Posts Tagged ‘ Health care ’

« Older Entries

More On ObamaCare/RomneyCare

Monday, March 8th, 2010
Ed Kilgore


Ed Kilgore is a PPI senior fellow, as well as managing editor of The Democratic Strategist, an online forum.

by Ed Kilgore

Here’s something to tuck away in your files on both health care reform and 2012 presidential aspirant Mitt Romney, from Tim Noah at Slate (via Jon Chait). Looking at Romney’s new pre-campaign book, Noah observes:

Romney’s discussion of health reform is, from a partisan perspective, comically off-message. (How could he know what today’s GOP message would be? He probably finished writing the book months ago.) Remove a little anti-Obama boilerplate and Romney’s views become indistinguishable from the president’s. They even rely on the same MIT economist! At the Massachusetts bill’s signing ceremony, Romney relates in his book, the late Sen. Ted Kennedy, D-Mass., quipped, “When Mitt Romney and Ted Kennedy are celebrating the same piece of legislation, it means only one thing: One of us didn’t read it.”

Noah goes on to mix up some Obama and Romney quotes on health care reform, and challenges the reader to say which is which. Can’t be done.

Back in January, I predicted that Romney’s sponsorship of health care reform in Massachusetts might turn out to be a disabling handicap in a 2012 presidential race, given the shrillnesss of conservative rhetoric about features in Obama’s proposal that are also in Romney’s–most notably, the individual mandate.

Something happened since then, of course, which has been of great value to Romney in protecting his highly vulnerable flank on health reform: Scott Brown, another supporter of RomneyCare in Massachusetts, became the maximum national GOP hero and set off to Washington to try to wreck Obama’s plans. That meant that not one, but two major Republican pols would be promoting ludicrous distinctions between RomneyCare and ObamaCare as though they were actually vast and principled.

But I can’t see this illogical brush-off as working forever. If the Mittster does crank up another presidential campaign, fresh media attention will be devoted to his record and “philosophy” on health care. And more importantly, Romney’s rivals in a presidential race won’t for a moment give him a mulligan on the issue the GOP has defined as all-important. Mitt’s “socialism” in Massachusetts will eventually re-emerge as a big, big problem for him, and arguments that it was just state-level “socialism” won’t quite cut it in a Republican Party that’s moved well to the Right since the last time he ran for president. Before it’s over, they’ll make it sound like he’s the reincarnation of Nelson Rockefeller, money and all.

This item is cross-posted at The Democratic Strategist.

Photo credit: http://www.flickr.com/photos/newshour/ / CC BY-NC-ND 2.0

  • Share/Bookmark

Tags: , , , , , ,
Posted in A New Framework for Growth and Equity, Daily Fix, Fixing Our Broken Politics | No Comments »

Pro-Reform Majority?

Friday, March 5th, 2010
Ed Kilgore


Ed Kilgore is a PPI senior fellow, as well as managing editor of The Democratic Strategist, an online forum.

by Ed Kilgore

With Republicans beating the drums incessantly for the proposition that “the American people have rejected health care reform,” it’s probably not a bad time to recall the discussion that broke out late last year over evidence that many people saying they oppose specific proposals do so because they want to take reform much farther.

Exhibit A was an Ipsos-McClatchy poll taken in November. Here was Nate Silver’s take on it:

Ipsos/McClatchy put out a health care poll two weeks ago. The topline results were nothing special: 34 percent favored “the health care reform proposals presently being discussed”, versus 46 percent opposed, and 20 percent undecided. The negative-12 net score is roughly in line with the average of other polls, although the Ipsos poll shows a higher number of undecideds than most others.Ipsos, however, did something that no other pollster has done. They asked the people who opposed the bill why they opposed it: because they are opposed to health care reform and thought the bill went too far? Or because they support health care reform but thought the bill didn’t go far enough?

It turns out that a significant minority of about 25 percent of the people who opposed the plan — or about 12 of the overall sample — did so from the left; they thought the plan didn’t go far enough.

Well, Ipsos-McClatchey is back with another poll, and it’s shows an even stronger percentage of reform “opponents” thinking current bills don’t go far enough: more than a third of the 47% of respondents opposing “the reforms being discussed” say it’s because “they don’t go far enough.” Added to the 41% of respondents who say they support “the reforms being discussed,” that’s a pretty significant majority favoring strong government action to reform the health care system.

If that’s right, then maybe a majority of Americans technically favor a “no” vote on health care reform. But it’s not at all clear that they’ll be any happier with a perpetuation of the status quo, much less the kind of “reforms” Republicans are talking about. It looks like a significant share of the public wants something with a strong public option, or perhaps a full-blown single-payer system. It’s disengenuous to pretend these are people who have linked arms with Rush Limbaugh and congressional Republican leaders to fight against serious reform.

This item is cross-posted at The Democratic Strategist.

  • Share/Bookmark

Tags: , , , ,
Posted in A New Framework for Growth and Equity, Daily Fix | No Comments »

A Heavy Lift

Thursday, March 4th, 2010
Elbert Ventura


Elbert Ventura is the managing editor of the Progressive Policy Institute.

by Elbert Ventura

We always knew it would be a heavy lift. When Scott Brown swept away the filibuster-proof majority in the Senate – by taking Ted Kennedy’s seat no less – it seemed like a puckish and malevolent act by the legislative gods. Now, as the endgame draws near, the degree of difficulty only continues to go up.

The problem this time is not the Senate but the House. The plan is for the House to pass the bill that the Senate passed, and for both chambers to then pass a “fix” via reconciliation, which would require only a majority in the Senate.

But since the beginning of the year, Speaker Nancy Pelosi has lost several “yes” votes on health care. Rep. Robert Wexler (D-FL), a liberal stalwart, resigned January 3; Rep. John Murtha (D-PA) passed away February 8; Rep. Neil Abercrombie (D-HI) stepped down on February 28. On top of that, Rep. Joseph Cao (R-LA), the only Republican in either chamber to vote for reform, has come out and said he would not be voting for the bill this time around. Add on the Stupak bloc, the group of representatives led by Rep. Bart Stupak (D-MI) who reject the Senate bill on the grounds that its anti-abortion provisions are less strict than in the bill the House passed, and the bill’s prospects become even dimmer.

Just today, more bad news. Initially, with all the departures from the House, including that of Rep. Nathan Deal (R-GA), the magic number for Pelosi had at least shrunk to 216. But Deal today said he would stick around until the vote, raising the threshold to 217 again. But there’s more! There have been reports of other previous “yes” votes now wavering as the GOP ramps up its anti-health reform campaign to “spook” Dems: Rep. Shelley Berkley (NV), Rep. Michael Arcuri (NY), Rep. Kurt Schrader (OR).

But anyone expecting less than a full-on blitzkrieg from the right to sway quaking Dems has not been paying attention. The question is: Does that include the White House?

Too Much Inside Baseball

One of the ironies of health reform legislation has been its declining popularity with the public even as it progressed up the legislative chain. As it passed each new congressional hurdle, public opinion dipped. By the time 2010 rolled around (and before Scott Brown), health reform was on the brink of passing, but the victory seemed like it wouldn’t be quite the rout its supporters had hoped, with the bill so damaged in the public’s eyes.

I always thought that this was the result of an overcorrection on the White House’s part from the mistakes of the Clinton administration. The Clinton health care plan floundered because the administration was so ham-handed when it came to dealing with Congress. This White House adjusted accordingly, and played the beltway game to perfection.

But it never learned from another Clinton mistake, which is that it’s not all about the beltway – the ground game matters, too. With a highly mobilized right wing getting its message out to congressional districts, hardcore opponents – the town hall screamers of last summer – came out of the woodwork, inevitably coloring the impressions of the casual political observer. Phone calls started coming in to congressional offices opposing the bill.  Poll numbers dropped.

Meanwhile, the White House, with both eyes on Congress, failed to fire up its own base. Obama held events here and there, but nothing like a sustained campaign to mold public opinion. Without that leadership, the progressives and moderates who knocked on doors for Obama simply weren’t there this time around to match the other side’s intensity. By the time Scott Brown showed up, some lawmakers were all but ready to be done with health care.

And so here we are. President Obama has gone all in, even going so far as to set a date for when he wants the House to vote. He has also assiduously courted iffy Democrats, inviting them over to the White House and no doubt seeking to buck them up. And with news that he’s about to embark on a barnstorming tour to stump for health care, it’s clear that the White House sees the importance of aggressively shaping public opinion and the media narrative.

But will it be enough? Or is it too little too late? And will the progressive grassroots that helped Obama win the presidency be there to neutralize motivated right-wing foot soldiers and Astroturf groups? Or will those GOP robocalls and conservative vehemence ultimately topple unsteady Democrats? It’s a real test of leadership for the president. And as others have rightly pointed out, it’s a test of the progressive base, too.

  • Share/Bookmark

Tags: , , , , , , , , , , , , , ,
Posted in A New Framework for Growth and Equity, Daily Fix | No Comments »

Another Bite at the Apple

Wednesday, March 3rd, 2010
Ed Kilgore


Ed Kilgore is a PPI senior fellow, as well as managing editor of The Democratic Strategist, an online forum.

by Ed Kilgore

The president held a press conference today to announce that yes, indeed, he will press Congress to act on health care reform this month. There’s was nothing immensely new about that development, but it’s interesting that Obama used the occasion to lay out, quite succinctly, the three key points he made in his health care summit with Republicans: why comprehensive reform is essential, why the time for “negotiations” is over, and why there’s nothing that unusual about the use of reconciliation (though he did not use the word, a very unfamiliar term to most people outside Washington) to get the job done. He essentially took another bite at the apple of responding to the most effective Republican lines of attack, and will apparently do so some more in appearances on the road this month.

On the other hand, the presidential press conference may get demoted on the nightly news if a possible scandal involving Rep. Eric Massa (D-NY) continues to develop. Massa, a freshman from a highly marginal district, abruptly let it be known he was retiring. Some sources say he’s suffering from a recurrence of cancer, but Politico is reporting that he was about to come under investigation by the Ethics Committee for allegedly sexually harrassing a male staffer. If the latter story has a basis in reality, it will be big news tonight.

This item is cross-posted at The Democratic Strategist.

  • Share/Bookmark

Tags: , , , ,
Posted in Daily Fix, Fixing Our Broken Politics | No Comments »

President Obama’s Letter: Setting up the Final Push

Tuesday, March 2nd, 2010
Elbert Ventura


Elbert Ventura is the managing editor of the Progressive Policy Institute.

by Elbert Ventura

The White House today released a letter from President Obama pointing a way forward for passing health care reform. True to the course that he set at the Blair House summit last week, he stressed the areas of agreement between the two parties, even as he acknowledged some unbridgeable differences.

A considerable portion of the letter — and the part that has gotten everyone’s attention — goes into detail about four GOP ideas that the president said he would like to see in any final package. The president writes:

1. Although the proposal I released last week included a comprehensive set of initiatives to combat fraud, waste, and abuse, Senator Coburn had an interesting suggestion that we engage medical professionals to conduct random undercover investigations of health care providers that receive reimbursements from Medicare, Medicaid, and other Federal programs.

2. My proposal also included a provision from the Senate health reform bill that authorizes funding to states for demonstrations of alternatives to resolving medical malpractice disputes, including health courts. Last Thursday, we discussed the provision in the bills cosponsored by Senators Coburn and Burr and Representatives Ryan and Nunes (S. 1099) that provides a similar program of grants to states for demonstration projects. Senator Enzi offered a similar proposal in a health insurance reform bill he sponsored in the last Congress. As we discussed, my Administration is already moving forward in funding demonstration projects through the Department of Health and Human Services, and Secretary Sebelius will be awarding $23 million for these grants in the near future. However, in order to advance our shared interest in incentivizing states to explore what works in this arena, I am open to including an appropriation of $50 million in my proposal for additional grants. Currently there is only an authorization, which does not guarantee that the grants will be funded.

3. At the meeting, Senator Grassley raised a concern, shared by many Democrats, that Medicaid reimbursements to doctors are inadequate in many states, and that if Medicaid is expanded to cover more people, we should consider increasing doctor reimbursement. I’m open to exploring ways to address this issue in a fiscally responsible manner.

4. Senator Barrasso raised a suggestion that we expand Health Savings Accounts (HSAs). I know many Republicans believe that HSAs, when used in conjunction with high-deductible health plans, are a good vehicle to encourage more cost-consciousness in consumers’ use of health care services. I believe that high-deductible health plans could be offered in the exchange under my proposal, and I’m open to including language to ensure that is clear. This could help to encourage more people to take advantage of HSAs.

None of those suggestions should surprise anyone who saw the summit or has been paying attention to the president on health care the last few months. Three of the four touch on cost control, which is also not a surprise considering that’s the one area that both sides agree needs to be addressed (although only one party seems to be willing to actually pass legislation to do something about it). As TNR’s Jonathan Cohn rightly points out, the fraud and Medicaid payment proposals should win Democratic support, while the other two might have more trouble.

The key part of the letter, however, comes at the end:

I also believe that piecemeal reform is not the best way to effectively reduce premiums, end the exclusion of people with pre-existing conditions or offer Americans the security of knowing that they will never lose coverage, even if they lose or change jobs.

The president, who is scheduled to speak tomorrow to chart his way forward for passing reform, here seems like he’s laying the groundwork for Congress to go down the path everyone has already discussed: passage by the House of the comprehensive bill that the Senate has passed, and a sidecar reconciliation bill to “fix” parts of the bill that House members find objectionable.

What’s important, too, is the language that he uses to justify the continued push. If cost control was the issue on which he could reach out to Republicans, coverage and affordability for ordinary families are the talking points as far as selling reform to the public and to the Democratic caucus. Ending exclusions based on pre-existing conditions, lowering out-of-pocket costs, keeping coverage even after losing your job: these are all hugely popular and marketable ideas. The Democrats have thus far done a poor job of explaining the kitchen-table benefits of reform. But those benefits are real, and they will redound to the benefit of the party who can make reform happen, something Obama seems to understand.

  • Share/Bookmark

Tags: , , , , , , , , , ,
Posted in A New Framework for Growth and Equity, Daily Fix, Fixing Our Broken Politics | No Comments »

Short-Circuiting Ethics

Monday, March 1st, 2010
Ed Kilgore


Ed Kilgore is a PPI senior fellow, as well as managing editor of The Democratic Strategist, an online forum.

by Ed Kilgore

The House Ethics Committee investigation of House Ways & Means Committee Chairman Rep. Charlie Rangel (D-N.Y.) has gotten a lot of attention recently. But there’s a new development on the House ethics front that merits a closer look than it will probably receive, at least nationally.

Georgia Rep. Nathan Deal (R) resigned his seat today, supposedly so he could concentrate on his gubernatorial campaign. But as a conservative blogger in the Peach State immediately noted, this makes zero political sense except as a way to short-circuit an ethics investigation of a state contract held by Deal that was about to get underway:

Deal is giving up the turnout advantage for being the sitting Congressman while the vote for his replacement takes place. GA law calls for a special election to replace Deal, and assuming the special election clears the field for the general election, having an unopposed incumbent running in the 9th when the primary vote for Governor takes place is a major campaign disadvantage for Deal.So why would Deal take the hit on turnout?

The House Ethics Committee came down hard on Charlie Rangel last week. The next case up was to look at Deal’s use of his Congressional staff to protect a no-bid State contract here in Georgia. The House ethics committee was due to release their findings in this case any day. Deal’s resignation probably makes this go away.

So, Deal can campaign full time after tomorrow. If he’s no longer a member of Congress, he can’t be on the list of CREW’s most unethical Congressmen anymore.

This is interesting in no small part because Georgia’s crowded Republican gubernatorial primary primary has become something of a quagmire of ethics issues. State insurance commissioner John Oxendine, who has been the front-runner in the polls for many months, is battling a variety of ethics charges relating to his fundraising efforts among the insurance companies he is responsible for regulating. And several other candidates are struggling to overcome the perception of a cover-up of a recent sex-with-a-utility-lobbyist scandal that ultimately forced state House Speaker Glenn Richardson from office.

It probably doesn’t help that Richardson was replaced in the legislature in a special election last week by another Christian Right activist who has admitted an affair with his mother-in-law while his first wife was heavy with child.

The broader lesson is that Republicans are not exempt from the ongoing anti-government, anti-incumbent popular mood. While they certainly want to promote the idea that voters are only interested in punishing politicians who support economic stimulus funds or health care reform, there are other sins that do not bear exposure in the current climate. And wherever GOPers are entrenched in office, as they are in much of the Deep South, ethics problems are rarely too far beneath the surface.

Update: Deal’s resignation, currently slated to take affect on March 8, could affect the outcome of the expected razor-thin vote on health care reform, due to occur early in April. If nothing else, Deal’s action should offest the decision last week by Democratic Rep. Neil Abercrombie’s to resign his House seat for a gubernatorial campaign in Hawaii.

This item is cross-posted at The Democratic Strategist.

  • Share/Bookmark

Tags: , , , , , , ,
Posted in Daily Fix, Fixing Our Broken Politics | No Comments »

What We Talk About When We Talk About Health Care

Monday, March 1st, 2010
Elbert Ventura


Elbert Ventura is the managing editor of the Progressive Policy Institute.

by Elbert Ventura

Regardless of the outcome of the Democratic health reform push, one point is obvious: at every turn, they lost the messaging battle to Republicans and the Tea Party. The latest reminder came this morning, as the umpteenth story on budget reconciliation came on the radio. These days, to talk about health care reform is to talk about process — exactly where the GOP wants the conversation to be.

Over the last few weeks, a new narrative has taken hold in health care news: that of a partisan Democratic Party determined to “ram” a bill through Congress. It’s a frame that the GOP has been relentless and disciplined in perpetuating. Some have even taken to calling it the “nuclear option,” which in its previous political incarnation was the name Trent Lott gave the Republican effort in 2005 to change filibuster rules for judicial nominations.

The “nuclear option” as shorthand for budget reconciliation is not only a misnomer, it’s flat-out misleading. Hardly unprecedented, budget reconciliation has been used 22 times since the process was established in 1974. As Jackie Calmes wrote in the New York Times last week, 16 of those times, it was the Republican Party that used it to “ram legislation through on a one-party vote” (at least that’s how House GOP Leader John Boehner describes its use today).

Moreover, reconciliation has been used several times to pass health care legislation. NPR’s Julie Rovner, who has done superb work on the health care story, pointed out that health care provisions ranging from COBRA (it even says so in the name — COBRA stands for Consolidated Omnibus Budget Reconciliation Act) to the Children’s Health Insurance Program (CHIP) to changes in Medicare and Medicaid have come via reconciliation.

But efforts by reporters like Rovner notwithstanding, the Democrats have already lost this battle as the media have taken the GOP’s cue and fixated on process. The unwarranted magnification of reconciliation is not unlike the media frenzy over Sen. Ben Nelson’s “Cornhusker Kickback,” a bit of horse-trading that was hardly unusual in writing bills, but somehow became the equivalent of a legislative high crime by the time the GOP and the media were done with it.

More than any other piece of legislation in recent memory, health care reform has been debated, negotiated, and written under the unforgiving attention of the 24-hour cycle. This is as close a view as the American public has had to the sausage-making in Washington. They don’t like what they see. Republicans are well aware of this, and continue to point the spotlight on the frequently ugly process.

And so we are now at the current pass. One party has made unprecedented use of the filibuster to prevent anything from being done. The other party is now thinking of using a procedural tactic used nearly two dozen times since 1980, including to pass health care legislation, to break the impasse. While there certainly has been more attention on the abuse of the filibuster of late, that the use of reconciliation is even a story is a problem for Democrats. That Democrats are playing defense on a matter of process speaks volumes about their PR ineptitude, the Republicans’ messaging cohesion, and the media’s ongoing failure to go beyond stenography.

  • Share/Bookmark

Tags: , , , , , , , , , , , , ,
Posted in A New Framework for Growth and Equity, Daily Fix, Fixing Our Broken Politics | 1 Comment »

All in on Health Reform

Friday, February 26th, 2010
Will Marshall


Will Marshall is the president of the Progressive Policy Institute.

by Will Marshall

There’s something poignant about President Obama’s attempts to reason with congressional Republicans. He keeps hoping that facts, evidence, and logic somehow can penetrate the depleted-uranium armor of conservative ideology. As yesterday’s health summit showed, it hasn’t worked, but a public frustrated with Washington’s tribal politics will probably appreciate the effort anyway.

The summit nonetheless achieved its real purpose, which was not composing differences but illuminating the two parties’ starkly contrasting visions for health care reform so that the voters can make a real comparison. For the past year, Republicans have had the advantage of attacking (often dishonestly) Democrats’ plans without anyone paying much attention to what they have to offer.

The summit put them on the spot, and the clear answer was: not much. Here’s what we learned about what Republicans mean by reform:

First, they don’t much care about health care’s “have nots” – 45 million Americans without coverage. Sure, they favor a modest expansion of coverage to about three million people, but that only begs the question of why the lucky few and not everyone? The answer is that Republicans don’t really believe it’s government’s responsibility to make sure everyone can get access to affordable coverage.

Second, Republicans do care about restraining rising health care costs for those with coverage. But their preferred solutions — medical savings accounts, and allowing people to buy cheaper insurance policies out-of-state — are tilted toward the healthy. The former takes healthy people out of insurance pools, raising premiums for those who remain. The latter allows people to end-run state mandates on the medical services insurance companies must offer. That’s fine for healthy people who can get by with bare-bones coverage, but it doesn’t help the sick. In fact, Republicans generally oppose the insurance market reforms that would prevent companies from cherry-picking healthy customers or dropping people when they get sick.

Third, the GOP has no intention of helping Obama and the Democrats improve their plans, let alone pass them. They feel little pressure to do so, because they think they have the public on their side.

It’s true that polls show majorities are leery of the Democrats’ reform proposals, even if Americans still want Obama to “do something” about health care costs and coverage. Rather than crumble in the face of public skepticism, Obama adroitly used the summit to reframe the health care debate as a choice between action or inaction on one of the nation’s most vexing problems.

The spotlight now shifts to his party. Will liberals torpedo health reform because it doesn’t include the public option? Will moderates play it safe or take a risk for the larger good of their party and their country? Will health care reform be a casualty of that hardy perennial of the culture wars, abortion?

Can congressional Democrats, in short, summon the will and discipline to rise above their own centripetal forces and govern? It should be obvious that failure would reinforce the Republican narrative: the bill was misbegotten in the first place, an overly ambitious, big-government monster that couldn’t even pass muster with Democrats.

Obama has gone all in; now his party needs to follow.

  • Share/Bookmark

Tags: , , , , , , , , , , ,
Posted in A New Framework for Growth and Equity, Daily Fix | 2 Comments »

Summit Spectacle

Thursday, February 25th, 2010
Ed Kilgore


Ed Kilgore is a PPI senior fellow, as well as managing editor of The Democratic Strategist, an online forum.

by Ed Kilgore

Like many of you, I’ve been watching the health care summit, and can’t decide just yet if it’s a spectacle of complex drama, or just one of the longest congressional hearings to be broadcast in a long time. For those unfamiliar with congressional events, the preliminary throat-clearing and personal preening must be excrutiating.

The Republican strategy for this event is pretty clear already: act like the administration is doing something really outrageous by using reconciliation to finalize the health care legislation already passed by both Houses. As I mentioned yesterday, this is factually ludicrous, but repeating talking points does sometimes work.

It’s pretty interesting that tea partiers are protesting the very existence of the event outside Blair House. Appointing themselves representatives of the people, and making unconditional demands on their behalf, has been a hallmark of their movement all along.

Editor’s note: The summit is being webcast live on C-SPAN.

This item is cross-posted at The Democratic Strategist.

  • Share/Bookmark

Tags: , , , , ,
Posted in A New Framework for Growth and Equity, Daily Fix, Fixing Our Broken Politics | No Comments »

Obama’s Multiple Audiences

Wednesday, February 24th, 2010
Ed Kilgore


Ed Kilgore is a PPI senior fellow, as well as managing editor of The Democratic Strategist, an online forum.

by Ed Kilgore

Looking forward to tomorrow’s health care “summit,” Ben Smith of Politico has a pretty good summary of the five distinct audiences the president must think about in handling this event: House Democrats, Senate Democrats, the Public, the Fans of Bipartisanship, and Republicans. But there are obviously priorities in his messaging:

He’ll be making the sale, for the umpteenth time, to an American public that supports aspects of health care legislation but opposes the bill. He’ll be pitching Beltway graybeards obsessed, as always, with bipartisanship. He’ll be appealing to moderate Senate Democrats to back reconciliation.But most important will be his pitch to a handful of conservative Democrats in the House who will have to switch their votes and vote for the Senate health care bill for it to pass into law.

Smith’s right that the most important immediate audience is House Democrats. In the longer run, however, this summit is a very important landmark in his overall positioning of himself and his party for the midterm elections in November. The reality in Washington is that a Republican Party that is becoming more ideologically extreme each day is using every procedural tool and political trick you can imagine to avoid any real action on any significant issue. If that reality becomes more generally known because of the summit, then it will be a success for Obama and Democrats, regardless of how it plays with the Republicans, the pundit class, or Democrats who are wavering on health reform.

This item is cross-posted at The Democratic Strategist.

  • Share/Bookmark

Tags: , , , , ,
Posted in A New Framework for Growth and Equity, Daily Fix, Fixing Our Broken Politics | No Comments »

GOP Complaints on Health Care Process Ring Hollow

Wednesday, February 24th, 2010
Will Marshall


Will Marshall is the president of the Progressive Policy Institute.

by Will Marshall

Republicans are warning of ominous political consequences if the Democrats use budget reconciliation rules to help pass health care reform. It would be “a huge mistake,” averred Sen. Olympia Snowe, the chief object of Senate Democrats’ unconsummated quest for bipartisan cooperation on health reform.

Evidently, for the Democrats to resort to reconciliation would be an intolerable abuse of congressional rules, whereas the Republican habit of filibustering everything in sight is perfectly within bounds. Passing health measures by a simple majority vote, the GOP maintains, would be the political equivalent of nuclear war: It would pulverize what little remains of comity and good will in Washington.

It’s a little late for the GOP to be worrying about that. Nor are Republicans more convincing when they complain that it’s somehow illegitimate for President Obama to start the bidding in tomorrow’s health care summit with a plan derived from bills that have passed both houses of Congress.

“I don’t think the people like this any more than…the approach that came down the pike earlier,” House Republican Whip Eric Cantor said. “People are incredulous. I just think they are wondering, does the White House not get it?” He was referring, of course, to polls showing majority opposition to the main health care proposals before Congress.

Cantor seems to be arguing that shifting public attitudes matter more than election results, and that Congress shouldn’t pass legislation that doesn’t poll well. Does the House minority whip not get representative democracy? (It was a good thing he wasn’t around when Lincoln pushed Congress to enact a draft to win the Civil War.) And if Republicans really are so sure Democrats will self-destruct politically by passing Obamacare, why not lash them on?

One reason might be that the health care summit will highlight the embarrassing fact that Cantor and company offer no serious alternative to the president’s approach. (House Republicans last year labored mightily to produce a mouse of a bill that would cover just three million of America’s 40-plus million uninsured.) The real choice is between the president’s far-from-perfect health care reform, and none at all.

And in a way that’s too bad, because if we had a serious opposition, it might help the president push back against some of the bad ideas coming from his own party. An example: under pressure from labor and liberals, Obama has drastically scaled down and delayed an excise tax on expensive employer-paid health plans. Not only does that reduce revenue needed to pay for health reform, it also barely grazes an open-ended federal tax subsidy that economists believe contributes greatly to medical cost inflation. Rather than insist on limiting that government subsidy, many Republicans claim it’s a violation of Obama’s pledge not to raise taxes on the middle class.

In a similar vein, the Republicans have lambasted Obama’s proposal to cut hundreds of billions from Medicare to defray the expenses of expanding coverage. And so in its blindly partisan attacks on Obama’s push for health reform, the GOP has managed to 1) shred its credibility as a force for fiscal responsibility; 2) thwart efforts to rein in runaway health care costs; and 3) reinforce their well-deserved reputation as a party that measures compassion by the thimble-full.

On health care, the Republicans have hit the trifecta of demagoguery – which is why their complaints about parliamentary foul play ring hollow.

  • Share/Bookmark

Tags: , , , , , , , , ,
Posted in A New Framework for Growth and Equity, Daily Fix, Fiscal Responsibility, Fixing Our Broken Politics | 2 Comments »

Don’t Tread on My Medicare

Tuesday, February 23rd, 2010
Ed Kilgore


Ed Kilgore is a PPI senior fellow, as well as managing editor of The Democratic Strategist, an online forum.

by Ed Kilgore

To continue some thoughts about the growing contradiction between conservative policy predilections and the GOP’s violent anti-spending rhetoric, there’s a specific political factor that’s intensifying the dilemma: the heavy, heavy reliance of Republicans on support from seniors.

Several smart commentators (Chait, Douthat, and Larison) have drawn attention to a new Pew survey on generational political attitudes which shows the exceptionally geriatric nature of the Republican Party’s current base of support. That’s a good thing for Republicans in the very short term, since seniors tend to vote at disproportionately high levels in midterm elections. But it’s not easy to be the Party That Hates Government Spending when your most important constituency is receiving Medicare and Social Security benefits. Here’s how Ross Douthat puts it:

[Y]ou can win an awful lot of elections just by mobilizing the over-65 constituency — they’re well-informed, they turn out to vote, and there are more of them every day. But the easiest way to do it, as the Democrats proved for years and years and years, is to defend Medicare and Social Security like McAuliffe at Bastogne. This means that while the energy of activists may be pushing the Republicans to the right on size-of-government issues, the concerns of their central constituency could end up pulling them inexorably leftward on entitlements….

This wouldn’t be a terrible thing if Social Security and (especially) Medicare accounted for, say, ten percent of the federal budget. But where the size of government — and if we ever want to cut the deficit, the burden of taxation — is concerned, they’ll be the whole ballgame soon enough. And if the Republican Party depends too heavily on over-65 voters for its political viability, we could easily end up with a straightforwardly big-government party in the Democrats, and a G.O.P. that wins election by being “small government” on the small stuff (earmarks, etc.) while refusing to even consider entitlement reform.

Now that’s how it looks if you are simply considering the fiscal numbers. But from a psychological point of view, there’s another problem for conservatives: how to rationalize a posture of maximum defense of Social Security and Medicare with a general hostility to transfer payments. The only obvious way to do that is to treat senior entitlements as benefits earned by virtuous old folks, as opposed to unvirtuous younger folks whose demands for “welfare” are to be resisted and demonized at all costs. You don’t have to hold a negative view of conservative motives to see how this can lead to highly invidious, and perhaps semi-racist, political appeals. Indeed, the current position of Republicans all but demands that they encourage seniors to view public life as a struggle to keep their own public benefits and their own private wealth against rapacious efforts by “elitists” and welfare “looters” to reduce their share of federal spending while increasing their taxes. And that’s a temptation Republican politicians don’t seem inclined to resist, illogical and immoral as it might be.

It’s not clear how long GOPers will continue to maintain this odd mixture of pro-government policies and anti-government rhetoric (a contradiction that extends, of course, to conservatives lust for ever-higher defense spending and foreign policy adventurism). But at present, they might as well emblazon on their Tea Party banners the legend: “Don’t Tread On My Medicare!”

Update: One obvious way around the GOP’s dilemma on entitlements is simply to “grandfather” current beneficiaries and introduce radical changes for younger generations. That’s how Rep. Paul Ryan’s Medicare Voucher proposal — central to the congressional Republican “plans” for both health care and the budget — operates. And that’s explicitly what Tim Pawlenty is talking about doing with both Medicare and Social Security.

It remains to be seen if this approach, which for all the talk about “keeping promises to seniors” sure looks like a cynical effort to buy off a demographic group that favors Republicans at the expense of groups less inclined — will fly with seniors or with anyone else. It does nicely comport with the “I’ve got mine! To hell with the rest of you!” spirit that Republicans are carefully cultivating among older white voters.

This item is cross-posted at The Democratic Strategist.

Photo credit: http://www.flickr.com/photos/roebot/ / CC BY-SA 2.0

  • Share/Bookmark

Tags: , , , , ,
Posted in A New Framework for Growth and Equity, Daily Fix | No Comments »

« Older Entries