I’ve been waiting a while for Steve Scalise’s press conference, but I don’t think I need to wait any longer. This afternoon, he is gong to present the Republican Study Committee’s “alternative” to Obamacare. The reason I don’t have to wait is that I’ve always known what their alternative is: the same conservative wish list that they always want. Bruce Alpert at nola.com provides us with a preview, Rep. Scalise’s Conservative Caucus Presents Alternative to ObamaCare.
The main thing that the Republicans are offering is high risk pools to cover people with pre-existing conditions. This is the perfect conservative policy. You see, it seems to fix a problem without really doing it. The high risk pools are more or less the answer for the problems faced by rich people with pre-existing conditions. So people with pre-existing conditions can go to these high risk pools, but most won’t be able to afford them. Brilliant.
The next idea is to “increase competition” by allowing people to buy insurance across state lines. All this will do is cause all the insurance companies to relocate in the state that has the least regulation—just like now happens in the credit card industry. Aaron Carroll explains what the end result would be, “What we would have is a world where it would be likely cheaper for those who don’t need health care to get insurance. For everyone else, especially those who need care, insurance would be more expensive, and care harder to obtain.” That’s a typical reverse Robin Hood kind of policy: take from those in need and give to those not in need.
The plan also includes health savings accounts (HSAs). They allow people to buy high deductible insurance policies at reasonable prices while having tax deferred savings accounts to pay for everything up to the deductible. The problem is that for a plan with say a $2,000 deductible, you will still be paying over $100 per month—most likely much more. That’s not a great deal when you consider that more than half of the uninsured will be able to buy a normal insurance plan for about $100 with Obamacare. There is also the problem that people with HSAs are incentivized to avoid preventative care. What’s more, these are not really plans for the poor; those most able to use them are probably already getting insurance from their employers.
Basically, the Republican Study Committee’s answer to the healthcare crisis in this country is the same as it always is: the magic of the marketplace will fix everything. It is like the old cartoon of the two mathematicians at the chalkboard. There is math on the right and the left connected with “Then a miracle occurs.” We start with high healthcare costs that have existed despite all kinds of free markets working on the problem. And we end with low healthcare costs. How? Magic! Of course the Republicans don’t actually believe in the magic of the marketplace. They simply don’t want to do anything to help the poor and weak. This plan that Steve Scalise is presenting is not actual policy; it is simply political cover. But don’t be surprised if it gets a lot of good media attention.
Update (18 September 2013 1:05 pm)
I blew it! I forgot one of the Republican’s favorite policy ideas: tort reform! Yes, allowing people to not sue their doctors for malpractice is going to save our medical system! This too is a myth. Anyway, The Hill provides a preview of the official plan. I thought this part from the article was telling:
This is why Republicans always come up with bad policy. They start with everything that they can’t do. So they never approach any problem with, “What’s the best way to solve this?” And so they provide justifications for why all the things they always want to do will fix this problem. It’s just propaganda, not policy.
Matt Yglesias is a curious fellow. Yesterday he wrote,
What if the United States government shutdown and the House Republicans didn’t care? I mean, really: even after a month they didn’t care. They thought it was great! Maybe it would be a good chance to shake up those 47% senior citizens living the easy life with their $1,000 monthly pensions! I really do wonder, because now a government shutdown seems all but inevitable. And I’ve begun to wonder if I wasn’t wrong before about it quickly resolving itself.
If I had to name the greatest songwriter of the 20th century, it would be Chuck Berry. But the second best would have to go to
I just watched the end of today’s Special Report with Bret Baier. For those not familiar, the show ends with a discussion amongst commentators. The star is Charles Krauthammer. And it is clear why he is such a big deal among conservatives. Compared to the knee jerk Obama haters, he comes off like a fucking sage. Baier himself stays above the fray. This allows him to say, at the end of show, immediately after the commentators, “That’s Special Report for this time, please tune us in next time, and in the meantime, more news is on the way—fair, balanced and unafraid.”
If America has the seeds of home grown terrorism, it is not in the form of radicalized Muslims. It is in the form of our gun culture—specifically, those at the far edge of it; those who consider themselves “libertarian” and “constitutionalist.” I don’t see there being any problem with your average guy who likes to enjoy nature by killing the animals in it. That’s a thing that people like to do. I don’t get it, but I sort of see the way it works. It is like dogs chasing after cats. Dogs don’t hate cats, but it is fun to chase after things that are hard to catch. That’s the basis of most video games. When it comes to American gun culture, that is the vast majority.
This morning, Paul Krugman posted an article, 

I know that not all conservatives are racist. And not all racists are conservative. But it’s fair to say that most racists are conservative. What’s more, if it weren’t for white racial resentment, Republicans would not be an important force in national politics. And I understand: we all have our demons—irrational attitudes that we do our best to fight. But too often in this country, one side of the political establishment fosters our worst impulses and makes what should be shameful, acceptable and even thrilling.
Much of the anger seems to have come from people who wanted Miss Kansas, Theresa Vail, to win. She was in the Kansas Army National Guard. She enjoys hunting, supposedly. She has tattoos. She’s blond. Basically, she’s a redneck’s wet dream. I hate to ruin the fantasy, but Vail is actually a French name, although it probably came through England, so that may take some of the sting off. Regardless, she’s a pretty girl. Personally, I think Davuluri is prettier and looks more like the kind of young lady I would want representing my nation at mall openings all across this great land of ours. But whatever; I don’t claim to be a good barometer of the country.
On this day in 1386,
You know how no major media outlet ever reports on people dying of malaria? It is, as they say, “dog bites man.” It isn’t news. It would be like publishing an article, “President uses bathroom multiple times per day.” Yet when someone goes out in public and kills a large group of people, it is all over cable news. Why is that? It strikes me as completely “dog bites man.” Yet the media are feasting on the
I was just reading an article by Ed Kilgore over at Political Animal,