“Rooting For Failure”: Hard To Remember A Time When A Major Political Party And Its Media Arm Rooted For Fellow Americans To Lose
I just spent 15 minutes on my local health care exchange and realized that I could save a couple hundred dollars a month on my family’s insurance. Of course, I live in Washington State, which has a very competitive market, a superbly functioning website and no Koch-brothers-sponsored saboteurs trying to discourage people from getting health care.
California is just as good. It’s enrolling more than 2,000 people a day. New York is humming as well. And Kentucky, it’s the gold standard now: More than 56,000 people have signed up for new health care coverage — enough to fill a stadium in Louisville.
This is terrible news, and cannot be allowed to continue. If there’s even a small chance that, say, half of the 50 million or so Americans currently without heath care might get the same thing that every other advanced country offers its citizens, that would be a disaster.
But not to worry. The failure movement is active and very well funded. You probably know about the creepy Uncle Sam character in ads financed by the Koch brothers. Sicko Sam is seen leering over a woman on her back in a hospital exam room, her legs in stirrups. This same guy is now showing up on college campuses, trying to get young people to opt out of health care. On some campuses, he plies students with free booze and pizza — swee-eeet!
The Republican Party started a failure campaign earlier this year, but then the strategy got sidetracked in a coercive government shutdown that cost us all $24 billion or so. With the disastrous rollout of the federal exchange, Republicans now smell blood. A recent memo outlined a far-reaching, multilevel assault on the Affordable Care Act. Horror stories — people losing their lousy health insurance — will be highlighted, and computer snafus celebrated.
Ron Paul, the nuttier of the two political Pauls, recently suggested to a crowd in Virginia that “nullification” of the health care law might be the best way to kill it. I’m not sure what he meant by that, but it sounds illegal.
It’s hard to remember a time when a major political party and its media arm were so actively rooting for fellow Americans to lose. When the first attempt by the United States to launch a satellite into orbit, in 1957, ended in disaster, did Democrats start to cheer, and unify to stop a space program in its infancy? Or, when Medicare got off to a confusing start, did Republicans of the mid-1960s wrap their entire political future around a campaign to deny government-run health care to the elderly?
Of course not. But for the entity of the Obama era, Republicans have consistently been cheerleaders for failure. They rooted for the economic recovery to sputter, for gas prices to spike, the job market to crater, the rescue of the American automobile industry to fall apart.
I get it. This organized schadenfreude goes back to the dawn of Obama’s presidency, when Rush Limbaugh, later joined by Senator Mitch McConnell, said their No. 1 goal was for the president to fail. A CNN poll in 2010 found 61 percent of Republicans hoping Obama would fail (versus only 27 percent among all Americans).
Wish granted, mission accomplished. Obama has failed — that is, if you judge by his tanking poll numbers. But does this collapse in approval have to mean that the last best chance for expanding health care for millions of Americans must fail as well?
Does this mean we throw in the towel, and return to a status quo in which insurance companies routinely cancel policies, deny health care to people with pre-existing conditions and have their own death panel treatment for patients who reach a cap in medical benefits?
The Republican plan would do just that, because they have no plan but to crush the nation’s fledgling experiment. Sometimes they bring up vouchers, or tort reform, or some combination of catchphrases. Here was Sarah Palin, who is to articulate reason what Mr. Magoo is to vision, on the Republican alternative, as she told Matt Lauer:
“The plan is to allow those things that have been proposed over many years to reform a health care system in America that certainly does need more help so that there’s more competition, there’s less tort-reform threat, there’s less trajectory of the cost increases. And those plans have been proposed over and over. And what thwarts those plans? It’s the far left.”
Yes, it is a big and legitimate news story, for a presidency built on technical expertise, that the federal exchange is not working as promised. Ditto Obama’s vow that people could keep their bottom-feeder health care policies.
But where were the news conferences, the Fox News alerts, the parading of people who couldn’t get their lifesaving cancer treatments under the old system? Where was the media attention when thousands of people were routinely dumped once they got sick? When did Republicans in Congress hold an oversight hearing on the leading cause of personal bankruptcy — medical debt?
All of that is what we had before. And all of that is what we will return to if some version of the Affordable Care Act is not made workable. Republicans have a decent chance, in next year’s elections, of killing the dream of progressive presidents going back to Teddy Roosevelt. But they shouldn’t count on it. What’s going against them, or any party invested in failure, is that Americans are inherently optimistic. That alone may be enough to save Obamacare.
By: Timothy Egan, Contributing Op-Ed Writer, The New York Times, November 28, 2013
“News People Can Actually Use”: The Media Needs To Do More To Help People Navigate Obamacare
Yesterday, Tim Noah made a point in an MSNBC appearance that I think deserves a lot more attention. Media outlets have been doing lots of reporting on the problems of the Affordable Care Act rollout. What they haven’t done is provided their audiences with practical information that could help them navigate the new system. Of course, most Americans don’t have to do anything, since they have employer-provided insurance. But for all the attention we’ve been paying to the individual market, media outlets haven’t done much to be of service. “The New York Times has published the URL for the New York exchange exactly twice,” Noah said, “both before October first.”
My experience in talking to journalists about the publication of this kind of thing—unsexy yet useful information, whether it’s how to navigate a new health law or understanding where candidates stand on issues—is that they often think that addressing it once is enough. When you ask them about it, they’ll say, “We did a piece on that three months ago.” The problem is that for it to be effective, they have to do it repeatedly or people won’t get it. What we have seen is that this information can be found somewhere on news outlets’ websites (here’s an example), but it isn’t on the evening-news broadcast or in the print edition of the paper.
Of course, conservatives would allege that if a newspaper writes a guide to getting insurance through the new exchange, it has demonstrated its liberal bias and become an arm of the Obama administration. But it’s the law. As of next year, if you don’t get insurance through your employer, you need to go to an exchange. Media outlets would just be helping people do what they have to do. I suppose conservatives could also argue that if the local paper puts up a tool on its website that helps people find their polling places and tells them what the voting hours are, it’s just trying to boost turnout, and everybody knows that helps Democrats. Or that if it reminds you to file your tax returns on April 15th, then it’s just helping fund big government. Or that if it tells you to set your clocks back for daylight savings, it’s just feeding the Illuminati/Bilderberg time-theft conspiracy.
People sometimes mock “news you can use” because it’s often delivered in forms that aren’t particularly useful (“There’s a silent killer in your refrigerator right now!”). But helping citizens understand and respond to changes in the law is part of any major media outlet’s mission. The fact that a law is controversial doesn’t absolve them of the responsibility.
By: Paul Waldman, Contributing Editor, The American Prospect, November 27, 2013
“Where Is The Love?”: Compassion Isn’t A Sign Of Weakness, But A Mark Of Civilization
When I’ve written recently about food stamp recipients, the uninsured and prison inmates, I’ve had plenty of pushback from readers.
A reader named Keith reflected a coruscating chorus when he protested: “If kids are going hungry, it is because of the parents not upholding their responsibilities.”
A reader in Washington bluntly suggested taking children from parents and putting them in orphanages.
Jim asked: “Why should I have to subsidize someone else’s child? How about personal responsibility? If you procreate, you provide.”
After a recent column about an uninsured man who delayed seeing a doctor about a condition that turned out to be colon cancer, many readers noted that he is a lifelong smoker and said he had it coming.
“What kind of a lame brain doofus is this guy?” one reader asked. “And like it’s our fault that he couldn’t afford to have himself checked out?”
Such scorn seems widespread, based on the comments I get on my blog and Facebook page — as well as on polling and on government policy. At root, these attitudes reflect a profound lack of empathy.
A Princeton University psychology professor, Susan Fiske, has found that when research subjects hooked up to neuro-imaging machines look at photos of the poor and homeless, their brains often react as if they are seeing things, not people. Her analysis suggests that Americans sometimes react to poverty not with sympathy but with revulsion.
So, on Thanksgiving, maybe we need a conversation about empathy for fellow humans in distress.
Let’s acknowledge one point made by these modern social Darwinists: It’s true that some people in poverty do suffer in part because of irresponsible behavior, from abuse of narcotics to criminality to laziness at school or jobs. But remember also that many of today’s poor are small children who have done nothing wrong.
Some 45 percent of food stamp recipients are children, for example. Do we really think that kids should go hungry if they have criminal parents? Should a little boy not get a curved spine treated properly because his dad is a deadbeat? Should a girl not be able to go to preschool because her mom is an alcoholic?
Successful people tend to see in themselves a simple narrative: You study hard, work long hours, obey the law and create your own good fortune. Well, yes. That often works fine in middle-class families.
But if you’re conceived by a teenage mom who drinks during pregnancy so that you’re born with fetal alcohol effects, the odds are overwhelmingly stacked against you from before birth. You’ll perhaps never get traction.
Likewise, if you’re born in a high-poverty neighborhood to a stressed-out single mom who doesn’t read to you and slaps you more than hugs you, you’ll face a huge handicap. One University of Minnesota study found that the kind of parenting a child receives in the first 3.5 years is a better predictor of high school graduation than I.Q.
All this helps explain why one of the strongest determinants of ending up poor is being born poor. As Warren Buffett puts it, our life outcomes often depend on the “ovarian lottery.” Sure, some people transcend their circumstances, but it’s callous for those born on second or third base to denounce the poor for failing to hit home runs.
John Rawls, the brilliant 20th-century philosopher, argued for a society that seems fair if we consider it from behind a “veil of ignorance” — meaning we don’t know whether we’ll be born to an investment banker or a teenage mom, in a leafy suburb or a gang-ridden inner city, healthy or disabled, smart or struggling, privileged or disadvantaged. That’s a shrewd analytical tool — and who among us would argue for food stamp cuts if we thought we might be among the hungry children?
As we celebrate Thanksgiving, let’s remember that the difference between being surrounded by a loving family or being homeless on the street is determined not just by our own level of virtue or self-discipline, but also by an inextricable mix of luck, biography, brain chemistry and genetics.
For those who are well-off, it may be easier to castigate the irresponsibility of the poor than to recognize that success in life is a reflection not only of enterprise and willpower, but also of random chance and early upbringing.
Low-income Americans, who actually encounter the needy in daily life, understand this complexity and respond with empathy. Researchers say that’s why the poorest 20 percent of Americans donate more to charity, as a fraction of their incomes, than the richest 20 percent. Meet those who need help, especially children, and you become less judgmental and more compassionate.
And compassion isn’t a sign of weakness, but a mark of civilization.
By: Nicholas D. Kristof, Op-Ed Columnist, The New York Times, November 27, 2013
“Are The Obamacare Clouds Breaking?”: Love It Or Hate It, Obamacare Is Here To Stay
This morning, I was listening to NPR—because yeah, I’m an effete pointy-headed liberal and that’s how I roll—and I heard a story about people in California who got insurance cancellation notices, but then wound up getting better coverage and couldn’t be happier about it. And the other day there was this story in The Washington Post about droves of poor people in rural Kentucky getting insurance for the first time in their lives—free, through Medicaid—because of the Affordable Care Act. In other words, after spending weeks telling the tales of people losing their health coverage (who in truth could get other health coverage), the media are finally putting at least some attention on the people who are benefiting from the ACA.
And encouraging news seems to be breaking out all over. Ezra Klein and Evan Soltas ask, “Is Obamacare Turning the Corner?”, noting that Healthcare.gov seems to be working pretty well, at least on the front end. States with well-functioning web sites like New York and California are meeting or exceeding their enrollment targets. Steve Benen concurs on the corner-turning interpretation. Kevin Drum argues that “Getting Obamacare to the end zone wasn’t easy, and Obama almost fumbled the ball at the one-yard line, but he’s finally won. There’s nothing left for conservatives to do. Love it or hate it, Obamacare is here to stay.”
That isn’t to say that there aren’t lots of problems left to be sorted out. Nor is it to say that the media are done with Obamacare “horror” stories. For instance, last night, NBC News aired this story about employers moving to more modest plans to avoid the “Cadillac tax” on high-cost health plans, complete with disgruntled employees. The piece didn’t bother to explore why an employer might choose a plan for 2014 based on a tax that doesn’t take effect until 2018, other than including a quote from a health-industry consultant claiming that employers “are going to have to get ready for it now,” which makes no sense at all. Think there might be a story there about companies making a decision to scale back benefits and save money but just blaming it on Obamacare? Maybe?
Anyhow, it does appear that we’re starting to edge toward a more balanced media discussion of the successes and failures of this law. I’ll stick to the prediction I’ve made for some time, that the law will be fine. When that December 1 deadline for fixing the website comes, reporters will find that it’s not perfect, but it’s pretty good. In the medium term, the law will do a lot of good for a lot of people, but it won’t transform America into a health care paradise, nor will it drag us into a nightmare of communist oppression. It will have problems, most of which will get sorted out. And the political impact? That will probably be something of a wash as well. Republicans will still be able to go to their conservative constituents and say, “I fought against Obamacare!” as proof of their right-wing bona fides. Democrats will still be able to go to their constituents and say they made it so nobody would get rejected for insurance because of a pre-existing condition. Eventually, Republicans will find something else to shout about.
And who knows, maybe these kinds of problems getting fixed will create a new narrative of success around the ACA: Despite terrible obstacles and mistakes, the administration found its way and delivered for the American people, redeeming liberalism in the process! Weirder things have happened.
By: Paul Waldman, Contributing Editor, The American Prospect, November 26, 2013
“Turning The Health Care Corner”: The Health Care Talking Points That “Everyone Knows” To Be True Are Due For An Update
Political journalism is sometimes criticized, fairly, for its “pack” mentality. Major news organizations wait for the conventional wisdom to organically take shape, and then the players stick to their scripts, reinforcing an agreed upon consensus. In practically no time at all, there are certain political facts that “everyone knows” to be true.
But soon after, that gets dull, the conventional wisdom invites skeptics, and contrarian instincts kick in. Maybe, the political world starts to wonder, those truths that “everyone knows” aren’t so true after all.
For the last several weeks, the consensus in establishment circles was that the Affordable Care Act’s open-enrollment period was not only a disaster, but a catastrophe that would destroy Obama’s presidency, the Democratic Party, the American health care system, and the very idea of progressive governance. Pundits could hardly contain their analogies – this was Obama’s Katrina, Obama’s Iraq, Obama’s Watergate, Obama’s Iran-Contra, and even Obama’s Bay of Pigs.
But the funny thing about narratives is that they’re sometimes fleeting. Ezra Klein suggests today that “Obamacare” may finally be “turning the corner.”
There are increasing reports that HealthCare.Gov is working better – perhaps much better – for consumers than it was a few short weeks ago. “Consumer advocates say it is becoming easier for people to sign up for coverage,” report Sandhya Somashekhar and Amy Goldstein in the Washington Post. “The truth is, the system is getting stronger as it recovers from its disastrous launch,” writes Sam Baker in the National Journal. Applying “was no problem at all, with no delays,” says Paul Krugman.
Reports from inside the health care bureaucracy are also turning towards optimism. People who knew the Web site was going to be a mess on Oct. 1st are, for the first time, beginning to think HealthCare.Gov might work. Data backs them up: By mid-November, the pace of enrollment in the federal exchanges had doubled from what it was in October.
The Obama administration is certainly acting like they believe the site has turned the corner. Somashekhar and Goldstein report that they’re “moving on to the outreach phase, which had taken a back seat as they grappled with the faulty Web site. Next week, the White House will host an insurance-oriented ‘youth summit’ aimed at people ages 18 to 35, an age group whose participation in the health-care law will be critical to its success.”
Why didn’t the White House do this sooner? Because officials didn’t much see the point in directing people to a website that didn’t work. If they’re increasing the website, it’s the result of greater optimism.
Perusing the news this morning, there are more than a few compelling pieces along these lines. The L.A. Times has a terrific article, for example, on “the Obamacare success stories you haven’t been hearing about.” NPR today highlighted some Californians who received cancelation notices – and are thrilled with the results. National Journal made the case yesterday that Obama not only can recover from the troubled rollout; he already has.
Moreover, Greg Sargent has a great piece noting that for all the talk about health care crushing Democrats, there’s a credible argument that the Republican position “is actually a political liability of its own.”
Yes, some of these pieces were written by center-left observers who may be predisposed to hope “Obamacare” succeeds, but note that we weren’t seeing any of these kinds of reports a few weeks ago when the feeding frenzy got underway. On the contrary, Ezra, Greg, and others were openly critical of the administration’s obvious mistakes and missteps as they unfolded.
The conventional wisdom won’t change quickly or easily, but you can almost see the consensus shifting in real time. There are some important issues the administration still needs to address, and failure very much remains an option. For that matter, if it’s a mistake to exaggerate the importance of every piece of bad ACA news, the law’s defenders must be equally cautious about exaggerating the importance of every positive development, too.
But for those stuck in the “Obamacare is and will remain a disaster” story, it’s time for a reality check. The system is improving, enrollment is increasing, more consumers are smiling, horror stories are failing, and health costs are shrinking.
The health care talking points that “everyone knows” to be true are due for an update.
By: Steve Benen, The Maddow Blog, November 26, 2013
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