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Health

Graham And Barrasso’s Embarrassing State Opt-Out Proposal

This afternoon, Sens. Lindsey Graham (R-SC) and John Barrasso (R-WY) are introducing a bill that reinforces the notion that Republicans aren’t very interested in finding alternatives to expanding coverage or lowering health care costs. This particular measure would allow states to “opt out” of the individual mandate, Medicaid expansion, and what Graham refers to as the “business mandate” — a misnomer for a provision that requires large companies to pay a fee if their workers receive government subsidies from the new exchanges.

Here is how Graham describes the legislation on his website:

GRAHAM: If you don’t buy the health care you pay a fine and a lot of people are going to end up getting into government-run systems. But the real problem for South Carolina, is the expansion of Medicaid….So my bill, along with Sen. Barrasso from Wyoming, a physician, is to allow states — if they choose to — to opt out. Remember when Governor-elect Nikki Haley asked President Obama if they could opt out and he said, maybe they could, well, that’s never going to happen. …What I want to do is give every sate the ability to opt out if they choose and take this fight from Washington, down to the state level….before it drives businesses out of the health care business….opting out is a form of repeal and replacing.

Watch it:

I’m not sure why Graham thinks that individuals who forgo the mandate would “end up getting into government-run systems” since the fine is just that — it doesn’t automatically transfer you into Medicaid or some other form of government-sponsored insurance. It simply leaves you uninsured and on the hook for any unanticipated health care spending.

And as for Graham’s overall bill, it’s unnecessarily redundant. Under Section 1332 of the Affordable Care Act, South Carolina can opt out of the individual mandate if it can find an alternative way to expand coverage and lower health care costs. It’s also free to leave the Medicaid program and forgo the millions it receives from the federal government to cover its poorest residents. Of course, Graham’s measure is slightly different — rather than trying to improve the existing individual mandate opt out provision by working with Sens. Wyden and Brown (who are trying to allow states to leave earlier), he wants South Carolina to abandon the mandate without developing any alternative for expanding coverage. Graham doesn’t even pretend to offer any solutions.

In other words, this senator, who receives taxpayer-subsidized health insurance, is openly proposing a measure that would take away coverage from millions of South Carolinians and offer no affordable means for finding insurance. This is the state of GOP health policy in 2011.

Climate Progress

Scientists Fight Inhofe Attack On Climate Fund

The Wonk Room is reporting and tweeting live from the international climate talks in Cancun, Mexico.

Jim InhofeA group of four Republican senators, led by climate denier Sen. Jim Inhofe (R-OK), have lashed out at the Obama administration’s efforts to protect the poorest and most vulnerable people of the world from climate disasters. Inhofe, Sen. John Barrasso (R-WY), Sen. David Vitter (R-LA), and Sen. George Voinovich (R-OH) wrote a letter to President Barack Obama telling him to drop an international adaptation fund for the least developed nations — part of the Copenhagen Accord signed last year by President Obama and over 130 other nations. Under Democratic leadership, the United States appropriated $1.3 billion for the climate fund in 2010 (compared to $136.8 billion for wars in Iraq and Afghanistan). After citing the budget deficit and high unemployment as reasons not to invest in protecting the vulnerable, the senators attacked the scientific basis for taking action:

In addition, several of the findings of the UN’s Intergovernmental Panel on Climate Change (IPCC) concerning the eventual impacts of climate change in developing countries were found to be exaggerated or simply not true. We understand that reforms of the IPCC process are currently underway and we believe that no American taxpayer dollars should be committed to a global climate fund based on information that is not accurate.

The Wonk Room contacted the Climate Science Rapid Response Team, a new volunteer effort by top scientists, to find out what they thought about the claim that the threat to the developing world is too uncertain for the United States to act.

“This is a dishonest climate change denier myth,” top climate scientist Michael Mann, director of the Penn State Earth System Science Center, explained. The senators are referring to two or three errors in the thousand-page impacts report that are “so insubstantial that they didn’t even make the summary for policy makers or the technical summary report.”

Dr. Gary Yohe, the Huffington Professor of Economics and Environmental Studies at Wesleyan University, charged the senators with “misdirection and misrepresentation”:

They are continuing an effort of misdirection and misrepresentation so that the debate does not focus on the issue – the urgent need for adaptation and the value to the United States of investing in adaptation (around the world).

Dr. Spencer Weart, a physicist and leading science historian, told us that “senators are incorrect in their claim that there are substantial errors in the IPCC’s evaluation of the science of impacts of climate change on developing nations”:

Unless the senators can point to serious deficiencies in the actual main conclusions about impacts of the IPCC report — which they have not done and cannot do — the prudent thing is to take the IPCC’s severe warnings about impacts at face value and prepare accordingly.

The senators have received a collective $5.1 million from the fossil fuel industry in campaign contributions.

Dr. Weart’s full response debunks in detail the senators’ letter: Read more

Security

Barrasso Opposes New START Treaty Because Of The ‘Soviet’ Threat

Appearing on MSNBC with Andrea Mitchell today, Sen. John Barrasso (R-WY) attempted to justify the threatened Republican obstruction of the New START nuclear arms reduction treaty with Russia. But in doing so, he wrongly called Russia the Soviet Union — not once, but twice. Watch it:

While Barrasso may say this was a slip of the tongue and that he knows that the Soviet Union collapsed nearly twenty years ago in 1991, this is not the first time far-right senators have made this mistake when talking about START. Barrasso also tellingly concluded his remarks by asserting that he disagrees “with the component [of START] that weakens our own missile defense against all enemies, not just the Soviet Union.”

Grouping the Soviet Union (meaning Russia) with other “enemies” of the U.S., is reflective of an outdated Cold War mindset that can only lead to renewed tensions with Russia.

Should Republicans kill the New START treaty, the “reset” of U.S.-Russian relations may collapse. This could endanger U.S. troops in Afghanistan, who depend on supply routes through Russia, and could derail Russian cooperation on Iran sanctions. Perhaps most worrying is that without New START, the U.S. will be unable to monitor Russia’s nuclear arsenal as it has since the end of the Cold War, potentially creating significant nuclear instability. As Andrea Mitchell explained to Barrasso:

With all due respect senator…if you believe in trust and verify this enables us to put people back on the ground there and verify what the Russians are doing where as right now we can’t.

Barrasso’s claim that the treaty undercuts missile defense is also just flatly untrue. Gen. Patrick O’Reilly the head of the U.S. Missile Defense Agency — who was appointed under President Bush — said that New START would “reduce the constraints on the development of the missile defense program.” This is why the U.S. military stands in unanimous support of the treaty and is calling on Senate Republicans to support it as well.

Politics

Sen. Barrasso Calls For Repealing Middle Class Tax Cuts To Finance Tax Cuts For The Rich

In the last week or so, a dizzying array of Republicans have made it their official stance that $33 billion to extend unemployment benefits must be fully paid for, but financing a $678 billion extension of the Bush tax cuts for the wealthy with deficit spending is just fine. “I think we need to be paying for all the spending that’s going on,” said Rep. Michele Bachmann (R-MN). “But when people can keep more of their own money that shouldn’t be considered a cost.”

Today, Sen. John Barrasso (R-WY) tackled this topic and started to go down the same road as the likes of Bachmann and Sen. Jon Kyl (R-AZ), who was the first to set foot in this fiscal fantasy land. But he then pivoted to suggest that the Bush tax cuts for the wealthy should be funded with unspent stimulus funds:

Q: Are you for extending the Bush tax cuts to the wealthiest Americans, yes or no? [...] Are you paying for them? Or are you for adding to the deficit to continue those tax cuts?

Barrasso: There is so much unspent stimulus money that we ought to use that in a responsible way, which is to help keep taxes low.

Watch it:

This is problematic on two levels. First, it’s simply not true that there’s “so much unspent stimulus money” just lying around. According to the latest data, there is $362 billion in stimulus funding waiting to be allocated (see chart at right), so Barrasso is still $325 billion short of the money he would need to cover the $678 billion cost of extending the Bush tax cuts for just the richest two percent of Americans.

And a longer look at the chart reveals that $125 billion of the unallocated funding is already dedicated to tax cuts. Remember, despite conservative’s constantly portraying it as only federal spending, the stimulus cut taxes for 95 percent of Americans. So Barrasso’s plan to repeal the money amounts to a tax increase on the lower- and middle-classes, which Barrasso wants to then turn around and spend on tax cuts for the rich.

Barrasso didn’t explicitly call for raising taxes on the poor and middle class in order to pay for his preferred policy outcome (which is tax rates for the wealthy that are as low as possible), but that’s what his suggestion would do. A similar sentiment was made far more directly by Wall Street Journal Editorial Board member Stephen Moore, who called for raising the rate of the lowest tax bracket in order to bring down tax rates for the rich.

Cross-posted on The Wonk Room.

Economy

Sen. Barrasso Calls For Repealing Middle Class Tax Cuts To Finance Tax Cuts For The Rich

In the last week or so, a dizzying array of Republicans have made it their official stance that $33 billion to extend unemployment benefits must be fully paid for, but financing a $678 billion extension of the Bush tax cuts for the wealthy with deficit spending is just fine. “I think we need to be paying for all the spending that’s going on,” said Rep. Michele Bachmann (R-MN). “But when people can keep more of their own money that shouldn’t be considered a cost.”

Today, Sen. John Barrasso (R-WY) tackled this topic and started to go down the same road as the likes of Bachmann, and Sen. Jon Kyl (R-AZ), who was the first to set foot in this fiscal fantasy land. But he then pivoted to suggest that the Bush tax cuts for the wealthy should be funded with unspent stimulus funds:

Q: Are you for extending the Bush tax cuts to the wealthiest Americans, yes or no? [...] Are you paying for them? Or are you for adding to the deficit to continue those tax cuts?

Barrasso: There is so much unspent stimulus money that we ought to use that in a responsible way, which is to help keep taxes low.

Watch it:

This is problematic on two levels. First, it’s simply not true that there’s “so much unspent stimulus money” just lying around. According to the latest data, there is $362 billion in stimulus funding waiting to be allocated (see chart at right), so Barrasso is still $325 billion short of the money he would need to cover the $678 billion cost of extending the Bush tax cuts for just the richest two percent of Americans.

And a longer look at the chart reveals that $125 billion of the unallocated funding is already dedicated to tax cuts. Remember, despite conservative’s constantly portraying it as only federal spending, the stimulus cut taxes for 95 percent of Americans. So Barrasso’s plan to repeal the money amounts to a tax increase on the lower- and middle-classes, which Barrasso wants to then turn around and spend on tax cuts for the rich.

Barrasso didn’t explicitly call for raising taxes on the poor and middle class in order to pay for his preferred policy outcome (which is tax rates for the wealthy that are as low as possible), but that’s what his suggestion would do. A similar sentiment was made far more directly by Wall Street Journal Editorial Board member Stephen Moore, who called for raising the rate of the lowest tax bracket in order to bring down tax rates for the rich.

Politics

Barrasso Calls Temporary Moratorium On Deepwater Drilling ‘A Second Assault On The Gulf’

Last month, the Interior Department instituted a six-month moratorium for wells deeper than 500 ft, directing them to “cease drilling any new deepwater wells, including wellbore sidekick and bypass activities.” “With the BP oil spill still growing in the gulf, and investigations and reviews still under way, a six-month pause in drilling is needed, appropriate, and prudent,” said Salazar.

But the “pause” in drilling is leading to some imprudent rhetoric from supporters of more oil drilling. Sen. David Vitter (R-LA) sent a letter to the Obama administration on Monday claiming that the moratorium would cause more “economic devastation than the oil spill itself.” On PBS last night, Sen. John Barrasso called it “a second assault on the Gulf“:

LEHRER: Senator Barrasso, do you believe that the bulk of the responsibility and the lack of action, as you say, should go to B.P., or do you think it’s now the federal government’s responsibility?

BARRASSO: Well, today, in the Energy Committee hearing, the – - Secretary Salazar, the secretary of interior, said we have been on top of this and making the decisions from the beginning.

But I think, when the American people take a look at this, in day 51, and they see the oil continuing to spew out, they’re saying, is everyone helpless? What — what are the best ideas?

And — and I had additional questions for the secretary today about the moratorium, because I think that’s going to be a second assault on the Gulf, with — even by the department’s own recognition, that it’s over 100,000 jobs that can be lost if they don’t go back and continue to provide the energy for the people of the United States.

LEHRER: So, you’re — you — you are opposed to the moratorium?

BARRASSO: I am opposed to the moratorium.

In the same segment, Sen. Bill Nelson (D-FL) defended the moratorium, saying that “we sure better know what went wrong before we continue to do this, because we sure don’t want to have another one of these things go off and fill the Gulf up all the more.” Barrasso wasn’t convinced, again calling it an “assault on the economy.” Watch it:

Politics

Barrasso Pledges To Make The Constitutionality Of Health Care A Major Issue In Kagan’s Confirmation Hearings

As soon as President Obama signed the Affordable Care Act into law, right-wing governors, attorneys general, and state lawmakers immediately began pushing measures to nullify the new health care benefits. However, even many conservative legal scholars acknowledged that their argument for the unconstitutionality of health reform was “weak” and nothing more than a political stunt. Nullification efforts around the country have largely lost momentum and failed to pass.

Nevertheless, this morning on Fox News, Sen. John Barrasso (R-WY) said that he wants to make this fringe view of health care reform a centerpiece of Solicitor General Elena Kagan’s Supreme Court confirmation hearing:

BARRASSO: The other issue is the health care bill that’s come out — there’s a mandate everybody in the country has to buy a product. That’s a 10th amendment issue. Twenty states right now, Martha, are suing the federal government, and she is going to have to make a decision if she’s on the court about how that goes forward with these 20 states suing. So where do states’ rights come in, where is the role of the federal government, what can they mandate to the American people, and I’m going to want to hear answers on that.

And this is very different than a year ago with Sotomayor. This was not an issue because we didn’t have this unpopular health care bill that’s been forced down the throats of the American people.

Barrasso also seemed to imply that he’ll make the second amendment into a litmus test for Kagan, saying, “The attorney general does not agree with my interpretation of the second amendment; I want to make sure this nominee does. So that will be another issue.” Watch it:

When Justice John Paul Stevens announced his retirement, Sen. Jeff Sessions (R-AL) also put out a statement indicating that he was going to make health care an issue, saying that “the court’s interpretation of the Constitution in the coming years could significantly affect the implementation of domestic polices approved by the president and Congress over the past year.”

The right-wing belief that health care reform is unconstitutional has no legal foundation. As University of California, Irvine law professor Erwin Chemerinsky has stated, “Those opposing health care reform are increasingly relying on an argument that has no legal merit: that the health care reform legislation would be unconstitutional. There is, of course, much to debate about how to best reform America’s health care system. But there is no doubt that bills passed by House and Senate committees are constitutional.”

Transcript: Read more

Politics

Sen. Barrasso Apologizes For Falsely Claiming House Member Voted For Health Care To Secure Judgeship

Earlier this month, the Weekly Standard accused President Obama of selling a judgeship to win over Rep. Jim Matheson’s (D-UT) vote on health care. The Standard’s John McCormack first published a blog post floating the conspiracy that Obama had nominated Scott Matheson, Jr., the brother of Rep. Matheson, to the Tenth Circuit to pressure the Blue Dog Democrat into supporting the Senate’s health care reform bill. That evening, Rep. Michele Bachmann (R-MN) called for an “independent investigation” of the White House on Larry King Live and the story was immediately picked up by Drudge and other conservative media.

On Monday, a day after the House approved the Senate legislation, Sen. John Barrasso (R-WY) again suggested that Matheson voted for the bill because of the alleged quid pro quo:

BARRASSO: What a coincidence! In Utah, a member from Utah who voted for the bill, he was against it and then he was for it. And what a coincidence, his brother just got named to be a federal judge. How do you make those decisions?

Watch it:

Barrasso apparently didn’t know that the right-wing conspiracy theory had already been discredited. The nomination did not sway Matheson’s vote; he voted against the Senate bill last week.

Barrasso’s spokesperson is now claiming that the senator simply “misspoke.” “I think there were a lot of different stories last week about the appointment, and that’s how he got or had the wrong idea,” the spokesperson claimed. In their rush to make false allegations against Democrats, conservative blogs and Fox News propagated unsubstantiated stories that unfairly tarnished Scott Matheson’s legal qualifications.

Cross-posted on The Wonk Room.

Health

The Wonk Room Takes On Sen. Barrasso On Mammogram Myth

Yesterday, I appeared on the Senate Doctors Show to ask Sen. John Barrasso (R-WY) about his recent claim that page 1190 of the Senate bill allows the Preventive Task Force “to decide what care is given and not given.” I read from page 1190 of the bill, pointing out that the Task Force does not have the power to mandate coverage.

Barrasso disputed my claim by arguing that the first line of page 1190 would prohibit the government from paying for preventative services that “has not received a grade of A, B, C, or I by such Task 5 Force”:

Watch the exchange (starts at 5:57):

So who’s right? Pages 1189 and 1190 of the Senate health care bill give the Secretary of Health and Human Services the authority, “if the Secretary determines appropriate,” to modify existing preventive care guidelines for Medicare and Medicaid only. If the Secretary chooses to modify the existing package of preventative services, the legislation instructs the Secretary to rely on scientific guidelines (instead of industry lobbyists, for instance). The bill specifically contradicts Barrasso’s claim that care or treatment would be rationed in lines 6-9 on page 1190. “Nothing in the amendment made by paragraph (1) shall be construed to affect the coverage of diagnostic or treatment services,” the bill states:

Preventive-Task-Force

If the Secretary were to adopt the Task Force’s grade ‘C’ mammogram decision, the guideline would advise the doctor that the Task Force “recommends against routinely providing the service.” The recommendation stipulates that doctors should “offer or provide this service only if other considerations support the offering or providing the service in an individual patient.” In other words, providers like doctors Barrasso or Coburn, can use the recommendations as a starting point to examine a patient’s particular needs.

If the doctor decides that the patient needs the test, it will be paid for by Medicare. If the doctor relies on the recommendation and does not order a treatment, a patient would have to pay for her own mammogram. If that test is positive, lines 6-9 specifically state that cancer treatment would be fully covered. In short, the Task Force has no power to “decide what care is given and not given.”

Politics

Inhofe’s climate change-denying Copenhagen ‘truth squad’ expands to a ‘truth squad of three.’

Last month, Sen. James Inhofe (R-OK) announced that he would travel to Copenhagen in December to act as a climate skeptic “truth squad” during international climate change treaty negotiations. “I think somebody has to be there — a one-man truth squad,” Inhofe said on CSPAN. Today, on Bill Bennett’s radio show, Inhofe revealed that his delegation has expanded to “a truth squad of three”:

BENNETT: And John Barrasso’s going with you, right? John Barrasso?

INHOFE: Yeah, Barrasso and there’s another secret person going with me. We’re going to have a team of three, a truth squad of three.

Listen here:

When Inhofe first announced his plans for a “truth squad,” TPM’s Eric Kleefeld remarked, “It’s nice to see how seriously foreign policy is taken these days — when a member of the political minority will send his own delegation to an international conference, in order to undermine the government and tell other countries that they can’t work with the United States.” Now it’s at least two members of the political minority.

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