Tag Archives: deficit

Diary of a disenfranchised Democrat

Ok, I published this a few years ago but with the pundits hopping all over themselves to write President Obama’s most recent obituary, I thought we could use a laugh.  Oh, how the 1990s were just an era of wonderful bipartisanship and hope…

 

There’s been a lot of talk about how President Obama is in trouble with his base.  The narrative goes something like this: liberals are disappointed with Barack Obama’s performance.  Maybe he has been too timid, too hands-off, too much of a law professor when what we neehttp://www.alysonchadwick.com/wp-admin/admin-ajax.php?post_id=688&action=grunion_form_builder&TB_iframe=true&width=768&id=add_formded was a scrappy street fighter, willing to go toe-to-toe with an obstructionist Congress and the wiley John Boehner and Eric “Dr. No” Cantor.  Neither Bill or Hillary Clinton would have put up with this malarky.  No, sir.

My friend, Chris Rugaber (you know the AP business writer, if you don’t read his stuff, you should start), sent me this piece: When did liberals become so unreasonable? The idea being, that liberals are never happy with anything.  I dug through my personal papers and the following represent excerpts from my journal.

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Fall 1991:

Dear Diary,

My mom and I were talking about what Democrats will run for president next year.  Seems pointless to me.  George Bush is just so dang popular, what with that stupid Iraq war and all.  I like Paul Tsongas a lot but, seriously, another liberal, Greek from Mass?  That’s never gonna happen.  I said Bill Clinton is the only viable candidate.  She thinks his performance at the 1988 Democratic Convention will do him in, they did lower him off the stage and all, but I think he’s got a certain “je ne sais quoi.”  I cannot wait to move to France.  If Bush gets reelected, I am going to move there.

Winter 1992

Dear Diary,

Well, I don’t have to move to France.  Bill Clinton is our new president!  We have the White House, the Senate and House of Representatives!  I hear that means a lot!  There’s nothing stopping us now!  We are going to make health care available to everyone!  It’s a good time to be alive!  Diary, you had better not stop thinking about tomorrow!  I know I won’t!1

Spring 1993

Dear Diary,

This has been a sad time for Democrats.  We have a Dem in the White House and control both sides of Capitol Hill but President Clinton’s stimulus package went down in flames in the Senate, damn you filibuster! ( http://www.nytimes.com/1993/04/22/us/gop-senators-prevail-sinking-clinton-s-economic-stimulus-bill.html) Weren’t they paying attention to the It’s the economy, stupid! message?  Hello! I remain hopeful that we can get healthcare reform through, Hillary Rodham, I mean Hillary Rodham Clinton (I keep forgetting she is using his name now!) is heading up the committee for that so I am sure it will go through.  She tried to soften her image with that cookie recipe and my mom swears by her turkey tips (hint: avoid basting by putting bacon on top — saves time and is delicious!) but she’s tough as nails. President Clinton’s lack of foreign policy experience is pretty clear, I sure wish we’d stop the genocide in Bosnia.  Slobodan Molosovic sounds like a dick.

Fall 1993

Dear Diary,

I just cannot shake the feeling that we are fucking up big time here.   If we cannot capitalize on the promise of Bill Clinton, we are totally screwed.  Does he know the damage he is doing to our party and system?  Bosnia remains a mess.  When are we going to help these people?  I hear there’s going to be a new Holocaust museum in Washington, DC, I sure hope they look into Bosnia.  This crap is unacceptable.  None of my friends will even talk to me about it.  And now the crazy “liberal” media seems obsessed with some innocent investments the Clintons made a thousand years ago, I think they’re calling it white-water?  I don’t know why they are so anti-rafting.  Seems like a good hobby to me.

Spring 1994

Dear Diary,

Am so depressed.  Hillary Clinton’s health reform looks to be headed towards disaster!  They say she didn’t consult Congress enough, as if!  What has happened to our party?  I thought we had some guts but I guess not.  Man, Bill Clinton sucks.

Winter 1994

Well, the end of the world is here.  Officially.  The Republicans just took the House back — after about a million years.  The Speaker was the first to lose his seat since we had a speaker.  Healthcare reform died a painful death.  Damn senators act like they should be consulted on policy issues, how rude!  Don’t they know Bill Clinton is a D?  Stupid “liberal” media is still into that rafting crap.  Have they no lives?

Winter 1995

Dear Diary,

Have been too depressed to write.  Bill Clinton has failed us all.  First no action on Bosnia, then health care reform failure and then he was all about welfare reform.  Says that will be his big thing should he win reelection, good luck, jerk.  Thank god for Newt Gingrich.  He was so mean/whiny that he made us look good.  Shut down the government because he was pissed about his seat on AF1.  I sure wish Democrats would grow a pair.

Winter 1997

Dear Diary,

Wow. It’s been a painful few years.  When did Democrats stop being Democrats?  Sure we had a few victories but that’s all because Newt Gingrich is so stupid. And whiny.  Bill Clinton totally caved to the GOP on the last two budgets and welfare reform.  Thank goodness he won reelection, though he seems more like a Republican.  That rafting thing ended up being more of a big deal than I had thought. And now, it looks like he may have had an affair with an intern.  Question:  If you know the world is watching you, can you keep your pants on for five minutes?  No?  Work on it.

January 1998

Dear Diary,

Just got a job in the record industry (publicist for RCA Victor).  All my friends were surprised that I would pick music over politics but it has been hard to be a Dem.  Fr weeks, every day, reading the paper has been a challenge.  But then I was walking down the street and had a thought — why am I upset with Bill Clinton?  He has been a good president.  We have had a near unprecedented period of peace and prosperity.  That has been a good thing.  I am tired of being unhappy with him for stupid crap that doesn’t matter.

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Ok, those aren’t really from my journals, though I am sure I wrote similar things back then.  I remember worrying that Bill Clinton was going to squander the opportunity to do some truly spectacular things with his presidency.  I could not understand why Congress resisted working with him, did they not understand that he and they were in the same party?

It is easy to criticize President Obama for being too hands off when dealing with Congress, his absence from the conversations about the debt ceiling or the super committee’s failure only reinforces the narrative and it is easy to forget that he accomplished more in his first year in office than Bill Clinton.  He also managed to get health care reform, as imperfect as it is, passed.  I would like him to be more of a fighter, to het his hands dirty a little — politics is a dirty business — but that’s not who he is.  That’s also not the person many people voted for.  I am going to try to remind myself of how I felt during the Clinton administration whenever I am tempted to buy into the narrative that says I am supposed to be disappointed in President Obama.

Beware of wolves who look like sheep

I may look like a sheep but I am really a wolf

The Democrats are looking a bit like the boy who cried wolf.  They have seen threats to all of the social safety net programs (Social Security, Medicare & Medicaid) in every campaign and Republican proposal.  The real problem is that when someone comes along with a plan that will end these programs, they have less credibility.  The real wolf has finally arrived.

Paul Ryan, you are that wolf.

Congressman Ryan’s plan offers a strange study in contradiction.  It is bold and honest. It is equally timid and dishonest.

This plan shows some bravery in that he does talk about some of the entitlements – the so called “third rail” of politics – Social Security and Medicare – two incredibly popular programs.  These programs are so popular that even members of the Tea Party like it – remember their signs that read “Government stay away from my Medicare!” Granted, these signs miss the point but people like knowing that when they get old they will be cared for.  So yes, Mr. Ryan, kudos for talking about them.

The bravery ends there.  While this ‘Roadmap for America’s future’ goes into detail about how we should deal with all three of these, this plan will dismantle all of them and yet it fails to deal with the fundamental problems with Medicare and Medicaid (I reject his premise that Social Security is insolvent).  He refuses to take on insurance companies and change the real status quo of health care – one person at a town hall meeting with the Congressman put it well when they said “How do you expect seniors to take on the insurance companies when you will not?”

The problem is that the costs associated with our health care system are spiraling out of control.  In this area, Congressman Ryan and I agree but we soon part ways when his plan says “At the heart of this problem is the Federal tax exclusion for employer-provided health coverage.”  His solution is to give people $2,300/year for individuals and $5,700/yr for families in the form of a tax refund – this is not for people who will be enrolled in Medicare or Medicaid but speaks to the point about lowering medical costs – this plan would require people to be responsible for any costs above the tax refund amount.  I challenge anyone to find decent health insurance for that.

There is a great piece on this in the New Yorker.  Basically, our problems can be summed up this way; our current system incentivizes cost and more care does not equal better care.  Dr. Atul Gawande, in the piece above, has this to say about it: “Americans like to believe that more is better.  But research suggests that where medicine is concerned it may actually be worse.”  He describes how we incentivize costs this way:

“Providing health care is like building a house. The task requires experts, expensive equipment and materials, and a huge amount of coördination. Imagine that, instead of paying a contractor to pull a team together and keep them on track, you paid an electrician for every outlet he recommends, a plumber for every faucet, and a carpenter for every cabinet. Would you be surprised if you got a house with a thousand outlets, faucets, and cabinets, at three times the cost you expected, and the whole thing fell apart a couple of years later? Getting the country’s best electrician on the job (he trained at Harvard, somebody tells you) isn’t going to solve this problem. Nor will changing the person who writes him the check.”

The last part of that is particularly important because pointing out that the cost of care will not change if we change the party who pays for it because that is all the Ryan plan does.  It shifts the costs from the government back to the patient.   On this point I turn again to Dr. Gwande, he and Congressman Ryan express the argument for having patients pay the bulk of the expense is that when they do (and this is put the same exact way in the article and the plan itself) they will have some “ skin in the game.”  This will do nothing for the costs of treatment:

“When it comes to making care better and cheaper, changing who pays the doctor will make no more difference than changing who pays the electrician. The lesson of the high-quality, low-cost communities is that someone has to be accountable for the totality of care.”

 

Now would be a good time to point to a different resource for asking – do we get better care in the United States that other countries? – the Congressional Research Service (CRS) found that we do not.  You can read their report here.  In it they assert that we spend more on health care than any other country but do not get better care.  In fact they found “research comparing the quality of care has not found the United States to be superior overall. Nor does the U.S. population have substantially better access to health care resources, even putting aside the issue of the uninsured.”  The people at CRS concur with Dr. Gawande on the point of incentivizing costs, they cite the Organization for Economic Cooperation and Development (OECD):   “there is no doubt that U.S. prices for medical care commodities and services are significantly higher than in other countries and serve as a key determinant of higher overall spending.”

The cowardice does not end there; there is one entitlement that this plan leaves alone and that is defense spending.  Nowhere in this plan does he mention the military.

The “Roadmap for America’s future” is both really honest and really not.  It claims to protect and preserve Social Security, Medicare and Medicaid while simultaneously blaming them for many problems the county faces.  Congressman Ryan blames the New Deal and Great Society programs for causing government to control people’s lives, destroying the American character, removing any incentive for innovation and killing the entrepreneurial spirit that has defined us since our founding.

This is the fundamental difference between Republicans and Democrats – and is the reason the Democrats have been crying wolf for so long.  Republicans have been trying to dismantle these programs since they were enacted.  Congressman Ryan doesn’t beat around the bush on this topic.  He comes right out and blames these programs for destroying America’s character.  This idea is repeated often throughout the introduction.  It would take pages and pages to cite every example of this intent.  In one section he states: “Americans have been lured (emphasis added) into viewing the government – more than themselves, their families, their communities their faith – as their main source of support.”  He says in another section that “More ruinous in the long run in the extent to which the “safety net” has come to enmesh more and more Americans – reaching into middle incomes and higher – so that growing numbers have come to rely on government, not themselves, for growing shares of their income and assets.  By this means, the government increasingly dictates how Americans live their lives.”  That last bit is particularly interesting when you remember that some Republicans in Congress have proposed making welfare recipients take drug tests.  There is a clear irony there.

I welcome the opportunity to have the conversation about what we want our government to do and be.  I believe government exists so that we can do the things collectively that we cannot do individually.  When Congressman Ryan blames the social safety net for destroying our innovative nature, he shows just how vast the ideological gulf is between the right and the left.  When you look at growing economies and societies – Asia, I am looking at you – you see countries investing in their people.  I see a great parallel between what makes employees stay with company (hint: it’s not money) and how countries see their people.  Companies and organizations that see their employees as their greatest asset treat them better – give them the tools and resources to do their job.  Similarly, countries that invest in their children’s education, for example, are going to be the future super powers.

I am a Democrat. I do not want Social Security, Medicare and Medicaid to be turned into voucher programs: that’s the antithesis of what they were meant to be.  However, if Congressman Ryan’s plan leads to a real, productive conversation about these programs and the role the federal government should play, I welcome this as an entrée into that.  If this is the ending point, though I think ending these programs, which are infinitely more popular than any politician right now, it would not show the world that we are recapturing our entrepreneurial spirit but that we are reneging on the promises we made to our own people.

A number of people (Churchill, Ghandi, Truman, others) that “The measure of a society is the way it treats its weakest members.”  We should remember that as we move forward.