2020 federal dossier: Entitlements

This is the eighth part of a multi-part series taking a deeper dive into various important topics in the 2020 election. On the 100-point scale I am using to grade candidates, entitlements are worth 13 points. And in case you are wondering, I don’t get along with the “it’s our money that we’re only getting back” crowd – to me, Medicaid, Medicare, and Social Security are entitlements. Here’s where I will see what the candidates have to say.

This section of the dossier has been revised and updated to reflect the general election field.

It’s become an annual rite of sorts – it seems like every year we hear the news that Social Security and Medicare are projected to take in less than they give out years sooner than projected. We’re assured they’re not going to go bankrupt but there may come a point where they won’t be able to meet the promised benefits. (That always seems to be just about the time I am eligible to collect.)

The fix is relatively simple, they say: ratchet up the retirement age, begin means testing, or place more income inside the reach of the Social Security tax (which caps someplace in the low six figures.) On the other hand, we have a President who earnestly believed a booming economy would solve the problem. All I know is that something will be done in the next few years because doing nothing will be its own action, with consequences.

I’m going to foreshadow my thoughts on the next part regarding the role of government here by stating some unpopular opinions.

The problem with the federal approach isn’t the end goal, but the approach. As I see it, there is an implication that we need a federal solution to a problem they created when in fact health insurance is one of those commodities best handled at a state level. The needs of Florida and its high retiree population are vastly different than a state like Maryland which trends younger.

It should have been a priority in the previous Congress to rip out Obamacare by the roots, but instead our side fumbled it away. I’ve heard the argument that most of the program was rendered moot by Congress removing the tax penalty (putting it outside the boundaries of NFIB v. Sebelius) but nothing would have sent the message more clearly than a straight repeal. We also kicked the other entitlement cans down the road thanks to a lack of emphasis on a fix from the top.

Seeing how gutless Congress is on these subjects, and having a long memory of the reception a modest proposal on Social Security received (remember George W. Bush wishing to privatize a fraction of it?) it’s frankly disappointing to see no new ideas from the field. Again foreshadowing, I’m not sure the GOP portion of the Congressional field wishes to rightsize government. It’s more the approach of making government perhaps run more efficiently but not trying to restore a more Constitutional approach.

Since I originally wrote this, much of the field has checked in on the subject. We remain in the same batting order.

Lee Murphy (R) (House)

“The government needs to get out of the health insurance business once and for all. Competition should drive the market for health insurance, not mandates from the federal government. I believe that individuals are best equipped to make health insurance decisions for their families.”

I like that, so far. But there’s more.

“The citizens of this country should be offered a competitive choice for health insurance plans. I support legislation allowing families to buy health insurance across state lines. It would drive down the cost of health insurance, making it more affordable and more accessible. If you live in Delaware and a better plan is available in Nebraska, you should be able to buy it.”

That’s been a standard GOP line for awhile, but there’s a lot of merit to it – and it’s a start to what needs to be a lengthy adult discussion. 4 points out of 13.

Lauren Witzke (R) (Senate)

This is one subject Lauren has not updated us on, but we still have time. No points.

David Rogers (L) (House)

And he starts out so well: “Too often the government tries to help people out only to end up creating a cycle of dependency.”

Then the wheels come off and Rogers goes against the grain of his party, stating, “There are too many restrictions on if people can have money and how they have to spend it.  This ends up making the government very paternal in nature, and it also leads to a massive bureaucracy.  We should eliminate all social welfare programs and replace them with a universal basic income.  We should treat all people as if they are adults and if they need assistance we give it to them.”

I thought the idea of libertarianism was to enhance the individual. A UBI program simply becomes wealth redistribution from those who wish to work to those who don’t. Thus, he gets 0 points out of 13.

Nadine Frost (L) (Senate)

It’s brief but golden: “Public health belongs to the states, CDC can only provide guidance. No provision in the Constitution for government to run public health.” Bingo! There’s no provision there for Social Security or any other entitlements – spare me the tired “general welfare” tripe.

Since I wrote this I didn’t think Nadine could improve on this, but she did: Social Security “is, was, and ever will be what is known as a ‘Ponzi Scheme’, which means that payouts at the top are covered by incoming payments from the bottom.” She gets it! 11.5 points out of 13.

Catherine Stonestreet Purcell (IPoD) (House)

This is like a sketchbook of ideas:

“Reach the goal of affording everyone in America equal healthcare at reasonable prices. Restoring funds stolen from social security.” Not sure how you can get back what was spent long ago, though.

“Reducing the price of healthcare and medication costs so that all Americans can receive affordable healthcare.” It’s a good idea, but it’s missing some steps from point A to point B.

“Establish a SPECIAL INVESTIGATION TASK FORCE to ensure transparency and efficiency of the spending of our nation’s tax dollars… I have 32 years banking experience which I can use to conduct audits. This should reveal much waste and funds can be redirected towards American healthcare programs.” I don’t think the powers that be want that – they benefit from the waste.

“I would also expand on home healthcare programs as they appear to be more effective than nursing homes. Both patients and healthcare providers enjoy a happier environment.” It seems to me the private sector can take the lead on this. The mixed bag gets her 3 points out of 13.

Mark Turley (IPoD) (Senate)

Mark wants to: “Provide affordable health care and affordable prescription drug prices for all. Provide a solid safety net for those who cannot afford health care benefits. Provide a platform for sustainable social programs. No need for Medicare for All, however.

Provide, provide, provide. You basically created Medicare for All without the fancy name. 0 points out of 13.

Lisa Blunt Rochester (incumbent D) (House)

From 2016, she charges, “Most Republicans in Washington want to gamble with our seniors’ wellbeing by privatizing Social Security and cutting Medicare, I’m running for Congress to ensure that doesn’t happen.” Too bad because the Republicans have the right approach.

But it gets worse. “Protecting and strengthening Obamacare is vital to the interests of our state. The Affordable Care Act has brought the number of uninsured down to historic lows, taking the burden off the backs of taxpayers and helped stabilize sky rocketing insurance rates. The law is not nearly perfect, but it is already a huge step forward.” Demonstrably wrong.

“Tens of thousands of Delawareans have insurance now, but we still have to do more to bring costs down. Republicans in Washington propose we do this by taking away insurance from millions of people. This is not the way to improve our system.” The way to improve our system is to add a little personal responsibility and competition, neither of which you’ve encouraged.

No wonder you don’t do an issues page. 0 points out of 13.

Chris Coons (incumbent D) (Senate)

“Chris believes that access to quality, affordable health care is a right, not a privilege, and in the midst of a global pandemic he’s fighting harder than ever to make this a reality for all of us.”

Health care is not a right. I am not entitled to have you pay for my health care.

“Chris has pushed back time and again on President Trump and congressional Republicans who want to put Americans’ health care back in the hands of insurance companies.” So instead he would give it to some unelected, unaccountable bureaucrat. We can change insurance companies. 0 points out of 13.

Standings:

House: Murphy 26.5, CSP 17, Rogers 13.5, LBR 3.5.

Senate: Witzke 36.5, Frost 33, Turley 6.5, Coons 1.

I’m going to share my thoughts on the candidates and how they seem to perceive the role of government in my next, penultimate part.

Making Maryland’s employers sick

As would be expected from a body that’s never passed up on a chance to saddle Maryland’s business community with more dictation and regulation, the Maryland General Assembly overrode Governor Hogan’s proper veto of last year’s hilariously misnamed Maryland Healthy Working Families Act. All Republicans voted to uphold the veto, along with the top five early contenders for the monoblogue Accountability Project’s final Top (Blue) Dog Award, given to the Democrat who most crosses the aisle in the right direction. But those five Democrats could be spared because the majority party had more than enough to pass the override – a situation that must be addressed in November.

Rather than write a summary of all 22 pages of the bill, which among other things requires the state to “develop a model sick and safe leave policy that an employer may use as a sick and safe leave policy in an employee handbook or other written guidance to employees concerning employee benefits or leave provided by the employer,” the chief takeaway is that an employer has to provide approximately 9 days of sick leave a year to full-time employees. Yes, it’s one hour for every 30 hours of time worked, with employers that have 15 or more employees also required to pay for the privilege. (Those with 14 or fewer still have to provide the time; it just need not be paid time.) In short, once again the state butts its head into something that should be between employee and employer, doing so based on their vast amount of time running businesses. (I would be curious how many in the majority have actually signed the front of paychecks for their employees.)

I’m not going to say that every business is like my employer, but I think most are understanding of various situations. Mine is a good example: seeing that it’s our daughter’s senior year and last basketball season, he and I have worked out a way for me to get to all of her games, home and away. I just shift my schedule accordingly and do the work needed beforehand. Luckily I have a job that allows this, and I know not everyone is that fortunate. But there are ways to work these situations without the state’s heavy hand and threat of liability from employees who may have an axe to grind months after their dismissal. (Three years of record keeping on this is even more paperwork for employers.)

In keeping with this I see employers doing something I’m familiar with as a policy: simply roll vacation and sick days into an overall category of “paid time off.” Those who use more sick days than the three previously allowed are fine, but they have fewer vacation days as a result. Next year we will see a law that prohibits employers from rolling the two together: that’s my guarantee. They can’t leave well enough alone.

It seems to me that General Assembly Democrats, not content with the plethora of people who are already drawing some sort of welfare from the state and cognizant of Margaret Thatcher’s asserting that socialism works until you run out of other people’s money, are trying to make employers into the new providers of welfare in the state. How else would it be that employers are forced by the state to pay people who aren’t being productive rather than work it out in-house? Shouldn’t there be an incentive for employees to develop their skills to make themselves more attractive to employers with better benefits rather than those employees running to the state? The market will eventually favor the employer who is most fair because they’ll get the best employees; that is, if the state doesn’t figure out a way to screw that balance up.

To use a similar example, Obamacare tried to supplant a system that almost everyone was either happy with or at least grudgingly accepted as a benefit that maybe wasn’t perfect but was better than nothing. It turned out to be a solution that didn’t perform as intended in whittling the number of uninsured down to near zero yet made the previous beneficiaries suffer with higher premiums and co-pays. Having seem this example first-hand, I can tell you this paid sick leave bill won’t work as intended either.

But Democrats win (and working Marylanders lose) in several ways: now they have created yet another entitlement that those unmotivated to work will bitterly cling onto with Democrats having the expectation of gaining their votes for another couple hundred years. Plus, as a special added bonus, they can either bludgeon Hogan with the resulting hiring slowdown or point to employment gains as evidence that this is no big deal – in fact, they would probably use it as evidence it should be expanded, never mind unrealized potential left on the table thanks to their meddling. Remember, being a Democrat in government is never taking responsibility for adverse real-world actions.

So I suppose those on the “progressive” (read: regressive) side will be cheering the override of this bill, a measure that’s wrong for the Eastern Shore and wrong for Maryland. They may like Jim Mathias’s support of it, but when he comes around later this year trying to convince us that he’s “fighting for us” just remember how he sold out the job creators for something that didn’t need to be a state concern. If I, with my public-school education, can wade my way through the bull to find the common sense, so can the average voter.

Sorry, liberals, sick leave is not a right and a sane General Assembly would rescind this in the future. In November we can work on restoring that sanity.

Earning my presidential vote: entitlements

Social Security was once considered the “third rail” of American politics: touch it and you die. But I would contend that we have added Medicare, Medicaid, and perhaps Obamacare to that description. Republicans talked tough about repealing Obamacare through defunding it, but chickened out when the threat of being blamed for a government shutdown became the price to pay. But knowing the toll these programs take on our budget and idea of limiting government, I only need one bullet point for this one.

  • The next president should set in motion the eventual sunsetting of Social Security, Medicare, Medicaid, and Obamacare. If states are dumb enough to try this stuff, that’s their problem. But “promote the general Welfare” did not mean cradle-to-grave dependence on the federal government for support.

To re-introduce the candidates, we begin with Darrell Castle of the Constitution Party, then it’s Jim Hedges of the Prohibition Party, Tom Hoefling of America’s Party, Gary Johnson of the Libertarian Party, and independent Evan McMullin. Johnson is on the Maryland ballot; the rest are write-ins but their votes will count. And if you want to start this series from the beginning (this is the ninth part) you can go here and I link to each succeeding part in turn. At stake is thirteen points, which is the second-highest individual total.

Castle: Would repeal Obamacare and replace it with a “free market solution.”

Poor would be best helped on a voluntary basis. No provision for it in Constitution – money is not ours to give. (“Iron Sharpens Iron” radio show)

Hedges: “A financial foundation must be provided to those who cannot work.” There must be affordable housing, basic medical care, and convenient public transportation for all.

“We advocate an actuarially sound federal Social Security System.” (party platform)

Health care should be a state-level concern, but will address “inefficiency” from insurance company overhead and profits. (party platform)

Hoefling: All of the “entitlements” you list are unconstitutional. James Madison, the father of the U.S. Constitution: “I cannot undertake to lay my finger on that article of the Constitution which granted a right to Congress of expending, on objects of benevolence, the money of their constituents.”

We have a moral obligation to care for our older folks, and any who cannot care for themselves. But it is immoral to usurp power, and to rob our children and grandchildren in order to keep the socialist Ponzi scheme going.

We survived and thrived for 300 years in this country without socialism, by acting as Christians. We’re going to have to learn to do that again, one way or another. Because, within the space of the next eight or nine years, we’re going to see our government go completely insolvent trying to pay for “entitlements” and interest on the debt. In fact, the Congressional Budget Office has said that by 2025 the ENTIRE budget will have to go to those two things, with nothing left over for anything else. That is bankruptcy, on a Biblical scale. (response to question on Facebook)

Johnson: Johnson has personally endorsed privatizing Social Security, too — an idea favored by some Republicans (but not Donald Trump). This arrangement would let Americans self-direct their Social Security retirement funds through personal investment accounts, allowing them to buy stocks, for instance.

Johnson also favors raising Social Security’s Full Retirement Age from the current maximum of 67 to either 70 or 72. “Look, it’s [the Social Security Trust Fund] insolvent in the future. It’s going to be insolvent. It has to be addressed,” he told The Washington Examiner in July. Whether Americans could afford to hold off claiming until 70 or 72 to receive full benefits, however, is a real question, considering the majority of beneficiaries today start taking their Social Security money at the earliest age they can, age 62.

And Johnson would like to see Social Security begin “means testing that’s very fair.” Translation: The amount people receive in Social Security retirement benefits would be based on their financial well-being at the time they apply. Today, your benefit is based purely on your previous earnings.

Johnson would repeal Obamacare “in a heartbeat” if given the opportunity, he has said. “If the GOP bill lowers costs and improves care, I’ll sign it,” Johnson proclaimed in a CNN Libertarian Town Hall in June. On Joe Rogan’s podcast in May, Johnson blamed Obamacare for his health insurance premiums quadrupling “and I have not seen a doctor in three years,” he added. “I wish I didn’t have to have health insurance to cover myself for ongoing medical need.”

He wouldn’t have to under his main health care proposal.

Johnson would like to get rid of health insurance as we know it. Instead, Americans would buy health insurance only for catastrophic events and illness.

He believes a free-market system would lead to more affordable health care with price transparency and open competition. This system, Johnson told Rogan, “would probably cost about one-fifth of what it currently costs. We would have Gallbladders ‘R’ Us. We’d have gallbladder surgery for thousands of dollars as opposed to tens of thousands of dollars. We’d have Stitches ‘R’ Us, we’d have X-Rays ‘R’ Us. We’d have the radiologists next to X-Rays ‘R’ Us to read those X-rays.”

As for Medicare, Johnson told 60 Minutes correspondent Steve Kroft, “We’re not looking to eliminate Medicare. We do believe in a safety net.” But, he said to The Washington Examiner, “Medicaid and Medicare both need to be devolved to the states.” Johnson has referred to those programs as “the worst runaway expenditure in the federal government today.”

When he was governor, Johnson has said, “I oversaw the reform of Medicaid in New Mexico. Changed it from a fee-for-service model to a managed care model. Improved on the delivery of health care in New Mexico and saved hundreds of millions of dollars.” Johnson has maintained that if the federal government had given New Mexico 43% less money for Medicaid and put him in charge of the delivery of health care to the poor there without “all the strings and mandates that went along with their Medicaid money,” he could have done it.

As president, Johnson has said, he’d balance the federal budget partly by letting states restrict eligibility for Medicaid. (excerpts from Forbes article by Richard Eisenberg)

McMullin: Obamacare has failed American families, driving up costs and reducing access to quality healthcare. With costs running into the trillions, Obamacare is also sinking America further into debt while imposing hundreds of billions of dollars of new taxes. By emphasizing competition and innovation instead of government controls, we can build a modern health care system that delivers accessible, affordable, and high-quality care. We can also protect vulnerable populations, including patients with preexisting conditions. Real healthcare reform means putting patients, families, and doctors first.

Obamacare has proven incapable of controlling the growth of healthcare costs, which take an increasing cut out of workers’ paychecks or even force them to give up insurance. Major insurers are pulling out of Obamacare exchanges because the program is so poorly designed and so full of complex regulations that the insurance companies are losing money despite vast federal subsidies. The cost of those subsidies will be $1.2 trillion over the next 10 years, or an average of $120 billion per year. The program will also impose more than $200 billion in penalties on workers and employers – and still 33 million Americans won’t have health insurance.

We must repeal Obamacare as soon as possible, replacing it with a more streamlined, pro-market approach to insurance. The few positive elements of Obamacare, such as guaranteed coverage for pre-existing conditions, could easily be incorporated into a new program in a much more efficient manner.

The heart of any Obamacare replacement should be a tax credit for every household that does not have insurance through an employer. Instead of the government defining a long list of benefits every insurance plan must have, customers should be able to tell insurance companies what they want. This will spur competition and ensure that the tax credit is sufficient to purchase any number of different plans. Allowing the purchase of insurance across state lines would also increase competition and bring down costs. Finally, encouraging the use of Health Savings Accounts (HSAs) will help create more educated consumers who seek treatment from efficient and high quality providers.

Medicare plays an indispensable role in providing health care for America’s senior citizens; it must be put on a sound financial footing so that all Americans have access to high-quality care in their retirement years. The only way to preserve Medicare for the next generation is to get hold of the runaway costs that threaten the program’s viability while spurring massive growth of the federal debt and deficit.

Established 50 years ago, Medicare hasn’t adapted to an aging population with a rising life expectancy. Instead of covering 1 in 10 Americans, the program now covers 1 in every 6—or 50 million men and women—who spend close to 20 years as Medicare patients, up from just 15. At the same time, relentless inflation in medical costs has led the cost of coverage to triple. Whereas payroll taxes and premiums once covered 70 percent of costs, the government now spends $700 billion per year while collecting only $100 billion from Medicare payroll taxes.

Without reform, Medicare and other entitlements will push our government to the edge of bankruptcy. Evan McMullin is not afraid to challenge the status quo in order to put Medicare on a sound footing for the future.

The way to reform Medicare is encourage competition and innovation by putting patients, families, and doctors for first. The key to reform is premium support, a system in which all beneficiaries would receive a uniform subsidy toward the purchase of coverage from competing health plans, including the option of traditional Medicare. This approach would give seniors greater freedom to choose the plan that best suits their needs, while spurring competition among plans to provide the best quality care at the most efficient price.

To promote informed decision-making by beneficiaries, the federal government must develop and distribute user-friendly publications that enable beneficiaries to compare plans, estimate out-of-pocket costs, and assess the quality of competing providers. By making informed decisions, beneficiaries can encourage a cycle of competition and innovation that leads to better outcomes for all.

Medicaid’s purpose is to provide lower-income Americans with the health care they need but can rarely afford. Despite its tremendous cost, there is little evidence that Medicaid is actually improving the overall health of the citizens it insures. The program should be reformed substantially, so that it continues to fulfill its critical mission without pushing our national debt past the breaking point.

When first established in 1966, Medicaid covered just 2 percent of the population. Today it covers more than 20 percent—almost 70 million men, women, and children. Obamacare alone has pushed 12 million individuals onto Medicaid. The annual cost of the program has risen to $550 billion, an increase of $200 billion under President Obama. The cost per beneficiary has also risen sharply to more than $7,000 per year.

Along with other entitlements, Medicaid is pushing our government to the edge of bankruptcy. Evan McMullin is prepared to demand accountability from Medicaid, in order to bring costs under control while delivering better health outcomes for Medicaid patients.

Despite having a different purpose than Medicare, Medicaid would also benefit from reforms that emphasize competition and innovation while putting patients, families, and doctors first. Currently, individual states rely on federal matching funds for Medicaid. This leads to inefficiency because the system rewards states for spending more instead of spending more wisely.

Instead, there should be a cap on federal support. This can be accomplished by giving states block grants instead of federal matching funds, or by giving states a fixed dollar amount for each individual enrolled in Medicaid. The advantage of the latter is that in the event of an unexpected increase in enrollment—because of a recession, for example—states will be able to handle the change.

This would be complemented by paring back the extensive restrictions that Washington places on state Medicaid programs, which discourage innovation and prevent states from taking full responsibility for outcomes. Medicaid could also become far more responsive to patient needs by creating a separate program for disabled and elderly recipients, whose needs are far different from able-bodied adults and their children.

Together, these changes provide a promising way to increase the accessibility of healthcare to Medicaid participants. Right now, many doctors refuse to accept Medicaid patients because reimbursements rates are so low. These reforms point the way toward ensuring that Medicaid patients become valued customers, not second-class citizens. (campaign website)

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If I could have gotten more depth out of Darrell Castle, I would have likely scored him higher. Philosophically he’s correct that we should be our brother’s keeper, but I would like to know how he gets from point A to point B. 5 points.

The statist tendencies of Prohibition candidate Jim Hedges come through in this answer. It is not the government’s job to provide the items he specifies, at least not according to my Constitution. No points.

Tom Hoefling has a great answer, and it’s the honest truth: the system as is will be unsustainable. More detail on how he would address the issue would be good, but he also has a correct philosophy. 10 points.

Gary Johnson wisely takes the first baby steps toward some of my goals: privatizing Social Security, devolving Medicare and Medicaid to the states, and repealing Obamacare. I would expect this from a Libertarian, although in the case of Social Security it’s tempered somewhat with changes in retirement age and the gimmick of means testing. It’s a good policy overview rather than a philosophical one. 9.5 points.

This topic is another example of a “tinker around the edges” philosophy of Evan McMullin. Instead of reforming the programs and slapping yet another Band-Aid on a gaping wound, the idea should be one of addressing the very function of a program that the government shouldn’t be involved with. He would unnecessarily consign yet another generation to the slavery of governmental dependence because eventually the reforms will need reforms of their own. 3 points.

I have just two more categories to go. Tonight I will discuss the role of government and tomorrow will be the intangibles and final decision.

Seeking action on Medicare

The mailing had everything needed for the shock value: a worried-looking senior citizen juxtaposed over a stack of paper stamped “DENIED.” “Worried About Government Bureaucracy Restricting Your Medicare?” it asked. If the piece of paper could listen I would tell it that I’m not even counting on having Medicare when I get to that age, but I figured this may be a fun bit of research and exploration to do. “Okay, I’ll bite,” I thought.

The mailing came to both my wife Kim and I as two separate “families” and was paid for by the American Action Network (AAN). So my first question was obvious: who is the American Action Network? According to Wikipedia, the AAN is “a nonprofit issue advocacy group based in Washington, D.C. which promotes center-right public policy. It was established in 2010 by Fred Malek and Norm Coleman as a 501(c)(4) organization.” On their behalf, the AAN argues its “primary goal is to put our center-right ideas into action by engaging the hearts and minds of the American people and spurring them into active participation in our democracy.” So the heart must be the center and the mind must be right?

In essence, it’s a group similar to one I pointed out last week, Americans for Limited Government. AAN may have fancier digs and a larger mailing list and donor base, but they are just another of the thousands of issue advocacy groups orbiting around the capital region – one that has $1.7 million to spend on sending a piece that specifically asked me to, “Tell Congressman Andy Harris to Continue His Fight to Protect Your Medicare.” Since both Kim and I are registered as Republicans, I’m thinking the list was culled to specifically target GOP voters and it wouldn’t shock me if they also narrowed this mailing to only reach those over 50 (as Kim and I both are.) According to AAN, 61 districts in 27 states were targeted for the advocacy campaign, for a total cost (with print and digital ads) of $4.8 million.

To be specific, the mailing advocated the passage of two bills: H.R. 1190, which is better known as the Protect Seniors’ Access to Medicare Act of 2015, and H.R. 5122, which doesn’t have a fancy title but is intended “To prohibit further action on the proposed rule regarding testing of Medicare part B prescription drug models.” Harris (as well as every other Republican present, and 11 Democrats) voted for the former bill last year, but it’s been bottled up in the Senate.

H.R. 1190 has two purposes: one is the termination of the Independent Payment Advisory Board (or, in the words of Sarah Palin, the “death panels”) while the other cuts billions of dollars in spending on the Prevention and Public Health Fund over the next decade. But because Barack Obama isn’t going to agree with this anyway, it’s apparent that the bill will go nowhere in the Senate (they won’t even make it past the cloture vote.)

The second bill, H.R. 5122, would eliminate spending on a proposed rule, which is 33 pages to explain that the Department of Health and Human Services wants to try a new method of payment for certain drugs administered to Medicare patients as a trial program. The overall idea is to encourage the use of lower-priced drugs, since the authors of the rule contend the providers use more expensive medications to take advantage of a flat 6 percent reimbursement rate. As an experiment, the rate would go down to 2.5% plus a flat $16 additional reimbursement. After its introduction the bill has apparently sat in a desk drawer someplace because no vote has been taken on it.

Yet AAN objects to both bills, and “calls on seniors to advocate for two key legislative priorities: (1) H.R. 5122, to prevent the Obama Administration from changing the Medicare Part B payment policy for treatments, and (2) H.R. 1190, to repeal the Independent Payment Advisory Board (IPAB). Both bills will block bureaucrats from imposing harmful changes to Medicare that could threaten seniors’ access to care.”

So I investigated further, and found a missive Coleman wrote last month about this and other issues. Among the things Coleman said:

Despite assurances that ObamaCare would be the end all, be all, for health care reform in America, we now know that it is simply collapsing in on itself.  Insurers are fleeing the system – premiums are increasing – and recent court rulings have undermined the credibility of the financial assumptions used by liberals to justify the creation of ObamaCare.

All this is true. Yet Coleman goes on:

In the end, America doesn’t need only to reform government.

We need to reform the notion that government is the solution to our problems or the key to our future prosperity.

Again, truer words have never been spoken. But the premise of the AAN mailing is that of protecting a government program by appealing to the beneficiaries. (A subsidiary site operated by AAN and promoted on the mailing makes this clear: DontCutOurMedicare.com.) If government isn’t the solution to our problem, one would think AAN would be looking to repeal Medicare entirely (over a relatively lengthy sunset period, of course) to truly reform the notion that Americans should depend on our government for health care or feel entitled to it. At the very most, the idea of Medicare should be no more than a state-level initiative – if the people of Maryland want a lavish senior care program, let them adopt it as their own. However, those in Delaware may feel differently.

So the definition of “center-right” seems to be the same sore subject that millions of Donald Trump voters used as their excuse to vote against the “establishment.” While they have selected a deeply flawed vessel to amplify their message, it seems those frustrated voters are looking more for the “right” than the “center,” since all the center seems to be is the maintenance of a failed status quo.

On the other hand, one can argue that their objection is not about government involvement, but instead only a complaint about the originator of the idea. They don’t seem to have the same issues with the Medicare Part D program enacted under Republican President George W. Bush – which is, in some respects, similar to the pilot program H.R. 5122 seeks to defund because Part D tends to reward the usage of less expensive medication. It’s still the federal government subsidizing health care, but it was done in the name of a centrist “compassionate conservatism” instead of the leftward “fundamental change to America.”

To me, it’s very ironic that a group which wants to back away from the idea that our government is a solution sends out a directive to appeal to our very conservative representative to maintain a costly government entitlement program. Even more so, those who complain “don’t touch our Medicare” would be the first to object to expanding eligibility to cover those over 50 years of age, in part because it’s Hillary Clinton’s idea. (Trump seems to favor the Medicare status quo with a few tweaks, which may explain why much of the AAN target audience is his support base.)

Perhaps the most interesting aspect of this is figuring out where they got $4.8 million for the campaign. We have a few clues, but the backers of this group aren’t being very public about it. So if they were looking for exposure, I suppose this piece is added value to them. But I must say: the “center” of their “center-right” really comes out with this one, particularly if you consider the center as our current situation – a President pulling to the left and Congress mildly countering to the right. Then again, to AAN we are only a “democracy” anyway, so at the moment the people want largesse from the public treasury, with AAN’s large donors perhaps trying to preserve their cut of the proceeds.

While those on the Left, such as writer Igor Volsky, celebrated Medicare as a success and believe the issue is settled, I happen to think those Volsky cites who argued against the concept when it was first proposed over 50 years ago were proven correct. Volsky also quotes an exchange between then-Congressman Mike Pence and journalist Andrea Mitchell:

Rep. Mike Pence (R-IN) explained his opposition to a new public health care option by arguing that Medicare spending has exceeded actuarial estimates from 1965. As Andrea Mitchell pointed out, somewhat jokingly, “I don’t know if you want to go back to Indiana and campaign against Medicare.”

Obviously those on the center-right don’t want to, so it’s going to take decades of re-education on the concepts of liberty and personal responsibility to counter the effects of the entitlement mentality society we live in today. Some may consider Medicare a success and wish it saved, but to achieve the rightsizing of government we need it’s clear Newt Gingrich was correct: Medicare does need to “wither on the vine.” Given the sheer number of insurance companies that now cater to the senior market, the problem Medicare was created to “solve” can easily be addressed by the private sector.

The case against Trump (part 2)

Since I finished part 1 last week, we’ve had a lot of developments in the race: Trump picked outgoing Indiana Governor Mike Pence to be his running mate (or did he actually make the selection?) and came up with an awful logo (that lasted one day) to celebrate. Meanwhile, the RNC apparently succeeded in binding their delegates to this dog of a ticket. (My question: how did our Maryland Rules Committee members vote? I believe Nicolee Ambrose, who has fought in that committee before, voted the proper way and against the RNC/Trump minions. Yes, they are shamefully now one and the same.)

Update: Indeed, both Maryland members voted properly, and Nicolee Ambrose is urging members to reject the Majority Rules Report.

So the question may be moot, but I’m going to press on for the record so I can point back at this and say “I told you so.” Not that it will do a whole lot of good, of course, but maybe people will listen to reason in the future. It’s worth a try.

Just as a refresher, the five issues I have left over are taxation, immigration, foreign policy, entitlements, and role of government.

Trump came up with a decent taxation plan during the campaign – maybe not all that I would want, but an improvement. But he later admitted that all of it was up for negotiation, so let me clarify: the rates will not go down for many taxpayers, but the increases that made the package “revenue neutral” in his words will remain. Those on the low end of the scale may get the “I win!” form but the rest of us in the middle will lose, again.

I’m tempted to save immigration for last because that was the first important issue for Trump and the one that propelled him from celebrity sideshow to true contender. Americans, indeed, want something done about the influx of foreigners and a large part of that is building a wall at the border. But it’s not my most important issue and I still run this blog, so it goes in order.

The first crack in the Trump immigration façade for me was the idea of building a “big, beautiful door” in the wall to promote legal immigration. Then I found out Donald was an advocate of what’s called “touchback” immigration, which is a fancy way of saying he’ll give amnesty. And I can see it already: in a “grand deal” to get the wall built, Trump will eliminate the “touchback” part – because it’s oh so hard for these immigrants to be uprooted and return to their homeland – for the promise that a wall will get built. News flash: we were promised this in 2006, but the Democrats (along with a few squishy Republicans) reneged on the deal. We see how Congress acts, and regardless of what Trump may say this is not a promise he would keep. Bank on it.

I know Trump did a sort of catch-all address on foreign policy some months back, but his criticism of the Iraq war (and accusations about soldiers therein) gives me pause. That’s not to say we are always right, but there is a little bit of hindsight he’s taking advantage of here. If Iraq were a thriving nation and American bulwark in the Middle East such as Israel is, I seriously doubt Trump would say word one about it being a bad idea. That’s the sort of person I take him to be.

It’s very possible to lump both entitlements and the role of government into one statement, reportedly made by Trump in New Hampshire back in 2015 and relayed by Andrew Kirell at Mediaite:

The Affordable Care Act, “which is a disaster,” he said, “has to be repealed and replaced.” That line drew applause.

“Whether it is we are going to cut Social Security, because that’s what they are saying,” he continued. “Every Republican wants to do a big number on Social Security, they want to do it on Medicare, they want to do it on Medicaid. And we can’t do that. And it’s not fair to the people that have been paying in for years and now all of the sudden they want to be cut.”

So will it be fair when the train goes off the tracks and millions of younger Americans are left with nothing? Trump is 70 years old, so (as if he really needed it) if Social Security runs out in 2030 he’ll likely be dead anyway. But I will be 66 years old and hoping to retire at some point, although thanks to the Ponzi scheme of Social Security all that money my employers and I grudgingly gave to the government over forty-plus years will long since be pissed away. And the more I deal with the “Affordable” Care Act, the less affordable I find it. The repeal is fine, but the replace should be with the old system we liked, not some new government intrusion.

In sum, it became apparent to me early on that despite his appeal as an outsider, Donald Trump is far from an advocate of limiting government. If he should win in November, conservative Republicans will likely be in the same precarious position they were often placed in by George W. Bush: it’s difficult to go against a president in your own party even if he goes against party principles.

The Republican Party I signed onto back in 1982 when I first registered to vote in Fulton Township, Ohio was ably represented by Ronald Reagan at the time: strong defense, lower taxes for all Americans, and a moral clarity of purpose that included the concept of American exceptionalism. Yet Reagan also intended to limit government; unfortunately he wasn’t as successful in that aspect because he always worked with a Democrat-controlled House (and usually Senate.) I often wish that Reagan could have worked with the early Gingrich-led House and a conservative Senate – we may have beat back a half-century of New Deal and Great Society policies to provide a great deal for all Americans who wished to pursue the opportunities provided to them.

I don’t know how we got Donald Trump as our nominee, although I suspect the early open primaries (and $2 billion in free media) may have helped. Democrats may have put together their own successful “Operation Chaos” to give Republicans the weakest possible contender. (And if you think that’s a recent concept, I have a confession to make: in my first Presidential primary in 1984 I requested a Democrat ballot so I could vote for Jesse Jackson, who I perceived as the Democrat least likely to beat Ronald Reagan in the general election. Not that I needed to worry.) It’s worth noting that the defeat of “Free the Delegates” also resulted in the defeat of some measures designed to reduce the impact of open primaries.

Alas, the GOP may be stuck with Trump as the nominee. So my message for the national Republican Party from here on out is simple: you broke it, you bought it. The mess is on you and I’m washing my hands of it.

Programming note: Over the next four days – in addition to her regular Tuesday column – I will run a special four-part series sent to me by Marita Noon, but originally written by John Manfreda, who normally writes on the energy sector like Marita does. She “spent most of the day (last Thursday) updating it, reworking it, and cleaning it up,” so I decided to run it as the four parts intended during the Republican convention.

I intend it as a cautionary tale, so conservatives aren’t fooled by a smooth-talking charlatan ever again. Don’t worry, I have a couple things I’m working on too so I may pop in this week from time to time if I feel so inclined. But I trust Marita and this seems quite relevant and enjoyable, so look for it over the next four afternoons…probably set them to run at noontime (how appropriate, right?)

The problem with The Donald

Most of the news cycle of the last three days or so has been about the Iowa Republican debate, but the conversation centered about who was not there. I don’t recall nearly as much ink about Rand Paul missing the previous debate because he finished just outside the cutoff for the prime-time affair and refused to be an opening act. Last night, those opening act players were Carly Fiorina, Jim Gilmore, Mike Huckabee, and Rick Santorum – the latter two then went to Donald Trump’s event set up to compete with the Fox news debate. (At least Gilmore was promoted to actually making a debate, so that’s progress for him.)

But this piece isn’t about the debate, but about something my friend Rick Manning wrote at NetRightDaily. In some respects it makes the same case I have been making about Trump all along.

A dealmaker by definition cuts deals, and Trump has by his own admission cut deals that used the government to serve his interests quite profitably. A dealmaker doesn’t stand on principle; instead, a dealmaker looks for common ground.

If the past seven years have taught me anything, it is that the Democrats are unrelenting in their pursuit of bigger, more expansive government, and the GOP consistently looks for common ground that is only partially disastrous, calling that a bipartisan win.

When Trump says he would repeal ObamaCare and replace it with a government-paid healthcare system, I believe him, and that makes me very uneasy.

Not because of the policy difference, but rather because what the policy difference reveals. It reveals a man who accepts big government and would expand it if the right deal were on the table. It reveals that a Trump presidency may be completely unmoored from the constitutional, limited government perspective that has traditionally driven Republican candidates.

In my study of the issues there are a number of areas, such as entitlements, ethanol, and even his tax plan, where Trump is far from a limited-government conservative. I will grant that my idea of limiting government in the case of entitlements and ethanol would be to sunset the programs and subsidies entirely over time, but part of that is not recalling just where in the Constitution it specified that the federal government had a role in retirement, supplying medical care, or propping up the fortunes of grain farmers. As far as the tax plan goes, whenever I see the idea of cutting rates at the low end and “paying” for it with reducing deductions for the top earners I know that the trust fund babies will find new loopholes in short order, leaving the government short and those business people who see accounting as a necessary evil (after all, they have a business to run and not beans to count) getting the shaft. You all know I would prefer a consumption-based system.

So when it comes to the “art of the deal” who do you think Trump will compromise with? Certainly the Republicans have nothing of interest to him since he is “representing” that party in the White House, so his dealing and compromise will be with the Democrats who we already know will bite the arm off anyone reaching across the aisle. The middle ground between the left-of-center (on most domestic issues except for immigration) Trump and the foaming-at-the-mouth statist Democrats promises to be right about where Hillary Clinton or Bernie Sanders would govern anyway. In the case of Trump Republicanism, there truly is not a dime’s worth of difference between the two parties.

Trump plays the Palin card

You know, I used to like Sarah Palin.

Actually I still do, but I’m also trying to figure out how a political figure who has been an integral part of the TEA Party movement since the beginning could give her imprimatur to the Republican in the field who is arguably the least conservative in the overall scheme of things. In Trump’s world, aside from immigration and perhaps global trade, we won’t deal with the excesses of government in any meaningful way. He’s pledged to leave Social Security and Medicare alone, despite the fact that both entitlements are going bankrupt. As a complete suck-up to the ethanol industry in Iowa, Trump is calling for more ethanol to be blended into our gasoline as well. Neither of those positions scream “limited-government conservative” to me.

In reading the reaction over the last day or so, people either seem to be shooting the messenger by panning the speech or the various foibles of Palin family members, or they are assuming that Palin has sold out once again for the almighty buck trying to extend her fifteen minutes of fame, or they believe she’s got a deal to secure a Cabinet post in a Trump administration. Some even believe it will be a Trump/Palin ticket. We haven’t seen as much of the “mama grizzly” lately so maybe she needed to be back in the limelight again. Meanwhile, as Erick Erickson argues, Trump is trying to pick up the win in Iowa to shut out Ted Cruz in the first few states as Trump has huge leads in New Hampshire, South Carolina, and Florida. Byron York saw it as a way to get Iowans torn between Trump and Cruz off the fence.

To me, it’s just another part of the ongoing struggle between limited-government conservatism and the big-government populism that Trump seems to be cornering with every vague promise to make things great again, played out in the Republican primary. Unfortunately, by espousing government-based solutions Trump is just serving to perpetuate the policies that have messed things up in the first place.

Yet if you ask a Trump supporter why they support him, the answer tends to be in the realm of being an outsider with a record of getting things done. We have a problem with illegal aliens? Build a wall and make Mexico pay for it! And we can’t trust those Muslims, so we just won’t let them in! Once The Donald says it will happen, by golly it’s going to occur.

Okay, fair enough. It may work very well in an autonomous corporation where whatever The Donald says is law, but may not translate nearly as well when you need a majority of the 535 members of Congress to assist you in getting things accomplished the proper way. Sure, Trump can go the executive order route on a lot of things but isn’t that our major complaint about the Obama regime? Just because it’s a guy on “our” side doesn’t make it any more Constitutional to govern by dictate, with the probable exception of rescinding previous orders. (I would rather Congress do that heavy work, though.)

So it comes back to what Palin saw in Trump. In the brief release from the Trump campaign, the reason stated for Palin to back Trump is his “leadership and unparalleled ability to speak the truth and produce real results.” I would categorize it as saying what people want to hear (for example, he stated his new-found position on ethanol in front of a lobbying group) with the results being oodles of press coverage. Admittedly, Trump has helped make immigration a key issue with his remarks, but I think that discussion was going to occur anyway.

The other “real result” seems to be that of finally erasing the line between politician and celebrity. Ronald Reagan was known to the public as an actor, so he had some amount of recognition from those who weren’t political junkies. (Unlike Trump, though, Reagan had a political resume as governor of California.) Bill Clinton tried to portray himself as hip by frequent appearances on mainstream entertainment shows, and that trend has continued with both George W. Bush and Barack Obama. Having been a reality TV star, Trump takes this cultural recognition to a new level, which may expand the universe of possible voters but brings us much closer to the undesirable aspects of governance by popularity rather than ability.

If Sarah Palin was looking to improve her brand recognition, she did well by endorsing Trump. But if she’s looking to improve America…well, maybe not so much.

Odds and ends number 77

It will be on the light side this time, but this is probably the lightest news week on the calendar as many of the productive people in the country take an extended vacation. Having Christmas and New Year’s Day both fall on a Friday really assists in that effort because the average worker only has to take 3 or 4 vacation days rather than a full week – as an example I had both Thursday and Friday off this past weekend and will be off Friday, too. Long story short, the government and newsmakers are pretty much off for several days with the minimum of paid time off insuring a long 11-day break.

So I’m going to begin with news that came out recently from the Center for Immigration Studies that confirmed what millions of observers have long suspected: we aren’t ejecting illegal immigrants from the country like we used to. No one is talking about all 11, 13, 20, 30, or whatever million there are, but just over 235,000 – not even half of the number just four years ago. Jessica Vaughan of CIS noted in testimony before the Senate that:

This willful neglect (regarding deportation) has imposed enormous costs on American communities. In addition to the distorted labor markets and higher tax bills for social welfare benefits that result from uncontrolled illegal immigration, the Obama administration’s anti-enforcement policies represent a threat to public safety from criminal aliens that ICE officers are told to release instead of detain and remove. The administration’s mandate that ICE focus only on the ‘worst of the worst’ convicted criminal aliens means that too many of ‘the worst’ deportable criminal aliens are still at large in our communities.

Even if Donald Trump personally supervised a border wall and made Mexico pay for it, deportations continuing at that rate would take decades to clear out those here illegally, giving those at the bottom of the list for removal time to have anchor babies and otherwise game the system to stay put. It’s a waiting game that Americans and those law-abiding immigrants wishing to enter are losing quickly.

Obviously the first steps any new administration would need to take not only involve revoking all the pro-illegal alien policies of the Obama administration but putting an end to birthright citizenship for non-citizens and cracking down on employers who knowingly employ illegals. In one stroke I’m for pissing off both the Democrats and the pro-amnesty Chamber of Commerce types.

Immigration – and its potential for bringing in a new generation of government-dependent first-generation voting residents (I hesitate to call them Americans as they are slow to assimilate) isn’t as much of a cause for concern for Robert Romano of Americans for Limited Government as is the death of the Republican voter.

I’ve brought up this question in a different form before, as I have pointed out the Reagan Democrats of 1980 were comprised of a large number of blue-collar lunchbucket types who were probably approaching middle age at the time. Brought up as Democrats with the idealism of John F. Kennedy and the union worker political pedigree, they nonetheless were believers in American exceptionalism – for them, the American malaise was a result of Jimmy Carter capping off a decade or more of failed liberal policies both here and abroad.

As Romano points out, many in the Silent Generation (which was the base of the Reagan Democrats as they reached middle age in the 1970s) are now gone. At around 29 million, it is well less than half of the Baby Boomers or Millennials. (I notice that Generation X isn’t mentioned, but they are certainly larger than the Silent Generation as well. At 51, I could be considered a tail-end Baby Boomer but I identify more with Generation X.)

Yet the question to me isn’t so much Republican vs. Democrat as it is “regressive” statist vs. conservative/libertarian. I worry more about the number of producers (i.e. those who work in the private sector) vs. the number of takers (public sector workers + benefit beneficiaries). The number of takers is growing by leaps and bounds – chronic underemployment to the point people still qualify for food stamps or housing assistance plays a part, as does people getting older and retiring to get their Medicare and Social Security. I’ll grant it is possible (and very likely) some straddle both categories, particularly older workers who qualify for Medicare, but as a whole we have a bleak future as an entitlement state without some sort of drastic reform. This example probably oversimplifies it, but you get the picture.

At least I’m trying to be honest about it instead of using the faulty reasoning of the Left, as Dan Bongino sees it. Sometimes I wonder if its a game the liberals play in the hopes that we waste and exhaust ourselves trying to refute all the bulls**t they spew rather than come up with new, good ideas.

Perhaps more importantly, though, Bongino in a later article makes the case that government surveillance is not the terrorism panacea people make it out to be.

I’m not willing to sacrifice my liberty, or yours, for a false sense of security, Ironically, those defending this egregious, government-enforced evaporation of the line between the private and public self cannot provide any evidence of this metadata collection process intercepting even one terror plot.

After 9/11, Congress adopted the PATRIOT Act, which was supposed to be temporary. Given that we are in the midst of a Long War against Islamic-based terrorism, there is some need for scrutiny but Bongino has a point – are we trying to get someone inside these terror cells?

Finally, I want to pass along some good news. If your house is like mine and uses heating oil, you can expect to save $459 this winter compared to last. (Having well above-average temperatures in December meant I made up for the “extra” 100 gallons I had to get to make it through a chilly spring.) But as American Petroleum Institute’s Jack Gerard also points out, investing in energy infrastructure is a key to maintaining these savings in the long run – and has the added benefits of an economic boost.

We often talk about infrastructure in terms of transportation, where public money is used on projects generally used by the public for enhanced commerce. As I was told, traffic bottlenecks were common in Vienna before they finished the bridge over the Nanticoke River in 1990 as well as in Salisbury until the completion of the U.S. 50 portion of the bypass a decade or so ago. Now traffic flows more freely, time and fuel are no longer wasted, and people are just that much more likely to visit our beach resorts. (The same process is occurring on Maryland Route 404 and U.S. 113 as widening makes that traffic more bearable.)

But this can also occur in the private sector as a future investment, and this is what Gerard is referring to. Most are familiar with the story regarding the Keystone XL pipeline, but the same sort of opposition rose up to the Mid-Atlantic Power Pathway, a transmission line once slated to run through Wicomico and Dorchester counties on its way to the Indian River generating plant in Delaware. Slack demand and other infrastructure improvements were cited as factors in killing MAPP, but the process of dealing with environmental issues likely played a larger role.

Regardless, you can bet your bottom dollar that any sort of fossil-fuel based infrastructure would be opposed tooth and nail by a certain class of people who believe all of our electricity can come from so-called “renewable” sources, and that power will magically run directly from the wind turbine to the outlet in your living room. I see nothing wrong with private investment trying to make lives better, so if another natural gas pipeline is what Delmarva needs to succeed and some private entity is willing to pay for it, well, let’s start building.

Just as I built this post from the debris of my e-mail box, we can make our lives better with our natural resources if we don’t shoot ourselves in the foot.

2016 Dossier: Entitlements

While the category of entitlements is worth 13 points, the only people who would get all thirteen are the ones who would embark on an orderly sunsetting of all the familiar entitlements: Social Security, Medicare, Medicaid, and Obamacare. I don’t think any of the contenders would go that far, but we’ll see.

But it also helps to tell me about their vision of the role of government, for the perfect candidate would be most interested in limiting the size and scope of government to a Constitutionally appropriate level. Those who are most willing to divest power to the states and stay out of their affairs will do best. That last part is worth 14 points but also depends quite a bit on previous categories such as education and taxation, among others, as well as fiscal responsibility.

We will then be down to the catch-all category of intangibles and the coveted monoblogue endorsement.

Since he dropped out of the race, I’m off the hook for Rick Perry. That’s sad because he was tracking as a dark horse in my race. Nevertheless, I soldier on with 16 contenders now.

It’s pretty much given that GOP contenders would drop Obamacare like a bad habit, so the question is: what comes after?

  • Among other things, Jeb Bush‘s plan would shift the program to the states, with the federal government maintaining a hand in catastrophic coverage and tax credits for premiums.
  • Ben Carson is a strong supporter of health savings accounts, which have the benefit of allowing people to share their burden. His idea is to have the government fund each for $2,000 per year.
  • Chris Christie hasn’t put forth a replacement plan – but he expanded Medicaid in New Jersey under Obamacare.
  • Allowing people to buy health insurance across state lines through the Health Care Choices Act is the Ted Cruz plan.
  • “Let’s try the free market,” says Carly Fiorina, with states managing their own high-risk pools.
  • Jim Gilmore thinks there are good things about Obamacare, such as the ban on denial for pre-existing conditions and coverage by parents to age 26 but he thinks states can handle those. He would favor a proposal offered by Rep. Tom Price in 2013 that encouraged interstate sale of insurance, premium tax credits, and HSAs.
  • Lindsey Graham isn’t specific about “cost-effective, market-driven reforms” aside from favoring association plans.
  • I think the Mike Huckabee solution is to pass it on to the states.
  • As he has in other areas. Bobby Jindal has an exceptionally comprehensive plan to replace Obamacare.
  • John Kasich would adopt what he calls the “Ohio Model” nationwide.
  • Whatever George Pataki does to replace Obamacare, it would include the pre-existing condition regulations.
  • Rand Paul favors HSAs, allowing insurance to be sold across state lines, and a tax deduction for all health care expenses.
  • Tax credits and regulatory reform highlight the Marco Rubio plan.
  • Rick Santorum has backed HSAs, tax credits, and selling insurance across state lines but now advocates “federal support for everybody to be able to go out and get the plan they want.”
  • Through a spokesman, Donald Trump‘s campaign vowed to make insurance available across state lines and give individual tax relief.
  • Scott Walker plans to revert authority to the states and install sliding-scale tax credits based on age to go with the HSAs and selling policies across state lines.

On Medicaid:

On Medicare:

  • The left cried that Jeb Bush wished to “phase out” Medicare. Alas, he wants to protect it.
  • HSAs may be the panacea for Medicare, too. Why not? Ben Carson seems to have one solution.
  • Means-testing, increasing the eligibility age, and standardizing deductibles make up the Chris Christie plan.
  • Ted Cruz opposed the “doc fix” bill because he wanted reforms to give seniors “more power and control.”
  • The same “get our house in order” argument applies here for Carly Fiorina.
  • I found nothing to pin down Jim Gilmore‘s position.
  • Means-testing and raising the eligibility age are reform starting points for Lindsey Graham.
  • “I will kill anything that poses a threat” to Medicare (as well as Social Security), Mike Huckabee thunders.
  • Premium support and Medigap reform highlight Bobby Jindal‘s plan.
  • John Kasich argues entitlements have to be “innovated” to survive.
  • George Pataki would increase co-pays.
  • Rand Paul sponsored Medicare reform legislation in 2013 that would have voucherized Medicare, but he’s supposedly backing off that a little bit now.
  • The Marco Rubio vision for Medicare would involve a premium support system, based loosely on Medicare Advantage.
  • Rick Santorum would change it via increasing the eligibility age or changing the COLA structure.
  • Because it’s “not fair,” Donald Trump won’t cut Medicare (or Medicaid.)
  • In 2013 Scott Walker was in favor of cutting Medicare (and Social Security) but it would likely fall on younger workers.

Social Security proposals seemed to fall into three tiers. Most candidates, with the exceptions of Gilmore, Huckabee, Jindal, and Trump, would raise the retirement age. But few (Bush, Christie, Paul, Rubio, and Santorum) advocated for means testing and fewer still (Cruz, Jindal, and perhaps Kasich) had the guts to advocate for partial privatization. Ben Carson even went a bit farther with the idea to allow for wealthier seniors opting out (although it sounds like the money paid in would be forfeited.)

I wasn’t expecting high scores, so it’s no surprise my best candidate has just 7 points.

  • 7 points – Bobby Jindal
  • 6 1/2 points – Ted Cruz
  • 6 points – Ben Carson, John Kasich
  • 5 points – Rand Paul, Scott Walker
  • 4 1/2 points – Jeb Bush, Lindsey Graham, Marco Rubio
  • 4 points – Rick Santorum
  • 3 points – Chris Christie, Jim Gilmore, George Pataki
  • 2 points – Carly Fiorina, Mike Huckabee
  • 1 point – Donald Trump

Next will be the last major category, role of government.

A look ahead: 2014 on the national front

This will be, by far, the trickiest of these columns I’ve taken the last three days to write. There are so many unknowns that even the “known unknowns” pale in comparison. But as the conservative, pro-liberty movement stands currently there are a number of items for which we can reasonably be certain 2014 will bring some kind of resolution.

First and foremost among them is that the goalposts will continue to be moved for Obamacare. As originally envisioned, we would all begin feeling its full effects tomorrow, but self-imposed – and I mean self-imposed, because few of these changes went through the legislative branch – changes have pushed back the deadline for many later into 2014 or even 2015. At this point, the strategy seems to be that everything bad about Obamacare gets blamed on Republicans who were really pretty powerless to stop its enactment in the first place – remember, Democrats had a clear majority in the House and a filibuster-proof majority in the Senate from January 2009 to February 2010 when Scott Brown was sworn in – and those few popular items are all due to the Affordable Care Act. That seems to be the preferred, focus group-tested name now because Obamacare has a bad connotation.

Meanwhile, we are supposed to be beyond the prospect of a government shutdown (really a slowdown) which Republicans were deathly afraid of for some reason. I don’t recall any hardships in October, do you? My life seemed to be unaffected. Nevertheless, the GOP seems to be afraid of its own shadow so when Democrats threaten to shut down the government the GOP snaps to. It’s sickening.

By that same token, the ball is supposedly being teed up for immigration reform (read: amnesty) over the summer, once GOP Senate incumbents know their filing deadline has passed. There’s no question a schism over immigration is developing in the Republican Party just as Obamacare is splintering off those Senate Democrats who face re-election in states Mitt Romney carried in 2012. I say primary ’em all with conservatives so that maybe the incumbents will be scared straight.

Those are some of the key domestic issues we’ll be facing. I can guess two or three which won’t come up as well.

We will see absolutely zero effort to reform entitlements, whether Medicare, Medicaid, or Social Security. This will be another year they hurtle toward insolvency, probably going splat just in time for Generation X to reach retirement age in about 15 years. (That would be me – I’m on the cusp between Gen X and Boomer.)

Nor do I care how many articles of impeachment are drawn up: the House leadership doesn’t have the courage to pursue it, nor would they ever get the votes in the Senate to convict. They could find Barack Obama in bed with a dead girl, live boy, a bloody knife in his right hand and a signed confession in his left and the Democrats would swear the boy set him up and the girl stabbed herself thirteen times – in the back – and not convict him.

It doesn’t matter how poor the economy is, either. The government won’t dare stop priming the pump to the tune of a trillion dollars a year in debt, parceling out $80 billion or so of “quantitative easing” monthly. When the Dow and its record highs are the one factor of success apologists for Obama can point to, anything which maintains that facade will be continued despite the possibility of long-term inflationary catastrophe – again, probably in time for Generation X to retire.

Just as ineffective is our foreign policy, which has been a muddled mess as old friends are ignored and longtime enemies coddled. We may have an idea of what the hotspots may be, but events have a way of occurring at the most inopportune times and places for American interests.

All this points toward the midterm elections this coming November. While Democrats are talking up their chances of regaining the House, the odds are better that Republicans will instead take the Senate. The sixth year election in a President’s term is traditionally a bloodbath for his party, although the one exception over the last century was during the term of the last Democratic president, Bill Clinton in 1998. At that time, though, the economy was in pretty good shape and the modest gains by the Democrats in the House weren’t enough to swing control back to them. (The Senate stayed in GOP hands, with no change in the 55-45 GOP majority.)

Looking briefly at the Maryland delegation, all indications are that all of our eight-person Congressional delegation will seek another term, although only Fifth District representative Steny Hoyer and Seventh District Congressman Elijah Cummings have filed so far. The most spirited race may be the Sixth District, where 2012 U.S. Senate candidate Dan Bongino is expected to take on freshman Democrat John Delaney.

But there’s still time left for the 113th Congress, which will have to deal with the mercurial Barack Obama for another year before we enter the home stretch of what seems like a couple decades of the Obama regime. There’s little doubt that conventional wisdom will be set on its head again and again over the next year, a real-life version of trying to predict the upsets we all know will occur during March Madness. It’s all about who comes out on top, but my bet is that it won’t be the American people.

It’s not hypocrisy, it’s just time for a change

Here’s the problem with running against a freshman legislator: he’s not always responsible for the messes put in place by members of his own party. Congressional candidate Dan Bongino can’t pin a vote for Obamacare on his Democratic opponent John Delaney because Delaney wasn’t there in 2010. Perhaps John was cheering them on, but there’s nothing there which says Delaney voted for it – although there is a vote he made this year against the measure’s repeal, which passed the House with a unanimous GOP and two Democrats supporting repeal. That’s actually true to Delaney’s campaign promise, although it’s unclear how he proposes to reconcile the second part:

I will fight attempts to repeal this landmark legislation, but I believe it is necessary to refine the ACA to create a framework that will lower long-term costs.

Um, Congressman, that would probably involve repeal. And by the way, health care is NOT a right.

On the other hand I’m not going to hold my breath waiting for this:


How many days will it be to the 2014 election? That will be Dan’s count.

To that end, Bongino stepped up the pressure in a release yesterday announcing Delaney’s “stunning act of political hypocrisy”:

In a stunning act of political hypocrisy, Rep. John Delaney now supports legislation that seeks to prevent political targeting from the IRS, but he remains unwilling to withdraw his support for Obamacare, which uses the IRS to target the American people through higher taxes, fines, and penalties.

Obamacare is failing because of one inescapable economic truth: cost and quality can only be effectively controlled when individuals in the marketplace control the system, not government bureaucrats.

I challenge John Delaney to immediately withdraw his support for Obamacare because it is hurting working families and small businesses in District 6. Delaney has voted with Nancy Pelosi and President Obama over 90 percent of the time. But it is time to put the people of District 6 ahead of party politics.

I will have to challenge one statistic Bongino uses, as practically any Congressman outside of a Ron Paul clone will vote with the opposition well over 50 percent of the time. A large percentage of the votes are unanimous or with token opposition, and that ratchets up the total for everyone.

On balance, though, Bongino makes a sound point. One thing he’ll have to use is whatever media he can get to counteract the full-court press by Barack Obama to get younger and healthier people to sign up for Obamacare as those kids are the largest factor in “bending the cost curve” so they’ll be enticed, whether through the schools, the libraries, or just the media cheerleaders in his corner, to sign up. (NFL cheerleaders are a different story, though, as the league rebuffed the advances of HHS head Kathleen Sebelius.) Regardless, he’s depending on the young to subsidize the old, just like many other entitlements we’re now saddled with.

Moreover, the trick for Dan will be to come up with something better that can’t be demagogued by Delaney and used to scare low-information voters into believing the end is nigh with a Bongino election. As an example, Democrats for decades used to scare seniors into thinking Republicans would take away their Social Security check, despite the lack of actual legislation to do so. While the idea of cancelling Obamacare may not be such a tough sell with voters, the system indeed needs some reforms aimed at curbing the spiraling costs. (In my view, getting  the government out of health care entirely would work well to that effect. Just like anywhere else, those in the health care provider system can’t resist a huge pot of “free” government money.)

Yet I’m not sure this will be the hot topic come the fall of 2014. To draw a parallel, in the summer of 2008 we were screaming about high energy prices but an economic calamity has a way of making people sit up and take notice. No one cared about gas prices (which, by the way, had retreated far off their summertime highs) by the time the election was held – instead, we were on the verge of “abandon(ing) free-market principles to save the free-market system.” Obamacare could be an expensive sideshow by then, considering the President is now arbitrarily pushing back the deadline for business compliance to after those midterm elections.

Long story short – sixteen months is three eternities in politics. So while this is good publicity for Dan, I’m sure he’s also working on more specific ideas for the debates with both his GOP challengers and Delaney himself, assuming John doesn’t lose to a more liberal opponent in the Democratic primary.

For President 2012: Entitlements

First of all, let me define the parameters of the discussion: to me, entitlements are Social Security, Medicare, Obamacare, and the like. Anytime the government redistributes wealth that wasn’t earned by the recipient, that’s an entitlement – which means Social Security and Medicare do count once the amount originally contributed by the recipient is reached. Thirteen points are at stake this round.

Michele Bachmann has as her “number one priority” to repeal Obamacare, and decries the “entitlement mentality” many Americans have. She advocated “reform” before she got into the Presidential race, and what she said is a pretty good start. I’d like a faster pace myself, but she’s got the right ideas. Seven points.

He starts down the right road, but doesn’t go all the way down it. Moreover, he advocates more tinkering with the tax code and that conflicts with some of his other positions. Nevertheless, Herman Cain has the right ideas about who should be the safety net, though, so I’ll give him nine points.

I have a big problem with some of Newt Gingrich‘s so-called solutions because they begin with the argument that the current Medicare/Medicaid model just needs to be tweaked, with government remaining firmly in control. It’s the replacement of Obamacare he calls for rather than a repeal. I don’t buy it as “fundamental reform.” And this from the guy who got welfare reform passed? His record on Social Security is a start, but doesn’t go far enough. He gets only three points.

Jon Huntsman hints at the idea of using states as laboratories, calls Obamacare ‘top-heavy,’ and likes the Ryan Medicare plan. But I’m troubled that he’s ‘comfortable‘ with a mandate. I’m not sure where he stands on other entitlements, though, so I can only give him five points.

“Responsible entitlement reform” is Gary Johnson‘s mantra. He wants to “revise the terms” of entitlement programs as well. But I thought he’d be more bold than the tinkering around the edges he seems to be advocating – a better step is doing away with Medicare Part D. I’ll give him eight points.

Fred Karger thinks the size of entitlements needs to be on the table. But that’s about all the service he gives to it so I have no idea what else he wants to do. I’ll grant him one point.

There’s a lot to like about the approach that Thad McCotter takes, but he has the same basic flaw Newt Gingrich does – he maintains entitlement programs with some tweaking. If the current systems are “unsustainable” I don’t think making a few fixes (which could be wiped away at any time) is the answer. Only weaning people off dependence is. He’ll get five points.

I like one statement Roy Moore makes: “Churches and charitable organizations should be encouraged to help the needy and poor.” Now, if he has fidelity to the Constitution as he says he does I think he should follow through on eliminating entitlements altogether – please find for me the point in that document where Americans have a right to entitlements. I’m going to give him nine points.

You know, I thought Ron Paul would go farther in health care, But abolishing Social Security – that’s a winner in my book. Let’s hope he hasn’t changed his mind – he gets 12 points.

Tim Pawlenty made some aggressive health care reforms in Minnesota. He also worked to “slow down, limit, or negate Obamacare” while governor. He’s a little more tepid when it comes to Social Security, though, as he favors means testing and perhaps raising the retirement age. While he makes sense at a state level I’m not sure his ideas there will translate nationally. And as for Social Security, that’s not real reform, so I’ll only give him six points.

Like many others, Buddy Roemer will ‘reform’ items within the system rather than change a flawed paradigm. He likes the Ryan Plan, “but it’s not good enough.” I like his idea of the opting out of Medicare option, though, so I’ll bump him up seven points. Maybe we can get Medicare to ‘wither on the vine’ yet.

The problem with Mitt Romney is that this sounds reasonably good but it belies his record as governor of Massachusetts. And I don’t want to reform entitlements, but set ourselves on the path to eliminate them entirely. I’ll give him five points for saying nice things.

Once again, the vision of Rick Santorum is “reform” and not eliminate. He’s absolutely right when he says the entitlement ‘addiction’ is bad for the country, but doesn’t go far enough to end it. We need more like cold turkey for the younger generation – including myself. He gets seven points.

So it’s beginning to look like a two-person race. But notice that Ron Paul has come back into contention, Roy Moore is still hanging close, and Rick Santorum is still a dark horse. The rest are fading farther behind because they don’t have that vision thing about limited government or they wish to limit some of the wrong things.

  • Michele Bachmann – 53 points
  • Herman Cain – 50 points
  • Roy Moore – 46 points
  • Ron Paul – 42 points
  • Rick Santorum – 40 points
  • Thad McCotter – 38 points
  • Newt Gingrich – 33 points
  • Tim Pawlenty – 26 points
  • Buddy Roemer – 26 points
  • Gary Johnson – 24 points
  • Mitt Romney – 23 points
  • Jon Huntsman – 6 points
  • Fred Karger – (-15) points

There’s one word for Barack Obama: Obamacare. That alone is worth the full thirteen point deduction.

“We will run ads talking about, in honest terms the end of entitlements.” That’s what Randall Terry said in January. “All entitlements should be phased out.” I can’t wait to see them, but for me that message is winner, winner, chicken dinner. He gets 12 points, but only because I haven’t seen the actual plan. It puts him ahead of a couple GOP stalwarts; then again, he’s running as a Democrat only to be in Obama’s primary. I bet he’d be in decent shape if he were more forthcoming.

  • Randall Terry – 11 points
  • Barack Obama – (-60) points

We move next to trade and job creation. Most Republicans should score well, but this has some potential to shake up the top contenders – particularly when 14 points are at stake and five players are within that margin (not counting negative totals.)