My local newspaper ran my following letter to the editor Sunday. I have been preaching the message of improving the Affordable Care Act for seven years offering suggestions. I will link to one of those posts below. What I have never cared for is the naysaying, sabotaging and attempts to repeal it that have been a substitute for debate in the Republican party.
The legislation Republicans almost rammed through in 2017 was ill-conceived, poorly developed and punitiveto multiple millions of Americans.These were the key reasons Senator John McCain saved the GOP from itself and voted it down before he died.
“Three times now the U.S. Supreme Court has upheld the Affordable Care Act in the face of Republican attempts to rule it unconstitutional.
Per this retired actuary, benefits consultant and benefits manager, the ACA is not perfect and could use some improvements. But it is helping Americans, including provisions required in employer sponsored plans, which people tend to forget.
What has puzzled me for 10 years is that the law is somewhat based on Republican ideas, the latest being Romneycare in Massachusetts, which at least one Tea Party leader, S.C.. Sen. Jim DeMint, once supported.
My strong advice to my former party, stop trying to screw Americans by killing the ACA and let’s find ways to shore up its deficiencies.”
As an independent and former Republican (and Democrat), David Brooks is one of my favorite conservative pundits and authors. He is a regular participant on PBS Newhour’s Friday recap show with the more liberal Mark Shields. Like other key conservative pundits, MIchael Gerson, George Will, Ross Douthat, Eric Erickson and Max Boot, he is hoping that America votes out the incumbent president.
In his usual articulate and even-handed fashion, Brooks penned the following editorial last week called “How Democrats Won the War of Ideas.” The link is below, but I will highlight a few paragraphs for your review and comment.
“Over the last 100 years, Americans have engaged in a long debate about the role of markets and the welfare state. Republicans favored a limited government, fearing that a large nanny state would sap American dynamism and erode personal freedom. Democrats favored a larger state, arguing that giving people a basic economic security would enable them to take more risks and lead dignified lives.
That debate ebbed and flowed over the years, but 2020 has turned out to be a pivotal year in the struggle, and it looks now as if we can declare a winner. The Democrats won the big argument of the 20th century. It’s not that everybody has become a Democrat, but even Republicans are now embracing basic Democratic assumptions. Americans across the board fear economic and physical insecurity more than an overweening state. The era of big government is here.”
Brooks cites a few survey facts from last week’s New York Times/ Siena poll.
2/3 of Americans support allowing people to buy health insurance through the federal government
2/3 support Joe Biden’s $2 trillion plan to increase renewable energy and build efficient infrastructure
72% of likely voters and 56% of Republican voters favor another COVID-19 relief package
59% of Americans think government should do more to solve problems
2/3 think government should do more to fight climate change
60% support increasing the minimum wage and providing tax credits to low income workers
82% of voters and 70% of Republicans would like to expand requirements for paid family medical leave
Brooks also cites a study by the Mercatus Center which notes that Republicans are also moving left, just not at the pace of Democrats. This is contrary to what is believed by the media.
I have long said that more than 1/2 of the Republican voters are voting against their economic interests and do not know it. This survey indicates many do favor policies that would help them, but are sold a bill of goods packaged to woo their votes, but mask the purposeful deterioration of rights and opportunities.
A great example is the Affordable Care Act. When people are surveyed about the features of the act, the features receive high marks from all, including Republicans. The only feature that did not was eliminated – the mandate to buy coverage. Ironically, this elimination is the basis for 25 Republican Attorney Generals who have case to declare the ACA unconstitutional in front of the Supreme Court after the election, which should not occur as the case is not solid, but one never knows with these things. Sadly, the White House chose not to defend the law, which affects expanded Medicaid, exchange and employer-provided benefits.
Please read Brooks article below. It is very well done, as per usual.
On Monday, the US Supreme Court ruled against an effort of several years ago led by Senator Marco Rubio to shortchange health insurers money owed to them for accepting higher risk claimants early on under the Affordable Care Act. In essence, Rubio led GOP Senators to eliminate 89% of the funding under a risk corridor agreement to tie insurers through initial adverse risk (due to pent up demand from folks who were not previously covered).
The following excerpt from an article called “Supreme Court rules government must pay billions to Obamacare insurers,” by Susannah Luthi of Politico, may be of interest.
“The Supreme Court on Monday ruled the federal government owes health insurers massive payments from an Obamacare program shielding them from financial risks after the companies accused Washington of reneging on its funding promises.
The 8-1 decision could open the floodgates for federal cash to the insurance industry. Insurers who accused the government of a ‘bait and switch’ claimed they’re owed $12 billion from the Affordable Care Act program.”
The lone dissenting vote was from Justice Samuel Alito who said the insurers were getting a“windfall.” No, Justice Alito and Senator Rubio, they are getting what was promised in writing.
People could easily dismiss this as a fight that does not concern them. That would be a misjudgment. The Republican Senators led by Rubio screwed Americans to win a political argument in attempt to sabotage the ACA. Why do I say that? As a consequence, these insurers had to raise premiums that impacted unsubsidized folks and caused an increase to the offsetting premium credit under the ACA for the subsidized folks. That subsidy increase in turn increased our budget deficit. It also forced some insurers to exit the ACA with the US government owing them money, which hurt competition.
Sadly, all of the efforts noted above, which the Supreme Court just overturned, are true. That is a reason for the near unanimous vote. I encourage you to Google “Marco Rubio and ACA Risk Corridors” and read as much as you like. What frustrates this retired benefits consultant, manager and actuary is very few people know they got screwed. The following links to this article and one of my many pieces on shoring up the ACA are below.
So, much of the focus has rightfully been on countering the most divisive US President this Independent voter has witnessed. He has bullied, denigrated, lied and made himself the center of attention on far too many issues.
Yet, let’s look at this record he touts as his reason to give him free rein. His followers say he has done what he promised. To me, therein lie the problems.
While the economy is going well, the economic growth has lasted 9 1/2 years, the second longest in US history. We have also had over 8 years of job growth. The tax law and deregulation have helped make it a little better, but we are doing so on borrowed time with increasing debt and less governance.
We have announced the pull out of the Paris Cilmate Change accord and are an outlier in the world. The President lied to people about climate change being a hoax and has added insult by damaging our environment through enabling industrial polluters. He is borrowing time the world does not have.
The ill-conceived tariffs are bad enough, but bullying and lying to our allies far exceed the damage tariffs will do. We are harming our relationships, which are a key strength of America. We are also less trustworthy. As Trump’s former economic advisor said after telling him he lied to the Australian PM, Trump is a “professional liar.”
We have focused on immigration as a major problem, but it has been sold on fear and is not as big a problem as advertised. We have made immigrants the bogeymen and have lost sight of the impact of domestic terrorists already here. Yes, we should fix immigration, but three promising bills before this President were waylaid for political reasons.
We have allowed a President to build off Republican leadership efforts to sabatoge the Affordable Care Act making premiums higher than they otherwise would be. His party has screwed Americans to win a political argument. And, now the GOP has the unmitigated gall to say they want to protect pre-existing conditions.
We have put in place two very conservative justices, but the President forced the Senate to move away from a super majority to a simple majority. This has made it easier to get a less moderate Justice on the court. I want well-tempered jurisprudence, not partisanship. The most recent Justice lied to the Senate.
We have allowed a President to make money off the Presidency, which he has been sued over. The trial is permitted to move ahead. We have not criticized a President enough for denigrating rhe media. Trump is on record as lying more than any other politician. Our democracy is at stake because of these two issues. He is President, not King.
Finally, civil rights are under attack with this President. His hate speech and bullying have greased the skids for white supremacists. The President is a racist and misogynist.
This is his record. And, I have not even discussed the Russian issue. I would give him kudos on discussions with North Korea and some deregulation. The tax cut helped some, but went too far and is hurting our debt. And, we have done little to better govern guns or invest in our infrastructure.
That is what I think as an Independent voter, who left the GOP over ten years ago. We need to better govern this President. He certainly is not up to the task.
I hope your weekend is going well. Several topics have toyed with me writing a full post, so I will resort to a brief summary of a few. In no particular order:
The royal family of Saudi Arabia has done a pretty inept job of lying to the world about what happened to Jamal Khashoggi. It is so unartful that even the US President, who is not known for truth and wants just to do transactions, is being forced to admit they must be lying. I applaud other world leaders and even more than a few US Senators for stepping up to cry foul. My guess is this will eventually lead to the fall of Crown Prince MSB as he is embarrassing the family and country and this is adds to a growing list of notorious screw-ups.
Heading north to Great Britain, there were an estimated 750,000 British folks that protested in the streets of London yesterday asking for a new Brexit vote with actual facts being disseminated. While I fully understand the rationale of those who want Brexit, from the outset, Brexit will be harmful financially to Great Britain. Many financial companies and EU headquarters have either moved or are planning to move to an EU site. Plus, Scotland and Northern Ireland continue to talk openly of votes to leave Great Britain should it occur. If that is not enough, it is believed that Vladimir Putin has had a hand in the disinformation as he did with the 2016 and current 2018 elections in the US.
Returning to the US, candidates of my old Republican Party are taking a lot of heat over their positions on healthcare over the years. They should. Not only has this party not tried to improve and stabilize the Affordable Care Act, they have sabotaged and made it worse. It should be noted politicians don’t seem to understand a lot about healthcare. Here is a letter I sent to my newspaper that will give you a sense of what has transpired.
It seems healthcare is a key issue this election. Surveys the last eighteen months have indicated the majority of Americans want the Affordable Care Act stabilized and improved. Yet, the GOP leadership has tried to repeal it and actually has sabotaged its success making premiums higher than they otherwise would have been. The Senate’s defunding by 89% of adverse selection payments to insurers, the President’s defunding of payments to insurers to help people in need with co-pays and deductibles and the fight in states like NC to not expand Medicaid have increased exchange premiums and driven more carriers out of markets. This retired actuary, benefits consultant and benefits manager believe these measures have harmed Americans and people should know this.
Finally, a story that should get even more airplay than it is relates to the voter suppression attempts by the Georgia gubernatorial candidate Brian Kemp in his role as State Secretary. Whereas an ethical person would recuse himself from overseeing elections, Kemp has been pretty blatant in his efforts to make it harder to vote. I do not like the voter ID laws, gerrymandering districts and aggressive voter suppression tactics being done in my own and other GOP led states. These are Jim Crow-like. Yes, Democrats have done similar tactics, but what is being done the last eight years has been an orchestrated effort by a group called ALEC, funded by the Koch Brothers.
I am pretty tired of this the “ends justifies the means” rhetoric. I see what can happen when people cheat. They cheat to get elected and cheat once they are there. The US President is not only enriching people who donated to his efforts, he is enriching himself by using his position to make more money. This self-dealing is actually illegal. And, when people cheat, it devalues our country and state governance.
The main stream media is doing a better job on focusing on the issues, but they still have a bias toward conflict. Who wins and loses based on the airing of an issue or problem is covered way too much for my taste. The end result is problems and their many causes do not get addressed or are oversimplified, so they go unsolved.
The dilemma is we citizens lose. The focus must be on the issues rather than who benefits from whatever hits a news cycle. Substance matters more than image. Here are a few examples to digest.
We have a poverty problem in the US. It is not just a declining middle class. Too many are living beneath paycheck to paycheck or are one paycheck away from being in trouble. The United Nations just released a report that confirms the US has a poverty problem citing numerous examples and numbers. Instead of asking lawmakers what are we doing about it, the media focused on the Trump administration admonishing the UN for the report. The problem exists whether or not it makes Trump look bad, as it took decades to decline to this point. Addressing poverty is more important.
We have a significant and growing debt problem that has been made worse by the Tax law passed in December. The economy was already doing pretty good with a long growth period. Yet, rather than address our debt, we borrowed more from our future. This malfeasance must be highlighted. Yet, most of the focus is on the economy doing well and its impact on the midterm election. Note the economy would have done well without the tax change, but we have a day of reckoning coming that will require more revenue and less spending. What are we going to do about it now, especially with a good economy?
The Affordable Care Act has needed improvements and stabilization for some time. The American public favors this as do lawmakers from both parties. Yet, the media focuses too much on the political impact of an ACA that could be doing better. Not only has the party in power not helped the ACA, they have sabotaged it making premiums go up even more. As I see it, the President and GOP own the ACA. Letting premiums go up hurts Americans. If the ACA fails, our poverty problem will get even worse and the economy will suffer.
Issues like immigration, climate change, water shortages, tariffs, exiting international agreements, eg, all need to be focused on. We need to drill down on what makes sense in a data driven and reasonable manner. Attempting to resolve issues based on optics of winning or losing won’t solve anything. And, that is what our President and legislators seem to be more interested in.
So, media please start asking our leaders what they plan on doing about these problems and asking them to explain why certain measures don’t seem to be helpful. And, leaders stop worrying about keeping your job and start doing your job.