HYPOCRITES!! (Part II): Health care, Medicare Part D and generational politics.

At the conclusion of Part I of this discussion, I mentioned the hypocrisy and intellectual dishonesty of Republicans who oppose a public health insurance option, yet have nothing negative to say about Medicare and Social Security, which, when combined with Medicaid, represent by far the most expensive government entitlement programs currently in existence.

The Republicans, like the Democrats, would never be caught opposing these unfunded programs because they are massively popular with the most active and influential sectors of the electorate: the elderly. As the Baby Boomers continue to age -- and increasingly bottleneck the system -- this popularity of these programs is unlikely to decline.

So, somehow, these government-administered entitlements do not get mentioned in the same breath as Congressional/Obamian health insurance reform when hard-Right ideologues and thugs hit the pavement or spread lies over the Internet about death panels and whatnot.

Thing is: Many of those who decry health reform as "socialistic" are themselves willing and continuing recipients of Medicare and Social Security Benefits. Thus, I should like suggest that these people are a bunch of crusty old self-centered whiners and liars, and that we ought to declare a generational war!

Doesn't it shame them that they would deny to succeeding generations the same entitlements from which they themselves have benefited, from the Social Security Act to the GI Bill to Medicare to Medicaid, up to and including the Medicare Part D prescription drug benefit for those 65 years of age and older that was passed, without funding and in between the two largest tax cuts for the wealthy ever to be passed into law?

Nothing -- including military spending! -- even comes close to the costliness of these programs. Apparently, Americans 65 and older are simply more deserving of this bounty than those of my generation. My generation, by contrast, has been weathering an inhospitable economic and educational environment. Ours is an age in which the notion of class mobility has long been a cruel joke. Our experience is one of the accumulation of debts, of forgoing health insurance, of meager opportunities.

I'm not arguing that the Great Depression was a walk in the park. I am, however, arguing that, in the wake of the Social Security Act, the radical expansion of opportunities for higher education represented in the GI Bill and in the proliferation of colleges and universities in order to accommodate the Baby Boom, the United States enjoyed a sustained period of economic, social and cultural progress.

Anyway, in my limited experience with such things, the clearest, most objective and most focused discussion of the recent political-historical context of Republican flip-flopping on government-coordinated public health insurance plans is contained in a recent episode of the PBS series Frontline, titled: Ten Trillion and Counting. (You may wish to click here for a link to streaming video of the entire episode, which is well worth your time.)

The piece actually tackles the subject of the United States' skyrocketing national debt. but its discussion of George W. Bush's passage of Medicare Part D -- sandwiched between the passage of the two largest tax cuts for the wealthy in United States history -- could not be more relevant to our present discussion. Here is that section of the episode:



Here's part of the transcript:

FORREST SAWYER: It finally passed by five votes.
[on camera] Why would a small government conservative initiate a program that is so massive?
JACKIE CALMES, The New York Times: Politics.
FORREST SAWYER: What do you mean?
JACKIE CALMES: There's no group that votes at the rate and in the numbers as those over 55, and 65 and over certainly. And Democrats, as well as Republicans, want to please seniors, and that's why our entire budget is tilted towards programs for seniors.
FORREST SAWYER: [voice-over] The reason that the Bush administration could pass Medicare part D was that the Republican Congress in 2002 had let a rule called "pay as you go" lapse. It was a rule established by the first President Bush and a Democratic Congress to enforce fiscal discipline.
GREGG IP: His father endured some very serious political pain to do the right thing to get the deficit down. And one of the steps was that a rule called "pay-go," or pay as you go. And this rule basically meant that if you wanted to introduce a new tax cut or a new spending program, you had to find a way to pay for it with an offsetting tax increase or spending cut. Well, in 2002, that rule expired.
ALICE RIVLIN, Dir., Office of Management & Budget, 1994-96: In the Clinton years, we had the "pay-go" rule, pay as you go, and that meant we couldn't pass a lot of good-sounding ideas, including Medicare prescription drugs. It's not that nobody thought of that in the '90s. A lot of people thought of it. But we couldn't pay for it. To pay for it, we would have had to have done a tax increase or cut out some other spending in major proportions, and nobody wanted to do that, so we didn't do it.
FORREST SAWYER: But the Bush administration did do it. With "pay-go" no longer restraining spending, they had pushed through Medicare part D, a program that's projected over time to cost as much as $8 trillion.
DAVID WESSEL: They did not come up with a way to raise taxes or cut spending somewhere else to pay for it, so they just passed this thing. It goes into law. It's a promise to elderly people that we'll pay- subsidize their drugs, and we borrow every year to pay for it. And in the end, it's more expensive than the war in Iraq because the war in Iraq ends at some point. Certainly, it will end now that Obama's president. But the prescription drug benefit will go on forever.
FORREST SAWYER: It will go on forever because it's a promise made by the federal government to its citizens. Seniors are entitled to this benefit, just the as they are entitled to Social Security and Medicare itself. These entitlements are all enormously popular, but they're also enormously expensive. Medicare part D alone will cost $60 billion this year.
JACKIE CALMES: The expense of that over time, unfunded liabilities for the government, at a time when more people are reaching retirement age and qualifying for Medicare, added more to the long-term obligations of the government than all of Social Security.
FORREST SAWYER: Medicare part D was the largest spending bill the president signed, but there were dozens of others. During his first five years as president, with a Republican-controlled House and Senate, George Bush never vetoed a spending bill. Fiscal conservatives in his own party accused him of being the biggest spender since World War II.

I think this is worth bringing up next time one finds himself in a bar, confronted by someone who insists that Obama is a socialist or that the Democrats are the big spenders... It was, after all, Bill Clinton who balanced the budget.