Requirement

(D) MEMBERS OF CONGRESS IN THE EXCHANGE—

(i) REQUIREMENT—Notwithstanding any other provision of law, after the effective date of this subtitle, the only health plans that the Federal Government may make available to Members of Congress and congressional staff with respect to their service as a Member of Congress or congressional staff shall be health plans that are—

(I) created under this Act (or an amendment made by this Act); or

II) offered through an Exchange established under this Act (or an amendment made by this Act).

(ii) DEFINITIONS—In this section:

(I) MEMBER OF CONGRESS—The term ‘‘Member of Congress’’ means any member of the House of Representatives or the Senate.

(II) CONGRESSIONAL STAFF—The term ‘‘congressional staff’’ means all full-time and part-time employees employed by the official office of a Member of Congress, whether in Washington, DC or outside of Washington, DC.

Music to Lemkin’s ears. By forcing Congress and their staffs onto the exchange, you can be quite sure that there will be a broad array of choices there and that the price will be, er, right. I’ve long said that most of the problem with getting healthcare reform done is that members of Congress simply have no clue what it’s like on the outside: they and their families have nearly-free, 24/7 access to what’s essentially a private physician, fantastically complete coverage with a wide menu of choices for care, and low to no co-pays when something really hits the fan. Plus they cant’ be dropped. Why wouldn’t they persist in calling such a setup “the best healthcare in the world”? It pretty much is. The trouble is that almost nobody outside Congress has access to even a part of a plan like that.

What reform is about is allowing the rest of us access to some of that. And doing it in a way that, even projecting out 20 years, will only be costing the taxpayer 1% relative to doing nothing. Thirty million people will have access to care on the basis of that 1%. And, of course, those same projections show a half trillion dollar savings to the overall budget. Frankly, that’s amazing given the compromised nature and inherently “around-the-edges” approach of this plan so frequently (and nonsensically) derided as “government takeover.” Any plan with a total monetary outlay on the part of the government amounting to ~90 billion dollars a year isn’t a takeover of anything. The Pentagon budgeted

“$52.1 billion [for ancillary items] such as ammunition, portable generators, cooling equipment, field medical supplies, hospital equipment, and night vision goggles”

in 2009. Nothing inherently wrong with any of those things, but that’s a military outlay of $50B a year and doesn’t even get around to, oh, I don’t know, guns.
We’re wasting well north of $40B a year on the plainly idiotic War on Drugs. Don’t even get me started on how many times over our little foray into Iraq could pay for healthcare in this country. But such context never matters to the savvy reporter. Who won today’s political horse race? Who played their press releases better?
Never: who lied? Whose facts were more accurate? What is the broader context of this decision?

Even more importantly, though: people won’t be making career decisions based solely on maintaining their and their families’ access to healthcare. Even if it fails in every other way, signing these reforms into law will let a million startups bloom.

Comprehensive health care reform will not work through reconciliation. But if the House passes the Senate bill, and wants certain things improved on, like affordability, the Medicaid provisions, how much of Medicaid expenses are paid for by the Federal government, that is something that could be done through reconciliation.
A sidecar would be a good candidate for reconciliation depending on what’s in it,
The only thing that works here is the House has to pass the Senate bill, then the House can initiate a reconciliation measure that would deal with a limited number of issues that score for budget purposes.

Kent Conrad (~D, ND) and (clearly) a friend to Lemkin

The Democrat has spent (at least) two full days “scrambling” over what to do about this. Here’s an idea: make him talk. Relentlessly. 36, 72, 176 hours: whatever it takes until he collapses. Then hold the fucking vote by asking for unanimous consent to do so. Dare Republicans to let it “marinate.” Dare them. This is how you earn respect.

All the while, you scream on microphones outside the Senate chambers about how this is all 100% indicative of the Party of No.

Is this so hard to understand? Apparently it is.

Thus by my admittedly simple classification scheme, this would suggest that 14 of the 19 times reconciliation was used between FY1981 – FY2005, it was used to advance Republican interests. Or, to put this more precisely, it was used to advance bills that were signed by Republican presidents or vetoed by Democratic presidents.

Code Brown: PAM

ryking reports that:

the Teabaggers were going apeshit over Brown’s vote for the jobs bill on Twitter and I almost wet myself laughing at the vitriol. I guess these imbeciles thought he’d vote like a typical GOP automaton. News flash, imbeciles: Brown knows he won a protest vote in Massachusetts; he wants to be re-elected after he serves out the last two years of Ted Kennedy’s term so he can’t — and therefore won’t — march in goosestep, er, LOCKSTEP, with the America-hating GOP.

I wish I thought this was an accurate analysis. Unfortunately, I’d say this is an example of the GOP leadership knowing that a lockstep vote here, coming hot on the heels of the Brown mania, would be an all-too-clear and inescapable indictment of their current anti-democratic ways.
Of a piece with that, repeatedly bottling up jobs bills just isn’t going to play for any of them. Thus, Brown is given the go-ahead to vote for cloture, and a few of the moderate GOPers also scurry in to join him. The key vote, though, comes later: when the bill will pass 98-0 or some-such. The GOP Senate knows well that people don’t pay attention to anything, and certainly not the vagaries of cloture votes. No price will be paid for their delaying or otherwise weakening bills; after all, the GOPers can still just run on having voted “for” it in the end. They know that neither will their enablers in the media ever bring up the inconvenient cloture votes nor will the Democrat ever stoop to being so impolite as to mention such a thing in public.

It’s basically stimulus 2.0: take all the glory of anything that works or turns out to be popular, while doing none of the actual policy work needed to bring it about. In fact, you fight all that every step of the way and use the legislative mayhem to further inculcate the sense that DC is fundamentally off the rails. Rest easy that nobody on any side of the aisle or in the media will say or do anything about it. It’s an entirely cost free position that, so far anyway, is working like a charm.

So, no. I don’t feel the need to advance our Code Brown independent vote counter past 0. That happens in the unlikely event of his taking a difficult stand, one clearly against the leadership’s wishes. When FOXnews hollers about a vote, or he’s forced to apologize for some perceived slight, or prostrate himself before Rush: then and only then the 0dometer will advance. And sorry, it’s just not going to happen.

Starve the Beast

Paul Krugman notes that the GOP has collectively been working for around three decades to bring on the catastrophic nexus, “preparing the ground” for the moment at which they can cut wildly popular programs like Medicare and Social Security in the name of “fiscal responsibility.” Unfortunately, with that day all but at hand, the GOP finds itself unwilling to pull the trigger and say these long-held beliefs publicly:

At this point, then, Republicans insist that the deficit must be eliminated, but they’re not willing either to raise taxes or to support cuts in any major government programs. And they’re not willing to participate in serious bipartisan discussions, either, because that might force them to explain their plan — and there isn’t any plan, except to regain power.

Absolutely right. And but Krugman goes on to note in today’s column that the state of the California health insurance system generally and the recent Anthem move to raise rates by ~30% specifically put to lie everything the GOP is saying about national health insurance reforms:

some claim that health costs would fall dramatically if only insurance companies were allowed to sell policies across state lines. But California is already a huge market, with much more insurance competition than in other states; unfortunately, insurers compete mainly by trying to excel in the art of denying coverage to those who need it most. And competition hasn’t averted a death spiral. So why would creating a national market make things better?

More broadly, conservatives would have you believe that health insurance suffers from too much government interference. In fact, the real point of the push to allow interstate sales is that it would set off a race to the bottom, effectively eliminating state regulation. But California’s individual insurance market is already notable for its lack of regulation, certainly as compared with states like New York — yet the market is collapsing anyway.

Finally, there have been calls for minimalist health reform that would ban discrimination on the basis of pre-existing conditions and stop there. It’s a popular idea, but as every health economist knows, it’s also nonsense. For a ban on medical discrimination would lead to higher premiums for the healthy, and would, therefore, cause more and bigger death spirals.

So California’s woes show that conservative prescriptions for health reform just won’t work.

To which we say: yep, even though Krugman starts with a straw-man in there. Some? How about “GOP leaders in the House and Senate say” or any other construction there? Some? That’s Bush league usage.

But, I think the synthesis of these two articles is what actually provides the way forward. We’ve said it before: Democrats can’t bring themselves to move good policy and the GOP categorically can’t resist bad policy, so combine the two. Spend a few years “preparing the ground” just as the GOP did on forcing government into the present fiscal situation in hopes of eviscerating the New Deal once and for all. Make it such that, when the inevitable happens, the end result will require the desired policy solution.
This means that you just pass into law the super-popular and death-spiral inducing community rating and tack on whatever meaningless and ineffective tort and state-lines “reform” the GOP wants to make that poison pill pass. Both sides celebrate. Then wait five years. Even conservatives agree that:

the country will face a choice: allow the numbers of uninsured to continue shooting up, or enroll more and more people directly in taxpayer-funded government insurance plans.

At the collapse of health insurance in this country, the GOP will be forced to roll out Medicare for all; after all, there will be no functional private insurance industry left to protect. Even the very rich will be priced out. Nothing gets the GOP’s attention more quickly than a situation like that.
Just think of the day that Single Payer is finally signed into law by President Palin. Likewise, the new Democratic majority will return to a Senate free from the filibuster as, everyone knows, that will be the first thing to go once the GOP is back in charge over there.

Somewhere, off in the distance, a dog barked.

Stunning! Those that overwhelmingly oppose healthcare are also overwhelmingly unlikely to vote for a Democrat, any Democrat in the upcoming 2010 Congressional mid-terms. (PDF of polling data here)

Does that mean that the Democrat will now go ahead and push through health insurance reforms, secure in the idea that those opposed would never vote for them anyway, and those “unsure” are, at least, somewhat malleable and willing to be convinced on the matter? Of course they won’t. Are you fucking retarded?

Realistically what I think is going to happen is that almost no significant legislation of any kind will pass until 2017, by which point the GOP will [likely] control both the White House and the Senate and immediately eliminate the filibuster via the “nuclear” approach [meaning 50 Senators vote in favor of an opinion on the part of the President of the Senate that the super-majority is unconstitutional; thus the filibuster ceases to be]. Republicans, to their credit, tend to prioritize their vision of the national interests over issues of process and ego. Democrats, by contrast, seem to have mostly gotten into politics in order to bolster their own sense of self-righteousness and aren’t especially concerned with whether or not their conduct in office is efficacious.

Matt Yglesias, positively bubbling over with optimism for the country. If the filibuster goes in my lifetime, I think this is exactly how it will transpire, though: as the first action of a Republican controlled Senate serving a Republican President.
Yglesias is also 100% right that the credible threat of filibuster reform is more potent and much more likely to end in real reform than the actuality of that process (meaning: pushing a bill to end it with everyone knowing 67 votes aren’t out there). Democrats can never get these concepts through their heads, though. So forget about it.

Why We Fail

Jonathan Chait looks over Paul Ryan’s economic proposals, notes their direct and admitted lineage to the pop-philosophy of Ayn Rand, and the worshipful treatment it receives at the hands of many in the right, including Ryan himself. He furthermore folds in the lunatic ravings of Jonah Goldberg (author of Liberal Fascism, which makes the stunning, transitive “discovery” that American liberals like social programs, the Nazi party was made up of National Socialists, thus American liberals are Nazis) and opines:

They’re written by people who don’t understand liberalism and the left at all, and are thus unable to present liberal ideas in terms remotely recognizable to liberals themselves. The specific lack of understanding lies in an inability to grasp the enormous differences between American liberalism and socialism or communism, seeing them as variants on the same basic theme.

[…]

The result is a tendency to see even modest efforts to sand off the roughest edges of capitalism in order to make free markets work for all Americans as the opening salvo of a vast and endless assault upon the market system.

Um, no. We are not talking about any lack of understanding here, unless you count “willful lack of understanding used towards cynical goals” as falling under that rubric. If anything, they understand liberalism all too well. The work of Jonah Goldberg et al. is entirely predicated on making fantastical statements with little or no logical underpinning in the cynical hopes of selling a few books to the choir. Period. No different from Ann Coulter or, for that matter, Glenn Beck, though his brand of hucksterism veers more towards that of a TV preacher hawking prayer rags than actual “political thought” insomuch as you can call the Goldberg-style spew “thought.”
Their weapon is precisely in understanding that the Left will dutifully take these ideas up, just as Chait does here, as though they are seriously offered, based on serious thought, are entirely legitimate points of view, and thus worthy of serious discussions and/or use as the basis of policy negotiations going forward. By doing so, the Left signals that, far from being abject lunacy, these are the points of discussion and arguments for the political class, and thus are the goalposts ever moved rightward.

It’s the logical fallacy of “when did you stop beating your wife?” writ large, and the right uses it relentlessly and with disheartening effectiveness. Say: “Well, the Democrat isn’t a Nazi because…” and you’ve already lost, no matter how the thought ends; you’ve implicitly agreed that there is some reason to make a Democrat/Nazi connection and/but here are the rational arguments against such a thesis. This is horseshit. Induce laughter at the mere idea, the immense foolhardiness of it all, and you’ve won. Same idea goes for Palin, and all the rest of this anti-intellectual crowd. They must find themselves automatically marginalized from “Washington Society” until such time as something rational emerges from their festering maw. More than anything, they crave the attention. That is why it must be removed.

That the progressive or liberal thinkers in this country continue to entertain Goldberg et al. as rational, serious contributors to the dialogue of this country going forward is precisely how you lose. I agree that you can’t just ignore them, but you must never, ever imply that there’s even a grain of truth to what they are saying; they must, therefore, be made objects of derision. Their output is, after all, utter foolishness. You may as well let reports of Bat Boy in the Weekly World News drive Medicaid policy and coverage limits. As Rachel Maddow recently noted:

They are not embarrassed. Charging them with hypocrisy, appealing to their better, more practical, more what’s-best-for-the-country patriotic angels is like trying to teach your dog to drive. It wastes a lot of time, it won’t work, and ultimately the dog comes out of the exercise less embarrassed for failing than you do for trying.

When these folks move to stop efforts to “sand off the roughest edges” they are not moving to compromise. They do not begin with “the best intentions.” They are moving to destroy, utterly, the progressive position and are willing to do so by any means at hand; and, they are not embarrassed. They don’t care how they look in the process, because their treatment thus far has shown that how it looks won’t matter. Not long-term. This is why they never apologize, never compromise, and never even bother to negotiate in good faith. It is because they fear no reprisal of any kind. So there’s no cost to these actions.
You, the progressive, must be prepared to move as ruthlessly. That the left’s first impulse is, inevitably, to find the “serious person” middle-ground is precisely why the country ends up with policies far to the right of the position of most Americans on any given issue. That this policy is then called “centrist” is precisely what is systematically making it harder and harder to even “sand off the roughest edges,” precisely because yesterday’s far-right position is today’s tomorrow’s “sensible, centrist compromise.” And, to add insult to injury, recent history has found Democrats coming to the table already having given away anything resembling a center-left policy; thus, any “compromise” made to push a bill through only results in de facto GOP legislation. Which, of course, they proceed to filibuster anyway.

The Democrats have got to start re-framing everything, every issue, soup to nuts. It won’t come easily, and it won’t be a short term project. Yes, this will also mean doing politically uncomfortable things like prosecuting Bush administration law breakers. But, more to the point at hand, it means screaming out every hour of every day of every week for the next decade or so, relentlessly and unavoidably, the moral, intellectual, and ultimately patriotic bankruptcy of the right. The American people need to be so sick of hearing about this stuff that they want to cry. Then, a few years after that, we’ll find that the polity have quietly and progressively become inoculated to the sort of brazen bullshit routinely peddled today such that they will simply not listen to it anymore, will react negatively and automatically to it, and the various outlets of today’s noise machine will gradually find themselves ignored. Accordingly, the right wing noise machine will cease to exist. Simple demographic shifts in the country will help, but the Left must act as well.
You can see faint instances of this in the last election. Noun/verb/9.11 and several other right-wing memes simply didn’t hold sway over voters anymore; all the while, users of these levers were made to look all the worse as the public finally saw at least some elements of the emperor’s new clothes. Unfortunately, those changes came about organically or accidentally for the most part. The Democrats need to see to it they begin to come about systematically.
This means message discipline. Part of the problem of the W-induced Democratic tidal wave was that it returned the Democrats to control before they had spent sufficient time in the wilderness to hone their message, to feel, deeply, the fierce urgency of now such that, when power came, they acted. Ezra Klein, commenting on Democratic resistance to using reconciliation to finish health insurance reform legislation, notes:

At this point, Democrats have passed health-care reform bills through the two legislative chambers charged with considering them. The president stands ready to sign the legislation. The roadblock is that 41 Republicans have sworn to use a parliamentary maneuver to obstruct any effort to smooth out differences between the bills. It’s pretty clear who’s stepping outside the traditional workings of the process here. Yet Democrats have allowed the other side to make it look like they’re the ones who are bending the rules! It’s completely astonishing.

It’s not astonishing, Ezra, it’s simply how things are done by the Left in D.C. today. Everything, and I mean everything that progressives get up to in this country needs to be aimed at this long term goal: re-framing the tenor of the political discourse in this country. Nothing in the near term matters as much as resetting the frame for political discussion back to where it was pre-Reagan. Nothing. You start with the lowest hanging fruit: jobs, bankers, Wall Street. The GOP literally has no defense to offer in these arenas. Make them pay for it.

Mirandizing terrorists inhibits intelligence collection? Wrong. Charging a terrorist in criminal court is a danger? Hundreds have been convicted that way. Non-torturous methods of interrogation fail? They work better. Call the Obama team pussies and they’ll back down? They’ll smack the tartar off your teeth. The public will rally around Republicans if they just ignorantly yell OMG TERRORISM loud enough? They’ll go to the other guy.

There’s just nothing left. […] [T]he GOP, for the first time in decades, is completely discredited on national security, without any credible spokespeople.

Spencer Ackerman, who’s right about everything except for his implicit assertion that the public understands this in any kind of durable way. Without continual, drumbeat messaging they will soon forget and fall back on the MSM trope that only the GOP can be trusted with Our National Security. It’s just too pervasive a frame, and one that has been repeated so relentlessly, explicitly and implicitly, for decades to the point that, like gravity, it’s just there, and not even noticed when invoked. You can’t and won’t undo that overnight. See: health insurance reform and government takeover of, subhead Death Panels. Democrats just don’t do this idea of “messaging” very well, if at all. I’m seriously not yet convinced they are aware of it as a concept.