Posts Tagged ‘ Medicare ’

Immigration, the Tea Partiers and the GOP’s Future

Tuesday, April 13th, 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

It’s long been apparent that immigration is an issue that is the political equivalent of unstable nitroglycerine: complex and dangerous. It arguably splits both major parties, although national Democratic politicians generally favor “comprehensive immigration reform” (basically a “path to citizenship” for undocumented workers who meet certain conditions and legalize themselves, along with various degrees of restriction on future immigration flows), and with George W. Bush gone, most Republicans oppose it.

It is of most passionate concern, for obvious reasons, to Latino voters, and also to many grassroots conservatives for which widespread immigration from Mexico into new areas of the country has become a great symbol of an unwelcome change in the nation’s complexion. But the fact remains that perceived hostility to immigrants has become a major stumbling block for Republican recruitment of otherwise-conservative Latino voters, which explains (along with business support for relatively free immigration) the otherwise odd phenomenon that it was a Republican administration that last pursued comprehensive immigration reform. (Some may remember, in fact, that immigration reform was and remains a big part of Karl Rove’s strategy for insuring a long-range Republican majority.)

I’m not sure how many progressives understand that immigration policy is a significant part of the narrative of “betrayal” that conservatives have written about the Bush administration — right up there with Medicare Part D, No Child Left Behind, and big budget deficits. And implicitly, at least, when Republicans talk about “returning the GOP to its conservative principles,” many would make repudiation of any interest in comprehensive immigration reform — or, as they typically call it, “amnesty for Illegals” — part of the litmus test.

This is one issue of many where professional Republican pols are almost certainly happy that Barack Obama is in office right now — they don’t have to take a definitive position on immigration policy unless the president first pulls the trigger by moving a proposal in Congress, and it’s unlikely he will until other priorities are met.

But at some point, and particularly if Republicans win control of the House in November and inherit the dubious prize of partial responsibility for governance, they will come under intense pressure to turn the page decisively on the Bush-Rove embrace of comprehensive immigration reform. And no matter what Obama does, immigration will definitely be an issue in the 2012 Republican presidential competition.

So it’s of more than passing interest to note that the pressure on Republicans to take a national position on this issue has been significantly increased by the rise of the Tea Party Movement.

At 538.com today, Tom Schaller writes up a new study of tea partiers and racial-ethnic attitude in seven key states from the University of Washington’s Christopher Parker. While the whole thing is of considerable interest, I can’t tease much of immediate political signficance from the fragmentary findings that Parker has initially released, beyond the unsurprising news that Tea Partiers have general views on race, ethnicity and GLBT rights that you’d expect from a very conservative portion of the electorate.

But one finding really does just jump off the page: Among the 22 percent of white voters who say they “strongly support” the Tea Party Movement in the seven states involved in the study, nearly half (45 percent to be exact) favor the very radical proposition that “all undocumented immigrants in the U.S. should be deported immediately.” That’s interesting not only because it shows how strong anti-immigrant sentiment is in the Tea Party “base,” but because it embraces a very specific and proactive postion that goes far beyond resistance to comprehensive immigration reform or “amnesty.” The finding is all the more remarkable because it comes from a survey on “racial attitudes”; I don’t know what sorts of controls Parker deployed, but polls that dwell on such issues often elicit less-than-honest answers from respondents who naturally don’t want to sound intolerant.

So if and when push becomes shove for the GOP on immigration, the shove from the Tea Partiers could be especially strong. And that won’t make the GOP happy: Republican elites understand that however bright things look for them this November (in a midterm contest that almost always produces an older-and-whiter-than-average electorate), their party’s base of support is in elements of the population that are steadily losing demographic ground. Beginning in 2012, that will become an enduring and ever-worsening problem for the GOP, and a position on immigration guaranteed to repel Latinos would be a very heavy millstone, just as Karl Rove concluded when he pushed W. to embrace comprehensive immigration reform.

The issue is already becoming a factor in the 2010 cycle. This is most obvious in Arizona, where J.D. Hayworth’s Tea-Party-oriented challenge to John McCain is in part payback for McCain’s longstanding support for comprehensive immigration reform. But it could matter elsewhere as well. You’d think that Cuban-American Senate candidate Marco Rubio would be in a good position to do very well among Florida Latinos. But actually, his potential achilles heel in a likely general election matchup with Democrat Kendrick Meek (who, as it happens, is an African-American with his own close ties to South Florida’s Cuban-American community) is a weak standing among Latinos, particulary the non-Cuban Latino community in Central Florida, attributable in no small part to his vocal opposition to comprehensive immigration reform. Indeed, even if he defeats Meek, if Rubio gets waxed among Florida Latinos, Republicans will have an especially graphic illustration of the continuing political peril of opposing legalization of undocumented workers, even when advanced by a Latino politician.

The real acid test for Republicans on immigration could come in California, the state where in 1994 GOP governor Pete Wilson fatally alienated Latino voters from his party for years to come by championing a cutoff of public benefits for undocumented workers (a far less draconian proposal than immediate deportation, it should be noted). Underdog conservative gubernatorial candidate Steve Poizner has made his campaign all about reviving Wilson’s proposal. If Republican front-runner Meg Whitman can crush Poizner without any accomodation of his views on immigration, it could help her overcome a problem with Latino voters that emanates not only from Democrat Jerry Brown’s longstanding ties to the Latino community, but from the fact that her campaign chairman is none other than Pete Wilson.

In any event, whether it’s now or later, in 2010 or in 2012 and beyond, the Republican Party is going to have to deal with the political consequences of its base’s hostility to the levels of Latino immigration, and to growing demands for steps ranging from benefit cutoffs to deportation of undocumented workers. With the Tea Partiers exemplifying instensely held grassroots conservative demands for a more aggressively anti-immigration posture, even as the political costs of obeying these demands continues to rise, Republicans will be juggling explosives on this issue for the foreseeable future.

This item is cross-posted at The Democratic Strategist.

Photo credit: http://www.flickr.com/people/vpickering/

To Have and to Have Not

Thursday, April 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

Longtime political reporter Tom Edsall has a long and fascinating piece of analysis up at The Atlantic on the present and future shape of the two major party coalitions. While none of the data he discusses is terribly surprising, he does suggest some real internal problems with the emerging Republican coalition, which is increasingly made of up married white folks, but includes those who are “haves” only because they “have” government benefits that are perceived as vulnerable to budgetary competition from “have-nots”:

It’s entirely possible that, if the deficit forces continued zero-sum calculations, the definition of the center-right coalition of “haves” will be expanded beyond its original boundaries, stretching past the wealthy, the managerial and business class, the gun owners, the anti-taxers, the home schoolers, the property rights-ers, the Western ranchers, Christian evangelicals, and the self-employed to begin to include members of what conservative operative Grover Norquist called the “takings” coalition — men or women who get federal benefits. A Republican Party hungry for victory would welcome as new members Social Security and Medicare recipients  – “takers” who simultaneously consider themselves part of the universe of “haves” and of Norquist’s “leave us alone coalition.”

Add in people who are self-consciously dependent on federal defense spending, and you can see how a Republican coalition of public- and private-sector “haves” could be formidable if not terribly stable.

Demographic trends, though, are very dangerous for the GOP, as this Edsall nugget shows:

While there is no doubt that the increase in the number of racial and ethnic minority voters works to the advantage of the liberal coalition, white voters remain a wild card. In 2008, whites made up 74 percent of the electorate, and McCain carried them 55-43. There are precedents for much higher Republican margins: in 1972, Nixon carried 67 percent of the white vote, and in 1984 Reagan won 64 percent. Conversely, Bill Clinton only lost the white vote by one percentage point to George H. W. Bush in 1992. The one clear conclusion to draw from these figures is that if the GOP is unwilling to make major policy shifts, especially on immigration reform, a crucial issue to many Hispanics, the party will have to drive its margins among white voters back up to the Nixon-Reagan levels.

If anything, the current pressure on the GOP from its rank-and-file, including the Tea Party Movement, is in the opposite direction from any position on immigration policy that could attract Hispanics. So there will be a strong temptation on the Right for indulging heavily in what might be called White Identity Politics. In light of Edsall’s insight on the “haves” in the GOP coalition who are dependent on government spending, White Identity Politics could involve racially tinged distinctions between the “deserved” government benefits received by white middle-class retirees and the “undeserved” government benefits received or sought by poorer or darker folk. That’s a dynamic that’s already been abundantly apparent in the Republican assault on health reform.

Looks like today’s political turbulence will be with us for quite a while, particularly if relatively high unemployment and budget deficits persist, accentuating the zero-sum politics of group competition that Edsall sees in the data.

This item is cross-posted at The Democratic Strategist.

Blue Dogs Only Chasing Their Tail

Tuesday, March 9th, 2010
Will Marshall



Will Marshall is the president of the Progressive Policy Institute.

by Will Marshall

It often seems that Blue Dog Democrats, along with a handful of Senate moderates, are the only people in Washington who are serious about fiscal responsibility. Chasing the will-o-the-wisp of a balanced budget amendment, however, seems more likely to distract from than advance that essential cause.

The idea is seductively simple: The only way to restrain deficit spending in Washington is to make it unconstitutional. That’s how the states keep their books balanced, and there’s no reason the federal government shouldn’t do the same.

In fact, there are several. Consider that today’s federal deficit is about 12 percent of GDP. It’s going to go down as the economy recovers, but the spending and tax adjustments that would have to be made to get it all the way down to zero would be unduly draconian and disruptive. Also, unlike state mandates, a federal balanced budget amendment for accounting reasons would not distinguish between capital investment and consumption. But government borrowing to invest in public infrastructure or higher education, for example, makes economic sense, because it will generate more economic activity and amortize itself over time.

What’s more, the federal government acts as the nation’s fiscal safety valve, or strategic reserve. During severe economic downturns, the only way many states can provide services while preserving their fiscal virtue is to get counter-cyclical assistance (or revenue sharing) from Washington. A constitutional ban on deficits could prevent Washington from responding to emergencies of all kinds.

In truth, we don’t need a balanced federal budget — we need a disciplined federal budget. Congress would be better off adopting Sen. Mike Bennett’s (D-CO) sensible suggestion that federal deficits be held first to four percent, then to three percent of GDP each year. At that level, they’d be gradually whittled down by economic growth, and the government could borrow without swelling the national debt.

A balanced budget amendment, moreover, is a blunter instrument than we need to deal with overspending and undertaxing in Washington. It doesn’t hone in on the real problem, which is the automatic and unsustainable growth in entitlement spending. A better idea, from the Brookings-Heritage Fiscal Seminar, is to bring Medicare, Medicaid and Social Security on budget, which would require Congress to periodically reconcile income and spending to keep the programs solvent.

Finally, a balanced budget amendment is just too damn difficult to enact. Congress has to approve Constitutional amendments by a two-thirds vote, well nigh inconceivable given how hard it is to muster the 60 votes needed to break a filibuster. Then three-fourths of the states would have to approve an amendment.

Demanding a balanced budget amendment thus is more of a symbolic gesture than a real solution to America’s fiscal crisis. Recall that it was a key plank in the GOP’s 1994 Contract with America, but Republicans quickly lost interest once they won control of Congress. Nonetheless, Newt Gingrich has endorsed the amendment in a bid to recapture the old magic for this year’s midterm elections.

Unlike the Republicans, of course, the Blue Dogs have real street cred when it comes to fiscal rectitude. They fought successfully to resurrect “pay go” rules that require Congress to offset new spending with tax hikes or budget cuts. And key Blue Dog leaders like Rep. Jim Cooper (D-TN) have led the charge for a bipartisan commission to get entitlement spending under control.

It’s vital, though, that progressive deficit hawks not let the holy grail of a constitutional amendment deflect them from the gritty, day-to-day battles in Congress to get America’s exploding deficits and debts under control.

The Tea Party’s Retreaded “Ideas”

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

For all the talk about the Tea Party Movement and its demands that America’s political system be turned upside down, it’s always been a bit hard to get a fix on what, exactly, these conservative activists want Washington to do.

To solve this puzzle, it’s worth taking a look at the Contract From America process — a project of the Tea Party Patriot organization, designed to create a bottoms-up, open-source agenda that activists can embrace when they gather for their next big moment in the national media sun on April 15. The 21-point agenda laid out for Tea Partiers to refine into a 10-point “Contract” is, to put it mildly, a major Blast from the Past, featuring conservative Republican chestnuts dating back decades.

There’s term limits, naturally. There are a couple of “transparency” proposals, such as publication of bill texts well before votes. But more prominent are fiscal “ideas” very long in the tooth. You got a balanced budget constitutional amendment, which ain’t happening and won’t work. You got fair tax/flat tax, the highly regressive concept flogged for many years by a few talk radio wonks, that has never been taken seriously even among congressional Republicans. You’ve got Social Security and Medicare privatization (last tried by George W. Bush in 2005) and education vouchers. You’ve got scrapping all federal regulations, preempting state and local regulations, and maybe abolishing some federal departments (an idea last promoted by congressional Republicans in 1995). You’ve got abolition of the “death tax” (i.e., the tax on very large inheritances). And you’ve got federal spending caps, which won’t actually roll back federal spending because they can’t be applied to entitlements.

My favorite on the list is a proposal that in Congress “each bill…identify the specific provision of the Constitution that gives Congress the power to do what the bill does.” This illustrates the obliviousness or hostility of Tea Partiers to the long string of Supreme Court decisions, dating back to the 1930s, that give Congress broad policymaking powers under the 14th Amendment and the Spending and Commerce Clauses. This illustrates the literalism of Tea Party “original intent” views of the Constitution; if wasn’t spelled out explicitly by the Founders it’s unconstitutional.

We are often told that the Tea Party Movement represents some sort of disenfranchised “radical middle” in America that rejects both major parties’ inability to get together and solve problems. As the “Contract From America” shows, that’s totally wrong. At least when it comes to policy proposals, these folks are the hard-right wing of the Republican Party, upset that Barry Goldwater’s agenda from 1964 has never been implemented.

Photo credit: http://www.flickr.com/photos/bisongirl/ / CC BY 2.0

The Bunning Blockade Ends

Wednesday, March 3rd, 2010
Elbert Ventura



Elbert Ventura is the managing editor of Democracy: A Journal of Ideas. He formerly served as the managing editor of the Progressive Policy Institute.

by Elbert Ventura

Sen. Jim Bunning (R-KY), who had held up Senate passage of a $10 billion short-term benefits extension for days, finally relented yesterday and allowed the measure to come for a vote. Bunning’s objection to unanimous consent to pass the package resulted in the elapsing of funding for a host of federal programs, including infrastructure projects, unemployment benefits, and Medicare payments.

The Kentucky senator, who is retiring after this year (with a helpful nudge from his fellow Republicans), had demanded that Democrats find offsets in the budget for the legislation. Democrats retorted that the bill was a short-term emergency measure that did not fall under “pay-go” rules. (Democrats, on a party-line vote, reinstituted “pay-as-you-go” rules in January.)

The Bunning blockade proved to be a heaven-sent illustration of Republican obstructionism and heartlessness. McClatchy came up with a handy graphic depicting its state-by-state effects:

Even as the blockade stretched over the first couple of days of this week – leaving about 1.2 million unemployed people high and dry, 2,000 Department of Transportation workers furloughed, and numerous projects halted – some of Bunning’s colleagues actually voiced their support for his actions. Sen. John Cornyn (TX) said:

It’s not fun to be accused of having no compassion for the people who are out of work, the people for who these benefits should be forthcoming, and I believe will be forthcoming. But somebody has to stand up, finally, and say enough is enough, no more inter-generational theft from our children and grandchildren by not meeting our responsibilities today.

Meanwhile, Sen. Jon Kyl (AZ), in response to Bunning’s filibuster of unemployment compensation, helpfully noted: “In fact, if anything, continuing to pay people unemployment compensation is a disincentive for them to seek new work.” Even newly minted Sen. Scott Brown gave Bunning’s efforts a thumbs-up:

The perception in Massachusetts and other parts of the country is that Washington is broken. And if it takes one guy to get up and make a stand, to point out that we need a funding source to pay for everything that’s being pushed here, I think that speaks for itself.

Here’s the best part: Bunning, along with every Republican in the Senate, voted against “pay-as-you-go” legislation. Republicans had thundered that the pay-go bill was a political fig leaf and that Democrats weren’t really serious about budget sanity. Considering that previous pay-go rules elapsed in 2002 under the Republicans’ watch, and that they also presided over the ballooning of the deficit, I suppose they’re experts on the subject.

President Obama’s Letter: Setting up the Final Push

Tuesday, March 2nd, 2010
Elbert Ventura



Elbert Ventura is the managing editor of Democracy: A Journal of Ideas. He formerly served as 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.

What We Talk About When We Talk About Health Care

Monday, March 1st, 2010
Elbert Ventura



Elbert Ventura is the managing editor of Democracy: A Journal of Ideas. He formerly served as 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.

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.

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 (ChaitDouthat, 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

A Push Into the Abyss

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

Glenn Beck”s weird tutorial that ended this weekend’s Conservative Political Action Conference seems to have been a big hit among attendees. Yes, it’s a bit ironic that he expressed views highly similar to those of Ron Paul, whose student-driven victory in the CPAC straw poll was heavily panned and booed by the “regular” conservatives at the conference. Yes, some may have been put off by his constant use of Alcoholics Anonymous metaphors (people who need any form of government assistance are apparently just like alcoholics who haven’t “hit bottom” yet). But there really didn’t seem to be much dissent in this crowd with the idea that “progressivism” dating all the way back to Wilson and TR has been demonic, or that Republicans have to repudiate all forms of activist government if they want to get back on the paths of righteousness.

I was particularly struck by John Fund’s analysis of Beck’s appearance for the Wall Street Journal, which treated it as a constructive warning to Republicans against the temptations of governing.

It’s true that people like Beck and Paul, and most obviously the Tea Party Movement, are encouraging Republican politicians to take an ever-more-rigid position against government spending which, in combination with perpetual demands for both fiscal discipline and major new tax cuts, suggest a level of government retrenchment far beyond anything Americans have experienced since Hoover. But it’s surprising how few observers on the Right seem to be aware of the exceptionally perilous political direction of such talk.

Chris Bowers recently offered a useful summary of recent polling on specific cuts in government spending. And the bottom line is that Americans really, really don’t want them except in small categories like NASA and non-defense foreign assistance. And this is why symbolic anti-spending measures like never-to-be-enacted constitutional balanced budget amendments (Tim Pawlenty’s favorite panacea) and various “freezes” have always been so popular among GOP politicians. It’s probably poetic justice for conservatives that decades of anti-government demagoguery have convinced so many people that it would be easy to slash spending by attacking “waste” or “bureaucrats” or “welfare” or “foreign aid,” but the reality is that any serious attack on federal spending will have to include major cuts in defense; very popular domestic entitlement programs; or very popular domestic discretionary programs like public education and law enforcement.

So all the white-hot rhetoric about spending you hear from GOPers these days carries some pretty interesting implications, particularly for the bulk of Republicans who also favor a big escalation of the Afghanistan War (and perhaps a new war with Iran), and who have no prescriptions for economic growth other than still more tax cuts. I’m sure that Beck and Paul would have no problem calling for the abolition of Medicare and Social Security as they exist today, but are GOP politicians ready to follow? I don’t think so. And this is the real reason they struggle to articulate a governing agenda for 2010 and beyond.

Maybe John Fund thinks it’s good for Republicans to regularly get a kick in the pants from right-wing figures whose own views, if put to a vote, wouldn’t get support from more than a quarter of the electorate. But it looks to me more like a push into a political abyss. Maybe they can get away with fierce-but-vague rhetoric and opposition to Democratic initiatives for a while, but ultimately they will have to come right out and admit that the fiscal arithmetic of their own “thinking” would lead to a federal government more like that of the Coolidge administration (Beck’s favorite) than that of the Reagan administration. If they do, it won’t be Beck or Paul who has to pay the political price.

This item is cross-posted at The Democratic Strategist.

Obama’s Deficit Commission

Thursday, February 18th, 2010
Will Marshall



Will Marshall is the president of the Progressive Policy Institute.

by Will Marshall

The present era of polarization may have reached its nadir on January 25, 2010. That was the day Senate GOP leader Mitch McConnell led a filibuster to kill a deficit reduction commission — something he’d loudly demanded earlier. All it took was President Obama’s endorsement to turn McConnell and the six Senate Republicans who co-sponsored it against the bill.

Senate Republicans, have you no shame? Well, keep in mind that this is the same gang that’s now posturing as the saviors of Medicare, which Obama proposes to cut to help pay for health care reform.

Undeterred by the flight of the GOP’s fiscal chicken hawks, President Obama today unveiled an 18-member special commission to tackle the nation’s budget crisis. Named to lead the panel were Democrat Erskine Bowles, chief of staff to President Clinton, and former Senate Republican leader Alan Simpson.

It’s easy to be cynical about such “blue ribbon” commissions. They are supposed to signal that political leaders are serious about solving intractable problems, but often convey the opposite — a craven desire to punt tough decisions to retired dignitaries who don’t have to face the voters.

And setting up a commission by executive order is distinctly inferior to enacting one into law, since the president can’t compel Congress to give his panel’s recommendations an up-or-down vote. Speaker Nancy Pelosi has offered distinctly unenthusiastic assurances that the House will consider the commission’s suggestions.

Still, such commissions are sometimes the only way to break a political impasse — recall the 1983 Greenspan Commission for Social Security reform, or the congressionally mandated military base-closing commission. Such action-forcing mechanisms give politicians just enough bipartisan cover to embolden them to vote for reforms everyone knows are necessary if unpopular.

In a bow to political reality, the president’s commission will report its recommendations after the midterm election, before the end of the year. Presumably, that will tee up the debate for the next Congress, while giving the economy this year to gain strength and whittle down the unemployment rate.

That’s the right timing, and it belies claims by Obama’s liberal critics that highlighting the urgent need to put America on a more sustainable fiscal course is antithetical to economic recovery. After all, only about $300 billion of Obama’s $800-plus stimulus package has been spent, and Congress is crafting a jobs bill intended to give a smaller but more targeted boost to employment.

But here’s what really irks Obama’s critics on the left: they see the commission setting the stage for an assault on entitlement programs. They are not entirely wrong: it’s the unsustainable growth of Medicare, Medicaid, and Social Security that’s driving America’s long-term fiscal woes. But progressives ought to have more confidence in Obama’s ability to take a balanced approach to reforming the Big Three. It’s better, and safer, to do that now rather than risk handing off the job to some future Republican president who may be hostile to the idea of social insurance.

The president’s commission must do what lawmakers in Washington won’t — craft a balanced program of benefit cuts and tax increases to slow the growth rate of health and retirement benefits and move them toward solvency. Otherwise, those programs will consume the equivalent of every penny Washington now raises in taxes, necessitating unprecedented tax hikes, or borrowing at levels that will jeopardize America’s growth and fiscal stability.

But the commission shouldn’t just look at the Big Three, it should also look at the federal government’s massive spending on tax entitlements. Washington spends over $1 trillion a year on tax breaks and subsidies, including such popular items as the mortgage interest deduction and exclusion of employer-paid health benefits, crop subsidies, and a raft of special bennies for politically influential industries, aka, corporate welfare. There are also lots of important breaks for low-income Americans, like my own favorite, the earned income tax credit. All of these tax expenditures have rationales and constituencies, none should be regarded as sacrosanct.

This will raise hackles among Republicans, just as talk of benefit cuts (which should be focused on upper income beneficiaries) makes Democrats nervous. Both the left and the right will have to give ground to cut a responsible, and politically sustainable, deal that can restore out nation’s fiscal health.

Bring On the GOP Health Policies!

Monday, January 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

I’m with Steve Benen on this one: after listening to Republicans say all weekend that the president needs to surrender on health care reform and start embracing theirpolicy ideas, maybe it’s time to draw a lot more public attention to all that fine GOP thinking on the subject.

So where to begin? I guess that would be with the “plan” that drew 176 Republicans votes in the House in a test vote in November of last year, the so-called “Boehner plan.” Dissed by an official Congressional Budget Office analysis that suggested it would cover almost none of the uninsured, while controlling costs far less effectively than the House Democratic proposal, this plan followed the usual conservative template of focusing on tort “reform,” “interstate markets” for private heath insurance (e.g., elimination of state regulations), elimination of the entire employer-based system, and a two-pronged strategy of subsidizing high-deductible individual health plans for healthy people, and state-run risk pools for sick people. It was, as Matt Yglesias put it, an “un-insurance” plan that would take health policy, in some respects, back to the 1950s.

Another example of Republican “thinking” on health care policy is the idea of “voucherizing” Medicare, which was the central health policy element of the official House GOP “alternative budget” offered last April by Rep. Paul Ryan of WI. While “Medicare voucher” proposals vary, they all at the very least aim at transforming Medicare into a system of federal subsidies for purchasing private health insurance, while capping expenditures regardless of the impact on benefits. To put it simply, seniors would march through the streets with torches to protest any such plan if it were taken seriously.

And then there’s the most fully developed Republican health care plan, the one developed and implemented by the front-runner for the 2012 GOP presidential nomination, and recently promoted by the party’s maximum “new star”: the Massachusetts health reform plan. How about allowing a vote on that in Congress? Oh, yeah, sorry, that’s pretty much the plan already passed by the U.S. Senate without a single Republican vote! It’s socialist!

Suffice it to say that while Democrats have been materially hurt by endless scrutiny and confusion about the substance of their ideas on health care, Republicans have massively benefitted from a total lack of accountability for their own ideas. Best I can tell, Republicans would probably be politically destroyed if people truly paid attention to GOP health proposals. So Democrats should find ways to help their GOP colleagues publicize their ideas.

This item is cross-posted at The Democratic Strategist.