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Wednesday, June 24, 2009

Why critics of a public option for healthcare are wrong

Those opposing a public option -- Big Pharma, the AMA, the insurers -- are doing so out of economic self-interest



Robert Reich
salon.com
June 24, 2009

Without a public option, the other parties that comprise America's non-system of healthcare -- private insurers, doctors, hospitals, drug companies, and medical suppliers -- have little or no incentive to supply high-quality care at a lower cost than they do now.

Which is precisely why the public option has become such a lightning rod. The American Medical Association is dead set against it, Big Pharma rejects it out of hand, and the biggest insurance companies won't consider it. No other issue in the current healthcare debate is as fiercely opposed by the medical establishment and their lobbies now swarming over Capitol Hill. Of course they don't want it. A public option would squeeze their profits and force them to undertake major reforms. That's the whole point.

Critics say the public option is really a Trojan Horse for a government takeover of all of health insurance. But nothing could be further from the truth. It's an option. No one has to choose it. Individuals and families will merely be invited to compare costs and outcomes. Presumably they will choose the public plan only if it offers them and their families the best deal -- more and better healthcare for less.

Private insurers say a public option would have an unfair advantage in achieving this goal. Being the one public plan, it will have large economies of scale that will enable it to negotiate more favorable terms with pharmaceutical companies and other providers. But why, exactly, is this unfair? Isn't the whole point of cost containment to provide the public with healthcare on more favorable terms? If the public plan negotiates better terms -- thereby demonstrating that drug companies and other providers can meet them -- private plans could seek similar deals.

But, say the critics, the public plan starts off with an unfair advantage because it's likely to have lower administrative costs. That may be true -- Medicare's administrative costs per enrollee are a small fraction of typical private insurance costs -- but here again, why exactly is this unfair? Isn't one of the goals of healthcare cost containment to lower administrative costs? If the public option pushes private plans to trim their bureaucracies and become more efficient, that's fine.

Critics complain that a public plan has an inherent advantage over private plans because the public plan won't have to show profits. But plenty of private plans are already not-for-profit. And if nonprofit plans can offer high-quality healthcare more cheaply than for-profit plans, why should for-profit plans be coddled? The public plan would merely force profit-making private plans to take whatever steps were necessary to become more competitive. Once again, that's a plus.

Critics charge that the public plan will be subsidized by the government. Here they have their facts wrong. Under every plan that's being discussed on Capitol Hill, subsidies go to individuals and families who need them in order to afford healthcare, not to a public plan. Individuals and families use the subsidies to shop for the best care they can find. They're free to choose the public plan, but that's only one option. They could take their subsidy and buy a private plan just as easily. Legislation should also make crystal clear that the public plan, for its part, may not dip into general revenues to cover its costs. It must pay for itself. And any government entity that oversees the health-insurance pool or acts as referee in setting ground rules for all plans must not favor the public plan.

Finally, critics say that because of its breadth and national reach, the public plan will be able to collect and analyze patient information on a large scale to discover the best ways to improve care. The public plan might even allow clinicians who form accountable-care organizations to keep a portion of the savings they generate. Those opposed to a public option ask how private plans can ever compete with all this. The answer is they can and should. It's the only way we have a prayer of taming healthcare costs. But here's some good news for the private plans. The information gleaned by the public plan about best practices will be made available to the private plans as they try to achieve the same or better outputs.

As a practical matter, the choice people make between private plans and a public one is likely to function as a check on both. Such competition will encourage private plans to do better -- offering more value at less cost. At the same time, it will encourage the public plan to be as flexible as possible. In this way, private and public plans will offer one another benchmarks of what's possible and desirable.

Mr. Obama says he wants a public plan. But the strength of the opposition to it, along with his own commitment to making the emerging bill "bipartisan," is leading toward some oddball compromises. One would substitute nonprofit health insurance cooperatives for a public plan. But such cooperatives would lack the scale and authority to negotiate lower rates with drug companies and other providers, collect wide data on outcomes, or effect major change in the system.

Another emerging compromise is to hold off on a public option altogether unless or until private insurers fail to meet some targets for expanding coverage and lowering healthcare costs years from now. But without a public option from the start, private insurers won't have the incentives or system-wide model they need to reach these targets. And in politics, years from now usually means never.

To get healthcare moving again in Congress, the president will have to be clear about how to deal with its costs and whether and how a public plan is to be included as an option. The two are intimately related. Enough talk. He should come out swinging for the public option.

Copyright ©2009 Salon Media Group, Inc.

Tuesday, June 23, 2009

When It Comes to Health Care, Why Do Republicans (and Some Centrist Democrats) Hate Americans?

Mitchell Bard
Huffington Post
June 22, 2009

A couple of weeks ago, in discussing torture, I asked why so many Republicans hate America. Now that the debate over how to fix the heath care system has moved forward, listening to the Republican position (which is, unfortunately, shared by some centrist Democrats), I can't help but wonder why these individuals hate Americans?

Okay, again, I am being cheeky, invoking the Republican claims during the Iraq war that Democrats hated America because they didn't support the administration's draconian approach to fighting terror. And I'm doing it again here, because, at heart, the Republicans (and, again, some centrist Democrats) who are opposing a public option in the new plan are doing so to protect profitable health insurance companies at the expense of the average American citizen. The arguments used by the Republicans (and centrist Democrats) against a public option are absolutely disingenuous.

When asked about a public option, Republicans tend to lapse into the same red-herring argument Sen. Lindsay Graham made on This Week yesterday:

"The last thing in the world I think Democrats and Republicans are going to do at the end of the day is create a government run health care system where you've got a bureaucrat standing in between the patient and the doctor. We've tried this model -- people have tried this model in other countries. The first thing that happens -- you have to wait for your care. And in socialized health care models, people have to wait longer to get care and the government begins to cut back on what's available because of the cost explosion."

I was half expecting Graham to move close to the camera and yell "Boo!" in an effort to further scare Americans.

Except, nobody is proposing the U.K.-style plan he is railing against. So why is he doing it? Simple. Because the Republicans (and centrist Democrats) are supporting the big insurance companies at the expense of the people, but they can't very well say that out loud, so they have resorted to changing the subject and trying to scare Americans into not noticing where they have tossed their allegiances.

You see, the Republicans are speaking out of both sides of their mouths. They are quick to tell you, as Graham did, how terrible government-run health care would be, with long waits for inferior service. But when you argue for a public option, with people being given the chance to keep what they have (with private insurers) or opt for a new public option (especially for those who don't currently have any insurance) that would compete with the private companies, then the Republicans say that the private insurers would be driven out of business because they can't compete with the public plan. But if the government-run plan would be so bad, why would the private insurers lose to it? Shouldn't Americans, terrified at the big bad government trying to run their health care decisions, run screaming away from the new public plan and into the arms of the wonderful private insurers they adore? What is the risk? And if the government-run plan is so good it would be an improvement over the private insurers, why are the Republicans against it (if they can't admit that they are protecting the business interests over the health of Americans)? Isn't the goal better care at lower costs?

It is a truly odious game the Republicans (and centrist Democrats) are playing now, which is even more despicable because of the stakes involved. The bottom line is that the American health care system is not working, and it's only getting worse. Medical costs are skyrocketing, tens of millions have no insurance at all, and those that do are facing higher fees and dwindling service. According to a recent report, 17 percent of American households put off health care in the last year due to cost. And 40 percent of respondents said they would need to to postpone care in the next three months, including 15 percent who said they had to put off routine doctor visits. The way health care works in the U.S. now, for-profit companies make decisions on Americans' health care based not on what is good for the patient, but on what will add to the company's profits. That's no way to care for our citizens.

And it's not like Americans are afraid of the government providing a public option for health care. A recent CBS News/New York Times poll found that 72 percent of respondents (including 50 percent of Republicans) favored a government-sponsored health-care plan to compete with private insurers, and 57 percent said they were willing to pay higher taxes so that all Americans could be covered. In fact, 64 percent of those polled said that the government should guarantee health insurance for all Americans.

So if the people want a public option, and the Republican arguments are, on their face, hypocritical (if the government-run plan is as terrible as they say, it would not be a threat to private insurers), why are so many Republican and centrist Democratic senators opposing a public plan?

After all, anyone happy with his/her current coverage would be free to keep it as it is. Only those with lousy coverage (or no coverage at all) would be exploring the public option.

Health care is one of the thorniest and most important issues the government has to face, and there needs to be a full and thorough debate in Congress. Concerns about cost, taxes, and systems are absolutely valid, and there are no easy solutions to the hole we've dug for ourselves. But the scare tactics and diversions being offered by the Republicans on the public option are more than just dishonest, they are dangerous, because they could derail necessary change to the current failed system. If Republicans oppose a public option because they want to support the insurance companies, they should say that, rather than making up stories about socialized medicine plans that nobody is proposing. The debate needs to be on honest terms.

The bottom line is that in the U.S. right now, millions of people have no health insurance, others are getting bumped from their coverage, and many people are fighting increased costs (in premiums, co-payments, and uncovered care), and the result is less care for more money. That simply is not acceptable, and the increased costs to the country of medical care are unsustainable. Something has to be done. If Republicans (and centrist Democrats) have a better suggestion than a public option, something that will effectively provide quality coverage to more Americans and bring down costs, then let's hear it. But if the best they can do is come up with scary language like Graham offered on This Week, while proposing only alternatives that will, in effect, perpetuate the broken status quo, that's unacceptable.

It's time for the Republicans and, especially, the centrist Democrats to listen to the will of the people. The discussion has to be on the level, and the solution has to be a system in which for-profit insurance monoliths no longer control the country's health care. If a public option will lead to increased coverage and lower health-care costs, then that's where we need to head. The Republicans and Centrist Democrats are currently protecting the insurance companies. I say it's time they start protecting the American people instead.

Copyright © 2009 HuffingtonPost.com, Inc.

Sunday, June 21, 2009

Obama’s Make-or-Break Summer

Frank Rich
Op-Ed Columnist
The New York Times
June 21, 2009

THAT First 100 Days hoopla seems like a century ago. The countless report cards it engendered are already obsolete. The real story begins now. With Iran, universal health care, energy reform and the economic recovery all on the line, the still-new, still-popular president’s true tests are about to come.

Here’s one thing Barack Obama does not have to worry about: the opposition. Approval ratings for Republicans hit an all-time low last week in both the New York Times/CBS News and Wall Street Journal/NBC News polls. That’s what happens when a party’s most creative innovations are novel twists on old-fashioned sex scandals. Just when you thought the G.O.P. could never match the high bar set by Larry Craig’s men’s room toe-tapping, along came Senator John Ensign of Nevada, an ostentatiously pious born-again Christian whose ecumenical outreach drove him to engineer political jobs for his mistress, her cuckolded husband and the couple’s son. At least it can no longer be said that the Republicans have no plan for putting Americans back to work.

But as ever, the lack of an adversary with gravitas is a double-edged sword for Obama. It tempts him to be cocky and to coast. That’s a rare flaw in a president whose temperament, smarts and judgment remain impressive. Yet it is not insignificant. Though we don’t know how Obama will fare on all the challenges he faces this summer, last week’s big rollout of his financial reform package was a big punt, an accommodation to the status quo. Given that the economy remains the country’s paramount concern — and that all new polling finds that most Americans still think it’s dire — this timid response was a lost opportunity. It violated the Rahm Emanuel dictum that “you never want a serious crisis to go to waste” and could yet prompt a serious political backlash.

A tip-off to what was coming appeared in a Washington Post op-ed article that the administration’s two financial gurus, Lawrence Summers and Timothy Geithner, wrote to preview their plan. “Some people will say that this is not the time to debate the future of financial regulation, that this debate should wait until the crisis is fully behind us,” they wrote by way of congratulating themselves on taking charge.

Who exactly are these “some people” who want to delay debate on the future of regulation? Not anyone you or I know. Most Americans were desperate for action and wondered why it was taking so long. The only people who Summers and Geithner could possibly be talking about are the bankers in their cohort who helped usher us into this disaster in the first place. Both men are protégés of one of them, Robert Rubin, the former wise man of Citigroup.

There are some worthwhile protections in the Summers-Geithner legislation, especially for consumers, but there’s little that will disturb these unnamed “people” too much. I’ll leave it to financial analysts to detail why the small-bore tinkering in the administration blueprint won’t prevent another perfect storm of arcane derivatives, unchecked (and risk-rewarding) executive compensation and too-big-to-fail banks like Citi. Suffice it to say that the Obama team has not resuscitated the Glass-Steagall Act, the New Deal reform that Summers helped dismantle in the Clinton years and that would have prevented the creation of banking behemoths that held the economy hostage.

A particularly dramatic example of how the old Wall Street order remains intact can be seen by looking at the fate of credit-rating agencies like Moody’s, which gave triple-A grades to some of the cancerous derivatives at the heart of the economic meltdown. As Gretchen Morgenson of The Times reported last year, Moody’s sins during the subprime frenzy included upgrading its rating of securities underwritten by Countrywide Financial, the largest mortgage lender, after Countrywide complained that the ratings were too tough.

Since then, more details have emerged in this unsavory narrative. When the Securities and Exchange Commission charged Countrywide’s former chief executive, Angelo Mozilo, with securities fraud and insider trading this month, it produced e-mails from 2006 in which Mozilo referred to his company’s subprime loan products as “toxic” and “poison.” Mozilo wrote that “we have no way, with any reasonable certainty, to assess the real risk of holding these loans on our balance sheet.” Yet Moody’s didn’t warn the public by downgrading Countrywide’s securities until the summer of 2007. Meanwhile, this supposed watchdog for investors, which, like other credit-rating agencies, is paid by the very companies it monitors, took its own tranche of the bubble. Moody’s profit margins even surpassed Exxon’s.

And how have it and its peers in the credit-ratings game fared in the Obama regulation crackdown? Incredibly enough, they can still collect fees from the companies they grade. “It is as if Hollywood studios paid movie critics to review their would-be blockbusters,” wrote Eric Dash in The Times.

Non-Wall Street Americans who signed on to Countrywide’s toxic loans are doing far less well. The White House stood by passively this spring as banking lobbyists mobilized to castrate the administration’s Helping Families Save Their Homes Act. The final version eliminated the key provision that would have allowed judges to lower the principal for mortgage holders whose homes are worth less than their loans. Dick Durbin, the Democratic senator from Illinois, correctly observed in April that the banks are “still the most powerful lobby” in Congress and that “they frankly own the place.”

The banks’ influence at the other end of Pennsylvania Avenue is also conspicuous. The revolving door between the government and Wall Street is as greasy as ever in this White House. It’s all too depressing that the administration enforced its no-lobbyists policy to shun a human-rights advocate, Tom Malinowski, a lobbyist for genocide victims in places like Darfur, but granted Geithner a waiver to appoint a former Goldman Sachs lobbyist, Mark Patterson, as his chief of staff.

Obama is very eloquent in speaking of the “culture of irresponsibility” that led us to the meltdown, but that culture isn’t changing so much as frantically rebranding. A.I.G. is now named A.I.U., and has employed no fewer than four public relations firms, including one whose bipartisan roster of shills ranges from the former Hillary Clinton campaign strategist Mark Penn to the former Bush White House press secretary Dana Perino.

Taxpayers are paying for that P.R., having poured $170 billion-plus into A.I.G. But we still don’t have a transparent, detailed accounting of what was going down last fall when A.I.G. and its trading partners, including Goldman, snared that gargantuan cash transfusion. Perhaps if there had been a thorough post-crash investigative commission emulating the Senate investigation led by Ferdinand Pecora after the crash of 1929, we would now have reforms as thorough as F.D.R.’s. It was because of the Pecora revelations that Glass-Steagall was put in place.

If you watch CNBC, of course, the recovery is already here, and the new regulations will somehow stifle it. The market is up, sort of. Even some bank stocks are back. Unemployment, as Obama reminds us, is a lagging indicator. And so, presumably, are all the other indicators that affect most Americans. One in eight mortgages is now either in foreclosure or delinquent, with the share of new mortgages going into foreclosure reaching a record high in the first quarter of 2009. Credit card debt delinquencies are up 11 percent from last year in that same quarter.

The test for Obama is simple enough. If the fortunes in American households rise along with Wall Street’s, he is home free — even if his porous regulatory fixes permit a new economic meltdown decades hence. But if, in the shorter term, the economic quality of life for most Americans remains unchanged as the financial sector resumes living large, he’ll face anger from voters of all political persuasions. When the Fox News fulminator Glenn Beck says “let the banks lose their tails, they need to,” he illustrates precisely where right-wing populism meets that on the left.

It’s still not too late for course correction. Before rolling out his financial package, Obama illustrated exactly what’s lacking when he told John Harwood on CNBC: “We want to do it right. We want to do it carefully. But we don’t want to tilt at windmills.”

Maybe not at windmills, but sometimes you do want to do battle with fierce and unrelenting adversaries, starting with the banking lobby. While the restraint that the president has applied to the Iran crisis may prove productive, domestic politics are not necessarily so delicate. F.D.R. had to betray his own class to foment the reforms of the New Deal. Lyndon Johnson had to crack heads on Capitol Hill to advance the health-care revolution that was Medicare. So will Obama for his own health-care crusade, which is already faltering in the Senate courtesy of truants in his own party, not just the irrelevant Republicans.

Though television talking heads can’t let go of the cliché that the president is trying to do too much, the latest Wall Street Journal/NBC News poll says that only 37 percent of Americans agree. The majority knows the country is in a crisis and wants help. The issue has never been whether Obama is doing too much but whether he will do the big things well enough to move us forward. Now that the hope phase of his presidency is giving way to the promised main event — change — we will soon find out.

Copyright 2009 The New York Times Company

Friday, June 19, 2009

An Obama "scandal" as phony as Whitewater

Joe Conason
salon.com
Friday, Jun 19, 2009

To Barack Obama's most excitable adversaries, the firing of the Americorps inspector general that the president ordered last week is an incipient scandal, as loud and thrilling as Whitewater once was. Their fond memories of that ancient controversy (and its many sequels) were revived by the sudden dismissal of Gerald Walpin, a Bush administration appointee who has depicted himself as the victim of a political conspiracy. Insinuations and smears abound already -- including an attempt by the usual suspects to drag the first lady into the mud, Hillary-style, on the basis of anonymous allegations.

The latest accusations of White House impropriety are indeed reminiscent of the Clinton wars. But before conservatives spin themselves into a grand mal frenzy, they ought to understand that the strongest parallels between "Walpingate" and Whitewater are the palpable flimsiness of the charges and the questionable motives of the chief accuser. Unless there is much more to this story than what responsible journalists have found so far, the buzzing chatter on the right will soon subside into a disappointed murmur.

According to the wingnut version, Walpin is a heroic investigator who was ousted simply because he exposed misspending of hundreds of thousands of federal dollars by an Obama ally, namely former NBA star Kevin Johnson, who ran a nonprofit organization in Sacramento that received Americorps funding before he was elected mayor of the California state capital last fall. Walpin had to be removed on June 11, after he refused the president's request that he resign, because the White House was trying to cover up Johnson's wrongdoing and permit his city to receive federal stimulus money.

That simple and sinister scenario, like so many of the media descriptions of Whitewater, omits crucial facts.

It is true that Walpin found evidence of misuse and waste of Americorps funds by St. Hope Academy, a nonprofit community group started by Johnson after he retired from the NBA. It is true that Johnson and St. Hope have acknowledged that they must refund roughly half of the money that the group received from Washington. But it is also true that Walpin, a Republican activist attorney and trustee of the Federalist Society before Bush appointed him as inspector general, went well beyond his official mandate last year by publicizing supposed "criminal" wrongdoing by Johnson in the days before the Sacramento mayoral election.

And it is true as well that Lawrence Brown, the United States attorney in Northern California who received Walpin's findings, decided not to bring any criminal charges against Johnson and instead reached a settlement with him and St. Hope.

That settlement, filed last April, is a public document that reflects no great honor on Johnson, to put it mildly. But it also voided any possibility of a "coverup" by Obama or anyone in his administration. The case against Johnson had concluded months before the president acted to dismiss Walpin -- and in fact only drew attention to the case by doing so, as he must have known would happen.

Just as salient as the accusations against Johnson, however, are those brought by Brown against Walpin. A Republican named as the acting U.S. attorney by Bush, Brown filed a sharply worded complaint against Walpin with the oversight office for the federal inspectors general that charged him with ethical violations in an overzealous assault on Johnson and St. Hope. The U.S. attorney said that Walpin had "overstepped his authority by electing to provide my office with selective information and withholding other potentially significant information at the expense of determining the truth" -- in other words, Walpin had failed to provide substantive exculpatory facts to the U.S. attorney, while trying to push the government into opening a criminal probe of Johnson. During the election season in Sacramento, Brown noted that Walpin had sought publicity for his findings against Johnson in the local media before discussing them with the U.S. Attorney's Office, "hindering our investigation and handling of this matter."

Here the parallels with the early history of Whitewater seem nearly perfect. Brown's levelheaded handling of Walpin's exaggerated charges against Johnson are much like the dismissal of the original Whitewater complaints by Charles Banks, the U.S. attorney in Little Rock, Ark., and an honest Republican who refused to gin up a phony indictment of the Clintons before the 1992 election (and lost his job as a result). And Walpin's excessive zeal and lust for publicity bear a startling resemblance to the antics of L. Jean Lewis, the Resolution Trust Corp. official who concocted a series of implausible theories implicating the Clintons in the looting of an Arkansas savings and loan.

But Walpin, now in his late 70s, is a more intriguing figure than Lewis ever was. A hard-line conservative with a résumé that dates back to the early '60s, he was a curious choice for a position that requires dispassionate judgment and nonpartisan fairness. Although he developed a reputation as a highly capable litigator at a major New York City law firm, he has devoted much of his life to the causes of the extreme right, in particular as a trustee of the Federalist Society and as a director of the Center for Individual Rights, a right-wing law foundation devoted to overturning affirmative-action programs.

He appears to have continued acting in those capacities even after his appointment as inspector general. In November 2007, for instance, he delivered a speech at a Federalist Society function titled "Inherent Presidential Wartime Powers -- The Wiretap Program is Constitutional." Then in March 2008, he wrote an Op-Ed essay for the New York Daily News berating human rights lawyers at Yale Law School for pursuing a legal action against John Yoo, the former Justice Department official famous for his memoranda justifying torture of terror suspects.

Media profiles of Walpin now often mention his nasty quip at a November 2005 luncheon when he introduced Mitt Romney, then governor of Massachusetts, as the leader of a state dominated by "the modern-day KKK ... the Kennedy-Kerry Klan," a reference to the Bay State's U.S. senators, Ted Kennedy and John Kerry. Joking about Catholic politicians belonging to the Klan is always obnoxious, but Walpin was guilty of worse than poor taste.

Aside from its ferocious pursuit of lawsuits against affirmative action, the Center for Individual Rights, where Walpin served as director for many years, has displayed an enduring attraction to academic racism, or at least to its practitioners. That attraction led CIR to represent both Michael Levin, the notorious racist professor at the City University of New York, and Linda Gottfredson, an obscure University of Delaware professor whose negative research on African-Americans has made her a heroine to racial extremists. To finance this kind of litigation, CIR accepted thousands of dollars from the Pioneer Fund, a foundation dedicated to proving that blacks are racially inferior to whites and Asians -- in short, the intellectual equivalent of the KKK.

For that reason and many others, Walpin didn't fit very well within the Obama administration. He served at the pleasure of the president, who may well have taken some pleasure in ousting him -- and need make no apology if he did.

Copyright ©2009 Salon Media Group, Inc

Sunday, June 14, 2009

The Obama Haters’ Silent Enablers

Frank Rich
Op-Ed Columnist
The New York Times
June 14, 2009

WHEN a Fox News anchor, reacting to his own network’s surging e-mail traffic, warns urgently on-camera of a rise in hate-filled, “amped up” Americans who are “taking the extra step and getting the gun out,” maybe we should listen. He has better sources in that underground than most.

The anchor was Shepard Smith, speaking after Wednesday’s mayhem at the United States Holocaust Memorial Museum in Washington. Unlike the bloviators at his network and elsewhere on cable, Smith is famous for his highly caffeinated news-reading, not any political agenda. But very occasionally — notably during Hurricane Katrina — he hits the Howard Beale mad-as-hell wall. Joining those at Fox who routinely disregard the network’s “We report, you decide” mantra, he both reported and decided, loudly.

What he reported was this: his e-mail from viewers had “become more and more frightening” in recent months, dating back to the election season. From Wednesday alone, he “could read a hundred” messages spewing “hate that’s not based in fact,” much of it about Barack Obama and some of it sharing the museum gunman’s canard that the president was not a naturally born citizen. These are Americans “out there in a scary place,” Smith said.

Then he brought up another recent gunman: “If you’re one who believes that abortion is murder, at what point do you go out and kill someone who’s performing abortions?” An answer, he said, was provided by Dr. George Tiller’s killer. He went on: “If you are one who believes these sorts of things about the president of the United States ...” He left the rest of that chilling sentence unsaid.

These are extraordinary words to hear on Fox. The network’s highest-rated star, Bill O’Reilly, had assailed Tiller, calling him “Tiller the baby killer” and likening him to the Nazis, on 29 of his shows before the doctor was murdered at his church in Kansas. O’Reilly was unrepentant, stating that only “pro-abortion zealots and Fox News haters” would link him to the crime. But now another Fox star, while stopping short of blaming O’Reilly, was breaching his network’s brand of political correctness: he tied the far-right loners who had gotten their guns out in Wichita and Washington to the mounting fury of Obama haters.

What is this fury about? In his scant 145 days in office, the new president has not remotely matched the Bush record in deficit creation. Nor has he repealed the right to bear arms or exacerbated the wars he inherited. He has tried more than his predecessor ever did to reach across the aisle. But none of that seems to matter. A sizable minority of Americans is irrationally fearful of the fast-moving generational, cultural and racial turnover Obama embodies — indeed, of the 21st century itself. That minority is now getting angrier in inverse relationship to his popularity with the vast majority of the country. Change can be frightening and traumatic, especially if it’s not change you can believe in.

We don’t know whether the tiny subset of domestic terrorists in this crowd is egged on by political or media demagogues — though we do tend to assume that foreign jihadists respond like Pavlov’s dogs to the words of their most fanatical leaders and polemicists. But well before the latest murderers struck — well before another “antigovernment” Obama hater went on a cop-killing rampage in Pittsburgh in April — there have been indications that this rage could spiral out of control.

This was evident during the campaign, when hotheads greeted Obama’s name with “Treason!” and “Terrorist!” at G.O.P. rallies. At first the McCain-Palin campaign fed the anger with accusations that Obama was “palling around with terrorists.” But later John McCain thought better of it and defended his opponent’s honor to a town-hall participant who vented her fears of the Democrats’ “Arab” candidate. Although two neo-Nazi skinheads were arrested in an assassination plot against Obama two weeks before Election Day, the fever broke after McCain exercised leadership.

That honeymoon, if it was one, is over. Conservatives have legitimate ideological beefs with Obama, rightly expressed in sharp language. But the invective in some quarters has unmistakably amped up. The writer Camille Paglia, a political independent and confessed talk-radio fan, detected a shift toward paranoia in the air waves by mid-May. When “the tone darkens toward a rhetoric of purgation and annihilation,” she observed in Salon, “there is reason for alarm.” She cited a “joke” repeated by a Rush Limbaugh fill-in host, a talk-radio jock from Dallas of all places, about how “any U.S. soldier” who found himself with only two bullets in an elevator with Nancy Pelosi, Harry Reid and Osama bin Laden would use both shots to assassinate Pelosi and then strangle Reid and bin Laden.

This homicide-saturated vituperation is endemic among mini-Limbaughs. Glenn Beck has dipped into O’Reilly’s Holocaust analogies to liken Obama’s policy on stem-cell research to the eugenics that led to “the final solution” and the quest for “a master race.” After James von Brunn’s rampage at the Holocaust museum, Beck rushed onto Fox News to describe the Obama-hating killer as a “lone gunman nutjob.” Yet in the same show Beck also said von Brunn was a symptom that “the pot in America is boiling,” as if Beck himself were not the boiling pot cheering the kettle on.

But hyperbole from the usual suspects in the entertainment arena of TV and radio is not the whole story. What’s startling is the spillover of this poison into the conservative political establishment. Saul Anuzis, a former Michigan G.O.P. chairman who ran for the party’s national chairmanship this year, seriously suggested in April that Republicans should stop calling Obama a socialist because “it no longer has the negative connotation it had 20 years ago, or even 10 years ago.” Anuzis pushed “fascism” instead, because “everybody still thinks that’s a bad thing.” He didn’t seem to grasp that “fascism” is nonsensical as a description of the Obama administration or that there might be a risk in slurring a president with a word that most find “bad” because it evokes a mass-murderer like Hitler.

The Anuzis “fascism” solution to the Obama problem has caught fire. The president’s nomination of Sonia Sotomayor to the Supreme Court and his speech in Cairo have only exacerbated the ugliness. The venomous personal attacks on Sotomayor have little to do with the 3,000-plus cases she’s adjudicated in nearly 17 years on the bench or her thoughts about the judgment of “a wise Latina woman.” She has been tarred as a member of “the Latino KKK” (by the former Republican presidential candidate Tom Tancredo), as well as a racist and a David Duke (by Limbaugh), and portrayed, in a bizarre two-for-one ethnic caricature, as a slant-eyed Asian on the cover of National Review. Uniting all these insults is an aggrieved note of white victimization only a shade less explicit than that in von Brunn’s white supremacist screeds.

Obama’s Cairo address, meanwhile, prompted over-the-top accusations reminiscent of those campaign rally cries of “Treason!” It was a prominent former Reagan defense official, Frank Gaffney, not some fringe crackpot, who accused Obama in The Washington Times of engaging “in the most consequential bait-and-switch since Adolf Hitler duped Neville Chamberlain.” He claimed that the president — a lifelong Christian — “may still be” a Muslim and is aligned with “the dangerous global movement known as the Muslim Brotherhood.” Gaffney linked Obama by innuendo with Islamic “charities” that “have been convicted of providing material support for terrorism.”

If this isn’t a handy rationalization for another lone nutjob to take the law into his own hands against a supposed terrorism supporter, what is? Any such nutjob can easily grab a weapon. Gun enthusiasts have been on a shopping spree since the election, with some areas of our country reporting percentage sales increases in the mid-to-high double digits, recession be damned.

The question, Shepard Smith said on Fox last week, is “if there is really a way to put a hold on” those who might run amok. We’re not about to repeal the First or Second Amendments. Hard-core haters resolutely dismiss any “mainstream media” debunking of their conspiracy theories. The only voices that might penetrate their alternative reality — I emphasize might — belong to conservative leaders with the guts and clout to step up as McCain did last fall. Where are they? The genteel public debate in right-leaning intellectual circles about the conservative movement’s future will be buried by history if these insistent alarms are met with silence.

It’s typical of this dereliction of responsibility that when the Department of Homeland Security released a plausible (and, tragically, prescient) report about far-right domestic terrorism two months ago, the conservative response was to trash it as “the height of insult,” in the words of the G.O.P. chairman Michael Steele. But as Smith also said last week, Homeland Security was “warning us for a reason.”

No matter. Last week it was business as usual, as Republican leaders nattered ad infinitumover the juvenile rivalry of Sarah Palin and Newt Gingrich at the party’s big Washington fund-raiser. Few if any mentioned, let alone questioned, the ominous script delivered by the actor Jon Voight with the G.O.P. imprimatur at that same event. Voight’s devout wish was to “bring an end to this false prophet Obama.”

This kind of rhetoric, with its pseudo-Scriptural call to action, is toxic. It is getting louder each day of the Obama presidency. No one, not even Fox News viewers, can say they weren’t warned.

Copyright 2009 The New York Times Company

Friday, June 12, 2009

Peanut-Butter Politics

Education funding is a sticky issue.


Jonathan Alter
Newsweek

Friday, June 5, 2009

Wake Up America, the Media Treat Far-Right Views as Mainstream

This dynamic produces "a deep and largely unconscious conservative bias in the media's discussion of policy."


Steve Benen
Washington Monthly
June 4, 2009

E.J. Dionne Jr. has a very interesting column today that notes the media's "tilt to the right."

Yes, you read that correctly: If you doubt that there is a conservative inclination in the media, consider which arguments you hear regularly and which you don't. When Rush Limbaugh sneezes or Newt Gingrich tweets, their views ricochet from the Internet to cable television and into the traditional media. It is remarkable how successful they are in setting what passes for the news agenda.

The power of the Limbaugh-Gingrich axis means that Obama is regularly cast as somewhere on the far left end of a truncated political spectrum. He's the guy who nominates a "racist" to the Supreme Court (though Gingrich retreated from the word yesterday), wants to weaken America's defenses against terrorism and is proposing a massive government takeover of the private economy. [...]

Democrats are complicit in building up Gingrich and Limbaugh as the main spokesmen for the Republican Party, since Obama polls so much better than either of them. But the media play an independent role by regularly treating far-right views as mainstream positions and by largely ignoring critiques of Obama that come from elected officials on the left.

Exactly. If far-right voices are characterized as mainstream, it shifts the center of political gravity. For all the talk about media adulation of the president, this dynamic produces "a deep and largely unconscious conservative bias in the media's discussion of policy. The range of acceptable opinion runs from the moderate left to the far right."

Single-payer healthcare is considered beyond the realm of reasonable discourse. So is the notion of reducing military spending. The idea of raising taxes to improve the budget outlook is characterized as ridiculous.

At the same time, there is ample media discussion over whether the administration's fairly centrist economic policies and the president's moderate instincts can reasonably be described as "socialism."

Dionne concludes with a very compelling point that bears repeating: "Democrats love to think that Limbaugh and Gingrich are weakening the conservative side. But guess what? By dragging the media to the right, Rush and Newt are winning."


Copyright 2009 The Washington Monthly