Of course, Social Security had rollout problems too. And progressives at the time definitely lamented the concessions that were made as Social Security evolved from bill to law, including the exclusion of agricultural and domestic laborers [re: African-Americans] from the law. (Frances Perkins: “The whole thing has been chiseled down to a conservative pattern.”)
That being said, I think it’s important to keep this in mind every time the right starts complaining about byzantine complexities in the Affordable Care Act: We could’ve avoided many of these issues if this change-bringing administration hadn’t immediately ruled out the obvious progressive solution to the health care problem — a single-payer system of Medicare-for-all, like most other advanced industrialized nations enjoy, perhaps phased in with an immediate voluntary buy-in and a gradual lowering of the coverage age.
Instead, we adopted the Republicans’ proposal, the marketplace/exchanges plan originally conceived by the Heritage Foundation and enacted by Mitt Romney, without even including a public option to keep the insurers honest. And what’d we get for this ginormous unforced concession to the right? Nothing. Republicans still didn’t support the health care law in 2010, and they’ve screamed holy hell that it’s tyrannical government socialism for the past three-odd years — even though it was their plan to begin with.
Now, they’re deliberately sabotaging implementation of the ACA and trying to pin every misstep, including this rather sad website #fail, as a failure of the liberal project. As Konczal aptly points out, what’s failing here is the NEO-liberal project — the desire to embrace public-private, technocratic conservative ideas of a generation ago (see also: cap & trade), in the hopes that today’s conservatives will somehow be intellectually honest enough to support them too. That is a sucker’s bet every time.
One other important takeaway from this article: “[I]f all the problems are driven by means-testing, state-level decisions and privatization of social insurance, the fact that the core conservative plan for social insurance is focused like a laser beam on means-testing, block-granting and privatization is a rather large problem. As Ezra Klein notes, ‘Paul Ryan’s health-care plan — and his Medicare plan — would also require the government to run online insurance marketplaces.'”
In other words, here again conservatives are decrying exactly what they ostensibly espouse. Perhaps a better way forward on fundamental pieces of legislation, instead of playing Lucy and the football with the Republicans, is to try to enact our own ideas from now on.
Update: In Foreign Affairs, Kimberly Morgan makes much the same argument: “The real source of Obamacare’s current problems lies in the law’s complexity. A straightforward way to assure coverage would have been to extend an existing, well-worn program to more people…In the United States, [due to] political antipathy to government programs…policymakers regularly rig up complex public-private, and often federal-state, arrangements that are opaque to the public, difficult to administer, and inefficient in their operation.”
Leave this academic factory, you’ll find me in the matinee: Compounding life in the Nine Circles of Adjunct Hell, more and more college and universities are trying to game the system so they don’t have to pay for adjuncts’ health care coverage. Because if you’re going to exploit your desperate, over-educated workforce like it’s a Gilded Age factory floor, why not go all the way?
“What is happening — and I’m finding this even with just two classes—because of the grading load, I’ve been put in a position twice this semester where I’ve just had to lie about the number of hours I actually worked. I don’t want to have to make a choice between having a job or not.”
President Obama makes the case for federal investment in the Brain Activity Map Project. (You heard it here first, tinfoil hat people. The tyranny of the Kenyan socialist will not stop at your precious bodily fluids — He’s going to read your brainwaves too!) Seriously, though, investing in basic scientific research like this is, er, a no-brainer. It creates jobs while advancing the frontiers of human knowledge in all kinds of unanticipated ways. We’d be stupid not to support this — which means, of course, the jury’s still out on whether we will.
Update: “BAM is an acronym you’ll probably be hearing a lot in the weeks and months to come — so let’s talk about what the BAM project is, what it isn’t, and why it’s raising both interest and eyebrows throughout the scientific community.” Io9 has more.
By way of Dangerous Meta, researchers figure out a way to manufacture embryonic stem cells without an embryo, thus clearing the path for future research in that direction unhampered by abortion politics. “The discovery could be the key to cure the incurable – from heart attacks to severed spinal cord to cancer—and open the door, some day, to eternal youth.“
In their very first month back in power, Paul Ryan, Akin and the gang — 225 Members, in fact — were trying to define rape down — “House Speaker John Boehner (R-Ohio) has dubbed [it] a top priority in the new Congress.” — and that bill passed the House(!)
Yes, today’s Democrats have their own serious problems — our leaders prostrate themselves before the phantom deficit gods, look the other way on Wall Street malfeasance, and have been actively terrible on the civil liberties front, and our policy playbook (individual mandate, cap-and-trade) has too often been cribbed from the Republicans of the ’90s. But it’s a difference in kind, not in degree. Akin is not an aberration in the GOP — He’s the new normal. Not that anyone who comes around here still does this sort of thing, but if you vote Republican, have no illusions about what you are doing: Ayn Rand and Akinism is basically what you’re voting for. Seriously, these guys are cray-cray.
(By the way, the great facehugger pic above is from From Talking to Doctors — worth checking out.)
“With this legislation, which was introduced last week by Rep. Chris Smith (R-N.J.), Republicans propose that the rape exemption be limited to ‘forcible rape.’ This would rule out federal assistance for abortions in many rape cases, including instances of statutory rape, many of which are non-forcible. For example: If a 13-year-old girl is impregnated by a 24-year-old adult, she would no longer qualify to have Medicaid pay for an abortion.“
On the principle that, as per MLK, “in the end, we will remember not the words of our enemies, but the silence of our friends,” I post more often here these days about issues I have with our own, ostensibly-lefty party. But, as Dangerous Meta reminds me: Just in case anyone forgot how crazy the Republicans are these days, the GOP Congress has, for pro-life purposes, actually fashioned a bill that defines rape down. “House Speaker John Boehner (R-Ohio) has dubbed [it] a top priority in the new Congress.” There are no words.
“There are a lot of people who have trouble coming to terms with that because they see marriage as traditionally between a man and a woman. But I also know that, you know, when couples are committed to each other and love each other, that they ought to have, I think, the same sort of rights that everyone has.” In the midst of her book tour, former First Lady Laura Bush confesses to being pro-choice and pro-gay-marriage. “Bush [also] said abortion should “remain legal, because I think it’s important for people, for medical reasons and other reasons.’” It would’ve been nice to hear her say as much a decade ago, of course, but I’m still glad that she’s made her feelings known.
The WP‘s Paul Kane profiles the inimitable Speaker of the House, Nancy Pelosi. “Some historians list her alongside Rayburn and his successor, John W. McCormack, as among the most influential speakers in the annals of Congress.” (What, no love for Joe Cannon? C’mon now, American history doesn’t start in 1945.)
In any case, from my ringside seat here in the belly of the beast, it’s pretty clear: Speaker Pelosi gets things done. “After Scott Brown’s special-election victory…some pushed for a scaled-down version of health-care legislation to draw Republican support. Pelosi balked. In a moment that has come to define her speakership, Pelosi mocked a scaled-down bill as ‘Eensy Weensy Spider’ health care.”
Since I was talking to old friends on Facebook yesterday and realized once again that few folks outside of DC have a good sense of what’s actually in the recently passed health care bill, here’s a handy interactive graphic that delivers the what-for for the first year. There’s also a handy embed code there for wider distribution (but sorry, the death panel protocols are still classified. You’ll learn them when they come for you.)
“‘Access for kids who have pre-existing conditions, who would be against that?’ Blunt asked a group of health care professionals in Springfield, MO. ‘But access for adults who’ve done nothing to take care of themselves, who actually will have as I just described every incentive not to get insurance until the day that you know that you’re going to have medical expenses–that’s a very different kind of story.‘”
Thanks, Roy! Republican congressman and ostensible chair of the “GOP Health Care Task Force” Roy Blunt actually comes out in favor of repealing the ban on denying coverage for pre-existing conditions, one of the few provisions in the recent health care law that usually garnered bipartisan support. For its part, leukemia declined to comment.
So, as you may have heard, the House passed the health care bill 219-212 late last night. It was a long and busy weekend, and a long and busy week is ahead, formulating the death panels and whatnot. Still, we’ve been talking about this bill since I got here last July, so it feels quite good to finally get this done. Now, let’s make it better. (Pic via here.)
(Sorry about the bad pun in the title, but I needed a new earworm in my head to help kill off the segwaying chimp ditty.) Anyway, so, yes, it’s that time of year: The madness is upon us once more. (FWIW, I picked Syracuse to win over Duke in the Final, but have zero confidence in my bracket this year.) Unfortunately — or fortunately, if you consider the past ten months — I’m missing my usual annual reunion of college friends, as it’s gonna be a work weekend…
Also in the Brave New World dept. and by way of a friend, The Economist takes a gander at new “bioprinter” technology. “As for bigger body parts, Dr Forgacs thinks they may take many different forms, at least initially. A man-made biological substitute for a kidney, for instance, need not look like a real one or contain all its features in order to clean waste products from the bloodstream.“
“The Chamber spent much of its money in 2009 on campaigns that worked — it scared the Senate away from considering a version of the Waxman-Markey cap-and-trade legislation, and an argument can be made that its cutting ads on health care (with money taken from some insurance companies) helped to undercut support for the legislation.” You think? In a shape-of-things-to-come moment even before Citizens United goes into effect, the Chamber of Commerce outspent both political parties in 2009.
“According to The Center for Responsive Politics, the U.S. Chamber of Commerce and its national subsidiaries spent $144.5 million in 2009, far more than the RNC and more than double the expenditures by the DNC.” But corporate spending isn’t a problem or anything.