Republicans have the edge going into the midterm elections considering the traditional disadvantages of a president’s party in the sixth year, but considering the negatives faced by the Republicans there is still a question of whether campaigning against them will improve the outcome for Democrats. Obama spoke out against them today (video above). He criticized Congressional Republicans for their inaction in solving current problems, pointing out the economic gains despite their obstructionism:
“They have not been that helpful,” Obama told a crowd in a local theater. “They have not been as constructive as I would have hoped and these actions come with a cost.”
The House is set to vote later on Wednesday on legislation authorizing a lawsuit against Obama over his use of executive actions, particularly to delay ObamaCare’s employer health insurance mandate.
Obama highlighted the administration’s successes in boosting the economy, saying that his administration caused the bounce-back reflected in statistics released Wednesday that showed 4 percent growth in the second quarter.
He noted that the 6.1 percent unemployment rate is the lowest since September of 2008. But he blamed Republicans for preventing him for doing more for every day Americans.
“We could do so much more if Congress would come on and help out a little bit,” he added. “Stop being mad all the time. Stop. Stop just hating all the time. C’mon … I know they’re not happy that I’m president but that’s okay. I got a couple of years left. C’mon … then you can be mad at the next president.”
The president slapped the GOP for the lawsuit. “Instead of suing me for doing my job, I want Congress to do its job.”
Obama criticized the Republican lawsuit as a stunt and did not mention impeachment. John Boehner has been using the lawsuit as a means to appease many Republicans who have called for impeachment, with impeachment talk backfiring against Republicans and helping Democratic fund raising
On Tuesday, the chairman of the Democratic Congressional Campaign Committee said the party had raised $7.6 million online since Boehner announced the suit in June, including $1 million collected Monday alone after incoming House Majority Whip Steve Scalise (R-La.), during a network television interview, repeatedly refused to rule out the possibility of impeachment.
I heard that interview with Steve Scalise on Fox News Sunday and found him to be very evasive on what should have been home turf for him. Republicans like Scalise like to have it both ways. They claim that the impeachment talk is coming from Democrats for fund raising purposes but many refuse to rule out the possibility in order to keep the Republican base happy. One Republican was honest enough to say that the lawsuit was just for show, but then went on to show what many Republicans really have in mind
Rep. Walter Jones (R-N.C.) told The Hill that the lawsuit, spearheaded by Speaker John Boehner (R-Ohio), is “theater, is a show.”
Jones, who will vote no on the legislation that is scheduled to hit the House floor on Thursday, said he prefers impeaching Obama.“Why not impeach instead of wasting $1 million to $2 million of the taxpayers’ money? … If you’re serious about this, use what the founders of the Constitution gave us,” Jones said.
Democrats have been raising campaign donations on the prospects of impeachment. GOP leaders have stressed repeatedly they are not going to impeach Obama.
Boehner on Tuesday said that the notion that Republicans would impeach Obama is a “scam” drummed up by Democrats to boost their campaign coffers.
Other Republicans who have expressed support for impeachment include Reps. Louie Gohmert (Texas), Steve Stockman (Texas) and Michele Bachmann (Minn.).
Why did he do nothing, or next to nothing, about the crazy high price of a college education, the Great Good Thing that he has said, time and again, determines our personal as well as national success? Why didn’t he propose a proper healthcare program instead of the confusing jumble we got? Why not a proper stimulus package? Why didn’t he break up the banks? Or the agribusiness giants, for that matter?
Well, duh, his museum will answer: he couldn’t do any of those things because of the crazy right-wingers running wild in the land. He couldn’t reason with them—their brains don’t work like ours! He couldn’t defeat them at the polls—they’d gerrymandered so many states that they couldn’t be dislodged! What can a high-minded man of principle do when confronted with such a vast span of bigotry and close-mindedness? The answer toward which the Obama museum will steer the visitor is: Nothing.
In point of fact, there were plenty of things Obama’s Democrats could have done that might have put the right out of business once and for all—for example, by responding more aggressively to the Great Recession or by pounding relentlessly on the theme of middle-class economic distress. Acknowledging this possibility, however, has always been difficult for consensus-minded Democrats, and I suspect that in the official recounting of the Obama era, this troublesome possibility will disappear entirely. Instead, the terrifying Right-Wing Other will be cast in bronze at twice life-size, and made the excuse for the Administration’s every last failure of nerve, imagination and foresight. Demonizing the right will also allow the Obama legacy team to present his two electoral victories as ends in themselves, since they kept the White House out of the monster’s grasp—heroic triumphs that were truly worthy of the Nobel Peace Prize. (Which will be dusted off and prominently displayed.)
But bipartisanship as an ideal must also be kept sacred, of course. And so, after visitors to the Obama Library have passed through the Gallery of Drones and the Big Data Command Center, they will be ushered into a maze-like exhibit designed to represent the president’s long, lonely, and ultimately fruitless search for consensus. The Labyrinth of the Grand Bargain, it might be called, and it will teach how the president bravely put the fundamental achievements of his party—Social Security and Medicare—on the bargaining table in exchange for higher taxes and a smaller deficit. This will be described not as a sellout of liberal principle but as a sacred quest for the Holy Grail of Washington: a bipartisan coming-together on “entitlement reform,” which every responsible D.C. professional knows to be the correct way forward.
Frank both ignores the real obstacles which Obama faced and is not very accurate in describing Obama’s record. He forgets that the there was a very good reason that Obama never had a chance to reason with the Republicans–they decided right off the bat that they would oppose anything Obama supported for political reasons. Frank might check out the work of centrists Norman Ornstein and Thomas Mann on how Republicans are responsible for the current gridlock along with this Frontline documentary:
On the night of Barack Obama’s inauguration, a group of top GOP luminaries quietly gathered in a Washington steakhouse to lick their wounds and ultimately create the outline of a plan for how to deal with the incoming administration.
“The room was filled. It was a who’s who of ranking members who had at one point been committee chairmen, or in the majority, who now wondered out loud whether they were in the permanent minority,” Frank Luntz, who organized the event, told FRONTLINE.
Among them were Senate power brokers Jim DeMint, Jon Kyl and Tom Coburn, and conservative congressmen Eric Cantor, Kevin McCarthy and Paul Ryan.
After three hours of strategizing, they decided they needed to fight Obama on everything. The new president had no idea what the Republicans were planning.
There were clear institutional limits on Obama in a system where forty Senators could block the majority on anything. The Democrats had sixty votes for a very brief time due to the delays in swearing in Al Franken and later Ted Kennedy’s death. Even when Obama technically had sixty Senators voting with the Democrats, this included Joe Lieberman and Ben Nelson who would never go for the type of leftist agenda Frank favored.
Obama chose to use his limited political political capital to concentrate on health care reform, passing a comprehensive health reform package after previous presidents from Harry Truman to Bill Clinton were unsuccessful. Ted Kennedy once expressed regret at working with Richard Nixon and instead insisting upon a single-payer system at the time. Similarly Hillary Clinton convinced Bill to threaten to veto anything other than her plan, rejecting a Republican proposal which was very similar to the Affordable Care Act. It would be far better to accept what can be passed and then work to improve it over time.
Sure the Affordable Care Act is a confusing jumble, but that is because it built upon our current system. It would have been better if the system was even more complex and perhaps confusing, including either the public option or Medicare buy-in. Neither could pass because both Lieberman and Nelson opposed them. Obama certainly could have never received sixty votes for a single-payer plan, breaking up the banks, or a bigger stimulus.
Beyond Congress, Obama was limited by conservative media bias on economic matters. Obviously Fox was out there spreading lies and attacking anything Obama wanted to do, but the problems weren’t limited to Fox and its viewers. Most of the media is owned by the wealthy, and much of the news, especially on television, is reported by wealthy television stars. They might not share the Republican views on social issues or their opposition to science and reason (leading to the conservative view of a liberal media) but many of them are quite conservative on economic issues. They were biased towards tax cuts and cutting spending. Media reports on the economy typically stressed the size of the deficit and included the assumption that a reduction in government spending was necessary. Few pointed out the degree to which Republican spending and tax cuts in the Bush years contributed far more to the deficit than Obama’s stimulus spending. The atmosphere was hardly conducive to pushing an even bigger stimulus, regardless of how much more this would have helped the economy recover. He also ignores the degree to which Obama’s stimulus did help bring about economic recovery.
Just as Frank ignores the benefits of Obama’s policies, including the Affordable Care Act and the stimulus, he exaggerates what Obama did not do. No, Obama did not destroy Social Security and Medicare. It is the other party which has been seeking to do that. Offering Chained CPI in exchange for a grand bargain on the deficit might never have been a good idea, but we can’t blame Obama for making a bad deal when such a deal was never made and we don’t know what he would have held out for before making such an agreement.
Obama’s record has much in it to displease the far left. It is doubtful that any other president would have achieved more than he actually did.
Bill Maher had a rant against all those Republican lies about Obamacare which, despite being repeatedly debunked, are still out there–neither dead or alive, like Dick Cheney. The same is true about all those other lies which Republicans tell, since facts do not matter to them. Video above and transcript (via Daily Kos) follows:
And finally, New Rule: Now that there’s been an uproar over all the neocons who lied about the Iraq War with no consequences, someone must tell me why there isn’t a similar uproar over all the Republicans who lied about Obamacare with no consequences. (audience applause) It’s been four years since the bill passed. Has anybody come across even one death panel? The next liberal to tell a Republican, “you’re entitled to your own opinion, but not your own facts”, should really just admit they’ve never seen Fox News. (audience cheering and applause)Now, look, I get it that neither party has a monopoly on lying, and in fact they all do it so often, they’ve invented their own word for it — “I misspoke”. But how come the rule for one party — the Republican Party — is that when they get caught in a lie, they don’t have to stop telling it?
They said Obamacare would use death panels. It doesn’t.
They said it was a government takeover, and the insurance industry is making record profits.
They said it covered illegals. It doesn’t.
They said it was a job killer. It hasn’t been.
They said there were elves who bake cookies in trees. Well, almost. (audience laughter and applause)
Now for sure, Obama also told a lie when he said everybody who likes their health care plan can keep it. And for about 2% of the population, that did turn out to be false. The difference is, he stopped saying it! He stepped up and said, you’re right, my bad, because he understands there’s this thing called observable reality. (audience applause)
But on the Republican side, observable reality needs more study. (audience laughter) Which is why their talking points that have been disproven, remain! Like a guest who’s been asked to leave a party, but does not.
It reminds me of a horror movie where you think you’ve killed the lie, but it won’t stay dead. Which is why I call them zombie lies. (thunder crackles and camera shakes)
Ooh, what an effect! (audience laughter) Excuse me, I have a weak heart.
Yes, zombie lies. Remember “fracking doesn’t cause earthquakes”? Zombie lie! So stop saying it!
Voter fraud? We studied it, it’s not an actual problem. Stop zombie lying about it.
Their entire economic philosophy — cut taxes for the rich, and it trickles down — is a zombie lie! (audience cheering and applause)
And all these zombie lies are still out there, roaming the countryside, neither alive nor dead. Like Dick Cheney. (audience laughter and applause)
Hungry for brains. Like Dick Cheney. (audience laughter)
I mean, we think we’ve eradicated one, but it turns out it’s just lying dormant in a cave full of bat blood, like the ebola virus. Or Dick Cheney. (audience laughter)
Dick Cheney, who did not even bother in his recent return from the dead to update the lies he told about Iraq the first time. He’s still out there saying, “Well, Saddam was building a bomb, and he was working with al-Qaeda.”
What?? It’s like when Chuck Berry sings “Sweet Little Sixteen”. You’re 90, man!
There is no shame in their game. One week they’re out there saying, “No one will sign up for Obamacare.”
And the next week, “Oh, OK, they signed up? Sure, OK, but they aren’t paying the premiums.”
“Oh they are? OK, uh, well, they’re paying, but it’s not the young people.”
“Oh, it is? It’s the young people? OK. Uh, OK, but it only covers you if you’re gay.” (audience laughter)
You know, you just wanna go, wait, when did we switch over? What happened to yesterday’s lie? It’s still out there forever, like a plastic bag in a tree. But now we’re just using the new one?
Yes, because what they do is they pass a zombie lie down to dumber and dumber people, who believe it more and more.
Hank Paulson may be over the one about climate change being a hoax, but it’s still good enough for Sean Hannity. Who then gets quoted by Michele Bachmann. Who forms the intellectual core of the thinking of Victoria Jackson. And when you think the zombie lie has finally gone to die at the idea hospice of the absolutely stupidest people on Earth, there it is being retweeted by Donald Trump.
Repeated investigations of Benghazi have debunked the Republican conspiracy theories but that doesn’t keep Darrell Issa from continuing to try to find someone who will give testimony which agrees with him. Newly released testimony confirms yet again that his witch hunts have been failures as nine military officers disputed the common Republican claim that either Barack Obama or Hillary Clinton gave an order to “stand down” to deny military protection to the embassy. From AP:
The testimony of nine military officers undermines contentions by Republican lawmakers that a “stand-down order” held back military assets that could have saved the U.S. ambassador and three other Americans killed at a diplomatic outpost and CIA annex in Benghazi, Libya.
The “stand-down” theory centers on a Special Operations team of four — a detachment leader, a medic, a communications expert and a weapons operator with his foot in a cast — who were stopped from flying from Tripoli to Benghazi after the attacks of Sept. 11-12, 2012, had ended. Instead, they were instructed to help protect and care for those being evacuated from Benghazi and from the U.S. Embassy in Tripoli.
The senior military officer who issued the instruction to “remain in place” and the detachment leader who received it said it was the right decision and has been widely mischaracterized. The order was to remain in Tripoli and protect some three dozen embassy personnel rather than fly to Benghazi some 600 miles away after all Americans there would have been evacuated. And the medic is credited with saving the life of an evacuee from the attacks.
Transcripts of hours of closed-door interviews with the military leaders by the House Armed Services and Oversight and Government Reform committees were made public for the first time on Wednesday. The Associated Press had reviewed the material ahead of its release.
Rep. Darrell Issa, R-Calif., chairman of the Oversight panel, has suggested Hillary Rodham Clinton gave the order, though as secretary of state at the time, she was not in the military chain of command.
Despite lingering public confusion over many events that night, the testimony shows military leaders largely in agreement over how they responded to the attacks…
Fox has been the primary source of the “stand-down” conspiracy theory and we can be sure that Darrell Issa will continue to try prove the claims coming from Fox no matter how many people testify that the claims are untrue.
Goldman issued a report on how availability of health insurance allows people the option of retiring early (or as Republicans would put it, become takers) as opposed to waiting until they qualify for Medicare. The found that “the annual probability of retirement–i.e., what share of workers of a given age will retire within the next year–is on average between 2% and 8% higher when retiree health insurance is available.” Early retirement is seen more between the ages of 60 to 64, than in those who are age 55-59.
With Republicans blocking Medicaid expansion in twenty-four states, The Commonwealth Club looked at the healthcare differences in the two Americas:
The Commonwealth Fund’s recently released Scorecard on State Health System Performance, 2014, finds big differences between states on measures of health care access, quality, costs, and outcomes. What’s more, its authors warn that these differences could very well widen in the future. Many of the lowest-performing states are choosing not to expand their Medicaid programs under the Affordable Care Act (ACA). Some also are discouraging eligible uninsured citizens from purchasing subsidized coverage through new ACA marketplaces, though some uninsured are signing up nonetheless.
The fact that so many low-performing states are spurning the ACA’s benefits, while high-performing states are rushing to embrace them, raises profound questions for the future of our country. What would it mean if different parts of the United States find themselves on radically different health care trajectories, with some enjoying progressively better health and health care and others falling further and further behind? In other words, what would it mean if the two health care Americas grow further and further apart over time?
This is unexplored territory for health care researchers and policymakers, but we know enough to point to some possibilities.
To begin with, we know that when people have health coverage they live longer, healthier lives. Widening gaps in rates of insurance coverage between low- and high-performing states will almost certainly lead to growing differences in life expectancy and health status. This is worrisome and regrettable, but probably only part of the story.
An equally important—but much less explored—question is whether differing health care trajectories also will lead to differing economic and social trajectories. All else equal (of course, it never precisely is), will regions with poorer health care and health status suffer economically and socially as well? Will they have less productive workforces, less productive economies, and, as result, lower quality of life overall? Will they become less attractive places to live, work, and do business?
Several lines of evidence suggest that diverging regional health care systems could lead to diverging general welfare. First, untreated physical and mental health problems increase workers’ time off from work, reduce performance while at work, and lower rates of employment. In the early 20th century, infections such as yellow fever, malaria, and hookworm greatly hindered the economy of the American South. In his memoir, Jimmy Carter recalls that, while growing up in rural Georgia, “almost everyone was afflicted from time to time with hookworm,” a parasite that causes anemia, malaise, and fatigue. Eventually, public health measures and improved living conditions brought this and other health problems under control, contributing to a burst of economic growth.
A century later, chronic illness is the equivalent of the infectious illness that once disproportionately taxed the economy of the American South. In the United States, annual productivity losses from diabetes and depression alone exceed $100 billion nationally. And we know this burden can be lightened through good primary and preventive care that will be less available in regions with large uninsured populations.
Second, health insurance boosts economies by protecting people against catastrophic out-of-pocket health care expenses. These costs can lead to bankruptcy, which raises the cost of borrowing for the rest of society as lenders take into account the risk that they will not be repaid. Those avoiding bankruptcy often incur substantial medical debt, with far-reaching consequences. A 2012 Commonwealth Fund survey found that 61 percent of uninsured adults ages 19 to 64 reported problems paying their medical bills or said they were paying off medical debt over time. Among these individuals, more than half said they received a lower credit rating as a result of unpaid medical bills, 43 percent used all of their savings to pay their bills, and 29 percent delayed education or career plans. The 2006 Massachusetts health reform, which has led to nearly universal health coverage, has also led to fewer personal bankruptcies and bills past due and improved credit scores, particularly for those with limited access to credit before the reform…
The report continued to discuss further differences resulting from differing access to health insurance.
Besides blocking Medicaid expansion, conservatives are reducing the number of insured with misinformation campaigns and campaigns to outright dissuade people from obtaining coverage in the exchanges. This has led many uninsured people to fail to obtain coverage through the exchanges to based upon misconceptions spread by conservatives, such as that the cost would be much higher than it actually is. Jonathan Cohn wrote:
About half of the people who McKinsey surveyed did not end up buying insurance—either because they shopped and found nothing they liked, or because they didn’t shop at all. When asked to explain these decisions, the majority of these people said they thought coverage would cost too much. But two-thirds of these people said they didn’t know they could get financial assistance. In other words, they assumed they would have to pay the sticker price for coverage, even though federal tax credits would have lowered the price by hundreds or thousands of dollars a year.
With a little education and outreach, many of these people will discover that insurance costs less than they thought. When next year’s open enrollment period begins, they are more likely to get coverage. But the idea was to help more of those people this year. And if the administration deserves some blame for this shortfall, its adversaries deserve more. Republicans and their allies did their best to taint the law—and, where possible, to undermine efforts to promote it. Without such obstruction, even more uninsured people would probably be getting coverage right now. As Sprung quipped in his post, “Those who deliberately spread disinformation about the ACA and actively encouraged the uninsured to remain in that blessed state of freedom can be really proud of themselves.”
21 states and the District of Columbia currently have laws that permit marijuana use for medical purposes, often termed medical marijuana laws (MMLs). We tested the effects of MMLs adopted in seven states between 2004 and 2011 on adolescent and adult marijuana, alcohol, and hard drug use. We employed a restricted-access version of the National Survey on Drug Use and Health (NSDUH) micro-level data with geographic identifiers. For those 21 and older, we found that MMLs led to a relative increase in the probability of marijuana use of 16 percent, an increase in marijuana use frequency of 12-17 percent, and an increase in the probability of marijuana abuse/dependence of 15-27 percent. For those 12-20 years old, we found a relative increase in marijuana use initiation of 5-6 percent. Among those aged 21 or above, MMLs increased the frequency of binge drinking by 6-9 percent, but MMLs did not affect drinking behavior among those 12-20 years old. MMLs had no discernible impact on hard drug use in either age group. Taken together, MML implementation increases marijuana use mainly among those over 21, where there is also a spillover effect of increased binge drinking, but there is no evidence of spillovers to other substance use.
If marijuana turns out not to be a gateway drug, this would be another reason to reevaluate current marijuana laws. Further discussion at Vox.
The Pentagon has contingency plans for any emergency, including the Zombie Apocalypse. It isn’t as ridiculous as it sounds as it is actually a model plan using a fictional situation, as reported by Foreign Policy:
“This plan fulfills fictional contingency planning guidance tasking for U.S. Strategic Command to develop a comprehensive [plan] to undertake military operations to preserve ‘non-zombie’ humans from the threats posed by a zombie horde,” CONOP 8888’s plan summary reads. “Because zombies pose a threat to all non-zombie human life, [Strategic Command] will be prepared to preserve the sanctity of human life and conduct operations in support of any human population — including traditional adversaries.”
CONOP 8888, otherwise known as “Counter-Zombie Dominance” and dated April 30, 2011, is no laughing matter, and yet of course it is. As its authors note in the document’s “disclaimer section,” “this plan was not actually designed as a joke.”
Military planners assigned to the U.S. Strategic Command in Omaha, Nebraska during 2009 and 2010 looked for a creative way to devise a planning document to protect citizens in the event of an attack of any kind. The officers used zombies as their muse. “Planners … realized that training examples for plans must accommodate the political fallout that occurs if the general public mistakenly believes that a fictional training scenario is actually a real plan,” the authors wrote, adding: “Rather than risk such an outcome by teaching our augmentees using the fictional ‘Tunisia’ or ‘Nigeria’ scenarios used at [Joint Combined Warfighting School], we elected to use a completely-impossible scenario that could never be mistaken for a real plan.”
But do they have plans in case of a Dalek invasion?
There is some amazing tunnel vision from James Oliphant in an article on the progressive blogosphere. An article on the subject, or even how it often helps Obama, might make sense. This does not make sense once you get to the second paragraph quoted below:
It’s been a familiar pattern since President Obama took office in 2009: When critics attack, the White House can count on a posse of progressive writers to ride to its rescue. Pick an issue, from the Affordable Care Act to Ukraine to the economy to controversies involving the Internal Revenue Service and Benghazi, and you’ll find the same voices again and again, on the Web and on Twitter, giving the president cover while savaging the opposition. And typically doing it with sharper tongues and tighter arguments than the White House itself.
While the bond between presidential administrations and friendly opinion-shapers goes back as far as the nation itself, no White House has ever enjoyed the luxury that this one has, in which its arguments and talking points can be advanced on a day-by-day, minute-by-minute basis. No longer must it await the evening news or the morning op-ed page to witness the fruits of its messaging efforts.
At least he recognized that sometimes Obama receives criticism from the left further in the column, even if the article does downplay how often this happens. Still, in general, I’ll accept that quite often “the White House can count on a posse of progressive writers to ride to its rescue.” What is wrong is the claim that no White House has ever enjoyed such a luxury.
There are plenty of conservative bloggers to counter liberal bloggers–both having defended Bush when he is in office and in intensifying the attacks on Obama. Obama might have more defenders thanks to the blogosphere, but he also has far more people attacking him, quite often with totally manufactured attacks.
Maybe the conservative blogosphere isn’t as potent a force as the progressive blogosphere. It doesn’t matter. Bush had Fox , which is essentially the unofficial propaganda arm of the Republican Party, actively defending and often lying for him. Bush had the right wing noise machine defending him to a far greater effect than blogs are capable of defending Obama.
When there is not a Republican in the White House, Fox does a 180 degree switch in outlook, having been the biggest attacker of both Clinton and Obama. Fortunately Clinton had his own people to defend him as the liberal blogsophere was not yet a meaningful force back then. Fox provides far more assistance for the right than MSNBC is capable of doing for the left, and there is barely an equivalent to right wing talk radio on the left. On the other hand Obama does have Jon Stewart’s fake news show defending him from the attacks coming from the fake news shows on Fox, when Stewart is not criticizing him from the left.
These days both Democratic and Republican presidents are going to have far more defenders and attackers than was the case in the past, with the progressive blogosphere defending Obama (when not criticizing him from the left) not being anything unique to Obama.
When promoting health care reform there was an implicit assumption that having health care insurance is beneficial. While few rational people would deny this, we now have more data to back up this assumption. The Annals of Internal Medicine published a study comparing counties in Massachusetts to comparable counties in other states to show a reduced mortality among those who received health care coverage. They estimated that giving 830 adults insurance coverage would prevent one death per year.
In this case, supporting health care reform is definitely the pro-life position.
There are a number of variables affecting a reduction in mortality so I would be cautious about extrapolating this number exactly to other areas. The New York Times estimates that the three percent drop in mortality seen would lead to a reduction in 17,000 deaths per year nationally. Harold Pollack extrapolated the reduction of 830 deaths per year to the entire uninsured population, providing an estimate that extending health care to all could lead to a reduction in 24,000 deaths per year. To put this in perspective, “That’s almost the number of Americans who die in auto crashes. It’s more than the number who die of AIDS or the number who are murdered every year.”
Some conservatives have questioned the value of this by arguing that there could be less costly ways to save the same number of lives. This misses the point that there are multiple other benefits of having insurance beyond the reduction in mortality. Providing health care coverage could lead to a reduction in the number of diabetic patients who go blind or lose limbs. Insurance coverage for people with hypertension could reduce the number who have to live with the effects of a stroke. Health care reform also spares people from going bankrupt to pay medical bills.
Some conservatives have also twisted the results of a previous study on those who received Medicaid coverage in Oregon to claim that receiving the coverage is not of benefit. The study actually did show benefits, but was not conducted for a long enough period to show significant differences in those with chronic medical problems. The Massachusetts study published this week helps to clarify this issue. Of course if conservatives want to argue that providing Medicaid is not of value, I would be very happy to see a system in which instead of receiving Medicaid the poor are provided the public option initially proposed, or even regular insurance through the exchange, in place of Medicaid. (Due to their lower incomes, it would also be necessary to provide coverage for the co-pays and deductibles, comparable to how Medicaid covers these costs for those duel eligible for Medicare and Medicaid.)
If providing access to health care saves lives, the converse would also be true. Denying people access to health care coverage would lead to more deaths. The Health Affairs Blog looked at the consequences of denying expanded Medicaid coverage in many of the Republican controlled states:
We estimate the number of deaths attributable to the lack of Medicaid expansion in opt-out states at between 7,115 and 17,104. Medicaid expansion in opt-out states would have resulted in 712,037 fewer persons screening positive for depression and 240,700 fewer individuals suffering catastrophic medical expenditures. Medicaid expansion in these states would have resulted in 422,553 more diabetics receiving medication for their illness, 195,492 more mammograms among women age 50-64 years and 443,677 more pap smears among women age 21-64. Expansion would have resulted in an additional 658,888 women in need of mammograms gaining insurance, as well as 3.1 million women who should receive regular pap smears.
Those denied access to the expanded Medicaid program is probably the largest group who could be covered under the Affordable Care Act as originally passed but are not able to receive coverage. Considering the amount of misinformation being spread by the right wing, and outright campaigns to encourage people not to enroll, there are undoubtedly some people who are not obtaining coverage due to falling for right wing propaganda. The old cry during the Bush years and Iraq war was that “Bush Lied, People Died.” Down the road the sad truth about conservative misinformation on health care might be “Fox Lied, People Died.”
I admit it — last year was rough. Sheesh. At one point things got so bad, the 47 percent called Mitt Romney to apologize.
Of course, we rolled out healthcare.gov. That could have gone better. In 2008 my slogan was, “Yes We Can.” In 2013 my slogan was, “Control-Alt-Delete.” On the plus side, they did turn the launch of healthcare.gov into one of the year’s biggest movies. (Slide of “Frozen”)
But rather than dwell on the past, I would like to pivot to this dinner. Let’s welcome our headliner this evening, Joel McHale. On “Community,” Joel plays a preening, self-obsessed narcissist. So this dinner must be a real change of pace for you.
I want to thank the White House Correspondents Association for hosting us here tonight. I am happy to be here, even though I am a little jet-lagged from my trip to Malaysia. The lengths we have to go to get CNN coverage these days. I think they’re still searching for their table.
MSNBC is here. They’re a little overwhelmed. They’ve never seen an audience this big before.
Just last month, a wonderful story — an American won the Boston Marathon for first time in 30 years. Which was inspiring and only fair, since a Kenyan has been president for the last six.
We have some other athletes here tonight, including Olympic snowboarding gold medalist Jamie Anderson is here. We’re proud of her. Incredibly talented young lady. Michelle and I watched the Olympics — we cannot believe what these folks do — death-defying feats — haven’t seen somebody pull a “180” that fast since Rand Paul disinvited that Nevada rancher from this dinner. As a general rule, things don’t like end well if the sentence starts, “Let me tell you something I know about the negro.” You don’t really need to hear the rest of it. Just a tip for you — don’t start your sentence that way.
And speaking of conservative heroes, the Koch brothers bought a table here tonight. But as usual, they used a shadowy right-wing organization as a front. Hello, Fox News.
Let’s face it, Fox, you’ll miss me when I’m gone. It will be harder to convince the American people that Hillary was born in Kenya.
Of course, now that it’s 2014, Washington is obsessed on the midterms. Folks are saying that with my sagging poll numbers, my fellow Democrats don’t really want me campaigning with them. And I don’t think that’s true — although I did notice the other day that Sasha needed a speaker at career day, and she invited Bill Clinton.a, Bill Clinton, Bill O’Reilly, Captain America, Chris Christie, Community, Donald Trump, Facebook, Fox, George Bush, Health Care Reform, Hillary Clinton, House of Cards, Jeb Bush,
And I’m feeling sorry — believe it or not — for the Speaker of the House, as well. These days, the House Republicans actually give John Boehner a harder time than they give me, which means orange really is the new black.
Look, I know, Washington seems more dysfunctional than ever. Gridlock has gotten so bad in this town you have to wonder: What did we do to piss off Chris Christie so bad?
One issue, for example, we haven’t been able to agree on is unemployment insurance. Republicans continue to refuse to extend it. And you know what, I am beginning to think they’ve got a point. If you want to get paid while not working, you should have to run for Congress just like everybody else.
Of course, there is one thing that keeps Republicans busy. They have tried more than 50 times to repeal Obamacare. Despite that, 8 million people signed up for health care in the first open enrollment. Which does lead one to ask, how well does Obamacare have to work before you don’t want to repeal it? What if everybody’s cholesterol drops to 120? What if your yearly checkup came with tickets to a Clippers game? Not the old, Donald Sterling Clippers — the new Oprah Clippers. Would that be good enough? What if they gave Mitch McConnell a pulse? What is it going to take?
Joel McHale, star of Community and The Soup, did an excellent job. #sixtimesashostandamovie. He has followed a long line of top comedians who have roasted politicians and the media and previous events. The all time best speakers was Stephen Colbert who roasted George Bush in 2006. The full transcript of his speech can be found here.
Good evening, Mr. President — or as Paul Ryan refers to you, yet another inner-city minority relying on the federal government to feed and house your family.
I’m a big fan of President Obama. I think he’s one of the all- time great presidents — definitely in the top 50. Please explain that to Jessica Simpson. You’re right. That was low.
All right, how about the president’s performance tonight, everyone? It is — it’s amazing that you can still bring it with fresh, hilarious material. And my favorite bit of yours was when you said you’d close the detention facility at Guantanamo Bay. That was a classic. That was hilarious, hilarious. Still going.
All right, look, I know it’s been a long night, but I promise that tonight will be both amusing and over quickly, just like Chris Christie’s presidential bid.
It’s a genuine thrill to be here in Washington, D.C., the city that started the whole crack-smoking-mayor craze.
The vice president isn’t here tonight, not for security reasons. He just thought this event was being held at the Dulles Airport Applebee’s. Yes, right now Joe is elbow-deep in jalapeno poppers and talking to a construction cone he thinks is John Boehner. Also true.
Hillary Clinton has a lot going for her as a candidate. She has experience. She’s a natural leader. And, as our first female president, we could pay her 30 percent less. That’s the savings this country could use.
Hillary’s daughter Chelsea is pregnant, which means in nine months we will officially have a sequel to “Bad Grandpa.” It also raises the question, when the baby is born, do you give Bill Clinton a cigar?
Jeb Bush says he’s thinking about running. Wow, another Bush might be in the White House. Is it already time for our every-10- years surprise party for Iraq? Yes.
As it stands right now, the Republican presidential nominee will either be Jeb Bush, Rand Paul, or a bag of flour with Ronald Reagan’s face drawn on it. A bag of flour. All right.
People are asking, will Donald Trump run again? And the answer is, does that thing on his head crap in the woods? I actually don’t know. I don’t know.I don’t know if that thing on his head has a digestive system.
Governor, do you want bridge jokes or size jokes? Because I’ve got a bunch of both. I could go half and half. I know you like a combo platter. Now, I get that. I’m sorry for that joke, Governor Christie. I didn’t know I was going to tell it, but I take full responsibility for it. Whoever wrote it will be fired. But the buck stops here. So I will be a man and own up to it, just as soon as I get to the bottom of how it happened, because I was unaware it happened until just now.
I’m appointing a blue-ribbon commission of me to investigate the joke I just told. And if I find any wrongdoing on my part, I assure you I will be dealt with. I just looked into it. It turns out I’m not responsible for it. Justice has been served. He’s going to kill me.
Mr. President, you’re no stranger to criticism. Ted Nugent called you a subhuman mongrel. And it’s comments like that which really make me question whether we can take the guy who wrote “Wang Dang Sweet Poontang” seriously anymore.
Your approval rating has slipped. And even worse, you only got two stars on Yelp.
Mitch McConnell said his number one priority was to get the president out of office. So, Mitch, congrats on being just two years away from realizing your goal. You did it — kind of.
But thanks to “Obamacare,” or, as the president refers to it, “Mecare,” millions of newly insured young Americans can visit a doctor’s office and see what a print magazine actually looks like. That’s awesome.
Now over 8 million people have signed up for “Obamacare,” which sounds impressive until you realize Ashley Tisdale has 12 million Twitter followers. So that’s pretty good.
Sir, I do think you’re making a big mistake with Putin. You have to show a guy like that that you’re just as crazy as he is. He invades Crimea. You invade Cancun. Russia takes back the Ukraine. America takes back Texas. Something to think about.
The director of national intelligence, James Clapper, is here. Finally I can put a face to the mysterious voice clearing its throat on the other end of the phone. It was weird.
And CNN is desperately searching for something they’ve been missing for months — their dignity. Totally. That was just that table. At this point, CNN is like the Radio Shack in a sad strip mall. You don’t know how it’s stayed in business this long. You don’t know anyone that shops there. And they just fired Piers Morgan.
Fox News is the highest-rated network in cable news. Yeah. I can’t believe your table — that far. And it’s all thanks to their key demographic, the corpses of old people who tuned in to Fox News and haven’t yet been discovered.
Former “Inside Edition” host Bill O’Reilly is not here. He did host that. Bill’s got another book coming out soon, so he’s making his ghost writers work around the clock. Bill O’Reilly, Megyn Kelly and Sean Hannity are the Mount Rushmore of keeping old people angry.
This event brings together both Washington and Hollywood. The relationship between Washington and Hollywood has been a long and fruitful one. You give us tax credits for film and television production, and in return, we bring much-needed jobs to hard-working American cities like Vancouver, Toronto, and Vancouver again.
Hollywood helps America by projecting a heroic image to the rest of the world. We just released another movie about Captain America, or, as he’s known in China, Captain Who Owes Us $1.1 Trillion.
There’s a lot of celebrities here tonight. They’re the ones that don’t look like ghouls. Look around. The cast of “Veep” is here. That’s a series about what would happen if a Seinfeld star actually landed on another good show. I like “The New Adventures of Old Christine,” I swear.
I’m not going to spoil the shocking twist on “House of Cards,” but just know that it was so surprising that Nancy Pelosi’s face almost changed expression. Did you like that one, Nancy? I can’t tell.
Biz Stone, the founder of Twitter, is here. So if any of you congressmen want to cut out the middleman, just show him your penis. Not now! Are you nuts?
And here’s why America is the best country in the world. A guy like me can stand before the president, the press and Patrick Duffy — and tell jokes without severe repercussions. And instead of being shipped off to a gulag, I’m going to the Vanity Fair after-party. That’s right. This is America, where everyone can be a Pussy Riot.
Yesterday the Republicans on the House Energy and Commerce Committee released a bogus report which claimed that only 67 percent of those who purchased health care insurance under the Affordable Care Act have paid their first month’s premium. This is despite numerous reports from insurance companies showing that over 90 percent have paid, providing a good example of how Republican misinformation gets spread.
Several sources have already debunked the Republican misinformation, such as here,here ,and here. The Republicans appear to have come up with their falsely low number by taking the number of people who paid their premiums before the premiums were due for those who signed up in March and April. At most the reports shows that people are unlikely to pay their health insurance premiums before they are billed for them.
Needless to say, serial liars such as Rush Limbaugh and many conservative blogs have simply repeated this false information. Limbaugh even claimed that “the premiums were to have been paid by January 1st, which was the beginning of the coverage year.” This is true of policies purchased early enough in December to take effect in January, not policies purchased later in the open enrollment period. This is a perfect example of how Limbaugh and other conservative talking heads twists the facts to make their points.
Others conservative blogs such as Hot Air have questioned the misinformation spread by the House Republicans. The mainstream media has actually done worse than portions of the conservative blogosphere, repeating their usual practice of showing a false objectivity by quoting what each side says, as if the truth is always somewhere in the middle. Even The New York Times helped promote this Republican talking point in the manner in which they reported the story. Of course, unlike Fox and much of the conservative media in which the news reports echo the editorial bias, the supposedly liberal media more typically presents objective news reporting separate from the views of the editorial pages. Unfortunately in a case such as this, using false measures of objectivity in quoting both sides gives undeserved attention to totally bogus numbers presented by Republicans.
More reliable sources than House Republicans expect that over 90 percent will wind up paying their premiums, with the Obama administration wisely being conservative with predictions until the data is actually in, citing numbers between 80 and 90 percent. This will most likely allow them to ultimately show that, as in other areas where we have data, the Affordable Care Act is surpassing expectations. It is also notable that many of those who have not paid their premium have not paid because they wound up qualifying for other coverage and not needing coverage through the exchanges.