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After Arguing Against Medicare Cuts To Reform Health Care, Steele Says They’re Back ‘On The Table’

During his run for the U.S. Senate in 2006, then-Lt. Gov. Michael Steele argued that in order to control federal spending, he would advocate cuts in other government programs, including Social Security, Medicare, and defense. “Everything has to be on the table, my friend,” Steele said to NBC’s Tim Russert.

Now as Republican National Committee chair, Steele is singing a different tune. In an effort to scare seniors, the RNC released a “Seniors Health Care Bill of Rights” last week, calling on the government to “protect Medicare and not cut it in the name of reform.”

But it appears that Steele has put Medicare cuts back “on the table.” On ABCNews.com’s Top Line today, host David Chalian asked Steele about his view on Medicare cuts. After meandering through a long non-answer, Steele finally said that they may be necessary to reform Medicare:

STEELE: Well yeah. I mean you’ve got to look at the Medicare system as a whole and see that it’s in financial trouble. So how do you correct that? [...]

CHALIAN: Part of correcting it is to keep the idea of cuts on the table, correct?

STEELE: Part of correcting …

CHALIAN: Part of correcting the financial stability of Medicare.

STEELE: Oh yeah. You’ve got to deal with those inefficiencies, absolutely.

Watch it:

Emblematic of his tenure as RNC chair, Steele’s performance during this summer’s health care debate has lacked credibility. Despite his pledge to “protect Medicare” with a Senior’s Health Care Bill of Rights,” Steele was out attacking Medicare, calling it “a very good example of what we should not have.”

And despite Steele’s claim that the GOP is not trying to “scare” people on health care reform, an RNC survey mailed out recently asked recipients if they feared “that GOP voters might be discriminated against for medical treatment in a Democrat-imposed health care rationing system.”

Health

The Republican Campaign To Scare Seniors About Health Care Reform

Last week, after months of arguing that health care reform would ration care and pull the plug on grandma, Republicans initiated a focused and organized campaign against seniors. Since “older people vote in bigger numbers than younger people” and are “more likely to call their representatives or attend a town hall meeting,” their support is key. The elderly are weary of health care reform and afraid of losing their existing government-sponsored health care plans; convincing them of the Republican narrative on health care reform, could doom Democratic reform efforts and virtually guarantee large Republican gains in the midterm elections and beyond.

For Republicans, the strategy requires some juggling and plain old intellectual dishonesty: the GOP has to support Medicare, but argue against a Medicare-like public option. Last Monday, GOP Chairman Michael Steele penned a rather awkward op-ed defending and defaming the Medicare program. He rebranded the proposed $500 billion cuts to Medicare and Medicaid waste — which he himself has supported in the past — as a “raid” on Medicare and accused the President of cutting Medicare benefits.

The AMA and AARP endorsed House health care bill rationed care to seniors, Republicans claimed. The President must scrap the House plan, and propose his own legislation. This afternoon, during an appearance on Fox News, Rep. Mike Pence (R-IN) made that very argument, criticizing Democrats in Congress for writing health care legislation and calling on Congress to “scrap the bill that has been moving through the House of Representatives” and “demand the President of the United States to bring forward his own bill.” The House legislation, Pence claimed, increased “the cost of prescription drugs for seniors under Medicare Part D”:

It really is, particularly, when you start to realize that where they are going to find these supposed savings are in cuts to Medicare. They are actually talking, as House Republicans published today, they are talking about increasing the cost of prescription drugs for seniors under Medicare Part D of upwards to 20% in the coming years, to close that so-called ‘donut hole.

Watch it:

False hits only work if they build on kernels of truth. In this case, Pence is perverting a recently released Congressional Budget Office letter — which found that premiums would increase but net spending on drugs would decrease — to substantiate the Republican narrative. The reality is quite different. The House bill would improve Medicare payments to physicians, create incentives for doctors to work in underserved rural areas, eliminate co-payments and deductibles for preventive services in Medicare, and fill in the coverage gap – the “donut hole” – in the Medicare prescription drug benefit.

According to the Congressional Budget Office, closing the donut hole alone would cause “spending on prescription drugs apart from those premiums” to “fall, on average, as would their overall prescription drug spending (including both premiums and cost sharing).” The federal government would save “about $30 billion over the 2010–2019 period.”

Beneficiaries’ premiums would increase as a consequence of the donut hole contraction and the behavior of prescription drug companies. Under the legislation, “prescription drug plans would be responsible for covering some costs in the doughnut hole and above the catastrophic level that they are not required to cover under current law.” “Because enrollees pay for about 25 percent of the cost of coverage through their premiums, premiums would also be higher.” Pharmaceutical manufacturers would also add to premiums by “charging higher prices for new drugs,” and lowering “the rebates they pay to prescription drug plans.” Yet on the whole, “in return for those higher premiums, enrollees would receive greater protection against incurring high drug costs” and incur lower out-of-pocket expenses. As a result, “beneficiaries’ total prescription drug spending would fall on average,” the CBO found.

The counter-narrative is more complicated but no less essential; without it, the President will likely lose the debate. Until now, Obama has treated the health care debate as an economic symposium; he has played the professor in the GOP’s far more moving drama about long waiting lines and rationed health care services. To win the health care debate and blunt the GOP’s far more compelling story, the President will have to reassure seniors that health reform will strengthen the Medicare. His story could sound something like this: health care reform “ensures that Medicare beneficiaries will continue to choose their doctors, hospitals and other providers, receive an improved range of benefits, and enjoy the financial and health security Medicare has provided for more than 40 years.” After all, this narrative has the benefit of being true.

Climate Progress

The Holy Grail of clean energy economy is in sight: Affordable storage for wind and solar

Enabling safe, clean energy that will never run out is a key to averting catastrophic climate change.  Roughly half the “solution” to global warming is solar and wind [see "How the world can (and will) stabilize at 350 to 450 ppm"].  Of course, many U.S. concentrated solar plants will use low-cost, high-efficiency thermal storage.  In the longer term, plug-in hybrids and electric cars are likely to play a key role in storage, if issues surrounding battery life can be solved and/or battery leasing strategies pan out (which would also create a large aftermarket for batteries that utilities could use).  Another strategy for grid integration is natural gas.  In this repost, guest blogger Craig A. Severance discusses what he learned about available technology from interviews with leading storage firmsSeverance is co-author of “The Economics of Nuclear and Coal Power” (Praeger 1976) and a former Assistant to the Chairman and to Commerce Counsel, Iowa State Commerce Commission.

As the world meets this December to set plans to halt global warming, it is expected America and other industrial nations will commit to a daunting task: reduce CO2 emissions 80% by 2050.  In just 40 years, a complete revolution in how we use and supply our power must happen, or the world will face catastrophic effects of runaway climate changes.

As a new power plant typically lasts 40-50 years, many scientists are now arguing we must simply stop building new power systems that use significant amounts of fossil fuels.  They argue we must move to a high reliance on the wind and the sun for our electricity.

Abundant Power. The U.S. has enormous wind resources, capable of generating over 20% of U.S. electricity from wind by 2030, according to the U.S. Department of Energy.

The sunlight  falling on our deserts, parking lots, and rooftops has even more power  – enough to supply 69% of U.S. electricity by 2050 according to published studies.

Other renewable power sources — such as geothermal energy, municipal waste-to-energy, and biomass – will also play a role, but they pale in size compared to the gargantuan resources of wind and sunlight.

How We Use Energy vs. How Nature Provides. Though nature provides all the energy we may need, there is a problem.  We demand power literally “at the flick of a switch”, not just when the wind is blowing or the sun is shining.

This basic fact about how we use power versus how nature supplies clean energy has caused many to discount the idea that wind or solar power can ever supply more than a small fraction of our electricity.  Critics of renewable electricity call it “intermittent” and “unreliable”.  They say we can’t “catch the wind”, nor can we command the sun to always shine.

These critics see two possible choices for the future. We can develop more stable supplies of renewable energy by coupling wind and solar projects with storage.  Failing that, they argue we should give up on renewables as a primary source of electricity, and instead build more nuclear power.

The flaw in the nuclear path, beyond its tremendous cost, long lead times, and imported fuel, is that nuclear is not actually “dispatchable” power.  Nuclear plants are designed to run all the time at fairly steady output — meaning nuclear power cannot provide the “peaking power” now provided by gas turbines.  Thus, a nuclear path would still rely heavily on fossil fuel power plants to “ramp up” on a daily basis to provide the power needed during these daily swings.

A truly dispatchable system providing over 80% reductions in carbon emissions, therefore, must rely on some form of energy storage.  The energy storage can allow us to fully utilize wind and sunlight as our main power sources – supplying both “base load” power and dispatchable daily peaking power with energy from these inexhaustible supplies.

Energy Storage and Today’s Grid.

Read more

Security

Mark Krikorian Exploits ‘Phony Issue’ Of Health Care Coverage For ‘Illegal Immigrants’

Appearing on CNBC this morning, Mark Krikorian propagated the now popular misconception that undocumented immigrants will receive health care subsidies if health care reform passes. Krikorian slammed Democrats for being dishonest with the Americans and decried the absence of a verification mechanism to assure undocumented immigrants do not receive coverage on the taxpayers’ dime:

KRIKORIAN: So the fact is what’s even more important, as far as the political prospects of the bill, is not so much that illegal immigrants will benefit — because they will — it’s the dishonesty of claiming to the public that illegal immigrants won’t benefit, while winking and nodding to the supporters of illegal immigration making clear that illegal immigrants will not be checked and they will be able to sign up.

Nativists and health care fear mongers have welcomed Krikorian’s argument with open arms, citing his concerns as just another reason why Americans should be opposed to “Obamacare” and immigration alike. However, former Undersecretary of Commerce Robert Shapiro — who appeared on CNBC alongside Krikorian — calls the debate at hand a “textbook case of a phony issue.”

Sec. 242 and 246 of America’s Affordable Health Choices Act of 2009 explicitly state that only individuals who are lawfully present in US will receive any of the benefits and §142(a)(3) appoints the Health Choices Commissioner with the responsibility of determining the eligibility of individual affordability credits which implies that he or she will also be in charge of instituting a verification mechanism. Other policy experts have also indicated that verification mechanisms are best determined after the bill is passed which allows the government to choose one that matches the underlying process for receiving the benefits allowed. The two amendments to verify citizenship were voted down because one would have given private insurance providers unprecedented access to the sensitive income and identity information of all those applying for health care assistance and the other would have “imposed a burdensome and costly documentation procedure that we know has been a sledgehammer for a non-existent problem.”

In the meantime, if immigration reform doesn’t pass, the health care bill will probably end up hurting undocumented immigrants more than it helps them. A report released by the Congressional Research Service shows that many immigrants who aren’t eligible for federal assistance will be forced to either purchase insurance at their own expense or face serious fines and penalties that will apply to all “resident aliens” and citizens alike. With that said, no one expects a health care bill to fix one of the many products of our country’s broken immigration system and that’s why it makes sense that Shapiro stated that it should be addressed by immigration reform, not health care reform. He also called Krikorian out on national television:

SHAPIRO: What I’d like to ask the other guest [Krikorian] and all these other opponents — if that [verification mechanism] was accepted would you then support health care reform?

KRIKORIAN: I don’t do health care reform, I do immigration.

SHAPIRO: Yeah, right.

Watch it:

In other words, Krikorian knows that his participation in the debate is contingent on his ability to use immigration to “whip up fear and anger” around health care reform while effectively winking and nodding at those who are working to block it.

Yglesias

Endgame

Kids in the street drinking wine.

— High school bans evolution-themed t-shirt.

— Environmental implications of the Japanese election.

— Progressive Caucus swears they’re not bluffing on the public option.

— Lisa Jackson calls for a more urban environmentalism.

— Peter King says the New York Senate race is too boring for him to enter.

Song of the day is by Ladyhawke out of New Zealand: “Paris is Burning”. Sort of too bad she doesn’t sing with a kiwi accent.

Politics

McCain-McConnell Health Care Road Show Closed To The Public

ap090210030152 Today, Republican Sens. Mitch McConnell (KY), John McCain (R-AZ), and Kit Bond (MO) held a “Health Care Reform Forum” at Children’s Mercy Hospital in Kansas City, MO. However, the event was closed to the public. ThinkProgress spoke with Barbara Mueth, vice president of community relations at Children’s Mercy, who confirmed that the attendees had all been invited by either the hospital or the senators. At the event, McConnell said that it was time to “step back and start over” on health care.

McConnell and McCain will be continuing their health care road show this week. Both events will also be closed to the public:

– Charlotte, NC: McCain and McConnell will “join Sen. Richard Burr, R-N.C., in Charlotte on Tuesday for a ‘hospital forum’ at Carolinas Medical Center. With hospital employees and Burr’s invited guests attending, there will likely be little room for the public in an auditorium that holds fewer than 300 people, said Gail Rosenberg, spokeswoman for Carolinas HealthCare System.”

– Hialeah, FL: The event at Palmetto General will feature McCain, McConnell, and Sen. Mel Martinez (R-FL). “It will be open to the press, but closed to the public.”

Although McCain has held town hall meetings, McConnell has largely avoided them. His spokesman Robert Steurer said that he is instead “speaking to Rotary clubs, chambers of commerce and hospital groups.”

On Thursday on Kansas City radio station 980 KMBZ, Sen. Claire McCaskill (D-MO) — who has faced several contentious town hall audiences — criticized the GOP senators for not opening up their events:

McCASKILL: I’m disappointed that the Republican leader of the Senate is coming to Kansas City on Monday and participating in a forum, but they’re not opening it up to the public. It’s invitation-only. I think it might be helpful for the leadership in the Republican Party to have some of the experiences I’ve had over the last week, where some of the meetings are wildly in favor of reform, and other meetings are wildly against it. I think having that pulse is important, and I think the Republican leader would benefit from that.

Elsewhere in Missouri today, McCaskill is holding a health care town hall meeting where organizers expected 1,100 people to show up. Listen to the interview here:

Climate Progress

Department Of Energy Eviscerates Right-Wing Spanish ‘Green Jobs’ Study

Calzada on Glenn BeckA Spanish paper that claimed support for green jobs “may destroy two jobs for every one created” has been debunked by an official publication of the U.S. Department of Energy (DOE). The paper’s conclusions — led by Exxon-funded libertarian Gabriel Calzada — have been cited by GOP leaders, Fox News, right-wing columnists, conservative think tanks, and Big Oil front groups to attack President Obama’s green economic agenda. However, the DOE’s National Renewable Energy Laboratory (NREL) finds that the Spanish authors’ claim that renewable support kills jobs “is not supported by their work“:

The analysis by the authors from King Juan Carlos University represents a significant divergence from traditional methodologies used to estimate employment impacts from renewable energy. In fact, the methodology does not reflect an employment impact analysis. Accordingly, the primary conclusion made by the authors – policy support of renewable energy results in net jobs losses – is not supported by their work.

NREL reveals that what Republicans have called a “50-page empirical study” could have been written by ten-year-olds. All the study does is calculate two ratios of Spanish economic figures — renewable subsidies vs. private capital and subsidies vs. average productivity — and then draw extravagant conclusions not only about the Spanish economy, but project them onto the United States. Here are a few of the fundamental limitations, technical errors, and false assumptions drawn from NREL’s takedown of Calzada’s work of pseudo-economics:

The metrics used in the Spanish study are not jobs impact estimates. The primary conclusion of the report is that the Spanish economy has experienced job loss as a result of its RE installations. However, comparing the RE subsidy per job with the Spanish economy’s average capital per job and average productivity per job is not a measure of job loss.

The report lacks transparency and supporting statistics. It is striking that the authors’ calculations with two very different economic metrics generate the same result. The authors claim this increases their confidence in their result. However, because there is no statistical analysis, it does not seem reasonable to draw conclusions regarding confidence in either result. The authors also fail to justify their chosen methodology or cite others who have applied a similar methodology.

The authors assume that a dollar spent by the government is less efficient than a dollar spent by private industry and that it crowds out private investment. Government spending may be more or less efficient than private investment. To the extent that government spending is a correction for market failures (e.g., existing fossil fuel subsidies, environmental externalities), it is less likely to represent an inefficient allocation of resources. Furthermore, there is no justification given for the assumption that government spending (e.g., tax credits or subsidies) would force out private investment. This assumption is fundamental to the conclusion that Spain’s renewable energy policy has resulted in job loss.

Calzada also “fails to account for technology export potential,” “relies on jobs estimates that were developed in 2003 and do not reflect Spain’s RE industries in 2009,” and “relies on jobs as the sole metric to assess the value of renewable energy.” NREL’s Suzanne Tegen, a Ph.D. energy market analyst, and Eric Lantz conclude with a summary of what serious economic analysis of the impact of renewable energy investments has found:

In general, comprehensive analyses show that net employment impacts are sensitive to assumptions regarding future energy prices, strategies for addressing greenhouse gas (GHG) emissions reductions, and the capacity to export technology. With increased awareness of potential energy price scenarios, recent research has found that it is only when conventional energy prices are forecast to be very low that net employment impacts from RE investments are negative.

In other words, unless you live in a world where global warming and oil spills don’t exist, and fossil fuels remain cheap forever, government investment in renewable energy creates jobs — just what our nation needs now.

(H/T Pete Altman)

Media

Hoping the Truth Will Set Us Free

blog_cap_trade_poll

Kevin Drum offers up compelling polling evidence to suggest that winning the climate change fight will require people to have accurate information about climate change legislation:

Now, do you think the same people who were responsible for all those townhall shoutfests this month will have any trouble convincing people that $25 is the right number? Or $100? I didn’t think so.

Are we ready for that? I’m not sure. But we’d better be, because the second part of the opposition’s message will be the little picture. In healthcare that turned out to be death panels and abortion funding and illegal immigrants. For the climate bill it will be — who knows? But it’s a long bill and there’s plenty to choose from. Maybe it will be scare talk about Wall Street getting rich by trading emission permits. Maybe it will be scare talk about China taking over the world because they get to keep polluting as much as they want. Maybe it will be culture war talk about how Midwesterners are paying a bigger price to clean up the atmosphere than all those chi chi Californians.

Now I hope progressives can find effective counter-messaging tactics. But part of the reality of the situation, I think, is simply that it’s extremely difficult to imagine progressive policy happening without some measure of responsibility on the part of elites. Lately you’re seeing a lot of focus (most heavily from Mickey Kaus) on the idea that the Obama administration committed some kind of giant blundered by emphasizing cost control arguments on health care thus leaving themselves “exposed” to the right’s demagoguery. The crux of the matter, however, is that cost control would advance some substantive policy goals that conservatives claim to believe in and that are important for the future of American business. The goal of emphasizing such factors was the belief, perhaps naive, that some conservative legislators and business leaders would look at the proposals and say “hey, this is a pretty good idea.”

On climate, similarly, the idea behind the administration’s original rebate-heavy proposal was really just to hope that the merits of the case could persuade people. There’s not, after all, any logical reason why the Chamber of Commerce should be virulently opposed to the bill. Any firm with a below-average carbon intensity should benefit, and you would think that even rich businessmen would care about their children and grandkids growing up in a non-devastated world. This is really how legislating is supposed to work. You identify a situation people widely agree is problematic, and you advance a good remedy to the problem, and even though some narrow interests will still oppose you most elites ought to see that you have a reasonable solution and help you push it through.

But we’re not seeing anything like that behavior. So instead you enter this weird kind of semiotic space where we’re not debating whether or not it makes sense to raise taxes in order to expand Medicaid eligibility (an actual proposal) or to charge heavy carbon emitters and use the funds to help the poor and to finance clean energy investments (an actual proposal). Instead, we’re debating “death panels” and mythical $100 rate hikes. And I’m not really sure there’s any way to win a “debate” that’s completely ungrounded from reality.

Politics

White House: Mike Enzi Has Shown He’s No Longer Interested In A Bipartisan Solution

Earlier this month, when media outlets reported that top Democrats and White House officials seemed set to go it alone on health care reform due to “hardening Republican opposition,” White House Press Secretary Robert Gibbs pushed back on the story by saying the he had “no reason to believe” that Sens. Charles Grassley (R-IA), Mike Enzi (R-WY), and Olympia Snow (R-ME) weren’t “working in good faith” to forge a bipartisan compromise.

But since then, Enzi and Grassley have taken actions that have called their commitment to bipartisan reform into serious question. On Saturday, while delivering the weekly Republican address, Enzi attacked Democratic reform plans using misleading and false talking points such as claiming that “the bills would expand comparative effectiveness research that would be used to limit or deny care based on age or disability of patients.” Grassley, for his part, sent out a fundraising letter saying he was trying “defeat ‘Obama-care.’”

At the White House press briefing today, Gibbs said he hadn’t seen Grassley’s letter yet, but declared that Enzi’s address meant that he had “clearly turned over his cards on bipartisanship”:

GIBBS: The president is firmly committed to working with Democrats, Republicans, independents, anybody who wants to see progress on health care reform. I will say this. I haven’t seen the contents of that letter. Certainly, I think the radio address over the weekend by Sen. Enzi repeating many of the generic Republican talking points — that Republicans are using that have bragged about being opposed to health care — are tremendously unfortunate, but in some ways illuminating. It appears that at least in Sen. Enzi’s case he doesn’t believe there’s a pathway to get bipartisan support and the president thinks that’s wrong. I think Sen. Enzi’s clearly turned over his cards on bipartisanship and decided that it’s time to walk away from the table.

“It doesn’t help to have Republicans who say they’re for bipartisanship and say they’re at the table to try to find a solution repeating Republican party talking points about what they know is not true in the bill,” said Gibbs. “It’s bad for this town, but it’s much worse for this country.” Watch it:

Grassley spokesperson Jill Kozeny tells Greg Sargent that the senator’s fundraising letter only “describes the government-run plan in the House and HELP committee bills that President Obama supports and Senator Grassley opposes.” But the Washington Post’s Ezra Klein, who uncovered the fundraising letter, writes that Grassley “is creating a campaign premised on his role in stopping Obama’s health-care reform effort” and is “not leaving himself political room to compromise on health care.”

Additionally, both Enzi and Grassley have advocated for an unrealistic standard for bipartisan reform, saying that a bill needs 75 or 80 senators supporting it for it to be bipartisan. Considering that Republicans believe that “the No. 1 assignment in 2009 is to kill Obamacare,” it’s hard to believe that the two senators are continuing to negotiate in “good faith.”

Economy

Norquist’s Bizarre Foreclosure Prevention Plan: Tax Repatriation And Congressional Vacations

Today, the Wall Street Journal reported that foreclosures in commercial real estate could potentially deliver “a roundhouse punch to the U.S. economy just as it struggles to get up off the mat.” Combined with continuing delinquencies on residential mortgages, these commercial foreclosures could spell real trouble for any burgeoning economic recovery.

For the last few months, members of Congress and various economists have been looking at ways to stem the foreclosure crisis, putting forth a series of legislative solutions. However, when MSNBC needed someone to discuss the situation, it turned to Americans for Tax Reform president Grover Norquist, the anti-tax crusader who famously quipped that he’d like to “reduce [government] to the size where I can drag it into the bathroom and drown it in the bathtub.”

When MSNBC’s Carlos Watson asked Norquist how he would prevent foreclosures, he launched into a bizarre non-sequiter about Congressional vacations and the stock market, which ultimately culminated in his advocating for corporate and capital gains tax breaks:

WATSON: So you’re saying the constructive thing that Congress could do is go on vacation for two months, number one, and number two is to say that we won’t issue or pass any additional taxes? That’s what you’re saying would be the solution to stem the foreclosure crisis, both on the residential and commercial side?

NORQUIST: Both of those would help. If we could actually get Congress to agree, we should do another repatriation — 2004, 2005, Congress said ‘companies that have money overseas, you can bring it back and not pay a prohibitive 35 percent tax’…We could do that again this year…And what we ought to do also is abolish the capital gains tax.

Watch it:

It’s abundantly clear that Norquist has no idea what’s happening in the mortgage sector, and merely fell back on the conservative tax cut wish-list. The inclusion of tax repatriation is particularly egregious, as not only does it have nothing to do with mortgages, but studies have shown that the 2004 version was simply a tax windfall for corporations. The break allowed corporations to bring back money that they held offshore at a lower tax rate, for the purpose of domestic reinvestment. But the National Bureau of Economic Research found that very little money was actually reinvested:

Now the most detailed analysis of what actually happened — using confidential government data as well as corporate reports — has estimated what happened to the $299 billion companies brought back from foreign subsidiaries. About 92 percent of it went to shareholders, mostly in the form of increased share buybacks and the rest through increased dividends. There is no evidence that companies that took advantage of the tax break…used the money as Congress expected.

In light of this performance, I hope MSNBC will think twice before bringing Norquist on to speak about foreclosures again.

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