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2011/05/17

The GOP's Health Care Flip-Flop

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THE PROGRESS  REPORT
May 12, 2011

by Faiz Shakir, Benjamin Armbruster, Zaid Jilani, Alex Seitz-Wald, Tanya Somanader, Travis Waldron, and Ian Millhiser


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HEALTH CARE

The GOP's Health Care Flip-Flop

In Oct. 2009, former Massachusetts Gov. Mitt Romney (R) urged Congress to use the insurance program he created in Massachusetts as a  model for nationwide health reform. This proved to be excellent advice, since President Obama signed a law that is based on Romney's health plan several months later. Nevertheless, Romney plans to deliver a "major policy speech" later today disawowing the very advice he gave Congress less than two years ago -- laying out a plan to repeal "Obamacare" and replace it with an unambitious array of minor health reforms. Moreover, Romney's speech comes just two days after a federal court of appeals heard the  first appellate case challenging the ACA on the grounds that it is unconstitutional to require someone to either carry insurance or pay slightly more income taxes. Even though the the Constitution and Supreme Court precedent both unambiguously establish that the ACA is constitutional, the GOP has nearly unanimously endorsed the meritless constitutional attack on the ACA. It wasn't always this way, however.

THE MANY FACES OF MITT ROMNEY:   Romney's support for a  health plan that provides life-saving, affordable health care to nearly every Massachusetts resident has not endeared him to the GOP primary electorate, which is why he's tried to distance himself from his own single most significant accomplishment. Earlier this year, Romney tried to excuse his decision to sign the prototype for the ACA by explaining that it was just fine for him to sign a state  health care plan , but absolutely unacceptable for Obama to sign an almost identical  federal  health care plan. Needless to say, this kind of hairsplitting did nothing to rescue Romney's incipient campaign. Sixty-one percent of Republicans in the crucial state of Iowa indicate that they   will not vote for someone who "supported a bill at the state level mandating that voters have health insurance." More importantly, Romney's bizarre state/federal distinction is at odds with his longstanding position on federal health reform. As far back as 1994, Romney indicated that he would support a Republican health plan that included an insurance coverage mandate. Today's speech is Romney's second attempt to wash away his proudest achievement. In it, Romney will recycle a discredited McCain-Palin proposal that would cost 20 million people their employer provided health care, he will embrace the GOP's plan to gut Medicaid, and he supports a completely unworkable scheme that will allow patients to wait until they get sick to buy insurance, draining all the money out of an insurance plan that they have not previously paid into and leaving nothing left for the rest of the plan's consumers.

THE GOP'S INDIVIDUAL MANDATE: 
In 1991, four conservative health policy scholars proposed  requiring all Americans to carry health insurance in an effort to "persuade President George H.W. Bush and his administration to adopt a universal health-care proposal that would keep the government from eventually taking over the sector." Two years later, Sen. John Chafee (R-RI) and 21 mostly Republican co-sponsors introduced a bill which took up this proposal for an individual insurance mandate. Five senators who opposed the ACA -- Robert Bennett (R-UT), Kit Bond (R-MO), Chuck Grassl ey (R-IA), Orrin Hatch (R-UT), and Richard Lugar (R-IN) -- co-sponsored Chafee's bill. In mid-2006, Romney became the first elected official to sign an individual insurance mandate into law. Two Republican Senators even voted for an insurance mandate before they voted against it. Sen. Olympia Snowe (R-ME) voted in support of a Senate Finance Committee proposal which  included an insurance mandate, and Sen. Scott Brown (R-MA) voted in support of Romney's health plan as a member of the state legislature. In other words, for all their strident rhetoric against insurance coverage requirements, the truth is this requirement was invented, nurtured and supported for nearly two decades by the GOP.

TEARING UP THE CONSITUTION: Hypocrisy, incoherence, and unworkable plans are the least of the GOP's sins. They are prepared to tear up the Constitution as well. In a series of lawsuits challenging the ACA, Republicans claim,  falsely, that Congress has never before passed a law that imposes a consequence on people who don't buy a product, and that this somehow makes the ACA unconstitutional. Yet, as a panel of federal judges pointed out on Tuesday, this claim has no basis in the actual text of the Constitution. Rather, the Constitution provides that Congress may "regulate Commerce...among the several states," and the very first Supreme Court decision interpreting this language made clear that this power is " plenary ," meaning that Congress may choose whatever means it wishes to regulate interstate marketplaces so long as it does not violate another textual provision of the Constitution. Thankfully, it is  very unlikely that the Supreme Court will take the GOP up on its offer to replace the actual Constitution with a tenther manifesto, but the fact that one of the nation's two great political parties believes that they can rewrite the Constitution shows nothing less than utter contempt for the nation's founding document.


THINK  FAST

Federal Communications commissioner Meredith Baker announced yesterday that she will resign her post in June to join Comcast/NBC as a senior vice president. Baker, a Republican, was appointed to the FCC by President George W. Bush in 2009, and made her announcement only four months after voting to approve a merger between Comcast and NBC Universal.

The Wall Street Journal editorial board slammed Mitt Romney today as a "compromised and not credible" presidential candidate over his support for "RomneyCare." Viewing his health reform as "the prototype" for the federal health reform law, the board said "his failure to explain his own role or admit any errors suggests serious flaws both in his candidacy and as a potential President."

In a Washington Post op-ed today, Sen. John McCain (R-AZ) writes that the evidence used to find Osama Bin Laden was not produced by torture . The senator also said that the waterboarding of Khalid Sheik Mohammed yielded "false and misleading information."

Though President Obama decided not to release them, to the public, members of Congress are now viewing 15 photos of Osama bin Laden's corpse. Sen. James Inhofe (R-OK), who claimed to be the first lawmaker to view them, said the photos are "pretty gruesome" and prove that "he is gone. He's history."

Libyan rebels in Misurata reclaimed the contested city's airport yesterday, the latest in a recent string of defeats that have weakened morale among supporters of Col. Muammar el-Qaddafi. The airport was the only piece of Misurata under Qaddafi control, and its seizure by rebels could cut off vital supply lines between government troops.

House GOP leaders are struggling to find the votes for a long-term extension of the PATRIOT Act as the Judiciary Committee takes up the law today. GOP leaders will hold a classified briefing to attempt to drum up support for the controversial law. The current proposal under consideration would extend the law for six years.

White House economic adviser Austan Goolsbee said yesterday that to tie spending cuts to an increase in the debt ceiling, as many Republicans have tried to do, is "quite insane." To cut spending by threatening to hit the debt ceiling "is like trying to lose weight by cutting off your head," Goolsbee said. "That's not the way to lose weight."

A new Bloomberg survey "of traders, investors and analysts" finds that 54 percent of respondents have an unfavorable opinion of Goldman Sachs. Yet 78 percent of respondents said the firm's reputation will not suffer over the long term following a settlement with the SEC last year.

And finally: Did Florida just ban sex? The Sunshine State finally got around to banning bestiality last week, but, as the blog Southern Fried Science points out, they may have accidentally written the law too broad and banned all sex. The law bans "sexual contact" with "animals," but of course, humans are animals too and the law contains no provision to distinguish between humans and other animals.


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DAILY  GRILL

"Truly, at heart, I'm a moderate."
-- Sen. Rand Paul (R-KY), 4/14/11

VERSUS

"With regard to the idea that you have a right to health care, you have to realize what that implies. It's not an abstraction. I'm a physician. That means you have a right to come to my house and conscript me. It means you believe in slavery."
-- Paul, 5/11/11

 


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