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Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsNot One Law Republicans Passed Has Helped America In Over Forty Years
December 2, 1970 was the last time a Republican created something that benefits the greater good of society. Seriously, its been over forty years since any Republican has successfully enacted legislation that is based on scientific data, also known as reality. Richard M. Nixon created the EPA in 1970 which marks the last time the party behaved responsibly by utilizing data from climate scientists and attempting to clean up our environment. Their actions ever since have been an attempt to pollute indiscriminately.
Everything the GOP stands for is rooted in religiously-based discrimination of some sort. Whether they are quashing the rights of women, the poor and minorities or relinquishing the rights to drink clean water and breathe healthy air, the GOP is always on the wrong side of history. They claim trickle down economics is the magical way the job-creator fairies instinctively share their wealth. Profit-gorging corporations care only about their coveted bottom line: earnings for the shareholders. They are not concerned with the middle class, as companies like Walmart have created the working poor as the new normal. The laws theyve passed are unimaginably awful.
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Without even touching on the denial of racism and sexism, one can see very clearly how rooted in fantasy and lies the Republican platform has become. It is fashionable to disregard evidence, fact and data to promote the agendas of large corporations who care nothing for the citizens of this country. With 5/9 of the Supreme Court on board to sanction deception to the American people, we are truly in a situation where everyone MUST pay attention or our country will go the way of theocracies like Afghanistan. Income inequality will only worsen as our situation on this planet becomes more perilous with increasing weather disasters. Politics is local, and electing Democrats who are not religious shamans would be a great step in the right direction in this 2014 election year.
MORE:
http://crooksandliars.com/2014/04/not-one-law-republicans-passed-has-helped
Nye Bevan
(25,406 posts)Proud Liberal Dem
(24,437 posts)there was serious (and questionable arm-twisting) being done right up through its passage, the roll-out was botched (which Republicans want to forget when criticizing ACA over its roll-out), it gives more money to big pharma, it created the "donut hole" (which has been closed thanks to ACA). Oh and it wasn't paid for either (which the Republicans are all so concerned about now-making sure everything the Democrats propose is paid for down to the last penny). Maybe there is something "good" about it but I'm not sure what it is. I'm nowhere near old enough to use it either at the moment so I'm really not very familiar with it.
former9thward
(32,082 posts)Seniors I know all seem to like it.
Proud Liberal Dem
(24,437 posts)Is it helpful? Does it deliver an actual good service to Medicare recipients? Does it help control costs?
former9thward
(32,082 posts)Frankly that is all I know from seniors who have talked to me about it. I am not at the age that I have any personal experience and I haven't bothered to do any real research on it since it is not a topic that interests me a lot. I don't know if it helps control costs or not. I am going to assume there are many DUers who have experience with this. Maybe they can give their comments pro or con.
Major Nikon
(36,827 posts)Certainly not to the taxpayer. Part D was written by and for the pharmaceutical industry.
former9thward
(32,082 posts)The ones paying. Do you favor repeal?
daleanime
(17,796 posts)former9thward
(32,082 posts)Either Part D was good or bad. If it was bad then you must favor repeal unless you like seeing bad laws on the books.
daleanime
(17,796 posts)how is that not relevant?
Bandit
(21,475 posts)It makes it illegal to bargain for better drug prices or to allow drugs into the USA from other countries to save money. It does provide some relief for seniors for prescription drugs but at good expense and takes the job from the government and puts it into private insurance hands. The Government can do the job better and cheaper but Republicans would not allow that.
Major Nikon
(36,827 posts)Those who may think the GOP deserves credit for the legislation conveniently forget that the political pressure for the bill had been building long before Shrub ever became presidunce. The GOP just so happened to be sitting on the helm at the time and they used that to leverage an enormous windfall for the drug companies. Part D costs the taxpayers an extra $50 billion per year simply because the government is forbidden from negotiating drug prices. To put that in perspective we spend just a little more for the entire VA (which can negotiate drug prices).
former9thward
(32,082 posts)Not whether it was perfect. It is a yes or no question. Should that law, as written, have been passed at that time? If not then it should be repealed no matter who favors it.
Major Nikon
(36,827 posts)Unless you are a drug company, it's a bad law.
former9thward
(32,082 posts)They are not drug companies. Why is it that no Democratic candidates have campaigned on repealing a bad law?
Major Nikon
(36,827 posts)I find that to be a poor assumption and empty rhetoric. It's kinda like saying all the Democrats who voted against it must hate seniors.
The political pressure to pass a bill was overwhelming and would have happened one way or another. If the GOP hadn't passed a bill, they would have been voted out and a better bill would have taken its place.
sinkingfeeling
(51,474 posts)how the GOP fought against adding bulk purchasing power to Medicare?
former9thward
(32,082 posts)sinkingfeeling
(51,474 posts)former9thward
(32,082 posts)That was it. People are trying to avoid answering that question by moving the goalposts to completely unrelated topics.
sinkingfeeling
(51,474 posts)is to repeal it. I think Part D and Medicare in general could use some improvement. Kind of like the ACA needs improvement.
pangaia
(24,324 posts)than what was in existence before it was passed.
That said, it could be much, much better if it were possible to negotiate prices with drug companies.
former9thward
(32,082 posts)pangaia
(24,324 posts)Not a lot of people agree with much these days.
I was just expressing my opinion that I didn't feel it is a yes or no.
packman
(16,296 posts)On the surface, Part D appears to be a plus and Bush was pillared for it by the Dems in much the same way Repukes are hammering away at Obama on the ACA. True, it has its faults but it was a step in the right direction. The only thing I found distasteful was those who shepherded Part D Thur congress went on to well paying jobs in big pharma companies, which makes me suspicious.
From Wikipedia:
"Former Congressman Billy Tauzin, R-La., who steered the bill through the House, retired soon after and took a $2 million a year job as president of Pharmaceutical Research and Manufacturers of America (PhRMA), the main industry lobbying group. Medicare boss Thomas Scully, who threatened to fire Medicare Chief Actuary Richard Foster if he reported how much the bill would actually cost, was negotiating for a new job as a pharmaceutical lobbyist as the bill was working through Congress.[28][29] A total of 14 congressional aides quit their jobs to work for the drug and medical lobbies immediately after the bill's passage."
ProSense
(116,464 posts)"You don't think Medicare Part D (passed into law in 2003) is generally a good thing?"
...which was instead used to inextricably link the program to private insurers, taking away its bargainging power and creating the donut hole.
Krugman, 2005:
By PAUL KRUGMAN
There was a brief flurry of outrage when Congress passed the 2003 Medicare bill. The news media reported on the scandalous vote in the House of Representatives: Republican leaders violated parliamentary procedure, twisted arms and perhaps engaged in bribery to persuade skeptical lawmakers to change their votes in a session literally held in the dead of night.
Later, the media reported on another scandal: it turned out that the administration had deceived Congress about the bill's likely cost.
But the real scandal is what's in the legislation. It's an object lesson in how special interests hold America's health care system hostage.
The new Medicare law subsidizes private health plans, which have repeatedly failed to deliver promised cost savings. It creates an unnecessary layer of middlemen by requiring that the drug benefit be administered by private insurers. The biggest giveaway is to Big Pharma: the law specifically prohibits Medicare from using its purchasing power to negotiate lower drug prices.
Outside the United States, almost every government bargains over drug prices. And it works: the Congressional Budget Office says that foreign drug prices are 35 to 55 percent below U.S. levels. Even within the United States, Veterans Affairs is able to negotiate discounts of 50 percent or more, far larger than those the Medicare actuary expects the elderly to receive under the new plan.
- more -
http://www.nytimes.com/2005/05/06/opinion/06krugman.html
It's not like there wasn't a better model for single-payer programs.
Best Price. A third argument is that it makes sense for Medicare to receive the best price available for prescription drugs, just like Medicaid and the VA. In Medicaid, the drug manufacturer provides the federal government discounts for drugs, which are shared with the states. The discount is either the minimum drug amount or an amount based on the best price paid by private drug purchasers, whichever is less. Current law requires drug companies to charge Medicaid 23 percent less than the average price they receive for the sale of a drug to retail pharmacies. Drug companies also must provide another discount if a drugs price rises faster than the rate of inflation (Thomas and Pear, 2013)...Medicaid rebates, if applied to Part D, would save the federal government money. According to a 2011 study conducted by the Office of the Inspector General (OIG) for the U.S. Department of Health and Human Services, Medicaid rebates were three times greater than the discounts negotiated by Part D for 100 brand name drugs. In 68 of these drugs, Medicaid rebates were twice as high as rebates granted by the drug companies for Medicare drugs (OIG HHS, 2011; Hulsey, 2013). Similarly, a 2008 study of drug pricing information by the U.S. House Committee on Oversight and Government Reform found that Part D paid, on average, 30 percent more for drugs than Medicaid (Hulsey, 2013).
- more -
http://www.ncpssm.org/PublicPolicy/Medicare/Documents/ArticleID/1138/Issue-Brief-Medicare-Drug-Negotiation-and-Rebates
The ACA increased the Medicaid rebate percentage.
http://www.medicaid.gov/AffordableCareAct/Timeline/Timeline.html
<...>
The Medicaid Drug Rebate Program is a partnership between CMS, State Medicaid Agencies, and participating drug manufacturers that helps to offset the Federal and State costs of most outpatient prescription drugs dispensed to Medicaid patients. Approximately 600 drug manufacturers currently participate in this program. All fifty States and the District of Columbia cover prescription drugs under the Medicaid Drug Rebate Program, which is authorized by Section 1927 of the Social Security Act.
The program requires a drug manufacturer to enter into, and have in effect, a national rebate agreement with the Secretary of the Department of Health and Human Services (HHS) in exchange for State Medicaid coverage of most of the manufacturers drugs. When a manufacturers markets a new drug and electronically lists it with the FDA, they must also submit the drug to the Drug Data Reporting (DDR) system. This ensures that states are aware of the newly marketed drug. In addition, Section II(g) of the Rebate Agreement explains that labelers are responsible for notifying states of a new drugs coverage. Labelers are required to report all covered outpatient drugs under their labeler code to the Medicaid Drug Rebate Program. They may not be selective in reporting their NDC's to the program. Manufacturers are then responsible for paying a rebate on those drugs each time that they are dispensed to Medicaid patients. These rebates are paid by drug manufacturers on a quarterly basis and are shared between the States and the Federal government to offset the overall cost of prescription drugs under the Medicaid Program.
http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Benefits/Prescription-Drugs/Medicaid-Drug-Rebate-Program.html
The ACA contains several important improvements to the Medicare program, many of which are already helping seniors today.
1) Closing the donut hole
a. Medicare Part D covers the cost of medications up to a certain point. Between that point, and a catastrophic coverage threshold, the older adult must pay out of pocket for medication (this gap in coverage is often called the Part D donut hole). One in four beneficiaries fall in this gap, and end up paying an average of $3,610 out of pocket on drug expenses.
b. The ACA requires drug manufacturers to reduce prices for Medicare enrollees in the donut hole. Beginning in 2011, brand‐name drug manufacturers must provide a 50% discount on brand‐name and biologic drugs for Part D enrollees in the donut hole. By 2013, Medicare will begin to provide an additional discount on brand‐name and biologic drugs for enrollees in the donut hole. By 2020, Part D enrollees will be responsible for only 25% of donut hole drug costs.
c. This is a benefit seniors are getting now, and will continue to get as a result of this decision.
<...>
http://www.democraticunderground.com/10024695694
The President has proposed the same rate for Medicare (http://www.democraticunderground.com/10022670043 ), which would save even more than the Senate proposal (http://www.democraticunderground.com/10022725266), $164 billion to $141 billion, respectively.
Nye Bevan
(25,406 posts)as we all know from more recent experience. And Medicare Part D certainly has its flaws. But on balance, I would argue that it's better that this law was passed than that there was no prescription drug coverage in Medicare. My understanding is that it's an optional program, so if it was really so terrible why would so many seniors sign up for it?
ProSense
(116,464 posts)"Laws expanding healthcare coverage tend to be messy compromises, as we all know from more recent experience. And Medicare Part D certainly has its flaws. But on balance, I would argue that it's better that this law was passed than that there was no prescription drug coverage in Medicare. My understanding is that it's an optional program, so if it was really so terrible why would so many seniors sign up for it?"
...they had the models, and since Medicare is single-payer, there was no reason to move away from those programs. Why were so many seniors complaining about the donut hole?
Why are people pushing for Medicare to negotiate drug prices?
Drug prices for the VA are half of those for Medicare. That's a huge difference.
The deficit hawks have been screaming about rising health care costs and the potential to bankrupt the country, and yet they are the ones who seem to constantly make excuses for the the predatory insurance companies.
Nye Bevan
(25,406 posts)But I think we are better off with the ACA than with no law at all, and I think we are better off with Medicare Part D than with no Medicare prescription drug coverage at all.
ProSense
(116,464 posts)"Yeah, we could spend all day complaining about both Medicare Part D and the ACA. But I think we are better off with the ACA than with no law at all, and I think we are better off with Medicare Part D than with no Medicare prescription drug coverage at all."
...the ACA didn't take a single-payer model and corrupt it. In fact, the ACA is fixing some of the problems with Medicare Part D.
The ACA strengthened Medicare.
MEDICARES FINANCIAL CONDITION
Medicares financial condition is measured in several ways, including the solvency of the Part A Trust Fund, the annual growth in spending, and growth in spending on a per capita basis. Average annual growth in total Medicare spending is projected to be 6.6% between 2010 and 2019, but 3.5% on a per capita basis (assuming no reduction in physician fees).
The Part A Trust Fund is projected to be depleted in 2024 eight years longer than in the absence of the health reform lawat which point Medicare would not have sufficient funds to pay full benefits, even though revenue flows into the Trust Fund each year. Part A Trust Fund solvency is affected by growth in the economy, which directly affects revenue from payroll tax contributions, and by demographic trends: an increasing number of beneficiaries, especially between 2010 and 2030 when the baby boom generation reaches Medicare eligibility age, and a declining ratio of workers per beneficiary making payroll contributions (Figure 4).
<...>
http://www.kff.org/medicare/upload/7305-06.pdf
Yeah, we're "better off with the ACA than with no law at all," but many ACA supporters will acknowledge that the goal is single payer.
hue
(4,949 posts)jwirr
(39,215 posts)payoff were a few.
One of the only laws passed by repugs that I think was a real help was the Nixon revenue sharing bill and that had too much emphasis on bricks and mortar. Ignored a lot of community needs that could not be solved by the b/m solution.
jmowreader
(50,562 posts)Allowing the government to negotiate with the pharma industry. The VA does it, which is one of the reasons VA is so efficient.
Not doing the donut hole.
And paying for it.
wandy
(3,539 posts)Somewhat older than 40 years.
Some times I think that the traditional republican party has done little good in my lifetime.
Sometimes I think that the modern Teapublican party is the greatest threat this country has faced.
HooptieWagon
(17,064 posts)hfojvt
(37,573 posts)Democrats recently voted to make most of them permanent.
I also find it hard to believe that Nixon created the EPA.
Wasn't there some sort of legislation involved? Did a majority of Republicans vote for that legislation?
1StrongBlackMan
(31,849 posts)Democrats voted to make them permanent in exchange for things that were much more pressing for the working classes. That doesn't make the tax cuts good; it just means that other things, like extending U/C, etc., were better/more important.
hfojvt
(37,573 posts)and Bush only proposed them in the first place to "help the economy".
See, it is just purely accidental that both actions greatly helped the rich. Both parties were just trying to help the working class and had to give truckloads of money to the rich in order to do so. It was the only way.
1StrongBlackMan
(31,849 posts)The client had hired a care-taker for her elderly mother and paid the care-taker cash, under the table ... and paid out of the mother's bank account. The client paid the care-taker a flat rate of $3,500/month to attend to the mother's needs ... this included getting the mother up, washed and dressed in the morning, preparing breakfast, ensuring that her meds were taken, running errands for the mother, preparing lunch, then dinner, and at the end of the day, getting the mother to bed and to secure the house. Because the care-taker, was a neighbor (and friend) of the mother's, the care-taker was free to return home when she had attended to the specific care tasks; but was expected to "check-in" on the mother throughout the day, and be available should something arise throughout the night.
This was a win/win arrangement for both of the parties: the care-taker got a nice (unreported) supplement to her SSDI income, for doing a little more than what she would have normally done (I.e., caring for an elderly neighbor and friend); and the client got a trusted care-taker at below market and avoided paying payroll and other taxes and fees.
After some 5+ years, the client and the care-taker had a wage dispute, as the client sought to, without notice, reduce the care-taker's wages, because the mother had been hospitalized for about a week ... in the client's eyes, "why should I have to pay the care-taker for stuff she's not doing?" But from the care-taker's view, they had argued on a monthly rate, not a daily or weekly rate.
After hearing the facts, I advised that the client pay the full monthly fee, then go back and negotiate a new arrangement. The client balked, stuck on, "why should I have to pay the care-taker for stuff she's not doing?" And the client promised that if the care-taker didn't back off, she would call SS and inform them that the care-taker had unreported income.
I advised that this was a bad idea, as the client had significant exposure, as it would bring to light the client's unpaid tax liabilities, etc.; and the exposure, with penalties, would likely be in the 6-figures.
The client's response: "But she'd be in prison ... I am with that!"
This seems to relate to the approach you would've taken ... "Just let the Bush tax cuts expire because the wealthy are getting tons of benefit!!!!!" ...
Damn the fact that letting the Bush tax cuts expire would have taken more money out of the working class' pockets, as the tax cuts benefited the working class, too - albeit to a lesser total amount. (But, you're good with that because the wealthy would have had to pay a little bit more).
Damn the fact that had the Tax cut compromise not been made, the U/C extension would died, as well. (But, you're good with that because the wealthy would have had to pay a little bit more).
... And like the client, you're good with all that because YOU, personally, would not have been affected.
How brave a warrior you are!
Response to 1StrongBlackMan (Reply #23)
1StrongBlackMan This message was self-deleted by its author.
former9thward
(32,082 posts)He told them what he was going to do.
http://www2.epa.gov/aboutepa/reorganization-plan-no-3-1970
After that Congress budgeted money for the agency just like they do for every other agency.
hfojvt
(37,573 posts)I sit corrected
Nye Bevan
(25,406 posts)hfojvt
(37,573 posts)first of all, the 91-99% are NOT part of the "middle class" in my book. A 2%er is not all that much different from a 1%er.
Second, the top 1% gets some $600 billion in permanent tax cuts over the next decade with the bill that Democrats passed and Obama signed and sold to us as a "great victory".
Nye Bevan
(25,406 posts)The top rate of tax on interest income for the rich has increased by 8.4%.
The top rate of tax on capital gains and dividends for the rich has increased by 8.8%.
And where in my post did I claim that the 91-99% were part of the middle class? I accurately stated that the tax cuts were maintained for the middle class but not for the 1%.
hfojvt
(37,573 posts)if you ignore the cuts that happened before Obama took office.
Cuts that were scheduled to EXPIRE automatically, but some political party voted to make them permanent instead. And called that a fucking victory.
Permanent tax CUTS - FOR the rich. $600 billion over the next decade for the top 1% and $1.3 trillion over the next decade for the top 5%. $2.4 trillion for the top 20%.
That's 65% of the total tax cuts going to the top 20%.
Democrats kept the tax cuts mostly for the top.
But of course with that 1% bullsh*t, the top 20% becomes part of the "middle class".
hue
(4,949 posts)Johonny
(20,889 posts)and then attack it in the courts which was his MO. As a lawyer his strategy was always to delay things he thought he couldn't defeat in public by using the court system. This is different than the modern Republican party that openly labels and attacks popular things yet oddly never seems to worry about the ramifications almost as if the media was owned by them.
unblock
(52,323 posts)democratic sponsors, democratic congress. but republicans pretty much cooperated and poppy signed it and even talked about it like it was a good thing.
starroute
(12,977 posts)It doesn't invalidate your headline ("over forty years" , but the establishment of the EPA wasn't the last decent Republican initiative. The GOP did continue to support environmental initiatives until the Reagan era took hold.
FailureToCommunicate
(14,022 posts)Last edited Thu Apr 10, 2014, 05:38 PM - Edit history (1)
The gist of the article- originally from Liberaland - is certainly true, but this is kind of a big omission.
Zorra
(27,670 posts)with the very rare exceptions that seem to contradict the premise of the OP.
karadax
(284 posts)Anything brought up within that scope should be fair game to discuss. Outside of 40 years I say ignore it as it's not relevant.
Zorra
(27,670 posts)at governing.
subterranean
(3,427 posts)I'd say that one was useful, and it had broad bipartisan support.
Unfortunately, it doesn't stop robocalls, which I still get almost every day.
Nye Bevan
(25,406 posts)which it doesn't. Anne from Account Services always spoofs her caller ID to make it look like she's calling from somewhere like Montana or Wyoming.
geretogo
(1,281 posts)the programed robots will continue to put evil Republicans in office .
Jenoch
(7,720 posts)Although I can't name one, I find this statement to be statistically impossible. There have been tens of thousands of laws passed over the past four decades.
Now if the point is about when Republicans controlled both houses of congress, that changes things because they have not had that kind of power too often in the last 40 years.
By the way, 1970 was longer than 40 years ago.
LuckyTheDog
(6,837 posts)And there are a lot of morons willing to help them.