledges that “What’s changed is that loony conservatives are now the Republican mainstream, the dominant force in the GOP,” this is what makes all the difference. You can still make the case that conservatives are crazier now, because the key factor isn’t the craziness of the craziest idea circulating among them—say, that Barack Obama was born in Kenya and successfully engineered a massive conspiracy to cover it up, as opposed to the idea that Dwight Eisenhower was a communist agent—it’s how widely those ideas are held, and by whom. The conspiracy theories and hate-driven beliefs find purchase not just on the fringe, but among elected lawmakers, influential media figures, and in many cases, a majority of Republican voters.

So when they gain power, real people’s lives are affected. For example, many conservatives never stopped believing that women who make their own sexual decisions are dirty sluts, but since so many Republicans won office in 2010, that belief translated into a torrent of legislation. In 2011, a record 92 pieces of state legislation restricting abortion rights were enacted, along with measures to restrict access to contraception and renew the failure that is abstinence-only sex education.

And in the Republican party of today, looniness practically operates on a ratchet, moving only in one direction. That’s because there are almost no moderates left in the party to push back. In order for a party to undergo an ideological shift, it needs an internal force willing to champion that shift. Let’s say the GOP suffers a big defeat in this year’s elections. Who is going to successfully argue that the party needs to turn its back on its nuttiest elements? All the moderates who have retired in disgust or been purged in primaries? They’re gone, and the Republicans who are left couldn’t care less what they have to say. No, if the Republicans lose, everyone in the party will agree that they only lost because they weren’t conservative enough, that they didn’t take on the hated Barack Obama with sufficient venom and fury. And the center of gravity within the party will move even farther to the fringe.

 

By: Paul Waldman, The American Prospect, March 19, 2012

March 20, 2012 Posted by | Election 2012 | , , , , , , , | Leave a comment

“Meet The Republicans”: If It’s Sunday, It’s John McCain

Not long ago, I stopped watching the network Sunday shows. After all, who needs to spend an hour or two of valuable weekend time listening to elected officials and party hacks regurgitating the same tired talking points you’ve been hearing all week? But there’s no denying that Meet the Press, This Week, Face the Nation, and to a lesser extent Fox News Sunday are enormously influential. They confer status on the people who appear, they define the limits of official debate, and they help set the agenda for the rest of the media. So while they are often tiresome to sit through, they can’t be completely ignored. That’s why I couldn’t stay silent after seeing this celebratory tweet from Betsy Fischer, the longtime executive producer of Meet the Press:

Yay!

If you watch the Sunday shows, the only thing you’ll be surprised about is that McCain hadn’t passed Dole (or anyone else) already. In fact, I wrote a column three whole years ago asking why the hell anyone still cares what John McCain thinks, and the question has become even more relevant in the time since. He’s a member of the minority party in the Senate who is not part of the leadership and has virtually no influence over his fellow senators. In 29 years in Congress, he has managed to produce exactly one significant piece of legislation (the McCain-Feingold campaign finance reform law), which got gutted by the Supreme Court. His knowledge of and ideas about policy are notoriously shallow and self-indulgent, running more toward phony moralism about tiny earmarks than the search for actual solutions to thorny problems. In his supposed area of expertise, national security, he can be relied on to offer the most simple-minded and uninformed opinions possible (Of course we should use military force! Which country were we talking about again?). So the public needs to hear his sage words in about the same measure as they need to hear those of other presidential losers. Why isn’t Michael Dukakis getting on Meet the Press? I’ll bet he’d be a more interesting guest than McCain.

Yet all the Sunday shows call McCain, again, and again, and again. Why? There are a few reasons, but what they all come down to is that people in the DC media just love, love, love them some John McCain (God help me, I wrote a whole book about it). He spent a couple of decades massaging their egos and convincing them that he was their best buddy, an investment that paid off splendidly. They love his alleged mavericky maverickness (don’t get me started on what a crock the whole “maverick” thing is). On the Sunday shows, McCain is what passes for “unpredictable.” So they’ll keep inviting him on. I wouldn’t be surprised if one day Betsy Fischer tweets, “Congratulations to John McCain on his 100th appearance on Meet the Press!”

By: Paul Waldman, The American Prospect, March 18. 2012

March 19, 2012 Posted by | Foreign Policy, Media | , , , , , , , | Leave a comment

“You Can’t Fix Stupid”: Birth Control Is Different Than Starbucks

The controversy over contraception has faded a bit. Congressional Republicans are rethinking efforts to overturn a requirement that would make birth control coverage a mandatory part of health insurance. Rush Limbaugh has stopped talking about the issue, at least for the moment.

But the issue hasn’t gone away entirely. The administration is still working on ways to accommodate the wishes of some large religious institutions opposed, for reasons of faith, to sponsoring employee benefits that cover contraception. (On Friday, it unveiled a few options and announced it was seeking public comment on them.) Conservatives, meanwhile, continue to press their case.

With that in mind, let’s talk about a conservative argument that isn’t simply about religion or the morality of birth control. It’s the suggestion that birth control coverage simply doesn’t belong in health insurance, because it’s not an expense that all of us should be subsidizing.

Among those making that argument recently was syndicated columnist Mona Charen. After arguing that contraception costs “less than the cost of a weekly trip to Starbucks” and that a variety of programs, public and private, make free contraception available to the poor, Charen draws a distinction between birth control and other types of drugs:

Contraceptives are not a matter of life and death. But even if they were, such as cancer drugs are, is that an argument for forcing insurance companies to provide them free? Why not force free distribution of all medicines? The mandate makes no economic, social or moral sense.

Actually, it makes economic, social and moral sense.

Let’s put aside the question of whether contraception coverage should be “free,” because that’s not really the issue anymore. Republican Senators Roy Blunt and Marco Rubio, along with the Conference of Catholic Bishops, have said they oppose any requirement that forces employers to cover contraception, regardless of whether such coverage requires out-of-pocket expenses.

And, one more time, let’s dispense with this notion that every woman can get birth control for less than the weekly cost of Starbucks. As noted here previously, the cheap drugs at Target, Walmart, and the other big chains are great if you take the standard combination hormonal pills, which combine estrogen and progestin. But some people cannot or should not take those pills. They’re not good for postpartum women who are breast-feeding, for example, and they cause side effects for many others. They may not be as effective, for some women, as methods like intrauterine devices, depo-provera, or surgical sterilization.

How many women fall into those categories? It’s a minority of the population, to be sure. But that’s always the story with health care and health insurance. At any one time, most people don’t require expensive medical care. Only a small number of people do. It’s precisely for the sake of that group – the ones who face high expenses, and could face financial or medical turmoil without assistance – that insurance exists.

Keep in mind that, at some point or another, pretty much everybody falls into that category. Maybe you’re not a woman who needs expensive birth control. You might still be a woman, or a man, who ends up with heart disease. Or allergies. Or a chronic gastro-intestinal problem. Or cancer. Insurance is there to take care of you, so why shouldn’t insurance be there to take care of a woman who needs more expensive forms of contraception?

No, birth control isn’t treatment for an acute condition. It’s routine, preventative care. But that hardly undermines the case for coverage. Think about eye exams for a moment. Or blood pressure checks. Both of these are widely available, for very low cost. In fact, if you do the math, over the course of a year either one would cost less than a year’s supply of even generic hormonal contraception. But insurance typically covers those costs and, under the Affordable Care Act, insurance must cover those costs – because this sort of care keeps people from getting serious medical conditions and, quite possibly, saves money in the long run.

The very same things are true of birth control. Pregnancy is a wonderful thing, but it’s also a serious medical condition that requires serious medical attention. (Those of you unfamiliar with what pregnancy entails might want to consult this page from the American Academy of Family Physicians – or ask a woman who has been pregnant.) Don’t forget, too, that some women take contraception to control their menstrual cycles or for reasons that aren’t really related to avoiding pregnancy.

Some critics insist there’s a difference between screening for hypertension or vision problems, on the one hand, and controlling the timing of pregnancy, on the other. Non-procreative sex, they say, is a purely voluntary act, for which others should not have to pay. “No one is touching your birth control, ladies,” conservative writer Amanda Carpenter tweeted on Friday. “We just don’t want to be forced to pay for it.” But, according to statistics from the Guttmacher Institute, 99 percent of women use birth control at times during their reproductive years. Based on that, I think it’s safe to assume that non-procreative sex is an activity in which virtually everybody engages, at some point or another, and for which a large majority will need birth control.

And so we’re back to the question that’s always been at the very heart of our health insurance debate: Do we think responsibility for medical expenses should lie primarily with individuals, even if that means some won’t be able to afford it? Or is it a burden we wish to spread more broadly, across society, so that everybody can get the care they need, at a price they can afford?

You know where I stand on that question.

P.S. When the administration announced its options for accommodating religious institutions on Friday, it also released a rule about health plans for college students – and, in so doing, revealed that, for legal reasons, it does not have the authority to regulate all the plans. Sarah Kliff has the story. It doesn’t sound like a huge deal, but, as she notes, it’s yet another reminder of how complex insurance regulation is in the U.S.

 

By: Jonathan Cohn, The New Republic, March 16, 2012

March 19, 2012 Posted by | Birth Control, Women's Health | , , , , , , , | 1 Comment

“Affordable Care Act For The Wealthy”: The Rest Of You Can Have Vouchers

It’s not uncommon for the über-wealthy to equip their mega-mansions with pricey private home theaters, spa-worthy washrooms, and palatial pools. Now an increasing number of the super-rich are setting aside space in their homes for another purpose: top-notch medical care.

According to Bloomberg, more well-off families are paying up to install at-home emergency rooms, which can cost upwards of $1 million, and forking over as much as $30,000 a year for “concierge care,” which puts the best-of-the-best physicians at their disposal anytime, anywhere.

“Wealthy people want to have a little exclusivity and want better service than they can get at their normal healthcare facility, and they’re willing to pay for it,” Rick Flynn, principal and head of the Family Office Group with Rothstein Kass, told Bloomberg.

Guardian 24/7, a Virginia-based medical care company founded by former White House physician Sean O’Mara, charges as much as $12,000 a month for its ReadyRooms, Bloomberg reported, which feature discreetly installed medical equipment available at the touch of a button.

If a medical emergency arises, homeowners can immediately contact an on-call emergency physician—a much faster response than waiting for an ambulance to arrive and transport the ailing homeowner to the hospital, the company’s website notes.

“Before Guardian, this kind of medical protection was only available to one person,” the company’s website says. “Now, presidential-level care can be yours—on your schedule and your terms.”

And if you thought for a minute the super-rich might have to be without immediate access to medical care outside the confines of their estates, think again. Guardian 24/7 installs any number of medical apparatuses from X-ray machines to CT scanners on yachts, motor coaches, and aircraft.

 

By: Meg Handley, Washington Whispers, U. S. News and World Report, March 16, 2012

March 19, 2012 Posted by | Affordable Care Act, Health Care | , , , , , , , | Leave a comment

“White Like Me”: The Re-Racialization Of American Politics

The conditions are converging for another presidential election that will sharply divide the country along racial lines, with troubling implications no matter which side prevails.

From one direction, the Republican presidential primaries have witnessed an epic failure by the GOP contenders to attract and engage minority voters. White voters, especially older ones, are routinely casting 90 percent or more of the votes in GOP contests this year, at least as high a proportion as in 2008.

Simultaneously, despite some recent gains, President Obama continues to struggle among white voters, especially the white working class. In 2008, he became the first presidential nominee ever to lose white voters by double digits and still win the White House. In 2012, as minorities loom larger in the vote, Obama could lose whites even more lopsidedly and still win reelection.

As these trends intensify, the election could reinforce the hardening re-racialization of American politics. Republicans today rely on a preponderantly white coalition centered on older and blue-collar voters, many of whom express great unease not only about activist government but also about the demographic changes swelling the minority population. Democrats depend on a coalition of minorities and of white voters (particularly those with college degrees) who are the most comfortable with government activism and the propulsive demographic transformation.

This year’s tumultuous Republican presidential race has underscored the dominance of whites, especially older white voters, in the GOP. After Tuesday’s contests in Alabama and Mississippi, exit polls have been conducted in 16 states that have held Republican primaries or caucuses. In all but two, whites cast at least 90 percent of the ballots. Indeed, whites delivered at least 94 percent of the votes in all but five GOP contests this year. Whites represented only 74 percent of all voters in the 2008 general election.

Among those 16 states, only Michigan has seen its minority vote share increase by more than a trace (to 8 percent, from 4 percent in 2008). Whites are dominating the GOP electorate even in rapidly diversifying states. In Nevada, whites were just 69 percent of all voters in the 2008 general election, but they cast 90 percent of the votes in last month’s Republican caucus. Similar gaps are evident in GOP primaries from Georgia, Mississippi, and Virginia, to Arizona, Ohio, and Oklahoma.

This year’s Republican electorate shades not only white but also gray. In 12 of the 16 states where exit polls have been conducted, voters over 50 cast at least 60 percent of the GOP primary votes; in the other four, they represented at least 55 percent of the vote. Just 43 percent of 2008 general-election voters were that old. Even compared with the 2008 GOP primaries, the gray tint is much more pronounced.

All of this flags near- and long-term challenges for the Republican Party. The problem this fall will be to attract minority (and younger) voters who are uninspired, or even alienated, by the primaries. As GOP front-runner Mitt Romney has hurtled to the right on immigration, recent surveys have shown Obama’s support against him matching, or exceeding, the president’s 67 percent showing among Hispanics in 2008. Hispanic Republicans such as Jennifer Korn, executive director of the Hispanic Leadership Network, say that if Romney wins the nomination, he will need to vastly expand his outreach “to explain his [immigration] position.” But outreach may go only so far for a candidate who touts “self-deportation” for illegal immigrants.

As population trends continue, the electoral math will grow more daunting for Republicans. If the GOP allows Democrats to continue winning four-fifths of all minority voters—as Obama did in 2008—Republicans will need to attract an implausibly high percentage of whites to win presidential elections. The conundrum is that the party’s current reliance on the most conservative whites constrains its ability to embrace policies attractive to minorities, as the harsh primary debate on immigration demonstrates.

Today, however, the GOP’s white strength can still overcome its minority weakness. Obama could win reelection with backing from only about 39 percent of whites if he duplicates his 2008 showing among minorities (and if their vote share rises slightly). But Democrats couldn’t muster even that much white support during the 2010 Republican congressional landslide. And Obama has no guarantee of crossing that bar this fall. In the Allstate/National Journal Heartland Monitor poll released on Friday, his approval rating among whites reached just 41 percent, a meager level that he has exceeded only once in the poll since October 2009.

These contrasting racial patterns signal another tough election in November. Equally important, they show how closely the ideological divisions between the parties track racial lines, with minorities more open than most whites to an activist role for Washington in promoting opportunity and providing a safety net. That divergence is a formula for social tension and polarized debate. But it’s the future that appears increasingly likely as Obama marshals a coalition powered at its core by the diversity reshaping American life, and his Republican rivals compete for an electorate that remains almost entirely untouched by it.

By: Ronald Brownstein, National Journal, March 17, 2012

March 19, 2012 Posted by | Election 2012, GOP Presidential Candidates | , , , , , , , | Leave a comment