Author: lemkin

Robert Reich: The Republican Death Wish

Oh hell yes:

robertreich:

Can we be clear about that budget problem? It’s driven not by Medicare. It’s driven by the same relentlessly soaring health-care costs that are pushing premiums through the roof and causing middle-class families to shell out more and more money for deductibles and co-payments.

Some features of Obama’s new healthcare law will slow the rise — insurance exchanges, for example, could give consumers clearer comparative information about what they’re getting for their insurance payments — but the law doesn’t go nearly far enough.

That’s why Democrats should be saying this: We need to allow anyone to sign up for Medicare. Medicare is cheaper than private insurance because its administrative costs are so much lower, and it has vast economies of scale.

If Medicare were allowed to use its potential bargaining leverage over America’s hospitals, doctors, drug companies, and medical providers, it could drive down costs even further.

And it could force the nation’s broken health-care system to do something it must do but has resisted with a vengeance: Focus on healthy outcomes rather on costly inputs. If Medicare paid for results — not tests, procedures, drugs, and hospital stays, but results — it could give Americans better health at lower cost.

Emphasis added to point out that this is exactly what Democrats need to be saying. The steadily rising cost of Medicare is only indicative of the problem, it is not the problem. Never was, never will be. Paul Ryan wants to “solve” the issue by simply setting an amount that the government will pay and then telling anyone who can’t meet the difference to kindly go die in the streets.

Democrats, on the other hand, want to solve the problem by solving the problem. And how does the GOP respond? By trying to undo the ACA and any other cost-containment measure. By trying to end Medicare. And, of course, by redirecting the money harvested from the end of Medicare to the richest of the rich. Who so desperately need it.

Robert Reich: The Republican Death Wish

Mediscare

The Medicare Trustees put the projected shortfall at 0.79 percent of payroll, which is approximately 0.27 percent of GDP over the program’s 75-year planning horizon. By comparison, the increase in annual spending on the military between 2000 and 2011 was more than 1.6 percentage points of GDP. This increase in spending did not cause serious harm to the economy, therefore increased spending of one-fifth this size will presumably not be a major problem.

Mediscare

The Kitchen Table

I’ve said before that the “kitchen table” meme needs to die. But before it shuffles off this mortal coil, President Obama should put it to use one more time:

“My fellow Americans, we in the United States are like so many of you, sitting at your kitchen table and wondering where to come up with money to cover an unexpected expense while still keeping the lights on and food on the table. As you may have heard, the National Bureau of Economic Research recently reported that most Americans couldn’t produce $2000 on short notice without selling possessions or finding a lender to borrow it from. The government faces these questions all the time; like right now, with some members of Congress moving to prevent us from providing emergency funds to help the victims of the terrible tornado in Joplin, Missouri.

"In some ways, the problems of deficits and the debt that the federal government accumulates are no different from you, at your kitchen table, trying to come up with that desperately needed $2000 on short notice. As you all know, the United States has seen historic shortfalls over the last several years as government income has dropped dramatically as a direct result of the downturn in the global economy. At the same time, of course, we’ve had to increase various outlays and spending just to maintain existing programs or fund new recovery efforts and, of course, continue fighting two wars.

"Now, because of all this, we in the government find ourselves sitting around our kitchen table talking about the budget and our debts. The Democrats in Congress and I have suggested various cuts and other ways to tighten our belts, just like all of you have had to do through this time of economic hardship and struggle; but we also believe that since the government can currently borrow at historically low rates, we should take advantage of that capability while it’s here. More to the point: we think it would be foolish not to. It’s the difference between spending on large, unnecessary purchases and recognizing a genuine opportunity that also carries with it a long-term but sustainable debt. Much like when you bought your first home, or a car, or started a small business and the bank ensured that you could actually meet the payments at the interest rates offered; in the same way, the world market believes that the US government will remain solvent and thus continues to offer money at very low interest. This will not always be so, but we Democrats believe we should take advantage of it while we can and that we should use that extra buying power to empower the American economy on its road to recovery.

"The Republicans, on the other hand, are suggesting that we sell the furniture at whatever price the first person offers us, put the children to work at dangerous jobs, eat tainted food and dirty water to save a few cents, and finally default on our existing financial obligations such that we can pay down that mortgage on the house as quickly as possible, even if that action means incurring penalties, and they want to do all of this despite the fact that we have access to stable, reasonable long term interest rates and also have the wherewithal to make payments long into the foreseeable future. It’s like they want us to finance a car on a high interest credit card instead of through a traditional bank loan just because they want to give the people at the credit card company some more money. It doesn’t make any financial sense for the country and only functions to create wealth for the handfull of people at the very top of the financial system.

"I think I know which road you as Americans want us to take. So why not sit down at that kitchen table of yours and write or call your Congressperson and let them know?

"Thank you for listening. Good night, and good luck.”

The Hitchhiker’s Guide to the Galaxy has a few things to say on the subject of towels.
Most importantly, a towel has immense psychological value. For some reason, if a non-hitchhiker discovers that a hitchhiker has his towel with him, he will automatically assume that he is also in possession of a toothbrush, washcloth, flask, gnat spray, space suit, etc., etc. Furthermore, the non-hitchhiker will then happily lend the hitchhiker any of these or a dozen other items that he may have “lost.” After all, any man who can hitch the length and breadth of the Galaxy, struggle against terrible odds, win through and still know where his towel is, is clearly a man to be reckoned with.

Douglas Noel Adams
Happy towel day.

…if there is support for a supplemental [spending bill related to disaster relief for the Joplin, MO tornado], it would be accompanied by support for having pay-fors to that supplemental

House Majority Leader Eric Cantor (R-Va.).
Indeed, there’s never a better time to take hostages and drag out a legislative process than when people lay dying under rubble. Those poor saps should’ve just planned ahead. Also: survivors should get really interested in meteorology, because if the GOP has their way, they’re going to be doing it by themselves pretty soon.

Today’s seniors and near-seniors spent much of their working lives in that postwar world, with their incomes rising, investments gaining, their health increasingly secure, and their retirements predictable. Everyone 55 and younger spent his or her entire working life in an economy where all those trends had stalled or reversed […] The Ryan plan, in other words, delivers to the older generation exactly what they’ve had all their lives — secure and predictable benefits — and to the next generation, more of what they’ve known — insecurity and risk.

Mark Schmitt, writing for The New Republic.
Yep. This sort of “I’ve got mine, time to raise the ladder” thinking pretty much defines the modern GOP. No surprise it’s also trending their mean voter age higher and higher and higher. Sustainable!
Source: tnr.com

Annals of the Memory Hole: Anyone Remember that Crazy Housing Bubble?

Tom Coburn: Any honest view of our debt, deficits, size of government and demographic challenges shows we must make major changes if we are going to pass on the American way of life to our children. Each week seems to bring new warning signs: slower-than-expected growth (already as much as 25 to 33 percent every year, some estimate), higher-than-expected unemployment numbers.
Dean Baker: Actually the current period of high unemployment and slow growth has nothing to do with the budget deficit. It is the result of the collapse of the $8 trillion housing bubble. Unfortunately, Federal Reserve Board chairs Alan Greenspan, Ben Bernanke and other policymakers overlooked this enormous bubble as it was growing. Apparently, Mr. Coburn has not noticed the bubble even now that its collapse has wrecked the economy. […] the housing bubble was [also] probably the most predictable economic crisis in history. Unfortunately, almost no one in a policy position was able to predict it. Contrary to Mr. Coburn’s assertion at the beginning of his [article quoted above], any honest view of the debt, deficits, size of government and demographic challenges shows that we have to fix our health care system. If per person health care expenditures were comparable to what they are in Germany, Canada, or any other wealthy country with a longer life expectancy than the United States we would be looking at budget surpluses, not deficits.

I know I said that [I endorsed Gary Johnson]. But I think I will wait and see where he stands on other things. My bad. Sorry. I still think he is a good guy but so Is Dennis [Kucinich] and if he decided to run I would personally vote for him. If it came down to either him or Gary I’m already committed to Dennis. They both have said they support legal pot.

Willie Nelson walks back that Gary Johnson endorsement. I’d say that pretty much ends old Gary’s chances…

Depths of Hypocrisy

42 Republicans voted to filibuster Goodwin Liu’s judicial nomination today:

The Republicans who said they’d never filibuster a judicial nominee? They filibustered a judicial nominee. The Republican “moderates” who said they found these tactics distasteful? They filibustered Liu, too. When the dust cleared, how many GOP senators were willing to give this nominee an up-or-down vote? Just one: Alaska’s Lisa Murkowski.

Depths of Hypocrisy

We have a plan. It’s called Medicare.

Nancy Pelosi, once and future Speaker of the House, reprising her prior quote on Social Security.
This is exactly where the Democrats need to be: stating clearly that there will be no significant benefit cuts to Medicare. We will achieve cuts and reduce costs through implementation of the ACA and reforms to existing money-holes like Medicare Part D; this is, in fact, the only durable way to deliver spending reduction: by lowering the overall per-person cost of medical care in the United States.
The next nearest developed country spends about ⅕th what we do per person on healthcare and gets better results by almost any metric you care to use. You control costs by controlling costs and the rate of their growth, not by setting an arbitrary benefits value that you will pay forevermore.
Note to the MSM: healthcare costs and the rate of cost growth are the issues in federal deficit and debt discussions. Why are these never, ever mentioned or asked after? If you’re truly a Serious Person when it comes to deficits, this is where you should be starting and finishing.
Source: Washington Post