“Chris Christie Is Once Again The Last To Know”: Building His Brand As The Last Guy On The Block To Know What’s Going On
Chris Christie is in the news again, this time for calling the ACA a “failure”:
In what could be the latest move toward a 2016 presidential bid, New Jersey Gov. Chris Christie (R) offered a wide-ranging critique of President Obama’s domestic and foreign policies. Speaking to reporters at the National Governors Association on Saturday, Christie labeled Obamacare, the administration’s signature legislation, a “failure on a whole number of levels” and said it should be repealed.
“But has to be repeal and replace with what. It can’t just be about repeal,” Christie told the audience. “What I’ve said before is, what Republicans need to be doing is putting forth alternatives for what should be a better healthcare system.”
This, of course, in spite of a number of news stories that have put Republicans on the defensive about Obamacare, including the fact that the percentage of Americans who are uninsured has dropped to an all-time low.
And at a time when many Republican governors like Scott Walker are dialing back on their overt opposition to marriage equality, Christie is doubling down:
He also urged his GOP colleagues to keep bringing up their opposition to same-sex marriage, even though a series of court decisions have overturned many statewide gay marriage bans. “I don’t think there’s some referee who stands up and says, ‘OK, now it’s time for you to change your opinion,’” according to Christie.
As with the bridge scandal, Chris Christie increasingly seems to be building his brand as the last guy on the block to know what’s going on. But the Republican base has shown that it most appreciates candidates who most infuriate the left, not the ones who best understand the changing electorate. So it may just redound to Christie’s benefit.
By: David Atkins, Washington Monthly Political Animal, July 13, 2014
“Good Obamacare News And The Republican Dilemma”: To The Broader Electorate, GOP Positions Just Don’t Make Sense
Today the Commonwealth Fund released a new survey on the performance of the Affordable Care Act, and it adds yet more data to the tide of good news on the Affordable Care Act. As a number of people have noted, the law’s evident success is making it increasingly hard for Republicans to sustain their argument that Obamacare is a disaster and must be immediately repealed. But it’s actually a little more complicated than that, and the ways different Republicans are changing—or not changing—their rhetoric on health care is a microcosm of the GOP’s fundamental dilemma.
But before we get to that, let’s look at what the survey showed:
The uninsured rate for people ages 19 to 64 declined from 20 percent in the July-to-September 2013 period to 15 percent in the April-to-June 2014 period. An estimated 9.5 million fewer adults were uninsured. Young men and women drove a large part of the decline: the uninsured rate for 19-to-34-year-olds declined from 28 percent to 18 percent, with an estimated 5.7 million fewer young adults uninsured. By June, 60 percent of adults with new coverage through the marketplaces or Medicaid reported they had visited a doctor or hospital or filled a prescription; of these, 62 percent said they could not have accessed or afforded this care previously.
That’s a whole heap of good news, and there are a number of interesting results buried in the details, one of which relates to how happy people are with the insurance they have. One of the arguments conservatives have made is that people who ended up changing plans will hate the new ones they had to get because of Obamacare. Well, it turns out that among people who previously had insurance but are on a new plan they got through the exchanges or Medicaid, 77 percent say they’re satisfied with their new plan, compared to only 16 percent who aren’t satisfied, and the results are almost exactly the same for those who were previously uninsured. Not only that, 74 percent of Republicans with new plans say they’re satisfied.
As more and more good news comes in about the implementation of the ACA, one would expect Republicans to talk about it a lot less, particularly given all their prior predictions of doom. And that is happening, but it’s not happening in the same way everywhere. If you’re a candidate in a swing state, it makes less and less sense, particularly as you move from your primary to the general election, to spend your time and ad dollars talking about how awful Obamacare is and pledging to vote to repeal it another 50 or 100 times should the voters send you to Washington to do the nation’s business.
But the calculation is very different if you’re running in a more conservative state, and there are lots of close Senate races in those this year, including Kentucky, Arkansas, Louisiana, and Georgia. In many of those places, the GOP candidate knows he can almost win solely with Republican votes. And for base Republicans, the emotional power of Obamacare is immune to factual refutation. No matter how much data we get demonstrating that the law is working well, those voters will still get angry every time the word is spoken. So it’s in the candidates’ interest to keep on talking about it, in the same apocalyptic terms.
This is where we get to the parallel with the larger Republican dilemma. On issue after issue, the interests of the national GOP are at odds with the interests of the bulk of the party’s officeholders, because the latter come from conservative districts or states where political calculations look very different. The national party would like to pass immigration reform to woo the growing Hispanic electorate; individual Republicans need to take a hard stance on immigration to satisfy nativist voters in their districts. The national party knows it should moderate its stance on marriage equality to keep up with evolving public opinion and appeal to young voters; individual Republicans dependent on older voters and evangelical Christians need to hold the line for “traditional” marriage. In the broadest terms, the national party knows it should modernize, but a Republican congressman who won his last general election by 40 points doesn’t see much reason to change.
The context where this dynamic will play out most visibly is, of course, in the presidential race, where Republican candidates will face two dramatically different electorates; It’s as though they’ll be running in Mississippi in the primaries, then in Ohio in the general election.
It’s possible that in the next two years things will change in health care, and the ACA will look much worse than it does today. But it seems more likely that current trends will continue, and it’ll look even better. Even if that happens, Republican candidates will still need to tell primary voters the law is an abomination that must be cast back into the fiery pits of hell from whence it came. To most voters in the broader electorate, that won’t make a lot of sense.
By: Paul Waldman, Contributing Editor, The American Prospect, July 10, 2014
“Yes He Could”: Health Care And Climate, President Obama’s Big Deals
Several times in recent weeks I’ve found myself in conversations with liberals who shake their heads sadly and express their disappointment with President Obama. Why? I suspect that they’re being influenced, often without realizing it, by the prevailing media narrative.
The truth is that these days much of the commentary you see on the Obama administration — and a lot of the reporting too — emphasizes the negative: the contrast between the extravagant hopes of 2008 and the prosaic realities of political trench warfare, the troubles at the Department of Veterans Affairs, the mess in Iraq, and so on. The accepted thing, it seems, is to portray Mr. Obama as floundering, his presidency as troubled if not failed.
But this is all wrong. You should judge leaders by their achievements, not their press, and in terms of policy substance Mr. Obama is having a seriously good year. In fact, there’s a very good chance that 2014 will go down in the record books as one of those years when America took a major turn in the right direction.
First, health reform is now a reality — and despite a shambolic start, it’s looking like a big success story. Remember how nobody was going to sign up? First-year enrollments came in above projections. Remember how people who signed up weren’t actually going to pay their premiums? The vast majority have.
We don’t yet have a full picture of the impact of reform on the previously uninsured, but all the information we do have indicates major progress. Surveys, like the monthly survey by Gallup, show a sharp drop in the percentage of Americans reporting themselves as uninsured. States that expanded Medicaid and actively promoted the new exchanges have done especially well — for example, a new survey of Minnesota shows a 40 percent drop in the number of uninsured residents.
And there’s every reason to expect a lot of additional progress next year. Notably, additional insurance companies are entering the exchanges, which is both an indication that insurers believe things are going well and a reason to expect more competition and outreach next year.
Then there’s climate policy. The Obama administration’s new rules on power plants won’t be enough in themselves to save the planet, but they’re a real start — and are by far the most important environmental initiative since the Clean Air Act. I’d add that this is an issue on which Mr. Obama is showing some real passion.
Oh, and financial reform, although it’s much weaker than it should have been, is real — just ask all those Wall Street types who, enraged by the new limits on their wheeling and dealing, have turned their backs on the Democrats.
Put it all together, and Mr. Obama is looking like a very consequential president indeed. There were huge missed opportunities early in his administration — inadequate stimulus, the failure to offer significant relief to distressed homeowners. Also, he wasted years in pursuit of a Grand Bargain on the budget that, aside from turning out to be impossible, would have moved America in the wrong direction. But in his second term he is making good on the promise of real change for the better. So why all the bad press?
Part of the answer may be Mr. Obama’s relatively low approval rating. But this mainly reflects political polarization — strong approval from Democrats but universal opposition from Republicans — which is more a sign of the times than a problem with the president. Anyway, you’re supposed to judge presidents by what they do, not by fickle public opinion.
A larger answer, I’d guess, is Simpson-Bowles syndrome — the belief that good things must come in bipartisan packages, and that fiscal probity is the overriding issue of our times. This syndrome persists among many self-proclaimed centrists even though it’s overwhelmingly clear to anyone who has been paying attention that (a) today’s Republicans simply will not compromise with a Democratic president, and (b) the alleged fiscal crisis was vastly overblown.
The result of the syndrome’s continuing grip is that Mr. Obama’s big achievements don’t register with much of the Washington establishment: he was supposed to save the budget, not the planet, and somehow he was supposed to bring Republicans along.
But who cares what centrists think? Health reform is a very big deal; if you care about the future, action on climate is a lot more important than raising the retirement age. And if these achievements were made without Republican support, so what?
There are, I suppose, some people who are disappointed that Mr. Obama didn’t manage to make our politics less bitter and polarized. But that was never likely. The real question was whether he (with help from Nancy Pelosi and others) could make real progress on important issues. And the answer, I’m happy to say, is yes, he could.
By: Paul Krugman, Op-Ed Columnist, The New York Times, June 16, 2014
“Memo To GOP”: The War Over Big Government Health Care Is Over, And You Lost
The federal government has released new data on Medicaid enrollment showing that with the implementation of the Affordable Care Act, six million Americans were added to the program’s rolls. That’s six million low-income people who now have health coverage, who can see a doctor when they need to and who don’t have to worry about whether an accident or an illness will send them spiraling into utter financial ruin.
The numbers reveal something else, too, something that should horrify conservatives: we’re well on our way to health-care socialism.
Okay, that’s an exaggeration. But only a slight one. And at a time when the press is realizing that Republicans are losing their taste for anti-Obamacare bloviating (more on that in a moment), it shows that Bill Kristol’s nightmare has nearly come true.
Back in 1993, Kristol wrote Republicans an enormously influential memo advising that the best approach to Bill Clinton’s health reform plan was not to do everything they could to kill it outright. If any plan managed to pass, he warned, “it will re-legitimize middle-class dependence for ‘security’ on government spending and regulation. It will revive the reputation of the party that spends and regulates, the Democrats, as the generous protector of middle-class interests. And it will at the same time strike a punishing blow against Republican claims to defend the middle class by restraining government.”
Now let’s look at where we are today. Prior to ACA implementation, there were just under 59 million people enrolled in Medicaid and CHIP, the program that covers poor children. States that accepted the ACA’s expansion of Medicaid signed up a total of 5.2 million new people. The states that rejected the expansion signed up an additional 800,000; these are “woodwork” enrollees, people who were already eligible under their state’s (often absurdly restrictive) rules, but came out of the woodwork to sign up because of all the attention to health care. Add them in, and there are now 64 million Americans on Medicaid and CHIP.
On top of that, there are now over 52 million seniors on Medicare. There are another 9 million veterans enrolled in the Veterans Health Service.
That’s a total of 125 million Americans getting their insurance from the federal government (or, in the case of Medicaid, a federal-state program). The current U.S. population is 318 million. That means that 39 percent of us, or just under two out of every five Americans, are recipients of government health insurance.
As a liberal, of course, I believe that’s a good thing, though just how good varies from program to program (I’ve spent enough time fighting with private insurance companies to wish I could be insured by the government). Conservatives, on the other hand, view this as a disaster. What they’ve only partly come to terms with is the fact that it’s going to be almost impossible for them to do anything about it.
It’s true that Republicans appear to have realized that while the ACA remains unpopular, the idea of repealing it is even less popular. Which is why, as the November election approaches, they’ve almost stopped trying to elevate the issue. As Sam Baker points out, Republicans passed on the opportunity to use the confirmation of Sylvia Burwell to be HHS secretary as a forum to relitigate the law, and the bills circulating around the Hill on health care are now more likely to be small-bore fixes. Notes Baker: “Anyone who’s been around Capitol Hill and health care for the past four years can see it — the anti-Obamacare fire just isn’t burning as hot as it used to.”
Beyond that, as this blog has documented, multiple Republican Senate candidates are now mouthing support for Obamacare’s general goals and have essentially been reduced to gibberish when trying to explain their “repeal and replace” stance.
But the story is bigger than all of this. Republicans may have to accept that while we may not have the single-payer system liberals want, government still dominates American health care, and that isn’t going to change.
It isn’t just that Republicans could stage another fifty ACA repeal votes in the House and accomplish just as little as the last 50 repeal votes did. Rather, it’s that even if Republicans took back the White House and both houses of Congress, moving people off their government insurance would be next to impossible.
One of the most important lessons of the last 20 years of health reform is this: people fear change. That’s what the Clinton administration found out when their attempt at reform crashed and burned, in large part because the Clinton plan would have meant a change in coverage for most Americans. The Obama administration took that lesson to heart in creating its plan, which was designed to give coverage to people who lacked it but offer only new protections to those who already had insurance. That was also the reason for the false but endlessly repeated “if you like your insurance, you can keep it” assurances — they knew that if most Americans, particularly those with somewhat-secure employer plans, thought they’d have to endure some kind of change, then they’d once again be gripped by fear.
Any Republican plan to unwind the ACA is going to run headlong into people’s fear of change and be stopped in its tracks. Are you going to push 64 million Medicaid and CHIP recipients off their current insurance and onto private plans? Are you going to move away from employer-provided coverage? Are you going to privatize Medicare?
Perhaps, given the right circumstances, Republicans could overcome that fear. But I wouldn’t bet on them finding a way to do it.
By: Paul Waldman, The Plum Line; The Washington Post, June 5, 2014
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