Whatâs
Wrong Today:
No
one knows how this game of chicken will end in Washington. In some ways, that
foundation of American democracy, majority rule, is on trial, due to a rump group in the Republican
party that has forced a government shut-down and in all likelihood, will hold an
increase in the debt ceiling hostage as well.
Yesterday,
the Wrongologist proposed that Mr. Obama could dodge
the debt ceiling by issuing a debt instrument known as Consols. That will
work, but it isnât a strategy to deal with Speaker Boehner and his Tea Party Republican
nihilists who are apparently able to bring the government to its knees at least
twice a year. From todayâs New
York Times:
nearly three years, Mr. Boehner has been vexed by an ungovernable conservative
group made of up ideologically committed conservatives from safe House seats.
The group has defied his leadership, rallied others to its cause and worn its
gadfly status proudly.
The NYT quotes Rep. RaĂșl R. Labrador, (R-ID):
the president continues to say heâs unwilling to negotiate with the American
people…I donât think the American people are going to take that too kindly…
The Teahadists often speak about âthe will of the American people“.
Their point is that since Obamacare doesnât poll well, it isnât what the people
want, and the House should shut down the government until it is delayed or
defunded.
But let’s change the issue from Obamacare to
gun control; an issue with much more lopsided poll results than the ACA. A CBS poll from March indicates 90%
of America want gun control, a Washington Post/ABC
News poll from April shows an 86% approval rating, a CNN poll from April shows
an 83% favorability rating. So, a question for our Teahadist
brothers and sisters:
If the best argument against the ACA
is that a majority of the American people donât want it and therefore it must be
stopped in its tracks by any means necessary, why doesn’t the same thinking
apply to background checks/gun control? Remember this vote in the Senate last Spring?
The Times reported
that Mr. Obama has summoned the Republican and Democratic leaders of Congress
to the White House today to urge the passage of measures financing the
government and increasing the nationâs borrowing limit â without add-ons like a
limitation on his health-insurance law.
But
that is the wrong strategy for Obama:
That meeting is unlikely to produce anything unless Obama gives something to
get something. He needs to make the debt ceiling increase the cornerstone of the discussion. He could then give something in order to get
something big. Letâs say he offers to agree to the delay of the Individual
Mandate for one year. That was the key part of the last House CR, along with an anti-women âconscience
clauseâ and the repeal of the medical
device tax in Obamacare.
In
return he asks for a permanent removal
of the Congressâ control over increases in the debt limit. Here is the relevant section of 31 USC 3101
from yesterdayâs column:
face amount of obligations issued under this chapter and the face amount of
obligations whose principal and interest are guaranteed by the United States
Government (except guaranteed obligations held by the Secretary of the
Treasury) may not be more thanâŠâ
That
would be a fair trade. The President can maintain that the debt ceiling is only
about financing debts that Congress has already approved, so a second Congressional approval
is irrelevant. The Teahadists get a win, delaying a key element of the hated ACA,
and the country doesnât have to go
through the hostage-taking around the debt ceiling ever again.
Delaying
the individual mandate isnât the same thing as delaying Obamacare; everyone who
wants a policy can still buy one. And the mandate on small companies was already
delayed a year, which is part of the Republicansâ rationale for delaying the individual mandate.
Back
to negotiation about the shutdown: If the shutdown cannot be ended immediately,
and without a cheap 45 day extension, Mr. Obama should threaten to attach one
or more bills to the Senateâs next CR, perhaps the removal of the tax exemption
for religious organizations, for example.
Then,
both houses can go to conference committee, which Boehner says he wants, even though
he has turned the Senate down multiple times earlier in the year when they proposed
a budget conference.
Mr.
Obama would insist the House delete the conscience clause, which allows
employers and insurers to opt out of preventive care and birth control for
women which they find objectionable on moral or religious grounds. Most
insurers are required to provide such care for free under current Obamacare
rules.
He
shouldnât agree to eliminate the tax on medical devices, which the Teahadists
and Boehner have complained âcosts jobsâ. Despite some disinformation, the
medical device tax
does not apply to eyeglasses, contact lenses, hearing aids, wheelchairs,
and any other medical device that the public generally buys at retail for
individual use.
It
does apply to such devices as coronary stents, artificial knees and hips,
cardiac pacemakers, irradiation equipment, and imaging technology. Off The Charts Blog reports that
Obamacare will boost sales of these taxed medical
devices, largely offsetting the effect of the tax.
The logic is that by adding 25 million Americans with health care, demand
for medical devices will increase and so will the revenues of device manufacturers. They
quote a study by Wells Fargo Security that found that
health reform would increase device sales by 1.5% in 2014 and by 3.6%
cumulatively through 2022. This increase, the study concludes, âwill be
sufficient to offsetâ the tax. Clearly, the medical device tax will not have
the dire effects predicted by Republicans.
In
this way, Mr. Obama can negotiate with Mr. Boehner, each offering some give and
take, and the Republic can be better off for it. The debt ceiling is off the
table permanently, but we are probably stuck with the risk of a shut down forever.
But
look, that is probably how it should be. The budget is our national policy in
motion. It is supposed to start in the House and then go to the Senate. They
hash out the differences in conference committee and it goes to the President
for approval. Except that, since the parties canât really decide anything, the
CR has become our tool for letting the government operate and getting money to
those it owes.
Dysfunction
has bred dysfunction. Or more precisely: it has bred hyper-partisanship So,
shitty laws give us hyper-partisanship. Hyper-partisanship gives us more shitty
laws.
Lather,
rinse, repeat.
I agree overall about partisanship but after decades in insurance, I think the individual mandate is key to forcing healthy folks into plans. without it, we the plans will be unbalanced in favor of those who need insurance most. not a good balance.
Agree that the individual mandate is a necessity to make the ACA succeed. It was found to be constitutional by the Supreme Court, so it isn’t going away. The issue is: what would you do to remove the Debt Ceiling approval requirement permanently? I think that a one year delay in the IM won’t kill the ACA, and it might give enough “face saving” to Republicans to get them to agree on the debt ceiling. If they don’t agree, Obama takes the delay off the table with no harm done.