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Richard (RJ) Eskow

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Don't Blink. The DC Machine Is Killing Medicare Right Before Our Eyes

Posted: 12/19/11 05:25 PM ET

This last week we've seen how Washington's elites are able to suppress popular opinion, work against the public interest, and wrap it all up with a bow so that it looks like 'democracy in action.' It's not. What we're seeing isn't democracy, and it isn't a free press either. It's merely another cynical ploy to rob Americans of government programs they both need and want.

The latest assault is on Medicare. The "Ryan/Widen plan" is a perfect case study in the cynical workings of an antidemocratic machine - a machine whose cogs are lazy journalists, whose gears are selfish politicians, and whose levers are pulled by the wealthy and powerful.

I held my fire on this for a few days, to see if more details would emerge on the proposal from Sen. Ron Wyden and Rep. Paul Ryan, who were initially (and deliberately vague) on its specifics. That turned it into Rorschach test for observers, and where the Washington Post sees a butterfly I usually see a vampire bat.

But Malcolm Gladwell would be pleased: It turns out that the first 'blink' impression of Ryan/Wyden is the right one. It's a Medicare-killing publicity stunt that undermines the financial security of the 99%. And if you happen to be reading this in the Nation's Capital, please note: The 'lefty' position on Medicare is supported by most Republicans.

Let's not kid ourselves. Unless we act quickly and aggressively, the Machine will succeed in killing Medicare.

The Program

We've seen this software before. It's been run against Social Security, jobs, and other government services that are both popular and effective. Here's how it works:

  1. Concept: An intellectually thin but highly-funded network of corporate-funded and billionaire-backed "think" tanks draft a proposal that would eviscerate a popular government program.
  2. Rollout: Congressional Republicans act in lockstep to implement the think tank's policy by gutting something that's typically supported in overwhelming numbers by Democrats and independents - and which is often backed most registered Republican voters, too.
  3. Blowback: The backlash from aggrieved citizens comes from all across the political spectrum, but is spun by compliant media figures as a reflexive hostility to "new ideas" from "ideologues" and "extremists" on the left.
  4. Sellout: A cynical, self-serving Democrat sees an opportunity to curry favor with billionaires, corporations, and media outlets by endorsing the radical moves the Republicans have proposed.
  5. Spin: The media uses that Democrat's endorsement as proof that the corporate position is actually that of "responsible" and "moderate" politicians in both parties.

The software has a political side effect, too: The distinction between Republicans and Democrats is blurred a little more, depriving Democrats of a winnable election issue.

Think of these five steps as a computer program you can run in almost any situation. The only variables are the program that is to be killed, the Democrat that'll do the dirty work, and which media outlet will deliver the machine's message this time. Plug in those three items and the program pretty much runs itself - or, as they used to say in the tech world, it "executes."

The Execution

This time around the government program is Medicare, the Democratic hack who's willing to undermine it for selfish reasons is Ron Wyden, and the media outlet is (who else?) the Washington Post. Here's how the five steps played out this time around:

  1. Concept: Rightists in think tanks like the Heritage Foundation designed a system that dismantles Medicare, replacing it with vouchers that would provide less and less medical coverage with each passing year. The dovetails nicely with the rightwing Peterson Foundation's twenty-year jihad against so-called "entitlements," Social Security and Medicare, which have very little fiscal relationship to one another.
  2. Rollout: Congressional Republicans dutifully encoded this radical scheme into a proposal called the "Ryan Plan," after Rep. Paul Ryan, who was chosen to present this idea as if it were his own. Their voted nearly unanimously for Ryan's plan, placing their party in an extremely vulnerable position with voters (while ingratiating it to many high-dollar corporate and individual campaign donors).
  3. Blowback: The Machine media tried to claim it was not a plan to end Medicare, a radical reality inversion which had an hallucinatory effect on your correspondent. But no Orwellian inversion could conceal this plan's true nature or protect Republicans in Congress from a public backlash. That's why so many Republican representatives ran into a hailstorm during the next recess.
  4. Sellout: Sen. Ron Wyden of Oregon dutifully stepped up to play the 'Democratic hack' role that's been played by so many of his colleagues, co-authoring a modified 'Ryan/Wyden plan' that was nothing more than a diluted version of Ryan's radicalism.
  5. Spin: And now - with a predictability that should be astonishing, but isn't - the Washington Post is celebrating Ryan as a shining example of true bipartisanship in action.
Make no mistake about it: This program would have a devastating effect on Medicare. (See here,, here, and for a more general overview of "premium support" programs, here.)


How would we recognize real bipartisanship? It's what you'd see if some Republicans heeded their base by crossing the aisle to oppose the Ryan plan, since polls show that 56% of registered Republicans are against a voucher system. But that ain't gonna happen. And if a single Republican on the Hill strays from corporatist/Republican orthodoxy, you can be they won't be the subject of a laudatory editorial in the Washington Post.

What's more, if voters are told that plans like Ryan/Wyden won't cover all the costs currently covered by Medicare, overall opposition to the idea rises to 84%. But who's going to tell them that -- the Post?

Don't hold your breath.

Party Line

Call it the "Uni-Party," the alignment of corporate-funded politicians from both parties who serve a narrow elite. Corporate Washington's company paper is the Post, and its editors can usually be counted upon to toe its party line. Like the five-part plan, the Uni-Party's editorials follow a strictly preprogrammed algorithm.

It starts with Orwellian wordplay, which the Post happily provides in the title of its editorial: "Healing Medicare." (Ryan/Wyden would heal Medicare, I suppose - the same way cutting my head off would cure this headache.)

"In the maelstrom of dysfunction and partisanship better known as the 112th Congress," it begins -- and let me stop right there for a second. Since when is partisanship a bad thing. One party advocates a policy, another opposes it, and voters choose. The Uni-Party hates that, so it stigmatizes it by calling it names. I call it "democracy."

"it is always surprising and gratifying when lawmakers from opposing parties manage to work together. That is particularly true when their collaboration involves an issue as politically charged and substantively complex as Medicare ..."

It's very important that cynicism be rewarded with praise and good press, as well as lavish campaign donations. Politicians can't serve the Machine if they can't get reelected, after all. The editors continue:

"Some will read the last sentence and chuckle knowingly about its seeming naivete."

Not at all. The editors aren't naive at all. They just think we are.

The rest of the proposal comes straight out of the software: "Jump-starting the conversation" is a favorite phrase, because it's code for "introducing radical conservatism into the debate." I doubt they'd praise anyone for suggesting, oh, I don't know, the confiscation of homes and property of rich bankers. Ryan/Wyden is at least that radical, but the Post probably wouldn't praise a revolutionary socialist for "jump-starting a conversation" about the economy, would it? Would they call it a "serious proposal"?

The editorial ends by slamming the White House for "stomping" on Ryan/Wyden, an act that resembles the killing of an insect, and which most Republican voters are likely to applaud. We can only add that if stomping doesn't work, the Administration can always try hitting it with a rolled-up newspaper. The Post will do nicely.

Last Rites

What happens next is critically important. As Nate Silver noted, the public's opinion on this topic is highly malleable. Misinformation from media outlets like the Post can affect the fate of Medicare, and the failure of Democrats to forcefully repudiate Wyden will further weaken its chances

Things aren't looking good. By presenting a united front, which they rarely do anymore, Democrats have been able to get their message across about Medicare and the Ryan Plan. But the Machine is always looking for new recruits, and it always seems to find willing Democrats. Conrad on health care, Durbin on Social Security, Wyden on Medicare ... it doesn't take more than one or two to cloud the issue and undermine a vital and popular program.

No wonder most Americans are disgusted with this Congress and don't believe it will act effectively to protect their interests. The dissatisfaction is widespread among Republicans and Democrats and is most pronounced among independents, 57% of whom voted for Democrats last time around.

In the long run Medicare will need saving -- from the devastating impact of for-profit medicine on our health economy (and on our health). That will take aggressive cost control measures. Those measures could include new provider reimbursement plans, along with a highly robust public option that restricts private-sector gamesmanship. But first Medicare has to be protected from crazy schemes and stealth attacks like the Ryan/Widen plan.

If politicians and the public don't strike back hard against scams like "Wyden/Ryan," make no mistake about it: Medicare will die, and the Machine will begin locking onto its next target.

 

Follow Richard (RJ) Eskow on Twitter: www.twitter.com/rjeskow

 
 
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11:08 AM on 12/21/2011
When Medicare was enacted in 1965, it was, like most major new programs, a political compromise. Its design features represented the requirements of that compromise. As the decades have gone past, the design weaknesses and internal contradictions of the program have become more evident. Patching the framework, or tweaking it at the edges, is not going to address the long-term weaknesses of the program or the enormous financial load it adds to the country’s structural financial problems. Basic reforms are needed, and these reforms can and should reflect the principal goals of the program as well as the principal goals of fiscal prudence (http://eng.am/stUknA).
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Gestas
Mountain Man
12:12 PM on 12/20/2011
Seems like we're getting closer and closer to the time where Washington will no longer be able to afford the American People...The One Percenters and the Every Man for Himself Party will retreat into thier Gated Communities...and wish us all away.
11:24 AM on 12/20/2011
It feels to me like those in DC want to kill those over the age of 60 and at retirement age. I could be wrong but if they kill medicare or make it accessible for only a chosen few, haven't they in essence committed murder or population reduction by killing off people who depend on the programs by taking away those programs from them or making them harder to have acccess to?I could be wrong but that's how it feels to me.
This user has chosen to opt out of the Badges program
10:42 AM on 12/20/2011
The boys in Washington have already gotten a great start on the elimination of Social Security with the "payroll tax cut" which came from a Democratic President. This eliminates part of the annual revenues that run the Social Security Program so that in a couple more years the republicans in Washington can then say since the fund is now running an annual deficit, we must cut benefits. Then they can turn around and say, "See we had to cut benefits so that proves the plan isn't working and we either need to eliminate it altogether or alternatively turn the money over to Wall Street to invest."

So now they are moving to the second part of the scheme, elimination of Medicare. All moving along as planned with the full support of the current President. The real hope and plan of the republican party is that Obama is reelected so they can continue they attack on American workers under the cover of a "Democratic" President. Don't believe it? Look at their lineup of would be candidates.
09:31 AM on 12/20/2011
Corporate money fully trumps integrity now. The buy off is so complete that very few in the congress actually represent constituent voters, and those who do might not have longevity in their seats. It is disappointing to see the Democratic stoolies get involved in this fraud and try to spin it as "bipartisanship". We are used to Republicans without integrity, but not so much the Dems.

It is Obama's own obvious complicitness in this that so enrages Democratic voters. Our lawmakers think we are all too stupid to recognize that we are being sold out.
08:52 AM on 12/20/2011
someone please tell me WHY govt. goes after the { for the most part} the POOREST OF THE POOR ???????? most SRS. EXIST on S.S. & EVEN WITH MEDICARE they pay and many just do not go to drs they make choices food or meds so again I ask WHY MESS WITH MEDICARE.
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10:44 AM on 12/20/2011
Scarey that you have to even ask.
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HUFFPOST SUPER USER
TRex86
Enjoying life in West Ohio
08:34 AM on 12/20/2011
The lesson of the last three years is that it's impossible to negotiate with those who won't negotiate. Obama's big mistake with Medicare is to talk with Republican obstructionists. Go straight to the public with a clear, simplemessage. (Keep in mind that Medicare is VERY popular--even with brainless Tea Party types). The message starts with the future liabilities of the program, which is underfunded by at least $35 trillion. How do we address this without abandoning the elderly?

First, there is nothing structurally wrong with Medicare except its funding base. Part A gets a sliver of payroll tax; the rest gets means-adjusted premiums and INCOME TAXES. Stop taxing labor to support Medicare. In conjunction with tax reforms that restore progressive taxation on the rich fund Medicare with income taxes and premiums that are means-adjusted for income and NET WORTH. (No stashing assets and going on Medicare; collect unpaid premums from the estate of deceased beneficiaries).

Moreover, open it to low risk younger Americans. Stop talking about "single payer" (socialized) health care. Start talking about guaranteed access to Medicare for everyone. Insofar as it runs at 95% efficiency moving more people onto the program will save the system hundreds of billions and create a platform to restrain health care spending, such as negotiating drug costs. For those foolish enough to stay in the private system, eliminate the tax deduction for employment based insurance but allow them to pay sky-rocketing premiums (if they wish).
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contrariandy
Progressive Capitalism created the Middle Class.
07:16 AM on 12/20/2011
We will all need health insurance when we become old. We will need to find insurers and pay higher premiums UNLESS we have an efficient, universal, government health insurance program that can guarantee coverage and keep premiums low and affordable. Why would anyone be (fox) foolish enough to want to pay a lot more for expensive, unreliable for-profit health insurance when we could all just pay a little more to keep Medicare intact?
HUFFPOST PUNDIT
noaxe397
01:11 AM on 12/20/2011
The problem is health care, not medicare..............The fastest growing group declaring bankruptcy is people WITH health insurance that cannot pay their medical bills..............What Mr. Eskow desribes in great detail here can be summed up simply as the irrational need for Democrats, especially Obama Democrats, to think they have to give in to GOP demands in order to save the "hostage" and show they are the adults in the room who care about the american people....................
HUFFPOST SUPER USER
contrariandy
Progressive Capitalism created the Middle Class.
07:29 AM on 12/20/2011
We need to stop mixing up our Payroll Taxes with general tax revenue. Payroll taxes go into separate Insurance Trust Funds. Everyone should refer to those payments as Insurance Premiums. One way or another, we will all have to pay more for retirement savings and for health insurance (unless we can force politicians to do something really smart about health care costs). If we have to pay more, let it be for reliable, efficient government non-profit insurance, guaranteed for all forever.
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pollclaire
Sic Semper Tyrannis
10:36 PM on 12/19/2011
The Ryan plan is not about saving America, or reducing debt, or helping seniors.

The insurance companies have a demographi­­­­­­­c problem. The baby boomers are transition­­­­­­­ing into subsidized care, and most of the generation behind them won't have the same level of access to employer-s­­­­­­­pons­o­r­ed health insurance­­­. The insurance business model is about to become less profitable­­­­­­­.

What to do? Keep the boomers paying into the private insurance system, of course. Destroy the competitio­­­­­­­n, in this case, Medicare. Take the public voucher money, get private individual­­­­­­­s to kick in $6000 extra, and you've created a new publicly-f­­­­­­­inan­c­e­d entitlemen­­­­­­­t... for the insurance companies that funded Ryan's campaign.
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10:46 AM on 12/20/2011
Sharp analysis.
HUFFPOST SUPER USER
healthanalyst
Banned from commenting, so?
10:29 PM on 12/19/2011
lets put the US Senate on Medicare vouchers. No other private or public care. See how that works, in a few years come revisit the issue.
10:05 PM on 12/19/2011
You shall bow to your corporate overlords and kiss your own behind goodbye!
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HUFFPOST COMMUNITY MODERATOR
SageFire
Loves Teachers, Helpers, Protectors
09:25 PM on 12/19/2011
Senator Wyden is a good man and I highly resent the term "hack". I don't know what is up with this bill or what his long term thinking is regarding it. He has a very strong progressive record over decades and has been instrumental in supporting seniors in Oregon.

That being said I am strongly committed to universal health care above almost any other issue and have sent that message to Senator Wyden many times. That being said he will have my vote again and I will keep writing. In fact, his office is within a block of mine, maybe a "drop in" is in order. Not that I have any more influence than any other of his constituents.
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HUFFPOST SUPER USER
bigmaddy
Retired Union, USN
08:39 AM on 12/20/2011
Maybe you should read the bill he has his name on unless you are a republican zombie you'll change you tune.
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HUFFPOST COMMUNITY MODERATOR
SageFire
Loves Teachers, Helpers, Protectors
11:34 AM on 12/20/2011
I am a very left leaning Democrat and he has been my senator for a very long time. He has a 69/100 progressive rating at That's My Congress website.
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HUFFPOST COMMUNITY MODERATOR
SageFire
Loves Teachers, Helpers, Protectors
11:41 AM on 12/20/2011
Also DID YOU READ MY POST?? How many republican zombies are so committed to universal health care?
09:44 AM on 12/20/2011
They always said nice things about Penn State coach Joe Paterno, too.

Sometimes it just takes one blind spot to ruin a career.
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HUFFPOST COMMUNITY MODERATOR
SageFire
Loves Teachers, Helpers, Protectors
11:35 AM on 12/20/2011
Well, I agree with the last line but check his record.
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smarti
some opinions need a breath mint... try a smarti!
09:18 PM on 12/19/2011
kind of makes a lie of that whole "liberal media" meme doesn't it?
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HUFFPOST SUPER USER
freedomny
99% = TBTF
09:06 PM on 12/19/2011
Let's all just face it....we don't have a democracy. It is all just a veneer. Or as a phrase that politicians seem to love...lipstick on a pig. I think Americans are now waking up to this brutal fact. They are not counting on Americans being smart...but we are. The future will be interesting to witness. Scary...but interesting, and I am hoping the future will be...hopeful.
09:13 PM on 12/19/2011
It's going to become much worse as the ship sinks further.
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HUFFPOST SUPER USER
ekstatik
Granfalloon-free!
07:07 AM on 12/21/2011
Probably. Simultaneous economic, social, and environmental decline is an enormous challenge that our political system seems too weak to face. I'm guessing military dictatorship by 2032.