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Posts Tagged ‘Obamacare’

Annus Horribilis : 2014 in Review

Thursday, January 1st, 2015

New Year
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Good Riddance to a Bad Year

In a speech in late 1992, Queen Elizabeth II used the phrase “annus horribilis” to describe Great Britain’s no-good, very bad year (tabloid-quality marital troubles of Prince Charles and Princess Diana, a fire at Windsor Castle, etc.). The term is derived from the Latin annus mirabilis (wonderful year). As the queen said about 1992, we feel about 2014: “not a year on which [we] shall look back with undiluted pleasure.”

First, though, let’s open with some good things that happened in 2014 that give us cause to hope that 2015 may bring more mirabilis and less horribilis.

Public health. Overall, the American medical establishment, led by the Centers for Disease Control and Prevention, managed pretty well in handling the cases of Ebola that arose in the U.S. (Try not to be freaked out by TV “news” coverage of this topic; as with weather events, the more alarmist their coverage, the better for their ratings.)

ACAIn other healthy developments, the Affordable Care Act, or Obamacare, brought more good news for the general public (though not for Fox News). In “Tidings of Comfort” (12/26/14), New York Times columnist Paul Krugman says that in its first full year of full implementation (its provisions were phased in gradually after its passage in 2010), “the number of Americans without insurance fell by around 10 million. . . . premiums were far less than predicted, overall health spending is moderating, and specific cost-control measures are doing very well. And all indications suggest that year two will be marked by further success.”

Economy. Krugman points out that although economic recovery from the 2008 crisis has been slow, recent performance has been comparatively healthy, with steady increases in job creation and 5 percent growth in the U.S. economy overall. Some 6.7 million jobs have been created since Obama took office, compared with 3.1 million at the six-year mark under George W. Bush. If it were not for congressionally mandated austerity, the recovery would have been much better.

(Krugman does not mention this, but the recovery was strong enough in 2014 that, if we were living in normal, level-playing-field political conditions, without the artificial factors of gerrymandered congressional districts and unlimited dark money mentioned below, this year’s midterm elections should have gone more than usual in the favor of the president’s party.) For more on the president’s performance, see Krugman’s excellent and persuasive “In Defense of Obama” (Rolling Stone, 10/8/14).

Executive actions. President Obama took several positive actions on several important issues that do not depend on the constipated Congress to take effect. In November he used an executive action to grant a reprieve to nearly 5 million undocumented immigrants and to strengthen border security.

People’s Climate MarchAlso in November, Obama made a landmark agreement with China to cut greenhouse gas emissions by as much as 28 percent from 2005 levels by 2025 and to rely more on renewable sources of energy and on nuclear energy. Following on the massive People’s Climate March of Sept. 21, 2014, in which more than 400,000 marched in New York City as delegates were gathering at the United Nations, this agreement provided substantial good news for the environment and reason to hope for more progressive green achievements. (They can’t come too soon: the “climate change” the earth is undergoing may already be irreparable. But enough: we’re trying to focus on the positive here.)

And, in the kind of bold surprise we welcome and hope to see more of, in mid-December, President Obama announced that after nearly 55 years of diplomatic estrangement, the United States will normalize relations with Cuba and unfreeze the trade embargo, an agreement worked out with behind-the-scenes assistance from Pope Francis and the Vatican and the government of Canada.

About That Annus Horribilis . . .

We each have our own reasons, but it seems to be a widely shared view that even by the standards of this grim new century 2014 was a bad year—and it was already looking bad by the summer. “In this summer of global tumult” began a piece in The New York Times (“As World Boils, Fingers Point Obama’s Way,” 8/16/14). A general sense of gloom and dread was helped along by the fact that 2014 was, as many news outlets were commemorating, the centenary of the outbreak of The Great War.

In international affairs, there was Russia’s annexing of Crimea and troublemaking in Ukraine; the continuation of the dreadful Syrian civil war (two years and counting: some 76,000 died in Syria this year, including 3,500 children) and the related rise of ISIS (aka ISIL, or Islamic State) in Syria and Iraq; the very destructive Israel-Gaza war that erupted in July; and of course the Ebola outbreak in West Africa. But wait: there’s more.

In a nation whose middle class was still struggling if not drowning in a protracted recession and widespread unemployment since the economic collapse of 2008, while corporate profits reached record highs (“In 2013, after-tax corporate profits as a share of the economy tied with their highest level on record [in 1965], while labor compensation as a share of the economy hit its lowest point since 1948.” [NYT 8/31/14])—the already poor and jobless were further stressed by interactions with heavily armed police. In the first eight months of 2014 in the United States there were more than 400 deaths from police shootings.

Disturbances of the Peace

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Here in the homeland, American society was disturbed by the still mysterious shooting on August 9 of an unarmed black teenager named Michael Brown by a white police officer in Ferguson, Missouri. The death sparked outrage and dramatic protests against brutality and excessive militarization of police departments around the United States. The choking death on July 17 of a black man named Eric Garner while in police custody (“I can’t breathe,” he gasped eleven times)—he was suspected of illegally selling loose cigarettes near the Staten Island ferry—was ruled a homicide by the medical examiner. In December a grand jury decided to not indict the police officer in the death; this decision, just a week after a similar decision in Missouri to not prosecute the officer who shot Michael Brown, prompted widespread protests in New York and around the nation with the themes “Black lives matter” and “I can’t breathe.” Tension persists in (among other places) New York City, where the NYPD and Mayor Bill de Blasio are not seeing eye to eye. Large numbers of officers physically turned their backs on the mayor when he spoke at the funeral service several days ago of one of two officers killed in Brooklyn by a lunatic from Baltimore seeking revenge for African Americans killed by police.

“Hell No You Can’t!”

MoneybagsOne more category that should be mentioned, like it or not, is the depressing outcome of the 2014 midterm congressional elections. (So depressing, in fact, that this blog was at a loss for words for several months.) Although victorious, empowered Republicans crowed that the American people had spoken (for them and against Obama, naturally), we attribute their success to (1) gerrymandered congressional districts tailor-made for conservative dominance; (2) unlimited “dark money” from corporations and political action committees following the Supreme Court’s disastrous Citizens United decision (2010); and (3) voting rights restrictions that limited voting by minorities, college students, and other likely Democratic constituencies after the Supreme Court decision in Shelby County v. Holder (2013). (See “Dark Money Helped Win the Senate,” The New  York Times Editorial Board, 11/8/14.)

Perhaps equally disheartening, though, and certainly more infuriating, is the chronic cowardice of establishment Democrats. Dem candidates distanced themselves from President Obama and shrank from speaking up about the party’s accomplishments and defending its historic programs. (See “A Failure to Communicate—Not a Failure to Govern” [LNW 11/3/10].) As our friend Cousin Pat from Georgia at Hurricane Radio has said many times, the Democratic Party cannot ally itself with Wall Street and still expect support from the middle class and working class at election time. (See his “Why the GOP Is Going to Win in November” [9/28/10])

We pray that progressive activists will multiply and press the Democrats and independents to push for progressive policies. One of the developments to which we’re not looking forward is the looming 2016 presidential election. We do not salivate at the prospect of Hillary Clinton as the Democrats’ candidate, but if she is the candidate the Republicans most fear, then perhaps she should be the Democrats’ leader in 2016. But HRC is a Wall Street, big-money Democrat, like Chuck Schumer, and her credentials do not bode well for peace or progressive causes. On our wish list is more of populist, independent thinkers like senators Elizabeth Warren and Bernie Sanders. We hope that, at the very least, Warren and other liberals and defenders of the middle class will be able to push Clinton toward more progressive talk and action.

Falling Stars in the Obituary Pages

Another way of looking at the year’s toll is by considering the obituaries of entertainers and authors in 2014—some of which were not death from natural causes. Philip Seymour Hoffman (46) and Robin Williams (63), among the greatest talents of any age, both took their own lives after giving immeasurably to world culture, both in humor and in pathos. Other great lives that ended this year include Lauren Bacall, Joan Rivers, Shirley Temple Black, poets Maya Angelou, Amiri Baraka (LeRoi Jones), Maxine Kumin, Galway Kinnell, Mark Strand, and the global-stature novelists Gabriel García Márquez and Nadine Gordimer, as well as the popular mystery writer P. D. James.

Power to the People

LNW_USA.sleeveWe hope for a better year this next time around, but we know that 2015 is not going to be better just because the previous one was a grind. But we will do our part, “every day, in every way,” and will try to contribute to a better city, a better nation, a better world. We hope you’ll join us in trying to give to civic affairs, for example, not only through occasional contributions to progressive groups (see our blogroll, lower right column, for Anti-War and Environment groups), but also by making our views known to newspapers and elected officials: phoning mayors, members of Congress, writing letters to the editor, and so on. Let’s encourage, congratulate, thank, and support those who do good, and when elected officials are off-track, let them know. (See our Political Action page for contact information.)

Wishing you and yours a better time in 2015, and strength through peace.

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Top illustration from New York Public Library Digital Gallery; Ferguson, Missouri, photograph by BBC News.

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House Democrats Demand to Know Why GOP Govs Rejected Medicaid Expansion

Thursday, July 31st, 2014

elijah-cummings.TimSloan-GettyImagesShow Us Why You’re Keeping Your People Poor and Sick

“In order to better understand the basis for your opposition, I request that you provide . . . copies of any state-specific analyses, studies, or reports that you ordered, requested or relied on to inform your decision.” Rep. Elijah Cummings, letter to GOP governors, July 29, 2014

In a rare and delightful display of Democratic vitality and imagination, the ranking member of the House Oversight Committee, Rep. Elijah Cummings (D-Md., above), has sent requests to six Republican governors to provide documentation to justify their decisions to reject—or to accept—federal funding that does, or would, enable expansion of Medicaid coverage under  the Affordable Care Act (“Obamacare”). Three governors spurned the money, and three  accepted.

Talking Points Memo reports that Cummings sent letters to governors Rick Perry of Texas, Rick Scott of Florida, and Pat McCrory of North Carolina, each of whom turned down millions in available federal money that would have helped thousands of low-income people in their states have access to health care (individuals with incomes up to $14,856, and families of four with incomes up to $30,657; see graphic below). The three Republican governors who have accepted federal funding for Medicaid expansion are Jan Brewer of Arizona, John Kasich of Ohio, and Chris Christie of New Jersey.

A press release on the House Oversight Committee’s website explains, “Under the Affordable Care Act, Congress pays 100% of costs to expand Medicaid for the first three years, declining gradually to 90% by 2020, with states paying only 10% of these costs. Democratic governors have consistently supported expanding Medicaid, but Republican governors have disagreed among themselves, with widely differing explanations.”  

The press release adds:

At a national level, if the 24 states that have not yet expanded Medicaid were to do so today, they would provide healthcare services to an additional 5.69 million people in 2016, receive an additional $423 billion in federal funds for their state budgets through 2022, and help create an additional 734,000 jobs through 2017.  

Let’s Ask Bobby Jindal

JindalYesterday Levees Not War phoned Cummings’s office (202-225-4741) to request that the congressman also demand answers from Louisiana Gov. Bobby Jindal, a former secretary of the Louisiana Department of Health and Hospitals, who frequently boasts of turning down federal funding with the air of teetotaler virtuously abstaining from alcohol. In 2009, Jindal spurned nearly $100 million that would have aided some 25,000 unemployed Louisianians through the Economic Recovery and Reinvestment Act, or “stimulus” bill of early 2009.

That was just the start of Jindal’s rejecting of funds that would help Louisiana. When he attacked Obama in October 2012 for not waiving a federal 25% local matching requirement for emergency disaster assistance after Hurricane Isaac, Senator Mary Landrieu (D–La.) had had enough:

“The governor can’t have it both ways. He cannot complain about the federal government being stingy when he turned away $80 million in broadband for rural communities, $300 million in high-speed rail for urban areas and $60 million in early childhood education for all Louisiana’s children.”

Readers who want to ask Jindal’s office directly can call 225-342-7015 or (toll-free) 866-366-1121; fax 225-342-7099, or e-mail him here.

Remember “Country First” in the presidential campaign of 2008? It turns out that, for the party that used it, it was only a campaign slogan. We knew that at the time—we just didn’t anticipate to what extremes the cynicism would stretch.

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See also:

Jindal: From Rising Star to Black Hole (LNW, 2/25/09)

Mr. Jindal, Tear Down This Ambition (LNW, 2/20/09)

Republicans Against Medicare: A Long, Mean History (LNW, 10/15/12)

Think Progress: Bobby Jindal’s Obamacare Replacement Could Kick Millions Off Their Insurance Plans

More about the Affordable Care Act (“Obamacare”) at Levees Not War

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Check out The Commonwealth Fund to learn more about how the Affordable Care Act is working.

The Commonwealth Fund: Implementing the Affordable Care Act: State Action on Quality Improvement in State-Based Marketplaces

Affordable Care Act Uninsured

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Photo credits: Elijah Cummings by Tim Sloan/Getty Images; Bobby Jindal by Tim Mueller for The New York Times. Graphic by The Commonwealth Fund.

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7 Million Cheers for ‘Obamacare’

Thursday, April 3rd, 2014

more than 7 millionPublic Health, Too, Is ‘National Security’

Congratulation to President Obama, the White House, and the courageous Democrats in Congress who voted for the Affordable Care Act in 2010, the most ambitious expansion of health care for Americans since the passage of Medicare and Medicaid in 1965.

After the March 31 deadline for enrollments, President Obama announced that the goal of 7 million by April 1 has been met—and more: some 7.1 million previously uninsured Americans have signed up for coverage. And the numbers will rise because those who were not able to finish signing up by midnight Monday will have another two weeks to complete their registration. (Go to Healthcare.gov to learn more.)

So, congratulations to the elected officials and policy makers, and “best of health” to the American people—those who are now covered, and especially to those who do not yet have health insurance.

Let’s look briefly at some numbers. According to The New Yorker:

Three million young people remain on their parents’ health-care plans; more than eight million uninsured people are eligible for Medicaid; and, according to the Department of Health and Human Services, more than a hundred million people have received preventive-care services, like mammograms and flu shots, at no cost.

ObamacareWhat Does Obamacare Do for You?

Per “The Affordable Care Act by the Numbers” at WhiteHouse.gov (2012):

Click here for more benefits.

The present system of Medicare and Medicaid was signed into law in 1965 by Democratic president Lyndon B. Johnson. As Jeffrey Toobin explains in The New Yorker:

Medicare, providing health insurance for all Americans over the age of sixty-five, proved popular almost immediately: after the rollout, about nineteen million people signed up, more than ninety per cent of those eligible. Medicaid, covering the poor of all ages, is financed jointly by the federal government and the states. The first year, only twenty-six states agreed to participate, and the program didn’t include all fifty until 1982, when Arizona, the final holdout, joined.

Conservative opposition to the Affordable Care Act has been principally directed at the Medicaid aspects that are mainly tailored to the very poor: “Ideas such as the requirement that everyone obtain insurance, with subsidies for people who can’t afford it; the mandate that insurance companies offer coverage to all comers; and the incentives for states to expand the number of people covered by Medicaid have meant political war,” as Toobin explains.

Steven Benen at The Maddow Blog points out that “the single biggest hindrance to expanding coverage to the uninsured is Republican governors in red states blocking Medicaid expansion. That’s not conjecture; it’s what the CBO has already documented.” Benen wrote last August:

The Affordable Care Act originally made Medicaid expansion mandatory for states, guaranteeing coverage for millions, but a narrow Supreme Court majority ruled that it must be optional – if states want to take advantage of an amazing deal they could, but if they choose to turn down the federal money, Washington can’t force them to accept it. 

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Affordable Care Act Uninsured

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An ‘Obamacare’ Success Story

Thursday, January 9th, 2014

AFAInsurers, Too, Must Be Held Accountable

Our friend Stephen in NYC, who has contributed good ideas to this blog before, shares his experience in enrolling with an insurer. Stephen makes the very important point that the news media (including us bloggers) would serve the public interest if we would “start reporting on the incompetence of the health insurance companies and their technologically defective systems for enrollment, rather than putting all the blame for the recent mishaps of health insurance enrollment on the ACA rollout. My own experience is a case in point.”

One week after his old health-insurance policy lapsed, and three weeks after he mailed his application (with payment) to a New York health insurance company—and after speaking to eight customer service representatives and supervisors at the new insurance company over the past week—he was finally enrolled in the policy he had applied for (retroactive to Jan. 1), perhaps moved along by the threats he made earlier that day to alert the New York State attorney general, U.S. Senator Kirsten Gillibrand, and WOR-TV’s “Help Me, Howard” if his policy was not in effect within 24 hours—in addition to the letter that he had sent to The New York Times the day before, which is copied below.

To the Editors:

The NY Times and most other (all other?) news organizations have been covering the mishaps of the ACA rollout and ascribing them entirely to the incompetent programming of the new fed health-exchange website and some state health-exchange websites. I’d like to suggest, from my recent experience trying to get a 2014 health-insurance plan by enrolling directly with a NY health-insurance company (i.e., NOT through an exchange), that much of the incompetence is with the health-insurance companies themselves and has nothing to do with ACA. I’m still trying to get my new health-insurance company, Emblem Health, to actually enroll me in their 2104 health-insurance plan (as opposed to theoretically enrolling me)—and I applied directly through their own system, not through the fed or state health exchange.

As of today, Jan. 7, I still don’t have health insurance (my 2013 plan lapsed on Dec. 31), even though I sent my application for enrollment, along with a check for payment, by mail on Dec. 16—and it was received there on Dec. 19. Since then, I have called Emblem Health numerous times and have spoken to seven customer representatives and two supervisors, and was assured on Dec. 31 that my enrollment was in fact being processed, and that I would receive an e-mail affirming that I would be enrolled shortly and that my coverage would be retroactive to January 1. I have received nothing. I called Emblem Health again today and spoke to another customer representative, who searched on the Emblem Health system and found that my name was not on it yet. Tomorrow, I will be calling the supervisor to whom I spoke on Dec. 30 AND ON Dec. 31 (when I stayed on the phone continuously for 3 hours), to ask her why I have not heard from her about my enrollment nor received the e-mail confirming my imminent enrollment and retroactive coverage. (It’s a good thing I’ve had no health emergencies during this past week.)

So when I read or hear news reports of how bad ACA is, I’ve decided to be skeptical, and I’d like the NY Times to demonstrate some of that same skepticism, and to report on the effectiveness (or lack thereof) of the insurance companies and what appears to be their technologically defective systems for enrollment. I would be happy to share with a NY Times reporter more details of my frustrating experience trying to enroll for a health-insurance plan outside the exchange.

Well done, Stephen. Congratulations. But note how much time and effort he had to expend—time he had to take from his freelance work, which means a loss of some potential income. It should not have to be so difficult.

Dear readers, we encourage you to share your experiences in enrolling with health care providers under the Affordable Care Act. You can also share your stories—success stories, we hope—on Facebook at ACA Success Stories (facebook.com/acasuccessstories). Bloggers, reporters, hold the companies accountable, too, as well as the elected officials and pundits who are obstructing progress and exaggerating glitches and malfunctions for political gain.

We would also recommend that readers take a look at Rachel Maddow’s emphasis on the slow start of ‘Romneycare’ in Massachusetts (TRMS 1/2/14). This healthcare coverage expansion program, now regarded as a success for the people of Massachusetts, is roughly the template on which the Affordable Care Act was designed.

Despite Successes, 47 Million Americans Lack Health Coverage

Josh Marshall of Talking Points Memo finds that some 9 to 10 million people have gained health care coverage because of the Affordable Care Act, and that about 5 million “currently do not have coverage because individual states decided not to opt into Medicaid expansion.” By the end of 2013, more than 1.1. million Americans had signed up for healthcare coverage through Healthcare.gov. (One Charles Gaba has been compiling data on the number of people who have enrolled for healthcare coverage through the 14 states that have exchange sites.) Still, the Kaiser Family Foundation reports, some 47 million Americans are without healthcare coverage.

For political reasons, of course, Republicans want the president’s healthcare expansion initiative to fail.

While we’re “redistributing blame” for the ACA’s rocky start, let’s look also at what Steve Benen calls “the scourge of the wingnut hole” (the term “wingnut hole” was coined by Ed Kilgore). Whenever the totals of people enrolled in healthcare insurance programs under the Affordable Care Act are given, Benen says, “it’s worth remembering that the coverage totals would be far greater were it not for “red” states refusing to accept Medicaid expansion”—5 million greater, as Josh Marshall reports above.

In a related article, Ryan Cooper at the Washington Post’s Plum Line points out: 

About 5 million people will be without health care next year that they would have gotten simply if they lived somewhere else in America. . . . The court effectively left it up to states to decide whether to open Medicaid, the federal-state program for the poor and disabled, to more people, primarily poor working adults without children. . . .

Twenty-five states declined. That leaves 4.8 million people in those states without the health care coverage that their peers elsewhere are getting through the expansion of Medicaid, according to a Kaiser Family Foundation estimate. More than one-fifth of them live in Texas alone, Kaiser’s analysis found.

Expanding healthcare coverage has been, and will continue to be, a struggle. But it is the good fight. It’s our hope that the circle of coverage will expand steadily, eventually to include all Americans, and that the insured will be able to have their policies in good health (that is, not to need them for anything too serious).

Further Reading

Healthcare.gov

Kaiser Family Foundation

Healthcare coverage at Think Progress

Healthcare at Mother Jones

Healthcare at The Nation

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Positively Giddy

Saturday, October 5th, 2013

The Only Thing They Have to Fear Is . . . Government Itself

Pre-Existing Condition

“We’re very excited. It’s exactly what we wanted, and we got it.” —Rep. Michele Bachmann (R-MN)

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“The mood in the Capitol on Saturday, at least among Republicans, was downright giddy. When Republican leaders presented their plan in a closed-door meeting on Saturday, cheers and chants of “Vote, vote, vote!” went up. As members left the meeting, many wore beaming grins.” —NYT 9/28/13

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“[Economists] make all sorts of predictions. . . . Many times they’re wrong, so I don’t think we should run government based on economists’ predictions. —Rep. John Fleming (R-LA)

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“There is no such thing as a debt ceiling in this country. I would dispel the rumor that is going around that you hear on every newscast that if we don’t raise the debt ceiling we will default on our debt. We won’t.” —Sen. Tom Coburn (R-OK) on CBS This Morning, 10/8/13

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They’ve Been Planning a Shutdown for Years

Isn’t it delightful that they are so pleased with themselves? The 80-odd members of Congress known as the Tea Party caucus who insisted on this government shutdown and repeatedly refused to negotiate a budget with the Senate—these distinguished members of Congress continue to be paid from their $174,000-per-year salary. (Congressional salaries have come to $2.6 million as of Oct. 10; see chart below.) Meanwhile, 800,000 “nonessential” federal workers from the Nuclear Regulatory Commission, the National Hurricane Center, the Centers for Disease Control, inspectors at the Food and Drug Administration, Department of Agriculture, and the Consumer Product Safety Commission; staff at NASA, EPA, FEMA, and the National Park Service, and other federal agencies and departments are made to stay home with no pay, or to work with no pay. (See “Five Ways the Government Shutdown Is Threatening Our Health and Safety.”)

These distinguished members of Congress who style themselves “fiscal conservatives” and rail against federal debt, who recently voted to cut $4 billion per year from programs that feed the needy, are costing the nation $1.6 billion every week while the government is shut down. That’s $40 million per hour. The shutdown is now in its second week, and, other than insisting on getting their way, and issuing new demands daily, the House Republicans have no plan to restart the U.S. government.

US deficit 2013[ Republicans speak constantly of “this growing federal deficit,” but ignore the fact that in the Obama years, the deficit has been steadily shrinking, and ignore the fact that in 2001 George W. Bush inherited a budget surplus from Bill Clinton, and (aided by their votes) left Barack Obama with a $1.3 trillion budget deficit. The bar graph here—click for a closer look—shows the years 2008–2013 (projected). See the bars getting smaller? ]

From Think Progress and The Washington Post’s Wonkblog, here are  just a few of the immediate consequences of the government shutdown:

Food and Nutrition: Food stamps will still be available, but the Women, Infants, and Children (WIC) nutrition program, a service meant to help new and expecting mothers and their young children get nutritious foods, will not. Roughly 9 million Americans depend on WIC.

Housing: The nation’s 3,300 public housing authorities will stop receiving payments from the Department of Housing and Urban Development.

Disaster Relief: In preparation for a potential shutdown, the Utah National Guard is holding off on sending a team to help rebuild areas in Colorado devastated by massive floods last week.

Health Care: The National Institutes of Health will stop accepting new patients and delay or stop clinical trials.

Financial Services: The Small Business Administration will stop making loans, federal home loan guarantees will likely go on hold, and students applying for financial aid could also see delays and backlogs in applications.

Think Progress notes, “All this will come at a price. The last two shutdowns during the Clinton era—one lasted six days in 1995 and another stretched 21 days at the end of 1995 and beginning of 1996—cost the country 0.5 percentage points of gross domestic product (GDP) growth and more than $2 billion (in today’s dollars) in unnecessary expenses—as government employees abandoned their jobs to prepare for the shutdown.”

For more on how the shutdown will affect day-to-day life, click here and here. The NBC News chart below was published on Oct. 10, ten days into the shutdown.

ShutdownChart

The Shutdown Is Not (Only) about “Obamacare”

“We need to make sure that you are going to be with us when we shut down the government, which we will do if we win the majority this year.” —Rep. Lynn Westmoreland (R-GA), addressing Faith & Freedom Conference, 2010

The tactic of shutting down the government, threatened or promised in 2010, as it was carried out by House Speaker Newt Gingrich in 1995, was originally intended to enforce fiscal restraint. The hardline Tea Party caucus of some 80 members pivoted to apply the threat of a shutdown as a way of repealing the Affordable Care Act, which they call, pejoratively, “ObamaCare.”

“We urge you not to bring to the House floor in the 112th Congress any legislation that provides or allows funds to implement ObamaCare . . .” —Aug. 21, 2013, letter from Reps. Michele Bachman, Jim Jordan, and about 80 other Tea Party caucus representatives to Speaker John Boehner

6th Congr.Distr-LAIt is important to understand that the Republican members driving this thing have been not only threatening but also promising to shut down the government at least since they were running for office in the 2010 midterm congressional elections. These radical congressmen—and they are not “conservatives,” as they like to call themselves, but are extremists, anarchists—are mostly white men from gerrymandered districts who are largely safe from any electoral consequences: they won’t have to pay a price for their brinksmanship and shenanigans in the next election because everyone in their district (which may look like the 6th district of Baton Rouge’s Bill Cassidy, M.D., shown at right) thinks very much the way they do. Either they do not have many poor people, people of color, immigrants, or college-educated liberals in their districts to worry about, or those minorities who do live, or try to eke out an existence, in their districts will most likely have a harder time voting, if they’re still on the list, next time around.

“Cut It or Shut It . . . We Want Less”

Before the current shutdown, Congressional Republicans have threatened seven times to take the government down, or take the economy over a cliff (remember the fiscal cliff?), just since early 2011. They have been looking for excuses to “cut it or shut it.”

As Steven Benen wrote in “A Series of Near-Death Experiences” at the Maddow Blog:

In April 2011, congressional Republicans threatened a government shutdown. In July 2011, congressional Republicans created the first debt-ceiling crisis in American history. In September 2011, congressional Republicans threatened a government shutdown. In April 2012, congressional Republicans threatened a government shutdown. In December 2012, congressional Republicans pushed the nation towards the so-called ‘fiscal cliff.’ In January 2013, congressional Republicans briefly flirted with the possibility of another debt-ceiling crisis. In March 2013, congressional Republicans threatened a government shutdown. 

And now . . .

Why John Boehner is allowing a comparatively small group of representatives in the House to control the agenda is beyond our understanding, though we can imagine he wants to keep his position as Speaker of the House. At least it was beyond comprehension before a front-page article in the Sunday, Oct. 6, New York Times, “A Federal Budget Crisis Months in the Planning,” reported that the billionaire conservative activist Koch brothers, Charles and David Koch, had put some $200 million into fighting the Obama healthcare law, funding such groups as Tea Party Patriots, FreedomWorks, Americans for Prosperity, and Heritage Action, a close relation to the Heritage Foundation. These groups ran media spots against some 100 Republican members of Congress who declined to sign on to the Tea Party letter to House Speaker John Boehner mentioned above.

Cracks Appear in Republicans’ United Front

Business, and even some conservative action groups, worried that this has gone on too long already, are beginning to back away from the hardline House Republicans. On October 9, the Koch brothers sent a letter to Congress stating that Koch Industries “has not taken a position on the legislative tactic of tying the continuing resolution [for funding the government] to defunding Obamacare.” Similarly, on the same day, Heritage Action CEO Michael Needham gave essentially the same message to reporters.

“We’re not going to be disrespected. We have to get something out of this. And I don’t know what that even is.” —Rep. Marlin Stutzman (R-IN)

photo-tea-party-shut-it-down1The Republicans have no plan to end the standoff. They have dug themselves in too deep to pull back out. They insist that the president and the Democrats must compromise. But the Senate passed a continuing resolution some six months ago, and at least four times the House Republicans refused to join in a conference to work up their own budget proposal (as happens in a functioning Congress) because that would have required some compromise. Further, the “clean” budget bill that the Senate has been trying to get the House Republicans to vote on is billions below what the White House requested. The House Republicans held off because they wanted to drive this up to the very brink—they wanted leverage to make demands for further cuts, and then, with the Tea Party caucus’s urging, for defunding and repeal of “Obamacare”—and then, if necessary, over the cliff. Now the car is falling, falling, and they don’t know how to repeal gravity, either.

What worries business leaders and Wall Street is that vocal members of congressional Republicans apparently do not believe that blowing through the debt ceiling (around November 1) is anything to worry about. Economists across the spectrum see a default on the national debt as insane and catastrophic, with global repercussions that could dwarf the financial meltdown of 2008, but even Republican senators are blithely unconcerned. On Oct. 9, the ninth day of the shutdown, Fidelity Investments sold off its U.S. Treasury bonds out of concern that the government may indeed default, and the U.S. government’s borrowing costs have risen sharply—another unnecessary addition to the national debt brought to us by the “fiscal conservatives.” (“Deadlock Worry Jolts the Market for T-Bills”)

The Huffington Post has been running a list of Republican members of Congress who say they are willing to cast an up-or-down vote on a budget without “repeal Obamacare” strings attached. These members of Congress should be encouraged (contact information here) to stand up, speak out, and implore their likeminded members to vote with Democrats to restart the government. Perhaps this has gone on long enough?

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Geography of Inhumanity Posing as Fiscal Discipline

Below are two maps, the first (by The New Yorker) showing the congressional districts of the “suicide caucus” of Tea Party Republicans who pushed for the government shutdown. Almost every district has been made into an impregnable fortress where the representative can be as extreme as he or she wants to be without worrying about having to pay an electoral price.

Note the geographical similarities with the second map (by The New York Times), which shows the areas of the United States where poor and uninsured Americans live. The two maps are essentially the same: the hardline conservatives pushing the shutdown largely represent the states whose governors and legislatures refuse to allow expansion of the Affordable Care Act (“Obamacare”), even though they have high populations of poor, unhealthy people.

•  “Where the Suicide Caucus Lives” (The New Yorker, 9/26/13), showing districts of Republicans who signed a letter demanding that Speaker John Boehner pass legislation to defund Obamacare

•  “Millions of Poor Are Left Uncovered by Health Law” (The New York Times, 10/2/13)

SuicideCaucusCongressDistricts_final_big-01

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Where Poor and Uninsured Americans Live

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Top illustration by Chamomile Tea Party.

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