Republicans Will Soon Regret Being The Party Of Repealing Obamacare

The Affordable Care Act has exceeded expectations where ever we have measurements, such as in people signing up, despite the Congressional Budget Office reducing their prediction after the computer problems in October. The Republican horror stories have been debunked whenever the facts have been examined. There are no death panels, and the Republican predictions of doctors refusing to see Obamacare patients or long waits have turned out to be false. Health insurance companies desire to increase participation in the exchanges, and premium increases are projected to be far less than Republicans have predicted. However, despite the success, the debate over Obamacare is unlikely to end soon. Far too many Republicans suffer from Obamacare Derangement Syndrome.

This includes a degree of short term memory loss. The individual mandate, selling insurance through exchanges, and high deductible plans to discourage spending are all conservative ideas which most Republicans supported up until the Affordable Care Act was nearing passage in Congress. This year Republicans will continue the attacks on Obamacare because of the intensity of opposition among Republican voters. Elections, especially off-year elections, have become far more about motivating the base to get out to vote as opposed to convincing undecided people to vote for your party. Repeating the same lies about the Affordable Care Act will motivate their voters to get out to vote. If Democrats, who at times are almost as inept at campaigning as Republicans are at governing (and predicting the effects of Obamacare), continue to cower in fear over their own accomplishments, there will be little to motivate as many Democrats to get out and vote.

However the realities will change over time, as First Read explained:

It’s easy to explain why the GOP doesn’t want to move on. Health care is the issue that fires up the base; it unites a party that’s divided on other issues; and the law remains mostly unpopular in most public-opinion polls. Obama even recognized this when he talked about possible bipartisan fixes to the health-care law during his news conference yesterday. “My suspicion is that probably will not happen until after November, because it seems as if this is the primary agenda item in the Republican political platform.”

That’s a short-term winner but a long-term problem

That political platform looks like a short-term winner in the upcoming midterm elections, with the GOP having an excellent opportunity of winning back the Senate. But it raises other long-term challenges. What do you do with the eight million Americans who now have insurance on the exchanges, and with the 24 million Americans who are projected to be on the exchanges by 2017 (the next time there’s the possibility of a GOP president)? What about the millions more who have insurance via expanded Medicaid or via their parents’ insurance? And how do you advocate repeal and replace when you don’t have a detailed legislative alternative (that’s scored by the Congressional Budget Office)? Come 2015 and 2016, Republican presidential candidates could very well find themselves in an unsustainable position — having to campaign on a repeal message in the primaries (because that’s what GOP voters want), but then having to face a general electorate that’s more hostile to the idea (because repeal doesn’t poll well outside the GOP).

Americans will not want to repeal Obamacare when they consider what this means. We cannot take away health insurance from millions, and place many more at risk of losing coverage should they become sick. In the near future, to argue to repeal Obamacare will sound as absurd as arguing to repeal Medicare. Of course those who think that Republicans have really moved beyond wanting to repeal Medicare haven’t paid enough attention to the Ryan budget which Republicans have repeatedly voted to support.

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Fact Checking Valuable, But Not Always Right

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The Moderate Voice has a post yesterday on the increase in fact-checking in journalism. Fact-checking is preferable to the standard media practice of quoting both sides as if they are equally valid, generally with an implied assumption that the truth is somewhere in the middle. This leads to erroneous reporting when one side is intentionally using misinformation and lying far more than the other. However labeling something fact checking doesn’t necessarily mean it is immune from journalistic problems. Paul Krugman pointed out one problem:

“The people at PolitiFact are terrified of being considered partisan if they acknowledge the clear fact that there’s a lot more lying on one side of the political divide than on the other,” Krugman wrote in 2011.

“So they’ve bent over backwards to appear ‘balanced’ — and in the process made themselves useless and irrelevant.”

As Krugman pointed out, there are fact checkers which label an equal number of statements from Democrats and Republicans as being wrong in order to give the appearance of being impartial. That typically means that outrageous lies from Republicans are called lies but to provide a sense of balance,  statements from Democrats which are generally true but in which there is an exception are also called lies.

The entire idea of calling something true or a lie is often a poor way to handle complex issues which are stated by politicians in brief statements. Sometimes politicians are trying to be truthful, but boiling down a complex issue into a brief statement, or commercial, will result in exceptions where the statement is false. Often it is preferable to look at what is true in what is being said and where it isn’t entirely true and explain the issue rather than just calling it truth or a lie.

While Republicans have been hit far more with big lies on health care, Democrats have been harmed by the problems in how some fact checkers declare something either true or a lie (being a lie if not 100% true in every case). There have been two big examples of this. The first is Democrats saying that the Medicare proposals in the Ryan budget would destroy Medicare. Technically this is untrue as Ryan would replace Medicare with something named Medicare. On the other hand, it is true because the Republican proposals would change Medicare into something fundamentally different with far less protection for seniors. Rather than just calling it a lie, fact checkers would have done more good by explaining why Democrats consider these changes to be destroying Medicare.

The other is the greatly exaggerated “lie of the year” when Obama said people could keep their own doctor under the Affordable Care Act. This was an absurd statement on one level because every year insurance companies and doctors make decisions which can affect this which the government has no  power over. On the other hand, Obama was right in the context where he was speaking, even if worded poorly. Republicans were lying when they claimed that Obamacare would make people join some sort of government run program which would tell them which doctors they can see. The Affordable Care Act actually makes it more likely that people could have insurance which would allow them to keep their doctor than had been the case in the past and does nothing to force people to lose their doctor. People have a better chance of keeping their doctor when protected from losing their insurance. Frequently people are forced to change doctors because of employers changing insurance plans. Employees have a better chance of keeping their own doctor when provided more choice in plans, as under the Affordable Care Act.  Where Obama got it wrong was that the same forces already present which lead to people having to change doctors, while diminished, would still exist. It would be far better to explain this complex issue, where Obama was mostly right, than to just declare it a lie because it is not true one hundred percent of the time.

Cross posted at The Moderate Voice

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Quote of the Day: Bill Maher on The Ryan Budget And Obamacare

“Game of Thrones returns this weekend on HBO. I’m sure you know it as a magical fantasy where you’re never quite sure who’s going to live or die. Or maybe I’m thinking of Paul Ryan’s budget.” –Bill Maher

Bonus Quote:

“Obamacare hit its numbers. Despite all the initial problems, Healthcare.gov surpassed the enrollment goal, over 7 million. Now the Republicans are saying that they’re going to repeal the Internet.” –Bill Maher

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Paul Ryan Admits Consequences Of Replacing Obamacare With Republican Alternative

Republicans who have been attacking the Affordable Care Act have been unable to provide a specific alternative to replace it with. One problem they face is that, while polls show large numbers of people say they oppose Obamacare, a majority also supports many of the individual components of the law. Paul Ryan admitted what repeal of Obamacare and replacing it with a Republican alternative would mean:

House Budget Committee Chairman Paul Ryan (R-Wis.) says in a new interview that it would be too costly for Republicans to reinstate some of the more popular provisions of Obamacare if and when the law is repealed, but that Republicans should look for alternatives.

The former GOP vice presidential nominee was asked on Bloomberg’s “Political Capital with Al Hunt” about whether Republicans would keep provisions like requiring coverage for pre-existing conditions, keeping kids on their parents’ insurance until they are 26 years old and barring insurance companies from having different rates for those whose jobs include physical labor.

The first two provisions are among the most popular parts of Obamacare, which as a whole is not popular. But Ryan says such provisions would also drive up the cost of insurance too much.

“If you look at these kinds of reforms, where they’ve been tried before — say the state of Kentucky, for example — you basically make it impossible to underwrite insurance,” Ryan said, according to an advance transcript. “You dramatically crank up the cost. And you make it hard for people to get affordable health care.”

Returning to underwriting insurance would mean that insurance companies could once again issue policies based upon who they find the most profitable to cover, denying coverage to those with pre-existing medical conditions and based upon age.

It is less expensive for health insurance companies to sell insurance only to young, healthy people and to revoke coverage when people get sick. However this is not what we need from health insurance, which to be meaningful must be available to everyone and cover people when they become sick. As I’ve pointed out many times in the past, most people going into bankruptcy from medical expenses were insured at the time they first got sick or injured.

Cross posted at The Moderate Voice

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Democrats Need To Go On The Offensive On Health Care

Yesterday I posted in frustration as to how the Democrats managed to allow the Republicans to both sabotage an effort to repeal the Sustainable Growth Formula and use the Affordable Care Act once again as a political pawn. I found that Greg Sargent had interviewed Paul Begala, who had said something similar to my conclusion about Democrats fighting for the Affordable Care Act and added that to the post. In retrospect this message is far too important to leave at the end of the post, and it is well worth repeating (with additional information and commentary).

As I concluded yesterday, despite all of the benefits of the Affordable Care Act, Democrats remain on the defensive politically. The Affordable Care Act is turning into a major success, providing millions with health insurance coverage and ending the ability of insurance companies to abuse the system by finding ways to sell policies and then avoid paying out. No longer are people denied coverage, or have their coverage taken away, due to becoming sick or losing their jobs. In addition,  Obamacare frees people from the “insurance trap” which forced people who otherwise do not need to work to continue working for insurance coverage, along with other overall benefits to the economy. The Congressional Budget Office Report, frequently distorted by Republicans, showed that the Affordable Care Act will reduce unemployment, help decrease the deficit, and allow more people to leave large corporations to start small businesses, further stimulating the economy.

While granted the Republicans have a strong propaganda machine delivering their misinformation, and a media willing to repeat Republican lies as if they are equally valid as statements of fact, Democrats should be able to do a better job of gaining support when the facts are so firmly on their side. The same is true of health care issues in general, as Republicans have managed to put Democrats on the defensive over bogus claims of Medicare cuts while the Republicans seek to turn Medicare into a voucher system which would destroy the program as we know it.

Democrats need to follow the advice of Paul BegalaStop being so damn defensive about the law and show people it’s worth fighting for, already.

Begala thinks Dems can address it with a simple flipping of the script. Dems now debating how to talk about Obamacare seem to be leading defensively with their willingness to fix the law. Instead, Begala says, they should lead with an attack on Republicans that is framed as a medical rights issue – before pivoting to fixing the law — and then wrap it all up in a larger message about how Republicans have no answers to people’s health care or economic problems.

“We should open by saying, ‘my opponent wants to repeal your rights,’” Begala said. “He wants to take away your right to be protected against discrimination because you have a preexisting condition. He wants to take away your right to be protected against discrimination for being older or being a woman. He wants to take away the closing of the Medicare donut hole for seniors.”

“That’s point one,” he continued. “Then you say, ‘look, I’m open to working with everybody to fix the law. But I’ll never let them go back to the days where insurance companies could send letters saying your coverage has been canceled because you have a preexisting condition.’”

And then from there to an economic message: “Repeal is their whole agenda. They have no ideas for giving you a pay raise. No ideas for raising the minimum wage. No ideas about how to create jobs. No ideas about how to get your kid into pre-K. Their entire agenda as a party is repeal — to take away rights that you have won. I’m not going to let them do that.”

Elections have increasingly become about getting one’s base out to vote as opposed to converting others. Many on the far right are angry about Obamacare based upon misinformation they have heard, and this will get them out to vote. Democrats need to mobilize their voters by better informing them of what they stand to lose if the Republicans win. If Republicans can run ads with horror stories which aren’t even true, why aren’t Democrats running ads with actual horror stories of people losing their coverage and going into bankruptcy under the old system? Most people going into bankruptcy from medical expenses were insured at the time they first got sick or injured. Is this the system we want to return to?

Sure the new web site began with serious glitches, but buying insurance on the individual market was never a picnic. Policies were expensive, frequently had high deductibles, and often required seeing a limited panel of doctors. These complaints about insurance are nothing new. What has changed is that previously having a pre-existing medical condition might lead to a policy not being sold, or greatly increase the cost. Policies would have limitations, frequently failing to pay enough to cover serious illnesses such as caps on total coverage. Some policies would only cover inpatient or outpatient services, fail to cover prescriptions, or not cover preventative services.

Democrats should never have been placed on the defensive about bogus Medicare cuts when they are the party which is trying to protect the system, and when the Affordable Care Act benefits seniors by phasing out the donut hole and adding preventative services. Point out that the only cuts under Obamacare are to corporate welfare to Medicare Advantage plans, not cuts in benefits, and that the proposed Republican budgets included the very same cuts. Remind them of what the Republican plan for Medicare really is:

Democrats need to remind people of the benefits they are receiving under Obamacare, and what they risk by Republican calls for repeal. Use the over fifty votes by Republicans to repeal or hinder Obamacare to both mock them and  make voters angry about the Republicans wish to do. Ideally this will both motivate more Democratic voters to turn out to vote this November and  maybe even change the minds of some voters.

Cross posted at The Moderate Voice

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Tying Republicans To The Koch Brothers To Campaign Against Plutocracy

Republicans often do a better job of messaging than Democrats, but they make their job much easier by making things up. They don’t care that the economic theories they promote have no relationship to how the economy really works or if the “facts” they use to justify their policies with are frequently false. Democrats have a tougher time explaining the problems caused by an economic system which has increasingly been rigged to transfer wealth to the top one tenth of one percent at the expense of the middle class. Those who do not understand the dangerous degree of concentration of wealth in a tiny plutocracy, and how this harms the entire economy, easily fall for bogus Republican economic arguments and false cries of socialism.

Republicans succeed with phony elevator pitches that they stand for capitalism and limited government. Democrats must stop letting Republicans get away with these misrepresentations. Republicans who promote plutocracy are no more supporters of capitalism than Republicans who support the agenda of the religious right are supporters of limited government. Of course I mean a main street form of capitalism in which people who work can profit from their efforts, as opposed to the Republican false-capitalism of using government to rig the system for the benefit of the ultra-wealthy.

As I noted recently, Democrats have recently been trying to make their case by standing up to the Koch brothers. Besides financing many of the dishonest ads spreading misinformation about the Affordable Care Act, the Koch brothers have made their fortune by taking advantage of government, and then come out with faux cries for libertarianism to protest needed regulations on their business. Greg Sargent explained the Democratic strategy:

As I noted the other day, this is all about creating a framework within which voters can be made to understand the actual policy agenda Republicans are campaigning on. This is what the Bain attacks on Mitt Romney were all about: Dem focus groups showed voters simply didn’t believe Romney would cut entitlements (per the Paul Ryan plan) while cutting taxes on the rich. The Bain narrative made Romney’s actual priorities more comprehensible.

The Koch attacks are designed to do something similar. They aren’t really about the Kochs. They are a proxy for the one percent, a means through which to tap into a general sense that the economy remains rigged in favor of the very wealthy. Placed into this frame, GOP policies – opposition to raising the minimum wage; the Paul Ryan fiscal blueprint, which would redistribute wealth upwards; opposition to the Medicaid expansion, which AFP is fighting in multiple states –  become more comprehensible as part of a broader storyline. In that narrative, Republican candidates are trying to maintain or even exacerbate an economic status quo that’s stacked against ordinary Americans, while Dems are offering solutions to boost economic mobility and reduce inequality, which are increasingly pressing public concerns.

In many ways this strategy is born of necessity. The 2014 fundamentals are stacked heavily against Democrats, who are defending seven Senate seats in states carried by Mitt Romney in 2012 that are older, whiter, and redder than the diversifying national electorate. This is made even worse by the midterm electorate, in which core Dem groups are less likely to turn out.

GOP attacks on the health law in red states are not just about Obamacare. They are, more broadly, about casting Senate Dems as willing enablers of the hated president and blaming the sputtering recovery on #Obummer Big Gummint, to channel people’s economic anxieties into a vote to oust Dem incumbents. With the law and its author deeply unpopular in these states, Dems can’t really run on any Obama accomplishments. So they need to make these campaigns about the fact that Republican candidates don’t have an actual agenda to boost people’s economic prospects, and indeed are beholden to a broader agenda that has made the problem worse, even as Dems offer a concrete economic mobility agenda of their own. The goal is to boost turnout among Dem constituencies while minimizing losses among the older, blue collar, and rural whites that predominate in these states.

Adding such a framework may help, but there are limitations to the comparison to how Mitt Romney was harmed by the attacks for his actions at Bain. Romney was directly responsible for the actions he performed at Bain. Republican candidates are not directly responsible for the actions of the Koch brothers, and most people have no idea who they are. Democrats need to both explain why voters should oppose this type of policy and make the case that the Republican candidates are also promoting these ideas. I suspect that this might be too complicated for many of the voters the Democrats hope to attract, especially the low-information non-college educated white working class males who I recently discussed here and here, along with others brainwashed by Fox and right wing talk radio. If strategy helps, it will more likely help by motivating more Democrats to turn out as opposed to attracting additional voters.

Maybe this will work, and perhaps the wisdom of this approach will be clearer after it plays out. Unfortunately simpler elevator pitches typically prevail–an explanation of a position which can be explained in the span of an elevator ride. Explain how Republican economic policies are bad for the middle class and lead to economic stagnation. Democrats need to counter trickle down economics with trickle up economics. The rich don’t need any more special favors from government. They are doing quite fine on their own, and when more wealth is given to them, they are less likely to spend it. Instead concentrate on stimulating the economy and keeping more money in the hands of the middle class. The poor and middle class are far more likely to spend a higher percentage of their money, further stimulating the economy.

Cross posted at The Moderate Voice

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Paul Ryan’s Big Idea

Paul Ryan spoke of wanting Republicans to be the party of ideas, but once again he acted as a representative of the party of lies. His speech was far more notable for false claims as opposed to ideas. Here’s the gist of his CPAC speech:

The way I see it, let the other side be the party of personalities. We’ll be the party of ideas.

And I’m optimistic about our chances—because the Left? The Left isn’t just out of ideas. It’s out of touch. Take Obamacare. We now know that this law will discourage millions of people from working. And the Left thinks this is a good thing. They say, “Hey, this is a new freedom—the freedom not to work.”But I don’t think the problem is too many people are working—I think the problem is not enough people can find work. And if people leave the workforce, our economy will shrink—there will be less opportunity, not more. So the Left is making a big mistake here. What they’re offering people is a full stomach—and an empty soul. The American people want more than that.

This reminds me of a story I heard from Eloise Anderson. She serves in the cabinet of my friend Governor Scott Walker. She once met a young boy from a poor family. And every day at school, he would get a free lunch from a government program. But he told Eloise he didn’t want a free lunch. He wanted his own lunch—one in a brown-paper bag just like the other kids’. He wanted one, he said, because he knew a kid with a brown-paper bag had someone who cared for him.

Here he lied about Obamacare discouraging millions of people from working–a gross distortion of the CBO report which showed that the Affordable Care Act frees people from the “insurance trap.” It does not discourage people who should be working from working so they can sit home on welfare, as Republicans suggest. It ends the days of people who otherwise would not need to work to support themselves from having to work because of this being the only way they could obtain health insurance. Up until this year, people who otherwise were financially ready to retire to in their 60′s would often continue working because if they stopped working they would be uninsured until they qualified for Medicare at age 65. Often the spouses of affluent professionals work at jobs for the health insurance when they otherwise do not need the money because  someone in their family has preexisting medical conditions which kept them from purchasing insurance on the individual market. Leaving a job because they can now keep their insurance after leaving does not necessarily mean they will not work. It is anticipated that many people will leave jobs with large companies to work for smaller companies, or perhaps start their own small companies and become, in Republican language, job creators.

This lie about Obamacare came after Paul Ryan lied earlier in the speech denying Obama’s record of promoting  economic growth. It has become the mantra of conservatives to deny the success of the stimulus, but their claims are untrue. We have had economic growth under Obama despite Republicans working hard to block his economic policies. Corporate profits and the stock market are doing exceptionally well under Obama, as is generally the case under Democrats. The problem now is that this prosperity isn’t always working its way to the middle class–demonstrating that Republican ideas about trickle down economics are wrong.

So what is Ryan’s big idea? He wants to take free lunches away from school kids. His story is hardly convincing. Generally when kids do not come to school with a lunch in a brown-paper-bag it is because they do not have parents who can afford to send them to school with a nutritious lunch. Of course in this case the story Paul Ryan told isn’t even true. He told this story presumably because it would sure be hard to come up with a real story to justify taking lunches away from children.

As Rand Paul once said, “This is a great tactic. Misinformation can be very important.”

Correction: I tried to get a post out too quickly while working and I messed up the Pauls, originally attributing Paul Ryan’s speech to Rand Paul. That is why it the post ends with a quote from Rand Paul which remains pertinent, with other references to Rand Paul removed in correcting the post.

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Cuts To Medicare Advantage Plans Half Of Amount Expected–Watch For Hypocritical Republican Reaction

Paul-Ryan-End-Medicare

One of the ways in which the Affordable Care Act is funded is by reducing subsidies to Medicare Advantage plans which receive more money to care for Medicare beneficiaries than it costs to care for the same patients in the government Medicare program. Republicans have been using this to raise bogus claims of cuts to Medicare patients despite the fact that Republicans have also included similar cuts to Medicare Advantage plans in their budget proposals.

Insurance companies have been predicting cuts of approximately 7 percent. CMS released their calculations today regarding proposed cuts for 2015 (pdf here). The current proposal is for a 3.55% cut in payments to Medicare Advantage plans, about one-half of what they have been projecting.

The Republican Party was already prepared today to use this news to attack the Democrats. They do not explain why it is necessary for private companies, which any Republican believes should be more efficient than a government program, requires more money to care for patients than the government Medicare plan does. Nor do they account for the fact that most Republicans voted for the Ryan budget three years in a row which includes the same cuts to Medicare Advantage plans. Or what about the same Ryan plan which would turn Medicare into a voucher system?

Also don’t expect the Republicans to point out that, while the Affordable Care Act will cut profits to Medicare Advantage plans, it also increases benefits to Medicare patients including phasing out the donut hole for prescription drugs and covering preventative services which were previously not covered.

Cross posted at The Moderate Voice

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The Success Of The Stimulus

Barack Obama’s economic stimulus was launched five years ago. Regardless of how successful it turned out to be, conservatives would attack it in order to try to avoid giving Obama credit for reversing the economic problems created by George Bush and Republican economic ideas. Michael Grunwald looked at the report from the Council of Economic Advisers on the success of the stimulus, finding that its report is consistent with other reports on economic improvement:

The main conclusion of the 70-page report — the White House gave me an advance draft — is that the Recovery Act increased U.S. GDP by roughly 2 to 2.5 percentage points from late 2009 through mid-2011, keeping us out of a double-dip recession. It added about 6 million “job years” (a full-time job for a full year) through the end of 2012. If you combine the Recovery Act with a series of follow-up measures, including unemployment-insurance extensions, small-business tax cuts and payroll tax cuts, the Administration’s fiscal stimulus produced a 2% to 3% increase in GDP in every quarter from late 2009 through 2012, and 9 million extra job years, according to the report.

The White House, of course, is not an objective source — Council of Economic Advisers chair Jason Furman, who oversaw the report, helped assemble the Recovery Act — but its estimates are in line with work by the nonpartisan Congressional Budget Office and a variety of private-sector analysts. Before Obama took office, it would have been a truism to assert that stimulus packages stimulate the economy: every 2008 presidential candidate proposed a stimulus, and Mitt Romney’s proposal was the most aggressive. In January 2009, House Republicans (including Paul Ryan) voted for a $715 billion stimulus bill that was almost as expansive as Obama’s. But even though the stimulus has been a partisan political football for the past five years, that truism still holds.

The report also estimates that the Recovery Act’s aid to victims of the Great Recession — in the form of expanded food stamps, earned-income tax credits, unemployment benefits and much more — directly prevented 5.3 million people from slipping below the poverty line. It also improved nearly 42,000 miles of roads, repaired over 2,700 bridges, funded 12,220 transit vehicles, improved more than 3,000 water projects and provided tax cuts to 160 million American workers.

My obsession with the stimulus has focused less on its short-term economic jolt than its long-term policy revolution: I wrote an article about it for TIME titled “How the Stimulus Is Changing America” and a book about it called The New New Deal. The Recovery Act jump-started clean energy in America, financing unprecedented investments in wind, solar, geothermal and other renewable sources of electricity. It advanced biofuels, electric vehicles and energy efficiency in every imaginable form. It helped fund the factories to build all that green stuff in the U.S., and research into the green technologies of tomorrow. It’s the reason U.S. wind production has increased 145% since 2008 and solar installations have increased more than 1,200%. The stimulus is also the reason the use of electronic medical records has more than doubled in doctors’ offices and almost quintupled in hospitals. It improved more than 110,000 miles of broadband infrastructure. It launched Race to the Top, the most ambitious national education reform in decades.

At a ceremony Thursday in the Mojave Desert, Energy Secretary Ernest Moniz dedicated the world’s largest solar plant, a billion-dollar stimulus project funded by the same loan program that financed the notorious Solyndra factory. It will be providing clean energy to 94,000 homes long after Solyndra has been forgotten. Unfortunately, the only long-term effect of the Recovery Act that’s gotten much attention has been its long-term effect on national deficits and debts. As the White House report makes clear, that effect is negligible. The overwhelming majority of the Recovery Act’s dollars have gone out the door; it’s no longer adding to the deficit. It did add about 0.1% to our 75-year debt projections, but allowing the economy to slip into a depression would have added a lot more debt.

Grunwald did warn of the political ramifications. As conservatives have convinced themselves that economic stimulus doesn’t work as a knee jerk reaction to anything proposed by Obama, politicians are likely to shy away from stimulus when needed in the future, following the European mistakes in promoting austerity. Such views in this country already led to the stimulus being significantly smaller than it should have been, especially in light of continuing problems with unemployment.

.Stimulus

Steve Benen has more facts and tables on the benefits of the stimulus, such as the table above on the effect of the stimulus on GDP.

Think Progress cited several Republicans who attacked Obama on the stimulus and then took credit for its benefits.

Cross posted at The Moderate Voice

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The Past Week In Conservative Stupidity

Over a year ago Bobby Jindal warned that Republicans “must stop being the stupid party.” They have not been doing particularly well at following his advice. To extrapolate this to the conservative movement, this week provided two more examples of what can only be labeled as stupidity dominating conservative conversation–the intentional misinterpretation of the Congressional Budget Office report on the Affordable Care Act and reaction to Olympic coverage from Russia.

This is not to say that all conservatives believe these things or are stupid. However, the prevalence of stupidity does seem to have increased tremendously in the conservative movement and Republican Party in recent years. Even ignoring the easy targets such as Sarah Palin and Michele Bachmann, the caliber of conservative discourse generally seen today is far different from what came from past conservatives such as William F. Buckely, Jr., who also fought to keep the Birchers and other predecessors of today’s Tea Party out of the GOP. Barry Goldwater might have many views which liberals find objectionable, but he also warned about what would happen if the religious right took control of the Republican Party. Even Ronald Reagan was not so foolish as to oppose any tax increase or to prevent increases in the debt ceiling to allow the Unites States to honor its debts.

It is understandable that some conservatives might have been misled by the initial headlines on the report from the non-partisan Congressional Budget Office. Many journalists, overly influenced by conservative arguments and lacking adequate understanding of health care policy, initially were inaccurate in their coverage. Once the report was more fully evaluated, it was clear that the CBO report actually showed that there is no evidence of an increase in unemployment due to the Affordable Care Act as Republicans had been predicting would occur.  Instead the portions of the report on employment showed that Obamacare was projected to be successful in one of its goals--saving people from the “insurance trap.”

Until the Affordable Care Act came into effect many people continued in jobs they did not want because they would be unable to obtain health insurance if they left their current job. Under the Affordable Care Act, health insurance is no longer tied to employment. Now people are free to retire at an earlier age if they desire, instead of waiting until age 65 when they qualify for Medicare. They are also free to leave large corporations to work for small businesses, or perhaps even start a business of their own. The Robert Wood Johnson Foundation wrote about projections for an increase in entrepreneurship and self-employment last May. The CBO report confirms that they were correct. This can help boost the economy.

While an initial mistake regarding this might have been unintentional, there has subsequently been many corrections. Glenn Kessler of The Washington Post,  corrected errors in reporting in writing, “No, CBO did not say Obamacare will kill 2 million jobs”.  Kessler concluded with saying, “we award Three Pinocchios to anyone who deliberately gets this wrong.” Factcheck.org also corrected the misconceptions.

As some people leave jobs they no longer want or need, their jobs can open up for others. In testimony before the House Budget Committee, CBO Director Douglas Elmendorf confirmed that the CBO report suggests the Affordable Care Act will reduce unemployment. Even Paul Ryan corrected fellow Republicans on this point. Besides reducing unemployment, the CBO report showed that, while Republicans had been demanding an end to the risk corridors in order to agree to an increase in the debt limit, the risk corridors actually wind up saving the government eight billion dollars. The CBO projects a deficit of $514 billion in 2014, representing three percent of the Gross Domestic Product. This is down from 2009 when deficit was at 10.1 percent of GDP, and more in line with the average size of the deficit compared to GDP over the past forty years.

Conservatives are rarely willing to give up on their criticism of the Affordable Care Act even when contradicted by the facts. They continue to repeat fallacious arguments about death panels or their false claim that Obamacare constitutes a government takeover of health care. Finding that those who received cancellation notices from insurance companies generally received better coverage at a lower price under the Affordable Care Act did not end their claims of people supposedly losing their insurance under Obamacare.

Conservatives remain unwilling to give up the argument about people leaving their jobs, spinning it to suggest that the Affordable Care Act encourages people to be lazy parasites on society instead of working, ignoring the actual types of people this is likely to affect. Conservatives have been presenting “horror stories” of people allegedly harmed by the Affordable Care Act which typically turn out to be untrue once the details are examined. Finally we are seeing newspaper reports emphasizing the positive aspect of freeing people from the “insurance trap.”

While conservative columnists such as Ross Douthat fear that Obamacare will lead to a “strong work disincentive while looking at a population of childless, able-bodied, mostly working-class adults,” these are not the type of people I am seeing as benefiting by freedom from the “insurance trap.” If the health care debate is turning into one of anecdotal cases, I’m thinking of an affluent friend who, because of health history, cannot obtain insurance on the individual market so his wife has been working full time in a job purely for the health insurance, even though they have no need for the income beyond the benefits. I have a patient who was left without insurance when her husband retired in his early sixties and then struggled to pay her medical bills. As of January she finally has comprehensive coverage she can afford. These are the types of people who are benefiting from the supposed disincentive to work under Obamacare.

In theory there is a risk that “able-bodied, mostly working-class adults” might have less incentive to work, but I hardly think that providing affordable health care is enough to do this on a widespread level. Far more able-bodied adults are not working because jobs are not available. Besides making more jobs available, the Affordable Care Act can help relieve this problem in another way. In addition to freeing people to retire in their early sixties or leave jobs held solely for the insurance, people will be able to start small businesses without losing health insurance. In Republican-speak, this should also be beneficial to the economy due to making more “job creators.” The Robert Wood Johnson Foundation wrote about projections for an increase in entrepreneurship and self-employment last May. The CBO report confirms that they were correct, and to a greater degree than previously projected.

Conservatives were wrong about this argument, and now appear stupid, and dishonest, when they continue to repeat the same mistakes. I spent more space on this first example than intended, but in retrospect this is an important point which deserves repeated explanations as long as conservatives are claiming that this positive aspect of the Affordable Care Act is somehow undesirable.

The second example is bizarre outrage from the right wing over the video below which comes from NBC’s coverage of the Olympic games:

Their objection is to this line: “The empire that ascended to affirm a colossal footprint; the revolution that birthed one of modern history’s pivotal experiments.”

This is being spun by right wing bloggers as praise for Communism, including by FoxMarco Rubio, along with other conservatives commenting, does not appear to understand what pivotal means. The word refers to points which are critical or vitally important. The Russian Revolution was a pivotal point in their history, along with the history of the world. Similarly, Hitler’s rise to power was a pivotal moment. Both 9/11 and Katrina were pivotal moments during the Bush years.  The computer problems during the first month of the exchanges has unfortunately become a pivotal moment for the Obama administration. The word pivotal says nothing about whether the events were good or bad.

This was one line in a video narrated by Peter Dinklage as introduction to NBC’s sports coverage of the Olympics. If this was a political documentary we would expect information on the horrors of communism. This is unnecessary, and probably out of place, in sports coverage, especially if they desire to be polite and avoid criticism of the host country over a political system which has been overthrown (even if the current regime is repeating many of the same mistakes as under Communism).

I suspect this is outrage is partially motivated by the desire of conservatives to falsely paint liberals as socialists or Communists, such as with the absurd claims that a moderate such as Barack Obama is a socialist. To the conservative mind, the mainstream media represents liberals, especially when they fail to differentiate the evening commentary shows on MSNBC from the rest of NBC. There are rare examples, such as the absurd argument I noted a couple of weeks ago at Salon to nationalize the news media, but putting aside such outliers, there no meaningful interest in Marxist-style socialism or Communism on the left. In contrast, I would think that today’s Republicans would love modern Russia. Between its homophobia and substitution of a plutocracy for a working market economy, Russia has become an example of the end-result of the Republican platform.

Cross posted at The Moderate Voice

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