ThinkProgress Logo

Health

What To Expect Of Obama’s Pre-Summit Proposal

Our guest blogger is Emma Sandoe, a Health Care Researcher at the Center for American Progress Action Fund.

Last week, in his invitation to Congressional leaders, President Obama promised to “post online the text of a proposed health insurance reform package.” Expected to be released Monday, 72 hours in advance of the February 25th bipartisan health care summit, the White House proposed reforms will likely be a set of compromises and the best policy ideas taken from the House and Senate passed reform bills.

With members of Congress away during the President’s Day recess, it is likely the package would look more like a collection of general ideas rather than final compromised agreements in legislative text as we have seen in prior bill releases. In recent days, the White House has indicated support for the reconciliation process to pass compromised reforms. So, the differences presented here could create a reconciliation, “fix it” bill to the bill passed by the Senate in December.

Here is what to expect:

– Closing the Doughnut Hole: Midway through the final Senate vote, Democratic Senate leaders promised to include a full closure of the coverage gap in the Medicare prescription drug program. This provision is included in the final House bill, but the Senate bill only begins to make efforts to begin to close it. AARP supported the Senate bill with the understanding the Senate would amend the bill to close the hole.

– Cadillac or Excise Tax Fix: White House aides say the “White House prefers instead to keep the version already agreed upon with unions.” Last month, the White House helped broker a deal between the House and the Senate on the excise tax to protect labor union members’ negotiated health benefits. In recent days, the negotiated deal has lost support among some labor leaders which could lose it support within the House.

– Subsidies: One of the main reasons the House bill is more costly than the Senate version is the greater level of subsidies it gives lower-income individuals. It is important for health insurance to be affordable under the reform proposal and subsidies are a straightforward way of making sure that happens.

– National Exchange: The House pushed hard for this provision last month. It’s sound policy and the President appeared prefer it last month.

– Fixing the Nebraska Deal: The deal to give Nebraska extended Federal Medicaid funds in exchange for Ben Nelson’s (D-NE) vote was never popular with Democrats or Republicans. Now that a reconciliation deal does not hinge on Ben Nelson’s vote, the provision will likely disappear.

What to not expect:

– Public option: The recent resurgence of support of the public option with the letter initiated by Sen. Michael Bennet (D-CO) has been heroic, but in this venue will be a non-starter. This does not preclude the potential addition of a public plan through the reconciliation process at a later point, but it is unlikely the White House will tread on the controversy at this point.

What to watch out for:

– Abortion and Immigration: It will be interesting to see how (or if) the White House handles these issues. On the one hand, not touching abortion and immigration would temporarily sidestep the politically charged arguments that intensified under the debate. However, if the White House wants to present a comprehensive plan that addresses these unresolved issues, it will have to make some choices.

Update

Greg Sargent reports that Senate Majority Leader Harry Reid (D-NV) is signaling support for a reconciliation vote on the public option.

Yglesias

Diverse Representation Without Gerrymandering

alabama-county-map 1

Stuart Taylor, Jr’s attack on race-conscious congressional districting would be easier to take seriously if he evinced any real sympathy for the idea that it’s good to have some non-white folks in the congress. The way to do that would be to propose some alternative to racial gerrymanders. And fortunately, there’s an easily available alternative. Instead of having 7 variously gerrymandered congressional districts, a state like Alabama could simply elect seven House members via single transferrable vote.

In larger states you’d need something a bit more complicated—break a state down into two or three or four large multiple-member districts. Either way the point is that you wouldn’t get a state that’s 35 percent black sending a lilly-white congressional delegation unless race some day stopped being a significant influence on political preferences.

The way the current Voting Rights Act stands, it seems likely that states wouldn’t be allowed to do that. It would, however, be relatively easy to fix the legislative language in order to make multi-member districts a way for states to meet their VRA requirements. Whether state legislatures would actually take advantage of that opportunity, I couldn’t say, but I think it would be a big improvement to the American political system for a variety of reasons of which handling the minority representation issue better is just one. The only real downside is that since it’s unfamiliar to Americans who’ve never voted in a Cambridge, MA city council election, initial implementation of STV would probably confuse a lot of people. That said, jurisdictions that use STV work just fine and I’m pretty sure the American people would figure it out after a cycle or two.

At the end of the day I think this reform has a lot more promise than much-hyped proposals to curb gerrymandering through special councils and panels and such.

Politics

CPAC audience boos former GOP Rep. Bob Barr for saying waterboarding is torture.

This afternoon, the Conservative Political Action Conference (CPAC) held a debate titled “Does Security Trump Freedom?” that featured former GOP congressman and Libertarian Presidential candidate Bob Barr, Rep. Dan Lungren (R-CA), and former Bush Assistant Attorney General Viet Dinh. During one point in the debate, Barr condemned the right’s call to try terror suspects exclusively in military tribunals and defended plans to try suspects in civilian courts. He then insisted that waterboarding is torture, which prompted the crowd to start booing. As they continued to boo, he pointed to the audience and asked, “How would you like to be waterboarded? Try that!”:

BARR: But I don’t think we should go down the path of allowing our leaders to have their cake and eat it too. There is nothing magical about a military tribunal. They don’t have necessarily better lawyers than the civilian sector. I think I have a lot more faith in our US attorneys who are nonpolitical than my colleagues on the other side of this debate. We can try them. We should try them. That is precisely, Jay, what our law provides for. And the first time we’re faced with a situation we say, “Oh we’re going to have them go to the military let them torture them for a while, it’s not enhanced interrogation technique. Waterboarding is torture! How would you like to be waterboarded? Try that!

Watch it:

Attorney General Eric Holder has declared that waterboarding is torture, and due to the illegality of the procedure, the United States has prosecuted it in the past. Former Vice President Dick Cheney has repeatedly applauded the torture technique, and has admitted he was a “big supporter” of its use during the previous administration.

Economy

Sen. Lemieux’s ’2007 Solution’ For Balancing The Budget Doesn’t Add Up

Our guest blogger is Michael Linden, the Associate Director for Tax and Budget Policy at the Center for American Progress Action Fund.

Sen. George Lemieux (R-FL)

Sen. George Lemieux (R-FL)

This week, the Weekly Standard’s Fred Barnes penned a column lauding Senator George Lemieux’s (R-FL) “2007 solution” for fixing the federal budget. Lemieux, writes Barnes, has “done the math” and his plan is simple:

If government spending were reduced to its 2007 level, we’d have a balanced budget (with a $163 billion surplus). Returning to the 2008 level of spending, the budget would be balanced in 2014 (a $133 billion surplus). And in both cases, that’s while keeping the Bush tax cuts across the board and indexing the loathed alternative minimum tax for inflation.

Now I know that math can be tricky, but there are some pretty simple addition and subtraction issues here. Total federal spending in 2007 was $2.7 trillion. CBO estimates that this year the federal government will collect $2.2 trillion in revenues. So, even if we were spending at 2007 levels, we would still have a $500 billion deficit, not the $163 billion surplus Lemieux claims.

But let’s leave aside the easily disprovable claim that cutting spending back to 2007 levels would immediately produce a budget surplus and get to the real meat of the Senator’s proposal.

Lemieux says that if we limited government spending to 2008 levels, then we would have a surplus of $133 billion by 2014, even after making the Bush tax cuts permanent and indexing the AMT for inflation. In 2008 the federal government spent just under $3 trillion dollars and CBO estimates that revenues in 2014 will be around $3.1 trillion if the Bush tax cuts remain and the AMT is permanently fixed. So, at least Lemieux has his math approximately correct this time. So this plan sounds reasonable, right?

Well, in order to get 2014 spending down to 2008 levels, Congress would have to find about $1.2 trillion in savings just in 2014. To give you a sense of what that would mean, in 2008 Social Security spending was $612 billion. In 2014, it’s projected to be about $842 billion. Cutting Social Security back to 2008 levels would mean that benefits to retirees in 2014 would have to be slashed by $230 billion. That translates into an average cut of about $4,000 per beneficiary, a 28 percent reduction in benefits. (Calculations after the jump.)

And how about Medicare? Medicare spending is estimated to be $622 billion in 2014, compared to $386 billion in 2008, so Lemiuex’s plan would require finding $236 billion in reductions for just one year.

Now I’m sure that the good senator from Florida would never support such massive cuts to Social Security and Medicare, but if he doesn’t, then I’d like to know where else he’s going to find $1.2 trillion? The entire non-defense discretionary budget is projected to be about half of that in 2014, so even completely eliminating veteran’s benefits, the Transportation Security Administration, all aid to elementary schools, highway funding and farm subsidies wouldn’t get us even close to 2008 spending levels.

George Lemieux may have “done the math” but he clearly hasn’t thought this one through.

Read more

Yglesias

Making Consumption Taxes More Progressive

One issue that naturally arises on the subject of consumption taxes is whether you can’t act to make them progressive. For example, Paul Holmes says:

There’s no reason a consumption tax has to be regressive. You can exempt certain goods (I would start with foodstuffs and children’s clothing, certain health-related products from tampons to cough medicines) on which poorer people spend a disproportionate part of their income, and make a consumption tax that is far more progressive than our current tax system, and far easier to evade. I’ve never been quite sure why American liberals are resistant to this kind of VAT.

I spent a healthy chunk of January playing around with Consumer Expenditure Survey tables to try to devise just this sort of clever scheme. It turns out to actually be really hard. The problem is that if you look at spending by household income quintile the bottom quintile actually spends a larger share of its income on every CES category of goods and services than does the top quintile.

This, in turn, is because the bottom quintile spends $22,304 a year but only earns $10,263 in pre-tax income. Poor people, in other words, are liquidating savings or going into debt (the bottom two quintiles are older than the top three, suggesting that many low-income households are actually retirees). The top quintile, by contrast, earns $158,652 and spends $97,003. So while you can use exemptions of certain types of goods to make a consumption tax somewhat less regressive, fundamentally regressivity is built into the system in virtue of the much higher consumption:income ratio of the poor.

One thing you might say to that is: Who cares? Part of the point of consumption taxes is to encourage savings and investment that boost growth over the long-run. So maybe the right thing to do is to structure a system that’s progressive with respect to consumption and not worry about non-consumed income. In that case, if you exempt non-restaurant food and cheap clothing from taxation, you’ll have a system where taxes are a smaller share of poor households’ consumption, though still a larger share of their income. It’s worth noting that utilities are a quite high share of poor households’ incomes, so that policies that increase the price of electricity (cap-and-trade, carbon tax) are the reverse of the spirit of this proposal.

Another thing you might say is that it’s fine to have a regressive as long as you have a progressive tax system. Which is to say that you could raise 70 percent of your revenue through a regressive consumption tax and then go get the remaining 30 percent from a sharply progressive income tax. That would create a system that’s progressive in its overall impact, but still features lower marginal income tax rates than our current system.

Politics

Profit-Seeking Palin Reportedly Rips CPAC As A Profiteering Convention

Palin3One leading Republican who is conspicuously absent from this year’s CPAC is Fox News pundit Sarah Palin. A source told Politico that Palin declined the invitation because she “does not want to be affiliated” with David Keene, head of the American Conservative Union (ACU), which organizes the conference. Saying CPAC will be about “pocketbook over policy,” the source said Palin objected to Keene asking “FedEx for between $2 million and $3 million to [win ACU's] support in a bitter legislative battle with rival UPS” last September. A Palin spokeswoman wouldn’t address the issue directly, saying only, “We support those who advance our core beliefs and lead by principle.”

Palin “ruffled feathers” last year when she dropped out of CPAC two weeks before the event. She had been the conference’s first confirmed speaker and organizers said they were “obviously disappointed.” At the time, she cited the “duties of governing.” Palin also dropped out at the “last minute” from CPAC 2008.

While declining CPAC this year out of concerns over profiteering, she had no problem attending the National Tea Party Convention. Judson Phillips, a Tennessee lawyer who organized that convention and started the for-profit corporation Tea Party Nation, said his intention was to make money from the event. Tickets for the convention cost $549, and many Tea Party leaders publicly condemned Philips’ profiteering. RedState.com editor Erick Erickson said the event “smelled scammy” and called it a “great con” to make money off peoples’ “passions.” The convention lost sponsors, and even Tea Party stalwarts Rep. Michele Bachmann (R-MN) and Rep. Marsha Blackburn (R-TN) dropped out.

Palin was reportedly paid $100,000 for her appearance at the Tea Party convention, but CPAC doesn’t pay its speakers and some speculated that Palin’s absence is due to money. Right-wing anti-tax crusader Grover Norquist blamed Palin’s own profiteering for her absence at CPAC:

Palin was paid a lot to go to the other one” says Norquist, referring to the recent Tea Party Convention in Nashville. Her absence this week, he says, is a political sign.

“Is Palin running for president? The answer is no. She could have spoken to 10,000 people, but instead she chose to speak to 600 and get paid $100,000. That’s being a spokesperson and making a living, not running for president.”

Palin is still on the CPAC presidential straw poll — the only candidate who is not a white male. According to a Hotline survey of “GOP party leaders, strategists, activists and pundits representing backers of virtually every potential candidate in the field,” Palin is the odd-on favorite, with former Gov. Mitt Romney (R-MA) close behind.

Alyssa

Kurt & Courtney

I’m not, in principal, opposed to a Kurt Cobain biopic of the straight up, non-Gus Van Sant-does Last Days variety.  I just have no idea who the hell you cast in it.  Michael Pitt’s not a bad choice, but he’s got a bit of a malevolent gleam in his eyes, there’s an edge there that’s just a little bit too hard for the guy who performed this:

“He’s a certified honorary punk rocker.  But he likes Queen better.”  So sweet, and funny.  And even worse, who the hell do they cast to play Courtney?  I recognize that Courtney Love’s descent into the crazy has been destructive, upsetting, and bad for her daughter, but the contemporary bashing of her by Axl Rose, among others, was vicious and undeserved.  She’s not simply a virago.  She was a very talented musician, and I think they really loved each other.  I hope the script demonstrates that, and that they can find an actress who can carry it off.

Security

Biden: ‘Even With Deep Nuclear Reductions, We Will Remain Undeniably Strong’

In an important speech yesterday Vice President Biden pushed for rapid action on the President’s nuclear agenda. Biden spoke at the National Defense University and was introduced by Secretary of Defense Gates, sending a strong message that the military is firmly in support of moving full speed ahead on the President’s nuclear agenda. As Biden put it, “we are all on the same page” and that “even with deep nuclear reductions, we will remain undeniably strong.”

Biden laid out an ambitious agenda, which notably called for the ratification of the Comprehensive Test Ban Treaty. The Vice President also emphasized that there is clear bipartisan support among foreign policy experts for this agenda:

Our goal of a world without nuclear weapons has been endorsed by leading voices in both parties. These include two former Secretaries of State from Republican administrations, Henry Kissinger and George Shultz…During the 2008 Presidential campaign, both the President and Senator McCain supported the same objective. We will continue to build support for this emerging bipartisan consensus like the one around containment of Soviet expansionism that George Kennan inspired. Toward that end, we have worked tirelessly to implement the President’s Prague agenda.

On CTBT, Biden explained that “explosive testing damaged our health, disrupted our environment and set back our non-proliferation goals” and he affirmed that the past concerns that prevented ratification of the treaty in 1999 have been addressed, as technological advances make testing unnecessary. Biden explained:

Our labs know more about our arsenal today than when we used to explode our weapons on a regular basis. With our support, the labs can anticipate potential problems and reduce their impact on our arsenal. Unfortunately, during the last decade, our nuclear complex and experts were neglected and underfunded… That’s why earlier this month we announced a new budget that reverses the last decade’s dangerous decline. It devotes $7 billion to maintaining our nuclear stockpile and modernizing our nuclear infrastructure.

Watch it:

The speech presents a clear challenge to conservatives in the Senate. There is steadfast support from the military and widespread bipartisan support among serious foreign policy officials and experts (including Secretary of States for Reagan, Nixon, and George W. Bush) in support of eliminating nuclear weapons. Yet conservatives in the Senate, led by Senator Jon Kyl, appear determined to torpedo this effort, with Kyl even advocating for nuclear testing and building more nuclear weapons.

The key question is whether conservatives in the Senate motivated by an obstructionist political strategy and an extremist foreign policy vision are able to unite their party around blocking this agenda. In other words, this will demonstrate if they are the party of Powell or Palin.

Yglesias

Hank Paulson on Cantor

ericcantor1-1

I’m struck by how little attention has been given to the tough hits dished out by Bush administration Treasury Secretary Hank Pauslon to various prominent congressional Republicans, including golden boy Eric Cantor.

Newsweek summary:

Meetings with Senate Republicans were “a complete waste of time for us, when time was more precious than anything” (page 275). Ideas that Republicans do add are “unformed,” like Virginia Rep. Eric Cantor’s plan to replace TARP with an insurance program. In a rare moment of sarcasm, Paulson goes off on the minority Whip: “I got a better idea. I’m going to go with Eric Cantor’s insurance program. That’s the idea to save the day” (page 285).

Politico, reflecting its usual shallowness, remarks:

But Republicans may have the last laugh: TARP is, arguably, the most unpopular federal program in recent memory — and voters seem poised to punish Democrats for passing it, even if Republicans like Cantor eventually signed off.

Well hardy-har-har. Some of us, though, are less interesting in the timing of who laughs when than in the formulation of national policy. The fact that Cantor had an approach to a severe economic crisis that attracted nothing but derision from his same-party Secretary of the Treasury seems noteworthy to me. The national press has, however, done an absolutely horrible job of putting conservative TARP-bashing in appropriate context as a program deemed necessary by all the leading officials in a very conservative administration to avert a Depression. If this stuff is just hypocrisy, that’s bad and noteworthy. But Paulson’s message seems to be that it’s not just hypocrisy, but rather genuinely frightening cluelessness.

Yglesias

The Kolbe-Boyd Plan

File-Jim_Kolbe

Maya MacGuineas emailed me with regard to yesterday’s post on Jim Kolbe to remind me that he was the author of a Social Security plan that did include some tax increases and that was, in her mind, “both fiscally responsible and politically courageous.” I will, indeed, give him some points for political courage. The various iterations of Kolbe’s ideas—initially in partnership with Charlie Stenholm, later with Alan Boyd—were among the most fiscally responsible versions of Social Security privatization out there.

At the same time, the embrace of privatization schemes by the soi disant deficit hawk community is one of the reasons that the Concord Coalition crowd has fallen into such discredit on the left. Changing demographics and (to a much lesser extent) growing income inequality have created a situation wherein promised future Social Security benefits will exceeds projected future payroll tax revenues. The obvious solution to this is some combination of higher taxes and reduced payouts, with the balance between the two going to vary according to your political tastes. Given that there’s also a substantial fiscal imbalance facing Medicare, and given that you can use money (i.e., Social Security benefits) to buy health care services, my preference would be to not cut Social Security and just look at Medicare. But tastes will differ.

The thing about Kolbe’s plan (PDF) is that like all privatization plans it introduces a gigantic new budgetary problem by diverting payroll tax money into a forced savings program. Consequently, as observed in James Horney and Richard Kogan’s classic CBPP report, these plans generally actually led to an increase in federal debt outstanding in 2050. The Kolbe-Boyd plan was far more responsible than most of the alternative privatization plans and led to only a very small increase, but the whole endeavor still smacks of a strongly ideological hostility to the program rather than a particular focus on the deficit. You could implement Kolbe’s tax increases, and then just implement a small sub-set of his proposed benefit cuts, and leave the whole privatization business out of it and I think you’d have a better plan.

It’s also worth noting that there’s a technical problem with the Kolbe-Boyd plan wherein they overstate the savings that could be achieved by adopting the C-CPI-U measure of inflation.

Older

Newer

Switch to Mobile
ThinkProgress Signup Overlay Skip and Continue to ThinkProgress Skip and Continue to ThinkProgress

Sign Up