Archive for the ‘Liberals’ Category

Sorry, Liberals: Protecting the Medicaid Status Quo Won’t Save … – Reason (blog)

Medicaid provides health care to 75 million Americans. It's also a hideously expensive program that is at the center of the raging health-care debate in Washington. Republicans want to scale back the program, and Democrats warn that doing so will cause nothing short of mass death.

But that is not a credibleor responsibleclaim.

ObamaCare extended Medicaid eligibility to able-bodied adults at up to 138 percent of the poverty level. To do this, the federal government promised to pick up 100 percent of the tab for the first three years, and then 90 percent in perpetuity in participating states. Republicans want to trim back Medicaid eligibility to the pre-ObamaCare days, when "only" the poor, children, the disabled, the elderly, and pregnant women qualified.soho42 via Foter.com

Conservatives also want to take the opportunity to fundamentally reform the program, which consumed half of most state budgets and a tenth of the federal budget even before the ObamaCare expansion. To this end, Republicans want Uncle Sam to stop handing states on average 50 cents for every Medicaid dollar they spend and instead give them a fixed lump sum on a per-patient basis and tie its growth to general inflation.

If Senate Republicans' plan is enacteda big "if" at this stagefederal Medicaid spending would drop from $4.6 trillion between 2018 and 2026 to about $3.9 trillion.

This reduction is hardly draconian. However, given that liberals want health-care spending to go in only one directionupit's hardly surprising that they'd fight this. But their claim that the cuts will kill Americansabout 208,500 over the next decade, per a Vox analysisis pure sensationalism.

Let's think about it.

Vox's calculations are based on straightforward projections from a Congressional Budget Office report that estimates that scaling back ObamaCare spending would mean loss of insurance for some 22 million Americans. Vox also claims that every 830 people covered means one life saved, hence, presto, the GOP plan will mean killing 208,500 people.

The first problem with this analysisapart from its chutzpahis that it assumes that all insurance saves lives, even a substandard plan like Medicaid, which accounts for the vast majority of the people covered by ObamaCare. That is emphatically not the case.

As I have argued before, Medicaid is perhaps the civilized world's worst program. It costs just as much as private plansabout $7,000 per patientbut produces worse outcomes, including higher mortality, than private coverage. So given that one of ObamaCare's dirty little secrets is that many of its Medicaid enrollees are folks kicked off their private plans due to the Medicaid expansion, the law may have actually costrather than savedlives in this cohort.

But what about the uninsured? Extending Medicaid to these people improved their health and diminished mortality, right? Wrong. Plenty of reputable studies suggest that this might not be the case:

The main evidence to support Vox's claim that Medicaid improves mortality rates comes from Massachusetts' experience with universal coverage. Vox claims ObamaCare emulates Massachusetts' system, but as the Manhattan Institute's Oren Cass points out, that comparison doesn't fly: In contrast to ObamaCare, Massachusetts' private plan component accounted for about 80 percent of coverage, while Medicaid comprised 20 percent at most.

And even if Medicaid's mortality outcomes were somewhat better for the uninsured, it would still not necessarily follow that extending the program would save lives on balanceor that eliminating the program would do the reverse. In a world with finite resources, one also has to consider the opportunity costs or other ways of spending that may potentially save more lives.

Indeed, a 2016 study in the journal Health Affairs found that states that spent a smaller portion of their budgets on Medicaid and Medicare than on social programs such as housing, nutrition, and even public transportation, showed "significant" gains on a myriad of health factors, including mortality, over states that did the reverse. It is possible that this is purely coincidental. But it may also be the case that these programs improved general quality of life and lowered stress levels, thus bettering baseline health and preventing people from falling prey to life-sapping illnesses in the first place.

And what holds true for state-level spending might be doubly true for individuals spending out-of-pocket.

The main advantage of health insurance in general and Medicaid in particular is not really to prevent death but to protect against catastrophic illnesses that wipe out patients financiallyin other words, to provide a psychic comfort. But patients are not willing to pay any amount for any insurance product to receive that comfort, presumably because at some point, other uses of the money like a car fitted with state-of-the-art safety features or a more expensive home in a low-crime neighborhoodcan offer an even stronger sense of security. As George Mason University economist Alex Tabarrok recently pointed out, in Massachusetts, buy-in for Medicaid-like programs fell precipitously when patients were asked to bear more of their cost. Medicaid recipients value the program at about one-fifth its actual cost, research shows.

In other words, they'd buy only after an 80 percent discount.

By liberal logic, if they declined to buy in, they'd be courting death. But the calculus of health insurance is much more complicated than their simplistic arithmetic.

This piece originally appeared in The Week

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Sorry, Liberals: Protecting the Medicaid Status Quo Won't Save ... - Reason (blog)

Liberals pounce on Obamacare vote delay – Politico

Protesters gather outside Senator Jeff Flake's (R-Ariz.) office voicing their opposition to Republican plans to repeal and replace Obamacare on July 10, 2017. | John Shinkle/POLITICO

Liberal activists fighting to save Obamacare are seeking to capitalize on an unexpected gift at least another week, if not more, before the Senate GOP will bring its repeal plan to the floor.

Progressive groups already had stocked this week with public protests against the Republican legislation, expecting a make-or-break vote. But Sen. John McCains absence from the Capitol following surgery for a blood clot handed the left a major opportunity to rally opposition and keep the spotlight on the GOPs struggle to even begin debate on a bill that polls dismally with the public.

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Activists are preparing protests well into next month aimed at keeping the pressure on Senate Majority Leader Mitch McConnell's (R-Ky.) conference, particularly the half-dozen most closely watched moderate swing votes.

Every day the Senate doesnt repeal ACA and gut Medicaid is a day that makes it less likely theyll be able to, MoveOn.org Washington director Ben Wikler told reporters. "Every day this bill is dangling out there in public, it becomes more unpopular."

The fresh push kicked off on Monday. The Bernie Sanders-backed group Our Revolution staged sit-ins at a half-dozen Senate GOP offices throughout the day, while the upstart liberal organization Indivisible prepared for more than 100 separate demonstrations in 39 states on Tuesday. More activist groups returned to the Hill for a series of near-daily rallies against the bill, with appearances by Democratic senators.

The right mounted no similar flurry of public activity in defense of the bill, underscoring the mismatch in grassroots energy between liberals and conservatives who had pressed McConnell to embrace a more straightforward repeal strategy.

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And the harder McConnell pushes for a vote on uprooting the Affordable Care Act, the more his opponents relish his failure to notch that quick victory.

With only two public GOP no votes on taking up the bill -- Maine Sen. Susan Collins and Kentucky Sen. Rand Paul -- activists are expecting to see several Republicans hop off the fence at once. They acknowledge that the extra time provided by McCain's recuperation also gives McConnell time to cajole undecided Republicans one-on-one, but they're banking on the imminent Congressional Budget Office score of the bill and other looming negative headlines to make the majority leader's job even harder as the clock ticks toward August.

"Extra time matters a lot more when youre appealing to the general public that despises this bill than it does when youre playing an inside the Beltway game of trading buy-offs and favors with people who were listening anyway," Jesse Ferguson, a veteran Democratic strategist advising pro-Obamacare groups, said in an interview.

Rather than organize the sort of massive marches that anti-Trump groups favored earlier in the year, health care organizers are focusing on personal stories from constituents appealing directly to their senators. Capitol Police reported arresting 33 demonstrators in the Senate as of midday Monday during liberal groups' protest actions.

"The message weve been telling our groups, especially the ones in D.C., is to go to an office," said Indivisible policy director Angel Padilla. "You want to go rally and march? Great! But if you want to be effective at congressional advocacy, go to your member's offices and make sure they see you inside."

In that vein, Planned Parenthood is setting up a Wednesday event for supporters to share personal stories about how the seven-year-old health care law has helped them and call their senators, national organizing director Deirdre Schifeling told reporters. Another liberal group, UltraViolet, told reporters Monday that it had commissioned planes to fly in Ohio, Alaska, and West Virginia -- all swing states represented by moderate Republicans undecided on the repeal bill.

Ferguson also identified another benefit to anti-repeal activists from the delay in a Senate vote: The CBO may have time to release a nonpartisan score of a new addition to the legislation, authored by Sen. Ted Cruz (R-Texas), that would allow insurers to sell plans not compliant with Obamacare. Republicans had suggested they might rely on a score of the Cruz proposal from the Trump administration if the CBO were not able to finish an independent assessment in time for a vote this week.

"They would have to rely on whatever sham analysis" the Department of Health and Human Services could produce, Ferguson said, "but now theyve lost that excuse."

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Liberals pounce on Obamacare vote delay - Politico

How ‘Neoliberalism’ Became the Left’s Favorite Insult of Liberals – New York Magazine

Barack Obama and Bill Clinton. Photo: Chip Somodevilla/Getty Images

A generation ago, neoliberalism was the chosen label of a handful of moderately liberal opinion journalists, centered around Charles Peters, then-editor of the Washington Monthly. Some neoliberals started calling traditional liberals paleoliberals. The magazine most closely associated with traditional liberal thinking was The American Prospect, which gave me my first job out of college.

When I started there, I asked one of the editors, Paul Starr, about the still-roiling schism between the neos and the paleos. (I never felt comfortable with either label.) Starr told me he disdained the term because it was an attempt to win an argument by using an epithet. What he meant and I think he was right was that paleoliberal was not a self-identification any of its adherents used, but a term of disparagement. The neolibs were claiming to own the future and consigning their adversaries to the past.

The neoliberalism of the 1980s and 1990s has faded into memory, as its adherents failed to settle on a coherent set of principles other than a general posture of counterintuitive skepticism. (Peterss new ideological manifesto, We Do Our Part, only mentions neoliberalism once.) But the term has been used to mean different things at different times, and it has returned to American political discourse with a vengeance. Then, as now, it is an attempt to win an argument with an epithet. Only this time, it is neoliberal that is the term of abuse.

And the term neoliberal doesnt mean a faction of liberals. It now refers to liberals generally, and it is applied by their left-wing critics. The word is now ubiquitous, popping up in almost any socialist polemic against the Democratic Party or the center-left. Obamas presidency? It was the last gasp of neoliberalism. Why did Hillary Clinton lose? It was her neoliberalism. Paul Krugman and Joseph Stiglitz? Neoliberals both.

The Bafflers Chris Lehmann dismisses an Atlantic story on the Democrats, which touts Elizabeth Warren as a model for the partys future, as just more neoliberal tripe. In the world of neoliberal consensus, its a simple taken-for-granted axiom that senators the lead fundraisers and media figures in both major parties call the shots, and should be entrusted with charting an electoral comeback, writes Lehmann. All the reliable notes of arms-length cultural puzzlement are struck soundly here, from the putative identity-politics-class-politics divide on the left to the neoliberal wonk classs painfully absent common touch. Obviously, the authentic way to demonstrate a common touch is to throw around the term neoliberal as frequently as possible. Try it if you ever need to strike up a conversation with some strangers in a bowling alley in Toledo.

Neoliberalism is held to be the source of all the ills suffered by the Democratic Party and progressive politics over four decades, up to and (especially) including the rise of Donald Trump. The neoliberal accusation is a synecdoche for the American lefts renewed offensive against the center-left and a touchstone in the struggle to define progressivism after Barack Obama.

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The ubiquitous epithet is intended to separate its target liberals from the values they claim to espouse. By relabeling self-identified liberals as neoliberals, their critics on the left accuse them of betraying the historic liberal cause.

Indeed, the appearance of the neoliberal epithet in a polemic almost axiomatically implies a broader historical critique that has been repeated many, many times.

Its basic claim is that, from the New Deal through the Great Society, the Democratic Party espoused a set of values defined by, or at the very least consistent with, social democracy or socialism. Then, starting in the 1970s, a coterie of neoliberal elites hijacked the party and redirected its course toward a brand of social liberalism targeted to elites and hostile to the interests of the poor and the working class.

The first and most obvious problem with this version of history is that there is little reason to believe the Democratic Party has actually moved right on economic issues. The most commonly used measure of party ideology, developed by Keith Poole and Howard Rosenthal, has tracked the positions of the two parties elected members over decades. Here is how they have evolved on issues of the governments role in the economy:

This chart indicates that Democrats have not moved right since the New Deal era at all. Indeed, the party has moved somewhat to the left, largely because its conservative Southern wing has disappeared.

Now, the Poole-Rosenthal measure does not end the discussion. No metric can perfectly measure something as inherently abstract as a public philosophy. One obvious limit of this measure is its value over long periods of time, when issue sets change in ways that make comparisons difficult. The Poole-Rosenthal graph has special difficulty comparing the Democratic Party before and after the New Deal. But it does raise the question of why the Democrats supposed U-turn away from social democracy does not appear anywhere in the data.

Any remotely close look at the historical record, as opposed to a romanticized memory of uncompromised populists of yore, yields the same conclusion as the numbers. The idea that the Democratic Party used to stand for undiluted economic populism in its New Deal heyday is characteristic of the nostalgia to which the party faithful are prone no present-day politician can ever live up to the imagined greatness of the statesmen of past.

In reality, the Democratic Party had essentially the same fraught relationship with the left during its supposed golden New Deal era that it does today. The left dismissed the Great Society as corporate liberalism, a phrase that connoted in the 1960s almost exactly what neoliberalism does today. The distrust ran both ways. Lyndon Johnson supported domestic budget cuts after the disastrous 1966 midterm elections, to the disappointment of liberals who already loathed the Vietnam War. Whats the difference between a cannibal and a liberal? Johnson joked during his presidency. A cannibal doesnt eat his friends.

Nor was the corporate liberal critique exactly wrong. Today the left holds up Medicare as a shining example of health-care policy designed by social democrats, before it was corrupted by the modern Obama-era party and its suborning of the insurance industry. In reality, powerful financial interests deeply influenced the design of Medicare. The laws sponsors had hoped to achieve universal health insurance, but retreated from that ambitious goal in large part because insurers wanted to keep non-elderly customers. (They were happy to pawn the oldster market off on Uncle Sam.) Likewise, the law defanged opposition by the powerful American Medical Association by agreeing to fee-for-service rules that wound up massively enriching doctors and hospitals. And the creation of Medicaid as a separate program for the poor relegated them to a shabbier and more politically vulnerable category.

John F. Kennedy was a cautious trimmer whose domestic agenda included cutting the top income-tax rate 20 points. Politically, he tended to court the opposition and ignore his friends, wrote one columnist. His motto might have been: no enemies to the right. Harry Truman was more fearful of labor and labors political power than of anything else, charged one dismayed liberal. Progressive Party candidate Henry Wallace, who inspired a passionate mass movement on the left quite similar to todays Bernie-or-busters, lambasted Truman as a tool of Wall Street.

The tradition of progressives flaying Democratic presidents for betraying the spirit of the New Deal goes all the way back to the New Deal itself. Even the sainted Franklin Roosevelt vacillated between expansionary fiscal policy and austerity, and between attacking corporate power and encouraging monopoly. The cause of liberalizing international trade, which left-wing critics have treated as a corporate-friendly Clinton innovation, is one Roosevelt not only supported consistently but basically invented. Roosevelts 1936 speech denouncing wealthy interests is widely repeated today by nostalgic progressives, but it marked a brief and rare populist turn. Mostly he strove for class balance.

Historian William Leuchtenburg describes the presidents determination to serve as a balance wheel between management and labor Despite the radical character of the 1934 elections, Roosevelt was still striving to hold together a coalition of all interests, and, despite rebuffs from businessmen and the conservative press, he was still seeking earnestly to hold business support. For much of his presidency, The New Republic raked FDR on a regular basis, admits a collection published on the magazines centennial.

The Democratic Party has evolved over the last half-century, as any party does over a long period of time. But the basic ideological cast of its economic policy has not changed dramatically since the New Deal. American liberals have always had some room for markets in their program. Democrats, accordingly, have never been a left-wing, labor-dominated socialist party. (Union membership peaked in 1955, two decades before the partys supposed neoliberal turn, and has declined steadily since.) They have mediated between business and labor, supporting expanded state power episodically rather than dogmatically. The widespread notion that neoliberals have captured the modern Democratic party and broken from its historic mission plays upon nostalgia for a bygone era, when the real thing was messier and more compromised than the sanitized historical memory.

Progressives are correct in their belief that something has changed for the worse in American politics. Larger forces in American life have stalled the seemingly unstoppable progressive momentum of the postwar period. Rising international competition made business owners more ruthless, civil rights spawned a 40-year white backlash against government, and anti-government extremists captured the Republican Party, destroying the bipartisan basis for progressive legislation that had once allowed Eisenhower to expand Social Security and Nixon to create the Environmental Protection Agency.

All this forced Democrats more frequently into a defensive posture. Bill Clinton tried but failed to create universal health coverage, eked out modest tax increases on the rich, and fought off the Republican revolution by defending Medicare, Medicaid, education, and the environment, crown jewels of the Great Society.

Barack Obamas far more sweeping reforms still could not win any support from a radicalized opposition. It is seductive to attribute these frustrations to the tactical mistakes or devious betrayals of party leaders. But it is the political climate that has grown more hostile to Democratic Party economic liberalism. The partys ideological orientation has barely changed.

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Given that the self-proclaimed neoliberal movement of the 80s never really took hold, and has long since passed into obscurity, why have the long-standing grievances of the left against the mainstream Democratic Party attached themselves to the neoliberal label only recently?

Neoliberalism has a second meaning, unrelated to the small faction of Washington Monthly alumni. (Or, at least, the neoliberals of that generation had no awareness of it.) In the international context, neoliberal means capitalist, as distinguished from socialist. That meaning has rarely had much application in American politics, because liberals and conservatives both believe (to starkly differing degrees) in capitalism. If neoliberal simply describes a belief in some role for market forces, then it is literally true that liberals and conservatives are both neoliberal.

It is strange, though, to apply a single term to opposing combatants in Americas increasingly bitter partisan struggle. If the party that created Obamacare and the party trying to destroy it, the party of higher taxes on the rich and the party of lower, the party of tighter pollution limits and the party of allowing oil drillers to write regulations are each neoliberal, then neoliberalism is of limited use in describing American politics.

The sudden ubiquity of the term in American politics at least among left-wing elites owes itself to two new developments. First, the Bernie Sanders campaign has inspired a new movement to remake the Democratic Party as a social-democratic labor party. Left-wing activists need a label for their opponents.

Conservatives have spent decades turning liberal into a smear meaning left-wing radical, giving it limited value as a term of opprobrium. (In terms of self-identification, liberals constitute the left wing of the Democratic base, with moderates and conservatives constituting a slightly larger right wing.) In practical terms, people who think of themselves as liberal form the constituency the Bernie insurgents need to attract.

Second, the widely publicized influence of neoconservatives within the Bush administration changed the connotation of neo. Whereas the prefix had once softened the term it modified the neoconservatives were once seen as the intellectually evolved wing of the right, in contrast to the Buchananite knuckle-draggers by the end of Bushs term, it became an intensifier. A neoconservative was a conservative, but an even scarier one.

And so the term neoliberal frames the political debate in a way that perfectly suits the messaging needs of left-wing critics of liberalism. The uselessness of neoliberalism as an analytic tool is the very thing that makes it useful as a factional messaging device for the left. The neoliberalism rubric implicates the Democratic Party in the rightward drift of American politics that has in reality been caused by the Republican Partys growing radicalism. It yokes the two parties together into a capitalist Establishment, against which socialism offers the only clear alternative. Obscuring the large gulf between Newt Gingrich and Bill Clinton, Paul Ryan and Barack Obama, is a feature of the term.

A recent New York Times op-ed by Bhaskar Sunkara, editor of the Marxian journal Jacobin, lays the tactic unusually bare. Sunkara argues that the West faces three possible alternatives.

One is nationalist authoritarianism of the sort advanced by Trump, Hungarys Jobbik Party, Frances National Front, etc. The second is Singapore, an authoritarian technocracy that he calls the unacknowledged destination of the neoliberal centers train. And his third option is avowedly socialist leaders like Mr. Sanders and Jean-Luc Mlenchon in France.

Sunkara omits from his choices any liberal mixed economy of the kind that exists in Western Europe and Scandinavia and that American liberals would like to build here. He is very clear that this final option, the one he advocates, is not the social democracy of Franois Hollande, but that of the early days of the Second International. He excludes the more moderate brand of social democracy from the menu because he believes too many people would choose it. The whole trick is to bracket the center-left together with the right as neoliberal, and then force progressives to choose between that and socialism.

The socialist left has an argument to make against liberalism. It reveals a certain lack of confidence in that argument when it tries to win it with an epithet.

This is why he wanted a really fast vote.

Riiiight.

Someone broke into Dean Hellers Las Vegas office and left the threatening message.

The press secretary took the presidents picture in a big-boy fire truck.

Sean Duffy (like Donald Trump) wants to blame the threat of filibusters for blocking GOP bills. But the big ones arent subject to filibusters.

No state has gotten more special treatment from the Senate (and the administration) than Murkowskis Alaska. If its not enough, Trumpcares dead.

Nothing better to start off your week than a hellish commute.

If the Pimp of the Nation is serious about the Senate, Dems want to be ready.

Trumps strikes are killing more than 12 civilians per day.

In supporting the blockade of Qatar, the president appears to have fallen for a fraud perpetrated by hackers in the United Arab Emirates.

Tom Price admits that insurance companies will go back to weeding out the sick.

The Trump administration reportedly has its act together on tax reform. Also, its only idea for how to finance tax cuts is blow out the deficit.

Thanks to Trump, many will follow.

The vote has already been delayed by at least a week, and each day its passage becomes less likely.

Made in America week is already shifting the conversation to the Trump familys fondness for overseas manufacturing.

A scorecard on how Trump has advanced Russian interests (whether knowingly or unknowingly), from easing Russian sanctions to the Syrian cease-fire.

The rise and meaning of an ubiquitous term of abuse.

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How 'Neoliberalism' Became the Left's Favorite Insult of Liberals - New York Magazine

MSNBC Hosts Liberals to Complain About the Right Attacking the Media – NewsBusters (press release) (blog)


NewsBusters (press release) (blog)
MSNBC Hosts Liberals to Complain About the Right Attacking the Media
NewsBusters (press release) (blog)
On Sunday's MSNBC special, Trump at 6 Months, a panel stacked with liberals was assembled to discuss the conflict between President Donald Trump and the media. Given the makeup of the panel, it was no surprise that the group concluded that distrust of ...

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MSNBC Hosts Liberals to Complain About the Right Attacking the Media - NewsBusters (press release) (blog)

NDP-Green office ‘misuse of public funds,’ BC Liberals say – Surrey Now-Leader

B.C. Green Party leader Andrew Weaver and Premier-designate John Horgan (Black Press)

Premier-designate John Horgans new department to manage its relationship between the B.C. NDP and Green Party is a political function that should not be added to public service staff, B.C. Liberal MLA Andrew Wilkinson says.

Wilkinson sent a letter Monday to the Comptroller Generals office, asking for an urgent opinion on the Confidence and Supply Agreement Secretariat, announced July 11 by Horgan as part of the premiers office.

The agreement is the political agreement upon which the incoming NDP minority governments political survival is predicated, as Mr. Horgans NDP caucus alone does not have enough seats to survive a basic confidence motion, having failed to secure a plurality of seats in the recent provincial election, Wilkinson wrote.

By placing this so-called Secretariat within the Office of the Premier, this political office would be funded and supported by B.C. Public Service resources. They are not employed to oversee and support political agreements between parties.

Wilkinson referred to the public service code of conduct that staff are not to engage in political activities during working hours or use government facilities.

NDP spokesperson Jen Holmwood issued the following statement in response to Wilkinsons letter:

Our commitment to work with the BC Greens lays the foundation for our new government, and thats why were appointing a small team to support the policy priorities in the Confidence and Supply Agreement. This team will help deliver stable government that works for people, and we will follow any advice from the Comptroller-General to ensure the activities of the office fall within acceptable practices.

Letter From Andrew Wilkinson MLA by Tom Fletcher on Scribd

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NDP-Green office 'misuse of public funds,' BC Liberals say - Surrey Now-Leader