Project 2025 And Health Care

As we all know, the United States is the only first-world country without a national health-care program. While the approaches differ, most advanced countries consider access to healthcare a human right–not a consumer product. Here in the US, efforts to extend that access–Medicare, Medicaid, and more recently the Affordable Care Act–have been met with hysterical claims that such programs are “socialism” and incompatible with freedom.

I’m not the first person to note that these critics don’t seem nearly as upset by programs that can accurately be labeled “socialism for the rich.” Increasingly, American economic policy, with its generous tax advantages and outright subsidies, seems to be socialism for the rich and brutal capitalism for the poor. But a dissertation on that topic is for another day.

The scolds who resent any effort to make health insurance more affordable or accessible are among those who have produced the Heritage Foundation’s Project 2025, so we shouldn’t be surprised by the Project’s health care proposals. Neither should we con ourselves into believing that Project 2025 isn’t an outline that Trump will follow if elected–there is ample evidence to the contrary.

So–what health policies would another Trump Administration pursue?

A doctor writing in Time Magazine has recently explained why voters need to understand that agenda–especially when it comes to healthcare– and take it seriously.

Sponsored by the right-wing think tank, the Heritage Foundation, the Project 2025 policy agenda was written by more than 400 conservative experts and published in a book titled Mandate for Leadership: The Conservative Promise. While Trump has publicly disavowed the initiative, he has endorsed (and even tried to implement) many of its core proposals, several of which were penned by his former staffers.

The Biden Administration’s Inflation Reduction Act (IRA) has made life-saving drugs like insulin more affordable. Project 2025 calls for its repeal.

The Inflation Reduction Act (IRA)—signed into law by President Biden two years ago—capped insulin costs at $35 per month for people on Medicare. The data show that this cap increased the number of insulin prescriptions that were filled, ensuring more patients with diabetes got what they needed to stay healthy. The IRA will also cap annual out-of-pocket spending on prescription drugs (not just insulin) for seniors starting next year. And despite aggressive lobbying and legal challenges from drugmakers, the law empowered Medicare to negotiate prices with Big Pharma for the first time in history, achieving significant discounts and saving billions. These are just a few of the many reasons more than 500 health professionals recently signed an open letter to protect the IRA.

Other provisions of Project 2025 would reduce access to Medicaid. Currently, more than 70 million low-income Americans rely on Medicaid for health care. The Project proposes lifetime caps on benefits and the addition of work requirements as a condition for coverage, among other onerous changes.

Unsurprisingly, Project 2025 would not only restrict abortion at the national level, it would also eliminate no-cost coverage for some contraception. (Those Right-wingers really want women to breed….) Of course, once children have been produced, concern for their welfare vanishes.

Project 2025 takes particular aim at the well-being of children. The authors seek to prevent public health agencies from requiring vaccination in school children, which could cause more outbreaks of preventable diseases like measles. They also propose invalidating state laws intended to stem gun violence, a leading cause of death for children in the U.S. Project 2025 would even eliminate Head Start, a critical program for early childhood development, especially in low-income and rural communities.

As the doctor writes, implementation of even a few of these proposed policies would set back decades of progress in medicine and public health.

The Harris/Walz ticket has used the slogan “We Won’t Go Back.” The usual interpretation of that phrase is that it refers to women’s reproductive liberty, but it actually–and accurately– describes what is really at stake in November’s election. MAGA is a movement entirely focused on taking America back–back to a time when women were property, Black and Brown people second-class citizens, LGBTQ+ people closeted, and adequate medical care a consumer good available only to those who could afford it.

I don’t know when opposition to vaccination and common-sense public health measures became part of the ideology of the Right. I don’t know why MAGA folks think the working poor aren’t entitled to health care. I don’t understand their evident belief that government should cater to White Christian males to the exclusion of other citizens.

But I do know they’re stuck in a past that I don’t want to return to. When people say this election poses an existential choice, they aren’t engaging in hyperbole.

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The Evidence Continues To Mount

Inequality.org recently took an in-depth look at the Right-wing’s increasingly successful effort to destroy public education. In an article titled “Private Fortunes Vs. Public Education,” the article began

The United States essentially invented public education. Back in the 1780s, notes the Center on Education Policy, federal legislation “granted federal lands to new states and set aside a portion of those lands to be used to fund public schools.” By the 18th century’s close, most Americans had embraced the notion of “using public funds to support public schooling for the common good.”

In the mid-20th century, amid growing levels of economic equality, that public financial support for public schools would expand mightily. The results would be impressive. By 1970, graduation rates from American high schools — institutions, notes historian Claudia Goldin, themselves “rooted in egalitarianism” — had quadrupled over 1920 levels.

But that era of growing equality and expanding public education would start fading in the 1970s. Over recent years, a new U.S. Senate report makes clear, that fade has only intensified.

The article went on to report that, during the last decade, funding for the nation’s public schools has “barely increased,” while  “state spending on tax breaks and subsidies for private schools has skyrocketed by 408 percent.”

A report from the Brookings Institution found that universal voucher programs “are unwinding two centuries of tradition in U.S. public education” and that the programs “violate basic traditions of church-state separation, anti-discrimination, and public accountability.” As the researcher concluded, even if the courts -ignoring over fifty years of precedents–rule that these voucher programs are constitutionally permissible, “we should assess them against our principles as a nation.”

Indiana is a prime example. For severa years, the Hoosier state has had the nation’s largest voucher program. It was originally justified as a way to allow poor children to escape “failing public schools,” there were income limits for families taking advantage of the program, and vouchers use was limited to children who had first attended a public school. Those restrictions were steadily eased, and a few days ago, the Indianapolis Star confirmed what I have repeatedly pointed out on this blog: costs have exploded and Indiana’s voucher program has become a subsidy for parochial schools and the well-to-do.

The Star article began with the story of a father who had been paying his daughter’s tuition at a private religious school in Mishawaka, Indiana. The school informed him that Hoosier taxpayers stood ready to assume most of the nearly $10,000 annual cost.

Garcia applied and his daughter joined more than 600 other students ― or about 90% of Marian’s enrollment ― utilizing the state grants to pay for their schooling 2023-24. The tax-funded payments generated $4.3 million for the private school…

A three-month investigation by University of Notre Dame students in the Gallivan Program for Journalism, Ethics, and Democracy found that a majority of the families in the Indiana voucher program today were previously paying for private school on their own, just like Garcia. Yet the state stepped in to offer a financial subsidy to parents who didn’t need it ― a costly decision critics say is hurting public schools, which educate more than 90% of the approximately one million K-12 students in Indiana.

Started in 2011 under former Gov. Mitch Daniels as an avenue to help low-income students escape failing public schools, the voucher program has changed dramatically in the last decade. While it has helped thousands of families choose their preferred school, the cost is projected to grow 263 percent in just five years. This expansion is predicted to force public school districts to either make severe cuts or ask taxpayers for more money through public referendums.

The Indiana legislature has turned the program into “a subsidy for predominantly wealthy, white suburban families”. The Star  found that–far from helping poor minority children– the program’s “average recipient is a white female who has never attended public school, from a family earning more than $99,000 a year.”

That cushy subsidy for the well-to-do has cost Indiana’s public schools an estimated $600 million this year.

In 2011, in order for a family of four to qualify for a voucher, the family could make up to $40,000 a year. Today, the same family can qualify while making $222,000 a year.  A program that initially cost Indiana taxpayers $15.5 million per year cost more than $300 million last year, and is projected to top $600 million this year. 

Meanwhile, a mountain of research confirms that educational outcomes have not improved–and in some places and some subjects, have declined.

Researchers have also identified the “dark money” behind the attack on public education, and Project 2025 acknowledges that the goal is to replace public schools with private and parochial ones.

In Indiana, where gerrymandering has given the GOP carte blanche to do their worst, they’re already working on it.

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Ron DeSantis: Poster Child For Today’s GOP

In the wake of his pathetic performance in the presidential primaries, coverage of Ron DeSantis, Governor of Florida, has faded from the national media. A recent exception was an article last week in The Guardian, explaining how he’s lost the support of many Florida Republicans

Ironically, that support didn’t diminish due to his appalling and seemingly endless assaults on civil liberties– some of which were enumerated in the first two paragraphs of the article.

In the end, it wasn’t culture war feuding over restricting LGBTQ+ rights, thwarting Black voters or vilifying immigrants that finally broke Republicans’ DeSantis fever in Florida.

Nor was it his rightwing takeover of higher education, the banning of books from school libraries, his restriction of drag shows, or passive assent of neo-Nazis parading outside Disney World waving flags bearing the extremist governor’s name that caused them to finally stand up to him.

It wasn’t even his bill scrubbing the term “climate change” from all Florida state laws. Evidently, none of those things upset Florida’s Republicans. The step too far was DeSantis’ effort to pave over the state’s parks.

It was, instead, a love of vulnerable Florida scrub jays; a passion to preserve threatened gopher tortoises; and above all a unanimous desire to speak up for nature in defiance of Ron DeSantis’s mind-boggling plan to pave over thousands of unspoiled acres at nine state parks and erect 350-room hotels, golf courses and pickleball courts.

Thousands of environmentalists, former allies and GOP elected officials denounced the plan. Even the Republican state legislators who have dutifully rubber-stamped anything DeSantis proposed, denounced the projects. Many pointed to the evidence of intended corruption, since the plans–devised in secret– contemplated “no-bid contracts destined for mysteriously pre-chosen developers outside the requirements of Florida law.”

Faced with that blowback, DeSantis copied Trump, pretending that he was unaware of the proposal.

Desperately trying to pin blame elsewhere for a misadventure that was very demonstrably his own, he continued: “This is something that was leaked. It was not approved by me, I never saw that. It was intentionally leaked to a leftwing group to try and create a narrative.”

Tsk tsk. Those pesky “left-wing” groups…..

The rest of the article details the fallout in Florida, and speculates that DeSantis is “losing his grip” on Florida’s voters. While that’s interesting (although not as interesting as the question “why did this awkward fascist ever have a grip”), the article was far more intriguing for its parallels with Donald Trump and the national GOP. The opening recitation of DeSantis’ priorities mimics the agenda of today’s Republican Party and Project 2025. His effort to distance himself when it became obvious that those priorities were unpopular (to say the least) mimics Trump’s insistence that he knows nothing about Projecct 2025.

Take a good look at those priorities.

DeSantis and Trump and today’s No-Longer-Grand Old Party are one big hate-fest. It isn’t simply the war on women’s autonomy. The party wants gays back in the closet. It wants Black Americans returned to a subservient status, and Brown immigrants deported. It exalts Hitler for his effort to eradicate Jewish people. And today’s GOP has an incredible, seething animosity to the life of the mind–seen in its determination to turn higher education into indoctrination, to dictate what can and cannot be taught in public schools, and its persistent efforts to prevent people from accessing books of which its White Christian Nationalists disapprove.

The devolution of the Republican Party into the party of racial grievance and nostalgia for a past that never existed has occurred gradually over a period of time. For that reason, a lot of people have failed to recognize the GOP’s transformation into a neo-fascist movement–a hodge-podge of chauvinist, xenophobic, theocratic, racist, sexist, homophobic, transphobic, and reactionary views.

What struck me about the opening paragraphs of the cited article was the enumeration of those very unAmerican goals as DeSantis has pursued them in his state–with the acquiescence (nay, the enthusiasm) of that state’s GOP.

It is telling that the break between DeSantis and the state’s Republicans came only when his authoritarianism threatened the parks they enjoy. Only then, evidently, did Florida’s “good Germans” recognize that an autocratic agenda eventually targets everyone.

A Martin Niemoller paraphrase seems apt–if a bit awkward and with a less tragic ending:

First they came for the intellectuals, and I did not speak out—because I was not an intellectual.

Then they came for the gays, and I did not speak out—because I was not gay.

Then they came for the Jews, and I did not speak out—because I was not a Jew.

Then they came for my parks—so I finally spoke up.

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There’s More….

Yesterday, I shared some of the disturbing proposals of Project 2025, but of course, a document of nearly 1000 pages includes many other terrifying “ideas.”  The New Republic has listed several, gleaned from an advance copy of the book by Kevin Roberts, who captained the Project for the Heritage Foundation.

There’s good reason publication of the book has been delayed until after the election.

Dawn’s Early Light has all the misplaced confidence of a movement that’s mistaken a 6–3 Supreme Court and an easily played New York Times op-ed page for some kind of mandate. The party that has won the popular vote in a presidential election exactly once in the last 35 years is not popular, and people do not want what they’re selling. When your only path to power consists in gerrymandering and shaving tight victories in a few key swing states while the opposition runs up the margins nearly everywhere else, you might try for some soul-searching about why people don’t like you, but Roberts and his Heritage Foundation have instead opted for violent threats, claiming a “second American revolution” is coming that will remain “bloodless” only “if the left allows it to be.”

The book details the Project’s enemies: public schools, China, godlessness, and government regulations are prominent, but the Project proposes widespread destruction of numerous other American institutions.

“Every Ivy League college, the FBI, the New York Times, the National Institute of Allergy and Infectious Diseases, the Department of Education, 80 percent of ‘Catholic’ higher education, BlackRock, the Loudoun County Public School System, the Boy Scouts of America, the Bill & Melinda Gates Foundation, the World Economic Forum, the Chinese Communist Party, and the National Endowment for Democracy.”

What is the plan to enact this bloodletting? While there are sops to Ronald Reagan throughout, Dawn’s Early Light is clear that the era of small government is over; Roberts thinks government should be the change he wants to see in the world. The New Conservative Movement, as he terms it, will use the federal government as a bludgeon against any and all of its cultural and economic foes, while the small-minded small government folk are derided throughout as “wax-museum conservatives.”

Roberts wants government to force American to embrace his vision of “Faith, Family, Community, and Work.” And–not surprisingly–“Faith” means Christianity.

Policies that encourage religious observance, such as Sabbath laws and voucher programs that include religious schools, should be encouraged. American society is rooted in the Christian faith—certainly public institutions should not establish anything offensive to Christian morals under the guise of “religious freedom” or “diversity, equity, and inclusion.”

As I noted yesterday, Roberts reserves special animus for reproductive freedom, especially the birth control pill–which he wants to outlaw.

“The birth control pill,” he tells us, “was the product of a decades-long research agenda paid for by the Rockefeller Foundation and other eugenicist and population control-oriented groups.” These eugenicist-sponsored technologies, Roberts believes, are the true culprits, for they “shift norms, incentives, and choices, often invisibly and involuntarily,” making us think we want something that we in fact don’t.

Even a thing you might think the pro-birth crowd might like, like in vitro fertilization—which produces babies!—is not good in Roberts’s view….

This technological conspiracy, where every modern convenience from the Pill to the Playstation is keeping us from our God-given duty to be fruitful and multiply, must be fought at every level—from government tax policy and regulation (to encourage stay-at-home mothers) to pro-family technologies (like Tinder rival “Keeper,” a dating app whose mission is to “end human loneliness by giving everyone the opportunity to start a happy, healthy family”).

The article has much more of this insane world-view. (I just learned that Heritage wants to end government’s hard-won new ability to negotiate drug prices, something that just saved seniors and government billions!) But you might also be wondering how these lunatics plan to sell their vision to an American public unlikely to favor their version of utopia.

Pro Publica has answered that. It’s reporters uncovered “training videos” produced for Project 2025’s proponents/salespersons.

“Eradicate climate change references”; only talk to conservative media; don’t leave a paper trail for watchdogs to discover. In a series of never-before-published videos, Project 2025 details how a second Trump administration would operate.

The videos have strategies for avoiding Freedom of Information Act disclosures, for ensuring that conservative policies aren’t struck down by “left-wing judges,” and for “radically changing how the federal government works and what it does.”

This entire enterprise is delusional. It entirely ignores the existence of a robust contemporary culture that would resist a U-turn to the 1950s (or, really, the 1850’s).

Project 2025 accurately reflects the MAGA worldview. Sane people must defeat it in November.

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Speaking Of Project 2025…

If–as I fondly hope–the Democrats are victorious in November, future analysts of this year’s election are likely to focus on two major reasons for that success: Donald Trump and Heritage’s incredibly witless decision to leak the existence of Project 2025.

I need not belabor Trump’s rapidly disintegrating campaign. He can still pull this election out–if there are more MAGA cult members than I want to believe and too few rational people who vote–but at this juncture, he is rapidly descending into incoherence and obvious senility, and struggling to find an insult for Harris that will resonate. His choice of JD Vance as Vice-Presidential candidate once again displayed his lack of judgment. His constant insistence that America is a hellhole teetering on the edge of depression and teeming with criminals is evidence of his looney-tunes detachment from reality.

Trump’s inability to reach beyond his base– the voters who applaud his incivility and share his bigotries– is one thing; the revelations of Project 2025– the GOP’s transition plan–is another. To call the Plan’s measures “unpopular” is an understatement. As one pundit observed, “it polls like Ebola.”

In a recent Letter from an American, Heather Cox Richardson reported on several of the elements of that document, calling it an “extremist vision of a country ruled by a strongman who took the civil service, the Department of Justice, and the military under his own control in order to slash the popular, secular parts of the government and replace them with Christian nationalism.”

Right-wing evangelicals liked what was outlined in the project, but when the majority of Americans began to understand what was in it, they were quite clear they wanted no part of it. Trump then tried to distance himself from it, although he had publicly praised it, his political action committee had called it his plan, and more than 100 of its architects were people who had served in his administration.

And then it turned out that Trump’s vice presidential pick, J. D. Vance, had written the introduction for a book by Heritage Foundation president Kevin Roberts, the chief author of Project 2025. The original publication date for the book, which calls for “a peaceful ‘Second American Revolution,’” was in September, shortly before the election, but today the publisher announced it would put off publication until November, after the election.

The publication may have been delayed, but several copies of the book were already in the hands of reviewers. Despite Republican efforts to soften or otherwise obscure the party’s efforts to ban women’s reproductive freedoms, the book makes very clear that the folks currently in control of the GOP intend to come not just for abortion, but for birth control and in vitro fertilization. According to these Christian Nationalists, having children should not be considered an ‘optional individual choice,’ but a ‘social expectation.’” The book characterizes reproductive choice as a “snake strangling the American family.”

(The book also says dog parks are “anti-family.” I am not making this up–google it. In the book, Roberts complains that parks catering to dogs, rather than children, are evidence of “the antifamily culture shaping legislation, regulation, and enforcement throughout our sprawling government.” Take that, Rover!!)

Richardson also tells us that–in addition to his enthusiastic introduction to Project 2025–Vance wrote a glowing blurb for another Right-wing screed.

The book, titled “Unhumans: The Secret History of Communist Revolutions (and How to Crush Them),” calls for purging their enemies from society. “In the past, communists marched in the streets waving red flags,” Vance wrote. “Today, they march through HR, college campuses, and courtrooms to wage lawfare against good, honest people… In ‘Unhumans,’ Jack Posobiec and Joshua Lisec reveal their plans and show us what to do to fight back.”

Vance, Heritage and the MAGA movement don’t just oppose reproductive liberty. They oppose Separation of Church and State, “HR, college campuses and courtrooms”–in other words, diversity (“those people”), education (Project 2025 proposes to replace public schools with voucher programs, and endorses current Republican assaults on academic freedom) and the rule of law. The GOP doesn’t just want women returned to the kitchen and bedroom; it wants gay folks back in the closet. And it denies the existence–let alone the medical needs– of trans people.

CNN recently reported on the secret taping of a conversation with one of the Project’s authors, a self-described Christian Nationalist who disclosed–among many other things– the current preparation of Executive Orders and other legal documents in order to facilitate the rapid implementation of Project policies by an incoming Trump Administration.

A vote for any Republican is a vote for this entirely anti-American Project.

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