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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Compelling Versus Repelling

The New Republic recently had a column by Michael Tomasky comparing the Trump campaign to a long-running television show. His point was that the shtick has gotten old and boring. He compared Trump’s performances to several sitcoms that had been enormously popular, and noted that few of them had sustained that popularity for nine years–the length of time that Trump has inflicted his buffoonery on the country. He also pointed to data that indicates Americans are tiring of him.

It was an interesting comparison, and obviously, I hope it’s a correct one. But what caught my attention was his conclusion to the following paragraphs:

But again, for now, let’s just judge him as an act. His act is way tired. It’s now nine years of “Fake news” and “You won’t have a country anymore” and all the rest. In 2015, all those Trumpisms were stupid and disgusting; but at least they were new. I actually laughed when he described Jeb Bush as a “low-energy person.” He was! I could imagine then how, for voters who didn’t hate him, he was interesting and possibly amusing as a species that American politics rarely produces: someone who threw the script in the air and said whatever the hell popped into his mind.

That was bound to be something people wanted to watch, for a while. And it was just as bound to be something that became less compelling over time. It’s an act. And this is a key difference between politics and show business that Trump can’t see. In showbiz, and on TV, it’s all about whether the production values can sell the act. In politics, it turns out, the act needs more than slick production. It still needs to show some connection to people’s lives and concerns. Harris is better at that than Trump is. And her act is a lot fresher, too. And Walz’s act versus Vance’s? Not remotely close. Yes—Walz is so compelling, and Vance so repelling, that this is one election where the veep choices may actually make two points’ worth of difference.

Tomasky’s characterization of Walz as “compelling” and Vance as “repelling” isn”t just an accurate description of the two vice-presidential candidates. It’s an accurate description of the great majority of current Democratic and Republican candidates.

I understand that I live in an urban bubble, but everyone I know finds Trump repellant–and those who watched the Democratic Convention found most of the speakers at that event compelling. That contrast isn’t limited to national figures, either. It’s really hard to look at the Indiana Republicans’ statewide ticket without being repelled. (When MAGA Mike Braun is the least offensive candidate of the four, the GOP has really outdone itself.)

In addition to MAGA Mike, an empty suit who just wants to be important, you have smarmy Micah Beckwith hating on LGBTQ folks, advocating censorship, and telling voters that God directed the disreputable and looney mob that invaded the U.S. Capitol on January 6th. (Micah says he talks to God…)

You have equally-theocratic, anti-woman, anti-gay, wrong about pretty much everything, Jim Banks, who is evidently so personally unpleasant that even the Republicans in his current Congressional district dislike him.

And you have  “no bar is so low that he can’t go lower” Todd Rokita, who has (mis)used the. office of Attorney General to wage interminable–and tiresome–culture wars as part of his incessant pandering to the most MAGA voters of the GOP base.

I certainly find these men repellant. I also find the Democratic state ticket compelling–if you haven’t had the opportunity to hear Jennifer McCormick, Terry Goodin, Valerie McCray or Destiny Wells speak, you should try to do so. But even if you don’t find them as compelling or inspiring as I do, you’ll definitely notice that they are all sane, competent and –unlike their Republican opponents–actually qualified to do the jobs they’re running for.

I really hope that Tomasky’s comparison of political and television show popularity is correct. It would be great if the American voters who have been fascinated or intrigued (or sucked in) by the first few seasons of “Entitled White Faux Christian Guys” might be getting bored with the same-old, same-old, and ready for a different show.

How about a documentary? Say, for example, one titled “This is How Government Is Supposed to Work”?

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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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The Documented Trump

I recently read Joe Conaston’s book “The Longest Con”–a deep dive into political corruption. It was an admittedly partisan dive, focused on Republican officeholders–I’m not naive enough to believe that Democrats are all saintly do-gooders. But Conaston’s reporting did “bring the receipts” as the saying goes; the last quarter or so of the book was a comprehensive list of resources.

When he got to Donald J. Trump, the sleaze went off the scale. From simple laziness and inattention to the job (Trump spent one out of every three days of his presidency on visits to his resorts, hotels and golf courses), to his direction of millions of public dollars to his own businesses (he arguably violated the Constitution by encouraging foreign governments seeking favors from the U.S. to stay at his hotels and resorts), Conaston concluded that Trump kept his business enterprises solvent with taxpayer dollars.

It was a portrait of the grifter as President. 

None of those observations would surprise those of us who follow politics closely. But a recent column in the Washington Post focused on an element of Trump’s tenure that did surprise me, although it was obvious once Matt Bai, the author of the article, pointed it out: unlike virtually every other President, Trump didn’t show signs of aging while in office.

Watch any video of Biden four years ago, and you’ll have the odd sensation of having turned back the clock by a decade at least. It was the visual effects of Biden’s aging, rather than evidence of any cognitive decline, that doomed his candidacy from the moment he appeared on the debate stage in June.

Why does the presidency have this effect? It’s not the late nights and endless flights (although they probably doesn’t help). It’s the physical burden of awesome responsibility. Every decision seems to involve bad options and worse; some cost livelihoods, others, actual lives. Add to this the toll it all takes on a family (in Biden’s case, the very public prosecution of his only surviving son), and you can see why a normal person isn’t built to withstand it.

But this is where Trump is truly not normal. I’m trying not to be cruel here, but it’s not exactly breaking new ground to say that he seems to lack for something innately human: the basic capacity to internalize other people’s pain. As president, Trump never betrayed remorse or apologized, never seemed to take personally the 800,000 Americans who died of covid-19 on his watch. Tragedy breeds in him only defiance. Trump’s motto might be: “Don’t worry, be angry.”

At another point in the essay, Bai points to a behavior that reinforces Conaston’s perspective on what really matters to this very twisted man:

When Trump and his children talk about the sacrifices their family made to serve the public, they aren’t talking about his anguished nights spent roaming the halls of the White House. They’re talking about money.

The point is that empathy and self-doubt — the feeling that we’re failing to meet the critical needs of others — are the things that really take a toll on us. Whereas clinical callousness may well be a fountain of youth — from which Trump has been guzzling his entire life.

This analysis goes a long way toward explaining why people thought of Biden as much older than Trump, despite the fact that, at 78, Trump is less than 4 years younger, and is now the oldest person ever to run for President. Anger and hostility can manifest as energy. Not caring about others–certainly not the people he was elected to serve–protected Trump against the dramatic aging we almost always see in Presidents after they’ve served a term. 

What anger and extreme entitlement/narcissism cannot mask, however, is increasing senility– loss of even the minimal control Trump was once able to muster. After Biden’s withdrawal and the surge in support for Harris, an increasing number of articles have asked whether Trump is “losing it.” (That assumes he ever had “it,” but I quibble.)

As one such article noted,

Today in New Jersey, Trump tricked reporters into covering a “press conference” that turned out to be a lengthy speech to his supporters at his golf course. Low-energy Trump read from a thick binder that included a string of outrageous lies, including the ridiculous claim that more than 100% of new jobs created in the U.S. are going to migrants….

“He lacks self-control. He lacks discipline,” Republican donor Eric Levine told the New York Times. He’s focused on a “very strange victimhood and grievance,” said Republican strategist Liam Donovan.

Yet millions of Americans will vote for this deteriorating con man–presumably, because he gives them permission to be as hateful as he is.

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Let’s Talk About Economic Performance

One of the recurring questions on presidential polls asks respondents for their perceptions of economic performance.
Although Kamala has bested Trump in a couple of recent polls, it has really rankled me that so few Americans have recognized and/or appreciated either the damage Trump did to the economy or the Biden administration’s incredibly successful management of it–management that financial markets and economists acknowledge was masterful, and brought the U.S. out of the pandemic downturn faster (and better) than any other country.
Knowledgable observers compare Biden’s performance to that of FDR. He will go down in history as one of America’s most consequential Presidents. In my humble opinion, the lack of popular recognition of his performance is attributable to his relative lack of oratorical skills–if Biden had the oratorical gifts of an Obama, perhaps a general public fixated on celebrity, salesmanship and hype (and too lazy to consult evidence and data) would have appreciated the extent of his administration’s accomplishments.
The Democratic convention got underway Monday, and in his speech, Biden justifiably reminded listeners of his “greatest hits.” In a column about the convention and the speech, Jennifer Rubin focused on Biden’s economic and foreign policy performance, noting the historic pieces of legislation Biden managed to pass even when the House of Representatives was in the hands of a partisan–and looney– GOP: measures on infrastructure, microchip manufacturing, and green energy investment. Cost controls on insulin and a variety of prescription drugs for Medicare patients. A massive operation to immunize Americans against the coronavirus, despite what Rubin called–accurately– “irrational and destructive” Republican opposition. That operation saved thousands of lives in addition to allowing the U.S. economy to recover. 

These domestic successes accompanied equally impressive foreign policy accomplishments: “repairing and expanding NATO, arming Ukraine, reestablishing the United States’ credibility on the international stage, new and reinvigorated alliances to check China’s power).”

Kamala Harris has been part of the Biden administration, and can be expected to continue the policy approaches that have been so successful. There will be some “tweaks,” but she has administration “bragging rights.” She is running on four years of demonstrated, excellent performance.

So, you might ask, what are Donald Trump’s “bragging rights?” My sister recently listed them, and seeing them all in one list was–shall we say–edifying:

First President in history to serve a full term and increase the deficit every year he was in office.

First President in history to maintain a debt to GDP ratio over 100% for his entire term

Highest annual budget deficit.

Most added to the national debt in a single term.
Most new unemployment claims.
Largest single day point drop in the history of the Dow.
First President in almost a century to lose jobs in his first term.
Longest government shutdown in history (and he did that while his own party controlled both chambers of Congress).
In addition to that dismal economic performance, Trump was also the first President to lose the popular vote twice, the first to maintain a net negative approval rating for his entire term, first to be impeached twice (with bipartisan support for his conviction after both impeachments) and, as we know, the President with the most indictments, guilty pleas, and criminal convictions of members of an administration.
The first to be a convicted felon.
The only people who cheered Trump’s economic policies were the super-rich, who benefitted from his tax cuts–cuts that placed the tax burden squarely on the middle class, and further enriched the wealthiest Americans.
You know what to do. VOTE BLUE.
Listen to the nuns….
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