Affording To Live…

GOP lawmakers–including, of course, Indiana’s two Senators–recently blocked a Biden Administration effort to cap the price of insulin for Americans with private health insurance. (Americans on Medicare will see their out-of-pocket costs decline, thanks to other provisions of the Inflation Reduction Act.)

GOP opposition to the measure, which I can’t help thinking of as a manifestation of the Republican “Let them eat cake” approach to policymaking, reminded me of a recent discussion with my sister. Her doctor had rordered some medical tests, and when she  was scheduling them, she was told that one of them–a test for cancer!–wasn’t covered either by Medicare or by her private insurance. The test was $300, and she told me that her first thought was “I can afford this, but what about all the people who can’t? What about  people who don’t have an extra $300 but do have cancer?”(Fortunately, she didn’t.)

This conversation, rather obviously, wouldn’t have occurred in most Western democracies, because in those countries, health care isn’t just for people who can afford it.

When it comes to capping the price of insulin, the influence of Big Pharma–particularly Indiana’s own Eli Lilly–was front and center with the GOP.

Lilly’s enormous profits owe a lot to the high price of insulin. That’s especially ironic, given the generosity of those who first held the patent.

Before the 1920’s, a diabetes diagnosis meant a death sentence for people all over the world. The main treatment was starvation diets to prolong the inevitable.

In 1920, a Canadian physician and scientist named Frederick Banting began working on an idea to isolate and extract insulin. He worked in the laboratories of J.R.R. McLeod, a professor of physiology at the University of Toronto. The medical student Charles Best aided him in his work to test out insulin on dogs. Chemist James Collip worked with Banting and Best to purify and refine insulin for clinical trials in humans.

On January 23rd, 1923 Banting, Best, and Collip were awarded the American patents for insulin. They sold the patent to the University of Toronto for $1 each. Banting notably said: “Insulin does not belong to me, it belongs to the world.” His desire was for everyone who needed access to it to have it.

In order to make insulin widely available, Eli Lilly, Sanofi and Novo Nordisk were given the right to produce it, and they’ve turned it into a massive profit generator. As the linked article reports, “by 1923, insulin was the highest-selling product in Eli Lilly’s history, and profits from it accounted for over half of the company’s revenue.”

And that brings us to the recent refusal of Indiana’s Senators and other GOP recipients of Lilly largesse to ensure insulin’s affordability.

As The Intercept reports, Lilly Endowment–ostensibly separate and independent from the company–is not neutral when it comes to funding entities opposed to controlling the price of medications. The Endowment,”led in part by former Eli Lilly executives and still financed by corporate stock options” funds think tanks that “work to shield corporations from taxation or government regulation,” and has given millions of dollars to libertarian groups that lobby against price controls on insulin, categorizing those recipients as “community development organizations.” (The Endowment is also the largest shareholder of Eli Lilly, Inc., holding 104,161,053 shares worth approximately $31 billion.)

The Federalist Society, for example, has received over $1.5 million from the charitable arm over the last decade and is listed under “community development” grantees of the Lilly Endowment. The Washington, D.C.-based group is a professional society for conservative attorneys, with an eye toward pro-business ideological positions.

The Federalist Society funds included a $150,000 grant last year, at the same time that the group was sharply criticizing a new Minnesota law that forces manufacturers to provide free or affordable insulin to low-income residents. The law “[inflicts] an injustice upon companies that are regularly demonized in the media,” an attorney for the Goldwater Institute writes on the Federalist Society’s website.

Last year, Eli Lilly collected over $2.4 billion in revenue from its insulin products, including the brand Humalog, with roughly $1.3 billion of that from U.S.-based sales.

“One vial of Humalog (insulin lispro), which used to cost $21 in 1999, cost $332 in 2019, reflecting a price increase of more than 1,000%. In contrast, insulin prices in other developed countries, including neighboring Canada, have stayed the same,” wrote S. Vincent Rajkumar in the journal of the Mayo Clinic in 2020.

There’s much more detail in the linked article, and I encourage you to click through and read it. That said, the real issue is the one my sister identified: if government is supposed to provide a physical and social infrastructure within which citizens can flourish, isn’t access to health care and lifesaving medication as essential a part of that infrastructure as police, firefighters, roads and bridges?

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They Aren’t Even Pretending Anymore

It is becoming impossible for any honest person to deny the transformation of America’s Republican Party into a racist, anti-Semitic, anti-gay, misogynistic authoritarian cult.  At the recent CPAC meeting in Dallas, speakers and attendees were “out and proud” about that transformation–wildly applauding no less a Neo-Nazi than Viktor Orban.

Viktor Orban, the Hungarian prime minister who has consolidated autocratic power with hard-right opposition to immigration and liberal democracy, addressed a crowd of thousands of American admirers in Dallas on Thursday with a red-meat speech that could have easily been delivered by any Republican candidate on the campaign trail this year.
 
 Orban presented the two countries as twin fronts in a struggle against common enemies he described as globalists, progressives, communists and “fake news.”

The former GOP would have uninvited Orban after his delivery of a widely reported and truly horrifying speech in which–among other things– he railed against Europe becoming “mixed race.”  In the wake of that speech, one of his  close advisers resigned in protest, calling the speech “pure Nazi.”

Among Republicans In the U.S., however, there was nothing but agreement;  Donald Trump, Tucker Carlson and Ohio Senate candidate J.D. Vance applauded the speech, and Trump referred to Orban as his “good friend.” 

As the Guardian noted, the assembled crowd “roared, whooped and gave Orban a standing ovation.”

Calling for Christian nationalists to “unite forces”, Orbán told CPAC: “Victory will never be found by taking the path of least resistance. We must take back the institutions in Washington and in Brussels. We must find friends and allies in one another. We must coordinate the movements of our troops because we face the same challenge.”

He noted that US midterm elections will be later this year followed by the presidential contest and European parliamentary elections in 2024. “These two locations will define the two fronts in the battle being fought for western civilisation. Today, we hold neither of them. Yet we need both.”

Rarely has the alliance between nationalist parties across the Atlantic been so bold, overt and unshackled. CPAC was once the domain of cold warrior Ronald Reagan. But in recent years guest speakers have included the Brexit cheerleader Nigel Farage and Marion Maréchal-Le Pen, niece of the far-right French politician Marine Le Pen.

A Washington Post column by former Republican Max Boot described the speech and the response.

All you need to know about the state of the Republican Party today is what happened at the Conservative Political Action Conference in Dallas on Thursday. Hungarian Prime Minister Viktor Orban, who has been destroying his country’s democracy, received a standing ovation less than two weeks after he gave a speech in Romania in which he endorsed the white supremacist “replacement theory” and denounced a “mixed-race world.”

One of Orban’s longtime advisers quit over what she described as a speech “worthy of Goebbels” before backtracking a bit. But Orban hasn’t recanted his repugnant views, and right-wingers in Dallas thrilled to his denunciations of immigration, abortion, LGBTQ rights and “the Woke Globalist Goliath.” He even excoriated Jewish financier George Soros, a Hungarian native, as someone who “hated Christianity.” The racist and anti-Semitic signaling was not subtle.

Boot took to task the observers who see the primary victories of Georgia’s  Governor Brian Kemp and Secretary of State Brad Raffensperger as evidence of Trump’s waning influence in the party.

That was an aberration. In other races across the country, Republicans are nominating far-right fanatics who claim that the 2020 presidential election — and any election that they lose, for that matter — was “rigged.” By refusing to accept electoral defeat, they embrace authoritarianism…

Taking a cue from Trump, the winners of Republican primaries traffic in authoritarian imagery and rhetoric. Guns have become a de rigueur accessory in GOP campaign commercials. Arizona U.S. Senate nominee Blake Masters wants to lock up Anthony S. Fauci for trying to slow the spread of covid-19. And Arizona gubernatorial nominee Kari Lake wants to lock up her opponent for certifying Biden’s election victory.

Boot is hardly the only former Republican appalled by the extremist takeover of the party and the abandonment of long-held principles.

The libertarian-leaning Republican Party I grew up with in the 1980s is long gone and not coming back. Republicans still use the language of “freedom,” but their idea of freedom is warped: They want Americans to be free to carry weapons of war or spread deadly diseases but not to terminate a pregnancy or discuss gender or sexuality in school….

The most apt phrase for this American authoritarianism is the New Fascism, and it is fast becoming the dominant trend on the right. If the GOP gains power in Washington, all of America will be in danger of being Orbanized.

Ironically, Orban and the GOP embody their own “globalism”–that  of the fascist Right.

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Dangerous Insanity

Climate change denialism has become much more difficult lately, as evidence in the form of heat waves, increasingly strong hurricanes, wildfires and the like continue to grow. And in most countries, as a recent article from the New York Times notes in its opening paragraphs, political fights over efforts to combat global warming are focused on the “how”–not on the immediacy or existential nature of the threat.

But then there’s the good old USA, and the GOP.

The article’s headline is “Weaponizing Public Office Against Climate Action,” and it documents yet another drawback of American federalism–the ability of Republican officeholders in Red States to actually bolster fossil fuel companies at the expense of the climate. It isn’t just in Texas, where we’ve become used to the deranged antics of Gov. Greg Abbott. (Abbott has actually prohibited state agencies from investing in businesses that have cut ties with fossil fuel companies.)

The Times investigation revealed a “coordinated effort by state treasurers to use government muscle and public funds to punish companies trying to reduce greenhouse gases.

Nearly two dozen Republican state treasurers around the country are working to thwart climate action on state and federal levels, fighting regulations that would make clear the economic risks posed by a warming world, lobbying against climate-minded nominees to key federal posts and using the tax dollars they control to punish companies that want to reduce greenhouse gas emissions.

Over the past year, treasurers in nearly half the United States have been coordinating tactics and talking points, meeting in private and cheering each other in public as part of a well-funded campaign to protect the fossil fuel companies that bolster their local economies.

Last week, Riley Moore, the treasurer of West Virginia, announced that several major banks — including Goldman Sachs, JPMorgan and Wells Fargo — would be barred from government contracts with his state because they are reducing their investments in coal, the dirtiest fossil fuel.

This is–rather obviously– insane. It’s as if an immensely wealthy patient diagnosed with terminal cancer were to decree that none of his monies could ever be used for cancer research or for the production of cancer treatments–and should instead be invested in Roundup and other cancer-producing products.

Mr. Moore and the treasurers of Louisiana and Arkansas have pulled more than $700 million out of Ti, the world’s largest investment manager, over objections that the firm is too focused on environmental issues. At the same time, the treasurers of Utah and Idaho are pressuring the private sector to drop climate action and other causes they label as “woke.”

 And treasurers from Pennsylvania, Arizona and Oklahoma joined a larger campaign to thwart the nominations of federal regulators who wanted to require that banks, funds and companies disclose the financial risks posed by a warming planet.

Reporters traced these efforts to a little-known nonprofit organization based in Shawnee, Kansas, identifying the State Financial Officers Foundation, an organization that once focused on cybersecurity, as the “nexus” of these actions . Following the election of President Biden, who pledged to make addressing climate change a significant element of his agenda, the Foundation began pushing Republican state treasurers–elected officials responsible for managing their state’s finances–“to use their power to promote oil and gas interests and to stymie Mr. Biden’s climate agenda, records show.”

The Heritage Foundation, the Heartland Institute and the American Petroleum Institute are among the conservative groups with ties to the fossil fuel industry that have been working with the State Financial Officers Foundation and the treasurers to shape their national strategy.

The Times notes that Democratic treasurers in Blue states support efforts to combat climate change; they  encourage banks and investment firms to acknowledge the risks that climate change poses to returns for retirees and others. But they haven’t created anything like the national campaign being orchestrated by the State Financial Officers Foundation.

Rational people–a category that rather clearly excludes these Republican treasurers–understand that  global warming is already damaging agriculture and causing extreme weather events that devastate communities and cost taxpayers billions in recovery and rebuilding. Instead, they insist that efforts to reduce emissions threaten employment.

These GOP treasurers have turned climate science into yet another issue in the Republicans’ unrelenting and suicidal culture wars.

But here’s the thing: It’s one thing to recognize that the economic health and quality of life in Blue states is superior to that of Red States. Americans can shrug–or move. However, we can’t create environmental silos–the stupidity and/or cupidity of these GOP officeholders affects the future livability of the entire globe.

The GOP proudly asserts that it isn’t “woke.” (We’ve noticed.)

The opposite of wakefulness, of course, is sleep. In this case, it’s a coma…..

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Negative Partisanship

Us versus Them–tribalism– seems to be a constant in human nature. It’s a primary motivator of war, a significant element of policymaking, a constant of religious strife–and the primary tool of campaigns to get out the vote.

Political polarization and what political scientists call “negative partisanship” get more people to the polls than reasoned appeals based upon policy promises.

I still recall a conversation with another politician back when the GOP was still a political party and not a theocratic cult; I had criticized one of our candidates , and he responded  “He may be a nutcase, but he’s our nutcase.” It was a perfect expression of what has since become the defining trait of the Republican Party. (Democrats—being far less cohesive–are somewhat more forgiving of intra-party criticism.)

Time Magazine article written after the first public hearing held by the January 6th committee considered that insistence on group solidarity as it is currently being applied to Liz Cheney.

In GOP circles, two things are true at once. First, large majorities of Republican voters disapprove of the January 6 rioters. At the same time, large majorities still approve of Donald Trump, and Liz Cheney—the Republican most prominently intent on investigating and exposing what happened—is less popular with Republicans than renowned conspiracy theorist Marjorie Taylor Greene.

In fact, Cheney might now be the least popular Republican in the entire Republican Party, in spite of her consistently conservative voting record and her support for Donald Trump’s re-election in 2020. The reason is simple. She has violated the prime directive of negative partisanship. Even if she’s right to be upset by the riots, she’s attacking her own team. It’s the responsibility of GOP politicians to always, always train their fire on the left.

And that rule–that your guns must always be trained on the other guy–is why, as my kids might say, we Americans can’t have nice things.

Negative partisanship is a simple concept with profound implications. At its most basic, it means that “the parties hang together mainly out of sheer hatred of the other team, rather than a shared sense of purpose.” When negative partisanship dominates, a political coalition is united far more by animosity than policy. The policy priorities are malleable and flexible, so long as the politician rhetorically punches the right people.

Negative partisanship is why Republicans in the Senate voted against the PACT Act after voting for it–in identical form–just a few weeks earlier. (They did grudgingly reverse that vote in the wake of a huge blowback.) The vote had absolutely nothing to do with the Act itself, and everything to do with a spiteful “We’ll show you!” response to the deal hammered out between Schumer and Manchin.

Negative partisanship helps explain Republican acceptance of conspiracy theorists like Marjorie Taylor Greene. The same polling that shows Cheney underwater with Republican voters shows Green with a slight positive rating, despite her constant stream of utterly bizarre and baseless claims. As the article explains, she fights the left, and the left despises her, and for millions of Republicans that’s all it takes to earn their approval.

Negative partisanship also played a significant role in America’s vaccine hesitancy. Republicans were literally willing to risk death in order to “own the libs.”

Of course, Democrats disapprove of Republicans just as much as Republicans detest Democrats. But people like me, who would love to see the current hostilities replaced by genuine efforts to work across the aisle, are stymied by the reality that today’s parties are not morally equivalent. Germany really was an “evil empire” in the thirties, and the current GOP really has morphed into something other than a traditional, flawed political party.

And that something is malignant.

We Americans who live in what the George W. Bush administration dismissively called “the reality-based community”  find ourselves between the proverbial rock and hard place. We don’t want to paint the entire GOP with a broad and unforgiving brush, but we also don’t want to be so naive that we ignore the very real threat posed by a party now dominated by White Christian Nationalists and wacko conspiracy theorists.

Can that scorned “negative partisanship” come to our rescue?

If Democrats were to turn out in Kansas-like numbers this November–spurred by the GOP’s unremitting attacks on constitutional  liberties and democratic norms–a historically-improbable midterm defeat might begin the process of returning the GOP to its roots as a political party. As the Time article put it, the threats to America’s constitutional order currently come from the Right–and it’s the Right that must put its house in order.

If that happens, Americans of good will can focus their efforts on combatting tribalism and negative partisanship. If it doesn’t, all bets are off….

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The Strategy

A recent newsletter from Arwa Mahdawi, who writes forThe Guardian outlined one of the many ways the Right attacks American democratic institutions.  Here are her three most important paragraphs:

The far right constantly introduce extreme bills like this into state legislatures with the full knowledge that there is zero chance they will pass. It’s part of a broader strategy to further their agenda that can be summed up as exhaust and inure. Exhaust: the more they overwhelm legislatures with extreme legislation, the harder it becomes for liberals to fight them. It becomes a game of “Whac-a-Mole”. Inure: proposing extreme ideas like this via legislation helps gradually desensitize people and shifts the Overton window to the right; step by step the unthinkable becomes mainstream.

All this isn’t just my personal opinion, by the way: it’s extracted from a playbook written by Christian nationalists. A few years ago a researcher called Frederick Clarkson uncovered an initiative from a coalition of far-right Christian groups called Project Blitz that gave their supporters detailed instructions on how to codify their views into law and gradually destroy the division between church and state. I highly recommend reading Clarkson’s writings on Project Blitz: they are essential for understanding the current moment. As Clarkson said when he first found the playbook: “It’s very rare that you come across a major primary source document that changes the way you view everything, and this is one of those times. This is a 116-page strategy manual hidden away on a website explaining at least what a section of the religious right are doing in the United States.”

Bills like the one in North Carolina, it can’t be stressed enough, are not just frivolous one-offs by extremists. They’re part of a coordinated – and highly effective – strategy to consolidate power by the right. Democrats should really be paying more attention to these tactics and learning from them. So many centrists are afraid that suggesting things like free healthcare will make them look like radicals hellbent on bringing communism to America. You think the right care about looking “radical”? Of course not. They care about power. And they’re very good at doing whatever it takes to get it.

I actually wrote about Project Blitz back in January of 2020. It was launched in 2015 by the Congressional Prayer Caucus Foundation, the National Legal Foundation, and Wallbuilders–the bogus “history” organization founded by David Barton. (Barton is a Republican operative and thoroughly discredited historian who rejects the separation of church and state and claims that the United States was founded as a Christian nation.) Project Blitz  is to Christian nationalists what ALEC is to corporate plutocrats–-as I wrote at the time, a number of the extreme anti-choice, anti-gay and pro-Christianity measures that have emerged from America’s legislative chambers come directly from Project Blitz’s package of twenty “model” bills.

Just as ALEC has managed to delay and/or defeat regulatory reforms opposed by the plutocracy, laws supported by Project Blitz move the Overton Window toward the theocratic goals supported by Christian Nationalists.

Project Blitz and ALEC are only two of the numerous Rightwing organizations that have been working patiently beneath the radar for years, intent upon changing America’s culture–trying to erase the wall between Church and State, erode our already tattered and inadequate social safety net, and make both plutocratic and White Christian privilege permanent. The numerous propaganda arms of the Right aid and abet the efforts of these organizations.

Meanwhile, opposition to these co-ordinated and well-financed strategies is pretty accurately described in not-so-funny sayings like “I’m not a member of an organized political party–I’m a Democrat” and rueful observations about circular firing squads. That isn’t because Democratic strategists are feckless; it’s because virtually every American who follows politics and is not a theocrat, plutocrat or bat-shit crazy person has fled to the only alternative, the Democratic Party–and as a result, Democrats represent an incredibly wide range of opinions and ideologies. 

Herding cats would be easier.

The old line about the GOP “falling in line” is true: most recently demonstrated by the willingness of Senate Republicans to vote against a bill they had previously supported.  The PACT Act would have delivered desperately needed healthcare to veterans, but because a Democratic deal to pass a slimmed-down version of Build Back Better caused a fit of pique, they turned their backs on those veterans. The bill had easily passed the Senate in June. But a technical error required another vote, and more than two dozen Republicans switched sides–they fell in line. (After a furious reaction–notably, from Jon Stewart– they caved and passed it.)

Thanks to the intransigence of lockstep Republicans, the machinations of the organizations moving the GOP further and further to the Right, and the ideological heterogeneity of the Democrats, lawmakers who want to actually govern don’t have much of a chance.

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