Tag: go die in the streets

[The Republicans are being advised to spend] 2012 accusing the Democrats of sponsoring death panels. The Democrats will spend 2012 accusing Republicans of ending Medicare. Whichever party demagogues best wins.

David Brooks, outdoing even his own unusually high standard for making exceedingly stupid statements. One of these is simply not like the other. “Death panels” have been fully, categorically, absolutely, and completely made up from whole cloth. Lies. The biggest lie of 2009, in fact.
The Ryan plan, on the other hand, demonstrably ends Medicare. It transforms the program over the course of ten years from a government-run, single payer system into a voucher-based private insurance steeplechase for Granny and Gramps. If they can’t make the difference between the voucher payment and the cost of coverage, then they can go die in the streets.
Yes, David, a program called Medicare will still exist, and I know it’s terribly hard for you to square that circle inside that mind of yours, but it’s clear to a four year old that that Medicare, the one described in the preceding paragraph, will be nothing like the Medicare we have today.
Furthermore, that David Brooks feels confident pitching this sort of brazen false equivalency from his airy perch at the nation’s finest newspaper is a big indication of just how punishingly stupid our discourse is. Is there an editor in the house? George Will routinely spouting horseshit at the Washington Post is one thing; you’d think the Times still has a standard or two.

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

With regard to the idea of whether you have a right to health care, you have realize what that implies. It’s not an abstraction. I’m a physician. That means you have a right to come to my house and conscript me. It means you believe in slavery. It means that you’re going to enslave not only me, but the janitor at my hospital, the person who cleans my office, the assistants who work in my office, the nurses.

Basically, once you imply a belief in a right to someone’s services — do you have a right to plumbing? Do you have a right to water? Do you have right to food? — you’re basically saying you believe in slavery.

I’m a physician in your community and you say you have a right to health care. You have a right to beat down my door with the police, escort me away and force me to take care of you? That’s ultimately what the right to free health care would be.

Rand Paul in remarks to the Senate Health, Education, Education, Labor, and Pensions Subcommittee.
This is what they believe. If you can’t pay me up front, preferably in gold, kindly go die in the streets like the trash you are. That is all.

Oh, and if Rand Paul is found down, be sure to check his wallet before assisting him in any way. Anything else is tantamount to slavery.

Shocking News about Gang of Six

A bipartisan effort to rein in the national debt stalled Tuesday, as members of the Senate’s so-called Gang of Six signaled that an agreement is unlikely to come this week in time for the start of White House-led budget talks.

Also unlikely to come in the weeks following the start of White House-led talks. And in the months and years after that. And, you know, forever. Just like the Baucus-led Gang of Whateveritwas on healthcare reform, these talks were never going anywhere. Ever. They were solely an attempt to get >50% of the Ryan plan and then stamp it with the Broder-approved Seal of Bipartisanship. And then demand another 20-30% on top of that “bipartisan” plan when the mess hit the floor. Period. That is all that was ever going on in there. All that is going on in there.

Though never mentioned in the mainstream media, there is one party, the GOP, that has categorically ruled out any revenue increase from any source and intends to “balance” the budget by eliminating Medicare, fundamentally ending Medicaid, and then passing those “savings” on to the very rich in the form of more tax cuts. And then, of course, raise the debt ceiling to pay for it by borrowing ever-more. This is their plan. Magically, they also plan to reduce all government spending to levels below what just the military consumes today. And this all seems likely to the Serious People. Sensible and courageous, even.

Notable that Tom Coburn, one of the vanishingly few people with ® after their name that actually accepts revenue probably has to increase, has suddenly left town. Shocking. I’m sure it’s truly pressing business back home.

Can we finally be done with time-wasting and air-sucking idiocies such as the Gang of Six and, for that matter, all these other “Gangs of” now and forever? I know Serious People love their Gangs, but there simply is no middle ground, or anything approaching “middle ground” between Ryan and the status quo. There just isn’t. And though Serious People will never, ever accept it, sometimes doing nothing is indisputably the best way forward when faced with intransigent and unthinking opposition such as that presented by the modern GOP.
In this case, doing nothing fixes at least half of our budget problem. But let’s not talk about that. Everyone knows that Medicare has to go away. Anything less would destroy America.

All I have to say is: All hail gridlock!

Shocking News about Gang of Six

Compassionate Conservatism

Breathtaking. Words do not suffice:

Under a new budget proposal from State Sen. Bruce Casswell, children in the state’s foster care system would be allowed to purchase clothing only in used clothing stores.

[…]

His explanation?

“I never had anything new,” Caswell says. “I got all the hand-me-downs. And my dad, he did a lot of shopping at the Salvation Army, and his comment was — and quite frankly it’s true — once you’re out of the store and you walk down the street, nobody knows where you bought your clothes.”

Well, as long as the reasoning is as airtight as that, I guess I have no argument to make.

Compassionate Conservatism

Beating a Dead Hobby Horse

jeffmiller:

[…]Challenged to produce an actual plan, Obama produced rhetoric.  

As opposed to Ryan’s plan and its magical unicorns based solutions? Honestly and specifically please detail exactly which programs and federal initiatives Ryan is specifically cutting to get spending to 3% of GDP? Are you aware that current military spending is all on its own consuming about 3% GDP? It’s no coincidence that the only specifics in Ryan’s plans are the tax cuts to the wealthy and the functional elimination of Medicare and Medicaid. That’s all he cares about. Deficits don’t even enter into it; that’s why the plan so brazenly doesn’t even bother to pretend it’s really lowering deficits. Only the math addled beltway media seems to think it will do anything but increase deficits. Instead, Ryan’s plan is all about undoing a social contract that’s been in place for nearly a century. Anything else that happens, any outcome for good or ill is simply window dressing and utterly unintentional. The elder poor will kindly go die in the streets, as the plutocrats need that money.

[…]

Obama is different president than I expected him to be.  I expected him to be a pragmatic crusader, but he’s not really that.  Were he a crusader, he’d better exploit his bully pulpit.  

Clinton, I think, was driven by power.  Obama doesn’t seem that interested in power … he’s more interested in importance.  Or rather, I think Obama wants to feel important. Wielding power is one way to feel important, but so is talking about wielding power.  And lest you think that talk isn’t important, remember that our warmongering President won a Nobel Peace prize as a result of his talking.  I think that prize was terrible psychologically for our President, in the same way that our election was terrible for him too.  He was elected without actual achievement, and he was given a Nobel Prize without actual achievement … naturally, he’s learned that actual achievement isn’t that important.  That’s not a good lesson for a President to learn.  

Sorry, but this is simply horseshit. Obama won a Peace Prize because of his talking? I’m fully aware that he has no negro dialect, but Barack Hussein Obama won a Peace Prize because he’s a black man who was elected President of the United States of America, which only 150 years ago fought a war over the “states’ rights” to allow its citizens to own other human beings who just so happen to share an ethnic background with Obama. He furthermore won that election by means of the first non-plurality (e.g. true majority election) that’s occurred in this country in decades. This apparent non-achievement was deemed utterly impossible and was the subject of utter “no Serious Person can believe this is possible” derision as recently as 20 years ago when Jesse Jackson was running regularly. But, yeah, total non-event.
And, oh my stars, a Peace Prize recipient is presiding over killing and wars! To the fainting couch! I’m sure they’ll get around to the W Bush statues in our new and wonderful Peace Spring Eternal Middle East any day now.

All that aside, maybe it’s escaped your memory that Obama was also elected a United States Senator. Now that’s suddenly not an actual achievement? I guess ACORN rigged it up for him then too. But which high national office did George W. Bush hold before being elected President? Clinton? Jimmy Carter? Gerald Ford? I must be forgetting all their reams of national-level elected experience before landing the top job.

Finally, and most importantly, anything Obama proposes as “deficit policy” is actually unnecessary. While his plan includes specifics, why even bother? Leaving aside that the GOP House will simply shitcan his stated preferences as a starting point (even if said stated preferences are/were the GOP priorities of that morning), please do recall that doing nothing at all will largely solve this issue in short order. Thus Obama can sit back, veto extensions of the Bush tax cuts and watch the budget come into balance. Period. Or, using parts of the Bush tax cuts as leverage, he can perhaps shape some sort of policy compromise that suits his desired outcome.

And that’s the key. His desired outcome. If we’ve learned anything about this President, it’s that Obama is interested in outcomes. He could care less about tilting at preferred policy windmills, plaudits, power, and most problematic of all: the credit for any of it. For example, Obama has lowered taxes and reduced the size of government, but seems to be going out of his way not to tell anyone. Most polls show people believe the opposite is true on both counts. Even more importantly, though, his administration managed to pass the ACA, which likely will prove to be the single most important legislative achievement of my lifetime when all is said and done.

But, yeah. He’s not achieved anything.

I’d advise you to get some new hobby horses. These are very tired indeed. Maybe try “where’s the long form!?!” on for size.

Rightward Lurch

And so it begins:

Obama will not blaze a fresh path when he delivers a much-anticipated speech Wednesday afternoon at George Washington University. Instead, he is expected to offer support for the commission’s work and a related effort underway in the Senate to develop a strategy for curbing borrowing. Obama will frame the approach as a responsible alternative to the 2012 plan unveiled last week by House Republicans, according to people briefed by the White House.

Just as we predicted a few days ago, your choices, the entire extent of the debate will be between a center-right proposal (Simpson-Bowles) and a far-right proposal (Ryan plan). Where do you think the Serious Person “sensible middle ground” will be in that fight? Left unsaid will be any discussion of the true driver of deficits: individual healthcare costs. Left unsaid will be: if we had individual health costs of any other Western democracy we’d be facing surpluses and not deficits. Limit rate of growth in healthcare and you fix everything we’re currently fighting over, and without doing it on the backs of the poorest.

It’s now down to just how much of Medicare we will eliminate (er: “privatize”) and what percent of older Americans still get access to it. Then, a couple of years down the road: fewer. In a few more years: gone, because it only serves the poor and they don’t vote. Legislative inertia is literally the only chance that program has for survival.

The old will kindly go die in the streets.

It’s Courageous To Go Die in the Streets

David Brooks:

Today, Paul Ryan, the Republican chairman of the House Budget Committee, is scheduled to release the most comprehensive and most courageous budget reform proposal any of us have seen in our lifetimes….His proposal will set the standard of seriousness for anybody who wants to play in this discussion….This budget tackles just about every politically risky issue with brio and guts….Paul Ryan has grasped reality with both hands. He’s forcing everybody else to do the same.

Kevin Drum responds:

Courageous. Serious. Gutsy. I imagine that within a few days this will be the consensus view of the entire Beltway punditocracy. A plan dedicated almost entirely to slashing social spending in a country that’s already the stingiest spender in the developed world, while simultaneously cutting taxes on the rich in a country with the lowest tax rates in the developed world — well, what could be more serious than that?

I think I’m going to be sick.

He’s right, but it didn’t take a few days and it’s not just Our Punditocracy; here’s the generic Democrat legislator last night on Hardball (sorry, no transcript yet):

[it was] “courageous” [for Paul Ryan to put up a plan to abolish Medicare and other federal social programs]

This is deadly serious. It’s easy to say we drugged bloggers out here are simply another example of the smelly hippies flying off the handle on something. Rest assured: We are not. You are going to be fighting 100% of the GOP caucus, some non-zero percent of the Democratic caucus (exactly 100% of the Democrat caucus), the entire Beltway elite media, and the do-nothing defensive crouch of the President and his administration heading into 2012. Keep in mind where that “sensible compromise” is going to land when the Overton Window has been set far, far to the right. Every possible outcome other than status quo within the current frame of the debate is going to be a major GOP win, far beyond anything that’s happened in recent political history. And that’s with a Democratic Senate and a Democratic President faced with a politically daunting 87% public approval of either continuing or increasing Medicare coverage relative to today’s levels. This is why they fail.

It’s going to be just like the Social Security fight, only worse: once again, Very Serious People will pretend not to notice that the Republican plan is a giant game of bait-and-switch, dismantling a key piece of the social safety net in favor of a privatized system, claiming that this is necessary to save money, but never acknowledging that privatization in itself actually costs money. And we’ll have endless obfuscation, both-sides-have-a-point reporting that misses the key point, which is that the putative savings come entirely from benefit cuts somewhere in the distant future that would, in all likelihood, never actually materialize. (What do you think will happen when retirees in 2025 discover that their Medicare vouchers aren’t enough to buy insurance?)

Paul Krugman, on the coming Medicare privatization fight. Add to that an administration that has shown zero interest in coming out of a defensive crouch on such issues, even when 87% of Americans favor keeping Medicare as is or increasing funding.
And, just to get a sense of where the MSM and its serious people are going to come down on the issue, you might review how that overwhelming majority of Americans favoring the continuation and expansion of Medicare is played. tl;dr: second to last paragraph, after about 17,000 words on how Americans “flunk” the budget test. Newsflash, CNN: your own poll shows they know that Medicare is relatively costly; however, they see the value of not putting folks over 65 out there on a competitive market with a fixed amount of 2010 dollars with which to try and find care. But, by all means, journalistic integrity means playing up that folks overestimate our outlays in foreign aid as a cudgel against their views on (and apparently clear understanding of) Medicare funding. Might those sad rubes out there in the many diners of flyover country be conflating military spending with “foreign aid?” We shall never know.
It aint going to be pretty.

Welcome the Responsibility

E.J. Dionne posits that the coming “Ryancare” enforced destruction of Medicare will either be Obama’s defining moment or the final end of progressive government in America:

Americans are about to learn how much is at stake in our larger budget fight, how radical the new conservatives in Washington are, and the extent to which some politicians would transfer even more resources from the have-nots and have-a-littles to the have-a-lots.

And you wonder: Will President Obama welcome the responsibility of engaging the country in this big argument, or will he shrink from it? Will his political advisers remain robotically obsessed with poll results about the 2012 election, or will they embrace Obama’s historic obligation — and opportunity — to win the most important struggle over the role of government since the New Deal?

And that’s exactly what this is. If you “privatize” Medicare, you are in effect creating a real live death panel for those individuals who cannot afford to pay the difference between the arbitrarily low payments (pegged to the dollar circa 2010) that will be made in the name of “cost containment.” Scare quotes there because such a move is categorically not cost containment; it is payment containment, or total government outlay containment, if you will. Costs will still rise, whether that rise is at the rate of inflation or at some other rate doesn’t really matter: the payments are locked, now and forever, to roughly today’s value. It is therefore only that fraction of individuals that are capable of paying the difference between real cost and subsidized value that will be “contained.” This number of individuals will, of course, be diminished day by day, year after year after year, as the subsidy represents lower and lower actual healthcare buying power. This is how Ryancare “works.” Hope you’ve been rather aggressive and uniformly successful with your by then privatized “Social Security” 401(k). Because you’re going to need it. Cat food doesn’t buy itself, after all. Otherwise, kindly go die in the streets.

In a decade or two, yes, even the very wealthy will begin to feel that pinch and there might be some movement to address the issue. But, by then, assuming all goes to Ryan’s master plan, tax revenue will have ratcheted to such historic lows (the other part of this “plan” is to limit next year’s spending to a fractional percent of the previous year’s, regardless of inflation and actual vs. projected economic output or overall economic conditions) that the federal government will have drowned itself in a teacup and will be laughably incapable and plainly impotent relative to doing anything about it. Problem solved! Think of how free we’ll all feel on that wonderful day!

And but so: do I think Obama will rise to this particular challenge? No I do not. Nothing coming out of the administration leads me to believe he or his advisers have any interest whatever in fighting for the future of Medicare, much less Social Security (which, having its own funding source, is utterly secure for decades to come: so Serious People all know that we must act now to destroy it because otherwise it won’t be there! This makes sense to our Beltway Punditocracy.). The administration and, by and large, The Body Democrat will remain in their defensive crouch, trying not to “screw up” 2012 with a lot of progressive mumbo-jumbo, because, as any Serious Person can tell you, those dozens of Tea Partiers that showed up in DC the other day are the ones that run the country, now and forever, without any regard to election results, polling data, or the stated wishes of the American People at large. Those 100k that showed up in the tundra of Wisconsin? Just out of town Union thugs. No reason to pay attention to them at all. They’ll only win in 2012 if ACORN steals the election for them.

Welcome the Responsibility