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Are you ready to lose Social Security and Medicare (not to mention Medicaid and all the other safety net programs that Rethugs are gleefully scheduling for the chopping block)?
The Democrat’s Version of Health Insurance Would Have Been Cheaper, Simpler, and More Popular (So Why Did We Enact the Republican Version and Why Are They So Upset?)
By Robert Reich
October 26, 2013
House Majority Leader Eric Cantor says Republicans will seek to delay a requirement of the 2010 Affordable Care Act that all Americans obtain health insurance or face a tax penalty. ”With so many unanswered questions and the problems arising around this rollout, it doesn’t make any sense to impose this one percent mandate tax on the American people.”
While Republicans plot new ways to sabotage the Affordable Care Act, it’s easy to forget that for years they’ve been arguing that any comprehensive health insurance system be designed exactly like the one that officially began October 1st, glitches and all.
For as many years Democrats tried to graft healthcare onto Social Security and Medicare, and pay for it through the payroll tax. But Republicans countered that any system must be based on private insurance and paid for with a combination of subsidies for low-income purchasers and a requirement that the younger and healthier sign up.
Not surprisingly, private health insurers cheered on the Republicans while doing whatever they could to block Democrats from creating a public insurance system.
In February 1974, Republican President Richard Nixon proposed, in essence, today’s Affordable Care Act. Under Nixon’s plan all but the smallest employers would provide insurance to their workers or pay a penalty, an expanded Medicaid-type program would insure the poor, and subsidies would be provided to low-income individuals and small employers. Sound familiar?
Private insurers were delighted with the Nixon plan but Democrats preferred a system based on Social Security and Medicare, and the two sides failed to agree.
Thirty years later a Republican governor, Mitt Romney, made Nixon’s plan the law in Massachusetts. Private insurers couldn’t have been happier although many Democrats in the state had hoped for a public system.
When today’s Republicans rage against the individual mandate in the Affordable Care Act, it’s useful to recall this was their idea as well.
In 1989, Stuart M. Butler of the conservative Heritage Foundation came up with a plan that would “mandate all households to obtain adequate insurance.”
Insurance companies loved Butler’s plan so much it found its way into several bills introduced by Republican lawmakers in 1993. Among the supporters were Senators Orrin Hatch, R-Utah, and Charles Grassley, R-Iowa (who now oppose the mandate under the Affordable Care Act). Newt Gingrich, who became Speaker of the House in 1995, was also a big proponent.
Romney’s heathcare plan in Massachusetts included the same mandate to purchase private insurance. “We got the idea of an individual mandate from [Newt Gingrich], and [Newt] got it from the Heritage Foundation,” said Romney, who thought the mandate “essential for bringing the health care costs down for everyone and getting everyone the health insurance they need.”
Now that the essential Republican plan for healthcare is being implemented nationally, health insurance companies are jubilant.
Last week, after the giant insurer Wellpoint raised its earnings estimates, CEO Joseph Swedish pointed to “the long-term membership growth opportunity through exchanges.” Other major health plans are equally bullish. “The emergence of public exchanges, private exchanges, Medicaid expansions … have the potential to create new opportunities for us to grow and serve in new ways,” UnitedHealth Group CEO Stephen J. Hemsley effused.
So why are today’s Republicans so upset with an Act they designed and their patrons adore? Because it’s the signature achievement of the Obama administration.
There’s a deep irony to all this. Had Democrats stuck to the original Democratic vision and built comprehensive health insurance on Social Security and Medicare, it would have been cheaper, simpler, and more widely accepted by the public. And Republicans would be hollering anyway.
Ever wonder what came over the Democrats? Something tells me it's what makes people joke about them today as the "Dims."
Why Giving Republican Bullies a Bloody Nose Isn’t Enough
By Robert Reich
October 13, 2013
Now is the time to lance the boil of Republican extremism once and for all.
Since Barack Obama became president, the extremists who have taken over the Republican Party have escalated their demands every time he’s caved, using the entire government of the United States as their bargaining chit.
In 2010 he agreed to extend all of the Bush tax cuts through the end of 2012. Were they satisfied? Of course not.
In the summer of 2011, goaded by an influx of Tea Partiers, they demanded huge spending cuts in return for raising the debt ceiling. In response, the President offered an overly-generous $4 trillion “Grand Bargain,” including cuts in Social Security and Medicare and whopping cuts in domestic spending (bringing it to its lowest level as a share of gross domestic product in over half a century).
Were Republicans content? No. When they demanded more, Obama agreed to a Super Committee to find bigger cuts, and if the Super Committee failed, a “sequester” that would automatically and indiscriminately slice everything in the federal budget except Social Security and Medicare.
Not even Obama’s re-election put a damper on their increasing demands. By the end of 2012, they insisted that the Bush tax cuts be permanently extended or the nation would go over the “fiscal cliff.” Once again, Obama caved, agreeing to permanently extend the Bush tax cuts for incomes up to $400,000.
Early this year, after the sequester went into effect, Republicans demanded even bigger spending cuts. Obama offered more cuts in Medicare and a “chained CPI” to reduce Social Security payments, in exchange for Republican concessions on taxes.
Refusing the offer, and seemingly delirious with their power to hold the nation hostage, they demanded that the Affordable Care Act be repealed as a condition for funding the government and again raising the debt ceiling.
This time, though, Obama didn’t cave — at least, not yet.
The government is shuttered and the nation is on the verge of defaulting on its debts. But public opinion has turned sharply against the Republican Party. And the GOP’s corporate and Wall Street backers are threatening to de-fund it.
Suddenly the Republicans are acting like the school-yard bully who terrorized the playground but finally got punched in the face. They’re in shock. They’re humiliated. They’re trying to come up with ways of saving face.
With bloodied nose, House Republicans are running home. They’ve abruptly turned negotiations over to their Senate colleagues.
And just as suddenly, their demand to repeal or delay the Affordable Care Act has vanished. (An email from the group Tea Party Express says: “Are you like us wondering where the fight against Obamacare went?”) At a lunch meeting in the Capitol, Senator John McCain asked a roomful of Republican senators if they still believed it was possible to reverse parts of the program. According to someone briefed on the meeting, no one raised a hand — not even Ted Cruz.
It appears that negotiations over the federal budget deficit are about to begin once again, and presumably Senate Republicans will insist that Obama and the Democrats give way on taxes and spending in exchange for reopening the government and raising the debt ceiling for at least another year.
But keeping the government running and paying the nation’s bills should never have been bargaining chits in the first place, and the President and Democrats shouldn’t begin to negotiate over future budgets until they’re taken off the table.
The question is how thoroughly President Obama has learned that extortionist demands escalate if you give in to them.
(Robert Reich, Chancellor’s Professor of Public Policy at the University of California at Berkeley, was Secretary of Labor in the Clinton administration. Time Magazine named him one of the ten most effective cabinet secretaries of the twentieth century. He has written thirteen books, including the best sellers Aftershock and The Work of Nations. His latest, Beyond Outrage, is now out in paperback. He is also a founding editor of the American Prospect magazine and chairman of Common Cause. His new film, Inequality for All, will be out September 27.)
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