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Paul Krugman | Conservatives Are Such Jokers

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The New York Times | Misleading Spin on Children's Health    [

    Conservatives Are Such Jokers
    By Paul Krugman
    The New York Times

    Friday 05 October 2007

    In 1960, John F. Kennedy, who had been shocked by the hunger he saw in West Virginia, made the fight against hunger a theme of his presidential campaign. After his election he created the modern food stamp program, which today helps millions of Americans get enough to eat.

    But Ronald Reagan thought the issue of hunger in the world's richest nation was nothing but a big joke. Here's what Reagan said in his famous 1964 speech "A Time for Choosing," which made him a national political figure: "We were told four years ago that 17 million people went to bed hungry each night. Well, that was probably true. They were all on a diet."

    Today's leading conservatives are Reagan's heirs. If you're poor, if you don't have health insurance, if you're sick - well, they don't think it's a serious issue. In fact, they think it's funny.

    On Wednesday, President Bush vetoed legislation that would have expanded S-chip, the State Children's Health Insurance Program, providing health insurance to an estimated 3.8 million children who would otherwise lack coverage.

    In anticipation of the veto, William Kristol, the editor of The Weekly Standard, had this to say: "First of all, whenever I hear anything described as a heartless assault on our children, I tend to think it's a good idea. I'm happy that the president's willing to do something bad for the kids." Heh-heh-heh.

    Most conservatives are more careful than Mr. Kristol. They try to preserve the appearance that they really do care about those less fortunate than themselves. But the truth is that they aren't bothered by the fact that almost nine million children in America lack health insurance. They don't think it's a problem.

    "I mean, people have access to health care in America," said Mr. Bush in July. "After all, you just go to an emergency room."

    And on the day of the veto, Mr. Bush dismissed the whole issue of uninsured children as a media myth. Referring to Medicaid spending - which fails to reach many children - he declared that "when they say, well, poor children aren't being covered in America, if that's what you're hearing on your TV screens, I'm telling you there's $35.5 billion worth of reasons not to believe that."

    It's not just the poor who find their travails belittled and mocked. The sick receive the same treatment.

    Before the last election, the actor Michael J. Fox, who suffers from Parkinson's and has become an advocate for stem cell research that might lead to a cure, made an ad in support of Claire McCaskill, the Democratic candidate for Senator in Missouri. It was an effective ad, in part because Mr. Fox's affliction was obvious.

    And Rush Limbaugh - displaying the same style he exhibited in his recent claim that members of the military who oppose the Iraq war are "phony soldiers" and his later comparison of a wounded vet who criticized him for that remark to a suicide bomber - immediately accused Mr. Fox of faking it. "In this commercial, he is exaggerating the effects of the disease. He is moving all around and shaking. And it's purely an act." Heh-heh-heh.

    Of course, minimizing and mocking the suffering of others is a natural strategy for political figures who advocate lower taxes on the rich and less help for the poor and unlucky. But I believe that the lack of empathy shown by Mr. Limbaugh, Mr. Kristol, and, yes, Mr. Bush is genuine, not feigned.

    Mark Crispin Miller, the author of "The Bush Dyslexicon," once made a striking observation: all of the famous Bush malapropisms - "I know how hard it is for you to put food on your family," and so on - have involved occasions when Mr. Bush was trying to sound caring and compassionate.

    By contrast, Mr. Bush is articulate and even grammatical when he talks about punishing people; that's when he's speaking from the heart. The only animation Mr. Bush showed during the flooding of New Orleans was when he declared "zero tolerance of people breaking the law," even those breaking into abandoned stores in search of the food and water they weren't getting from his administration.

    What's happening, presumably, is that modern movement conservatism attracts a certain personality type. If you identify with the downtrodden, even a little, you don't belong. If you think ridicule is an appropriate response to other peoples' woes, you fit right in.

    And Republican disillusionment with Mr. Bush does not appear to signal any change in that regard. On the contrary, the leading candidates for the Republican nomination have gone out of their way to condemn "socialism," which is G.O.P.-speak for any attempt to help the less fortunate.

    So once again, if you're poor or you're sick or you don't have health insurance, remember this: these people think your problems are funny.

 


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    Bush Gets Tightfisted With Sick Kids
    By Eugene Robinson
    Truthdig.com

    Friday 05 October 2007

    Washington - To say that George W. Bush spends money like a drunken sailor is to insult every gin-soaked patron of every dockside dive in every dubious port of call. If Bush gets his way, the cost of his wars in Iraq and Afghanistan will soon reach a mind-blowing $600 billion. Despite turning a budget surplus into a huge deficit, the man still hasn't met a tax cut he doesn't like. And when the Republicans were in charge of Congress, Bush might as well have signed their pork-stuffed spending bills with a one-word rubber stamp: "Whatever."

    So for Bush to get religion on fiscal responsibility at this late date is, well, a joke. And for him to take his stand on a measure that would have provided health insurance to needy children is a punch line that hasn't left many Republicans laughing.

    Bush's veto Wednesday of a bipartisan bill reauthorizing the State Children's Health Insurance Program was infuriatingly bad policy. An estimated 9 million children in this country are not covered by health insurance-a circumstance that should shock the conscience of every American. Democrats and Republicans worked together to craft an expansion of an existing state-run program that would have provided insurance coverage for about 4 million children who currently don't have it.

    It was one of those art-of-the-possible compromises designed to advance the ball toward what has become a national goal. Health care is arguably the biggest domestic issue in the presidential contest and, while the candidates and the country may be all over the map in terms of comprehensive solutions, there's a pretty broad consensus that some way has to be found to ensure that children, at least, are covered.

    Make that an extremely broad consensus: According to a Washington Post/ABC News poll released this week, 72 percent of Americans supported the bill Bush vetoed.

    The program Congress voted to expand provides health insurance for children who fall into a perilous gap: Their families make too much money to qualify for Medicaid, but don't make enough to afford health insurance. The cost of covering an additional 4 million children was estimated at around $35 billion over five years. That's a lot of money. But in the context of a $13 trillion economy-and set against Bush's history of devil-may-care, "buy the house another round" spending-it's chump change.

    Bush's stated reasons for vetoing the SCHIP bill left even reliable congressional allies-such as Republican Sens. Orrin Hatch of Utah and Charles Grassley of Iowa, both of whom supported the legislation-sputtering in incomprehension. As for me, I don't know what to call the president's rationale but a pack of flat-out lies.

    The president said Congress was trying to "federalize health care," even though the program in question is run by the states. The president said that "I don't want the federal government making decisions for doctors and customers," even though the vetoed bill authorizes no such decisions-the program enrolls children in private, I repeat private, health insurance plans.

    And here's my favorite: "This program expands coverage, federal coverage, up to families earning $83,000 a year. That doesn't sound poor to me." But the bill he vetoed prohibits states from using the program to aid families who make more than three times the federal poverty limit, or about $60,000 a year for a family of four. Most of the aid would go to families earning substantially less.

    Bush's spurious $83,000 figure comes from a request by New York state to be able to use the program for some families earning four times the poverty limit. That request was denied by the Bush administration last month-and that upper limit is not in the bill Bush vetoed. End of story. If New York or any other state were to ask again to be able to raise the income limits, the administration could simply say no.

    Bush seems to be upset that Congress didn't adopt his pet idea to tackle the health insurance issue through-guess what?-tax breaks. None of the major players on Capitol Hill thought this would work. When the White House persisted, Congress moved ahead on its own.

    Hatch said he believed Bush had been given bad advice from his staff. He didn't take the next step and draw what seems to me the obvious conclusion: Either Bush didn't understand the bill he vetoed, or he's just being petulant-with the health of 4 million children at stake.

    "I hope the folks at home raise Cain," Hatch said. Oh, I think they will.

    -------

    Eugene Robinson's e-mail address is eugenerobinson(at)washpost.com.

 


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    Misleading Spin on Children's Health
    The New York Times | Editorial

    Friday 05 October 2007

    Trying to justify his ideologically driven veto of a bill to expand the State Children's Health Insurance Program, President Bush and his staff have fired a barrage of misinformation about this valuable program. Before the House votes on whether to override the veto, all members - especially those from Mr. Bush's party who say they are concerned about millions of uninsured children - must look behind the rhetoric.

    Mr. Bush stretched the truth considerably when he told an audience in Lancaster, Pa., that he has long been a strong supporter of the S-chip program. "I supported it as governor, and I support it as president of the United States," he said. As governor of Texas, Mr. Bush fought - unsuccessfully - to restrict the state's program to children with family incomes up to 150 percent of the poverty level, well below the 200 percent allowed by federal law. As president, he is again trying to shrink the program for the entire country. His proposed five-year budget does not provide enough to continue enrollments at current levels, let alone cover millions of the uninsured.

    Mr. Bush's primary rationales for his veto tend to disintegrate when examined closely. He contends that he wants to refocus the program on the poor - those who earn too much to qualify for Medicaid but not enough to afford private insurance. Yet the compromise bill approved by both houses would primarily benefit poorer children. It includes various prods and incentives to get states to enroll many more children who are below 200 percent of the poverty level, and projections suggest that a huge majority of children who would be enrolled in the expansion would come from this low-income group.

    Perhaps the most eye-catching argument from the president is that the vetoed bill would have allowed S-chip to cover children in families earning $83,000 a year. That claim hangs on the extremely flimsy thread that New York - where insurance and living costs are higher than in many other parts of the country - has proposed extending the eligibility level to 400 percent of poverty, or $82,600 for a family of four. As far as most states are concerned, the bill would discourage covering such children, by allowing the enhanced S-chip match only up to 300 percent of the poverty level.

    What's driving much of the Republican response to the bill is the White House's contention that expanding S-chip is "an incremental step toward the Democrats' goal of a government-run health system." The only word that conforms to reality here is "incremental." S-chip is a tiny blip in the federal budget compared with Medicare and Medicaid, the giant government-financed health systems. House members need to think hard whether it is worth denying coverage to millions of uninsured children just to keep the blip a little smaller.

    The bill primarily reflects a Senate version that was drafted with great care by key members of both parties. It embodies principles that would normally appeal to many conservatives. S-chip is not an entitlement program like Medicare or Medicaid. Instead, it provides block grants to the states, which can curtail enrollment if funds run out. Nor is S-chip permanent. It will need to be reauthorized again in five years, at which time some future Congress and president will be free to have another slugfest. The White House declined overtures to join in consultations while the bill was being framed, according to Senator Charles Grassley, a Republican sponsor. Like so many other things that Mr. Bush has gotten disastrously wrong, he'd already made up his mind and had no interest in listening to others' arguments.

    Now it is up to Congress to show Mr. Bush that such blind partisanship will not be rewarded. For the sake of America's children, lawmakers must override the veto.