Lessons in Power -- Washington Style

Too many people do not understand power or authority.

They too often think that power comes from a title. They too often think that authority comes from a  position granted by others. They do not understand that power and authority comes from one's ability to get the people who work for or with you to do the things you want.

And to get those people on board one must have a vision, and one must be able to get others to believe in that vision. If the buy-in is low, the results often are even lower.

Donald Trump and Paul Ryan just ran into that reality.

Let's take Donald "The Closer" Trump first. The co-author of "The Art of the Deal" thought that every deal he made was based on his personal prowess. He was The Donald and everyone, especially real estate people and bankers, wanted to work with him. He was the brash, high-profile scion of real estate, the marble and gilded king, a man of billion-dollar deals.

That many of his creditors had to fight for 10 cents on the dollar after he filed multiple bankruptcies was not important. Being a part of The Donald's orbit was enough. After all, financial losses can be hidden in balance sheets or slipped into a tax return as a loss and, thereby, a tax deduction that allows one to pay a lower tax rate than a secretary making $35,000 a year.

Style -- even when it is gauche -- trumps substance. (Please pardon the pun.)

Then there is Ryan, an Ayn Rand devotee.

Ryan thinks PowerPoint presentations, an unctuous frat-boy smile, and the ability to talk -- okay I'll just say it -- bullshit makes a thinker. And when the media is desperately looking for a conservative intellectual, even a lightweight will do.

But then comes reality Washington style. Being a bully, thinking that everyone wants to be your friend when several of the people you are dealing with have egos larger than yours, and they believe that you are where you are because they gave too much credence to political polls . . . . well guess what? They do not have to work with you.

You think you can threaten me? Bring it. I know my rubes better than you do.

Oh, you think that fooling a lot of liberal pundits and reporters into thinking you are a budget genius makes me kowtow to you? Think again because I know your Wisconsin rubes as well as I know my rubes.

And I'm in a safe district. Are you?

So Donald "The Closer" Trump and Paul (I Really don"t care health plan) Ryan discovered that in Washington everyone is a self appointed king who does not have to listen to anyone.

Today, Trump and Ryan were given a lesson in the fact that one can only bully the fearful. But will that lesson sink in? 

  

  

A Multiple Choice Test for America

If one is still not convinced of the cruelty and mendacity of Republicans today, then one is:

A) Complicit in the GOP's madness
B) Not paying attention
C) Delusional beyond hope
D) Suffering from anosognosia
E) All of the above.

This week proved it more than ever when Republicans, who had campaigned on repealing Obamacare when they were the minority; decided to "repeal and replace" when they took over both chambers of Congress and the White House; postponed a vote on the American Health Care Act on Thursday so Donald "The Closer" Trump could seal the deal, and withdrew the bill on Friday when it was obvious that defeat was at hand.

Simply, the cruelty of the Republican bill was too much for some moderate members of that party, and not severe enough for some of its conservative members. That the bill would have placed too many grandmothers, grandfathers, fathers, mothers, aunts, uncles, brothers, sisters, cousins, children, grandchildren, and great-grandchildren at risk was not enough to stop the Paul Ryan express.

And that is the problem. Though this effort faced its own death panel, other efforts may live on and may be successful.    

Ryan, the Republican House Speaker from Wisconsin, offered up the AHCA with great fanfare, even providing his customary PowerPoint to impress the media and the American people.

If the AHCA is passed, Ryan promised, Americans would be free of the yoke of the Affordable Care Act, or Obamacare as Republicans derisively call the former president's heath-care insurance plan. Medicaid would be block granted, and the mandate to purchase insurance would be lifted from those who have been harmed by the socialist overreach of Barack Hussein Obama.

Of course, anyone with critical literacy or critical thinking skills knows that to be untrue.

The AHCA is nothing more than a vicious manifestation of Republican desires to make heath care a privilege, not a right. Under the plan announced by Ryan, as many as 14 million people would lose health care in the first year of the plan, according to scoring by the Congressional Budget Office. That number would shoot up to 24 million within a decade, the office concluded. In addition, the cost of health insurance would have jumped 500 percent for the elderly.

The Congressional Budget Office lists many other problems with the Ryan-doesn't-really-care plan.

Yet, while nearly everyone -- from doctors, to hospitals, to citizens, to AARP -- trashed the AHCA, Republicans tried to force it through the House of Representatives, claiming the AHCA would dramatically reduce how much Americans pay for health insurance. (That is probably the one thing that is true about the program: Many Americans will realize those much-vaunted premium savings because they will not have to pay premiums after losing their policies.)

So when discussing the AHCA on the Sunday talk shows, Democrat after Democrat attacked the Republican plan while many in the GOP applauded the speaker's bold action. Too be fair, some Republicans, particularly those in the Senate who hail from state's that expanded Medicaid, voiced concerns about increased costs and benefit reductions for the elderly and poor. Many Republicans, though, cheered the proposed destruction of Medicaid, as well as the gutting of government subsidies to buy insurance. The complaint of the Freedom Caucus was that Ryancare was not draconian enough.

The level of glee at denying millions of people health-care coverage -- along with the conflation that is the Republican standard -- was mind boggling.

On one show on MSNBC, for example, the host brought on a Republican party official from North Carolina and a Democratic strategist to discuss the plan. As one would expect each echoed the talking points of his party. 

Where the breakdown really occurred was when the North Carolina Republican proclaimed the AHCA as a great thing because it would allow states to determine who was eligible for Medicaid and would once again increase the support that private charities give to the poor.

To make his point, the North Carolina Republican cited the way the people of the Raleigh-Durham area pulled together to help those affected by a large fire in downtown Raleigh..

The host of the show then became complicit with Republican mendacity and cruelty. Instead of deconstructing that Republican assertion, he quickly moved on to a different question.

North Carolina was one of the state's that did not expand Medicaid under the Affordable Care Act. That means that tens -- if not hundreds -- of thousands of people who might have gotten health insurance that could have lead to care that could have saved their lives were left uninsured. So how did that work out for poor people in that state?

In addition, while people may be quick to respond to a one-off tragedy such as a fire in the heart of a city, it is another thing to expect that same community to respond each and every day to the tragedies facing those without health-care insurance. Imagine the massive undertaking that would be needed for a community to help just 100 families with their medical needs. It could easily overwhelm and drain that community's resources.

That is when the Federal government is supposed to step in. Spreading that costs across the nation through taxes helps all Americans. Yes, some people will be better off than others under such a system. But isn't that what insurance is all about?

A healthy young man or woman might lose on some levels because each may not use their insurance that much. The upside is that by sharing the burden of costs a family that is struggling or an elderly person with greater health needs may have a chance to live longer because of medical care.

Suggesting or hoping that the local church, VFW, Kiwanis Club, Moose Lodge, or any other civic organization should carry such a burden everyday is to expect too much, particularly in light of The Closer's proposal to cut funding from Meals on Wheels.In many towns and cities across America, those charitable organizations are already overwhelmed by the need to feed families, some of whom include working adults.

We are not a small country, and when one realizes the size and diverse needs of America one begins to realize that small government just does not cut it. People come to accept that fact when their community is hit by a natural disaster and the federal government redistributes wealth by sending federal dollars through FEMA to help people rebuild their lives.
 
Luckily many people, including some Trump voters, are waking up to these facts, albeit slowly. Now they must answer another pressing question: When the 2018 midterm elections arrive I will:

A) Register to vote and register my family and friends
B) Vote in my congressional, state, and local elections
C) Fight efforts to roll back programs that help those who need help the most
D) Oust morally corrupt legislators
E) All of the above.  

When the Dog Catches the Car

When it comes to Republicans one has to wonder just how stupid stupid is. Who knew creating a health care program was so complicated, Donald Trump asked recently. Considering we are only in March and we are talking about Republicans, I am quite sure that stupid is more stupid than we thought because anyone paying attention over the last seven years knew creating a health care plan is extremely complicated.

Which is what the Republicans in Congress are finally discovering. Their plan to repeal and replace the Affordable Care Act, or Obamacare as GOP leaders like to say, shows that ignorance, stupidity, and hypocrisy knows no bounds when it comes to Republicans and their voters.

Yes, I know we are being told by liberal pundits and others that we liberals should not assail Trump voters, that we should not anger them any more than we have with out elitist views. We should, as the pundits like to say, separate the voters from the candidate and his buffoonery in an effort to bridge the gap that keeps so much of America divided. We must embrace the pain of the white working-class. Criticism of that forgotten America just drives them closer to the Trumps of the world.

Well, making nice with such people will not be easy. They asked for this, and they now have what they have desired for years.

Consider that Kentucky, for example, elected two Republicans to the U.S. Senate, both of whom declared that they would vote to repeal Obamacare. The people who sent Rand Paul and Mitch McConnell to Washington want Obamacare repealed, in part because many of them see it as socialism run amok. Those voters hate Obama and Obamacare.

Yet, they embrace the Affordable Care Act, which gave many Kentucky voters insurance for the first time in their lives. That the Affordable Care Act and Obamacare are one in the same somehow escaped those voters for years.

Kentucky, when it had a Democratic governor, created a very efficient and effective state health portal for those seeking health insurance. The state chose to expand its Medicaid program, and its workers signed up thousands of people who never had health care coverage..

So what did Kentucky voters do?

They elected a Republican governor who is pushing to make the Affordable Care Act and Kentucky's state of the art heath insurance web portal as ineffective as possible. They re-elected McConnell to the Senate. Now many of those same voters fear they will lose their newly obtained health care coverage.

You can't make this stuff up. The Republicans are set to give those Kentucky -- and all the other Republican -- voters what they have been clamoring for for years: A repeal of Obamacare.

The House plan released Monday shows that while Republicans knew how to use a hatred of Obama and Obamacare to generate votes, they have no idea of how to create a health care plan that will not result in millions of people losing insurance or finding themselves unable to afford coverage, putting much of the nation back where it was in those dark days before Obamacare.

It is not just in Kentucky.

Republicans across the country voted again and again for men and women who promised to kill Obamacare. Yet, those voters are now wondering how a loss of Obamacare will affect them and their loved ones. Will Nana be able to stay in her nursing home if Medicaid is block granted? Will I be able to afford my health insurance if my government subsidy is only $3,000 a year?

The list of questions go on and on. The answers are simple.

If Republican legislators have their way Nana will not be able to stay in her nursing home, and you will not be able to afford health care coverage. So be thankful. You are getting what you wanted since the Affordable Care Act was passed in 2010.

The so-called socialism that is Obamacare will be decimated under the GOP plan released Monday by Rep. Paul Ryan of Wisconsin. Subsidies to working class families will be cut dramatically. The wealthy will get the biggest breaks. Medicaid will eventually be slashed under block granting.

And that is just the tip of the iceberg.

Republican legislators show a total disdain for helping the American people, and they do so under the guise of protecting "freedom."

Affordable health insurance for all Americans is not a right, according to Republicans, but a privilege. If a person wants health coverage, especially someone who is not well off, then that person needs to get rid of his or her iPhone to pay for health insurance. In the world of Republicans everything is a trade off in which the only people who should get government help are the people who need it the least.

Luckily, some Republicans, including Senators Rob Portman of Ohio, Shelley Moore Capito of West Virginia, Cory Gardner of Colorado, and Lisa Murkowski of Alaska, have assailed the House "replacement" plan because of its threat to Medicaid, which was expanded in their states.

But others, such as Paul and Mike Lee of Utah, attacked the House plan as not being draconian and heartless enough. Paul labeled the House plan "Obamacare lite." Other conservatives called it "Obamacare 2.0."

The Koch brothers and their network of billionaire sponsored "grassroots" organizations are set to attack the Republican plan as not going far enough to stamp out the socialism of Obamacare. The Heritage Foundation, the organization that came up with the individual mandate and created the blueprint that became Romneycare and later Obamacare, has already gone on the attack in hopes of destroying any remnants of the plan it created as an alternative to Hillarycare in the 1990s.

Of course much of this may be a way for Republicans to provide coverage for those members who now realize it was easier to promise a repeal of Obamacare when there was no chance of it happening than it is to actually come up with a replacement plan that does not harm constituents.

Either way there are some basic things we must remember. The year is less than three months old, and the ignorance, stupidity, and hypocrisy of  Republicans and their voters will be on full display for some time to come.