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.

HYPOCRITES!! (Part I): Health care, ideology and rhetoric.

The elegantly monikered and frequently brilliant blog Phuck Politics brings to our attention a highly entertaining and singularly infuriating exercise in Far-Right talking points.

You know what talking points are, right? They're these bullet-pointed 'arguments' circulated among Far-Right activists, politicians, Fox News-"personalities" and, of course, the Brownshirts that have been doing their inbred, mouth-breathingly thuggish best to carry out the bidding of demagogues and insurance industry brass alike. Their goal?: to interrupt 'town hall meetings' that are being held by congressmen in their home districts in order to discuss health reform.

This is a phenomenon to which we may refer as "astroturfing," or perhaps with still greater accuracy as "astroweeding."

Anyway, Phuck Politics shares with us the talking points that are being advanced by something called the Liberty Counsel (sounds friendly enough: Who doesn't like liberty??!!), which is apparently the Joseph Goebbels-like misinformation-propagating arm of Jerry Falwell’s Liberty University:

Sec. 59B, Pg. 170, Line 1 – Any NONRESIDENT alien is exempt from individual taxes. (Americans will pay for their health care.)

Sec. 1177, Pg. 354 – Government will RESTRICT enrollment of special needs people! “Extension of Authority of Special Needs Plans to Restrict Enrollment.”

Sec. 1233, Pg. 425, Lines 4-12 – Government mandates Advance (Death) Care Planning consultation. Think Senior Citizens and end of life. END-OF-LIFE COUNSELING. SOME IN THE ADMINISTRATION HAVE ALREADY DISCUSSED RATIONING HEALTH CARE FOR THE ELDERLY.

Sec. 2511, Pg. 992 – Government will establish school-based “health” clinics. Your children will be indoctrinated and your grandchildren may be aborted!

The late, windy Jerry "Tushy-Faced" Falwell. May he rest in piss.

The reader will observe that Phuck Politics has some astute and howlingly funny things to say about this, including an imaginative description of the type of dialogue that must have gone down among the Liberty Council staffers when they were cooking this stuff up.

I wish to weigh in specifically on the fourth item listed above, which for my money is the most ermm...side-splittingly hilarious. The idea of referring to health clinics as "health" clinics... Wow!

Let's have another look!:

Sec. 2511, Pg. 992 – Government will establish school-based “health” clinics. Your children will be indoctrinated and your grandchildren may be aborted!

This takes the idea of seeing the world through the prism of ideology to its paranoiac limits.

I mean...really. Were the (il)logic of this statement to edge a fraction-of-an-inch further in the direction of mechanical-pre-judgment of empirical reality, it would represent a brand new pathology, wherein bigotry, myopia, resentment and rank stupidity begin to chew away not only at its believer's capacity to relate to the world around him -- which clearly is already on the skids -- but at one another.

The myopia begins to resent the bigotry, the bigotry looks askance at the myopia, and all the while, the stupidity reproduces itself like a cancer, slowly reducing the entire thing into a kind of droopy incoherence.

There is something so reprehensible about this rhetoric, something so completely offensive and prejudiced and pathetic and self-serving and self-undermining and willfully dumb, that it becomes almost beautiful. The sheer absurdity of questioning the very notion that health clinics are concerned with health!

The nerve displayed in this deployment of the word "indoctrinated," which reads not so much as a shocking revelation, but as a casual aside. Like: Oh yeah, of course these supposed "health" clinics are actually no more than "indoctrination" clinics!!! Indoctrinated into what? Into viewing the practice of medicine as based upon empirical science?

And then, to top it all off with what could only be called an astonishing feat of transgression-for-transgression's-sake: "your grandchildren may be aborted"!

Round of applause, please!!!

Think about this for a moment.....while keeping in mind, of course, that it is not the sort of provocation that is designed to make people think. The fear that's being expressed here is that the reader's son's and daughter's daughter's yet-to-be-conceived-unborn child may be aborted.

This begs the question: What kind of children are the reader's sons and daughters raising? Don't they learn about abstinence at their Bible Camp??? Are America's preteen Evangelicals having wild parties with the close-dancing and the listening to that race-music?

One rather suspects that this particular exercise in Right-wing hysteria is directed against the idea of public schooling in general more than against the idea of having health clinics in those schools. Let us take a look at a few quotations on the subject of public education, from Rev. Falwell, Herr Hitler and President Jefferson:

I hope I live to see the day when, as in the early days of our country, we won't have any public schools. The churches will have taken them over again and Christians will be running them. What a happy day that will be! -- Rev. Jerry Falwell

The idea of separation of Church and State was invented by the Devil to keep Christians from running their own country. -- Rev. Jerry Falwell

Secular schools can never be tolerated because such a school has no religious instruction and a general moral instruction without a religious foundation is built on air; consequently, all character training and religion must be derived from faith.... We need believing people. -- Adolf Hitler

Education is here placed among the articles of public care, not that it would be proposed to take its ordinary branches out of the hands of private enterprise, which manages so much better all the concerns to which it is equal; but a public institution can alone supply those sciences which, though rarely called for, are yet necessary to complete the circle, all the parts of which contribute to the improvement of the country, and some of them to its preservation. -- Thomas Jefferson

A bill for the more general diffusion of learning... proposed to divide every county into wards of five or six miles square;... to establish in each ward a free school for reading, writing and common arithmetic; to provide for the annual selection of the best subjects from these schools, who might receive at the public expense a higher degree of education at a district school; and from these district schools to select a certain number of the most promising subjects, to be completed at an University where all the useful sciences should be taught. Worth and genius would thus have been sought out from every condition of life, and completely prepared by education for defeating the competition of wealth and birth for public trusts. -- Thomas Jefferson

Hmmm... Looks like we have some disagreement here. Between Founding Father Thomas Jefferson in favor of public education and the dynamic duo of Rev. Falwell and Herr Hitler against.

But back to the talking points: Such is their unsurpassed incoherence that the only comparison I can come up with is to a black hole: the vortex at which space and time and light and matter and mass all collapse upon and within themselves. (Or something like that.....)

Come to think of it, doesn't this artist's rendition of a black hole a whole lot like the images adorning the covers of books published by weirdo Right-wing nut-job literalist Southern Evangelical religious people? You know, like one of those ultra-cheesy depictions of the Apocalypse or the Book of Revelation or whatever?

Anyway, in the second part of this discussion, to be titled "HYPOCRITES!! (Part II): Health care, Medicare Part D and generational politics," I shall explain why this ludicrous Republican rhetoric opposing health care reform is truly and deeply hypocritical: Have you considered the fact that the people objecting most strongly to health care reform are precisely those who benefit the most from Medicare?

And Medicare is the single most costly government program in existence, far exceeding anything else, including military spending?

That's right, people over the age of 65, many of whom live in the South, are the recipients of the most expensive public program in existence. The same people who are so fervently opposed to Obama's 'socialistic' proposal for a public health insurance program that would compete with the private insurers....

The expense of this government program increased by several orders of magnitude when George W. Bush signed Medicare Part D, which is the prescription drug benefit, without bothering to figure out how he was going to pay for it, and sandwiched between the two biggest tax cuts for the wealthy in American history??