Category Archives: Obamacare

How Trump’s Legal Delaying Tactics Could Hurt Him

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Politics is sometimes shaped by the Law of Unintended Consequences (LUC). The actions that politicians take expecting a particular result can sometimes lead to unanticipated outcomes.

For instance, in 2011 Minnesotans saw the Law of Unintended Consequences come into play when Republican political hacks in the state legislature voted to put a same-sex marriage ban on the ballot. Their thinking was that a majority of Minnesotans, who they assumed were as eager as they were to outlaw marriage equality, would turn out in the 2012 elections to pass the amendment. They then hoped that the voters attracted by the marriage ban would elect anti-LGBTQ Republicans.

It didn’t work out that way. To the surprise of many, the Republican’s same-sex marriage amendment was rejected by 51.9% of Minnesota voters. This made Minnesota the first state to reject such a ban at the ballot box. To make matters worse, Republicans lost control of the Minnesota Legislature. 

This allowed state Democrats to pass a statute legalizing same-sex marriage in 2013. 

In other words, the heated debate over the Republican-generated ballot measure made Minnesotans more accepting of same-sex marriage, not less. In this way, the Republicans’ ban plan led to a legalization law. Go Law of Unintended Consequences!

Similarly, at the national level, the 70 times congressional Republicans tried and failed to repeal the Affordable Care Act (ACA)/Obamacare forced previously cowed and muted ACA supporters to finally explain the tremendous value of the ACA.  As a result of their pro-ACA advocacy during those 70 debates, an overwhelming two-thirds of Americans now support the preexisting conditions protections of the ACA.  Support for ACA repeal is now just 17%.

As with same-sex marriage in Minnesota, the once-unpopular ACA became quite popular, thanks to Republicans’ efforts to kill it.

With these LUC examples in mind, I’m hoping that the LUC might come to the rescue when it comes to Team Trump’s relentless efforts to delay his pending criminal trials. Through a series of legal maneuvers, Trump’s army of lawyers has been pushing out the start of trials, presumably so that verdicts and appeals can’t be finalized prior to the November 2024 election. 

U.S. News and World Report, March 15, 2024

The chances are good that Trump’s delay tactics will largely do exactly what they are intended to do, help him once again escape legal and electoral accountability. But maybe, just maybe, they could hurt him. Here’s how:

If Trump’s criminal trials were happening this winter or spring, as originally hoped, the damaging information spotlighted during the heavy coverage of the criminal trials could by November be largely forgotten by lightly engaged, easily distracted swing voters.  On issue after issue, we’ve seen that swing voters have the attention spans of gnats. The news they’re casually focused on today could easily get forgotten by the time they vote seven months from now.

But if Team Trump’s delay tactics cause the insurrection-related testimony to be dominating the news in early fall, that could make those issues much more top-of-mind for voters during the closing days of the campaign.

Imagine a September and/or October dominated by wall-to-wall news of insurrection trial coverage.  This coverage is constantly showing voters alarming images of Trump supporters assaulting police. Imagine swing voters seeing the mountain of evidence showing Trump doing nothing to stop the bloody assault and subsequently praising the rioters.  Imagine them hearing law enforcement officers and Trump’s most loyal supporters and staff giving damaging blockbuster testimony about the bloody chaos that Trump created, relished, and glorified.

Imagine that this is what swing voters are hearing in the immediate lead-up to the election, rather than Trump’s most effective criticisms of Biden about the economy and immigration. And all of this is coming to them via a judicial setting, which feels more weighty and credible to them than the 2022 congressional hearings.

Even though the verdict and appeals wouldn’t be completed by Election Day in this scenario, these are hardly the final images Trump’s campaign strategists want in undecided voters’ minds as they head to the ballot box.  If the trial timing worked out this way, the delay tactics could unwittingly keep the insurrection nightmare fresher in voters’ minds than would have been the case if the trials hadn’t been delayed and were happening now.

Again, this is a long shot. The more likely outcome is that Trump’s delay tactics will cause him to largely push his law-breaking out of voters’ minds until after the election.

But who knows, maybe we will have a little LUC.

Are Progressive Candidates “Out of Touch?”

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Among political reporters and pundits, the fashionable take on Democratic presidential candidates is that they’re recklessly veering too far to the left, consequently putting their chances of defeating Donald Trump at risk. That critique is all the rage.

Fox News‘s Howard Kurtz::

“But the Democrats are in danger of marching so far left that they go over a cliff. That’s not just my view. Mainstream reporters, who tend to be less sensitive to liberal positions that match their personal views, are openly acknowledging and debating the dramatic shift. It was even on the front page of The New York Times.”

The New York Times:

“The Democratic debates this past week provided the clearest evidence yet that many of the leading presidential candidates are breaking with the incremental politics of the Clinton and Obama eras, and are embracing sweeping liberal policy changes on some of the most charged public issues in American life, even at the risk of political backlash. But with moderate Democrats repeatedly drowned out or on the defensive in the debates, the sprint to the left has deeply unnerved establishment Democrats, who have largely picked the party nominees in recent decades.” 

Time:

“That sound you heard in Miami on Wednesday evening? El partido demócrata dando un fuerte giro a la izquierda. The screech of a Democratic Party swerving hard to the left.  As the first 2020 Democratic debate wrapped here, there was a palpable sense that the 10 contenders on stage were reflecting the sentiments of the most liberal corners of the party.”

Yes, Democrats are more liberal than they have been in my lifetime.  Yes, it’s possible that they could eventually go too far. But I disagree with the punditosphere that Democrats have hit that point.

Why Moving Left?

The explanation of aghast pundits has been that Democrats are supporting progressive policies for two primary reasons: 

  • Echo Chamber Parrots. First, they argue that Democrats are more liberal because they spend too much time in self-reinforcing  “echo chambers” — social media and cable news channels where like-minded ideologues radicalize each other and get isolated from opposing viewpoints. Pundits say candidates spend too little time in the habitat of “real people,” which they usually identify as Mayberry-esque Main Street cafes.
  • Liberal Bidding War. Also, pundits explain that Democrats are now more liberal because they’re desperately trying to out-liberal each other to court ultra-liberal primary and caucus voters.

These are both very real occupational hazards for politicians, and valid contributory factors for the shift to the left.  I don’t disagree with them, but they’re not the only explanations.

Democrats Are Listening To Americans

Many reporters and pundits are missing or under-emphasizing another explanation that is at least as important,: 

  • Listening To Americans. Democrats are moving left because they are actually listening to Americans.

Democrats are not just marching in lockstep with Rachel Maddow, Moveon.org, Daily Kos, Paul Krugman, and Bernie Sanders. They’re not just trying to one-up each other. They’re also reading the survey research.

The polls support a move to the left. For instance, market researchers are finding that Americans’ support for progressive policymaking is at a 68-year high.   

The American Prospect recently compiled a long list of recent survey polls showing overwhelming majorities of Americans embracing a broad range of progressive attitudes and policies, excerpted below. Remember, the following is dozens of independent statistically significant surveys speaking, not the liberal American Prospect magazine speaking:

The Economy

82 percent of Americans think wealthy people have too much power and influence in Washington.

78 percent of likely voters support stronger rules and enforcement on the financial industry.

Inequality

82 percent of Americans think economic inequality is a “very big” (48 percent) or “moderately big” (34 percent) problem. Even 69 percent of Republicans share this view.

66 percent of Americans think money and wealth should be distributed more evenly.

72 percent of Americans say it is “extremely” or “very” important, and 23 percent say it is “somewhat important,” to reduce poverty.

59 percent of registered voters—and 51 percent of Republicans—favor raising the maximum amount that low-wage workers can make and still be eligible for the Earned Income Tax Credit, from $14,820 to $18,000.

Taxes

76 percent believe the wealthiest Americans should pay higher taxes.

60 percent of registered voters believe corporations pay too little in taxes.

87 percent of Americans say it is critical to preserve Social Security, even if it means increasing Social Security taxes paid by wealthy Americans.

67 percent of Americans support lifting the cap to require higher-income workers to pay Social Security taxes on all of their wages.

Minimum Wage

54 percent of registered voters favored a $15 minimum wage.

63 percent of registered voters think the minimum wage should be adjusted each year by the rate of inflation.

Workers’ Rights

74 percent of registered voters—including 71 percent of Republicans—support requiring employers to offer paid parental and medical leave.

78 percent of likely voters favor establishing a national fund that offers all workers 12 weeks of paid family and medical leave.

Health Care

60 percent of Americans believe “it is the federal government’s responsibility to make sure all Americans have healthcare coverage.”

60 percent of registered voters favor “expanding Medicare to provide health insurance to every American.”

64 percent of registered voters favor their state accepting the Obamacare plan for expanding Medicaid in their state.

Education

63 percent of registered voters—including 47 percent of Republicans—of Americans favor making four-year public colleges and universities tuition-free.

59 percent of Americans favor free early-childhood education.

Climate Change and the Environment

76 percent of voters are “very concerned” or “somewhat concerned” about climate change.

68 percent of voters think it is possible to protect the environment and protect jobs.

59 percent of voters say more needs to be done to address climate change.

Gun Safety

84 percent of Americans support requiring background checks for all gun buyers.

77 percent of gun owners support requiring background checks for all gun buyers.

Criminal Justice

60 percent of Americans believe the recent killings of black men by police are part of a broader pattern of how police treat black Americans (compared with 39 percent who believe they are isolated incidents).

Immigration

68 percent of Americans—including 48 percent of Republicans—believe the country’s openness to people from around the world “is essential to who we are as a nation.” Just 29 percent say that “if America is too open to people from all over the world, we risk losing our identity as a nation.”

65 percent of Americans—including 42 percent of Republicans—say immigrants strengthen the country “because of their hard work and talents.” Just 26 percent say immigrants are a burden “because they take our jobs, housing and health care.”

64 percent of Americans think an increasing number of people from different races, ethnic groups, and nationalities makes the country a better place to live. Only 5 percent say it makes the United States a worse place to live, and 29 percent say it makes no difference.

76 percent of registered voters—including 69 percent of Republicans—support allowing undocumented immigrants brought to the country as children (Dreamers) to stay in the country. Only 15 percent think they should be removed or deported from the country.

Abortion and Women’s Health

58 percent of Americans believe that abortion should be legal in all or most cases.

68 percent of Americans—including 54 percent of Republicans—support the requirement for private health insurance plans to cover the full cost of birth control.

Same-Sex Marriage

62 percent of Americans—including 70 percent of independents and 40 percent of Republicans—support same-sex marriage.

For people who suffered through eras when the NRA, the Catholic Church, the health insurance lobby, the Moral Majority, the National Federation of Independent Businesses, the U.S. Chamber of Commerce, Americans for Tax Reform, and trickle downers like Reagan, Gingrich and Bush dominated politics and policymaking, these findings are pretty stunning.

Make no mistake, America has changed. A solid majority of Americans now are supportive of left-leaning policies, whether or not they self-identify as “liberal.” In a representative democracy, public opinion is supposed to have a powerful impact on candidates and policymakers, and it is.

“Scaring the Independents”

“Harumph,” say the grizzled veteran pundits and reporters. Hubris-laden Democrats are going to scare away the Independent voters and be responsible for four more years of Trump. 

That’s certainly a danger, and an important thing to monitor in coming months.   But remember, all of those polls listed above have a representative number of Independent voters in their samples, and breakouts show that on most issues a solid majority of Independents also are backing very progressive policy positions. 

In addition, when you look at how Independent voters are currently leaning, they are leaning in the Democrat’s direction by a net nine-point margin.


Obviously, these polls are just a snapshot in time, so Democrats could still lose Independent voters after they are exposed to hundreds of millions of dollars worth of attacks.  However, it’s worth noting that, after watching Democrats being lambasted for embracing progressive positions in recent years, Independents are still leaning fairly decisively blue.

Expanding the Electorate

Finally, let’s not forget that it will be easier for Democratic candidates to win if they can expand the electorate. That is, Democrats need to make the overall size of their electorate larger than it has been in past presidential election by motivating and activating the parts of their coalition that have traditionally voted in relatively low numbers, such as low-income people, people of color and young people. Even just a few percentage points improvement with those groups could impact the outcome of the 2020 elections up and down the ballot.

Positions in the “mushy middle” — ACA stabilization tweaks, incremental tax reform, inflation adjustments only to the minimum wage, semi-punitive immigration law changes, Pell Grant adjustments, etc. — probably won’t particularly motivate and activate these important voters.

Bolder progressive policies — Medicare-for All, Medicare buy-in option, repealing Bush and Trump tax cuts for the wealthy to fund help for struggling families, increasing the minimum wage to $15 per hour, family medical leave benefits, bold immigration law changes, higher education loan forgiveness — might.

Short-term Needs. So even if supporting progressive policies were causing Democrats to lose amongst Independent voters — and remember, so far the data seems to indicate that they aren’t — there is an argument for Democratic candidates to take those progressive stands anyway, in order to keep young people, poor people, and people of color from sitting out election day in large numbers, or backing a left-leaning third party candidate.

Long-term Needs. Appealing to those lightly voting groups with progressive policies is also important for the long-term future of the Democratic Party, not just the 2020 election. That’s because people of color are the fastest growing portions of the population, and today’s young people obviously will be voting for many years. Making those groups into committed members of the Democratic coalition would pay long-term dividends.

More Room To Grow. Still, some maintain that voter turnout is going to be so large in 2020, due to the polarizing nature of President Trump, that the size of the electorate will be maxed out without having to motivate lightly voting groups with progressive policies.

But when you look at the dramatically lower than average turnout figures for loyal Democratic constituencies in 2018, when their turnout levels were actually very high compared to 2014, it’s clear there is still much room for growth with these groups. For instance, 36% of young people voted in 2018, compared to 53% of the total population. Again, even an increase of a point or two in some of these categories could be decisive.

Who’s Out of Touch?

So yes, Democrats have indeed moved left in recent years. That much is obvious. But given this consistent stream of survey research from a wide variety of sources, I can’t agree with those who conclude that Democratic candidates are the ones who are “out of touch” with the pulse of the American people.

MN GOPers Aren’t the Health Care Saviors They Claim To Be

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Exuberant Minnesota Republicans seem to think they have a winning health care issue for the 2018 election season–reinsurance. And they do deserve a great deal of credit for helping to enact a state reinsurance program that is reducing premiums for Minnesotans in the individual market. The individual market is for the 162,000 Minnesotans who can’t get insurance from their employer or the government.

While their claim that premium increases in 2016 and 2017 were due to DFL policies is ridiculous, it is true that the Minnesota reinsurance program they helped pass is helping those consumers. As the Star Tribune reported:

Jim McManus, a Blue Cross spokesman, said that were it not for the state’s reinsurance program, the carrier’s Blue Plus HMO would be seeking an average individual market premium increase of 4.8 percent as opposed to the 11.8 percent decrease cited Friday by Commerce

Impressive, and Republicans deserve credit for this.

The Rest of the Story

But as Ricky Ricardo would say, before Minnesota Republicans can credibly brand themselves health coverage saviors, they still have some splainin to do.

Why Not National Reinsurance? First, they need to explain why their party – in complete control of the U.S. Senate, U.S. House and the Presidency and entire U.S. Executive Branch of the federal government – doesn’t enact reinsurance to help all Americans. Because of economies of scale and the need for market consistency, a national reinsurance program makes much more sense than a hodgepodge of variable state programs.

Moreover, if stabilizing the market and helping consumers pay less is good for Minnesotans, wouldn’t it be even more awesome to do that for all Americans?  That’s likely why 75% of Americans support enacting reinsurance at the national level.

Why Sabotage the ACA?  So why aren’t Rep. Erik Paulsen, Rep. Jason Lewis, Rep. Tom Emmer, Jeff Johnson or former Governor Tim Pawlenty pressing for reinsurance at a national level? Because they and their White House puppet master would rather sabotage the remarkably effective Affordable Care Act (ACA) than improve the ACA to help American families.

The list of things Trump and his congressional Trumpbulicans are doing to irresponsibly sabotage American families benefiting from ACA protections is long and breathtakingly irresponsible.  This is hurting tens of millions of struggling Americans.  Republicans are ignoring the 71% of Americans who say the Administration should do all it can to make the the ACA work, compared to just 21% who support efforts to make the ACA fail and replace it later.

Why Oppose Adding A MinnesotaCare Buy-in Option?  The other thing Republicans boasting about the state reinsurance bill need to explain is this: Why aren’t they supporting giving the 162,000 Minnesotans in the individual market a MinnesotaCare buy-in option?

The MinnesotaCare buy-in option would achieve much of what Republicans profess to support — more plan and doctor choices for consumers in sparsely populated areas, guaranteed coverage for all Minnesotans in sparsely populated areas, and more competition to control prices.

The fact that Minnesota Republicans won’t support the common sensical MinnesotaCare buy-in option proposal, won’t push for a national reinsurance program, and continue to actively sabotage the ACA makes their gloating about being health care saviors ring very hollow.

Five Anti-Trump Critiques Liberals Should Drop

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On dozens of issues, President Trump deserves criticism. In fact, one of the central challenges of the anti-Trump resistance is that he offers up so many examples of lies, corruption, destructive policies and incompetence that it can be difficult to remain focused on the things that most matter to swing voters who will decide the all-important 2018 elections.

With so much outrageous behavior in the White House, Trump resisters don’t need to overstep. Moreover, overstepping detracts or distracts from more persuasive critiques.

But like the conservative base, the liberal base frequently does overstep with their critiques. Let me count the ways:

Appearance. The President is orange complected, obese and has bizarre hair. We all can see that on our own. Repeating it ad nauseam doesn’t win any converts, distracts from consequential issues, and makes the messengers look petty and small. So just stop.

P.S. The same applies to Trump’s staff. Snarky jokes about the appearance of Kellyanne Conway, Sarah Huckabee Sanders, and Steven Bannon detract and distract from real issues and make the messengers look like shallow bullies.

Junk. The obsession with presidential phallic matters is wrong on many levels. It’s pure speculation, has absolutely no bearing on his job performance, and makes critics sound like small-minded middle schoolers. Think of it this way: What would liberals think if conservatives constantly commented on some aspect of a Senator Clinton’s genitalia?

Daughter. The fact that Trump says his daughter is beautiful and smart doesn’t mean there’s something creepy going on between them. That’s a leap too far that too many liberals make with absolutely no evidence.  It’s not fair, and it hurts them more than it hurts the President.

Wife. Sorry, but you can’t make conclusions about a marriage based on body language alone, something that is done constantly by Trump critics on social media. Besides, plenty of Presidents with troubled marriages were effective. So move on to more important issues.

Golf. Yes, it’s outrageously hypocritical that the man who constantly criticized President Obama for golfing and vacationing too much golfs and vacations much more than Obama did. But Trump is a failure because he is incompetent, an ultra-conservative and corrupt, not because he isn’t sitting at his desk enough.  So let’s stay focused on making THAT case.

So please, my fellow progressives, continue to criticize President Trump and his shameless Trumpublican enablers. TrumpCare cruelty. Tax handouts to billionaires and corporations. Russiagate. Foreign bribes.  Deficit spending hypocrisy.  A racist, unnecessary wall financed by Americans. Obstruction of justice.  Medicare and Medicaid cuts.  Serial lying.  Climate change idiocy. Gun protection obstruction. The sexual assault admission.  Racist immigration policies.  Childish, dangerous warmongering.  There is a very long list of things that liberals should stress in the 2018 elections.

But these five things should not be among them.

Five Reasons Democrats Should Push A Medicare-for-All Option

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As the next iteration of Trumpcare/Ryancare is finalized by warring conservatives, it’s fair to demand that Democrats share their post-Obama vision for health care.

Yes, Democrats need to be fighting efforts to repeal and replace the increasingly popular Obamacare/Affordable Care Act (ACA) system with Trumpcare/Ryancare. Though the ACA is the spurned love child of the Heritage Foundation, Orin Hatch, Newt Gingrich and Mitt Romney, it’s much more humane than Trumpcare/Ryancare, which would cause at least 24 million Americans to lose their Obamacare health coverage, and many more if states choose to further weaken protections.

Cursor_and_medicare-for-all_jpg__360×216_But for the long haul, Democrats need to set their sights higher than Obamacare. They must become full-throated champions for allowing Americans the option of buying into the Medicare system.  Here are five reasons why:

Reason #1. Medicare is popular “government run health care.” For decades, Republicans have robotically vilified “government run health care” and “socialized medicine,” presuming that Americans agree with them that government will screw up anything it undertakes.  And Democratic politicians have cowered in fear.

However, Medicare is a notable exception to that rule. While the private sector-centric Trumpcare/Ryancare has 17% approval and Obamacare has 55% approval, Medicare has the approval of 60% of all Americans, and 75% Americans who have actual experience using Medicare.  It’s not an easy thing for a health plan to become popular, so Medicare’s relative popularity is political gold.  Democrats need to tap into it.

Reason #2. Medicare is better equipped to control medical and overhead costs than private plans. Medicare has a single administrative system, while dozens of health insurance corporations have dozens of separate and duplicative administrative bureaucracies.  That decentralized approach to administration is expensive.

Also, for-profit health insurance corporations have to build profits and higher salaries into their premium costs. For instance, the insurance corporation United Health Care, to cite just one of dozens of examples, pays it’s top executive $33,400,000.   That’s 135 times more than the not-for-profit Medicare system pays its top executive, about $247,000.

Medicare also is large enough that it has a great deal of negotiating leverage.  It could have even more if Congress empowered Medicare to more effectively negotiate pharmaceutical prices.

Because of all of that, the Center for Budget and Policy Priorities finds:

Medicare has been the leader in reforming the health care payment system to improve efficiency and has outperformed private health insurance in holding down the growth of health costs…  Since 1987, Medicare spending per enrollee has grown by 5.7 percent a year, on average, compared with 7.0 percent for private health insurance.

So, if Democrats want to better control health care costs to help the economy and struggling Americans, the Medicare model offers the best hope for doing that, not the corporate-centric model that we currently are using.

Reason #3. A Medicare-for-All option is very politically viable. Most Democratic politicians understand that a Medicare-for-All option makes good sense policy wise, but shrug it off as politically infeasible. They’re dead wrong.

By a more than a 5-to-1 margin, Americans support having a Medicare-for-All option. An overwhelming 71% support it, while only 13% oppose it. If you won’t try to sell a proven progressive idea that is supported by a 5-to-1 margin, you have no business being in progressive politics.

While “government-run health care” has been a weak brand for brand for Democrats, they have a clear path for rebranding their agenda.  Medicare brand equity is right there waiting for Democrats to take advantage it, if they’ll only open their eyes to the opportunity.

Reason #4. A Medicare-for-All option will expose private health corporations as uncompetitive. Right now, one of the Democrats’ biggest political problems is that too many Americans have been brainwashed by conservatives into believing that the private sector is always more efficient and effective than the public sector. In other areas that don’t involve “public goods,” that is true, but not with health insurance.

The best way to bust that “private is always best” myth is to allow Medicare to sit alongside corporate health plans in the individual marketplace. If American consumers choose Medicare over private plans, because Medicare proves itself to be the cheapest and best option, then the conservatives’ “private is always best” myth finally will be busted.

Reason #5. A Medicare-for-All option can serve as a bridge to the best health care model – a public single payer system. The research is clear that countries who have single payer health care financing have better and cheaper health care than the United States has with it’s substantially private sector based health care system. For example, the nonpartisan, nonprofit Commonwealth Fund finds:

Even though the U.S. is the only country without a publicly financed universal health system (among 13 high-income countries: Australia, Canada, Denmark, France, Germany, Japan, Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom, and the United States), it still spends more public dollars on health care than all but two of the other countries. …despite its heavy investment in health care, the U.S. sees poorer results on several key health outcome measures such as life expectancy and the prevalence of chronic conditions.

Obscure research reports like this aren’t proving persuasive to American voters. But when younger Americans are able to see for themselves through their shopping that Medicare is cheaper and better than private health insurance options, Medicare will build a bigger market share.  After Medicare earns a larger market share, Americans may ultimately be much more open to shifting from a Medicare-for-all option to a Medicare-for-all single payer system that the United States ultimately needs in order to compete in the global marketplace and become a healthier nation.

It’s not enough for Democrats to only expose the reckless Trumpcare/Ryancare model and defend Obamacare status quo.  They must also promote a Medicare-for-All vision for moving America forward. With the current President and Congress, a Medicare-for-All option obviously can’t pass.  But aggressively promoting over the coming years will improve the chances that this Congress and President will soon be replaced and that a Medicare-for-All option can be enacted in future years.

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

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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.

Trump Resistance Roadmap

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For progressives aiming to win the hearts and minds of the 46% of American voters who supported Donald Trump in 2016, there is a  better and worse way to approach conversations and campaigns.

Slide1

For messages about the Trump policy agenda, the villain needs to be Trump flip-flops, not Trump voters.  The focus needs to be on Trump not keeping his 2016 promises, not on Trump voters being stupid for being conned in 2016.

Trump voters need a face-saving way out of this, so avoiding polarizing “I told you so’s” is critically important.

Much of what I currently see on social media and progressive media is using the “Trump voters are dumb” approach to messaging.  We need to stop.  Believe me, I understand why people are going there.  It’s very cathartic to say “I told you so,” but you can feel it entrenching Trump voters more deeply and permanently into Team Trump.

The messaging nuance recommended in this chart won’t win every Trump voter, but it gives progressives a more hopeful shot at winning a modest subset of them, such as voters who were more anti-Clinton than pro-Trump.  If only a small slice of the 46% of 2016 Trump voters are angry at Trump congressional allies in 2018, the mid-term elections could deal a serious blow to the Trump agenda.  Winning in 2018 is worth taking a pass on cathartic “I told you so’s” over the next two years.

Hillary, the ACA and the Art of the Possible

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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.

The Wrong Bernexit

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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.

Tim Pawlenty: “Health Care Policy All-Star?”

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Former Minnesota Governor Tim Pawlenty is being featured as a “health policy all-star” by the University of Minnesota’s Humphrey School of Public Affairs. No, I’m not kidding.

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The University event is celebrating the accomplishments of a 2008 Healthcare Transformation Task Force that happened during the Pawlenty years.   Governor Pawlenty is the keynote speaker.  The invitation portrays the Pawlenty years as a time when there was less intense partisan disagreement. Again, not kidding.

Health care policy has generated intense partisan disagreement over the past 5 years. The acrimony has been a sharp departure from Minnesota’s long tradition of collaboration among Democrats and Republicans and across the business, non-profit, and public sectors.

I’m not all that familiar with the Task Force’s work, but I’m sure it made excellent health care policy contributions.  It’s very worthwhile to recognize and reflect on that work, and I applaud the University’s Humphrey School for doing that.  If you’re interested in health care policy, I’d encourage you to attend the event.

But perhaps the Humphrey School should also invite the community to reflect on some of the big picture differences between health care in Minnesota under the Pawlenty-era policies versus health care in the post-Pawlenty era.  Minnesotans should reflect on the dramatic health care improvements that have happened despite Governor Pawlenty, rather than because of him.

The Good Old Days

Ah 2008, those certainly were the good old days of Pawlenty era health care in Minnesota, back when the rate of health uninsurance was 9.0 percent. In contrast, in the post-Pawlenty era, the rate of uninsurance under Governor Dayton has declined to 4.9 percent, the lowest point in Minnesota history.

This happened largely due of the success of the ACA reforms that Governor Pawlenty persistently and bitterly opposed.  For example, in 2011 Governor Pawlenty revved up a Conservative Political Action Committee (CPAC) audience with this simplistic barn burner:

The individual mandate in ObamaCare is a page right out of the Jimmy Carter playbook. The left simply doesn’t understand. The individual mandate reflects completely backwards thinking. They, the bureaucrats, don’t tell us what to do. We, the people, tell the government what to do!

We’re blessed to live in the freest and most prosperous nation in the history of the world. Our freedom is the very air we breathe. We must repeal Obamacare!

Do you see how much less “intensely partisan” health care policy was five years ago under Governor Pawlenty?

hqdefault_jpg__480×360_Oh and then there was that super nonpartisan time when Governor Pawlenty, who was preparing to run against President Obama, enacted an executive order to ban Minnesota from accepting any Obamacare-related Medicaid funding to provide health care coverage for 35,000 of Minnesota’s most vulnerable citizens. As the Star Tribune reported at the time, even Pawlenty-friendly health industry groups reacted to the highly partisan and punitive Pawlenty ban with unified expression of strong disapproval.

In a rare and unusually sharp statement, heads of Minnesota’s most influential medical associations said Pawlenty’s step contradicts his earlier embrace of state health care legislation. “The governor’s decision just doesn’t make sense for Minnesotans,” the Minnesota Council of Health Plans, the Minnesota Hospital Association and the Minnesota Medical Association said in a joint statement late Tuesday.

The Post-Pawlenty Health Policy Era

When Governor Dayton took office, he promptly reversed this Pawlenty ban to ensure that 35,000 low-income Minnesotans could get health care coverage.  Governor Dayton took a lot of heat for that decision, but this move started the process of driving down the state’s uninsured rate, a trend that has continued throughout the Dayton era.

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In more ways than many citizens realize, Minnesota has benefited enormously from the ACA reforms that Pawlenty politicized and obstructed.  According to the federal Department of Health and Human Services:

  • 64,514 Minnesotans have gained Medicaid or CHIP coverage
  • 1,465,000 Minnesotans with private health insurance gained preventive service coverage with no cost-sharing
  • Over 2 million Minnesotans are free from worrying about lifetime limits on coverage
  • As many as 2,318,738 non-elderly Minnesotans have some type of pre-existing health condition, and no longer can have coverage denied because of that condition

Yes, those Pawlenty years, when the Governor was fighting to keep Minnesotans from enjoying all of these ACA benefits, certainly were the good old days of health care policy.  “Health care policy all-star” indeed!

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Note:  This post also was published as part of MinnPost’s weekly Blog Cabin feature.

Bernie Needs To Give Democrats One Final Parting Gift

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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.

Ten Questions You Won’t Hear Asked By Intimidated Political Reporters

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With all of the horse race and insult-related content in the GOP presidential debates, there is a huge opportunity cost: A lot of substantive questions simply are going unasked.

Megyn_Kelly_bimboMaybe that’s because reporters are worried bullying candidates will give them the Megyn Kelly Treatment/Rebecca Quick Treatment. Maybe it’s because reporters don’t take the time to learn policy issues. Maybe it’s because reporters don’t respect voters’ intelligence enough to think that they will care about, or understand, policy issues

Whatever the reason, the most consequential questions simply aren’t being posed, and the result on the Republican side is the most vapid set of presidential debates of my lifetime. Here just a few of the questions that I would love to hear asked at the upcoming Republican debate:

  • PAYING FOR TAX CUTS FOR WEALTHY? Which Americans’ services are you going to cut or eliminate to pay for your proposed tax cuts, which go disproportionately to the wealthiest Americans?
  • PAYING FOR PENTAGON SPENDING SPREE? You claim President Obama has destroyed the military, despite the fact military spending is at historically high levels, and is 23% higher than under President Reagan.  But if you do want to further beef up the military, which specific Pentagon spending programs will you increase, how much will that cost and what service cuts and/or tax increases will you offer to pay for that large increase in spending?
  • BUSHONOMICS AGAIN? President George W. Bush’s tax cuts on the wealthy didn’t lead to economic growth and deficit reduction, yet your tax proposal is remarkably similar to the Bushonomics that didn’t turn out so well for Americans. Why do you think that approach will lead to a booming economy if it didn’t turn out that way under the last Republican president?
  • CAP-AND-TRADE. One solution for reducing greenhouse emissions is the cap-and-trade approach. The last three Republican Presidents, including conservative icon Ronald Reagan, embraced this market-based approach. But suddenly Republicans now oppose the cap-and-trade approach to protecting the environment. Has cap-and-trade changed since President Reagan, or has the oil industry’s control of Republican leaders gotten that much stronger?
  • ELIMINATE OIL COMPANY SUBSIDIES? Given that you oppose subsidizing alternative energy sources, and government spending in general, would you support eliminating the $4.8 Billion in subsidies the petroleum industry is given every year? If not, why give an unfair competitive advantage to dirty, non-renewable, and foreign sources of energy over cleaner, renewable, American-based sources?
  • MAKING BANKS SMALL ENOUGH TO FAIL? The largest banks in America are now actually even larger than they were in 2008, when leaders judged them to be too big to fail.  Will you break up the nation’s largest financial institutions so that they are no longer “too big to fail?” If not, aren’t you leaving American taxpayers wide open to another crippling bailout?
  • DETAILS ON DEPORTATION. Explain specifically how you would deport 11.2 million undocumented immigrants, an amount roughly equivalent to the population of the State of Ohio? For example, how would you pry 11 million people away from their lives and families, and get them onto trains or buses? Would you use the military, National Guard or police? How would you pay the estimated $400-600 Billion cost of deporting 11.2 million people?
  • VETERANS VOTING RECORD. You all talk a lot about needing to honor and help military veterans. But if you all love veterans so much, why do groups like the Disabled American Veterans of America (DAV) rate your voting records so low. For instance, the DAV says Senator Rubio and Senator Cruz supported veterans 0% of the time in their most recent rating of them, while Senator Sanders supported veterans 100% of the time and Senator Clinton supported them 80% of the time.   Don’t legislative actions speak louder than your words?
  • DEFICIT SPENDING FOR WARS? Your comments on foreign policy indicate that you are inclined to send American troops to another armed conflict in the Middle East. If you do, will you increase taxes to pay for those operations, or will you fund the conflict with deficit spending, as the last Republican President did? If you’d run up the deficit with trillions of dollars of war spending, how can you claim to be a fiscal conservative?
  • AFFORDABLE CARE ACT (ACA) ALTERNATIVE? What’s your specific plan for replacing the Affordable Care Act? No, really, it’s been six years since the ACA passed, so this time you are not going to get away with dodging the question. If you still can’t name an alternative you support, isn’t it fair to assume that the claimed “repeal-and-replace” rhetoric is actually just “repeal,” which would lead to 1) about 15 million Americans losing their coverage and 2) another 65 million losing their ACA protection from discrimination due to a pre-existing condition?

Oh, and here is one over-arching question I’d like them to add. “For every tax cut or spending increase you didn’t know the cost of today, will you pledge to the American people that you will disclose the estimated fiscal impact within the next month? If not, why won’t you shoot it straight to the voters.”

There are dozens of other questions that need to be asked by reporters, but this would be a very helpful start. Yes, such questioning will cause reporters to get booed, heckled and bullied by the candidates and their cheering sections. But frankly that happens even when they ask softball questions, so what exactly do they have to lose?

The Health Reform Middle Ground Between Bernie and Hillary

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Cursor_and_bernie_hillary_debate_msnbc_-_Google_SearchTo hear Senator Hillary Clinton’s campaign tell it, you would think that there is absolutely no way to transition from the Affordable Care Act (ACA) world of today to an eventual Medicare-for-All world that her opponent Senator Bernie Sanders promotes.

The Clinton campaign asserts that the ACA and Medicare-for-All are effectively mutually exclusive. That is, they claim that if you support Medicare-for-All, you must be against the ACA. For instance, former First Daughter Chelsea Clinton was put out on the stump to play Chicken Little:

“Senator Sanders wants to dismantle Obamacare, dismantle the CHIP program, dismantle Medicare, and dismantle private insurance. I worry if we give Republicans Democratic permission to do that, we’ll go back to an era — before we had the Affordable Care Act — that would strip millions and millions and millions of people off their health insurance.”

Chelsea’s mom, a bona fide health care policy expert, knows better. She knows that Senator Sanders proposes to consolidate public insurance programs to make coverage better and more efficient, not eliminate public coverage.

The Clinton campaign’s dire warnings aside, there is a potential middle ground between Senator Sanders’ Medicare-for-All Model and Secretary Clinton’s Stick With The ACA Model.  It’s a middle ground that is more politically viable than what Sanders proposes, and more progressive than what Clinton proposes.

The middle ground is this: Amend the Affordable Care Act to allow ACA exchange shoppers the option of voluntarily buying into Medicare.

This middle ground approach would effectively empower patients to decide the fate of Medicare-for-All.  Here’s how:  If over the years enough ACA exchange shoppers choose of their own free will to buy into Medicare, we will be making progress towards a public single payer system, which in numerous other western countries has proven to be a more effective and efficient model than America’s current model.

On the other hand, if private insurance options prove to be the most attractive, on a quality and/or price basis, the Medicare buy-in option will die off, because it will be exposed as being as inferior as Republicans claim it to be.

But with this Medicare buy-in option, patients would effectively decide Medicare-for-All’s ultimate fate, not politicians.  That’s why it’s a middle ground position.

Senator Clinton maintains that a public option lacks sufficient congressional support to pass, and that is certainly a distinct possibility. But if she proves to be correct and it gets defeated, the ACA will still be there. At that point, we would simply stay with the status quo ACA model.

But I’d like to see an aspirational President who was willing to lead a campaign to enact this middle ground approach.  Because this would be merely optional for patients, it is much more politically feasible than Sanders’ proposal to mandate Medicare-for-All.  Even if a Medicare buy-in option loses, promoting the issue now may pave the way for eventual passage in the future.   It moves the national debate forward.

I actually think a passionate, committed President would have an outside shot of passing this.  After all, there already is a great deal of support for this approach. GBA Strategies recently asked 1,500 likely 2016 voters whether they supporting giving “all Americans the choice of buying health insurance through Medicare or private insurances, which would provide competition for insurance companies and more options for consumers.”

An overwhelming 71% supported this Medicare buy-in option, including 63% of Republicans and 71% of Independents. Only 13% opposed. 

After the special interests start their multi-million distortion and lobbying campaigns, the Medicare buy-in option may well get defeated in a Congress that defeats just about everything. (In fact, any of Senator Clinton’s ideas for incrementally improving the ACA also face a steep uphill battle with a Republican-controlled House).   But this survey tells me that there is a solid foundation of support to build on. So why not lead the American people towards this place halfway between Bernie and Hillary, and at least try to make some progress.

Note:  This post was featured in MinnPost’s Blog Cabin.

“Trump Wave” Is Only In A Very Small Pond, Except When It Comes To The Issue of Terrorism

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Cursor_and_trump_supporters_-_Google_SearchWatching the news coverage of the Republican presidential campaign, you get the feeling that there is a wave of support for the ideas of leading Republican candidates like Donald Trump, Ben Carson, Ted Cruz and Marco Rubio. For example, Talking Points Memo recently reported:

GOP Campaign Official to Senate Candidates: Ride That Trump Wave

The Republican Party is preparing Senate candidates for the very real possibility that Donald Trump could be the party’s presidential nominee.

According to a seven-page memo obtained by the Washington Post, National Republican Senatorial Committee Executive Director Ward Baker is encouraging Senate candidates to understand Trumpmentum, use it to their advantage, and then ignore Trump’s most bombastic positions.

But is there really a national wave in support of the positions of Trump and the other extremely conservative contenders? Remember, only about one-third of the general election electorate votes in Republican primaries, so even front runner Trump is only winning about 31% of one-third the overall electorate. So, yes, Trump is riding a wave of sorts, but it is still a relatively modest wave on a relatively small pond.

Ideological Wave?

So, in the midst of all of this Republican primary coverage, it’s important to keep an eye on what the nation as a whole — as opposed to the narrow slide of Republican primary voters — thinks of the positions of the Republican contenders. Public opinion surveys show that there is no wave of support for most of their extremely conservative positions.

  • Americans oppose deportation of undocumented immigrants. While bombast about mass deportation of immigrants fueled Trump’s rise to the top of the Republican heap, Gallup finds that only 14% of Americans support deporting all undocumented immigrants to their home country. Among the Independent voters Republicans need to persuade in order to win in November, only 19% support such deportation.  In the general election, this position is a liability, not an asset.
  • Americans oppose repealing the Affordable Care Act (ACA). Every major Republican candidate wants to repeal the ACA, and primary voters love them for it.  But among all Americans, a November 2015 Kaiser survey finds that 42% either want to expand the ACA (26%) or keep it as is (16%), while only 30% support the Republicans candidates’ repeal position.
  • Americans oppose tax cuts for the wealthy and corporations. Every major candidate’s tax proposal dramatically cuts taxes for the wealthiest Americans and corporations. But an April 2015 Gallup survey finds that 62% of Americans say that upper income people pay too little in taxes, not too much. The same survey found that 69% of Americans think that corporations are paying too little in taxes.  Americans want to increase taxes on the wealth and corporations, while Trump, Carson, Cruz and Rubio all want to cut them.  Again, in the general election, this position will be a leg iron for the Republican nominee.
  • Americans want stricter gun control laws. Every major Republican candidate opposes stricter gun control laws, a wildly popular position at Republican rallies. But an August 2015 Pew survey finds that Americans actually overwhelming support a wide range of stricter gun control laws. For instance, there is huge support for background checks for gun shows and private sales (85% support), laws to prevent the mentally ill from obtaining guns (79% support), a federal database to track gun sales (70% support), and a ban on assault-style weapons (57% support).

So for the most part, the Republican candidates’ ideas are extremely unpopular with the Americans who will pick the next President less than a year from now.

The Anti-Democratic Wave

But there is one major exception to this trend, and it’s a very significant one.  According to a November 2015 ABC News/Washington Post poll, battling terrorism is currently the second most important issue to Americans.  It ranks just behind the economy, and ahead of health care, immigration and tax policy. On that issue, a majority of Americans are much more aligned with Trump, Carson, Cruz and Rubio than they are with Clinton and Sanders.

  • Americans want military intervention to counter terrorism. In the direct aftermath of the Paris terrorist assaults, an NBC News poll finds that 65% of Americans want to send troops to fight ISIS in Iraq and Syria. Also, 58% believe that “overwhelming military force is the way to defeat terrorism,” while only 38% believe that “too much military force creates hatred that only leads to more terrorism.” Similarly, Democrats have a losing position when it comes to Syrian refugees, with 56% of Americans opposed to increasing the number of Syrian refugees in the nation.

Public_Attitudes_Toward_the_War_in_Iraq__2003-2008___Pew_Research_CenterIn other words, the national mood is much like  when America rushed into the Iraq War in 2003.  Pew found that public support for that military action was 72% in 2003, but ultimately decreased to 38% by the end of the war.

While Vice President Dick Cheney estimated that war would cost about $80 billion and end quickly, the last Iraq War lasted seven years and the nonpartisan Congressional Budget Office says it cost about $1.9 trillion, or about $6,500 per American.  The human toll for America was also high – 4,487 American troops died and at least another 32,226 were seriously wounded.  Still, almost three-fourths of Americans are ready to do it all over again.

Overall, this notion of a Trump wave is not supported by public opinion data. Americans are not buying most of what Trump and the other Republican contenders are selling. But if the election becomes dominated by the need to combat terrorism with military interventions, such as if there are a steady stream of ISIS attacks, Democrats could be in big trouble.

Questions We Should Be Asking About the Health Care Reform Plan Scott Walker Is Unveiling in Minnesota

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Wisconsin Governor Scott Walker is reportedly coming to Brooklyn Center to explain his new health care reform plan to a state that now has a record high 95 percent of its citizens with health care coverage, thanks in part to its Democratic Governor embracing Obamacare.

Spoiler alert: Governor Walker, who is running for the GOP presidential nod these days, has already telegraphed the centerpieces of his plan.  In a National Review oped this week, Walker wrote:

“We must do all of this while ensuring affordable coverage for those with pre-existing conditions.”

At the same time, Governor Walker has long opposed the Obamacare insurance mandate.

“Our plan calls for reducing health care costs through market-driven solutions, not by forcing us to buy an expensive health care mandate.”

At first blush, embracing a ban on pre-existing conditions and excluding an insurance mandate seems like pure political gold. It maintains the most popular part of Obamacare, while replacing the least popular part of it. Why hasn’t anyone thought of that before?

connecting_the_dots_-_Google_SearchHere’s why: Walker’s logic path quickly collapses as soon as you start connecting the dots.

Q. If we simultaneously tell Americans, 1) “no matter what illness or injury you encounter, insurance companies must pay your bills” and 2) “you don’t have to buy an insurance policy,” what will Americans do?

A.  Americans will wait until they get sick or hurt before they buy insurance. And really, why wouldn’t we, particularly in our younger years? After all, in such a wacky Walkercare world, the moment someone buys coverage, their medical bills get paid, so why would anyone volunteer to pay for protection when they’re healthy?

What’s the problem with that, you ask?

Well, let’s go further down the logic path.

Q. If Americans waits until they get hurt or sick before they buy health insurance, what will happen to the pool of available premium dollars insurance companies use to pay for patients’ medical bills?

A. That pool of money will quickly dry up.

Big deal, you say. We all hate those insurance companies anyway, right?

But keep asking questions.

Q. If the insurance company’s pool of money for paying medical bills gets used up, what will happen then?

A. Insurance companies will go out of business. Then, we won’t be able to get private insurance coverage, health care providers’ bills will go unpaid, and the entire health care system will melt down.

So Governor Walker’s pitch to keep Obamacare’s pre-existing ban and repeal Obamacare’s insurance mandate is politically popular, but infeasible a policy level. It would pretty quickly implode the private health insurance system conservatives laud.

So, why is Governor Walker coming to Minnesota to promote a reform plan like that? It seems like there are two possibilities: 1) He isn’t bright enough to connect those dots or 2) He is bright enough to connect the dots, but doesn’t think Americans are, so he is using this plan as a cynical ploy to get elected.  It feels like the latter, and I’m not sure that makes me feel any better about our neighbor Scott.

Dirty Job Dayton Dusts Himself Off

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Dayton_dirty_2Governor Mark Dayton is Minnesota’s political version of Mike Rowe, the star of the Discovery Channel television show “Dirty Jobs.” Rowe’s show is all about him taking on difficult, disrespected and grotesque jobs that others avoid, such as being a sewer inspector, road kill scavenger, worm dung farmer, shark repellent tester, maggot farmer, and sea lamprey exterminator.  Who knew that worm dung needed farming?

Dirty Job Dayton

Governor Mark Dayton may not be farming worm dung, but consider just a few of the filthy tasks Dirty Job Dayton has already embraced in his five year’s in office.

Taxing Most Powerful Minnesotans.  Before Dayton, non-partisan analyses were showing that the wealthiest Minnesotans were not paying their fair share of taxes.  So Dayton ran for Governor unabashedly championing tax increases on the state’s most wealthy citizens, which earned him some very powerful enemies. At the time, progressive political consultants considered advocating almost any kind of tax increase political suicide for candidates. But Dayton ran on a platform of large tax increases, won a razar thin victory at the polls, and then promptly passed the tax increases into law as promised.

Implementing Unpopular Obamacare.  Dayton wasn’t done there. One of his very first acts of Governor was to champion Obamacare, which many politicians were extremely nervous about at the time. In contrast to his fellow Governors in neighboring Wisconsin, Iowa and South Dakota, Dayton embraced Obamacare’s Medicare expansion to cover 35,000 of the most vulnerable Minnesotans.   The Governor had Obamacare protesters shouting him down in his announcement news conference, but he let them have their say and stuck to his principles without looking back.  As a result of taking on a number of controversial Obamacare implementation tasks, Minnesota now has the second best rate of health insurance coverage of any state (95%).

Resolving Vikings Stadium Quagmire.  Then there was the Vikings Stadium debate that had been festering for almost a decade before Dayton came to office. Despite polls showing that subsidizing the stadium was unpopular, Dayton provided active backing for legislation to publicly subsidize the Vikings Stadium.  While noting that he is “not one to defend the economics of the NFL,” he plugged his nose and embraced a job he didn’t welcome, but felt was necessary to keep the Vikings in Minnesota and boost a then-suffering construction sector.

Cutting Coveted Social Safety Net.  Early in Dayton’s tenure as Governor, he even made significant cuts in state safety net programs, which is one of the very worst jobs any progressive can ever get.  Faced with a large budget shortfall, he proposed cutting $950 million in planned spending, told agencies to cut their budgets by up to 10 percent, and cut the state workforce by 6 percent.  That work had to leave even Dirty Job Dayton feeing grimy.

Love these positions or hate them — and Dayton himself didn’t relish many of them — no one can accuse Dayton of political timidity.

Dirtiest Job Yet

But this winter, Dirty Job Dayton finally met his Waterloo. With no political allies in sight, he attempted to push through salary increases for state agency commissioners, who are making less than their peers in many other states.   Dayton said he “knew there would be negative reaction,” but, as is his habit, he plugged his nose and pushed forward anyway.

How did that go for him?  Well, in the last few weeks Dayton learned that attempting to raise bureaucrats’ pay makes shark repellent testing look like a walk in the park.

Fresh off that experience, one might expect that Dayton would now stick to clean, safe, and easy jobs for the remainder of his time in office.  But if you believe that, you obviously don’t know Dirty Job Dayton very well.

Next Up:  Slinging Asphalt

After the salary increase shellacking Dayton endured, he has already found a new thankless task to champion – fixing Minnesota’s deteriorating roads and bridges.  While Republicans want a modest short-term fix funded out of the current budget surplus, that would be much too easy for Dirty Job Dayton. Dayton is attempting to put in place an ambitious decade-long $11 billion solution. Such a long-term fix necessitates a 16 cent per gallon (at current prices) increase in the gas tax. Not surprisingly, the polls are looking a little rough at the moment.

But Dirty Job Dayton doesn’t care. Like Mike Rowe, if the assignment stinks, scares, or stings, he’s in!

Americans Support An Actual “Government Takeover of Health Care,” And I Don’t Mean Obamacare

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Government_takeover_of_health_careOn the heels of the closing of the second year of open enrollment for Obamacare coverage, expect to hear a lot of “government takeover of health care” ranting from conservatives.

That phrase is heavily used by anti-Obamacare zealots, and that is no accident.  In 2009, Republican political consultant and celebrated wordsmith Frank Luntz advised his conservative clients to portray the proposed Affordable Care Act, also known as Obamacare, as “a government takeover of health care.”

Conservatives did as they were told. If you Google those words, you’ll see that the usage of that phrase, and close variations, has been widespread among conservatives ever since.

In a 28-page strategy memo, Luntz explained why stressing a Washington “takeover” was so important:

“Takeovers are like coups.  They both lead to dictators and a loss of freedom.”

In other words, the Affordable Care Act shouldn’t be talked about as it were a legislative proposal in a representative democracy.  Instead, it should be talked about as if it were a Stalin-esque freedom grab.

There are two problems with conservatives parroting the Luntz-recommended phrase “government takeover of health care” to make Americans fearful about health care reform: First, It’s demonstrably false.  Second, It doesn’t scare most Americans.

False.  I’m not going to go into detail about why it is false, because it’s pretty self-evident.  But suffice it to say that ‘government takeover of health care” as a descriptor for the Affordable Care Act was named by the non-partisan editors of Politifact as their 2010 “Lie of the Year.”   In a lie-intensive election year, “government takeover of healthcare” was named by both editors and readers as the Pants on Fire of all Pants’s on Fire.  Politifact notes the obvious:

“It is inaccurate to call the plan a government takeover because it relies largely on the existing system of health coverage provided by employers.

It’s true that the law does significantly increase government regulation of health insurers. But it is, at its heart, a system that relies on private companies and the free market.”

Not Scary.  But beyond being false, the more surprising thing to me is that “government takeover of health care” is not all that scary to a  majority of Americans.

While Obamacare is not remotely close to a government takeover of health care, putting Americans into the government-run Medicare program would be exactly that.  And you know what? Most Americans are just fine with even that level of government takeover of health care.

Medicare_for_All

A January 2015 GBA Strategies survey asked Americans if they support enactment of “a national health plan in which all Americans would get their insurance through an expanded, universal form of Medicare.” By a 15-point margin, a majority of Americans (51% support, 36% oppose) supported that kind of government takeover of health care.

The same survey then asked Americans about giving people the option of having government take over their health care.   Specifically, the survey asked if respondents would support giving “all Americans the choice of buying health insurance through Medicare or private insurers, which would provide competition for insurance companies and more options for consumers.” An amazing 71% of Americans support having the option of a government takeover their health care, including 63% of Republican respondents.

So it turns out that, after six years of intensive Luntz-led vilification of “government takeover of health care,” backed by hundreds of millions of dollars of political advertising and public relations efforts, there are very few issues in America today with as much public support as there is for the federal government taking over American health care.

– Loveland

Note:  This post was republished on MinnPost.

Minnesota Senate Candidate Mike McFadden Wins Another Blockbuster Endorsement

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Molly_McFadden_adSaint Paul, Minnesota – In news that could shake up Minnesota’s previously sleepy U.S. Senate contest, Republican candidate Mike McFadden announced today that he has landed the endorsement of his young daughter Molly McFadden.

“With just two weeks left in the campaign, we decided to launch our October Surprise,” said McFadden, a CEO of an investment banking company from Sunfish Lake.

Ms. McFadden’s announcement was made through a new television ad produced by the McFadden campaign.  The transcript of Ms. McFadden’s ad follows:

My dad, Mike McFadden, is running for Senate.  He really tries.  But he’s not very good at this political stuff.

Problem is, dad’s super honest.  He works hard.  And he’d rather help people than attack them.

Dad’s been all over Minnesota telling people about his plan.

But I can tell you this:  He’s a good guy, with a great heart, and he’ll give everything for Minnesota.”

The announcement continues a red hot streak for the McFadden campaign, having secured the endorsement of the candidate’s Obamacare-hating peewee football players, fiscal analyzing son Conor, and now his political analyst daughter Molly.

“Amazingly, Mike is on the verge of getting endorsed by every one of his offspring, while liberal Al Franken hasn’t been endorsed by a single McFadden child,” said McFadden campaign spokesperson I.O. Koch.

In a rare moment of political harmony, the Franken campaign released a statement agreeing with Ms. McFadden:  “While we dispute the ad assertions that Mike is honest, doesn’t attack people, and has a plan that he is sharing,  we cannot disagree with the ad’s observation that Mike “is not very good at this political stuff.”

Note:  This post is satire.  Though Mike really did release a series of sappy ads featuring endorsements from his young players, son, and daughter, the reaction quotes are fabricated for my own amusement.

Where is The Vision of “Progress” From Minnesota Progressives?

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Can someone please tell me what Governor Mark Dayton, Al Franken and the DFL Legislature plan to do with another term in office?  Because I have no earthly idea.

I know what they have done in the past, and it’s impressive – an improved economy, health care system, and fiscal outlook.

franklin_roosevelt_new_deal_campaign_button-_Google_SearchBut progressives are also supposed to lead the way forward.  The dictionary says a “progressive” is “a person advocating or implementing social reform or new, liberal ideas.”

Where is the “new” part?  Where is the “advocating” part?

It’s entirely possible that I’m not paying close enough attention, because this campaign season is putting me to sleep.  But I can’t discern where these top DFLers propose to take Minnesota.

  • ACHIEVEMENT GAP PROGRESS?  For instance, the education achievement gap is a morally shameful and economically perilous problem.  What specific solutions does the DFL offer that are sufficiently bold to at least narrow that persistent gap?
  • CLIMATE CHANGE PROGRESS?  Climate change is the most urgent problem of our times, and Minnesota remains hopelessly addicted to dirty coal-fired power plants and cars dependent on environmentally destructive fracked petroleum.  I know the DFL supports more renewables and less fossil fuels, but how exactly are they going to realign financial incentives to make that more of a reality, and not just rhetoric.
  • COLLEGE AFFORDABILITY PROGRESS?  College is increasingly important for earning a good living, and increasingly out-of-reach for middle- and lower-income families.  What progressive ideas does the DFL offer to address this important challenge?
  • RETRAINING PROGRESS?  Many unemployed and underemployed workers lack the career skills to thrive in a fast-changing economy.  While increasing the minimum wage and funding job-creating bonding projects are great steps, what specific education and training help does the DFL offer to help those workers adjust to our economy’s new normal?

Does the DFL have a “secret plan” for more progress on any of these issues, like the secret plan President Nixon promised to end the Vietman War?  If so, why is it secret?    I just finished watching the PBS televention series about the Roosevelts, and I was reminded that Teddy, Franklin and Eleanor reaped political rewards by fearlessly advocating for bold solutions to society’s toughest problems.

Again, Minnesota DFLers  have earned reelection.  They have a strong record of paying back schools, implementing reforms that have a record 95% of Minnesotans with health insurance,  improving tax fairness, increasing the minimum wage, passing marriage equality, funding job-creating infrastructure improvements, delivering all-day kindergarten, and balancing the budget on-time, in a fiscally responsible way.  That’s very impressive work, at a time when extreme Tea Party-backed Republicans have offered only mindless obstructionism.

But we live in an impatient “what have you done for me lately” world.    To prevent an electoral setback a few weeks from now, DFLers need to fire up their progressive base enough to get them to vote at higher rates than they typically do in non-presidential year elections.  And in terms of a bold new progressive way forward, Minnesota DFLers haven’t offered much to fire them up.

– Loveland

Note:  This post also was also published by MinnPost.

Will Bakk Building Put DFL Back Out of Power?

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While Minnesota DFLers controlled state government the past two years, they have done some very constructive things:

  • TRULY BALANCED BUDGET.  Unlike their GOP predecessors, DFLers balanced the budget without relying on irresponsible gimmicks and shifts, and they paid back public schools for the money the GOP shamefully “borrowed” from them.
  • TAX FAIRNESS.  The DFL also restored a bit of tax fairness to an unfair system, by increasing taxes on the wealthiest Minnesotans who were paying a lower percentage of their income in taxes than other citizens.
  • 5 G’s.  Importantly, DFLers didn’t get bogged down with issues associated with “the five G’s” — gays, guns, gambling, God and gynecology — which tend to dominate under GOP control.  DFLers enacted marriage equality swiftly and efficiently — a very historic and important achievement — then moved on to other important non-G business.
  • ALL-DAY K.  DFLers passed universal all-day kindergarten.  While that’s not the first education investment I’d prioritize, it is a constructive move, and a publicly popular move.
  • JOBS AND INFRASTRUCTURE.  The DFL authorized and funded a long list of needed capital improvement projects that are rebuilding Minnesota’s deteriorating infrastructure and putting long-suffering construction workers back to work.
  • NO DELAYS OR SHUTDOWNS.  Finally, the DFL got its work done on time, and didn’t shut down state government, as the previous GOP-controlled Legislature did. DFLers mostly governed like grown-ups.

That’s a very nice body of work for the DFL to showcase to voters.  They should be proud of it.

If DFLers lose control of all or some of state government, it likely will have had to do with environmental factors they can’t change , such as low DFL constituency turnout in a non-presidential election and an unpopular Democratic President.  Their policymaking performance will not be their biggest political problem.

Minnesota_Senate_office_buildingBut there is at least one policymaking unforced error that is making things a bit more difficult for the DFL — the DFLers authorization of a new Senate office building.

The new Senate office building project is nowhere near as wasteful as Republicans claim.  It also is nowhere near as necessary as Senate DFLers claim.  But one thing is indisputable:   The political optics of the project are bad for the DFL during the election season.

Attack_mailing_PDF__1_page_Most voters won’t do a comprehensive financial analysis of whether DFL leaders are doing a good job stewarding their tax dollars.   They will judge fiscal stewardship based on an isolated example or two.  Republicans are working overtime to make sure that the Senate Office Building is the example voters use to make their judgement.

The Senate office building works well for the GOP on a political level.  First, the building is built for legislators by legislators.  On its face, that seems self-serving and arrogant to many voters.  Minnesotans don’t take kindly to self-serving and arrogant.

Second, this is not a pole building, and therefore can be made to seem extravagant.  The building renderings strike me as modest, responsible and utilitarian, but demagogues are making the Senate office building seem like something akin to Emperor Nero’s Domus Aurea.

The issue is obviously being overblown by Republicans.  This project represents only a small fraction of the entire state budget, and the argument for the building is strong, if you actually take the time to study and consider it.  But at-a-glance, voters perceive the building to be self-serving and extravagant, and Republicans realize most will voters only consider the issue at-a-glance.

In what is likely to be a close non-presidential election with little room for error, the DFL legislators can’t afford many unforced errors.  Choosing this year to build the new Senate office building is one very big unforced political error.

– Loveland