Category: Democrats Disfunction

Pelosi: We’re Making It up as We Go

The Daily Escape:

Hat tip – A. James

“When you’re born into this world, you’re given a ticket to the freak show. If you’re born in America you get a front row seat.” –George Carlin

Donald Trump was impeached on Wednesday. Wrongo sees Trump as dangerously incompetent and personally corrupt. But the way Democrats have gone about the impeachment isn’t winning the hearts and minds of independents, a group of voters they need if they are to take back the Presidency in 2020 and hold on to the House.

It’s helpful to remember that the only reason the impeachment is going forward is that the 2018 midterms gave Democrats a significant majority in the House. Even with uncontested evidence that the president abused his power, Republicans have demonstrated no interest in holding Trump accountable. It is clear that if they were still in the majority, none of this would be happening.

A side note on Tulsi Gabbard, the only person who voted “present” on both impeachment motions: Wrongo has kind of admired her principled political stands. He’s agreed with a few of them. But voting “present”? Apparently she couldn’t decide on the two motions. She’s a presidential candidate. The ability to decide and lead are core competencies of the job. She has disqualified herself.

It’s always been clear that Trump wouldn’t be convicted in the Senate. It seems that, as with the Mueller investigation, the Dems were unclear about the likely outcome of their efforts. Did they expect Trump would simply resign in shame, or maybe run a half-hearted campaign in 2020? Trump is a fighter and a blockhead, so they should have known he would love the chance to talk about impeachment from now until next November.

The move that caught everyone, including reporters at the hearing, by surprise, was Pelosi’s statement that she had not set a time for sending the articles of impeachment to the Senate. This was surprising since they had been saying all along that they’d impeach Trump by Christmas. They sounded as if they were eager to move the process forward.

Is this a political calculation? It runs the risk of making them look either too clever by half, or worried about the impeachment fallout with voters. After all, voter approval of impeachment peaked in October. Support for it has now fallen, and Trump’s approval ratings have risen since then.

Pelosi seems to be saying that the delay is because they are tussling with the openly partisan Mitch McConnell over the rules for the hearing. There is something to that if you consider that with the Clinton impeachment, the Senate impeachment process was negotiated in private between the Parties, and was approved by a 100-0 vote when Republican Trent Lott was Majority Leader.

That isn’t happening with Mitch in charge. This time, the Republicans want a quick trial, and then to declare victory.

Wrongo thinks that Trump deserves to be impeached, but as someone who was around for the Nixon and Clinton impeachment efforts, it seems as if the Democrats have made the same mistake this time that the Republicans made with Clinton: The Ukrainian case is just too small an offense. Guilt isn’t the issue, but to the average person, the punishment doesn’t match the crime.

With Clinton, 79% of the public thought Clinton was guilty. But the vast majority thought that lying about consensual sex was too small a crime to merit impeachment.

Democrats have a similar problem today. Trump did it, or at least, tried to do it. He’s incorrigible, too. He won’t have any hesitation about abusing his office again if it means gaining some personal advantage.

But because the Trump impeachment case has been so tightly limited to the Ukraine episode, the Democrats have lowered the stakes. People shrug: Ukraine got its aid eventually, and the Ukies aren’t investigating Hunter Biden, so….whatever.

Public support for impeaching Trump is about 50/50 and hasn’t moved appreciably in months. As much as Trump is a terrible president, Dems have managed to make him look borderline acceptable in this case.

Most of our DC politicians live in the beltway bubble. You can be sure that in 2016 many Dems said “It’s going to be a landslide. No woman or minority is going to vote for him.”

Then, the Dems were shocked by the Mueller report non-event.

Now, they’re flummoxed that impeachment is becoming less popular. They were sure it was going to popular with even the few Republican moderates and most independent voters.

Where do Dems go from here?

Facebooklinkedinrss

Saturday Soother – December 14, 2019

The Daily Escape:

Lover’s Leap, New Milford CT after this week’s snow – December 2019 drone photo by Quadco Joe

The House Judiciary Committee voted to send two articles of impeachment against Donald Trump to the full House. The vote took just two minutes, and as Wrongo said yesterday, it will be portrayed as the party line vote it was, with 23 Democrats in favor, and 17 Republicans against.

It was a tribute to the political polarization in today’s America, with striking diversity on the Democrats’ side, as well as lack of diversity on the Republicans’ side. From Marcy Wheeler:

“The Democrats who voted in favor included 11 women, and 13 Latinx and people of color (Ted Lieu missed the vote recovering from a heart procedure). Three (plus Lieu) are immigrants. One is gay. These Democrats voted to uphold the Constitution a bunch of white men, several of them owners of African-American slaves, wrote hundreds of years ago.”

All the Republicans who voted against were white, and just two were women. They voted to permit a racist white male President to cheat in order to get reelected, in violation of the rule of law.

This is a clash between the America that is coming, and its past. It’s unclear who will win this battle, but the stakes are high, and will become even higher in 2020.

Wrongo believes that rushing to an impeachment finding was a strategic error by Democrats. This should have been moved along slowly. House Democrats needed to go through discovery on all the obstruction of justice, Constitutional emoluments and separation of powers violations, campaign finance violations, and bribery violations. They should have taken the time to use their Article I power to get the oversight disclosure and testimony they have been denied by the Trump White House.

But, no. The House Democrats didn’t do any of that. Instead, they focused on one phone call when there was little reason to rush, and plenty to be gained by keeping Trump on the defensive for the next year.

A deeper dive into the issues could have made an Impeachment Resolution with a more effective result. It wouldn’t have changed the outcome of the vote in a Senate trial. But it would have provided continuing education to the public, along with fuel for effective articles and ads about Trump’s lawlessness.

With the weekend upon us, it’s time to contemplate all that must get done between here and New Year’s. Wrongo’s list is too long, but somehow, he hopes everything is done by then. However, let’s start by kicking back and forgetting about the list, the Impeachment and budget deal. Let’s clear our minds, and have another Saturday Soother.

Start by brewing up a large cup of Mexico Chiapas Dark Roast ($13/12oz.) with its notes of dark chocolate, hints of molasses and brown sugar. It’s from Sacred Grounds Coffee in Sherman CT, who we’ve featured here once before.

Now, listen to Nocturne “Reverie Op. 19” by Giulio Regondi. Regondi was a Swiss-born classical guitarist, and composer active in France and (mainly) the UK. It is played by Drew Henderson:

Those who read the Wrongologist in email can view the video here.

Facebooklinkedinrss

Sunday Cartoon Blogging – November 3, 2019

(Sorry for going dark, but we lost internet here at the Mansion of Wrong for two days. It’s back, but since it is supplied by Spectrum, it’s very slow, despite Wrongo paying for a premium pile of megabits.)

The WaPo reports:

“Smuggling gangs in Mexico have repeatedly sawed through new sections of President Trump’s border wall in recent months by using commercially available power tools, opening gaps large enough for people and drug loads to pass through…”

Apparently, they’re using a battery-powered Sawzall, like this one that you can order from Home Depot:

It can cut through the bars of steel and concrete in a few minutes, if equipped with specialty blades made with diamond grit. The blades sell for less than $15. The Trump administration has so far completed 76 miles of the new barriers that are now being breached by Mexican smugglers. These are the sections of wall that Trump boasts are “virtually impenetrable”. He has called them the “Rolls-Royce” of walls that border-crossers cannot get over, under or through.

Who knew that for $100, and a few $15 blades, you could defeat the wall that will eventually cost us $10 billion?? On to cartoons.

Al-Baghdadi was killed. Trump said he died like a dog:

Republicans are now trying to smear a military hero to protect a draft dodger. Trump equates dogs with cowards, while an actual military dog served heroically, without claiming Paw Spurs.

Trump says he’s moving from NY to FL. New Yorkers cheer:

Dems are placing way too much faith in the process:

It is looking like the Boeing 737 MAX should never fly again:

Signs of the season won’t go away:

Facebooklinkedinrss

Wrongo’s Hot Take On The Debate

The Daily Escape:

Autumn at Lovers Leap, New Milford CT – 2017 photo by Mike Jacquemin

It’s kind of crazy that Bernie Sanders has a heart attack, and comes back looking stronger than ever. Sanders directly addressed the charged but pertinent question about his health. It was a nice touch by Sanders thanking everyone for their well wishes. It turned the tables on the negative connotation of the health question. Sure, Bernie had a heart attack, but he appeared to be on his game. He shouted less, he was coherent. It looked like all of his neurons were firing.

Not so for Joe Biden. He was better, but Wrongo thought he’s showing some cognitive deficits of aging. He misused words, having several lapses when the wrong word came out, like when he said “epedentially”, whatever that means. He occasionally lost the thread of his argument. And Sanders zinged him, saying the campaign was all about the future. Biden’s the only candidate who is older than Wrongo, and these slips suggest the normal effects of aging.

Warren spoke the longest, about 6.5 minutes longer than Biden. That seemed to be a byproduct of the many attacks she faced. She didn’t escape unscathed, but the sheer number of punches she took underscores the fact that she’s now viewed by her opponents as a frontrunner. With an opportunity to expand on policy details, Warren was explicitly pressed for the 4th straight debate on whether Medicare for All (M4A) would result in higher taxes for the middle class, and she didn’t answer it directly. She should answer that taxes will go up while total health care costs will be lower by enough to make up the lost tax expense. Sanders freely admitted that it will require taxes to go up on everybody, including the middle class. Here’s CNN’s chart on talk time:

It was fun to watch Beto, version 2.0 (that would be Mayor Pete Buttigieg) fight it out with the original Beto on the question of how to get semi-automatic weapons off the streets. Mayor Pete also came out swinging against Sanders and Warren regarding Medicare for All. Wrongo is kind of with Mayor Pete on Medicare for All, where he says it should be for all who want it, and that people who already have insurance can stay on their plans.

The sad part of this Democratic food fight on universal health care is that it’s achievable through the back door of a public option. America doesn’t have to eat the apple in a single bite. So many Democrats turn up their noses to anything less than total victory over the insurance companies. Medicare is a good example of how M4A could work. There is no doubt the government’s administration will expand to meet the need, but that may take a little time.

Several of the middle-tier candidates, like Buttigieg, Booker, Castro and Yang had some very good moments, but the field must be cut to five by November. Harris, who started out the year looking like the most formidable candidate, is floundering. Beto, Steyer, Tulsi, Klobachar, and the rest, should retire from the competition.

Warren looks like the class of the field to Wrongo, followed by Mayor Pete. Bernie showed that he still has zest for the fight, and is a worthy opponent. Biden alternated between longing for the old days and getting hot under the collar, pounding his fist on the lectern. Wrongo only heard “get off my lawn”.

But one thing’s for sure, no one on that Ohio stage looked to Wrongo like a sure winner against Trump.

Is it possible that someone who isn’t part of the field will emerge and scoop the nomination?

Maybe, but Hillary isn’t the answer for Democrats.

Facebooklinkedinrss

Sunday Cartoon Blogging – October 6, 2019

Regarding the omnipresent Trump/Biden news, virtually all Republicans are on the same page:

  • The Bidens are guilty of something
  • They should be investigated
  • Trump committed no crime
  • The Democrats are out to get Trump

The right has worked with Fox State News to neutralize facts, so every issue is up for grabs, even things you know is true. Global warming? It’s undecided. Biden’s activity with Ukraine? Every newspaper has debunked it. And it wasn’t just Obama and Biden who wanted that Ukraine prosecutor gone, all of the European leaders and the head of the IMF wanted him out too.

But for Republicans, those aren’t facts, because something must have been going on. Now, Biden’s let Trump and the GOP define him. They say he should be investigated, because he must have done something wrong, everyone says so.

You’ve got to fight to win the news cycle these days. We can’t remember what happened yesterday, let alone last month.

But, once again, it looks like the Dems plan to work very slowly, sacrificing the narrative. All they have to say is, “he did it”.

Will they again grab defeat from the jaws of victory? On to cartoons. Here’s the meme of the week:

Views differ on what the Ukraine thingy means:

GOP is strangely silent on Trump’s actions:

New movie hits theaters this weekend. Most would like to wipe this horror show from their minds:

It’s more likely that Trump would say: “It would be unfortunate if somehow, he got shot in the leg“:

 

Rudy plans a spirited defense of whatever this is:

Facebooklinkedinrss

Sunday Cartoon Blogging – September 22, 2019

Wrongo never talks sports, but most of America has heard about the New England Patriots dropping Antonio Brown after 10 days on the job. If you don’t know about the fuss, here is a good summary. Brown apparently has yuuge issues with women, but three professional football teams so far, have offered him chances to demonstrate several times that he’s a really, really good player.

This week, Brown sent threatening and menacing texts to a second woman, and that made working for the Patriots untenable. Most think he will get hired fairly soon by another team.

The thought that Antonio Brown will have another NFL job, and Colin Kaepernick still won’t, shows that in 2019, it is better to threaten women, than to threaten the NFL’s rich white establishment.

On to cartoons. Trump may or may not have promised something to someone:

Ok, this is alarming, but on the bright side, Obama killed Osama bin Laden before Trump could fall in love and invite him to the White House. You can see his tweet now:

“I had a great meeting with Osama, he really loves his Family! Great great letter he wrote me, and wants us to be friends! He told me that some of the things people have said about him in the past are very unfair, and I agree!”

Democrats can’t decide what to do. This week, Nadler was beaten badly by Lewandowski, and Schiff couldn’t get the information regarding the whistleblower’s charges that are required by law from the Trump administration:

Whistleblowers are an endangered species in America:

Trump hates California, it’s got too many homeless, fuel-efficient cars and brown people:

On the bright side, rolling back EPA regulations will create more sick people:

The administration’s priorities bear no relation to reality:

Biden is still in charge, but not everything on the menu is appetizing:

Facebooklinkedinrss

Saturday Soother – September 14, 2019

The Daily Escape:

Denali NP, Alaska – 2019 photo by Alaskaty

Wrongo and Ms. Right watched the Democratic debate on Thursday night. Winning a debate comes down to connecting with voters, seeing who is the most likeable, the most sincere, who had the best delivery. Oh, and a few good ideas.

Wrongo thought the winners were Warren and Booker. The losers were Harris and Castro, for totally different reasons. Harris’s tactic was to attack Trump, while avoiding direct answers to direct questions. She has not lived up to the promise she showed in the first debate. Castro attacked Biden successfully, but it becomes more and more difficult to see him as a top-tier candidate.

Klobachar and Yang didn’t hurt themselves, but gained no ground. Biden, Bernie, Buttigieg and Beto had moments, but didn’t truly differentiate themselves from the pack. Bernie’s voice failed him, and his hoarseness gave him a difficult time connecting. As the debate wore on, he became a caricature of himself.

Biden got off to a strong start, but around the 2-hour mark, he became barely intelligible. His biggest applause line of the night was when he praised O’Rourke’s response to the El Paso shooting. He shouldn’t think that big applause for Beto was a good sign for Biden. Beto had a good night, mostly because he just said out loud about AR-15s what a whole lot of people believe on this issue.

There is a major problem with allowing TV network news types to conduct these debates. And who needed to hear a third hour where the media tried to dissect the health insurance policy differences between the ten Democrats?  Generally, their positions fall into either expanding Obamacare, or moving quickly to implementing Medicare for All.

Yes, some policy positions are different and consequential, but why did George Stephanopoulos try to gotcha Bernie and Warren about whether taxes would go up if MFA was initiated? Everyone knows that taxes would go up, while annual family health insurance costs would go away.

Amanda Marcotte, on twitter:

Maybe it’s simple: These Spinnerati work for the media, and the media is part of corporate America. Their charge is to bend things so that the choice you’re presented with isn’t a choice at all.

And, in three hours, the moderators asked no questions about the economy. They didn’t manage talk time well; Sanders was shorted. Here’s a breakdown of the candidates’ shares of talk time:

Looking ahead, Wrongo thinks the class of this field is Elizabeth Warren, and here’s why: Harvard professor Marshall Ganz teaches what he calls “the art of public narrative”. According to Ganz, successful and persuasive public narrative is the ability to tell, and to link together, “the story of self, the story of us, and the story of now”.

That seems to be a major part of Warren’s success to date. She’s done a good job creating a public narrative that connects with Democratic primary voters. She has leaned into her Oklahoma “ragged edge of the middle class” childhood, and her struggles as a young adult. She weaves that into a story of who we are as Americans, and she talks about the challenges we face today and how she (and we) can address them.

Her closest current challengers (Bernie and Biden) have noticeably weaker public narratives: Sanders is reticent about his own story, and how it made him the man that he is. He hits his policies, and vaguely links his policies to us and now. Biden has a great “story of self”, but his “story of now” is out of sync with today’s Democrats. He seems particularly bad on the story of now, and that is likely to torpedo his presidential chances.

We’ll see. The candidates have until next spring to hone their “public narratives”.

Let’s forget debates, John Bolton’s mustache, and Trump’s gutting of clean water regulations so that we can focus on starting our Saturday with a Soother. Start by brewing up a yuuge mug of Kayon Mountain Ethiopian ($21/12oz.) coffee from Lexington Coffee, an award-winning artisan roasting company based in Virginia. The roaster says it is richly sweet with a crisp, syrupy mouthfeel.

Sit back with your hot brew, and think about how fall is coming, and how you have no plans to prepare for it. Now watch Yo Yo Ma and James Taylor have fun while performing in August at Tanglewood Music Festival:

Those who read the Wrongologist in email can view the video here.

Facebooklinkedinrss

Partisan Gerrymandering Overturned in North Carolina

Daily Escape:

Colchuk Lake in the Enchantments, part of the Cascade Mountains, WA – August 2019 photo by atgctgtt

This summer, the Supreme Court decided 5-4 in the case Rucho v. Common Cause that federal courts could not invalidate maps based on partisan gerrymandering, although states might still do so.

At the time, Wrongo snarked about the decision:

“Wrongo’s shorter John Roberts: The federal government can’t do anything about your state stripping you of representation. You have to go back to the people who stripped you of representation and ask them.”

Despite Wrongo’s skepticism, on Tuesday, the North Carolina (NC) state Supreme Court put an end to eight years of Republican partisan gerrymandering when it ruled against NC Republicans who had installed it in 2011. From the Daily Kos (DK):

“On Tuesday, a three-judge panel delivered a major blow against Republican gerrymandering when it struck down North Carolina’s state Senate and state House districts for violating the rights of Democratic voters.”

More:

“The state court ruled that these maps, designed to entrench Republican rule, ran afoul of the state constitution’s guarantee of free and fair elections. These illegal districts were so extreme that they helped Republicans to maintain their legislative majorities in 2018’s elections even though Democratic candidates won more votes statewide. If fairer districts are implemented for 2020, they could put Democrats in striking distance of a majority in one or both chambers.”

NC’s current state-district maps had to be redrawn again in 2017, after the US Supreme Court affirmed a lower court’s ruling that they constituted an unconstitutional racial gerrymander.

Now, NC’s voters will be voting in new state election districts for the third time since 2011.

This decision is similar to one in PA in 2018, where a state court ruled that PA’s congressional map was unconstitutionally gerrymandered. It also relied on the PA state constitution, so its decision was not reviewable by the US Supreme Court.

When SCOTUS decided not to rule on the constitutionality of partisan gerrymandering, it said quite clearly that state courts could rule on the question based on the individual state constitutions. NC now joins PA as states in which this strategy has succeeded.

The NC and PA decisions are reminders that we can challenge bad laws under state constitutions. States are free to recognize more rights than those enumerated in the US Constitution, they just can’t recognize fewer rights. This is the sort of “federalism” that conservatives hope you never learn about.

More from DK:

“While this case only concerns the maps in one state, every state constitution has provisions similar to North Carolina’s that could be used to challenge partisan gerrymanders so long as there’s a receptive and fair-minded state Supreme Court majority to hear such a case. This ruling therefore underscores the importance of Supreme Court elections in key swing states next year, including Michigan, Ohio, and Wisconsin. Progressive victories in these races would go a long way toward blocking the GOP’s lopsided control over redistricting as we head into the next round of redistricting following the 2020 census.”

The NC court decision was 345 pages long. The opinion really makes it clear how there’s just no possible defense for what the GOP was doing in NC. In addition, the opinion might as well have had “John Roberts is an embarrassing hack” stamped on every page.

This doesn’t mean that Democrats can relax between here and 2020. Michigan, North Carolina, Ohio, Texas, and Wisconsin are states where 2020 state Supreme Court elections could either give Democrats a majority, or set them up to gain one in subsequent elections. That will be crucial in the next decade, since the Census will also take place in 2020. There will be new voters to count, or to disenfranchise, depending on your Party’s ideology.

This war must be won in the trenches, not by the national candidates.  Wisconsin gave us a bad example in April. Although Democrats in Wisconsin won the popular vote in 2018, they didn’t work hard enough to get their state Supreme Court nominee over the finish line in 2019, despite having a progressive plurality.

Democrats have to realize that they won’t win if they think only certain elections are important enough to get out and vote.

These battles are local, not national, and now that the US Supreme Court will be sitting on its hands for a decade or more, these are fights we must win.

Democrats can’t afford not to contest local judicial elections.

Facebooklinkedinrss

Detroit Debate Wrap-up

The Daily Escape:

Mt. St. Helens, WA – 2019 photo by 12_woman. The big eruption that devastated 230 sq. miles was in May, 1980. Hard to believe that’s almost 40 years ago.

The two days of Detroit Fight Nights are over, and the bloviating about who won or lost is rocketing around the internet, so Wrongo will add his few cents to the till.

First, CNN worked really, really hard to gin up fights between the candidates. They had some success by giving also-rans (John Delaney and Mike Bennet) a chance to go at the front-runners on both nights. The CNN idea was to make it a contest between progressive Dems and moderate Dems, and the debaters happily complied.

This is being talked about as a fight for the soul of the Party. It isn’t; that will happen at the convention when no candidate wins on the first ballot.

Second, it’s clear that these 20 people include 10-12 who should be on the JV team for some other openings in Democratic politics. The NYT reports that just seven candidates have qualified for the next Democratic debate: Those seven are Biden, Booker, Buttigieg, Harris, O’Rourke, Sanders, and Warren, while Castro, Klobuchar, and Yang are close:

“The Democratic National Committee has set stricter criteria for the third set of debates, which will be held on Sept. 12 and Sept. 13 in Houston. If 10 or fewer candidates qualify, the debate will take place on only one night. Candidates will need to have 130,000 unique donors and register at least 2 percent support in four polls. They have until Aug. 28 to reach those benchmarks. These criteria could easily halve the field.”

Castro and Yang each have more than 130,000 donations and each have three of the four qualifying polls they need, while Senator Klobuchar has met the polling threshold, and has about 120,000 donors, so a one-night 10-candidate show is likely in September.

Regarding Detroit’s winners and losers, Wrongo’s view is that Warren, Sanders and Buttigieg won on the first night. On night two, Biden won by not losing. But night two had more interest. Castro did better than expected, as did Booker and Yang. Harris slipped a bit, while Gillibrand, Gabbard and Bennet had moments, all are in Brownian motion. The rest of the less-than-one-percenters should save their pennies.

We’re not going to get a real sense of how this campaign will unfold until Sanders, Warren, Harris and Biden are on the same stage. They will be joined by Buttigieg, Booker and O’Rourke, and possibly three others.

The tests we should be keeping in the back of our minds are:

First, can I envision this candidate giving a speech to the nation from the Oval Office while demonstrating leadership and being completely credible?

Second, can this candidate stand up to Trump on the trail, and if it should be necessary, beat him in a face-to-face debate?

Even with downsizing the group to 10 candidates, very few can meet both eye tests to Wrongo’s way of thinking.

How do you see the candidates?

Facebooklinkedinrss

Last Night’s Debate and Medicare For All

The Daily Escape:

Dix Pond from the Dix Mountain trail, Adirondacks, NY – July 2019 photo by Shelley VK

A few thoughts about last night’s Democratic debate. Tom Sullivan captured Wrongo’s thinking:

“Watching Part One of the second Democratic debate was an endurance contest. CNN’s 30-second response format was a disaster, barely giving candidates time to formulate a sentence before being cut off. Questions from CNN moderators seemed designed not to probe policy issues, but to get candidates to snipe at each other.”

And snipe they did. The fringe and vanity candidates tried very hard to tell us which policies wouldn’t work. They were enabled by CNN’s question-askers, who mostly asked gotcha questions designed to provide sound bites for Republican attack ads down the road.

Elizabeth Warren won the night by responding to a poor-mouthed critique from Republican-lite John Delaney about health care:

“I genuinely do not understand why anyone would go to all the trouble of running for president just to get up on this stage and talk about what’s not possible. #DemDebate pic.twitter.com/cOCz5TS3AF”

— Elizabeth Warren (@ewarren) July 31, 2019

But, let’s take a moment to talk about the topic that took about most of the first hour of the debate: Medicare for All (M4A). Wrongo wants to remind everyone about an Upshot article on Monday in the NYT by Austin Frakt and Elsa Pearson. It asks, “What Would Medicare for All Cover?” From the article:

You can divide current Medicare coverage into two layers.

The first is relatively transparent. Traditional Medicare does not cover certain classes of care, including eyeglasses, hearing aids, dental or long-term care. When the classes of things it covers changes, or is under debate, there’s a big, bruising fight with a lot of public comment. The most recent battle added prescription drug coverage through legislation that passed in 2003.

So the authors say that a Medicare for all program that excluded all private insurance coverage, and that resembled today’s traditional Medicare would leave Americans with significant coverage gaps. And therefore, we should have a debate about what M4A would cover.

The writers go on:

…there is a second layer of coverage that receives less attention. Which specific treatments does Medicare pay for within its classes of coverage? For instance, Medicare covers hospital and doctor visits associated with cancer care — but which specific cancer treatments?

The devil is always in the details.

Although Medicare is a national program, most coverage determinations are local. Private contractors that are authorized to process Medicare claims decide what treatments to reimburse in each of 16 regions of the country:

What people are covered for in, say, Miami can be different from what people are covered for in Seattle. Many treatments and services are covered automatically because they already have standard billing codes that Medicare recognizes and accepts. For treatments lacking such codes, Medicare makes coverage determinations in one of two ways: nationally or locally…..There are more than 2,000 local coverage determinations….National coverage decisions, which apply to the entire country, are rarer, with only about 300 on the books.

Wrongo wasn’t aware of these differences in coverage, and that is something to talk about if/when M4A is seriously discussed in Congress.

It seems that what should be covered by any health insurance program is an evolving target, informed by changes in treatments and their reported efficacy.  The issue isn’t unique to Medicare. Wrongo prefers the decision to include or exclude a treatment not be made by an insurance company that can make more profit based on what forms of healthcare are offered.

For example, in many private plans, cataract surgery isn’t covered, while Medicare does provide coverage for a basic lens replacement.

And we shouldn’t allow the perfect to be the enemy of the good. In this country, tens of millions of people have no coverage, and tens of millions more are either under-insured, or face very high deductible plans. By contrast, throughout all other developed countries, every person is covered for all medical needs.

A few things to think about between here and the 2020 election.

Facebooklinkedinrss