Medicaid Blues

First off, Howard Kurtz has been fired from the Daily Beast. I didn’t know it was possible to be so bad as to be fired from the Daily Beast. How low can you go? Maybe Weekly World News has an opening.

Elsewhere — The Right has seized on a new study that they claim proves that Medicaid doesn’t help anyone and is a big waste of money. As usual, the Right can’t read. Jonathan Cohn and bloggers at the Incidental Economist explain what the study actually says. The Incidental Economist explains,

Let’s review. The good: Medicaid improved rates of diagnosis of depression, increased the use of preventive services, and improved the financial outlook for enrollees. The bad: It did not significantly affect the A1C levels of people with diabetes or levels of hypertension or cholesterol.

This has led many to declare (and we’re not linking to them) that the ACA is now a failed promise, that Medicaid is bad, and that anyone who disagrees is a “Medicaid denier”. How many people saying that are ready to give up insurance for themselves or their family? If they are arguing that Medicaid needs to be reformed in some way, we’re open to that. If they’re arguing that insurance coverage shouldn’t be accessible to poor Americans in any form, we don’t agree. Medicaid may not be perfect, but we don’t think being uninsured is better. This new study supports this view, though certainly not as strongly as it might have.

Cohn makes the point that the purpose of health insurance is not to keep you well, but to pay the medical bills.

That may sound obvious—of course people with insurance are less likely to struggle with medical bills. But it’s also the most under-appreciated accomplishment of health insurance: Whatever its effects on health, it promotes economic security. “The primary purpose of health insurance is to protect you financially in event of a catastrophic medical shock,” Finkelstein told me in an interview, “in the same way that the primary purpose of auto insurance or fire insurance is to provide you money in case you’ve lost something of value.”

And, anyway, the study has been following subjects for only two years. The difference in health care outcomes after five or ten years might be more significant, assuming the study continues.

Can’t Get More Wrong

Here’s another heartbreaking story about children shooting children; in this case, a five-year-old shot and killed his two-year-old sister. What makes this case particularly horrible is that the gun belonged to the five-year-old.

Yes, there are people in this world so demented they would give a .22 caliber firearm to a five-year-old.

No, wait, that’s not quite right. The story says the boy got the rifle as a present last year, meaning he may have been four at the time.

Cumberland County Coroner Gary White identified the girl as Caroline Starks.

He said the children’s mother was at home when the shooting occurred, and the gun was a gift the boy received last year.

“It’s a Crickett,” he said. “It’s a little rifle for a kid. …The little boy’s used to shooting the little gun.”

White said the gun was kept in a corner, and the family did not realize a shell had been left in it.

He said the shooting will be ruled accidental.

“Just one of those crazy accidents,” White said.

Yeah, just one of those crazy accidents. I mean, what responsible adult would have thought to not allow a five-year-old own a gun?

in other gun news, last week the Republican senators from Oklahoma, Inhofe and Lucas, introduced a bill that

… would ban federal agencies, excluding the Pentagon, from buying more ammunition during a six-month period if it currently possesses more than its monthly averages during the Bush administration.

The conspiracy theory that incubated the bill is that the Obama administration is trying to buy up bullets so ordinary Americans have less access to them in the marketplace.

As the news story says, even the NRA isn’t buying that one.

What’s Happening Now

Most of the interesting news today was generated by a presidential press conference —

Obama Promises to Try Closing Guantánamo Again


Obama cautions against rush to action in Syria


Permission Structure: Getting deals done with congressional Republicans

Elsewhere: Jonathan Chait has a critique of a David Brooks column. I don’t have the strength to make it through a Brooks column today, but Chait says —

The latest offensive, or counter-offensive, in the passive-aggressive Cold War between David Brooks and Paul Krugman has taken the form of an entire Brooks column not very subtly lambasting Krugman as a tired partisan hack while justifying his own work as thoughtful, elevated, and intellectually independent. It’s unfortunately muddled and self-serving in a way that obscures some pretty important questions about how political commentators ought to do their job.

If Chait’s description is accurate, Brooks may have produced one of the purest samples of distilled bullshit of all time.

Dems With Vertebrae

Ben White and Tarini Parti write in Politico that some Dems are finally pushing back against the “debt crisis” myth.

These Democrats and their intellectual allies once occupied the political fringes, pushed aside by more moderate members who supported both immediate spending cuts and long-term entitlement reforms along with higher taxes.

But aided by a pile of recent data suggesting the deficit is already shrinking significantly and current spending cuts are slowing the economy, more Democrats such as Virginia Sen. Tim Kaine and Maryland Rep. Chris Van Hollen are coming around to the point of view that fiscal austerity, in all its forms, is more the problem than the solution.

I’ve always thought of Kaine as something of a milquetoast, so good for him.

Joe Weisenthal of that socialist rag Business Insider writes,

You might wonder what, exactly, is the big deal here. After all, Democrats haven’t been the ones pushing for spending cuts. Republicans have. But most of the time, Democrats have ceded the general point to Republicans that debt is a major problem, and that in some form or another, fiscal policy should focus on reducing that debt. The realization that growth is how you close the deficit and that austerity (because it saps growth) is counterproductive allows Democrats to form a counter-argument that doesn’t cede to the GOP’s premise. And that in itself is an important change in the debate.

Make no mistake that the data supports this concept.

He has line graphs. Do look.

Jared Bernstein writes,

Now, it’s surely the case that the spell isn’t as broken as all that–the force has been disturbed, the U-Mass team sprayed a heavy hose on the hair-on-fire austerions. But neither is Keynesianism about to break out all over.

Still, you gotta love the incredibly juicy irony of what’s going on. Nobel laureates, former Treasury officials, think tankers, yours truly and zillions of others have been trying to break through on this for years. Some bespectacled twenty-something comes along, and for a term paper–a term paper!–tries to replicate Rogoff and Reinhart’s study, he perseveres, gets some solid guidance from his profs, who happen not to genuflect at either the alter of austerity or the academic hierarchy (I’m afraid other profs might have shut the young man down)–and BOOM!

Somebody really needs to make a movie out of all of this someday.

I don’t think the debunking of Reinhart/Rogoff all by itself caused the partial collapse of the austerity myth. There were signs of disillusionment elsewhere, especially in Europe. The debunking may have been a tipping point, though. The myth isn’t dead, of course; it will be with us for a long time. But it’s nice to see the myth being challenged.

I disagree with White and Parti that this is going to hurt President Obama. The more Dems tell Republicans they can take their austerity and shove it, the weaker the Republican position. My sense of things is that the President is less pro-austerity than pro-get something passed, even if it isn’t what he wants.

See also “What if Simpson and Bowles threw a debt-reduction party and nobody came?

Update: Krugman

Angry, Alienated, and Stupid

You might remember that, shortly after the Boston Marathon bombing, a Saudi man injured at the scene was identified as a “person of interest” but cleared the next day. Since then, several of the dimmer bulbs of the Right have gone overboard smearing this guy as a dangerous terrorist with connections to the White House. They have evidence he has taken the White House visitors’ tour! He also was visited by the First Lady while in the hospital (along with the other victims of the bombing)! He posted photos of himself and the FLOTUS on his Facebook page! Obviously, there’s a dangerous cover-up going on!

(Why doesn’t anyone ever bring a defamation suit against these bozos? I suppose they don’t have enough assets to make it worthwhile, but still …)

On to the real alleged perps — By now it should be obvious to anyone else that the Tsarnaev brothers were not exactly a crack terrorist unit. As Charles Pierce says,

As the days go by, we learn more and more that what we were dealing with here, as deadly as their actions were, was a plot by the Wayne and Garth of terrorism, a couple of guys who could screw up a two-car funeral if you spotted them the hearse.

It’s unlikely these guys were being directed by any global jihadi movement; more likely they were angry and alienated young men acting out their anger and alienation. Which is not to say that angry and alienated men don’t join actual global jihadi movements.

GOP Legislation Theater

Today House Republicans pulled a bill from the floor that was intended to embarrass Democrats and undermine the Affordable Care Act. Majority Leader Eric Cantor had sponsored the “Helping Sick Americans Now Act,” which

… would siphon $3.6 billion from the Affordable Care Act’s $10 billion prevention and public health fund, aimed at combating disease and promoting wellness, into an underfunded short-term plan to cover people with preexisting conditions until 2014, when the law will begin to ban insurers from denying coverage based on health status.

But the legislation doesn’t reflect a serious long-term effort to address the problem of sick Americans lacking access to health care or getting thrown off their insurance plan. It would shore up a costly and temporary high-risk pool under Obamacare — called the Pre-Existing Condition Insurance Plan — which expires at the end of 2013. Beyond that, Republicans continue to support repealing the rest of the Affordable Care Act, and lack economically feasible plans to address preexisting conditions.

Note that for years Republicans have promoted the idea of dumping people who need lots of medical care into high-risk insurance pools, so that people in the “normal” pool didn’t have to pay so much for insurance. The Affordable Care Act provided for something like that as a temporary fix until 2014, after which insurers can no longer refuse to insure people with pre-existing conditions. The problem is that the high-risk pools sucked up money the way a black hole sucks up matter, so that plan wasn’t really working. Naturally, that was the plan some Republicans decided to like.

However, other Republicans believed the bill would actually strengthen “Obamacare,” and who cares about sick people anyway? So it was scrapped.

The larger point is that the bill had absolutely no purpose except to give Republicans a bogus talking point to use against the President. Even if the Senate were to pass such a bill, the President would veto it. And then the GOP could say he vetoed a bill to help people with preexisting conditions, never mind that Obamacare actually does help people with preexisting conditions.

In other legislative theater news — Republicans have whined for some time that Democrats have not submitted a budget. Evan Soltas writes for Wonkblog,

For the last two years, congressional Republicans have argued that the real problem in the budget debate is that Democrats have abandoned “regular order.” By regular order, Republicans mean — well, I’ll let Sen. Jeff Sessions, the ranking Republican on the Budget Committee, explain it.

“Secret deals have not worked and are an affront to popular democracy,” he argued in January. “The right process is the regular order. The House produces its budget–as it has–and the Senate passes its budget, all in accordance with the Budget Act of 1974. Under that law, the Senate Budget Committee must approve a budget resolution by April 1st. From there, the law requires the budget to be considered on the Senate floor where it must receive 50 hours of open amendment and debate. A budget cannot be filibustered and is adopted by a simple majority in both committee and the full Senate. Then, once the issues and differences are clarified by this open process, the work of conferencing must begin.”

Soltas writes that “regular order” became a sacred totem among congressional Republicans. Well, until the Senate Democrats passed a budget. Now Republicans want to scuttle “regular order” in favor of backroom deals.