Trumpcare’s Terrible, Horrible, No Good, Very Bad Week

America currently has a health reform model that has given it the highest rate of health insurance coverage in history, covering more than 20 million of its most difficult to insure citizens.  It has helped those 20 million Americans avoid having their lives ruined by crushing medical bills, or shifting those costs onto other Americans.

Gallup_uninsured_chartAnd despite years of heavily-financed and relentless attacks on the model, most Americans now have a favorable impression of it.

The Affordable Care Act (ACA) system isn’t perfect.  Yes liberals, a Medicare for All system would be much more effective and efficient than the current ACA system. Yes conservatives, this ACA needs adjustments, though, to borrow from Mark Twain, the reports of its death spiraliness have been greatly exaggerated.

Fact Check:  Obamacare Is Not In A Death Spiral

“You could, I think, relatively simply address the issues that the exchanges have,” said Dan Mendelson, president of Avalere Health, a health consulting firm, noting that other major programs including Medicare have been tweaked repeatedly since their creation.

Now President Trump and the Republicans want to blow up the ACA model — the one that covered the most Americans in history — in favor of a model that will cause an estimated 6 million to10 million Americans to lose their coverage. Their alternative particularly hurts the low-income, rural and elderly.  To add insult to injury, it shoehorns in a grotesquely large tax cut for the wealthiest Americans, at a time when we have the worst inequality in incomes since the 1920s.  The alternative is vehemently opposed by doctors, nurses, hospitals, seniors, conservatives, and liberals. And Republicans promise to pass it within three weeks, without cost estimates if necessary, after complaining about the ACA being “rammed through” over 13 months.

This is the political and policymaking genius that is Trumpcare.

Will Rogers said, “this country has come to feel the same when Congress is in session as when the baby gets hold of a hammer.” Never has that been more true than now.

Hillary, the ACA and the Art of the Possible

Cursor_and_hillary_clinton_-_Google_SearchThough I’m a solid Hillary Clinton supporter, I don’t particularly relish defending her at water coolers, dinner tables and social media venues.  When defending Hillary Clinton to those who hoped for more, I often feel like I do when defending the Affordable Care Act (ACA) to those who hoped for more.

To be clear, neither Hillary nor the ACA were my first choice. Elizabeth Warren and single payer were my first choices.

Neither Hillary nor the ACA are as bold as I’d prefer. They both promise modest incremental change, rather than the more revolutionary change that is needed.

Neither Hillary nor the ACA are, shall we say, untouched by special interests. The ACA is the product of accommodations made to private health insurers, physicians and the pharmaceutical industry, while Clinton is the product of accommodations made to corporations, unions and military leaders.

Also, neither Hillary nor the ACA are easy to understand. Hillary is a wonk’s wonk whose eye-glazing 20-point policy plans don’t exactly sing to lightly engaged voters.   Likewise, the ACA has given birth to 20,000 pages of the densest regulations you’ll ever find. (By the way, a primary reason the ACA is so complex is that conservatives and moderates insisted that it accommodate dozens of for-profit insurance companies instead of  using the more linear single payer model that has been proven effective and efficient by other industrialized nations. In this way, the need for much of the ACA complexity was created by conservatives, not liberals.)

At the same time, neither Hillary nor the ACA are anywhere near as bad as the caricatures created by their demagogic critics. Hillary is not a serial liar and murderer any more than the ACA led to “Death Panels” and force-fed birth control.

The bottom line is that both Hillary and the ACA, for all their respective flaws, are far superior to the alternatives. The steady, smart, savvy, and decent Clinton is much better than the erratic, ignorant, inept and vile Trump. The current ACA era, with a 9.2% uninsured rate (4.3% in Minnesota, where the ACA is more faithfully implemented than it is in many states) and all preexisting conditions covered is much better than the pre-ACA status quo, with an uninsured rate of 15.7% (9% in Minnesota) and millions denied health coverage because of pre-existing medical conditions.

Hillary and the ACA both bring progress, but they are hardly the final word.  The fact that I am supporting the ACA in 2016 doesn’t mean I’m going to stop advocating for ACA improvements, a Medicare-for-All option and ultimately a single payer system. The fact that I am supporting Hillary in 2016 doesn’t mean I’m not going to push for more progressive, bold, compelling and independent leaders in the future.

But politics is the art of the possible.  Hillary and the ACA are what is possible at this point in the history of our imperfect democracy.   As such, I can champion both comfortably, if not entirely enthusiastically.

Progressives and Moderates Intrigued By Gary Johnson Should Look Deeper

Cursor_and_gary_johnson_funny_-_Google_SearchWhen I started seeing ads and social media chatter about former Republican Governor Gary Johnson running for President, I went to OnTheIssues.org to learn more.

I liked some of what I saw on foreign policy and law enforcement reform, but one line jumped out at me as particularly disturbing. It said Governor Johnson wants to:

“cut the federal budget by 43%.”

Just to be clear, a 43% cut in federal spending would constitute a major conservative revolution.  That would bring a much deeper reduction in government services than has been proposed in the past by ultra-conservative firebrands such as Barry Goldwater, Ronald Reagan, Pat Buchanan, Newt Gingrich, John Boehner, Mitch McConnell, Ted Cruz, or Michele Bachmann.

Still, I realize that a 43% cut has surface appeal.  After all, nobody feels a deep affinity for the abstract notion of “the federal government budget.” But budgets are collections of individual programs that deliver individual sets of services and benefits to Americans,  so we need to evaluate Johnson’s radical austerity plan on a program-by-program basis.

So, my fellow Americans, which federal services are you willing to cut by 43%, as Gary Johnson proposes.

Cut Infrastructure by 43%?  For instance, are the American people willing to cut infrastructure investments by 43%?  Do we want to slash investment in roads, bridges, transit, trains, airports, water and sewage systems, and the like?  A GBA Strategies survey finds that an overwhelming 71% of Americans want to spend $400 million more on infrastructure, not less.  Only 13% oppose such a massive federal government spending increase.

Cut Medicare by 43%?  Do the American people want to cut Medicare by 43%? After all, Medicare is a huge and growing part of the federal budget.  Americans not only don’t want to cut Medicare, more than three-fourths (77%) of Americans want to fund a new, massively expensive Medicare-for-All option.  Only 17% oppose such an expansion of government services and spending.

Cut Social Security by 43%?  Maybe Americans want to cut Social Security benefits by 43%?  While Social Security represents an enormous slice of the federal pie, the vast majority of Americans not only don’t want to cut Social Security benefits, a whopping 70% want to strengthen them.  Only 15% oppose expanding Social Security benefits.

Cut National Defense by 43%?  What about a 43% cut in national defense spending? Gallup finds that only 32% of Americans support national defense budget cuts.

Cut Other Programs by 43%?  Similarly, the GBA survey finds that an overwhelming majority of Americans want major government spending increases for green energy technology (70% support, 20% oppose), debt-free public higher education (71% support, 19% oppose), and subsidies for high quality child care  (53% support, 33% oppose) . There is no public appetite to cut any of those federal programs by 43%, as Governor Johnson proposes.

In other words,  only a thin slice of the most deeply ultra-conservative voters support Johnson’s fiscal austerity ideas.  Therefore, more moderate voters who are concerned about the nation’s poor, middle class, national security and global competitiveness need to learn about the implications of Johnson’s fiscal proposals before they jump on the Johnson bandwagon.

The Wrong Bernexit

So you, like me, voted for Senator Bernie Sanders for President. Now maybe you’re considering switching allegiances to the Libertarian presidential candidate, Governor Gary Johnson?

I respect your decision to shop around and do thoughtful research.  Here’s something to inform your decision.

Gary Johnson Bernie Sanders positions table2

(Source for Sanders positions here.  Source for Johnson positions here.  Source for estimate of Sanders spending increase total here.)

Yes, Governor Johnson would do some very smart and important things, such as scale back the war on drugs and be careful about entering military quagmires. But most of the centerpiece policies championed by Senator Sanders are vehemently opposed by Governor Johnson.

Bernie Needs To Give Democrats One Final Parting Gift

Sanders_from_behindPresidential candidate Bernie Sanders has already given much to the Democratic Party. But even though his chances of being nominated remain slim, he still has a bit more he could give to his adopted party.

Largely because of Clinton’s dominance when it comes to establishment-oriented super delegates, we’re being told by elite analysts like FiveThirtyEight’s Nate Silver that Hillary will likely be nominated, even after a likely Sanders win in Wisconsin today and a possible win in Clinton’s home state of New York. Sanders’ exit from the stage couldn’t come soon enough for frustrated supporters of Hillary Clinton, who see Sanders as an annoying speed bump on her trip down Inevitability Lane.

Bernie’s Gifts To Democrats

But the fact is, Sanders’ questioning of Clinton has helped her improve as a candidate. Though still too cautious and programmed, Clinton is a better candidate now than she was before Sanders joined her on stage.

Beyond changing candidate Clinton for the better, Sanders has also changed the Democratic party for the better. This longtime political independent has reminded Democratic partisans that it’s okay to dream of progressive policies that go beyond the cautious incrementalism ushered in during the 1990s by the Clintons and their center-right Democratic Leadership Council (DLC).

With every major western nation operating universal health care systems that are more fair, effective and efficient than today’s complex Rube Goldberg-style Affordable Care Act (ACA) machinery, Sanders reminded Democrats that it’s reasonable to both appreciate the progress being made under the ACA, while continuing to fight for the superior single payer models.

Sanders also reminded Democrats that a college degree is as vital today as a high school degree was at the time the American public education system was created, so we need to keep fighting to update our public education system by offering tuition-free public higher education.

Sanders reminded Democrats that even Republican presidents such as Bush, Reagan, Nixon and Eisenhower all required wealthy Americans to pay more to support their country than we do today, so it’s reasonable to ask more of the wealthy again to help rebuild the American dream for the lower- and middle-class.

Sanders reminded Democrats that the party that created a wide array of popular socialist programs that built the great American middle class — New Deal job programs, Social Security, the GI Bill, the Rural Electric Administration, Medicare —  doesn’t need to cower in fear every time conservatives label their proposals as “socialism.”

Finally, Sanders shined a light on the corrupting influence that big money has had on America’s corporatized Congress.

Democrats owe the Independent Senator a debt of gratitude.  The fact that many to most of Sanders’ proposals could not have passed in the short-term with a Republican-controlled Congress does not mean that progressives shouldn’t advocate for those policies, to improve their viability over the long-term.  It’s self-defeating to allow do-nothing congressional conservatives to limit how Democrats use the bullypulpit.

Bernie’s Parting Gift

But where does Sanders go from here? If delegate geeks like Nate Silver are correct that it’s impossible for Sanders to come from behind to win the nomination, should he just pull out of the race, as indignant Clinton supporters have been demanding?

Before Sanders leaves the stage, I’d ask one more favor of him:   Expose Trumponomics for what it is.   To limit the number of Sanders refugees who are tempted to support Trump over Clinton in November, Sanders should spend the next few weeks exposing the fraud Mr. Trump is attempting to perpetrate on Americans.

For instance, Sanders should explain that billionaire Trump may claim that his partial self-financing makes him independent from the uber-wealthy interests, but Trump’s tax plan exposes the truth. According to a Tax Policy Center (TPC) analysis, Trump’s tax plan would give an average tax cut of $1.3 million per year to the richest one-tenth of one percent.  Sanders should make sure his audience understands that billionaire Trump plans to further enrich his fellow billionaires.

Sanders should also explain how the businessman’s proposals will destroy the American economy, rather than make America “win so much will be sick of winning.” For instance, look at what Mr. Trump’s plan to lavish the mega-rich with tax breaks would do to the national debt:

“The Tax Policy Center estimates the proposal would reduce federal revenue by $9.5 trillion over its first decade and an additional $15.0 trillion over the subsequent 10 years, before accounting for added interest costs or considering macroeconomic feedback effects.”

Some have suggested that Sanders and Trump compete for the same type of voters, those most frustrated with the status quo. Therefore, before Sanders leaves the stage, he should conduct a seminar for “open to Trump” voters about the fraud Mr. Trump is attempting to perpetrate on them. Doing so could constitute Bernie’s greatest gift of all to the Democratic Party.

Note:  This post was also chosen to be featured by MinnPost’s Blog Cabin.

Sanders Drawing Wrong Parallels To Explain Democratic Socialism

Cursor_and_Denmark_flag_-_Google_SearchWhen presidential candidate Bernie Sanders explains why Americans shouldn’t fear his “democratic socialism,” he usually points to Scandinavia.

“I think we should look to countries like Denmark, like Sweden and Norway, and learn what they have accomplished for their working people. In Denmark, there is a very different understanding of what “freedom” means… they have gone a long way to ending the enormous anxieties that comes with economic insecurity. Instead of promoting a system which allows a few to have enormous wealth, they have developed a system which guarantees a strong minimal standard of living to all — including the children, the elderly and the disabled.”

His opponent, Senator Hillary Clinton, who clearly understands American exceptionalism biases, quickly shuts down Sanders’ arguments with a smug shrug: “We are not Denmark.”

By continually citing countries other than America to explain democratic socialism to Americans, Senator Sanders is hurting his case. Instead of pointing to Norway, he should more consistently cite the New Deal.

First, let’s consider the definition of “democratic socialism” offered by Democratic Socialist’s of America:

“Democratic socialists believe that both the economy and society should be run democratically—to meet public needs, not to make profits for a few. To achieve a more just society, many structures of our government and economy must be radically transformed through greater economic and social democracy so that ordinary Americans can participate in the many decisions that affect our lives.”

Truth be told, the United States of America is no stranger to this kind of democratic socialism. It was brought to us during some of the most successful and popular presidencies of the past century. Teddy Roosevelt, Franklin Roosevelt, Harry Truman, and Dwight Eisenhower enacted a whole series of popular measures that fit under this definition of democratic socialism.  At the time their ideas were proposed, they were criticized as infeasible, un-American and socialistic, just as Sanders’ ideas are today.

Therefore, Senator Sanders should be explaining his democratic socialism with American examples that a large majority of Americans already know and love. Sanders might say something like this:

You want to know what democratic socialism is? When the great Republican Teddy Roosevelt dissolved 44 corporations to protect the middle class, and when he protected ordinary Americans from the railroad companies and other big corporations, his critics said “you can’t pass that, because it’s socialism.”  But he passed them anyway, because the American people demanded it.

When the enormously popular Franklin Roosevelt used government funding to put Americans to work building community infrastructure, they said “you can’t pass that, because it’s socialism.” When FDR proposed a Social Security system of government-run pensions that lifted millions of American seniors out of poverty, conservatives said “you can’t pass that, because it’s socialism.”  But he passed those things anyway, because the people demanded it.

When Harry Truman enacted Medicare, people like Ronald Reagan called that socialism too.

And you know what? When Republican Dwight Eisenhower invested in an enormously expensive interstate highway system and had 90% income tax rates on the ultra-wealthy, they said it again: “You can’t pass that, because that’s socialism.”  But he passed those things anyway, because the American people demanded it.

And despite the dire predictions from critics, America’s economy prospered under these policies that were all predicted to be catastrophic for the economy.

So in 2016, when the defeatist “no you can’t” crowd tells Americans “you can’t pass bills to provide higher education and health care to all, because that’s socialism,” I get my inspiration and courage from Teddy, FDR, Give ‘em hell Harry and Ike.  Because of them, I know America can overcome the cynics’ name-calling and naysaying to do great things for the middle class now, just as we did then.”

Democratic socialism is already in America, and it is enormously popular. Surveys consistently show that Americans are vehemently opposed to cutting or eliminating democratic socialist programs such as Medicare, Social Security, and the minimum wage.

Americans not only have embraced democratic socialism in the past, they strongly support it for the future. A recent GBA Strategies poll shows that likely 2016 voters overwhelmingly support a whole range of Sanders’ ideas being dismissed as socialist ideas lacking sufficient political support:  Allowing governments to negotiate drug prices has 79% support. Medicare buy-in for all has 71% support. A $400 million infrastructure jobs program has 71% support. Debt-free college at all public universities has 71% support. Expanding Social Security benefits has 70% support. Taxing the rich at a 50% rate — the rate under conservative icon Ronald Reagan — has 59% support, and only 25% in opposition. Breaking up the big banks has 55% support, and only 23% in opposition.

This is hardly a portrait of a nation that opposes democratic socialism.  Overwhelming support for democratic socialism is already there, ready to fuel a 2016 presidential candidate.  But for two reasons, Senator Sanders needs to cite American parallels to explain his approach, not European.

First, citing examples of American policies will help build confidence that bold measures can be enacted over fierce opposition now, just as they were in the days of Teddy, FDR, Truman and Ike.  Second, citing American examples will paint Sanders’ democratic socialism label and his policy ideas red, white and blue, rather than just red.  It will show that such ideas have been embraced in the past by idolized Republicans and Democrats.  It subsequently will normalize democratic socialism.

Americans are in a very nationalistic, ethnocentric and nostalgic mood. So, rather than continually pointing to the Rikstag, Storting, and Folketing to explain democratic socialsm, Sanders needs to point to the faces on Mt. Rushmore.

Note:  This post was chosen for re-publication in MinnPost’s Blog Cabin feature.