Health Insurance Reform Status

Nate Silvert, 538:”The beltway consesnsus seems to be that the Democrats’ prospects of passing meaningful health insurance reform this year have become much slimmer, if they haven’t already entirely evaporated. Like Ezra Klein, however, I’m not really sure what everyone was expecting. There is a lot of money — and political capital — at stake here. Were opponents of health care reform going to roll over and play dead? Has anything proceeded that differently from how we might have expected it to proceed ahead of time?

Over at Intrade, the bettors currently assign a 43 percent chance that a health care bill with a public option will be passed by the end of the year. There is no market, unfortunately, on the prospects for passage of a bill without a public option (something which could still happen under any number of scenarios). What’s interesting about this contract, though, is that it’s not particularly higher or lower than it has ever been. Sure, health care has had a bit of a rough go of things of late, but perhaps not a particularly rougher go than we should have been “pricing in” to our expectations:  To hear the defeatism and paranoia on some liberal blogs this afternoon, the “timeout” that Harry Reid and the Senate called on health care today — they won’t vote on the measure before the August recess — is just about the stupidest thing since Chris Webber, pictured at left, called a phantom timeout in the 1993 finals, costing his team a technical foul and the Michigan Wolverines the national championship.

It isn’t. It is, first of all, inevitable, and second of all, about as likely to do the Democrats some good as some harm, although that may depend on certain exogenous factors that are relatively outside of their control.

Ten days ago, I wrote a piece entitled, “Why Democrats Have No Time to Waste“, the thesis of which was basically that Obama’s approval ratings were liable to decline over the near-to-medium term and so Democrats had better get busy on health care while they could.

But a couple of things have happened since then.

Firstly, the media environment has become very treacherous. There’s been all sorts of piling on, for instance, about last night’s satisfactory press conference — this is almost certainly the most sustained stretch of bad coverage for Obama since back when Jeremiah Wright became a household name after the Ohio primary.

I don’t think the media has a liberal bias or a conservative bias so much as it has a bias toward overreacting to short-term trends and a tendency toward groupthink. The fact is that there have been some pretty decent signals on health care. Yes, it has stalled in some committees, but it has advanced in others; yes, the Mayo Clinic expressed their skepticism but also the AMA — surprisingly — endorsed it; yes, the CBO’s Doug Elmendorf got walked into a somewhat deceptive and undoubtedly damaging line of questioning about the measure’s capacities on cost control, but also, the CBO’s actual cost estimates have generally been lower than expected and also favorable to particular Democratic priorities like the public option. This all seems pretty par for the course, even if you wouldn’t know it from reading Politico or Jake Tapper, who giddily report on each new poll telling us the exact same thing as though there’s some sort of actual news value there.

The media likes to talk about “momentum“. It usually talks about the momentum in the present tense — as in, “health care has no momentum”. But almost always, those observations are formulated based on events of the past and sloppily extrapolated to imply events of the future, often to embarrassing effect: see also, New Hampshire, the 15-day infatuation with Sarah Palin, the Straight Talk express being left for dead somewhere in the summer of 2007, the overreaction to “Bittergate” and the whole lot, and the naive assumption that Obama’s high-60’s approval ratings represented a paradigm shift and not a honeymoon period that new Presidents almost always experience.

I also believe that the media can, in the short term, amplify and sometimes even create waves of momentum. But almost always only in the short term. And that is reason #1 why it’s not such a bad thing that the Democrats are getting a breather on health care. They’re at, what I believe, may be something of a ‘trough’ or ‘bottom’ as far as this media-induced momentum goes. By some point in August, the media will at least have tired of the present storyline and may in fact be looking for excuses to declare a shift in momentum and report that some relatively ordinary moment is in fact the “game changer” that the Democrats needed. This is not to say that the real, underlying momentum on health care has especially good — and the Democrats’ selling of the measure certianly hasn’t been. But it hasn’t been especially poor either . As I’ve said before, the health care process has played out just about how an intelligent observer might have expected it to beforehand.

The second reason why the delay might be OK for the Democrats is because of the economy. Nobody much seems to have noticed, but the Dow is now over 9,000 and at its highest point of the Obama presidency; the S&P is nearing 1,000 and the NASDAQ has gained almost 55 percent since its bottom and has moved upward on 12 consecutive trading days. There are ample reasons to be skeptical about the rally — it isn’t supported by strong volumes, and it’s almost entirely the result of surprisingly solid corporate earnings numbers rather than the sorts of figures that Main Street cares about. But, there are two big dates to watch out for. On July 31, an advance estimate of second quarter GDP growth will be released, and on August 7th, we’ll get the monthly report on the unemployment situation. If either of those reports reflect the optimism elicited by the corporate earnings numbers — in this context, a job loss number under ~250,000 or a 2Q GDP number somewhere close to zero — there will be a lot of quite optimistic chatter about the end of the recession which might not penetrate to Main Street, but which will at least have some reverberations on Capitol Hill.

A few hours ago, I asked our readers what they expected Barack Obama’s Gallup approval rating to be on August 31st, when the Senate’s recess will be just about over and the health care sausage-making will begin again. The average guess was 55 percent, which is exactly where it is today (a new low for Obama, we should mention). I should caution that our readers lean probably 2:1 or 3:1 liberal, and so there might be some optimism bias in this unscientific sample. But that strikes me as about the right assessment. Obama’s numbers don’t have much more room to fall before they hit the 53 percent threshold that actually elected him last November. And I don’t think they’re liable to go too much below that mark unless something actually and tangibly bad happens — a bad unemployment report (or a sharp reversal of the market rally), the actual collapse of health care, some bona fide major gaffe, etc. Any of those things, indeed, could happen. But just as likely Obama will benefit from some good economic numbers or simply some reversion to the mean as the media firing squad picks up and plays golf for a month.

The Democrats could find themselves in a better position after the August recess or they could find themselves in a worse one — how’s that for a bold prediction! But liberals’ doom-and-gloom, conservatives’ glee, and the media’s nearsighted reporting are all equally uncalled for.”

see: http://www.fivethirtyeight.com/2009/07/rumors-of-demise-of-obamacare-have-been.html

The Brownshirts are back – where is HUAC when we need it?

insurance industry funded fascism.

Perhaps HUAC should come back and investigate these folks…

Insurance industry funded fascism, from Frank Schaeffer, alternet: ” The Republican Old Guard are in the fix an atheist would be in if Jesus showed up and raised his mother from the dead: Their world view has just been shattered. Obama’s election has driven them over the edge. Consider Former Congressman Dick Armey. Several far right foundations and the multitrillion dollar health-insurance industry have teamed up with him  to organize the far right foot soldiers of the Republican Party to  intimidate people speaking on behalf of health-care reform.  They are using my old shock troops — given many of these folks were first energized by the Evangelical pro-life movement that my late father and I started in the 1970s. What we did to clinics they are now doing to congressmen and others speaking out for health care reform.

Having failed at the ballot box, having watched their Fox News-organized “tea parties” fizzle the intimidation tactics which the Republicans have embraced are being used in a well-financed, top-down orchestrated fake grass roots campaign by corporate interests to try and protect  the profits of the insurance business. Armey’s FreedomWorks is  organizing against health care reform. Armey’s lobbying firm represents pharmaceutical companies including Bristol-Myers Squibb. Armey’s lobbying firm also represents the trade group for the life insurance industry.  FreedomWorks is supporting the status quo at all costs. (They are also fans of fossil fuels. Armey’s lobbying firm represents Sheikh Mohammed Bin Rashid Al Maktoum, Prime Minister of the UAE, on energy related issues.)…I think I know what happened to him, Gingrich and the rest: They can’t compute that their white man-led conservative revolution is dead. They can’t reconcile their idea of themselves with the fact that white men like them don’t run the country any more — and never will again. To them the black president is leading a column of the “other” into their promised land. Gays, immigrants, blacks, progressives, even a female Hispanic appointed to the Supreme Court… for them this is the Apocalypse.

The last presidential election (to paraphrase Bart Simpson)  “broke their brains.” What else could explain their embrace of intimidation — rather than discourse — over the health care debate and such unsavory moments of madness as the Republicans accusing Obama and Judge Sonia Sotomayor of racism, knowing full well that they’d just destroyed their chances with the Hispanic community forever?…Dick Army and company have been driven mad by their reversal, not just of political fortunes but of seeing that they’ve wasted their lives. They now know they were wrong: about the country, the free market, war for fun and profit, and what the American people really want. They made their best case and were rejected by the American people —  and by history. Bush was their man and he turned out to be a fool. So now all the the Republican gurus have left is what the defeated Germans of World War Two had: a scorched earth policy. If they can’t win then everyone must go down. Obama must fail! The country must fail!…A barrage of outright lies, wherein the Democrats are being accused of wanting to launch a massive euthanasia program against the elderly, free abortions for everyone, and “a government takeover” of health-care is now being combined with physical intimidation that in several cases has required police escorts to protect pro health-care reform speakers… It’s time that this whole shabby (and insane) business be exposed, vilified in run out of town on a rail by whatever responsible Republicans — if any — that are still in the party and who want to see the fortunes of their party revived. Republican leaders taking insurance industry money via lobbying firms and using it to organize what amounts to roving bands of thugs not only need to be exposed but thrown out of the public debate forever.  They should become absolute pariahs.

It’s time to give this garbage in name: insurance industry funded fascism.

N.B.: Frank Schaeffer – and his father Francis – was a right wing “pro life”zealot”.

Emphasis mine.

see: http://www.alternet.org/healthwellness/141833/right-wing_turncoat_gives_the_inside_scoop_on_why_conservatives_are_rampaging_town_halls/



Fear vs Reason

From Lincoln Mitchell in Huffpost: “Bobby Jindal has “seen enough” and Dan Quayle thinks President Obama needs to “tame the left wing of his party.” Perhaps it is time to give the Republican Party some credit for consistency, if not exactly relevancy or accuracy. Dan Quayle, who has gracefully made the transition from boy wonder vice president to elder statesman of his party without pausing along the way to actually accomplish anything, and Bobby Jindal, who seems to have succeeded in combining the politics of Ronald Reagan with the earnestness and credibility of Ronald McDonald, seem to agree that the biggest threat to the country is that President Obama will pass health care reform and lead the country irrevocably down the road to socialism.”

(N.B.: I found it amusing last fall to hear ‘socialism’ used as a pejorative when capitalism was collapsing around our ears. )

Fear, not surprisingly, has remained one of the key tenets of the Republican message during Obama’s presidency.

Labeling any program seeking to use public resources to help poor people or provide opportunity to more Americans as socialist has been a tactic employed by many Republicans and no small number of conservative Democrats over the years. It has at times been quite effective. In this regard, Quayle, Jindal and others in the Republican leadership are not employing a new strategy. To the contrary, they are relying on a the same tactic conservatives used more than 40 years ago to fight against Medicare, and more than 70 years ago to fight against Social Security. Labeling any progressive program socialist remains a tried and true conservative tactic, but in the 21st century it feels almost quaint and seems to have little power to move voters outside of the Republican base. One cannot help but wonder if this message, and these messengers, are the best the Republicans can find…

see; http://www.huffingtonpost.com/lincoln-mitchell/bobby-jindal-dan-quayle-a_b_242198.html