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

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.

MN DFL Should Champion Importation of Canadian Medications

Here’s a political idea for the DFL: Find a massively expensive thing that enrages voters.  Then make it dramatically cheaper. Oh, and do it without increasing government spending or taxes.

I understand the skepticism.  It does sound akin to the classic Student Council President campaign promise to reduce the cost of cafeteria soda — a crowd-pleaser but infeasible.

But there actually is such an issue available to Minnesota state leaders –empowering Minnesotans to purchase cheaper prescription medications from Canada.

According to drugwatch.com, prescription drugs are on average 65 percent cheaper in the Canada than they are in the United States. This is because Canada has huge government controlled health care plans using their purchasing power to negotiate lower prices from the pharmaceutical industry, and the U.S. doesn’t. Minnesota state lawmakers can’t change the underlying problem driving high drug prices in the U.S., but they could at least allow U.S. citizens to benefit from the more sane Canadian system.

After all, the Vermont Legislature just did it. Why not Minnesota?

In the upcoming 2018 elections, this should be the top issue Minnesota DFL state legislative candidates stress. Making more affordable Canadian medications available to Minnesotans would improve the lives of ordinary Minnesotans, and it’s a huge selling point with voters. Just ask Mark Dayton, who in 2004 made a lot of political hay by financing busloads of senior citizens going to Canada on medication shopping trips.  This proposal is similar, but it eliminates the long bus rides.

Nearly two-thirds of Americans like this idea. By an overwhelming two-to-one margin, a Kaiser Family Foundation survey found Americans support “allowing Americans to buy prescription drugs from online pharmacies based in Canada.”

This is an easy-to-understand issue to explain the difference between Republicans and DFLers to swing voters, and it especially appeals to seniors, who are the most likely to show up to vote.

This issue communicates important messages:  DFLers hear voters who are struggling to pay their medical bills; Republicans don’t. DFLers are proposing something real and tangible to control health care costs; Republicans won’t. DFLers will put the interests of ordinary Minnesotans over special interest lobbyists; Republicans won’t.

Coupled with the DFL’s MinnesotaCare for All buy-in option, offering cheaper Canadian medications would give Democrats the upper hand on perhaps the number one issue in the 2018 elections.

I can already hear overthinking DFL wonks explaining why they shouldn’t do this. President Trump won’t allow it to happen, they’ll say. I say force Trump’s hand. Though Trump’s HHS Secretary, a former pharmaceutical company executive, calls it a “gimmick,” Trump enthusiastically proposed this very idea during the campaign.

“…the last provision of his new seven-point plan is: “Remove barriers to entry into free markets for drug providers that offer safe, reliable, and cheaper products.”

“Congress will need the courage to step away from the special interests and do what is right for America,” the plan says. “Though the pharmaceutical industry is in the private sector, drug companies provide a public service. Allowing consumers access to imported, safe, and dependable drugs from overseas will bring more options to consumers.”

So, either make an honest man of Trump or expose him and his congressional Republican enablers for flip-flopping and being the cause of outrageously high drug prices.

This is the right thing to do, and it’s an extremely popular thing to do.  Empowering Minnesotans to benefit from more affordable Canadian medications should be one of the centerpieces of Minnesota DFLers’ 2018 campaigns.

Minnesota’s Trumpublican Trio Owns The Trump Damage

This week, statewide coverage featured Minnesota Republican Congressman Erik Paulsen, Tom Emmer and Jason Lewis mugging with President Donald Trump’s lead partner in crime, Vice President Mike Pence.

The news coverage serves as a helpful reminder to Minnesotans that these three gentlemen have enabled Donald Trump’s disastrous presidency every step of the way. They have slavishly voted for the mean-spirited Trump agenda about 90% of the time. It reminds us that the reelection of Minnesota’s Trumpublican Trio is effectively a referendum on Trump’s corruption, chaos, incompetence, and extremism.  A few things that Minnesotans should be reminded of during campaign season:

WEAKENING OUR HEALTH PROTECTIONS. These three congressmen repeatedly supported Trumpcare, which would have stripped health protections from 51 million Americans, and only had the support of 17% of Americans. They are also complicit with Trump’s ongoing sabotaging of the historically effective Affordable Care Act protections. Moreover, they oppose efforts that would make health protections much more available and affordable, such as with a national reinsurance program, restoration of the Cost Sharing Reductions (CSR) they cut, and giving Americans the option of buying into the popular and efficient Medicare program.

DEFICIT SPENDING TO ENRICH BILLIONAIRES. Paulsen, Emmer, and Lewis brought us Trump’s trickle down tax code, which gives a huge tax break to the wealthiest 1% at a time when we are suffering from the worst wealth inequality since 1928. The top 1% got an obscene 83% of the benefits provided in the tax bill, creating the largest transfer of wealth to the richest Americans in the nation’s history.

Oh, and by the way, these self-proclaimed “deficit hawks” put the $1.5 trillion cost of their lavish tax giveaway to the wealth on the federal credit card that our kids and grandkids now have to pay.  Absolutely shameless.

PUTTING TRUMP ABOVE THE LAW. They have turned a blind eye to Trump’s repeated obstruction of justice during the investigation into Russia’s attack on America’s democratic jewel, our free and fair elections. This obstruction of justice is far more extensive than the actions that forced President Nixon out of the White House, but the Republicans of 1972 had enough integrity to fulfill their oversight duties and push Nixon out, while these contemporary Republicans are cavalierly shrugging it off.

PUTTING NRA CONTRIBUTIONS OVER COMMON SENSE GUN PROTECTIONS. They have blocked common-sense gun protections that enjoy overwhelming public support, because they and their guy Trump value NRA donations over the wishes of the people they were elected to represent.

PUTTING CORPORATIONS’ NEEDS OVER ENVIRONMENTAL PROTECTIONS. They have marched lockstep behind Trump as he has racked up the worst environmental record in our lifetime.  For instance, Trump made the United States the only nation on the planet to not sign the Paris accord on climate change.

These are just a few examples, but the list of pro-Trump votes is a long one. According to FiveThirtyEight, Rep. Emmer votes with Trump 87% of the time, Rep. Lewis votes with Trump 90% of the time and Rep. Paulsen votes with Trump 97% of the time. Clearly, a vote for Emmer, Lewis, and Paulsen is effectively a vote for the historically unpopular Trump.  Minnesotans who are fed up with Trump need to be speaking out, donating and organizing against them.