More Information Comes Out On Republican Misinformation As Democrats Stand Up To Koch Brothers

The Affordable Care Act is bringing about considerable reductions in health care expenses for millions of Americans. Republicans opposing health care reform have tried to undermine support for the law with a series of false ads in which  they falsely claim people such as cancer patients have to pay more than in the past for health care coverage. Whenever these claims are actually examined, it has turned out that the claims are false. Considering the subsidies for coverage, the increased protections for those with medical problems, the elimination of limitations on coverage, and the caps on out of pocket expenses, it is generally not possible for anyone to really come out behind who had previously been purchasing coverage on the individual market. The only “losers” are those of us who don’t qualify for subsidies and are healthy enough to not have significant health care costs. Even the “losers” under the Affordable Care Act, who are affluent enough to pay the higher premiums for better coverage, will come out ahead if we develop major medical problems.

The case of Julie Boonstra was already covered when newspapers and fact checkers revealed that the ad, paid for by the Koch brothers, was spreading incorrect information. Previous reports revealed that her claims of paying more were untrue. As more information has become available on her policy, the facts show that she benefits even more than initially reported. The Detroit News has updated the facts on this case with this information:

A Dexter cancer patient featured in a conservative group’s TV ad campaign denouncing her new health care coverage as “unaffordable” will save more than $1,000 this year.

Julie Boonstra, 49, starred last month in an emotional television ad sponsored by Americans for Prosperity that implied Democratic U.S. Rep. Gary Peters’ vote for the Affordable Care Act made her medication so “unaffordable” she could die. Peters of Bloomfield Township is running for an open U.S. Senate seat against Republican Terri Lynn Land.

The Detroit News and fact checkers last month cast doubt on the accuracy of the TV ad. On Monday, Boonstra acknowledged which health plan she chose, offering the first evidence of cost savings..

Boonstra said Monday her new plan she dislikes is the Blue Cross Premier Gold health care plan, which caps patient responsibility for out-of-pocket costs at $5,100 a year, lower than the federal law’s maximum of $6,350 a year. It means the new plan will save her at least $1,200 compared with her former insurance plan she preferred that was ended under Obamacare’s coverage requirements.

Glenn Kessler reevaluated his report on this ad writing, “one cannot claim that a plan is ‘unaffordable’ when over the course of the year it will provide you with substantial savings. Thus we are changing the rating on this ad from Two Pinocchios to Three Pinocchios.”

Boonstra, and others claiming to be losers under Obamacare, might very well believe what they are saying, even if wrong:

When advised of the details of her Blues’ plan, Boonstra said the idea that it would be cheaper “can’t be true.”

“I personally do not believe that,” Boonstra said.

The Republicans are spending a tremendous amount of money spreading false misinformation about the Affordable Care Act, and an alarming number of people believe what they hear on Fox, right wing talk radio, and from other portions  of the right wing noise machine.  They have no idea that what they hear from right wing outlets is propaganda to promote a political agenda and is not actual news. Therefore we see pe0ple like Boonstra who are better off under the Affordable Care Act but do not look at the facts and do not believe this. Others have listened to “warnings” from the right wing and have not purchased coverage on the exchanges, and then complain about higher premiums because of not receiving the subsidies they would receive if they purchased coverage on the exchanges. Many have no idea that their old policies had limitations on how much would be covered while the new policies under the ACA have caps on what they would have to pay which usually greatly reduce what they will have to pay out of pocket compared to their previous policies.

Many people are harmed by the deliberate misinformation being spread by the right wing, including many who are now failing to sign up and take advantage of the benefits under the Affordable Care Act. Many of these dishonest ads are funded by the Koch brothers through Americans for Prosperity (a poorly named organization for one pursuing an agenda which would impoverish the middle class and turn the United States into a banana republic).

The New York Times has been reporting on how the Democrats are staring to stand up to the Koch brothers for their misinformation on health care and other actions to rig the system to benefit a small oligarchy. They summarized this in an op-ed today:

Democrats have for too long been passive in the face of the vast amounts of corporate money, most of it secret, that are being spent to evict them from office and dismantle their policies. By far the largest voice in many of this year’s political races, for example, has been that of the Koch brothers, who have spent tens of millions of dollars peddling phony stories about the impact of health care reform, all in order to put Republicans in control of the Senate after the November elections.

Now Democrats are starting to fight back, deciding they should at least try to counter the tycoons with some low-cost speech of their own. Democrats may never have the same resources at their disposal — no party should — but they can use their political pulpits to stand up for a few basic principles, including the importance of widespread health-insurance coverage, environmental protection and safety-net programs.

The leader of this effort has been Senator Harry Reid, the majority leader, who has delivered a series of blistering attacks against the Kochs and their ads on the Senate floor over the last few weeks. In addition, the Democratic Senatorial Campaign Committee has set up a website, www.kochaddiction.com, to remind voters of just what the Kochs stand for, and why they raised $407 million in the 2012 election. And individual candidates are making sure voters know who is paying for the ad blitz.

“The billionaire Koch brothers,” says one of the people quoted in an ad released Monday by Senator Mark Begich of Alaska, who has been the object of one of their blatantly false television barrages. “They come into our town, fire a refinery, just running it into the ground, leaving a mess.” Senator Kay Hagan of North Carolina reminds voters that the Kochs and their allies have pressed for high-end tax breaks that burden the middle class.

Mr. Reid’s comments have gone to the heart of the matter. In his most recent speech, he pointed out that the fundamental purpose of the Kochs’ spending is to rig the economic system for their benefit and for that of other oligarchs. They own an industrial network that ranks No. 14 on the list of the most toxic American air polluters, and got their money’s worth in 2010 by helping elect a Republican House majority that has resisted environmental regulation…

Cross posted at The Moderate Voice

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Nuclear Option Weakens The Republican Tyranny Of The Minority

Harry Reid and Senate Democrats struck a blow against the tyranny of the minority today by exercising the nuclear option. Republican influence in the Senate is out of proportion to the number of people they actually represent due to the small Republican states having the same number of Senators as much larger states, which generally are Democratic. The Republicans have further extended this advantage by abusing the filibuster, often blocking appointments and legislation with a minority vote. In the entire history of the United States, 168 presidential appointments have been blocked. Eighty-two were under Obama and eighty-six were under all other presidents. While in the past the filibuster was more likely to be reserved for cases where the minority party had a real objection, Republicans are often using the filibuster to block qualified appointees just because they were appointed by Barack Obama. Republicans still do not accept Obama’s election and subsequent reelection

The impact of this is somewhat limited as it applies to executive branch appointments and most judges but does not apply to Supreme Court nominees or legislation. Republicans, who are outraged by this extension of majority rule, threaten to extend this should they take back control of the Senate so they can appoint more Scalias and Clarence Thomases to the Supreme Court.  (Why do Republicans hate America so much?) Rand Paul even called Reid a big bully.

In order for the Republicans to take advantage of this and carry out their threats, they will need a Republican president as well as control of the Senate. At least in the short run, this doesn’t look likely. Demographic changes have made it difficult for Republicans to take the White House unless the party changed dramatically. The Republicans might manage to take control of the Senate in 2014 if all the close races go their way. In 2016, a presidential election year which already is more favorable to Democrats than an off-year election, the Democrats have to defend ten seats while the Republicans will have to defend twenty-four. While red state Democratic Senators are among those running in 2014, several blue state Republicans will be on the ballot in 2016. I’m sure Harry Reid considered the likelihood of continued Democratic control of the Senate when deciding to go ahead with the nuclear option.

 

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Republican Priorities

Obama summed up the main priority of the Republicans on Meet the Press today:

I offered not only a trillion dollars in– over a trillion dollars in spending cuts over the next 10 years, but these changes would result in even more savings in the next 10 years. And would solve our deficit problem for a decade. They say that their biggest priority is making sure that we deal with the deficit in a serious way, but the way they’re behaving is that their only priority is making sure that tax breaks for the wealthiest Americans are protected. That seems to be their only overriding, unifying theme.

Turns out they have a second priority, cutting Social Security benefits:

Negotiations to reach a last-ditch agreement to head off large tax increases and sweeping spending cuts in the new year broke down, at least temporarily, on Sunday after Republicans requested that a deal include a new way of calculating inflation that would lower payments to beneficiaries programs like Social Security and slow their growth.

Disagreement over Social Security is being called a major setback in the fiscal cliff negotiations today.

Update: Republicans appear to have taken Social Security cuts off the table for now. While they might not demand these cuts as part of the fiscal cliff negotiations they do plan to bring this up again in 2013.

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CBO Finds Obama Plan Will Stimulate Economy and Reduce The Deficit

Economists have already analyzed Barack Obama’s job plan and concluded that it will help reduce the risk of another recession and increase jobs. The Congressional Budget Office has now analyzed the report and found that it will help reduce the budget deficit:

The Congressional Budget Office on Friday confirmed that President Obama’s jobs bill would be fully paid for over ten years and also gave its seal of approval to Senate Democrats’ version that includes a surtax on millionaires.

The CBO said that the original Obama stimulus bill would involve $447 billion in tax cuts and new spending—the same estimate given by the administration. It said the bill would raise $450 billion over ten years. The result is a $3 billion decrease in deficits over ten years.

The Senate Democrats’ bill, which replaces Obama’s taxes on the upper middle class with a 5.6 percent surtax on those with annual incomes above $1 million, raises $453 billion over ten years and reduces deficits by $6 billion. The tax kicks in in 2013.

Senate Majority Leader Harry Reid’s office highlighted that the CBO affirmed 60 percent of the stimulus comes in the form of tax cuts rather than spending and that most of the tax relief is for workers.

CBO also said that the bill “could have a noticeable impact on economic growth and employment in the next few years.” CBO under its own rules is prevented from factoring in increased unemployment, and the possible increased tax revenue that could result into its cost estimate.

Of course Republicans will continue to oppose the plan for two reasons. First of all, they would prefer that the economy continues to do poorly in the hope that this will cause voters to take out their frustrations on the Democrats as occurred in 2006, which is also why they have used their power in Congress to extend the downturn and reduce job creation. Secondly, Obama’s plan, while good for the country, results in higher taxes for the wealthy. Promoting lower taxes on the wealthy is the primary goal of Republicans, even if we have tax rates below those present when Ronald Reagan was president.

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Planned Islamic Community Center Turns Politicians Of Both Parties Into Babbling Idiots

The planned Islamic Community Center planned near ground zero has resulted in a lot of nonsense. Most of it has come from the right, who mischaracterized it as a Ground Zero Mosque, with the right wingers showing no respect for either freedom of religion or property rights. Some of the nonsense also came from the Democrats. I really don’t know what Nancy Pelosi is talking about here, as she speaks of looking into “who is funding the attacks against the construction of the center.”  Her clarification does not make much more sense. (Of course this is not the first time I’ve questioned if Nancy Pelosi was making sense).

What is obviously going on here (along with Harry Reid trying to sound like a conservative on this in the midst of a tough election campaign) is that the Democrats still have absolutely no idea how to counter the the hateful and ignorant rhetoric from the far right. Instead they look at the polls and find that a majority of Americans support the conservative position in this and fear saying anything meaningful.

If  Islamic terrorists who had flown planes into the World Trade Building had wanted to build a mosque near ground zero I would understand the opposition. Of course those who desire to build the Community Center had no more connection to 9/11 than Saddam Hussein did.

As long as the Democrats fail to provide leadership and manage to speak out intelligibly on such issues a majority of people will listen to the right wing position. Democrats need to counter Republican rhetoric and misinformation with intelligent and factual responses. They won’t win by chickening out and hoping that Rachel Maddow or liberal bloggers will manage to bring some sense to the debates.

Update: Not Howard Dean too.

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The Worst People In American History–To Conservatives

Right Wing News conducted a survey of conservative  bloggers to find out who they thought were the worst twenty-five people in U.S. history. John Wilkes  Booth beat out Nancy Pelosi, but only by one vote. Jimmy Carter leads, followed by Barack Obama. Both are well ahead of Timothy McVeigh, who also trails Ted Kennedy, FDR, and LBJ.  The results:

23) Saul Alinsky (7)
23) Bill Clinton (7)
23) Hillary Clinton (7)
19) Michael Moore (7)
19) George Soros (8)
19) Alger Hiss (8)
19) Al Sharpton (8)
13) Al Gore (9)
13) Noam Chomsky (9)
13) Richard Nixon (9)
13) Jane Fonda (9)
13) Harry Reid (9)
13) Nancy Pelosi (9)
11) John Wilkes Booth (10)
11) Margaret Sanger (10)
9) Aldrich Ames (11)
9) Timothy McVeigh (11)
7) Ted Kennedy (14)
7) Lyndon Johnson (14)
5) Benedict Arnold (17)
5) Woodrow Wilson (17)
4) The Rosenbergs (19)
3) Franklin Delano Roosevelt (21)
2) Barack Obama (23)
1) Jimmy Carter (25)

It also appears that, in their view, we are living in really bad times considering how many of the worst people in American history are now living or were around in the not very distant past.

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AARP Joins Physician Groups In Blasting Congress For Inaction On Medicare Payment Fix

The failure of Congress to act on the Medicare “doc fix” has led to protests from medical organizations and the American Association of Retired People who have pointed out the harm this will do to the Medicare program and people dependent upon Medicare for their health care. The American Academy of Family Practitioners has called on Congress to stop harming patients and do their job. The American College of Physicians has blasted Congress for causing “Irreparable damage to Medicare” as seniors and military families face loss of access to health care. AARP sent the following letter to every member of Congress urging action on Medicare, warning that their inaction “threatens access to physician services for millions of Medicare beneficiaries.”

On behalf of millions of AARP members, I urge you to immediately pass legislation that ensures seniors have access to their physicians, and provides much needed fiscal relief to the states and to unemployed individuals.

Regrettably, given Congress’s failure to reach timely agreement on a Medicare physician pay package, the Centers for Medicare and Medicaid Services has now been forced to implement a draconian 21.3 percent reduction in their reimbursements.  This cut threatens access to physician services for millions of Medicare beneficiaries – especially those living in rural and other underserved areas.

While Congress continues to debate temporary patchwork solutions, people on Medicare are growing increasingly anxious about whether they will be able to find a doctor when they need one.  Seniors, who have paid into Medicare their entire working lives, deserve the peace of mind of knowing they will be able to find a doctor who will treat them.

AARP urges Congress to act immediately to stabilize doctor reimbursement rates for as long as possible until a permanent solution can be found.   For nearly a decade, Medicare patients and the doctors who treat them have been held hostage by short-term patches to an unworkable Sustainable Growth Rate (SGR) formula.  In the months to come, we look forward to working with Members of Congress from both sides of the aisle to repeal the SGR formula and replace it with a permanent physician payment system for Medicare that rewards value and ends the uncertainty for patients and providers alike.

In addition, enhanced Medicaid funding to states to assist them with the added costs of providing health coverage to low income individuals and for home and community based services must be extended.

Finally, we urge the extension of unemployment benefits for those unable to find jobs during this economic downturn.

AARP members are counting on you to address these critical issues immediately to protect their health and economic security.

Congress Plays Chicken With Medicare

Medical blogs have been protesting the failure of Congress to resolve this problem. For example, Dr. Rob warns that Congress is playing “a great big game of chicken.”

  • The house is playing chicken with the senate.
  • The Democrats are playing chicken with the Republicans.
  • They aren’t in the cars themselves, we are.  Doctors and patients are careening toward destruction in the name of political gamesmanship.

Surely they will flinch.  Surely someone will understand the consequences of the crash.  But you know what?  Sometimes each side expects the others will be the ones who flinch.  Sometimes nobody flinches.  Sometimes the cars crash and people are killed.

There are two potential ways to resolve this deadlock. The quickest would be for Nancy Pelosi to go along with Senate Majority Leader Harry Reid, House Majority Leader Steny Hoyer, and Rep. Robert Andrews (D-N.J.), the Chair of the Education and Labor health panel, and allow the House to vote on the temporary fix passed in the Senate last week.

Nancy Pelosi has been insisting on a different course by attaching the Medicare “doc fix” to other unrelated legislation. The Senate is attempting to pass legislation which includes some of Pelosi’s goals, but it is questionable if the Senate could pass such legislation without watering it down to the point where Pelosi would not find it acceptable.

For Nancy Pelosi to be the one who, at present, is blocking passage of this legislation might be political suicide for the Democrats, risking turning over control of Congress to the Republicans in November. The Democrats are already on shaky ground with seniors. As Ezra Klein pointed out earlier today, health care reform has become more popular since passage–except with seniors. The Democrats cannot afford to further alienate the senior vote, which tends to turn out more heavily in off year elections than the younger voters who are more likely to stick with the Democrats.

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Democrats Split As Nancy Pelosi Betrays Seniors

Nancy Pelosi’s irrational behavior regarding the Medicare “doc fix” is creating rifts between Pelosi and other Democrats. For the past several months we’ve had a repeated pattern of the Democrats taking the lead in trying to fix the problem while the Republicans have blocked passage. Suddenly it is Nancy Pelosi who is jeopardizing Medicare.

The Senate passed a six month temporary fix last Friday which differed from the House proposal. While far from perfect, the Senate bill would have at least bought some time to again work on a long term solution. It was initially assumed that the House would quickly approve the Senate bill but instead Pelosi has insisted she will not act upon a Medicare fix which does not also include the jobs proposals in the House bill.

While fighting for the jobs proposals are admirable, this should not be done at the expense of passing the Medicare fix. Failure to pass the fix endangers the Medicare program and will cause seniors, the disabled, and military families to have difficulty getting access to health care. (Medicare directly covers seniors and the disabled while Tricare, which covers active members of the military and their families, bases its fee schedule on the Medicare fee schedule).

As Nancy Pelosi and Harry Reid took differing positions, Politco reported this morning that  Congress battles as Medicare burns. There even appears to be some disagreement with Pelosi among the House Democratic leadership, as reported by The Hill:

Rep. Robert Andrews (D-N.J.), the Chair of the Education and Labor health panel, tells The Hill that Congress should quickly pass a bill delaying cuts to Medicare physician payments. The comments seem at odds with House Speaker Nancy Pelosi’s (D-Calif.) statement Monday that the House should hold off on taking up the Senate’s Medicare doc fix until the Senate passes a tax extenders bill, which some House members fear might go nowhere if it’s uncoupled from the must-pass doc fix.

“Leverage is less important than ensuring seniors can see their doctors,” Andrews said as he was entering a meeting in the office of House Majority Leader Steny Hoyer (D-Md.). “So I think it’s important to pass it.”

As I said earlier as my Facebook status, also posted to Speaker Pelosi’s FB page (and on Twitter in an abreviated 140 character version):

Nancy Pelosi: We expect Democrats to fight to preserve Medicare, not give Republicans political cover to destroy it. So far it has been the Republicans who have been blocking the payment fix, but if you follow through with threats not to pass the latest temporary fix passed by the Senate the Democrats become responsible for endangering Medicare, and risk losing the senior vote.

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Nancy Pelosi Gambles With Future Of The Democratic Party By Rejecting Medicare “Doc Fix”

Harry Reid might be the leader of a House of Congress from Nevada but it is Nancy Pelosi who has turned into quite a gamble–a gamble which if she loses will probably turn the Democratic Party back into a minority party. On Friday the Senate passed a six month Medicare “doc fix” but regrettably could not also pass jobs legislation. Now Nancy Pelosi is threatening that the House will not pass the Senate bill until they also pass jobs legislation.

If her gamble works and the Senate passes the original House bill as opposed to the more limited Senate bill then Nancy Pelosi will come off as a legislative genius. However this is a very high stakes gamble. If she fails then it will be the Democrats who will receive much of the blame for the failure of passage of the Medicare fix.

Failure to pass the Medicare fix will lead to serious limitations on medical care for the elderly and disabled individuals now on Medicare. In addition, Tricare pays based upon the Medicare fee schedule so this will also adversely affect U.S. military personnel and their families.

Conservatives already are beginning to realize that Nancy Pelosi might have handed them a tremendous gift. Ed Morrissey writes:

In other words, Pelosi has handed the Senate Republicans the key to a filibuster not just in the Senate but also in the House, all to demand a massive expansion of the deficit on two separate fronts.  The GOP couldn’t have possibly asked for a better political position even if they had begged Pelosi not to throw them into that briar patch.  And if the “doctor fix” fails to get out of the House, it won’t be Republicans who get the blame, since Pelosi can call a vote on that any time she desires.

Let’s hope that Republicans manage to keep this advantage for as long as it takes Pelosi to realize that she’s blown it.

Morrissey is incorrect on an earlier point claiming, “the passage of the ObamaCare legislation whose financials were specifically predicated on keeping the Medicare reimbursement cuts in place.” A permanent fix was originally planned to be part of health care reform but Republicans made this politically impossible by counting the paper costs of this fix as part of the health care legislation.

Regardless of countless acts by the Republicans to play politics here and block a permanent fix, Morrissey is correct that the Democrats will pay the price politically if Nancy Pelosi is the one to prevent passage of the fix which has now passed the Senate. Loss of the senior vote will be devastating to the Democrats.

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Republicans, Not ObamaCare, Are Chasing Doctors Out Of Medicare

The Houston Chronicle has an article about an increasing number of Texas primary care doctors not accepting Medicare, largely because of  uncertainty caused by the flawed physician payment formula which I’ve discussed here many times in the past.  I’ve seen several conservative blogs which are twisting this to claim that the doctors are leaving because of cuts in Medicare brought about because of Obama’s health care plan. This is totally false. Here are the facts:

  • The health care reform bill increases payment for primary care doctors, and does not cut Medicare payments as some conservatives are claiming
  • The problem with the flawed payment formula goes back to 1997, well before the current health care reform
  • The Democrats have been trying for several months, both as part of the health care reform legislation and in separate legislation, to fix this problem. They have proposed legislation that would both protect doctors from pay cuts and provide an increase in reimbursement.
  • The Republicans have repeatedly blocked these attempts, including filibusters in recent months which have greatly increased the uncertainty discussed in the article.

Despite the right wing spin, if doctors do not accept Medicare it has nothing to do with “ObamaCare” and everything to do with Republicans screwing doctors and our patients.

Related Stories:

Republicans filibuster fix in April

Republicans filibuster fix in March over Democratic objections

House passed temporary fix after Republicans blocked permanent fix

Harry Reid attacked by Republicans when he tried to fix the problem last fall

Obama criticized for trying to fix problem as part of health care reform

Republicans play politics, screwing doctors

Benefits of health care reform for primary care doctors. (Does anyone really believe that the AMA would have endorsed the plan if it cut physician pay rather than providing benefits for their members?)

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