Why Do They Hate the ACA?

Yesterday, I noted the anger directed at the Chief Justice by Republicans furious that he failed to strike down the Affordable Care Act. It was yet another aspect of Republican fury over any effort to extend access to health insurance.

The Capitol Times, a Wisconsin newspaper, recently ran an article about the GOP’s fixation on repealing the hated “Obamacare.”

What is this Republican obsession about what was once so derisively called Obamacare?

It makes no difference if it’s a supposedly enlightened Republican like Paul Ryan or an over-the-top right-winger like Ted Cruz. Neither can get through a speech without blaming the Affordable Care Act for all of the nation’s problems and insisting that it be repealed — yesterday, if not sooner….

Evidence continues to pour in that Obamacare has dramatically changed for the better the lives of millions of Americans. None of that fazes the Republicans in Congress or those on the presidential trail.

Let’s be honest. If opposing Medicare wasn’t so politically damaging, most Republican conservatives would advocate its repeal, too. I’m old enough to remember the hysteria and outrage that accompanied passage of Medicare, and the dire predictions that it would erase incentives for people to go to medical school–after all, why spend all that time and money learning to heal people if you couldn’t make out like a bandit once you established a practice?

Apparently, people are still going through medical school, and Medicare has worked well enough that it has joined the “third rail” political status enjoyed by Social Security. Not so the Affordable Care Act, aka “Obamacare.” At least not yet.

The real question–to which I have no answer–is why every attempt by government to expand access to basic medical care meets with such deeply-seated animosity from conservatives.

Let me be very clear: objecting to the way a particular program is fashioned, disputing whether this or that provision is likely to achieve its goals, concerns over cost-benefit ratios and the like are perfectly appropriate matters for debate. To the extent that arguments about the ACA are “deep dives” into the policy weeds–legitimate differences of opinion about the best way to achieve a goal–they are both reasonable and productive; they can only help improve the law.

But no one who has actually followed the GOP’s multiple efforts to repeal Obamacare could conclude that the party’s objections are based upon anything other than a visceral rejection of the very idea that government has a role to play in extending access to health insurance to people struggling to afford it. That rejection is sometimes clothed in policy pretenses, but the pretense is obvious. Probably the most honest exchange was at the GOP Presidential debate that included Ron Paul (not Rand); when a moderator asked him how he proposed to make healthcare available to poor people, he basically said “let them die.” 

And the audience, if you will recall, applauded wildly.

“Let them die” is at the bottom of this frantic rejection of the ACA, and it’s what I don’t get. Any psychiatrists or psychologists out there who can explain this particular lack of humanity and compassion?

The United States is the only modern western democracy that does not have universal access to healthcare. Our refusal to implement a single-payer system doesn’t just allow poor people to die, as I have previously explained, it actually costs us much more money and impedes economic development.

What’s wrong with us?

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When You Take the Crazy Train….

A recent New York Times column by Linda Greenhouse follows the latest evolution of the Right’s attack on America’s judiciary.

Her introduction is arresting, to put it mildly.

Do you hold Chief Justice John G. Roberts Jr. responsible for the ascendancy of Donald Trump? The thought never crossed your mind? Then you probably haven’t been reading the conservative blogosphere, where Chief Justice Roberts, target of bitter criticism for his failure to vote to dismantle the Affordable Care Act, is now being blamed in some quarters for Donald Trump as well.

Evidently, the Chief Justice’s refusal to rule against the constitutionality of the Affordable Care Act was a “sucker punch,” that robbed the Tea Party of a victory it “expected and deserved.” This defeat on an issue of constitutional interpretation meant–in the twisted “logic” of Tea Partiers–that there is no point relying on the courts.

Greenhouse says the lesson they internalized was “if you want to beat Obama you have to get your own strongman.” Guess who?

Even before the Trump-focused blame game started, Chief Justice Roberts was well on his way to becoming the political right’s favorite punching bag. In a rambling speech on the Senate floor last month, Senator Charles E. Grassley, the Iowa Republican who heads the Judiciary Committee, defended the Republican refusal to move forward with President Obama’s nomination of Judge Merrick B. Garland to fill the Supreme Court’s vacant seat. Playing off an observation the chief justice had made shortly before Justice Antonin Scalia’s unexpected death, to the effect that the Senate confirmation process had become unfortunately divisive and political, Senator Grassley said it was the Roberts court itself that was political. “Physician, heal thyself,” he said, and then offered this observation:

Justices appointed by Republicans are generally committed to following the law. There are justices who frequently vote in a conservative way. But some of the justices appointed by Republicans often don’t vote in a way that advances conservative policy.

This is a reprise of an old song: if the Courts don’t rule the way I want them to–if they reach decisions incompatible with my preferences–they are “activist” and illegitimate and we are entitled to undermine both the individuals serving on them and the concept of separation of powers that is at the heart of our system of government.

Most lawyers I know would classify the Chief Justice as pretty conservative; his instincts seem to be to support institutional power, whether corporate or governmental. I have disagreed with several of his decisions, and with his articulation of a judicial philosophy. That said, he is clearly a brilliant lawyer whose jurisprudence falls within a longstanding American legal tradition.

The problem is that much of our current political leadership is unfamiliar with that tradition, ignorant of the role assigned to the Courts, and child-like in the belief that whenever a court renders a decision they don’t like, it must be illegitimate.

The problem is also larger than a bizarre attack on John Roberts. It is even larger than the profoundly damaging attack on the Supreme Court by Senate Republicans who are refusing to allow that body to discharge its constitutional duty of advice and consent.

The problem is, America is currently governed by  petty, uninformed, ahistorical and (in several cases) deranged individuals who have commandeered the Crazy Train and are taking the rest of us with them.

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Is It All Palin’s Fault?

My brother-in-law, a life-long and pretty conservative Republican, recently commented that Trump’s primary victory reminded him of an old saying. Paraphrasing, it went something like this: the man who knows, and knows he knows, can be trusted; the man who doesn’t know, and knows he doesn’t know, can be trusted; but the man who doesn’t know and doesn’t know he doesn’t know is dangerous, and cannot be trusted.

The Donald, of course, doesn’t know what he doesn’t know. If anyone had any doubts, his suggestion that he would “negotiate” the nation’s debt with creditors, and “do a deal” in which they would take less than they’re owed, should put those doubts to rest. (Among the multiple things he clearly “doesn’t know” that he “doesn’t know” are the importance of America’s creditworthiness to global fiscal stability, and the inconvenient fact that the majority of the nation’s creditors are its own citizens–including, importantly, those depending on Social Security.)

In the wake of the Indiana primary and Trump’s emergence as the GOP nominee-apparent,  the internet has been inundated with “analysis” and theories about how this happened, who’s to blame, and of course, “what the hell happens now.”

So far, one of my favorite (albeit dubious) theories lays the blame with Sarah Palin–or more accurately, with John McCain, who elevated the Wasilla Wacko to national prominence.

In this view, the damage Palin wreaked was in getting Republicans to lower their standards for what a vice-president or a president ought to be. Suddenly, what one writer called a “meaningful and valuable norm” no longer controlled public opinion.  Palin was embarrassingly unqualified for the job, but she was endorsed by McCain and establishment Republicans–and the result was that the bar was lowered so far that for a number of Republican voters, Donald Trump was no longer unthinkable.

I’m sure there are as many theories as there are pundits. Americans who are appalled at the prospect of electing someone so manifestly unprepared and unsuited for the Presidency are trying to make sense of it all (and in most cases, looking for someone–anyone–to blame).

There’s lots of blame to go around, of course. But while we are trying to make sense of the crazy situation in which we find ourselves, we’d better spend the time between now and November doing whatever it takes to ensure that voters understand the difference between voting for the winner of American Idol and the person who will be occupying the Oval Office.

We may or may not be enthusiastic about our other choices–but there are degrees of unthinkable, distasteful and very, very dangerous.

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What We Lost When We Lost Newspapers

I recently read an article on Resilience–an aggregator website–that struck a chord.

The author was bemoaning, as so many of us do, the disappearance of what I’ve referred to previously as the “journalism of verification.” These are the paragraphs that really resonated with me:

Our modern culture tells us that we have more information today than anyone in history, because of the internet – but that assumes that data that could theoretically appear on a screen has the same value as words read from paper. In truth, few web sites will cover the library board meeting or the public works department, and if they do they are likely to be a blog by a single unpaid individual. Yet these ordinary entities shape our children’s minds and our present health, and as such are infinitely more important than any celebrity gossip — possibly more important then presidential campaigns.

Even if a blogger were to cover the library board or water board, no editors would exist to review the material for quality or readability, and the writer would be under no social, financial or legal pressure to be accurate or professional, or to publish consistently, or to pass on their duties to another once they resign.

Recently, former programmers at Facebook accused the site of manipulating the identity of “trending” stories. I have no idea whether this is true (actually, I sort of doubt it, for a number of reasons not relevant to this post), but in a culture permeated by suspicion, I’m sure the accusation will get traction–and add to our already high levels of paranoia.

One of the most daunting challenges of contemporary governance–really, of contemporary life–is the pervasiveness of distrust. Americans no longer know who or what to believe, are no longer able to separate fact from opinion, and no longer feel confident that they can know the agendas and evaluate the performance of their social and political institutions.

We live in an era when spin has become propaganda, and reputable sources of information must compete with “click bait” designed to appeal to pre-existing prejudices. Partisans of all sorts play on well-known human frailties like confirmation bias. 

The result, of course, is that Americans increasingly occupy different realities, making communication–let alone rational problem-solving, negotiation and compromise–virtually impossible.

Just one recent example, among too many to count: Sean Hannity of Fox “News” recently cited an “authoritative report” to the effect that the Kremlin had hacked Hillary Clinton’s emails, and was debating whether to release them. And where did this “authoritative report” originate? On WhatDoesItMean.com.

Currently, WhatDoesItMean.com boasts front page headlines such as “Northern England Stunned After British Fighter Jets Battle UFO,” “Russia Warned Of ‘Wrath Of God’ Event As West Prepares To Honor New Planet With Satanic Ritual,” “Music Icon Prince Dies After Obama Regime Fails To Heed Russian Warning,” and “Mysterious Planet Ejected From Black Hole At Center Of Galaxy Warned Could Soon Impact Earth.”

Look, I don’t think anyone wants to return to the era of the “gate-keeper,” where reporters and editors got to decide what news was–what merited coverage and what could safely be ignored. But we desperately need to identify methods that will allow consumers of media to recognize what’s wheat and what’s chaff– to distinguish spin, propaganda and opinion from factual information.

The emergence of Donald Trump as the nominee of a once-respectable political party should be all the evidence we need that the extent of media coverage and the value, accuracy and relevance of that coverage are very different things.

What we lost when we lost the journalism of verification is our ability to engage in responsible self-government.

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Tupperware Trump

Oh, Donald. Tacky, tacky, tacky…..

We’ve all become familiar with the various kinds of pyramid schemes operating in the U.S. Most aren’t as monumental as the Bernie Madoff ponzi-scheme variety, and some even sell arguably useful products, but they all share certain characteristics: they’re based on recruiting an increasing number of “investors,” and typically, those new recruits pay a sum of money to join the “program” and become a distributor of a product or service. They’re told they’ll make money based on the number of new recruits they bring in. The basic idea is that the higher up on the pyramid you are, the more money you’ll make.

In reality, what happens is that only the originators of the pyramid scheme make money and the rest lose theirs when the pyramid scheme collapses.

Evidently, in-between bankruptcies, bottled water and steaks, Donald Trump engaged in a pyramid scheme to sell a “diet product” to the desperate/credulous:

The company’s flagship product was called the PrivaTest, which supposedly relies upon a mail-in urine test to determine one’s individual nutritional needs and create a custom vitamin formula (about $140 for the test; $70 per month for the vitamins; $100 to retest every 6 months).

From a scientific viewpoint, urine tests do not provide a legitimate basis for recommending that people take dietary supplements. Moreover, even if they could, the nutrients in the so-called customized formulas can be obtained far more inexpensively in retail stores. The Trump Network also acquired a weight loss program called The Silhouette Solution, which consisted of a book promising to lose the weight you want and have the silhouette you choose, which was included in the starter weight loss kit, all for a whopping $1,325. The package was marketed as “a complete eight-week program that contains everything you need to achieve your short and long term weight loss goals.” In it, they send you eight weeks worth of low-calorie food….

But it gets better….you could also purchase the $400 “business kit” and market the product to your friends and family, ala Tupperware. Trump sold Privatest and the Silhouette Solution in 2012 to a company called Bioceutica, LLC., apparently due to concerns about liability. Earlier this year, the Washington Post reported on Trump’s claim that his involvement with Ideal Health merely allowed them to use his name for marketing purposes and that he was not involved in the company’s operations.

But statements by him and other company representatives — as well as a plethora of marketing materials circulating online — often gave the impression of a partnership that was certain to lift thousands of people into prosperity. In fact, within a few years, the company fell on hard times, leaving some salespeople in tough financial straits. It ultimately was acquired by another firm.

But when Trump joined forces with Ideal Health, he was enthusiastic about its future.

“When I did ‘The Apprentice,’ it was a long shot. This is not a long shot,” Trump told a Trump Network convention of at least 5,000 people in Miami in 2009, his face projected onto a giant screen. “This is going to be something that’s really amazing.”

Yep. Amazing. You’ll be thin and rich.

And this is the charlatan who’s going to “Make America Great.”

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