Public Policy and Governance – Page 210

Looking For A Bright Side

We are all hungry for good news these days–even if the search for the “bright side of life” sometimes seems reminiscent of that famous scene from Life of Brian….

So–can we look for any good news emanating from the Trump Administration? I’ve previously pointed out that civic participation is up dramatically since the election–huge numbers of people who were previously apathetic about government have evidently realized that public policy really does matter. (I know, clutching at straws here…)

Granted, any positive consequence coming from this misbegotten administration is by definition inadvertent. But that doesn’t make such consequences nonexistent.

In a recent column, Fred Hiatt expanded on that inadvertence, which he dubbed “The Boomerang Effect.”

Did your head spin when Utah’s Orrin Hatch, a true conservative and the Senate’s longest-serving Republican, emerged last week as the most eloquent spokesman for transgender rights? Credit the Trump boomerang effect.

Much has been said about White House dysfunction and how little President Trump has accomplished in his first six months. But that’s not the whole story: In Washington and around the world, in some surprising ways, things are happening — but they are precisely the opposite of what Trump wanted and predicted when he was sworn in.

Hiatt reminds his readers of the conventional wisdom–or at least, the conventional punditry–that saw Brexit and Trump’s election as harbingers of a global white nationalist resurgence. Putin and Russia would gain power, the European Union would fracture or disintegrate. That didn’t happen.

But European voters, sobered by the spectacle on view in Washington, moved the other way. In March, the Netherlands rejected an anti-immigrant party in favor of a mainstream, conservative coalition. In May, French voters spurned the Putin-loving, immigrant-bashing Marine Le Pen in favor of centrist Emmanuel Macron, who went on to win an overwhelming majority in Parliament and began trying to strengthen, not weaken, the E.U.

Meanwhile, German Chancellor Angela Merkel, whom Trump belittled for having allowed so many refugees into her country, has grown steadily more popular in advance of a September election.

Conventional wisdom also saw the GOP’s control of Congress and the White House as evidence that the Affordable Care Act aka “Obamacare” was doomed. Thanks in no small part to the Trump’s incompetence and the internal divisions within the once Grand Old Party, that didn’t happen either.

But here’s the boomerang effect: Obamacare is not just hanging on but becoming more popular the more Trump tries to bury it. And if he now tries to mismanage Obamacare to its death, we may boomerang all the way to single-payer health insurance. This year’s debate showed that most Americans now believe everyone should have access to health care. If the private insurance market is made to seem undependable, the fallback won’t be Trumpcare. It will be Medicare for all.

I fervently hope Hiatt is correct about that, although I admit to having my doubts.

Among the other “boomerangs” that Hiatt identifies are several that are familiar to most of us: firing Comey really ratcheted up the Russia investigation, and increased the public’s perception that Trump has something (many things, probably) to hide. Withdrawing from the Paris Accords prompted state and local governments to increase their efforts to combat climate change. Trump’s threats of massive cuts to the NIH research budget may have strengthened that agency’s hand .

Unfortunately, none of this really mitigates the harm this administration is doing every day. We have a racist Attorney General who is sabotaging civil rights and criminal justice reforms; an appalling Secretary of Education who wants to destroy public schools and use vouchers to “build up God’s Kingdom;” a climate denier in the pocket of fossil fuel interests is in charge of the EPA. Whatever Rex Tillerson’s strengths or weaknesses, the State Department staff and institutional memory have been eviscerated…

The “boomerang” we desperately need is a clean sweep of Congress in 2018.

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If You Can’t Defeat It, Sabotage It

During the ongoing saga of the Senate’s inability to formally eviscerate the Affordable Care Act, “President” Trump has tweeted out several threats: to fund primary opponents of Republicans who refused to support repeal, to punish Alaskans for the votes of their Senator, and implicitly, after the measure failed, to sabotage the Affordable Care Act to ensure that it will fail.

Nice guy–as no one ever has said.

The Washington Post, among many others, has reported on the methodology behind the madness. (Madness used here in both senses of that term…)

Blue Cross Blue Shield of North Carolina has announced that it intends to try to raise premiums by 22.9 percent next year. The company says it would have tried to raise them by only 8.8 percent, but it is going for the larger increase because the Trump administration has not said whether it will continue paying the law’s so-called “cost-sharing reductions” (CSRs) to insurance companies, which subsidize out-of-pocket costs for lower-income people who get insurance on the individual markets. Democrats in Congress want to appropriate money to cover these subsidies, but Republicans have not done so….

Trump has repeatedly threatened to cut off the CSRs. Doing so could cause many insurers to exit the market, potentially costing millions their insurance, while causing others to dramatically hike premiums. The administration paid them for May, but officials continue to refuse to saywhether the payments will continue after that. The CSRs are tied up in court: House Republicans sued to stop them under Barack Obama, whose administration appealed the decision, and the payments continued pending the appeal, but the Trump administration has not said whether it will continue the appeal (dropping it would cause the payments to halt) and recently asked for a 90-day delay from the court while it mulls their fate. But this has only injected further uncertainty, and while some congressional Republicans have said they think the funds must be appropriated to stabilize the situation, there’s no sign whether they actually will.

Anthem Insurance, based here in my home city of Indianapolis, has withdrawn from participation in several of the exchanges due to the lack of CSR certainty.

The Center on Budget and Policy Priorities has actually added “Sabotage Watch” to its webpage; it tracks administration actions taken to undermine the Act, month by month, since Trump’s inauguration. Here’s the entry for July:

July 20

The Trump Administration ends contracts with two private firms to provide in-person assistance in states using HealthCare.gov for marketplace enrollment. Since the first open enrollment period in 2013, Cognosante LLC and CSRA Inc. have provided one-on-one assistance for people enrolling in marketplace plans and applying for subsidies. The loss of this assistance is especially likely to affect enrollment for 2018 coverage because the Administration has already shortened the open enrollment period to six weeks.

July 20

The Department of Health and Human Services (HHS) continues its public relations campaign attacking the ACA. HHS has released 23 videos featuring individuals explaining how the ACA has harmed them. HHS has also used its twitter account to amplify anti-ACA messages and removed website content promoting the ACA, including the popular ACA provision enabling young people to stay on their parents’ plans until they turn 26.

A number of publications have reported on the Administration’s efforts to undermine “Obamacare.” The following explanation from New York Magazine is typical.

By threatening to stop paying out those so-called cost-sharing reductions — while also threatening not to enforce penalties on those go without insurance — the White House sowed uncertainty that chased insurers out of Obamacare.

In mid-April, several of America’s largest insurance companies descended on Washington to seek the White House’s assurance that Trump’s rhetoric about withholding the subsidies was just a bluff. Seema Verma, Trump’s head of Medicare and Medicaid Services, informed the insurers that it couldbe a bluff — if they agreed to publicly support the president’s health-care bill.

The insurers found little comfort in this exchange. Nor did Trumpcare’s sudden revival calm their nerves. To protect themselves from a diverse array of very-bad-case scenarios, many jacked up their premiums and wound down their participation in the Affordable Care Act.

It’s hard to find words to describe this behavior. Unconscionable, despicable and disgusting come to mind….

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Nature Abhors a Vacuum

The dominance of climate-change deniers in the Trump cabinet, and Trump’s own dismissal of science and expertise–exemplified by his withdrawal from the Paris Accords–has rational people understandably depressed and worried.

Fortunately, policy is not made or implemented exclusively at the federal level.

Earlier this month, the New York Times reported that California Governor Jerry Brown had announced his own global summit.

Gov. Jerry Brown of California on Thursday reinforced his reputation as America’s de facto leader on climate change, announcing to cheering crowds in Hamburg, Germany that his state would gather leaders from around the world for a global warming summit next year.

Speaking by videoconference to the Global Citizens Festival in Hamburg, where President Donald Trump is joining other world leaders for the Group of 20 economic summit, Governor Brown said the president “doesn’t speak for the rest of America” in pulling out of the Paris agreement on climate change.

Governor Brown announced a Climate Action Summit, to take place in San Francisco in September of 2018. The California meeting will include leaders of states, cities, businesses and a variety of other organizations pledged to the goals of the Paris Accords. Organizers anticipate thousands of attendees from among those who have been galvanized by Mr. Trump’s decision.

It isn’t just Jerry Brown, either. Former New York City Mayor Michael Bloomberg has published a letter to the United Nations that has been signed by more than 1,200 mayors, business leaders, university presidents and others who confirmed that “we are still in” the climate deal.

The response has been overwhelmingly positive.

“With the Trump administration’s rather comprehensive moves to reverse the Obama administration’s suite of climate policies, the potential importance and the prominence of all these subnational actions and actors is greater now than ever before,” said Robert Stavins, an energy economist at Harvard University….

Governor Brown maintained that his goal was not to antagonize the president, but to urge everyone to do more. “It isn’t being cooked up because of Trump,” Governor Brown said in an interview Wednesday. “No nation or state is doing what they should be doing. This is damn serious, and most people are taking it far too lightly than the reality of the threat. You can’t do too much to sound the alarm because so far the response is not adequate to the challenge.”

He predicted the opposition to climate change policies by Mr. Trump and many Republicans would shift as evidence of the consequences of climate change mounted. “If the whole world except the U.S. is sufficiently galvanized, it will only be a short period before the U.S. falls in line,” he said. “I think President Trump unwittingly is serving to stimulate the movement toward decarbonization by his very public, idiosyncratic resistance to both the science, the diplomacy and the politics.”

To characterize Trump’s resistance as “idiosyncratic” is incredibly diplomatic. But I entirely agree that any positive results of Trump’s election have been entirely inadvertent…

Addendum: For readers inclined to enjoy nature and our national parks while we still have them and the latter are still affordable, I’m passing along a message from Betty:

You may want to let your readers 62-over know that they can get a Lifetime Senior Pass to all national parks/monuments right now for $10. The pass jumps to $80 on Aug. 28, 2017. Passes are available online at www.nps.gov ($10 service fee added, still a bargain) or by a visit to a Visitor Center at any national park/monument.

I got mine at Shiloh National Military Park and it stays in my vehicle. The pass comes with a hangtag and a plastic card for the owner to sign, insert on the hangtag, and display on the rearview mirror at any national park/monument.

Your readers have a month before the price goes through the roof.

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Trump’s “Perverse Miracle”

E.J. Dionne is always thought-provoking, but his column yesterday about the collapse of (small-d) democratic norms at both ends of Pennsylvania Avenue–and especially his description of the President’s current twitter storm attacking Jeff Sessions–was, as the saying goes, “dead on.”

Trump’s latest perverse miracle is that he has progressives — along with everyone else who cares about the rule of law — rooting for Sessions. The attorney general is as wrong as ever on voter suppression, civil rights enforcement and immigration. But Sessions did one very important thing: He obeyed the law.

When it was clear that he would have obvious conflicts of interest in the investigation of Russian meddling in our election and its possible links to the Trump campaign, Sessions recused himself, as he was required to do.

Trump’s attacks on Sessions for that recusal are thus a naked admission that he wants the nation’s top lawyer to act illegally if that’s what it takes to protect the president and his family.

My only quibble with this analysis is the assumption– implicit in the description–that Trump understands the difference between legality and illegality. His entire career calls into question his comprehension of law as distinct from power.

To the extent that his mental processes could be called “thought,” it appears that Trump approaches law as the ability to wield authority. The central notion of the rule of law–that no one is above the law, that rules are created in conformance with certain standards of fundamental fairness, and that they apply to everyone, irrespective of wealth or status–is clearly outside his comprehension.

Even Sessions–a contemptible bigot who has spent much of his professional life opposed to rational policies if they advanced equal rights–understood his obligation to remove himself from a situation in which he had an obvious conflict of interest.

Gail Collins summed up the situation with her usual mordant humor:

Now Trump wants Sessions gone so he can replace him with an attorney general who will fire special counsel Robert Mueller. Sessions can’t do it because he recused himself from all things Russia-related.

Mueller’s probe into the Trump camp’s relationship with Russia terrifies the president, especially if it involves an investigation of Trump family finances. So obviously, we are rooting for Sessions to stay right where he is … and, um, keep persecuting immigrants, ratchet up imprisonments for nonviolent crimes and maybe go back to his old dream of imposing the death penalty on marijuana dealers.

Well, I told you this was about irony.

In just over six months, Trump has the whole country rooting for the lesser of two evils….a “perverse miracle” indeed.

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I Do Love Juanita Jean..

Juanita Jean somehow gets wind of the most entertaining information. I hope I’m not violating fair use or some other copyright rule by sharing the bulk of this post to the World’s Most Dangerous Beauty Parlor:

Senator Susan Collins got caught accidentally (?) on a hot microphone about Blake Farenthold wanting to shoot her in a duel.

“Did you see the one who challenged me to a duel?” Collins asks.

“I know,” Reed replies. “Trust me. Do you know why he challenged you to a duel? ‘Cause you could beat the s— out of him.”

“Well, he’s huge,” Collins replies. “And he — I don’t mean to be unkind, but he’s so unattractive it’s unbelievable.”

“Did you see the picture of him in his pajamas next to this Playboy bunny?” she continues, referring to an infamous photo of Farenthold.

And it must have been Susan Collins ope mike night because she and Senator Reed continue, but about the president.

“I swear, [the Office of Management and Budget] just went through and whenever there was ‘grant,’ they just X it out,” Collins says. “With no measurement, no thinking about it, no metrics, no nothing. It’s just incredibly irresponsible.”

“Yes,” Reed replies. “I think — I think he’s crazy,” apparently referring to the president. “I mean, I don’t say that lightly and as a kind of a goofy guy.”

“I’m worried,” Collins replies.

“Oof,” Reed continues. “You know, this thing — if we don’t get a budget deal, we’re going to be paralyzed.”

“I know,” Collins replies.

“[Department of Defense] is going to be paralyzed, everybody is going to be paralyzed,” Reed says.

“I don’t think he knows there is a [Budget Control Act] or anything,” Collins says, referring to a 2011 law that defines the budget process.

Susan Collins is one of the few sane GOP Senators still serving, and one of an even smaller number willing to act on her convictions. (Unlike Mr. Much-Lauded “Maverick” McCain, who makes great speeches then obediently falls into line when it’s time to vote.) Collins is usually the soul of discretion, so the candid assessments were a departure for her . Whether the open mic was accidental or not, the exchange was illuminating.

As Collins–and undoubtedly a number of other Republican Senators–clearly understand, we have a President who has absolutely no idea how government works and no interest in finding out–for that matter, no interest in anything except twitter and self-aggrandizement. And he’s being enabled by a group of power-obsessed moral midgets, a significant number of whom are swaggering misogynists who can’t begin to match Susan Collins for balls.

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