Federal Government Ends Prohibition On Medical Marijuana

The Los Angeles Times reports on a surprise in the recently passed spending bill–an end to the federal government’s prohibition on medical marijuana. The was passed with support of both Democrats as well as some Republicans who opposed raid by the federal government in states which have legalized medical marijuana on states’ rights grounds:

Tucked deep inside the 1,603-page federal spending measure is a provision that effectively ends the federal government’s prohibition on medical marijuana and signals a major shift in drug policy.

The bill’s passage over the weekend marks the first time Congress has approved nationally significant legislation backed by legalization advocates. It brings almost to a close two decades of tension between the states and Washington over medical use of marijuana.

Under the provision, states where medical pot is legal would no longer need to worry about federal drug agents raiding retail operations. Agents would be prohibited from doing so.

The Obama administration has largely followed that rule since last year as a matter of policy. But the measure approved as part of the spending bill, which President Obama plans to sign this week, will codify it as a matter of law.

Pot advocates had lobbied Congress to embrace the administration’s policy, which they warned was vulnerable to revision under a less tolerant future administration.

More important, from the standpoint of activists, Congress’ action marked the emergence of a new alliance in marijuana politics: Republicans are taking a prominent role in backing states’ right to allow use of a drug the federal government still officially classifies as more dangerous than cocaine…

Some Republicans are pivoting off their traditional anti-drug platform at a time when most voters live in states where medical marijuana is legal, in many cases as a result of ballot measures.

Polls show that while Republican voters are far less likely than the broader public to support outright legalization, they favor allowing marijuana for medical use by a commanding majority. Legalization also has great appeal to millennials, a demographic group with which Republicans are aggressively trying to make inroads.

Approval of the pot measure comes after the Obama administration directed federal prosecutors last year to stop enforcing drug laws that contradict state marijuana policies. Since then, federal raids of marijuana merchants and growers who are operating legally in their states have been limited to those accused of other violations, such as money laundering.

“The federal government should never get in between patients and their medicine,” said Rep. Barbara Lee (D-Oakland).

Tony Newman, Director of Media Relations, Drug Policy Alliance, added this to his list of More Nails in the Drug War Coffin.

In addition to ending fears of raids by federal drug agents, this should also alleviate the fears of many physicians who are currently afraid to treat patients with medical marijuana even in states where it is legal. Many physicians, including some pain clinics, have been unwilling to treat patients with chronic pain who are using medical marijuana out of fear of retaliation by the DEA.

 

Please Share

PolitiFact Lie of The Year: Exaggerations about Ebola

Conservatives used Ebola as one means of spreading fear, helping them in the 2014 midterm elections. PoltiFact has now made exaggerations about Ebola their 2014 Lie of the Year. This includes both conservative hysteria which greatly exaggerated the threat faced in a developed nation such as the United States and many of the right wing conspiracy theories. I have already discussed many of these false claims, often in the context of debunking right wing attempts to restrict civil liberties while ignoring the science. From PoltiFact:

Thomas Eric Duncan left Monrovia, Liberia, on Sept. 19, for Dallas. Eleven days later, doctors diagnosed Duncan with Ebola.

Eight days after that, he was dead.

Duncan’s case is just one of two Ebola-related fatalities in the United States, and since Duncan traveled to Dallas, more Americans — at least nine, and likely many more — have died from the flu.

Yet fear of the disease stretched to every corner of America this fall, stoked by exaggerated claims from politicians and pundits. They said Ebola was easy to catch, that illegal immigrants may be carrying the virus across the southern border, that it was all part of a government or corporate conspiracy.

The claims — all wrong — distorted the debate about a serious public health issue. Together, they earn our Lie of the Year for 2014…

Fox News analyst George Will claimed Ebola could be spread into the general population through a sneeze or a cough, saying the conventional wisdom that Ebola spreads only through direct contact with bodily fluids was wrong.

“The problem is the original assumption, said with great certitude if not certainty, was that you need to have direct contact, meaning with bodily fluids from someone, because it’s not airborne,” Will said. “There are doctors who are saying that in a sneeze or some cough, some of the airborne particles can be infectious.” False.

U.S. Sen. Rand Paul, R-Ky., described Ebola as “incredibly contagious,” “very transmissible” and “easy to catch.” Mostly False.

Internet conspirators claimed President Obama intended to detain people who had signs of illness. Pants on Fire. Bloggers also said the outbreak was started in a bioweapons lab funded by George Soros and Bill Gates. Pants on Fire.

A Georgia congressman claimed there were reports of people carrying diseases including Ebola across the southern border. Pants on Fire. Sen. John McCain, R-Ariz., said Americans were told the country would be Ebola-free. False.

When combined, the claims edged the nation toward panic. Governors fought Washington over the federal response. The Centers for Disease Control and Prevention stumbled to explain details about transmission of the virus and its own prevention measures. American universities turned away people from Africa, whether they were near the outbreak or not.

The post went on to discuss the actual medical facts.

Not surprisingly the misinformation came from many of the usual subjects such as Fox and Republicans such as John McCain and Rand Paul. Their conspiracies theories also involved the usual subjects of right wing attacks like Barack Obama and George Soros.

At least one good thing did come about from the Ebola hysteria. Republicans, with the help of the NRA, had blocked the appointment of Vivek Murthy for Surgeon General for months. The Ebola outbreak placed increased attention on this vacancy and he was finally confirmed by the Senate today.

Please Share

Senate Intelligence Committee Report Shows That CIA Lied About Torture & Torture Did Not Work

The Senate Intelligence Committee released their report today, providing documentation that the CIA was both brutal and dishonest about their tactics, and that torture did not work. The New York Times listed these seven key points:

  • The C.I.A.’s interrogation techniques were more brutal and employed more extensively than the agency portrayed.
  • The C.I.A. interrogation program was mismanaged and was not subject to adequate oversight.
  • The C.I.A. misled members of Congress and the White House about the effectiveness and extent of its brutal interrogation techniques.
  • Interrogators in the field who tried to stop the brutal techniques were repeatedly overruled by senior C.I.A. officials.
  • The C.I.A. repeatedly underreported the number of people it detained and subjected to harsh interrogation techniques under the program.
  • At least 26 detainees were wrongfully held and did not meet the government’s standard for detention.
  • The C.I.A. leaked classified information to journalists, exaggerating the success of interrogation methods in an effort to gain public support.

The Washington Post indexed the report by twenty key findings. See the articles in The Washington Post and New York Times for more specifics on each point.

1 “not an effective means of acquiring intelligence”
2 “rested on inaccurate claims of their effectiveness”
3 “brutal and far worse than the CIA represented”
4 “conditions of confinement for CIA detainees were harsher”
5 “repeatedly provided inaccurate information”
6 “actively avoided or impeded congressional oversight”
7 “impeded effective White House oversight”
8 “complicated, and in some cases impeded, the national security missions”
9 “impeded oversight by the CIA’s Office of Inspector General”
10 “coordinated the release of classified information to the media”
11 “unprepared as it began operating”
12 “deeply flawed throughout the program’s duration”
13 “overwhelmingly outsourced operations”
14 “coercive interrogation techniques that had not been approved”
15 “did not conduct a comprehensive or accurate accounting of the number of individuals it detained”
16 “failed to adequately evaluate the effectiveness”
17 “rarely reprimanded or held personnel accountable”
18 “ignored numerous internal critiques, criticisms, and objections”
19 “inherently unsustainable”
20 “damaged the United States’ standing in the world”

The Daily Beast lists The Most Gruesome Moments in the CIA ‘Torture Report’

Right-leaning Politico reports: Dick Cheney Was Lying About Torture–The Senate report confirms it doesn’t work. As those of us on the inside knew.

Needless to say, there is commentary throughout the blogosophere. Andrew Sullivan wrote:

The US did torture many many people with techniques devised by Nazis and Communists, sometimes in former KGB facilities. The CIA itself admits in its internal documents that none of it worked or gave us any actionable intelligence that wasn’t discovered through legal means. The torture techniques were not implemented by highly-trained professionals, but by goonish amateurs who concealed what they were doing and lied about it to superiors. All the techniques were and are clearly illegal under US and international law.

Please Share

Americans Generally Satisfied With Healthcare Costs But Those On Medicare Are Happier Than Those With Private Insurance

A Friday afternoon news dump is not always bad news. Gallup released a poll under this headline on Friday: As ACA Takes Effect, Majority OK With Personal Health Costs. Gallup reported, “Nearly six in 10 Americans (57%) say they are satisfied with the total cost they pay for healthcare, on par with other readings over the last five years. So far, there is little indication that the Affordable Care Act (ACA), also known as ‘Obamacare,’ has affected the way Americans view their healthcare costs, either positively or negatively.”

Gallup Insurance Satisfaction

Note that the graph above shows very little change over time, with the current numbers very close to when Obama took office. Satisfaction did increase slightly in 2014, presumably because of more people having coverage thanks to the Affordable Care Act.

Satisfaction increased by age, essentially correlating with reaching age 65 and having Medicare. The assumption that those who are older are more satisfied because they have Medicare is verified when the results are broken down by type of insurance. Satisfaction with costs  is at 74 percent among those with Medicare or Medicaid, compared to 58 percent with those on private insurance. Note that another recent study did show that overall satisfaction was much closer than this poll on satisfaction with costs. Out of pocket payments for those on Medicare are typically significantly lower than those covered by private insurance, except for those with the most generous employer-paid plans.

Gallup Insurance Satisfaction by Age

Other findings were that people were generally satisfied with the quality of health care but less satisfied with healthcare coverage as a whole in the United States compared to other countries. Gallup concluded:

U.S. adults holding health insurance via a private insurance plan are about as likely to rate their coverage positively (77%) as Americans holding either Medicare or Medicaid (75%), suggesting both groups are about equally happy with their plans. But, as noted earlier, Medicare and Medicaid holders are far more satisfied with the cost of their plan.

As Gallup has found in the past, Americans are far less effusive with their praise for healthcare coverage in the U.S. as a whole. This year is not an exception: Fewer than four in 10 Americans now rate healthcare coverage in the U.S. as excellent or good.

Before passing the ACA, the large majority of Americans who had health insurance were broadly satisfied with their medical care and coverage and their healthcare costs. Thus, a major test of the ACA will be whether it succeeds in expanding affordable healthcare to the previously uninsured while doing “no harm” to the large majority of Americans who are already highly satisfied with their healthcare coverage. So far, the verdict is positive. Gallup finds no decrease in insured Americans’ satisfaction with their healthcare services and their costs. At the same time, the uninsured are as negative as ever, but their numbers have dwindled. Gallup’s annual November updates of these trends will monitor whether this positive outcome persists as implementation of the ACA progresses.

Republicans have backed high deductible plans as a way to restrain health care costs for quite a long time. Now that they got what they want with plans sold on the exchanges (like plans previously sold in the individual market) generally having high deductibles, they have been using this as a line to attack Obamacare. If this is the main objection, rather than cowering in the face of attacks on the ACA, Democrats might be better off taking advantage of this as a reason to push for the type of single payer plan that most liberals supported before Obama compromised and promoted what was previously a Republican health care plan.

Please Share

St. Louis Police Oppose Non Violent Protest By Football Players

The controversy over the decision not to indict Darren Wilson extended to football this weekend when five of the St. Louis Rams plays entered the stadium with their hands raised. This was in reference to the eye witnesses who testified before the grand jury that Michael Brown had his hands raised, attempting to surrender, when he was shot to death. These players were engaging in their right to freedom of expression in a peaceful manner.

While I can understand that the police would not be happy to see this, I am disturbed by their reaction. ESPN reports:

The St. Louis Police Officers Association called for the players involved to be disciplined and for the Rams and the NFL to deliver a “very public apology,” its statement read in part.

“I know that there are those that will say that these players are simply exercising their First Amendment rights,” SLPOA business manager Jeff Roorda said in the statement. “Well, I’ve got news for people who think that way: Cops have First Amendment rights too, and we plan to exercise ours. I’d remind the NFL and their players that it is not the violent thugs burning down buildings that buy their advertiser’s products. It’s cops and the good people of St. Louis and other NFL towns that do. Somebody needs to throw a flag on this play. If it’s not the NFL and the Rams, then it’ll be cops and their supporters.”

It is understandable for anyone to be upset violent protests but this was a totally peaceful expression of their views. The SLPOA has the idea of the First Amendment totally backwards if they think that the First Amendment was designed for the police to try to shut down protests. I haven’t heard such a confused interpretation of the First Amendment since Sarah Palin expressed the belief it was to protect her from questioning by the media.

While I don’t condone those who are violent, I am also disturbed by the implicit idea of separating the good (you can almost hear white) people of St. Louis and other NFL towns from those (black) people who are protesting, not all of whom are protesting violently. Those football players certainly were engaged in non-violent protest.

The SLPOA took  advantage of unfair nature of the grand jury proceedings to falsely claim that this exonerated Wilson:

“SLPOA Business Manager Jeff Roorda said, “now that the evidence is in and Officer Wilson’s account has been verified by physical and ballistic evidence as well as eye-witness testimony, which led the grand jury to conclude that no probable cause existed that Wilson engaged in any wrongdoing, it is unthinkable that hometown athletes would so publicly perpetuate a narrative that has been disproven over-and-over again.”

The argument that there was probable cause to indict Wilson, despite the ruling of the grand jury, was never disproven. Both physical evidence and eye witnesses contradict Wilson’s statement. As I discussed here and here, the grand jury proceedings were highly irregular, with the prosecutor essentially acting as the defense, leading the grand jury to come to a decision not to indict. There were also irregularities in the collection of evidence after the shooting.

It is shocking that it has suddenly become controversial in this country to insist that a police officer who shot an unarmed person, who some eye witnesses say was trying to surrender, should have to face cross examination when giving his testimony. There is an incestuous relationship between the police and prosecutor’s office with the prosecutor seeing the police on his side, desiring to protect them. Grand juries are generally used to present the case for indictment, not to present the defense case. Why is it that conservatives who generally distrust the government are suddenly showing complete trust when an unarmed black kid is killed, despite clear abuses of the system by the prosecutor? There is certainly room for disagreement about Wilson’s guilt based upon the evidence presented, both supporting and contradicting Wilson,  but this should be dealt with under normal trial rules, with an adversarial proceeding including  cross examination of the witnesses, not a sham proceeding rigged to exonerate Wilson.

It is only understandable that people will be driven to protest considering the irregularities in this case. This includes football players, who also have the right to freedom of expression. Fortunately the NFL understood this and Brian McCarthy, the NFL’s VP of communications, responded to the SLPOA with this statement, declining to initiate disciplinary action against the players:  “We respect and understand the concerns of all individuals who have expressed views on this tragic situation.”

Please Share

North Carolina Study Looks At Republican Advantage Due To Gerrymandering

Republicans control both houses of Congress but this does not mean that they represent a majority of the voters. They control the Senate due to small Republican states having the same number of Senators as larger Democratic states. Republicans benefit in the House due to the concentration of Democrats in urban areas, leading to Democrats winning a smaller number of seats by larger numbers. The Republican advantage in the House has been increased due to gerrymandering.

North Carolina Public Radio has looked at a study on the effect of gerrymandering in North Carolina:

Back in 2012, more North Carolinians voted for Democrats than Republicans in North Carolina’s Congressional elections. But Republicans ended up winning nine out of the state’s 13 seats that year. Those numbers piqued the interest of researchers at Duke, who decided to seek a mathematical explanation for the discrepancy. They recently published a study with their results…

When Mattingly and Vaughn tabulated what would have happened had residents voted the same way but in differently drawn districts, they were surprised. Mattingly turns to his computer to pull up their work, which summarizes how the balance of the congressional seats would have come out under those 100 different maps.

“Right here, if you look at what’s happening,” explains Mattingly, “here we have this bar chart with seven and eight Democrats elected. That happened over 50 percent of the time- and the vast majority of the time we had somewhere between six and nine Democrats elected over 95 percent of the time.”

Mattingly says this chart- and the rest of the study- shows mathematically that the outcome of the 2012 congressional election- with four Democrats elected- was not representative of how people voted.

Gerrymandering currently helps Republicans more than usual because of Republicans taking over the state legislature in several states in the 2010 Republican sweep, taking place in a midterm election year when Republicans have an advantage. Democrats will have an advantage in battles for control of the state legislature in 2020 due to their advantage in general election years.

Please Share

Republicans Plan To Use Increased Power After Midterms To Restrict Access To Abortion

Remember how the Republicans talked about down playing social issues going into the midterm elections? Now that they are in office, the party of limited government is returning to its agenda of using big government to impose its views upon others. Politco reports on The coming wave of anti-abortion laws–New GOP state legislatures will make access to abortion harder than ever.

The big Republican gains in the November elections strengthened and enlarged the anti-abortion forces in the House and the Senate. But it’s the GOP victories in the statehouses and governor’s mansions that are priming the ground for another round of legal restrictions on abortion.

Arkansas, for instance, already has strict anti-abortion laws. But with a Republican governor succeeding a Democrat who had vetoed two measures that would have banned most abortions beyond a certain stage of pregnancy, lawmakers plan to seek more restrictions — such as barring doctors from administering abortion drugs through telemedicine. Republican gains in the West Virginia Legislature will redouble pressure on Democratic Gov. Earl Ray Tomblin to accept a ban on most abortions after 20 weeks, which he has previously deemed unconstitutional. And Tennessee voters approved a ballot initiative that removes a 15-year barrier to legislation limiting abortion legislation in that deeply conservative state.

Abortion rights advocates have had setbacks in the states for several years, with a surge of legislative activity since 2011. Women seeking abortions may face mandatory waiting periods or ultrasound requirements. Clinics may face stricter building codes or hospital admitting privilege rules they can’t satisfy. Dozens of clinics have shut down in multiple states. Texas, for instance, has fewer than 10 abortion clinics now. A year ago, it had 40…

Republican leaders who will control the U.S. Senate come January say they want to take up abortion this year, perhaps on a House-passed bill that would limit the procedure after 20 weeks. But the reality is that Senate Republicans will still fall a few votes shy of the 60 needed for controversial major legislation. It’s the states where Republicans can enact more abortion limits.

“We came out of Nov. 4th with a lot of momentum,” said Chuck Donovan, president of the research and education arm of Susan B. Anthony List, which is dedicated to electing candidates who oppose abortion. He expects the number of anti-abortion measures proposed in the states to reflect that. “I think we’re about to get another uptick.”

Thirteen states have passed bans on most abortions after 20 weeks of pregnancy — so-called fetal pain bills — and a couple have enacted earlier limits tied to when a fetal heartbeat is first detected, which can be six or seven weeks into a pregnancy. Several of these state laws are being contested in court, and the arguments may eventually end up in the Supreme Court. But that hasn’t deterred more states from eyeing such legislation; in Ohio, a House panel approved a fetal heartbeat bill just a few days ago.

Planned Parenthood President Cecile Richards predicts that 2015 will bring more attempts to enact restrictive state laws. She said she expects “state legislative attacks on women’s health, even though the vast majority of the public wants elected officials to protect and expand access to safe and legal abortion, birth control and preventive health care.”

In some states with Republican control of the legislature there remains hope that any anti-abortion legislation will be vetoed. For example, in Nevada  Republican Governor Brian Sandoval supports keeping abortion legal. The Republican capture of control of both chambers of the state legislature in New Hampshire will be countered by Democratic Governor Maggie Hassan who backs abortion rights.

While this article dealt with abortion, based upon recent history it is also likely that Republicans will use their power to restrict access to contraception.

Please Share

Republicans Seek To Block Marijuana Law In Washington D.C.

Republicans, members of the party which claims to support small government, individual freedom, and states’ rights, once again shows that it doesn’t mean a word of this.  The Hill reports on one action planned by Republicans:

House Republicans next year will try to block Washington, D.C.’s, newly enacted law legalizing recreational marijuana.

Rep. Andy Harris said he “absolutely” intends to launch a push to dismantle the new law when Congress returns with an empowered GOP majority in the 114th Congress.

While technically not a states’ rights issue, the same principle should apply to respecting a law to legalize recreational marijuana which a majority in Washington, D.C. voted for.

Presumably other top matters on the Republican agenda will include attempts to restrict access to abortion and contraception, and prevent same-sex marriage.

Of course this is as expected. When Republicans speak of supporting small government, it is of a government “small” enough to intervene in the private lives of the individual. When they speak of freedom, they will defend the freedom of businessmen to evade necessary regulations. Otherwise to Republicans, freedom means the freedom for conservatives to impose their views upon others. Republican support for states’ rights is limited to states which wish to enact laws to discriminate against minorities or restrict marriage equality.

Please Share

Seventh Investigation Debunks Republican Benghazi Conspiracy Theories

Yet another investigation has debunked the Republican claims about Benghazi, this one run by House Republicans. AP reports:

House intel panel debunks many Benghazi theories

A two-year investigation by the Republican-controlled House Intelligence Committee has found that the CIA and the military acted properly in responding to the 2012 attack on a U.S. diplomatic compound in Benghazi, Libya, and asserted no wrongdoing by Obama administration appointees.

Debunking a series of persistent allegations hinting at dark conspiracies, the investigation of the politically charged incident determined that there was no intelligence failure, no delay in sending a CIA rescue team, no missed opportunity for a military rescue, and no evidence the CIA was covertly shipping arms from Libya to Syria.

In the immediate aftermath of the attack, intelligence about who carried it out and why was contradictory, the report found. That led Susan Rice, then U.S. ambassador to the United Nations, to inaccurately assert that the attack had evolved from a protest, when in fact there had been no protest. But it was intelligence analysts, not political appointees, who made the wrong call, the committee found. The report did not conclude that Rice or any other government official acted in bad faith or intentionally misled the American people.

The House Intelligence Committee report was released with little fanfare on the Friday before Thanksgiving week. Many of its findings echo those of six previous investigations by various congressional committees and a State Department panel. The eighth Benghazi investigation is being carried out by a House Select Committee appointed in May…

In the aftermath of the attacks, Republicans criticized the Obama administration and its then-secretary of state, Hillary Rodham Clinton, who is expected to run for president in 2016. People in and out of government have alleged that a CIA response team was ordered to “stand down” after the State Department compound came under attack, that a military rescue was nixed, that officials intentionally downplayed the role of al-Qaida figures in the attack, and that Stevens and the CIA were involved in a secret operation to spirit weapons out of Libya and into the hands of Syrian rebels. None of that is true, according to the House Intelligence Committee report.

The report did find, however, that the State Department facility where Stevens and Smith were killed was not well-protected, and that State Department security agents knew they could not defend it from a well-armed attack. Previous reports have found that requests for security improvements were not acted upon in Washington.

Of course it was the Republicans who cut funding for embassy security, denying requests from Democrats for increased funding.

Despite seven investigations which failed to provide evidence to support the Republican conspiracy theories, an eight is underway, and I wouldn’t be surprised if there are more to follow in the Republican-controlled Senate. The party which already voted over fifty times to repeal the Affordable Care Act, and which exists in a fact-free bubble, will not hesitate to continue engage in the same irrational behavior.

Please Share

Another Unforced Error On Selling Obamacare

The Obama administration has done an excellent job policy-wise with the Affordable Care Act, but politically has made a few major mistakes along the way. The most recent was discovered today when Bloomberg reported that the administration had made mistakes in reporting the number of people who obtained health coverage through the exchanges in its first year. The error came from adding sales of dental plans available under the Affordable Care Act to the total number who actually purchased plans.

HHS Secretary  Secretary Sylvia Burwell responded on Twitter that, “The mistake we made is unacceptable. I will be communicating that clearly throughout the dept.”

From a practical point of view, the mistake does not really change anything. The important factor is the benefits provided, not the number of people who signed up the first year, especially when the number was depressed by a dishonest right wing smear campaign. The actual number still exceeded the predictions of the Congressional Budget Office. Nearly seven million did obtain coverage on the exchanges in the first year, with about seventy percent happy with their coverage–a number comparable to those receiving employer-paid coverage and Medicare.

Unfortunately an error such as this plays into the false right wing narrative that the Obama administration was not transparent in promoting the Affordable Care Act. They ignore the degree to which every aspect was publicly debated for months, and every version of the law was posted on line. Of course many conservatives were probably unaware of the discussion which was occurring as the right wing media was too busy spreading lies than to actually report on what was being openly discussed.

Man on the right are cherry picking and distorting the words of Jonathan Gruber, as I recently discussed here and here. They falsely claim that Gruber was the “architect” of the Affordable Care Act and falsely attribute his views to the Obama administration. Gruber was an outside academic consultant who had worked on Mitt Romney’s health care plan. He was paid to make economic projections based upon this to predict the economic effects of Obamacare. He had no role in the legislative strategy to pass Obamacare, and does not speak for the Obama administration in making statements which Obama disagrees with.

Being an academic outside of Washington, it is very likely that the somewhat convoluted legislative actions used by both parties to achieve the best scores from the Congressional Budget Office might seem to lack transparency. This does not mean that those promoting Obamacare were in any way dishonest. They honestly presented the facts about the law. In contrast, when George Bush pushed through his Medicare drug plan, he not only lied about the cost, but threatened to fire the chief Medicare actuary if he testified before Congress about the true cost.

Gruber’s claims of a lack of transparency would be more meaningful if he actually demonstrated any areas in which the proponents of the ACA were not open about the plans. He spoke about the mandate, but this penalty for not purchasing insurance was widely discussed before passage. He also concentrated on how the ACA is a transfer of wealth, but this was both openly discussed, and a common feature of all insurance. All insurance plans transfer wealth from those who pay premiums and do not wind up needing the coverage to those who receive benefits. While conservatives are quoting Gruber because his statements seem to reinforce their biases, once you look at the details there is no evidence of dishonesty present.

On the other hand. , the real dishonesty came from Republicans who lied about death panels, the number not paying their premiums, the effects of the ACA on jobs and the economy, the cost of coverage, and falsely claiming that Obamacare is a government take over of health care.  Even the corrected numbers show that far more people purchased coverage than many Republicans have claimed. Republican politicians continue to repeat the same lies even when disproven.

Prior Political Errors

Unfortunately the error in reporting the number who purchased coverage is not the first unnecessary error which wound up hurting politically. The most prominent error was in failing to properly test the computer programs behind the exchange before they went live in 2013. The problems were quickly fixed and the exchanges opened successfully this week, but the Obama administration never fully recovered from the poor first impression.

The second error was in over simplifying the issues when making statements that people can keep their own plans and/or their own doctors. Obama was being honest in the context in which he was speaking, but in over simplifying the matter in this way he was incorrect. Obama was responding to far more inaccurate right wing claim that the Affordable Care Act amounts to a government take over of health care. They spread horror stories of people being forced to lose their current health plans (and doctor) and instead being placed on some imaginary government-run Obamacare plan. I had patients call me in horror, asking if they would be lose me as a doctor because of having to change to Obamacare.

Obama was right in answering that people would not be forced into a new government plan and would not arbitrarily be forced to change doctors.

He was incorrect  in how he worded it because other factors were involved. Insurance companies elected to cancel plans, often when they could be grandfathered in. Doctors go in and out of health plans every year, regardless of Obamacare, but Obamacare does not assign people to new doctors. With or without Obamacare, some people would have to change health plans and doctors every year.

Most people had the option to get insurance, from the same company as before if they desired, with better coverage at a lower cost. It is also a bit ambiguous as to what keeping the same plan means considering that in the individual market it has been common for insurance companies to substitute similar but different plans quite frequently. Most people would feel like they had the same plan as it was from the same company with only minor differences (or with better coverage).

When Obama realized his statement was technically wrong, he not only apologized but acted to make it right by making it even easier to grandfather in old plans. Many of the old plans which were discontinued provided extremely limited coverage for the price, and people were better off replacing them with a better plan. I have often seen patients with plans purchased on the individual market in the past who were shocked to find that their plan paid nothing or only a tiny fraction of their bills. The Affordable Care Act guarantees both that health plans will provide reasonable coverage and that nobody can be dropped because of developing health problems, as frequently happened in the past.

By guaranteeing that people cannot be dropped from their health plan, by making insurance more affordable,  and by providing a greater choice of health plans, it is far less likely that people will have to change their health plan or doctor against their will as happened in the past. For the most part, Obama was right, but he worded this in a poor way as there were exceptions. Needless to say, Republicans concentrate on the rare cases where Obama was wrong, even though their health plans would ultimately lead to far more people being unable to keep their insurance or their doctor. By making these political mistakes, the Democrats have made it easier for Republicans to mislead.

Now yet another mistake has been uncovered which means little but which Republicans will be able to use to mislead the public.

Please Share