Notes on a Theory…

Thoughts on politics, law, & social science

Posts Tagged ‘Medicaid

Let’s talk about ACA repeal

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So I want to talk about the ACA repeal effort for a minute.

When the House tried this at first, there was a really serious popular mobilization, and it was blocked. People called. They mobbed their representatives’ town halls. They chased down those who refused to hold them. People were angry.  When the first attempt at repeal went down, this was treated by a lot of people as a final result, and a lot of people (not everyone!) stood down.

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Written by David Kaib

June 8, 2017 at 10:42 pm

Posted in Uncategorized

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This One Chart Shows Everything That’s Wrong With Liberal Politics

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All right, not just a chart, but the chart and accompanying post. And not everything, but something important.

The other Jonathan Cohn had a post from shortly before the election at the New Republic that highlights a chart from the Georgia Budget and Policy Institute regarding the state’s decision not to expand Medicaid as part of the ACA.

It’s easy to recognize the human toll of refusing to expand Medicaid. It’s not so easy to recognize the economic toll. Maybe this chart will help:

GA-Medicaid-dollars-624x589

[snip]

But the state officials who have blocked expansion aren’t simply depriving some people of health insurance. They are depriving the entire state of federal funds. Under the Affordable Care Act, the federal government picks up 100 percent of the expansion cost for the first three years, then scales back its support to 90 percent. At that point, states will have to find the money to cover that remaining 10 percent. It’s real money. But it’s tiny compared to what they get in return. The federal money is a huge influx of cash, which goes first to providers and suppliers of health care. That money, in turn, generates additional economic activity.

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Written by David Kaib

November 10, 2014 at 10:58 pm

Drawing Lines on Social Insurance: Turning Tough Talk into Pressure

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Many people are taking heart in hard lines being drawn by progressives to oppose benefit cuts to Social Security, Medicare or Medicaid.   As Alex Seitz-Wald notes, Politico is reporting a proposed deal to include $400 billion over 10 years in “entitlement” cuts.  Keith Ellison, chair of the Progressive Caucus, said “Progressives will not support any deal that cuts benefits for families and seniors who rely on Medicare, Medicaid and Social Security to put food on the table or cover their health costs.”  Outside groups were making similar noises.

“If this report in Politico is correct, then some ‘senior Democrats’ are sorely misguided about where their base stands. So let me be crystal clear. Any benefit cuts in Medicare, Medicaid, or Social Security, including raising the retirement or eligibility age, are absolutely unacceptable,” Ilya Sheyman, the campaign director at MoveOn.org told Salon. “More than 80 percent of MoveOn’s 7 million members say they want us to fight a deal that cuts those benefits, even if it also ends all of the Bush tax cuts for the top 2 percent. And that’s a mainstream position everywhere except in the lobbyist-cash-infused D.C. cocktail circuit,” Sheyman continued.

There will be consequences, he warned, for Democrats who support a deal that cuts entitlements. “Bottom line: Any Democrat who votes to cut Medicare, Medicaid or Social Security benefits does so at his or her own peril, and shouldn’t be in the least bit surprised to be held accountable by MoveOn members in the next primary election.”

Unfortunately, such statements don’t mean much. Members of the Progressive Caucus have made threats not to vote for things in the past and then didn’t follow through.  MoveOn and other groups have yet to show they have any ability to punish Democrats for betraying progressive values.  It will be small consolation if Congress seeks benefit cuts which undermine social insurance and progressive groups demonstrate they can punish Democrats for it after the fact.

But there is a bigger problem.  Even if the threat to punish Democrats for voting wrong could be credibly made, it’s not clear why that should work. Members of Congress all can look forward to well-paying lobbying jobs after leaving office.

The truly powerful don’t wait until the vote to flex their power. They go after people for merely suggesting things that deviate from their interests. They seek to pressure the first people to step out of line, long before a vote, to ensure that nothing threatening ever comes up for a vote.  If anyone, whether Keith Ellison, MoveOn, unions, or activists, wants to demonstrate their credibility–in terms of their commitment to hard lines or their willingness  to hold others accountable–they can do it now. They can do it by jumping on anyone who suggests that benefit cuts should be part of the deal, or who conflates benefit cuts with other spending cuts, or who (falsely) claims that Social Security is driving the deficit or that Medicare in inefficient, or otherwise use scare tactics to make cuts seems inevitable, should be viciously attacked.   They could start with Dick Durbin or Chris Van Hollen (“Mr. Van Hollen also said changing Social Security and increasing the Medicare eligibility age above 65 should be part of negotiations.”).  And when people say the right thing, that needs to be something that energizes us to demand that others do the same, not an opportunity to demobilize.

Written by David Kaib

November 30, 2012 at 9:44 am

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