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Thune: Top Message I Got From Town Halls Is ‘Don’t Cut My Social Security And Medicare’

As Republican lawmakers held constituent meetings in their home districts over the August recess, they were often confronted for taking hard-right positions on everything from taxes to entitlement reform, sending a message that at least Sen. John Thune (R-SD) seems to have noticed. Thune said the main things he heard from constitutes was frustration over Congress’ inability to work together and opposition to cuts to social safety net programs, the Argus Leader reports:

“Do something,” Thune said Wednesday after a town hall meeting at the Brandon Municipal Golf Course. “Why can’t you work together? There’s a high level of frustration with the inaction, and there’s a lack of confidence in the country and the economy. They want to see us get something done.”

That’s one of the major insights he’ll take back to Washington, D.C. after the August recess, he said.

It ranks behind “don’t cut my Social Security and Medicare. I’ve heard that quite a bit,” Thune said.

It’s not surprising that Americans are voicing their concern about cuts to Medicare and Social Security, considering that the programs are overwhelmingly popular and that Republicans have threatened to cut them, most notably with the House’s passage of Budget Committee Chairman Paul Ryan’s (R-WI) Medicare-replacement budget. Numerous polls show Americans oppose cutting these social safety net programs as means to rein in the deficit, while 63 percent say they want to see revenue raised through increased taxes on the wealthy or with a millionaires surtax. Meanwhile, Americans are frustrated with Republican lawmakers’ intransigence grinding Congress to halt, as Thune notes.

Thune’s comments are particularly noteworthy in light of the fact that Texas Gov. Rick Perry (R) has made criticism of Social Security — which he has called unconstitutional — a central part of his campaign. (HT: Rachel Weiner)

NEWS FLASH

Report: Health Reform Provision Is Lowering Premiums, Reducing Administrative Costs | An Affordable Care Act provision that requires insurers to spend 80 to 85 percent of premium dollars on health care coverage — the so-called medical loss ratio (MLR) — is leading some insurers to lower premiums, a new Government Accountability Office (GAO) report concludes. Insurers interviewed by GAO said “they are considering reducing premiums in 2012 partly in response to the PPACA MLR requirements” and state regulators reported that some companies “have not applied for premium increases and are making adjustments to lower premiums as a strategy to increase their MLRs.” Most of the insurers are also reducing brokers’ commissions in an effort to lower administrative spending and meet the MLR benchmarks. Companies that exceed the limits are required to rebate their beneficiaries.

Justice

Timeline: Rick Perry’s Shifting Positions On The Constitutionality Of Medicare and Social Security

Poor Rick Perry. Just nine months ago, he published a book arguing that Social Security and Medicare are unconstitutional, only to learn that opposing the nation’s two most popular and successful federal programs doesn’t inspire very much confidence in your fitness for the White House. Ever since the Perry campaign learned this hard lesson, they have been tripping over themselves to distance the candidate from his own most radical views without painting him as flip-flopper. It isn’t going so well.

For anyone who is having trouble keeping track of whether Rick Perry will admit that he thinks Medicare and Social Security are unconstitutional this week, ThinkProgress is pleased to provide this handy timeline. And if you don’t like Perry’s most recent answer, don’t worry! Just wait a few days and he is certain to say something completely different.

  • Nov. 6, 2010: In an interview on CNN, Perry proposes letting states opt their citizens out of Social Security. This proposal is economically impossible to implement, because workers who are too young to receive Social Security benefits would move to an opt-out state to avoid paying Social Security taxes — and then promptly move to a state with Social Security benefits the moment they became eligible. Eventually, the entire system would collapse under the weight of too many Social Security beneficiaries who had not paid into the system.
  • Nov. 15, 2010: Perry publishes Fed Up!, his manifesto against letting the federal government do pretty much anything other than invade foreign nations and maybe deliver the mail. Fed Up! attacks Supreme Court cases permitting “federal laws regulating the environment, regulating guns, protecting civil rights, establishing the massive programs and Medicare and Medicaid, creating national minimum wage laws, [and] establishing national labor laws,” and it argues that we have Social Security “at the expense of respect for the Constitution and limited government.”
  • Aug. 12, 2011: The Daily Beast publishes an interview with Perry from shortly after he released his book. In it, Perry reiterates his view that Medicare and Social Security violate the Constitution. “I don’t think our founding fathers when they were putting the term ‘general welfare’ in there were thinking about a federally operated program of pensions nor a federally operated program of health care. What they clearly said was that those were issues that the states need to address.”
  • Aug. 13, 2011: Perry announces that he is running for president. His campaign announcement echoes a central theme of Fed Up!, that Perry is on a mission to set America “free from the shackles of overbearing federal government.”
  • Aug. 14, 2011: At his very first campaign stop in Iowa, Perry is asked how he would handle entitlement programs such as Social Security and Medicare if elected president. Perry responds, “Have you read my book, ‘Fed Up!’ Get a copy and read it.”
  • Aug. 15, 2011: Perry cites Fed Up! again on the campaign trail, this time pointing to the book’s harsh stance on federal education programs. “I don’t think the federal government has a role in your children’s education.”
  • Aug. 18, 2011: Angry protestors confront Perry at a campaign stop in a New Hampshire restaurant with chants of “hands off Social Security and Medicare!” When a voter reminds Perry that he “said Social Security is unconstitutional,” Perry refuses to respond. Instead, he stuffs a large piece of popover — a hollow egg batter roll similar to a Yorkshire pudding — into his mouth and insists that he can’t answer because “I’ve got a big mouthful.”
  • Later That Day: Perry’s communications director Ray Sullivan tells the Wall Street Journal that “‘Fed Up!’ is not meant to reflect the governor’s current views” on Social Security and that Perry’s nine month-old book is “not in any way [] a 2012 campaign blueprint or manifesto.”
  • Aug. 27, 2011: Perry undisavows Fed Up!. At a campaign stop in Iowa, ThinkProgress’ Scott Keyes asks Perry whether states-rights supporters should be worried that “as governor you said that Social Security is not something that falls in the purview of the federal government, but in your campaign, [you] have backed off that.” Perry is incredulous at the suggestion that his communications director’s nine day-old statement disavowing Fed Up! actually reflects the governor’s current views. “I haven’t backed off anything in my book. Read the book again, get it right. Next question.”
  • Five Minutes Later: Perry un-undisavows Fed Up!. Just a few short minutes after re-embracing Fed Up!‘s claim that Social Security is unconstitutional, Perry tries to distance himself from this view once again. “Those that have said that I said [Medicare and Social Security are] unconstitutional, I’m going to have them read the book. That’s not what I said.”

For the record, Perry is not telling the truth when he claims that he’s never said Social Security and Medicare are unconstitutional.

NEWS FLASH

MAP: 10 States Have Signed Legislation Establishing Health Exchanges | The Center on Budget and Policy Priorities (CBPP) offers this handy map showing how far the states have come in implementing the insurance exchanges that are part of the Affordable Care Act. The summary: 38 states and DC have introduced some form of legislation promoting exchange implementation, 10 states enacted such bills into law, 6 states and DC have exchange establishment legislation that remains pending, 16 states failed to pass establishment legislation, 12 states have not introduced legislation, 9 states
are not interested and at least 2 states have either executed an Executive Order establishing an exchange or have moved forward with setting up the exchange within an existing state program.

Americans Are Against The Health Law Because They Don’t Know What’s In It

The Hill’s Sam Baker pulls out this nugget from the latest Kaiser Family Foundation tracking poll:

People seem to be forgetting what the healthcare reform law does, according to a new poll from the Kaiser Family Foundation.

The monthly tracking poll found a sharp decline in the number of people who are aware that the new law will offer financial help to people who must buy insurance on their own, rather than getting it from an employer. Last summer, 72 percent of those polled were aware of that benefit. Now it’s down to 58 percent.

Fewer than half of the respondents knew the law expands Medicaid, down from two-thirds just over a year ago. Only 29 percent knew that the law eliminates cost-sharing for some preventive services, and half said the law did not provide that benefit.

When all you hear about are the lawsuits challenging the constitutionality of reform and fear-mongering about increased costs and erosion of coverage, naturally you’d be reluctant to support reform. Which is why Nancy Pelosi’s now infamous statement — “We have to pass the bill so you can find out what is in it” — may not be the most eloquently expressed sentiment, but remains true: the real test of the measure’s support will come once it is implemented and Americans actually experience its benefits.

The same, by the way, holds for all of the employer surveys about dumping coverage. Asking businesses what they’ll do about a provision that doesn’t go into effect until 2014 today — when some 40 percent are unfamiliar with its details — is just begging for the worst-case scenario that’s grounded in rumors about “big government regulation” than any serious consideration of the actual provisions in the text of the law.

Kansas Tries To Keep Abortion Regulation Process A Secret

Last month, a federal judge blocked Kansas from enforcing a state law imposing overly rigorous licensing standards on abortion providers pending the resolution of a lawsuit filed by two doctors who perform abortions in the state. Attorneys representing the Kansas abortion providers are alleging that officials drafted the regulations “without independently compiling data or studies on how the new rules would make the procedures safer for the women seeking them,” but they may have a hard time proving their point, since the state is now “battling to keep from revealing details about how it developed” the new rules:

Lawyers for the Kansas Department of Health and Environment and the attorney general want to prevent two abortion clinics from learning how the rules were crafted, as well as the mind-set behind them, according to their court filings.

They are asking a judge to limit the scope of what is shared with the clinics’ lawyers to prevent overly broad requests that don’t lead to relevant evidence, the court documents say.

The state also has denied open-records requests from The Kansas City Star and The Associated Press, which asked for documents that could have shed light on the drafting of the rules.

The licensing rules — which are far more stringent and specific than what the state currently requires of hospitals and ambulatory surgical centers — established new standards for exits, lighting, bathrooms, and equipment and would allow the states to fine clinics or go to court to shut them down. The state had initially denied licenses to two of the three abortion providers, but all are now operating until the lawsuit against the regulations is resolved.

The public timeline suggests that the new rules — which are only a small part of Kansas’ effort to eradicate abortion in the state and create a direct court challenge to Roe v. Wade — were issued hastily with little time to study their effectiveness or need. The state legislature passed the standards in April and Gov. Sam Brownback (R-KS) signed it into law on May 16. Kansas’ Department of Health and Environment issued the final version on June 17 and informed clinics that they would have to comply with the rules by July 1.

The GOP’s ‘Jobs Plan’ And Health Care Regulations

House Majority Leader Eric Cantor has identified the Affordable Care Act’s so-called grandfather rules — that exempt health insurance plans in existence before the law went into effect from many of the new benefits standards and consumer protections that new plans now have to abide by — as one of 10 job destroying regulations Republicans will try to repeal as they “continue to focus on the jobs crisis”:

Grandfathered Health Plans (November/December): We all remember when President Obama promised Americans that if they liked their health care plan they could keep it. Now, the Obama Administration has been issuing further restrictions against those previously protected plans. The result, by the Administration’s own estimates, will be a loss of 49 to 80 percent of small employer plans, 34 to 64 percent of large employer plans, and 40 to 67 percent of individual insurance plans. Meanwhile, employers losing their grandfathered status will face steep penalties, increasing their costs and negatively affecting wages and job growth. The Energy and Commerce, Ways and Means, and Education and Workforce committees will soon be working on legislation to repeal these ObamaCare restrictions.

Conservatives love to use Obama’s “keep your coverage” statement against him, but realistically employers change their health care plans all the time — they did before reform and will continue to do so after. What the administration has tried to do is discourage employers and insurers from avoiding the standards in the law and dramatically changing their plans: cutting benefits, raising co-pays, or lowering the employer contribution.

Employers can make some changes — but they don’t have a blank check to increase costs and reduce benefits. In fact, HHS has loosened these regulations, not tightened them. On Nov. 15, 2010, the Department of Health and Human Services accepted employers’ concerns and updated the rules to allow more plans to keep their grandfather status. Under the original regulation, for instance, some group insurance plans would have been penalized for making small administrative changes, but the updated standards allowed “plans to switch insurance companies and shop for the same coverage at a lower cost while maintaining their grandfathered status.”

Eventually, most plans will lose these protections — and that’s a good thing. The whole point of grandfather rules is to serve as a bridge to gradually move everyone into plans that are required to meet a basic floor of standards. The GOP’s effort to repeal the rules would allow carriers and employers to drastically change their plans and deny insured beneficiaries the benefit of the law’s new consumer protections.

Justice

VIDEO: Rick Perry Flip Flops On Medicare, Claims He ‘Never Said It Was Unconstitutional’

ThinkProgress filed this report from Des Moines, Iowa.

When Texas Gov. Rick Perry (R) released his book Fed Up! in late 2010, one of his main critiques was that, over the past 50 years, the federal government has misconstrued the Constitution to establish “the massive programs of Medicare and Medicaid.” Now that he’s running for president, Perry is trying to sing a different tune on Medicare.

In an interview with the Daily Beast’s Andrew Romano, Perry explained why he thinks Social Security and Medicare are unconstitutional:

I don’t think our founding fathers when they were putting the term “general welfare” in there were thinking about a federally operated program of pensions nor a federally operated program of health care. What they clearly said was that those were issues that the states need to address. Not the federal government. I stand very clear on that.

Yesterday, at a Polk County GOP fundraiser, the Des Moines Register’s Jennifer Jacobs asked Perry to further explain why he believes Medicare is unconstitutional. In a moment of amnesia, the Texas governor declared, “I never said it was unconstitutional.” Perry went on to state, “[t]hose that have said that I said [Medicare and Social Security are] unconstitutional, I’m going to have them read the book.”

JACOBS: You talked about Social Security, can you clarify why you think Medicare is unconstitutional?

PERRY: I never said it was unconstitutional.

JACOBS: Okay, so clarify your position on Medicare.

PERRY: I look at Medicare just like I look at Social Security. They’re programs that aren’t working and we ought to have a national conversation about it. Those that have said that I said they’re unconstitutional, I’m going to have them read the book. That’s not what I said. I said that we need to have a conversation, how are we going to have programs that actually work.

Watch it:

In Fed Up!, Perry explains on page 51 how Medicare is a misreading of the Commerce Clause. On page 48, he calls Social Security “by far the best example” of a program that “violently toss[es] aside any respect for our founding principles.” And on page 50, he says that we have Social Security “at the expense of respect for the Constitution and limited government.”

For Perry to claim that he “never said” Medicare and Social Security are unconstitutional is either a blatant flip-flop or a significant case of amnesia. In either case, with statements like these, one has to ask: has Rick Perry read his own book?

Perry’s Anti-Abortion Law Takes Effect This Week, Requiring Women To Get A Sonogram 24 Hours Before An Abortion

Perry signs a controversial abortion bill into law.

This Thursday marks the beginning of Texas’ new fiscal year, and with it a slew of conservative legislation signed by Gov. Rick Perry (R) takes effect.

Among those laws is the highly controversial sonogram law Perry signed in May, forcing pregnant women seeking abortions to undergo a medically unnecessary ultrasound at least 24 hours before an abortion and to hear a description of the fetus:

One new law requires a doctor to attempt to show a woman seeking an abortion a sonogram of the fetus, to describe the image and to provide the sound of the fetal heartbeat before the procedure. Federal Judge Sam Sparks is expected to rule before Thursday on a challenge to the law by the Center for Reproductive Rights.

This law is intrusive, patronizing to women and unconstitutional,” said Julie Rikelman, the center’s lead attorney on the case. She said patients should be given only the information and medical tests appropriate for the circumstances and that a doctor should not have to act as a “government agent.”

The sonogram law is a transparent attempt by anti-abortion activists to chip away at women’s constitutional right to end a pregnancy. The Senate sponsor of the bill, Dan Patrick (R) hailed it as “the beginning of the end for abortions,” and said he was so proud that he was “inspired to wear my cowboy hat” when Perry signed the bill.

Perry, a self-described “small government” conservative, has no problem inserting the government between women and their doctors. Facing the state’s worst budget crisis in modern history, he dubbed the sonogram bill an “emergency priority” that allowed the legislature to expedite its passage. Texas conservatives initially refused to include exceptions for cases of rape, incest, and fetal abnormality in the bill.

In the last legislative session, Perry also approved drastic cuts of $74 million to family planning services in Texas, which experts say will result in tens of thousands of additional unwanted pregnancies in coming years. The cuts could also result in 180,000 Texans losing access to cancer screenings and basic contraception.

Virginia To Require Existing Abortion Clinics To Comply With Regulations Intended For New Construction

On Friday, Virginia state health officials released draft regulations requiring existing state abortion providers to meet the physical plant requirements of hospitals. The new rules — the result of a TRAP (Targeted Regulations Against Abortion Providers) law passed by the General Assembly this spring — threaten to shut down Virginia’s abortion clinics, which only handle first-trimester abortions and are currently subject to the same regulations as physician practices.

The draft guidelines were formulated through an ‘emergency’ process that bypasses the normal public notice and rely on standards that were only “intended for brand new construction in the process of being built,” not existing clinics for whom compliance would be completely cost prohibitive. From the Virginia Coalition to Protect Women’s Health:

In particular, the draft regulations require existing women’s health centers in Virginia to meet extensive, significant physical plant requirements found in the 2010 Guidelines for Design and Construction of Health Care Facilities – including Guidelines for Outpatient Surgical Facilities, otherwise called ambulatory surgical facilities. These Guidelines are intended for brand new construction in the process of being built. These standards were never intended for existing health care structures and are not intended to apply to office-based surgical procedures. By relying on the 2010 Guidelines and imposing them on existing structures, the Virginia Department of Health would force substantial architectural changes by women’s health centers in order to be in compliance. Rather than protect women’s health, the regulations could endanger women because they could limit access to safe abortion by driving legitimate providers out of practice, which could place the health of women in Virginia in jeopardy.

The proposal also “allows the state’s health commissioner to suspend or revoke a clinic’s license, requires that a facility has an infection prevention plan and mandates that anesthesia be administered by a doctor.” The state’s Board of Health will vote on the rules on Sept. 15 and they will go into effect on Dec. 31. These “emergency rules will remain in effect while permanent regulations are crafted.”

Meanwhile, it is already difficult to access abortion services in the Commonwealth, “with 86 percent of Virginia’s counties lacking any abortion providers at all.”

Morning CheckUp: August 29, 2011

GOP radio address attacks Democrats for ‘lying’ about entitlement reform: “Let’s stop the lies about who wants to end Medicare or eliminate Social Security and fix both programs now,” Sen. Dean Heller (R-NV) said. “Every member of Congress knows these programs are unsustainable in their current state. They will not be around for our generation or the next unless Congress takes the necessary steps to strengthen these programs. They can be fixed, but the lies have to stop. Nobody is proposing that we end Medicare or Social Security.” [USA Today]

Perry’s malpractice claims debunked by Politifact: “The wholesale transformation that Perry describes is not backed up by the numbers. Perry said Texas has 21,000 more doctors thanks to tort reform. That’s flat out wrong. Texas has only about 13,000 more doctors in the state and the historic trends suggest that population growth was the driving factor. We rate his statement False.” [NPR]

Insurance industry may see less profit as a result of reform: “According to a new projection from the Boston Consulting Group, insurance industry revenues are expected to double to more than $1.2 trillion from 2011 to 2019 as an influx of previously uninsured people buy coverage. However, the industry’s profit margin could decline from nearly 5% to below 3% during that time period.” [MedPage Today]

Medicaid managed care could lead to gains: “With the expansion of Medicaid managed care underway in at least 20 states and the surge of enrollment in 2014, insurers expect $60 billion in new annual revenue.” [Washington Post]

Although it’s unclear that it can generate savings: “The National Bureau of Economic Research published this month the first national report on Medicaid managed care and cost savings. It’s verdict: moving Medicaid recipients into managed care ‘did not lead to lower Medicaid spending during the 1991 to 2003 period.’” [Sarah Kliff]

Kansas committee will still pursue exchanges: “A committee working on establishing a health insurance exchange in Kansas decided on Wednesday to continue its efforts even though Gov. Sam Brownback rejected a $31.5 million federal grant to set up the exchange, and many in the Legislature want nothing to do with it.” [LJWorld]

Texas sonogram law goes into effect this week: “One new law requires a doctor to attempt to show a woman seeking an abortion a sonogram of the fetus, to describe the image and to provide the sound of the fetal heartbeat before the procedure. Federal Judge Sam Sparks is expected to rule before Thursday on a challenge to the law by the Center for Reproductive Rights.” [Express News]

California passes key health reform legislation: The California Senate passed legislation dealing with rate regulation and limiting the amount of premium dollar that could be spent on insurer profit. The bills now head for a final vote and must pass the full legislature in the next two weeks. [California Progress Report]

Drug supplements may contain deadly ingredients: Americans spent $28.1 billion on drug supplements last year, up from $21.3 billion five years ago. But some of these products “contain amphetamines, synthetic steroids, laxatives and compounds like the active drug in Viagra” and “can cause heart attacks and strokes, and can damage the kidneys and liver.” [NYT]

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