Tag Archives: medicare

Step one.

There’s a lot to say about the Republican’s craven plan to push through a massive tax plan in a matter of days. I needn’t point out that the final bill is likely to be a cobbled together mess, one that we’ll be struggling with for many years to come if it ever finds its way to Trump’s signing hand. Nor do I need to repeat the obvious fact that this is a tremendous giveaway to the richest Americans, to corporations, and to the GOP’s donor base, one that demonstrates the degree to which the Republicans’ supposed concern over budget deficits is just another ploy.

Rich folks get THIS much.What I find most infuriating about this legislation is that it is being proffered at a time when its chief beneficiaries – the richest of the rich – are doing just fine, thank you very much, and corporate America is sailing from strength to strength. The last thing they need is more money in their pockets. This is also a time when our armed forces are deployed in conflicts all around the world. Trump just signed into law a $700 billion defense bill, subject to repeal of the sequester agreement. When we’re spending this kind of money and putting people in harm’s way, why the hell are we cutting taxes? What effing justification is there for that? It is beyond shameful, frankly.

Even worse, this is just part one of a two-step routine the Republicans have been rehearsing for a generation now. Step one: cut the hell out of rich people’s taxes, and blow a huge hole in the federal budget. Step two: almost immediately afterward, feign panic over a ballooning deficit and use that as a rationale to cut core social programs, like Social Security, Medicare, Medicaid, and other extremely popular programs. They have tried this numerous times before, with only limited success. This time might be different, as they are more craven than in previous decades and control every lever of power. They really don’t need any Democratic votes to push these cuts through.

The GOP has always hated Social Security and Medicare/Medicaid, largely because they are defined benefit, pay as you go institutions. To the current crop of crazies running Congress, insurance is now tantamount to Soviet-style top-down socialism. Don’t think they won’t try this: Paul Ryan has been working on setting this up for many years. We have to be ready to fight back, or you can kiss these vital public institutions goodbye.

That fight begins with killing this tax bill. Best get started.

luv u,

jp

Sickness.

As I write this, the Senate Republicans have pulled their version of the ACA “repeal and replace” legislation – a bill that’s really more a massive tax cut funded by massive cuts in Medicaid. This temporary hiatus is mostly down to the many thousands of people across the country who made their voices heard in various ways, and so to all of you I say job well done. That said, this job is not, in fact, done. The Republicans will be back very soon with a slightly amended version of the bill that can garner 50 votes, after having bought off key senators with part of that $300 billion-plus deficit reduction bundle built into this piece of legislative ordure. Just watch.

Two old men who will never need Medicaid.This entire situation – I won’t say “debate” because there hasn’t been any – is ridiculous largely because no one in Washington will admit to what the ACA’s core problems are. The Republicans, and to a certain extent many Democrats, continue to insist that competition and a freer market in health insurance will deliver affordable coverage to everyone; just pull those sick people out of the system and into an underfunded high-risk pool, and the market can do its magic.

Bullshit. The “free market” approach to individual coverage doesn’t work because individual health insurance is not a profitable line of business; insurers have known this for decades and have been pulling out of individual policies because they carry too much downside risk. They prefer large employer plans, where the only money being risked is that of the client company, not the insurer. Even if you start an individual health policy in good health, things inevitably go wrong and then the company is on the hook. Sure, they prefer younger, healthier folks as customers, but even they get cancer once in a while. Individual policies are not a money maker unless the market is so drastically tilted in the insurer’s favor that they can basically sell nominal “coverage” to healthy people.

This is why Medicaid is such a popular program. Even the GOP’s complaints about it all center on cost, not care. (They just see it as a cash cow.) Medicaid is not provided on market principles; neither is Medicare nor the veterans health program. No health insurance should be market-driven, because treating it like a commodity severely disadvantages poorer, older, and sicker people. Those categories apply to most everyone at some point in their lives. The only way to ensure that coverage will be there for all of us when we need it is single payer.

Last word: this Senate bill is sick; it is a tax cut scheme built on gutting Medicaid and pulling money from Medicare. And it will be back.

luv u,

jp

No to reconciliation.

Want a good reason to vote next month? Here’s one: Paul Ryan’s “Better Way” agenda, which he will drive home like lightning if his party is successful on election day. With a Republican congress and a Trump presidency, Ryan can pass the most regressive political program ever contemplated on the national level. At the core of this agenda will be another raft of massive tax cuts for the rich, including a 20% cut for corporate taxes, which will drain trillions of dollars from the Federal budget and (no surprise) prompt austerity action on social programs like Medicare, Medicaid, and Social Security.

Why is this man smiling?On top of that, the “Better Way” will use reconciliation votes to repeal sections of the Affordable Care Act, including Medicaid expansion. Ryan tested his caucus’s ability to use this tactic on non-fiscal legislation this past term when he brought an ACA repeal vote via reconciliation. This will be repeated next year, but with a Republican president, their vile legislation will get a signature. Ryan will be able to move forward with converting Medicare to a voucher. You can already hear right-wing pundits floating the concept of expanded Health Savings Accounts as part of their “repeal and replace” strategy – that and the seemingly evergreen notion of allowing insurance to be sold across state lines. This should be great comfort to the hundreds of thousands thrown off of Medicaid by their so called “better way.”

Whatever your misgivings about Hillary Clinton (and I have plenty), voting for her is the best way to shut Ryan down. I strongly suggest you also consider voting down-ballot for Democrats. There’s an outside chance that Dems could take the House and a stronger opportunity to retake the Senate. That’s our best opportunity to ensure that we’re not massively losing ground over the next four years, even if we’re not leaping forward in great strides. I feel strongly enough about this that I have been volunteering for our local Democratic candidate for Congress (Kim Myers), mostly because her principal opponent is an anti-choice zealot who once referred to the head of the Oneida Nation as “spray-tan Ray” in a Trump-like drunk tweet. Classy.

There’s plenty we need to do to build a more progressive, equitable, and sustainable political reality. Voting is a very small but important part of that. It’s the best way at this point to say “no” to Paul Ryan’s agenda. Let’s stop that mother cold.

luv u,

jp