“Repurposing Of A Failed Website”: The Republicans’ Subtle Retreat From ‘Obamacare’
House Republicans held a press conference on Capitol Hill this week, at which the New York Times’ Jonathan Weisman tweeted a fascinating image – of the podium.
If you look closely, you’ll notice the sign on the podium not only refers people to a website run by the House Republican Conference, but also to a specific part of the site – gop.gov/yourstory – followed by a tagline that reads in all caps, “Our veterans deserve better.”
At first blush, that wouldn’t seem especially noteworthy, except up until very recently the gop.gov/yourstory website served a very different purpose: it was set up to collect scary stories from people who didn’t like the Affordable Care Act. Republicans launched a months-long campaign to collect anecdotal evidence from “Obamacare victims” and this website was intended to be the go-to destination for those adversely affected by the health care reform law.
But the political winds have changed direction. The crusade to find “Obamacare victims” has run its course – the evidence never materialized – and House Republicans are ready to give up on the campaign and start collecting other horror stories the party can try to exploit for partisan gain.
The repurposing of a failed website is, however, just a piece of a larger puzzle. As Juliet Eilperin and Robert Costa reported this morning, Republicans suddenly find themselves in “retreat” on health care.
Republican candidates have begun to retreat in recent weeks from their all-out assault on the Affordable Care Act in favor of a more piecemeal approach, suggesting they would preserve some aspects of the law while jettisoning others.
The changing tactics signal that the health-care law – while still unpopular with voters overall – may no longer be the lone rallying cry for Republicans seeking to defeat Democrats in this year’s midterm elections…. On the campaign trail, some Republicans and their outside allies have started talking about the health-care law in more nuanced terms than they have in the past.
Imagine that. Running on a platform of taking health care benefits from millions of people isn’t the winning strategy far-right lawmakers thought it’d be.
“The sentiment toward the Affordable Care Act is still strongly negative, but people are saying, ‘Don’t throw the baby out” with the bathwater, Glen Bolger, a partner with the GOP polling firm Public Opinion Strategies, told the Washington Post.
Remember when Republicans assumed they could simply ride a “Repeal Obamacare!” wave to electoral fortunes? That plan has been thrown out the window.
And what about the House GOP’s vaunted alternative, years in the making?
[S]enior House Republicans have decided to postpone a floor vote on their own health-reform proposal – making it less likely that a GOP alternative will be on offer before the November elections, according to lawmakers familiar with the deliberations. The delay will give them more time to work on the bill and weigh the consequences of putting a detailed policy before the voters in the fall, lawmakers said.
I suspect this isn’t more widely considered a humiliating fiasco for Republicans because most political observers simply assumed they’d fail to present their own plan, but this new “postponement” only makes the GOP’s debacle look worse.
Remember, it was exactly four months ago today that House Majority Leader Eric Cantor (R-VA.) publicly vowed, “This year, we will rally around an alternative to Obamacare and pass it on the floor of the House.”
That was Jan. 30. On May 30, Cantor’s new message is apparently, “Check back after the elections.”
Americans have only been waiting five years for the Republican alternative to the Affordable Care Act. What’s another seven months?
We know, of course, why GOP officials are struggling. As we talked about in February, Republicans could present an alternative policy that they love, but it’ll quickly be torn to shreds, make the party look foolish, and make clear that the GOP is not to be trusted with health care policy. Indeed, it would very likely scare the American mainstream to be reminded what Republicans would do if the power over the system were in their hands.
On other hand, Republicans could present a half-way credible policy, but it would have to require some regulations and public investments, which necessarily means the party’s base would find it abhorrent.
As a Republican Hill staffer recently told Sahil Kapur, every attempt to come up with a serious proposal leads to a plan that “looks a hell of a lot like the Affordable Care Act.” And so we get … nothing.
Nothing, that is, except the Democratic law, which is working quite well, Republican assurances to the contrary and repeated attempts at sabotage notwithstanding.
By: Steve Benen, The Maddow Blog, May 30, 2014
“Content-Free Carping”: From VA To Obamacare To Medicare
At the moment most Republicans are looking at the VA scandal that broke out in Phoenix as a sheer political bonanza without any long-term significance: a federal agency responsible for an especially valued constituency (veterans) has screwed up fatally on Barack Obama’s “watch.” That’s enough to powerfully reinforce a number of important conservative memes about Obama (and indirectly, Democrats): he and his people are incompetent, they don’t have the normal patriotic impulse to take care of veterans, and when held accountable they stonewall and lie.
But a few voices are beginning to figure out how to link the VA mess not only to the overriding issues of Obamacare, but to the “socialized medicine” treatment of Obamacare that would be applied to Medicare, too, if the political climate was right.
Here’s the Cleveland Plan Dealer‘s Kevin O’Brien spelling it all out:
Putting a government bureaucracy in charge of one’s health is a gamble likely to end badly.
And yet, if Obamacare stands, that is precisely the gamble each and every American eventually will take.
There is no better predictor of the course of a single-payer medical system in the United States than the VA system, because it is a single-payer system….
Americans who watch this story play out and fail to make the clear and obvious connection to Obamacare will be guilty of willful ignorance. The systemic flaw is identical. It’s just magnified on a massive scale. Rather than making a false promise to treat all of the ills of a relatively few sick and injured military veterans, Obamacare has put the federal government on the path to taking responsibility for the medical needs — and the attendant costs — of the entire U.S. population.
Like most conservative attacks on “bureaucracy,” O’Brien’s ignores the powerful bureaucracies that operate in the private sector with even less accountability. As TNR’s Jonathan Cohn puts it:
It’s worth remembering that some of the problems veterans are having right now have very little to do with the VA and a whole lot to do with American health care. As Phil Longman, author of Best Care Anywhere, noted in his own congressional testimony last week, long waits for services are actually pretty common in the U.S.—even for people with serious medical conditions—because the demand for services exceeds the supply of physicians. (“It took me two-and-a-half years to find a primary care physician in Northwest Washington who was still taking patients,” he noted.) The difference is that the VA actually set guidelines for waiting times and monitors compliance, however poorly. That doesn’t happen in the private sector. The victims of those waits suffer, too. They just don’t get the same attention.
But nonetheless, the longer the VA scandal stays in the public eye, the more we will hear arguments the VA should be broken up and its services privatized with federal regulations and subsidies replacing federal bureaucracies–creating a system much like the one contemplated by Obamacare, as it happens. But at the same time, we’ll be told Obamacare itself is a failure because it involves the government in guarteeing heath care. And where conservatives speak to each other quietly, it will be understood that Medicare is subject to the same complaints and deserves the same fate.
No wonder most GOP pols confine themselves to content-free carping about Obama being responsible for the VA scandal.
By: Ed Kilgore, Contributing Writer, Washington Monthly Political Animal. May 22, 2014
“If You Vote For A Republican…Beware”: Republican Governors Show Their True Colors Turning Down Billions In Medicaid Expansion
In a 2012 decision, the Supreme Court ruled that states could decide to take the Medicaid expansion or not. In a purely political, but predictable move, Republican governor after Republican governor chose to say no to Medicaid expansion for their states even though their community hospitals are bursting at the seams.
Why would any elected official turn down free health care dollars for its citizens? These 24 Republican governors would prefer to say no to billions of federal dollars that would provide healthcare coverage for millions of destitute folks, than take funds from the Obama administration. They claim their states could not afford the expansions. The truth is that the federal government pays 100 percent of the cost the first three years and then at least 90 percent thereafter. Hate truly is stronger than compassion in the GOP and it is costing the party their logic, reason and good business sense. When you turn down health care for millions of citizens, billions of dollars and job creation out of spite, you are not representing the best interests of your constituents.
Many Republicans say they don’t think the government should be involved in keeping its citizens healthy through a government-provided healthcare system. My question is why is it OK for great government health care to be provided to these elected Republicans but it’s not OK to provide for our American people?
Rick Perry, governor of Texas, turned down the Medicaid expansion that would have created 200,000 new jobs in addition to insuring millions of people. As a result of his selfish ideology, Texas will lose more than $9 billion.
In Florida, the healthcare company Columbia/HCA, was fined $1.7 billion for Medicare fraud while Rick Scott, prior to being governor, was CEO. Now Scott doesn’t want to let Florida’s citizens receive the benefits from the Medicaid expansion. Florida will lose $5 billion.
If Louisiana accepted the ACA provisions and expanded Medicaid, 240,000 people would be eligible for affordable care, yet Governor Bobby Jindal refused.
Gov. Mary Fallin and legislative leaders also rejected the expansion of Medicaid coverage for approximately 175,000 uninsured Oklahomans leaving the state with no viable overall healthcare plan.
In Pennsylvania, Gov. Corbett’s decision not to accept the expansion will leave $500 million in federal funds on the table in 2014. These funds could provide health care for 500,000 people, a financial boost to hospitals and local healthcare providers, and create upwards of 35,000 jobs.
Likewise, Governor Christi of New Jersey vetoed a bill that would permanently establish the Medicaid expansion.
By 2022, Georgia, Missouri, North Carolina and Virginia will all lose more than $2 billion each.
Expanding Medicaid coverage costs less than 1 percent of the state budgets on average, while not accepting the funds are leading to state budget shortfalls and health facilities closures.
While the Republicans are quick to send our military into harm’s way, they are less eager to take care of them when they return home.
About 1.3 million veterans are uninsured nationwide. According to a report by Pew, approximately 258,600 of these veterans are living below the poverty line in states refusing to expand Medicaid. Without veteran’s benefits and with incomes too low to qualify for subsidies to use state exchanges, these veterans are left without affordable coverage options.
State governors owe the best health care available to their citizens whether veterans, indigent or just the sick. But, that isn’t what these Republican governors are doing. They are placing their political ideology over their citizens’ health.
The states with the most uninsured and the poorest people are the same states refusing to take federal funds to help their people. Instead of embracing the Medicaid expansion, they are shunning it as if it was a plague. While taxpayers in all states fund the Medicaid expansion, only people in half the states are reaping the advantages of those tax dollars, jobs and medical benefits — the states with Democratic governors.
Democratic Maryland Gov. Martin O’Malley, on the day after the Affordable Care Act of 2010 was signed into law, appointed a task force to prepare his state to accept more Medicaid money and establish rules on how it would be spent. Its program will offer 300 insurance options provided by 12 private insurance companies and nine managed-care systems. These aren’t government programs but private ones — just like the coverage carried today by millions of Americans.
Governor Beshear (D) of Kentucky has made the Medicaid expansion a key component of his administration. He quickly accepted ACA realizing that the 640,000 uninsured Kentuckians would be able to get insurance through Medicaid expansion and coverage through the health benefit exchanges.
Every American citizen over the voting age of 18 has the right to vote for a Democrat, a Republican or someone from one of the smaller parties. But, if you vote for a Republican… beware of what you might lose as a result.
By: Gerry Myers, CEO, President and Co-founder of Advisory Link; The Huffington Post Blog, May 26, 2014
“The Longest War”: Afghanistan, The Soon To Be Forgotten War
President Obama made a surprise visit to Afghanistan yesterday, telling American troops that while “Afghanistan is still a very dangerous place,” they can take pride in what they’ve accomplished. “More Afghans have hope in their future, and so much of that is because of you.” As we honor the service members who gave their lives in all of America’s wars, it’s a good time to ask how we’ll look at the longest one we’ve ever fought. By the time we wind down our mission there at the end of this year, the Afghanistan war will have lasted over 13 years.
Here’s a prediction, one I make with no pleasure: when we pull most of our troops out of the country later this year, most Americans will quickly try to forget Afghanistan even exists.
Consider this: How much have you thought about Iraq lately? When the last U.S. troops left there in December 2011 after nearly nine years of war, the public was relieved that we could finally wash our hands of what was probably the worst foreign policy disaster in American history, with over 4,000 Americans dead (not to mention hundreds of thousands of Iraqis) and a couple of trillion dollars spent, all for a war sold on false pretenses. But unless you’ve been paying attention to the stories on the inside pages, you may not have noticed that Iraq is not exactly the thriving, peaceful democracy we hoped we would leave behind. The country is beset by factional violence; according to the United Nations, 7,818 Iraqi civilians were killed in attacks in 2013. No country in the world saw more terrorism.
I’m not arguing that there’s much we can do about it now, or that we should have stayed. But as far as Americans are concerned, Iraq’s problems are now Iraq’s to solve, and most of us would rather just not think about it.
We’ll be keeping troops in Afghanistan after the end of this year, to do targeted counterterrorism and training of Afghan forces. The number hasn’t yet been determined, but it will be small enough that we can say we’re no longer at war there. And for all we know today, things could turn out great. Perhaps the Afghan government will manage to clear itself of the corruption with which it has been infected, and perhaps the country will not be riven by factional violence. Perhaps we will leave behind a state with enough strength and legitimacy to hold the country together. But if those things don’t happen, most Americans won’t want to hear about it.
Afghanistan will get put in the same corner of our minds we now place Iraq. So many misguided decisions from those at the top, so much sacrifice from those on the ground, and for what? The answer is too painful to contemplate, so we’ll prefer to thank the veterans for their service and not spend too much time thinking about the larger questions of what the war meant.
By: Paul Waldman, The Plum Line, The Washington Post, May 26, 2014
“What The VA Scandal Is Not About”: Conservative’s Desire To Privatize All Health Care
While the media furor over revelations of potentially death-dealing delays in eligibility determinations and care scheduling at the Veterans Administration is leading to all sorts of promiscuous talk by conservatives about the inherent incompetence of government and/or the need to privatize all government health-related services (presumably including the provision of insurance by Medicare), let’s be clear what the scandal is not about, as noted by CBS’ Rebecca Kaplan:
There…doesn’t appear to be a major quality problem among the agency’s doctors and nurses either, even though it appears that not enough veterans can get through the door to see them. Veterans’ advocates who appeared before Congress last week agreed that once veterans get access to care within the VA system, it is high-quality care. The problem is getting access to that care in the first place.
The American Customer Satisfaction Index (ACSI), the nation’s only cross-industry measure of customer satisfaction, ranks VA customer satisfaction among the best in the nation — equal to or better than ratings for private sector hospitals. When asked if they would use a VA medical center the next time they need inpatient or outpatient care, veterans in the 2013 ACSI survey overwhelmingly indicated that they would (96 and 95 percent, respectively).
Backlogs in eligibility determinations would exist whether veterans were being sent to VA hospitals for care, or to private hospitals with a voucher in their hands. And physician shortages and scheduling backlogs are hardly an unfamiliar phenomenon at private health care facilities.
Of course conservatives will try to use the issues at VA to undermine any and all public involvement in health care. But the only way to make absolutely sure veterans aren’t placed at risk by inefficient eligibility or scheduling systems is to deny them care altogether. Replacing public health care bureaucracies with private health care bureaucracies won’t fix the problems, and could make the care itself a lot worse and a lot more expensive.
By: Ed Kilgore, Contributing Writer, Washington Monthly Political Animal, May 23, 2014
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