Tag Archives: Medicare

The Healthcare System is Demented

After my mother fell and broke her arm, she ended up in the hospital. Medicare covered five days in the hospital and three weeks of rehab. Then the insurance troubles began.

Proletariat Steak

A little noticed aspect of the fiscal cliff deal between congressional Republicans and the White House involved the establishment of a new way to calculate the federal inflation rate. Now we will have the so-called “chained consumer price index.” The chained CPI literally assumes that, as products increase in price, we don’t have to actually counts them as having increased in price because consumers can replace those more expensive items with cheaper substitutes. This allows the government to claim that inflation is lower or nonexistent, thus denying recipients of Social Security and other federal entitlement programs their right to a cost of living increase.

SYNDICATED COLUMN: Finding Privatizer Ryan

If Romney Loses, Blame His Running Mate

      Unless something surprising and dramatic happens, Obama will win the election. Earlier this week the Associated Press released an analysis of public and private polls that put “within reach of the 270 electoral votes needed to win a second term.” Obama is running ahead in many major swing states, including Ohio—a necessity for a GOP candidate to win. Yeah, yeah, this week’s presidential debates could make a difference—but they rarely do.

What went wrong with the Romney campaign? (Insert the usual fat-lady-not-over-blah-blah-anything-could-happen disclaimer here.)

All things being equal, this should have been a cakewalk for Romney—or any half-decent Republican. The economy is still awful. The official unemployment rate is over 8%, a magic number that historically kills reelection campaigns. Since Obama hasn’t promised any big jobs programs, neither Hope nor Change is on offer. And Romney has/had a sales pitch tailored for hard times: he turned around companies; his business experience will/would help him turn around the U.S. economy.

This election is/was Romney’s to lose—and apparently he has. The cause can be summed up in two words: Paul Ryan.

Sure, there were plenty of other missteps. His bizarre “47%” remark turned out to be a game changer that alienated swing voters. Like the (unfair) story about how George H.W. Bush was so out of touch that he’d never seen a supermarket price scanner (no wonder that preppy pipsqueak didn’t care about Americans who’d lost jobs under the 1987-1992 recession), Romney’s 47% slag fit neatly with our overall impression that Romney is a heartless automaton of a CEO who doesn’t feel our pain. Worse, he’s a man with something to hide; his refusal to release his taxes proves it.

Though greeted by Very Serious pundits as a canny combination of intellectual heft and Tea Party cred, the selection of running mate Paul Ryan has been a bigger disaster than Sarah Palin in 2008. (To be fair to John Cain, Palin was a Hail Mary pass by a campaign that was way behind.) As Paul Krugman pointed out in the New York Times, the selection is beginning to shape up as a “referendum” on the legacy of the New Deal and the Great Society, on Social Security, Medicare and, yes, Obamacare, which represents an extension of that legacy.”

Which is Ryan’s fault.

Before the veep announcement, the campaign was a referendum on Obama’s stewardship over the economy. Which was good for Romney. Since August it has been about Paul Ryan, known for his plan to trash reform entitlement programs. Misfire! The one time you don’t attack the safety net is when people are feeling squeezed and pessimistic about the future.

Sensing resistance, Republicans walked back Ryan’s extreme agenda using the classic “divide and conquer” approach, guaranteeing that people over 55 would keep their Medicare and Social Security. No sale. Romney-Ryan forgot something: senior citizens have children and grandchildren.  Older Americans want younger people to enjoy the same benefits they’re getting now. Many senior citizens no doubt see the slippery slope of austerity: taking away Social Security for people under 55 next leads to going after those over 55. Finally, with the U.S. Treasury squandering trillions of dollars on wars, it’s hard to argue that the sick and old ought to resort to Dumpster-diving.

The Romney–Ryan campaign understood that voters were pissed at Obama. But they didn’t understand why.

There were two types of anger against Obama. Mostly prompted by Obamacare, right-wingers hate the president for growing an intrusive federal government. But there is also liberal resentment—shared by many moderates—at Obama’s refusal to help the jobless and foreclosure victims. Lefties also dislike Obamacare—but because, minus a public option, it’s a sellout to the insurance conglomerates. Romney could have seduced these voters with his own plans to help the sick and poor. Instead, he went with Ryan—who would destroy programs that are already too weak—and frightened disgruntled Democrats back into Obama’s camp.

Romney ignored the time-tested tactic of moving to the center after winning your party’s nomination. Romney repackaged himself as a right-winger to win the GOP nomination. In the general election, he needed to appeal to Democrats and swing voters. Choosing Paul Ryan sent the opposite signal.

This is not to say that President Obama will have an easy second term. Unlike 2008, when the vast majority of Americans felt satisfied that they had made the right choice, Obama is only likeable enough (the words he used to describe Hillary Clinton) compared to Romney. The only reason Obama seems headed to victory this November is that he was lucky enough to run against one of the most staggeringly inept campaigns in memory, headed by an unbelievably tone-deaf plutocrat.

(Ted Rall‘s new book is “The Book of Obama: How We Went From Hope and Change to the Age of Revolt.” His website is tedrall.com. This column originally appeared at NBCNews.com’s Lean Forward blog.)

COPYRIGHT 2012 TED RALL

Pre-Old Blues

Paul Ryan says he won’t reduce Social Security or Medicare benefits if the Republicans win–at least not for people who are currently elderly. What about people under 55 years old–the pre-old? How are they supposed to avoid a future of dumpster-diving?

SYNDICATED COLUMN: Ah, To Be Young And In Hate

America’s New Radicals Attack a System That Ignores Them

“Enraged young people,” The New York Times worries aloud, are kicking off the dust of phony democracy, in which “the job of a citizen was limited to occasional trips to the polling places to vote” while decision-making remains in the claws of a rarified elite of overpaid corporate executives and their corrupt pet politicians.

“From South Asia to the heartland of Europe and now even to Wall Street,” the paper continues, “these protesters share something else: wariness, even contempt, toward traditional politicians and the democratic political process they preside over. They are taking to the streets, in part, because they have little faith in the ballot box.”

The rage of the young is real. It is justified. It is just beginning to play out.

The political class thinks it can ignore the people it purports to represent. They’re right–but not forever. A reckoning is at hand. Forty years of elections without politics will cost them.

Americans’ pent-up demand for a forum to express their disgust is so vast that they are embracing slapdash movements like Occupy Wall Street, which reverses the traditional tactic of organizing for a demonstration. People are protesting first, then organizing, then coming up with demands. They have no other choice. With no organized Left in the U.S., disaffected people are being forced to build resistance from the ground up.

Who can blame young adults for rejecting the system? The political issue people care most about–jobs and the economy–prompts no real action from the political elite. Even their lip service is half-assed. Liberals know “green jobs” can’t replace 14 million lost jobs; conservatives aren’t stupid enough to think tax cuts for the rich will help them pay this month’s bills.

The politicians’ only real action is counterproductive; austerity and bank bailouts that hurt the economy. Is the government evil or incompetent? Does it matter?

Here in the United States, no one should be surprised that young adults are among the nation’s angriest and most alienated citizens. No other group has been as systematically ignored by the mainstream political class as the young. What’s shocking is that it took so long for them to take to the streets.

Every other age groups get government benefits. The elderly get a prescription drug plan. Even Republicans who want to slash Medicaid and Medicare take pains to promise seniors that their benefits will be grandfathered in. Kids get taken care of too. They get free public education. ObamaCare’s first step was to facilitate coverage for children under 18.

Young adults get debt.

The troubles of young adults get no play in Washington. Pundits don’t bother to debate issues that concerns people in their 20s and 30s. Recent college graduates, staggering under soaring student loan debt, are getting crushed by 80 percent unemployment–and no one even pretends to care. Young Americans tell pollsters that their top concerns are divorce, which leaves kids impoverished, and global warming. Like jobs, these issues aren’t on anyone’s agenda.

This pot has been boiling for decades.

In 1996 I published “Revenge of the Latchkey Kids,” a manifesto decrying the political system’s neglect and exploitation of Generation X, my age cohort, which followed the Baby Boomers.

We were in our 20s and low 30s at the time.

Un- and underemployment, the insanity of a job market that requires kids to take out mortgage-sized loans to attend college just to be considered for a low-paid entry-level gig in a cube farm, the financial and emotional toll of disintegrating families, and our fear that the natural world was being destroyed left many of my peers feeling resentful and left out–like arriving at a party after the last beer was gone.

Today the oldest Gen Xers are turning 50. Life will always be harder for us than it was for the Boomers. If I had to write “Latchkey Kids” for today’s recent college grads, it would be bleaker still. Today’s kids–demographers call them Gen Y–have it significantly worse than we did.

Like us, today’s young adults get no play from the politicians.

The debts of today’s Gen Yers are bigger ($26,000 in average student loans, up from $10,000 in 1985). Their incomes are smaller. Their sense of betrayal, having gone all in for Obama, is deeper.

Young adults turned out big for Obama in 2008, but he didn’t deliver for them. They noticed: The One’s approval rating has plunged from 75 percent among voters ages 18-29 when he took office in January 2009 to 45 percent in September.

Politicians like Obama ignore young adults, especially those with college degrees, at their–and the system’s–peril. Now, however, more is at stake than Obama and the Democrats’ 2012 election prospects. The entire economic, social and political order faces collapse; young people may choose revolution rather than accept a life of poverty in a state dedicated only to feeding the bank accounts of the superrich.

As Crane Brinton pointed out in his seminal book “The Anatomy of Revolution,” an important predictor of revolution is downward mobility among strivers, young adults whose education and ambition would traditionally have led to a brighter future.

In February Martin Wolf theorized in The Financial Times that the Arab Spring rebellions in Egypt and Tunisia owed their success to demographics; those countries have more young people than old ones. On the other hand “middle-aged and elderly rig political and economic life for their benefit in the U.K. [he could also have said the U.S.]: hence the way in which policies on housing or education finance are weighted against the young.”

Right here and right now, though, the young and the old are on the same side. Though the young are getting screwed the hardest, almost everyone else is getting screwed too. And with 80 percent unemployment, the young have a lot of free time to rise up.

(Ted Rall is the author of “The Anti-American Manifesto.” His website is tedrall.com.)

COPYRIGHT 2011 TED RALL

AL JAZEERA COLUMN: The De-politicization of Political Media

US political ideologies are converging on the right, but the power of ideas doesn’t matter in this popularity contest.

“President Obama’s support is eroding among elements of his base,” began a front-page story in the September 16th New York Times. Experienced readers understood what was meant. The U.S. Democratic Party “base” is comprised of liberals, progressives (to the left of liberals), and self-identified leftists (composed of socialists, communists and left libertarians).

These and other groups that compose the Democratic coalition—feminists, gays and lesbians, labor unions, etc.—pursue separate agendas. For decades American media consumers received granular, detailed analyses of each segment, their goals, accomplishments and failures to influence the party and the nation. No longer. These factions are increasingly being excluded and omitted from coverage in favor of something new: a formless, mushy whatever.

Call it “the base.”

Conventional wisdom—in other words, talking points repeated by columnists for big-city newspapers and cable-television news commentators—holds that the American electorate is roughly divided as follows: 40 percent who consistently vote Democratic, and another 40 percent who always vote Republican. These 80 percent of party loyalists are their base: if they vote at all, they always vote for the same party.

The outcome of elections depends on the whims of the remaining 20 percent, “swing voters” who may vote Democratic one election, Republican the next.

With a few exceptions, strategists and candidates for the two major parties direct most of their appeals to this “vital center” of the ideological spectrum. “Where else are they going to go?” is the constant, cynical refrain of political operatives when asked about the bases of the parties. If you’re a liberal voter, in other words, you probably won’t vote Republican. If you’re a conservative voter, you won’t jump to the Democrats no matter how disappointed you are with “your” party. (Historically, however, the Republican Party tends to coddle its right-wing base—with rhetoric as well as policy shifts—more than the Democrats pay attention to the left.)

The quest for swing voters relies on simple math. Convince a “swing voter” to switch from their party to yours and you’re up two votes. Lose a “base” voter and you’re down one. Swing voters count double.

Read the full article at Al Jazeera English.

AL JAZEERA COLUMN: United We Bland

Calls for a return to post-9/11 “unity” in the US, flirt with the elementary constructs of fascism, author says.

In the days and weeks after 9/11 the slogan was everywhere: T-shirts, bumper stickers, billboards that previously read “Your Ad Here” due to the dot-com crash, inevitably next to an image of the American flag.

The phrase carried with it a dark subtext. It wasn’t subtle:

United We Stand —or else.

Or, as George W. Bush, not known for his light rhetorical touch, put it: “You’re either with us or against us.”

“Us” was not meant to be inclusive. Le Figaro’s famous “nous sommes tous américains” headline aside, non-Americans were derided on Fox News (the Bush Administration’s house media organ) as “cheese-eating surrender monkeys.” (Never mind that that phrase, from the TV show “The Simpsons,” was conceived as derisive satire of the Right, which frequently derided the French as intellectual and thus weak and effete.)

Many Americans were disinvited from the “us” party of the early 2000s. Democrats, liberals, progressives, anyone who questioned Bush or his policies risked being smeared by Fox, right-wing talk radio hosts and their allies. The Wall Street Journal editorial page, for example, called me “the most anti-American cartoonist in America.”

For a day or two after the attacks on New York and Washington, it was possible even for the most jaundiced leftist to take comfort in patriotism. We were shocked. More than that, we were puzzled. No group had claimed responsibility. (None ever did.) Who was the enemy? Sure, there was conjecture. But no facts. What did “they” want?

“We watched, stupefied—it was immediately a television event in real time—and we were bewildered; no one had the slightest idea of why it had happened or what was to come,” writes Paul Theroux in the UK Telegraph. “It was a day scorched by death—flames, screams, sirens, confusion, fear and extravagant rumors (‘The Golden Gate Bridge has been hit, Seattle is bracing’).”

Politically, the nation reminded deeply divided by the disputed 2000 election. According to polls most voters believed that Bush was illegitimate, that he had stolen the presidential election in a judicial coup carried out by the Supreme Court. Even at the peak of Bush’s popularity in November 2001—89 percent of the public approved of his performance—47 percent of respondents to the Gallup survey said that Bush had not won fair and square. During those initial hours, however, most ordinary citizens saw 9/11 as a great horrible problem to be investigated, analyzed and then solved. Flags popped up everywhere. Even liberal Democrats gussied up their rides to make their cars look like a general’s staff car.

Dick Cheney and his cadre of high-level fanatics at 1600 Pennsylvania Avenue were salivating over newly-drawn-up war plans. “There just aren’t enough targets in Afghanistan,” Defense Secretary Donald Rumsfeld told Cheney and Secretary of State Colin Powell. “We need to bomb something else to prove that we’re, you know, big and strong and not going to be pushed around.”

Read the full article at Al Jazeera English.

SYNDICATED COLUMN: Why Settle for Second Worst?

Democratic Party Needs a Democratic Primary Process

What a comedown!

In 2008 Barack Obama ran on hope and change. His reelection bid relies on fear (of Republicans) and stay-the-course (lest said Republicans slash even more Medicare than Obama is willing to give away).

Inspired yet?

Yeah, yeah, anything can happen in one year—the GOP could nominate Bob Dole again—but it’s getting harder to imagine a scenario in which Obama wins reelection. The tsunami of bad economic news has become so relentless that last week’s story that one out of six Americans have fallen below the poverty line came and went with nary a shrug. (On the bright side, we’re just ahead of Indonesia. On the other side, Russia won the Cold War after all.)

Obama’s threat to veto any debt bill that doesn’t include taxes on the rich is supposed to signal a “new, more combative phase of his presidency, one likely to last until next year’s election as he battles for a second term,” as the New York Times puts it. But it’s too nothing, too late.

Tax increases get rolled back; Medicaid cuts are forever.

Rick Perry thinks the earth is a week old and Mitt Romney wears pink underwear and Michele Bachmann has crazy eyes. Unless they fart into the camera on national television, however, any of the leading Republican candidates will likely trounce a president who did nothing while the labor force shrunk by at least six million.

OK, he did stimulate the Martha’s Vineyard golf club economic sector.

On fifth thought, voters might overlook flatulence.

I had been wondering what accomplishments Team Obama planned to point to next year. Times editor Bill Keller helpfully lays it all out (I use the word “all” loosely) in an op/ed: “Lost in the shouting is the fact that Obama pulled the country back from the brink of depression; signed a health care reform law that expands coverage, preserves choice and creates a mechanism for controlling costs; engineered a fairly stringent financial regulatory reform; and authorized the risky mission that got Osama bin Laden.”

Let’s take these Democratic talking points like the trajectory of the U.S. empire: in reverse.

The trouble with assassinating Osama bin Laden is that once you’ve killed Osama bin Laden no one thinks about Osama bin Laden anymore. The Bushies understood this. Putting the Al Qaeda chief on trial would have been smarter politics (not to mention a sop to basic legal principles).

The new banking and securities regulations were too granular and timid for anyone to notice. Show me a president who bans ATM, overdraft and late credit-card fees, on the other hand, and I’ll show you a shoo-in for reelection. Or sainthood.

I don’t know what kind of health plan they offer on 8th & 42nd, but no one—not conservatives, not liberals, not anyone—likes what we know about Obama’s healthcare reform. The Right thinks it’s socialism. The Left wishes it were. What matters is that it doesn’t matter—Obamacare doesn’t going into effect until 2014. You can’t ask for votes of gratitude for a law that no one has experienced—and that many suspect will be repealed by the GOP or overturned by the courts.

Then there’s Keller’s first assertion: “Obama pulled the country back from the brink of depression.”

Um—Bill? Depression? We’re soaking in it.

The real unemployment rate (the way the government calculated it during the 1930s) is over 24 percent. That matches the highest monthly rate during the Great Depression.

But this Depression is worse than the “Great” Depression. You could buy an apple for a nickel back then. Now there’s high inflation too.

Not only are one out of four Americans out of work, the salaries of the employed are stagnant and getting eroded by soaring food and gas prices.

U.S. state-controlled media outlets like the Times are in the president’s corner. But their “without Obama the economy would be even worse” narrative is reducing their man’s chances next November. If there’s anything worse than losing your job, it’s a media that pretends you that you and your reality don’t exist. There never was a recovery; the economy crashed with the dot-coms in 2000 and never came back, what they called a “stimulus” was nothing more than a giveaway to bank CEOs, and now tens of millions of pissed-off people are itching for a chance to make a noise.

This, as Keller should know from reading the polls in his own paper, is why the liberal-progressive base of the Democratic Party is drifting away from Obama. They won’t vote for Perry or whomever, they just won’t vote.

Not since 1980 have the Democrats headed into a reelection campaign with such a weak incumbent president. Which prompts a question: Why is Obama running unopposed? A Democratic Party, it should go without saying, needs a democratic primary process.

A group of liberals led by former Green Party presidential candidate Ralph Nader has issued a call for one or more progressive leaders to run against Obama in the spring primaries. “Without debates by challengers inside the Democratic Party’s presidential primaries, the liberal/majoritarian agenda will be muted and ignored,” Nader said in a press release. “The one-man Democratic primaries will be dull, repetitive, and draining of both voter enthusiasm and real bright lines between the two parties that excite voters.”

It’s a nice thought, though it would be impossible to raise enough money to successfully challenge Obama at this late stage.

So get ready for The Return of the Republicans. I’m no James Carville, but I’ve seen enough presidential politics to know that anger beats fear.

Especially during an Even Greater Depression.

(Ted Rall is the author of “The Anti-American Manifesto.” His website is tedrall.com.)

COPYRIGHT 2011 TED RALL

SYNDICATED COLUMN: The GOP Bets on Bad Judgement

Voters Focus on Spending at Just the Wrong Time

Ross Douthat, the conservative columnist who elevates bland to middle-brow art for The New York Times, thinks Republicans have overreached in their showdown with Obama over the debt ceiling. “[The Republicans’] inability to make even symbolic concessions has turned a winning hand into losing one,” he says.

Advantage, according to Douthat, representing the mainstream media: Obama.

Of course, Obama had already agreed to begin dismantling Social Security and Medicare, surrenders Republicans have craved for decades. If he pulls off this “victory” Obama will have done more damage to the Democratic Party and its core values than any president in our lifetimes. How will he promote what Douthat fears will be a “victory”? I wonder.

Or, to lift a line from “Double Indemnity”: I wonder if I wonder.

Back a few pages, Times reporter Jesse MacKinley finds himself in the curious position of writing that no one really cares about a story that has dominated the headlines for weeks.

“Indeed, the drama of whether the government will raise the debt ceiling (to the chagrin of some conservatives demanding tighter financial belts) or allow it to remain as is (to the horror of the administration and economists who predict financial ruin) seemed largely lost on a populace involved in more pressing—and more pleasant—summer distractions,” asserts MacKinley.

To summarize:

No one cares about the debt ceiling.

And:

Among the few political geeks who understand what’s going on, much less have an opinion, the tide is allegedly turning in favor of Obama because he’s willing to compromise and the Tea Party-led GOP isn’t.

Conventional wisdom floggers like Douthat say that if Congress can’t strike a deal and economic consequences follow—a reduction in the ratings of U.S. government-issued securities and a panic in the securities market—voters will hold Republicans accountable in 2012. Even if things don’t turn that far south, the GOP will pay for their intransigence. Obama wins in a cakewalk.

I’m not so sure.

In the same way that generals usually refight the last war, mainstream political pundits often apply old scenarios to new situations. This is not 1995, when then-House Speaker Newt Gingrich orchestrated a shutdown of the federal government that set the stage for Bill Clinton’s reelection the following year.

Without a doubt, the Republicans’ willingness to imperil the pure platinum credit of Treasury notes and bonds is reckless and irresponsible. There is also no denying their naked hypocrisy and intellectual dishonesty. These so-called “deficit hawks” voted 19 times to raise the debt ceiling by $4 trillion.

If Republicans were serious about balancing the federal budget they’d start by slashing the military, which accounts for 54 percent of discretionary spending—and which hasn’t done anything to defend the U.S. from a real enemy since 1945. The Department of Homeland Security, a vast new bureaucracy created by Bush after 9/11 in order to make us take off our shoes, should be eliminated.

Moreover, the middle of the biggest economic meltdown since the industrial revolution is no time to be cutting debt. Read your Keynes: governments are supposed to spend their way out of downturns, and pay down debt during upswings.

Republicans, it seems, are trying to finish off an economy that is already gravely wounded.

Politically, however, I think they’re onto something. Year after year of warnings about the expanding national debt—remember Ross Perot’s charts?—the American people are finally, genuinely alarmed about the pace and scale of government spending. The current national debt of $14 trillion isn’t the magic number that flips some sort of switch in the public.

It’s simply that, at certain times, public opinion on an issue that has been around for years, divisive and apparently intractable, suddenly coalesces into widespread consensus. Climate change. Gay marriage. The war in Afghanistan, which was so popular in 2008 that Obama won by promising to expand it, but is now seen as stale and unwinnable.

Win or lose on the debt ceiling showdown, GOP strategists are betting than voters will reward them for taking an uncompromising stand on spending against a president who has increased the national debt faster than any of his predecessors. It’s not 100 percent—but I’d say it’s a pretty safe bet.

This is the worst possible time for the American people to start worrying about out-of-control federal spending. But it’s good for the GOP.

(Ted Rall is the author of “The Anti-American Manifesto.” His website is tedrall.com.)

COPYRIGHT 2011 TED RALL