Healthcare

Lawrence Lessig

How to Get Our Democracy Back: If You Want Change, You Have to Change Congress

by Lawrence Lessig

Editors Note: This post is re-printed with permission from The Nation magazine, where it appears as the February 4, 2010 cover story. You can see a video interview with Professor Lessig about the piece here, or take action on issues raised in the piece by visiting FixCongressFirst.org.

We should remember what it felt like one year ago, as the ability to recall it emotionally will pass and it is an emotional memory as much as anything else. It was a moment rare in a democracy’s history. The feeling was palpable–to supporters and opponents alike–that something important had happened. America had elected, the young candidate promised, a transformational president. And wrapped in a campaign that had produced the biggest influx of new voters and small-dollar contributions in a generation, the claim seemed credible, almost intoxicating, and just in time.

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Yet a year into the presidency of Barack Obama, it is already clear that this administration is an opportunity missed. Not because it is too conservative. Not because it is too liberal. But because it is too conventional. Obama has given up the rhetoric of his early campaign–a campaign that promised to “challenge the broken system in Washington” and to “fundamentally change the way Washington works.” Indeed, “fundamental change” is no longer even a hint.

Instead, we are now seeing the consequences of a decision made at the most vulnerable point of Obama’s campaign–just when it seemed that he might really have beaten the party’s presumed nominee. For at that moment, Obama handed the architecture of his new administration over to a team that thought what America needed most was another Bill Clinton. A team chosen by the brother of one of DC’s most powerful lobbyists, and a White House headed by the quintessential DC politician. A team that could envision nothing more than the ordinary politics of Washington–the kind of politics Obama had called “small.” A team whose imagination–politically–is tiny.

These tiny minds–brilliant though they may be in the conventional game of DC–have given up what distinguished Obama’s extraordinary campaign. Not the promise of healthcare reform or global warming legislation–Hillary Clinton had embraced both of those ideas, and every other substantive proposal that Obama advanced. Instead, the passion that Obama inspired grew from the recognition that something fundamental had gone wrong in the way our government functions, and his commitment to reform it.

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Michael Volpe

Rep. Brad Miller and Dr. Anna Chacko: The Politicalization of Government Health Care

by Michael Volpe

Late in the afternoon of December 4th of 2006, laboratory staff of the Veterans Administration Pittsburgh Health Services (VAPHS) based on an order from Dr. Mona Melhem, the associate chief of clinical services, a few minutes earlier – in less than three hours destroying a unique collection of legionella and other isolates that had been collected by two prominent infectious disease researchers over their nearly three decades of research.

So starts a report by the Science Sub Committee chaired by Congressman Brad Miller of the 13th District of North Carolina into a strand of legionella that was destroyed by the Pittsburgh VA and with it thirty years of research by Dr. Victor Yu and his partner Dr. Janet Stout.

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This report and its conclusions began a series of events that climaxed with this news broken on in January by Walter Roche of the Pittsburgh Tribune about the same Pittsburgh VA.

A top Pittsburgh Veterans Affairs physician, who got her job back temporarily after congressional intervention, is about to be terminated from her position as the head of radiology in the Pittsburgh facility.

VA officials have issued a formal notice of termination effective Jan. 25 to Dr. Anna Chacko, who has been on administrative leave from the University Drive facility since October.

What, one might ask, does an investigation into a destroyed strand of legionella have to do with the firing of the chief of radiology at a hospital nearly two years later? In reality, the two probably have little do with each other, except in the mind of Congressman Brad Miller. Because Miller made a connection, the events of one lead directly to the events of the other.

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Thomas Del Beccaro

How Many Fights Will Obama Pick With America?

by Thomas Del Beccaro

Politics is a game of addition – successful politics anyway.  Great leaders, when faced with a divided electorate, not to mention difficult economic times, use a limited agenda to forge consensus out of broken paradigms.  Once they achieve an initial success, they seek a broader consensus.  In the 1980’s Reagan faced a divided Republican Party and a fractured and dispirited nation.  Concentrating on the prosperity issue and our national prestige, Reagan first brought Republicans together and then independents and even many Democrats.  Indeed, so successful was Reagan at bringing people together, that in time he could rely on a group of Reagan Democrats.  Few other Presidents have had such success at building consensus let alone are able to claim a voting block from the other party in their name.

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There is little doubt that Obama faced a divided electorate when he first took office and a difficult economic climate.  Rather than start with a limited agenda designed to build consensus, Obama did the opposite.  Obama chased too many rabbits at once and preferred ideological fights over practical solutions.  As a result, the Country is more divided than ever – not less.

The most recent manifestation of that divisive M.O. is the White House’s amazing decision to insist on a terror trial in New York.   Of course, it remains a jarring ideological decision to treat KSM as a “criminal” versus the warring “terrorist” that he is.  As I wrote, in my article Internment, CSI and Eric Holder’s Disarming of America, that decision will have profound negative consequences for decades to come.  To the point of this article, Obama is compounding his initial divisive decision (treating him as a criminal) by fighting with New York over the place of the trial.  It is a political fight which he cannot win regardless of the outcome of the trial.

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SusanAnne   Hiller

Sen. Harkin and Rep. Charlie Rangel Both Have Same CBO Story; Healthcare Deal Was Done BEFORE MA Election

by SusanAnne Hiller

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As reported in a previous article, Senator Harkin clearly contradicted President Obama when he stated:

Labor leaders had announced an agreement with White House and congressional representatives over an excise tax on high-cost insurance plans on the Thursday before the special election.

Harkin said “we had an agreement, with the House, the White House and the Senate. We sent it to [the Congressional Budget Office] to get scored and then Tuesday happened and we didn’t get it back.” He said negotiators had an agreement in hand on Friday, Jan. 15.

Harkin made clear that negotiators had reached a final deal on the entire bill, not just the excise plans, which had been reported the previous day, Jan. 14.

Harkin said the deal covered the prescription-drug “donut hole,” the level of federal insurance subsidies, national insurance exchanges and federal Medicaid assistance to states.

Senator Harkin would know if a deal was done as he was in the marathon meeting at the White House on January 13, 2010. On the same day, Obama, Pelosi, and Reid put out a brief joint statement:

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Publius

Canadian Premier Comes to U.S. For Health Care

by Publius

From Canada’s National Post:

Newfoundland Premier Danny Williams

Newfoundland Premier Danny Williams

Newfoundland Premier Danny Williams will undergo heart surgery later this week in the United States.

Deputy premier Kathy Dunderdale confirmed the treatment at a news conference Tuesday, but would not reveal the location of the operation or how it would be paid for.

“He has gone to a renowned expert in the procedure that he needs to have done,” said Ms. Dunderdale, who will become acting premier while Mr. Williams is away for three to 12 weeks.

“In consultation with his own doctors, he’s decided to go that route.”

Mr. Williams’ decision to leave Canada for the surgery has raised eyebrows over his apparent shunning of Canada’s health-care system.

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SusanAnne   Hiller

Sen. Harkin Contradicts Obama, Says Final Healthcare Deal Done BEFORE the MA Election

by SusanAnne Hiller

The Hill is reporting that Senator Tom Harkin, chairman of the Senate Health Committee, stated that negotiators from the White House, Senate and House reached a final deal on healthcare reform days before Scott Brown’s win in Massachusetts.

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From the article:

Labor leaders had announced an agreement with White House and congressional representatives over an excise tax on high-cost insurance plans on the Thursday before the special election.

Harkin said “we had an agreement, with the House, the White House and the Senate. We sent it to [the Congressional Budget Office] to get scored and then Tuesday happened and we didn’t get it back.” He said negotiators had an agreement in hand on Friday, Jan. 15.

Harkin made clear that negotiators had reached a final deal on the entire bill, not just the excise plans, which had been reported the previous day, Jan. 14.

Harkin said the deal covered the prescription-drug “donut hole,” the level of federal insurance subsidies, national insurance exchanges and federal Medicaid assistance to states.

This cannot be right.

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John M. O'Hara

Real Health Care Solutions – Letting O Know

by John M. O'Hara

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In his State of the Union Address Wednesday night, President Obama called on folks to let him know if there are better health care solutions he and congress should be considering:

As temperatures cool, I want everyone to take another look at the plan we’ve proposed…

…But if anyone from either party has a better approach that will bring down premiums, bring down the deficit, cover the uninsured, strengthen Medicare for seniors, and stop insurance company abuses, let me know.

He echoed this sentiment at today’s House GOP retreat.  Some might say he was being sarcastic, reminding us of how hard it is to govern (especially in light of all he has inherited from you-know-who.)  But that would be cynical, particularly in this post-partisan era.

Just before Christmas my colleague Peter Fotos and I penned a “wish list” of simple policy proposals that constitute substantive health care reform – and it didn’t even take 1,000 pages! The health care snitch line was disabled, so we’ll give the President the benefit of the doubt that it ended up in his spam folder.

President Obama and his Congressional allies talk a lot about the need to control health care costs and avoid pressure from special interests.  Unfortunately, neither the House nor the Senate versions of “ObamaCare” that he called upon congress to reconsider withstand either litmus test.

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Paul A.  Rahe

What Did Obama Say in his State of the Union Address?

by Paul A. Rahe

The State of the Union Address that Barack Obama delivered last night bore little, if any, resemblance to the speech that, in my opinion, he should have delivered. The actual speech was, in fact, all too typical of the genre. It ran for an hour or more, and it consisted of an interminable laundry list of putative accomplishments and proposals. When, near the end, the President said, “I don’t quit,” I found myself thinking, “No, surely! But I very much wish you would.” In the course of an hour, I felt as if I had spent three weeks listening to the man. I very much doubt that I was alone.

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Seven things stood out.

First, at no point did Barack Obama acknowledge that the promises that he made in campaigning for the so-called stimulus bill have gone unredeemed and that unemployment has continued to grow in a fashion that, he told us, it would not.

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Paul A.  Rahe

What Should Obama Say Tonight?

by Paul A. Rahe

The State of the Union Address is ordinarily a bore. It generally consists of a laundry list of proposals, and the list nearly always seems interminable. If Barack Obama has moxie, however, tonight could be different. His State of the Union Address could be a real game changer.

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Here is how he could do it – if he was really intent on saving his Presidency and on turning a disgraceful performance in that office into something worthy of eulogy. This evening, after the usual formalities, he could say.

My fellow Americans, let me begin by stating the obvious. The state of our union is not good. We seem to be – we may be – coming out of a recession. But, if so, the recovery is not only jobless; it is accompanied by an increase in unemployment.

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Warner Todd  Huston

What Lesson Did Brown Teach Obama/Democrats? Apparently Pass Bad Stuff Faster

by Warner Todd Huston

Once Scott Brown took away the Democrat majority in the Senate by becoming the Republican’s 41st vote based in large part on the fact that Massachusetts voters were unhappy with Obamacare, one would think that President Obama and the Democrat Party would learn a vital lesson. A look at a dozen or so stories across the media over the last few days shows that the Democrats have indeed learned a lesson from Scott Brown’s victory. But is it the right lesson?

Scott Brown

Did they learn that they’d better slow down their freight train of extremely left leaning policies? Did they learn that with 58% of Americans standing in opposition to Obamcare they’d better reassess their direction? Have they learned from an entire year of raucous healthcare townhalls, multiple loses at the polls, and tea party protests that brought out over a million people that they might be agitating the American people?

Nope.

Looks like the lesson they’ve learned is that they have to pass their bad policies faster before they really lose power in the November midterm elections. It seems that a certain self-righteous arrogance is what we are seeing from Democrats instead of an acknowledgment that the voters have chastised them in Virginia, New Jersey, and now blue, blue Massachusetts. Democrats have not learned that they’d better listen to the voters but instead have decided that they better move on their agenda even faster. It’s hubris that they’ve assumed not a mien of humbleness.

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Independent Women's Voice

Independent Women’s Voice Poll: Massachusetts Voters Undo Conventional Wisdom

by Independent Women's Voice

The Massachusetts Special Election last week upended “conventional wisdom” about “who can/might/should/ or will win” and how traditional voting blocs may cast their ballots in upcoming elections.  This is not simply a look at “what happened,” but also what it means for the legislative agenda in Washington. In this poll, actual voters provide a roadmap for reform as Washington continues to debate how best to fix the economy, jump-start entrepreneurship, and shore up national security.

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Some highlights from the poll:

*       Independent Women Voters: This demographic was key to the electoral outcome. They bucked their gender, with 67% of them supporting Scott Brown.  Majorities say that Congress should stop the current levels of spending and call for enacting provisions that make it more affordable for people to buy health insurance on their own, instead of through their jobs, in the same way people buy homeowners’ and life insurance (56%). Two-thirds of Indie women would allow small businesses to form groups to buy healthcare coverage at lower rates, and 45% want Congress to “start over” on healthcare reform; just 2% say continue with the reform “as is.”

*   Those who had frequently voted for Ted Kennedy in the past (63% of the sample) had some surprising opinions: 79% of them said providing tax cuts to small businesses for job creation will speed up the nation’s economic recovery; 47% say Congress should open healthcare negotiations for the public to observe.

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Joe 'The Plumber' Wurzelbacher

Explaining the Tea Party Movement and the Bewilderment of the Political Class

by Joe 'The Plumber' Wurzelbacher

It is apparently a mystery to a lot political insiders why the Tea Parties have become so popular with so many Americans in state after state across the nation.

Many have simply tried to dismiss the phenomena as the ranting of a relatively small number of angry right-wing zealots. They are dead wrong but one gets the feeling the political class finds this easy dismissal far more comforting than the unsettling truths driving angry and vocal dissatisfaction by people from across the political spectrum.

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“Real people” like me resonate in politics right now because of the growing chasm between what the political elites of both parties see as the best course for the nation—and for themselves– and the hopes and fears of the average American man and woman. In China that difference might mean very little to government as we saw in Tiananmen Square but, according to the Founding Fathers, such a division should not even exist here in the United States.

Those who are passionately protesting at Tea Parties and making themselves felt at the polls have rightly detected more than a hint of contempt for the average citizen. If everything were going well such elitist arrogance might be accepted, as it has been in the past. But things are not going well for our nation and more and more people are challenging the performance, ideas and motivations of those who hold themselves out as smarter and better than the rest of us.

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Dr. David Janda

Health Care Reform: The Dog That Was Not Allowed To Bark

by Dr. David Janda

Last week, Congressman Thad McCotter introduced a Bill HR 4500, The Freedom From Rationed Health Care Act, that invalidates a little known, hidden part of the Stimulus Bill. That hidden part of The Stimulus Bill created the rationing and enforcement boards.  Significantly, this “minor” fiscal trim makes the first part of ObamaCare null and void.

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On November 7th, 2009, Speaker Pelosi marched to the podium and paraded her lap dogs to the microphone to proclaim “Victory” for herself, her Democratic House colleagues, and President Obama.  What about every other American? The “Victory” was the passage of the second part of ObamaCare, “The Health Care Bill.”  That’s right, the second part of ObamaCare is the 1,990 page bill that created 118 new boards, commissions, offices and bureaus. The same bill that will be paid for with (1)  $740 billion in tax increases,  (2)  a cut in Medicare to Seniors by $500 Billion, and (3)  a cost shift of $34 Billion to States in unfunded mandates.

This “Victory” was Pelosi’s and President Obama’s second victory on the health care front.  The first occurred under the cloak of darkness and obfuscation, in February 2009.  Hidden in The Stimulus Bill and passed into law were the ominous Obama, Pelosi, Reid rationing and enforcement health boards.

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Warner Todd  Huston

Louisiana Legislature Floating Bill Making Obamacare Illegal in State

by Warner Todd Huston

Louisiana State Senator A.G. Crowe (R, Slidell) is introducing a bill for the 2010 legislative session in Baton Rouge that would make Obamacare illegal if it violates state laws, effectively making Obamacare null and void in the Pelican State.

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Senator Crowe states that his bill “provides that no law or rule shall compel, directly or indirectly, any person, employer or health care provider to participate in any health care system or health insurance.”

Crowe’s proposed Senate Bill (download .pdf file) begins as follows:

HEALTH CARE. Prohibits state or local governmental coercion of any Louisiana employer, health care provider, or individual to compel participation in any health care system or health insurance plan.

Crowe insists that Obamacare violates Article I, Section 8 of the Constitution and “is therefore unconstitutional.” He also feels that the president’s plans violates the 10th Amendment among others.

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Dr. Jane Orient

The Feds Are Out of Money: Healthcare Is Their New Bank

by Dr. Jane Orient

It is mentioned, almost in passing, that the “healthcare reform” on the verge of becoming law starts collecting premiums and taxes immediately, and promises benefits only in about four years.

What kind of emergency is that?

Money

It’s not a healthcare emergency. It’s what might be called a Madoff emergency.

Whether starry-eyed utopians or cynical malefactors, the unnamed, possibly unnameable they have high ambitions for Washington to achieve their objectives. The stars are aligned for their coup d’etat, but there is one little problem: the country is out of money.

This problem threatens to stop not only their agenda, but the whole game. Washington has 2 million employees on the payroll, earning on average twice as much as those in the private sector. And probably more than a hundred million dependents—recipients of Social Security, Medicare, Medicaid, and grants and subsidies of all types. What happens if the checks stop coming?

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Nick Gillespie

Obamanomics: Crony Capitalism Disguised as Progressive Reforms

by Nick Gillespie

In his new book Obamanomics: How Barack Obama is Bankrupting You and Enriching His Wall Street Friends, Corporate Lobbyists, and Union Bosses, Timothy P. Carney explains that Barack Obama’s “progressive” rhetoric masks good old-fashioned crony capitalism, in which the favored few and politcally well-connected get all sorts of benefits paid for with public dollars. Whether the area is Wall Street, health care reform, union organizing, or K Street lobbying, the same pattern is everywhere: using the government’s power to distribute goodies and rig markets.

A columnist at the Washington Examiner and a non-partisan reporter, Carney also lays into the Republican Party for its massive contribution to the problem when it wielded power. Carney provides a game plan to take the country back and restore truly free markets that will benefit everyone.

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Thomas Del Beccaro

California Democrats Ignore Brown Win: Vote For Bankruptcy

by Thomas Del Beccaro

Reagan famously said that Republicans believe everyday is the 4th of July and the Democrats believe everyday is April 15th.  An oversimplification to be sure, but that sentiment was not far from the minds of the Massachusetts voters.  Already laboring under a bad state imposed health care system, in spectacular fashion, they rejected ObamaCare and elected Scott Brown to a “people’s seat.”

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In California, that lesson apparently went unnoticed for California Democrats.   Less than 48 hours after the dust settled from the Brown triumph, California Democrats voted for a State imposed “universal” health care plan.  In other words, a state run health care system that would bar private insurance.

Keep in mind that California is already amidst a chronic and prolonged budget crisis brought on by runaway spending and exorbitant taxing.   Perennially listed among the worst states in our Union to do business, California features 10%+ income taxes and the highest regulatory burden around.  So imposing are the costs to business in California, despite its ports and natural resources, Nevada and its desert is #1 in the Country in new business development.

As Congressman Tom McClintock famously says, only government policy could convince people and business to relocate from lush California to the barren deserts of Nevada.  The practical result of those anti-job polices is that California now has a revenue problem.  Just 3 years ago revenues were in the $125 billion dollar range.  Now they are in the $85+ billion dollar range.  In other words, government has created a revenue problem by killing off jobs and, without those jobs, there are less taxpayers, less income tax and less sales tax.

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Dr. Elaina   George

Massachusetts Voters Decided To Make A Stand, But Is It Enough To Save American Healthcare?

by Dr. Elaina George

It has become clear that health care reform in its present state has nothing to do with delivering quality healthcare to the American people.

Health Care Overhaul

The idea of universal coverage, with protection against insurance company wrongs (e.g., denying patients for pre-existing conditions and limiting the insurance company’s ability to deny coverage when you really need it) has been the sheep’s clothing cloaking a bill designed to destroy our healthcare system. In short, the proposed healthcare reform will doom us to a future that has the potential to make us sicker by limiting our access to screening exams such as mammograms, and limiting our access to physicians while making us pay more for the privilege.

The vote in Massachusetts was a stand against those in the government who are bent on telling us that they know what is best for us. I have been astounded by the complete contempt in which those in power hold the American people. A majority of the people in this country think the healthcare reform effort is going in the wrong direction. Although the vote in Massachusetts made it clear that there was major opposition to the current bill, I have doubts that the voices of the majority will be heard and this debacle will be stopped.

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Paul A.  Rahe

Obama’s Options: What Would Slick Willie Do?

by Paul A. Rahe

It is evening. Dinner is over, and I can see Bill Clinton sitting back at a table. In my fantasy, he has a mischievous smile on his face and a cigar in his right hand; his left hand lies on the knee of a scantily-clad lass less than half his age; and he is waiting in vain for the President to call.

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Republicans, when on the spot, are apt to ask themselves, “What would Reagan do?” Democrats would be well advised, when in similar straits, to ponder what Bill Clinton would do. For whatever one might think of him — and in the last couple of years Democrats have been as likely to badmouth the man as Republicans — Slick Willie is a survivor who knows how to stage a comeback when nearly everyone thinks him not only down but permanently out. It was with such a figure in mind that H. L. Mencken wrote these immortal words: “The smarter the politician, the more things he believes and the less he believes any of them.”

I have no doubt what advice Clinton would give Barack Obama if the latter were to make that call. He would tell him to jettison Rahm Emanuel and David Axelrod; to hire a David Gergen, and a Dick Morris; to leave Nancy Pelosi, Harry Reid, and their minions twisting in the wind; and to announce in his State of the Union Address that the era of big government is once again at an end.

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Greg Knapp

Now Barney Frank and the Dems are for the Nuclear Option

by Greg Knapp

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Take a listen to Barney Frank saying “God didn’t invent the filibuster.”

Remember way back in 2003 when the Republicans were looking to rewrite the senate rules so the Dems couldn’t filibuster judicial nominees?

Partisan disagreement over judicial nominations is so intense that senators couldn’t even agree on the title of Mr. Cornyn’s hearing: “Judicial Nominations, Filibusters and the Constitution: When a majority is denied its right to consent.”"The title suggests that [the hearing] may be intended to turn up the heat rather than cool things down,” said Sen. Russell D. Feingold, Wisconsin Democrat, who warned that any effort to change Senate rules “will be met with stiff resistance.”As with the country’s actual nuclear arsenal, there is a form of mutually assured destruction here, too.The only thing holding Republicans back from breaking the filibuster this way is knowing that the same weapon will be used against them someday in the future when the roles are reversed. “The old bears in the Senate want to preserve their ability to filibuster the Democrats in the future,” said one key Senate aide, who also stressed that such a maneuver would only be used to break filibusters involving executive nominees.”If the Democrats take back the Senate — God forbid — the first 10 things they bring up will be anathema to us but they’ll say [forget] you, we have our 51 votes.”

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Kyle Olson

Field Marshal Andy Stern: ‘Dammit, I Said March Off That Cliff’

by Kyle Olson

Suddenly, all the condescending ‘tea-bagger’ jokes must not be quite so funny in liberal circles.  Serves them right.

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Losing the seat formerly held by the champion of socialized medicine – in the bluest of states – apparently hasn’t phased the radical left.  SEIU president Andy Stern put the blame on the fact that Democrats in Washington, DC, who the union spent tens of millions of dollars electing, haven’t done enough to pass the progressive agenda.  From a SEIU statement:

“The reason Ted Kennedy’s seat is no longer controlled by a Democrat is clear: Washington’s inability to deliver the change voters demanded in November 2008. Make no mistake, political paralysis resulted in electoral failure,” Stern said.

“During the past year, Republicans refused to do anything but stand in the way of change and Democratic Senators took too long to do too little. And tonight, the Senate bears the consequences for its failure to act decisively but the American people are the ones left paying the price…

“The Senate may have squandered the trust the American people gave to Washington in 2008. But now, every member of Congress and the Administration must act with a renewed sense of purpose to show working families whose side they are on and deliver meaningful change to every American. This is not the time for timidity. It starts by passing health insurance reform and giving Pat [DeJong] and millions of people like her the security and peace of mind they deserve.”

Massachusetts voters stood at the borders of their state – and the polling places – with virtual pitch forks telling politicians, to paraphrase Johnny Paycheck, “take this agenda and shove it.”

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Nick Gillespie

Three Reasons Why Obama and The Dems Are in Big, Big Trouble.

by Nick Gillespie

Over at Reason.com, my colleague Matt Welch and I list three basic reasons why the Dems are in big, big trouble. And one reason why they’re not:

Martha Coakley’s resounding defeat in the Massachusetts Senate race is hardly the sort of anniversary gift President Barack Obama could have predicted. Yet there it was, wrapped in a bow and plopped on his doorstep like a flaming bag of dog poo to mark the end of his first year in office.

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Among other things, Scott Brown’s upset victory means that Obama, who flew up to the Bay State to campaign for the deservedly doomed Coakley in the race’s twilight, is zero for three when it comes to high-profile two-minute drills for beloved causes (remember getting Chicago the Olympics and putting together a global carbon deal at the U.N climate conference in Copenhagen?).

There are at least three basic reasons, plain as the nose on your face, that the Democrats and Obama are in trouble for the near future:

1. Health care reform is not popular. An ABC News/Washington Post poll published on January 19 has 51 percent against current congressional plans and just 44 percent in favor, numbers that haven’t moved in a month. Other polls show even greater percentages oppose the plan, with all the trend lines over the past year working heavily against the Democrats.

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Paul A.  Rahe

George W. Bush Revisited

by Paul A. Rahe

He left office a year ago today. He has maintained a dignified silence in the last twelve months — even though his successor denounces him in almost every speech and acts as if he is still running against the man. I reviewed President Obama’s disastrous first year on Saturday. Today, I ask, “What, in retrospect, should we think of George W. Bush?”

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The first thing that needs to be said is that he meant well. He is not a vindictive man, and he sought to put behind him the controversies and turmoil of the Clinton years. He thought that his focus would be domestic policy, but, as tends to happen, events intervened.

Had it not been for 9/11, George W. Bush would probably have been a one-term President. He fell short of his adversary in the popular vote but won a majority in the electoral college. He was destined to be weak — but when disaster struck, he was in the line of fire, and he rose to the occasion.

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Paul A.  Rahe

A Victory Speech for Scott Brown

by Paul A. Rahe

I believe that Scott Brown will win the senatorial election being held in Massachusetts today and that he will do so not by an eyelash but by a landslide. We are about to witness the Massachusetts Miracle.

I have three reasons for being so confident. First, the polls — with admirable consistency — suggest that he is ahead. Second, the Coakley campaign and the Democratic Party nationally have panicked. Coakley’s minions have sent out a flier accusing Scott Brown of wanting to turn rape victims away from Massachusetts hospitals, and the DC apparatus has sent in Bill Clinton and Barack Obama for last-minute campaigning. Both moves are likely to backfire.

First, the claims in the flier are ridiculous and demonstrably false, and voters in Massachusetts have the wit to recognize that fact. Second, the bloom is off the rose. Clinton is a has-been, and Obama inspires little in the way of adulation these days. Their appearance in Massachusetts under these circumstances is a public confession that Martha Coakley is herself a loser. In special elections, turnout is everything. Scott Brown commands enthusiasm; no one — even within the Democratic establishment — has expressed any genuine excitement regarding his opponent.

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Dr. Lorraine M. Schratz

Evidence-Based Health Care Reform? Lessons From Massachusetts

by Dr. Lorraine M. Schratz

In Massachusetts, where 97% of us have health insurance by mandate since 2006, we have learned a few things about health care reform.

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We have learned that universal coverage does not mean universal access to a doctor.  The Massachusetts Medical Society reports that there is a critical shortage of family physicians and severe shortage of internal medicine doctors.  Seven physician specialties are also operating in critical or severe physician labor markets.

A recent study by the Robert Wood Johnson Foundation showed that 75% of non-emergency ER visits occurred because a regular physician was not available after hours, and half of these visits occurred because a timely appointment was unavailable.  With more than half of all the doctors trained in Massachusetts leaving the state, citing the practice environment and low salary levels, and one out of every four currently practicing doctors considering a career change, it does not appear that access issues are going to improve soon.

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Kyle Olson

Dems’ Health Care Strategy: Seek Forgiveness Instead of Permission

by Kyle Olson

Consider this irony: Democrats and their special interest allies are in the fight of their lives to keep the seat formerly held by the champion of socialized medicine in the bluest of states.  Democrats should be tap dancing on the foreheads of Republicans in Massachusetts.  But instead, they’re racing against the clock for a deal on health care reform because they run the risk of losing their critical 60th vote in just a few days.

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So the Democrats strategy is clear:  seek forgiveness of American voters in November instead of permission now because the probable message from Tuesday’s election will not be in favor of ObamaCare.  Democrats are “hoping” to have an overall deal on health care reform, the tax-dodging Ways and Means committee chairman Charlie Rangel told NationalJournal.com, just in time to avoid the Tuesday Massachusetts vote.

The Huffington Post quoted SEIU vice president Anna Burger as saying, “Let’s go on and actually pass this bill.”  Anna’s wish is, of course, this White House’s command.

The special election this week in Massachusetts can easily be viewed as a referendum on Obama, his policies and specifically government-run health care.  And in a state that is navy blue, it’s a dog fight, with SEIU stepping in to plop down over $600,000 for TV ads savaging Republican candidate Scott Brown.  And RedState.com reported House Democrats are spending beaucoup bucks to elect a Democrat to the Senate.  It’s pure panic time for Democrats in Washington.

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Paul A.  Rahe

Obama’s First Year

by Paul A. Rahe

Wednesday will mark the first anniversary of the presidential inauguration of Barack Obama — who began his Presidency, as nearly all new first-term Presidents do, high in the polls. At that time, Obama’s approval ratings were, in fact, in the stratosphere. In the last twelve months, however, they have fallen further and faster than those of any President since polling began; and, and, as developments in Massachusetts suggest, his party is now in danger of suffering in November an historic defeat — which is likely to rival its fate in 1938, 1966, and 1994 if the Democrats do not, as I believe they may, do even worse. In a poll released on Thursday, the National Journal reports that half of the adults sampled responded that, if new Presidential elections were held right now, they would vote against Barack Obama, and less than a quarter of those questioned indicated that they would vote to re-elect the President. It is an appropriate time in which to pose this question: Why have Obama and his supporters fallen so far and so fast?

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We must, I think, begin before the beginning. The Obama campaign was predicated on a fraud. With a skill that was breathtaking, Barack Obama managed during that campaign to signal to the left within the Democratic Party with a wink and a nod that he was their man and that he meant business — that he really intended to “transform” America. To those in the middle and on the right who are ashamed of the nation’s historic sins in matters of race, he offered absolution, and he promised that the penance that they would have to perform after leaving the confessional would not be harsh. He was not, he said, a tax-and-spend liberal.

I was not taken in. Late in 2008, after reviewing the page proofs of Soft Despotism, Democracy’s Drift, I persuaded my editor to allow me to add the following to the book:

Once again, as in the 1920s, rational administration has failed us. As on that other occasion, the Federal Reserve Board and the Department of the Treasury pursued over an extended period under more than one administration an easy-money policy bound in the end to give rise to “irrational exuberance” in the markets and to a bubble followed by a catastrophic decline in prices and a collapse of the credit markets. And, to make matters worse, we responded to this set of circumstances precisely as we did on that earlier occasion — by electing a president and choosing a Congress intent on dramatically increasing the scale and scope of the administrative state.

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Brian Darling

Leftists Continue War Against Filibuster

by Brian Darling

Yet another leftist has attacked the Senate filibuster.  The chorus from the left is growing and one can only assume that this coordinated attack is evidence that liberal Senators are readying a challenge to the Senate’s filibuster.  The left absolutely hates the fact that they have to deal with that pesky Constitution that protects and promotes transparency, debate and dissent.  They are intent on tossing aside the idea in the Constitution that we are a democratic republic with States being represented by two Senators with the right to extended debate and unlimited amendment.

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This conspiracy by left wingers has a specific goal — to abolish dissent in the Senate, exterminate Republican participation in the democratic process, and marginalize moderate Democrats.  It seems the left is willing to stomp all over the Senate’s rules to get a public option, regulate Wall Street into the Stone Age and pass global warming legislation before the end of one of the coldest winters on record in American history.

Harold Meyerson groused in the L.A. Times that the Senate has yet to follow the House in establishing government run health care through the establishment of a Public Option for ObamaCare:

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Rep. John Boehner

Make the Final Health Care Talks Public

by Rep. John Boehner (R-OH)

Republicans are continuing to insist on behalf of the American people that any legislative negotiations pertaining to health care reform be made public. Today, Rep. Vern Buchanan (R-FL) is filing a discharge petition which, if signed by 218 Representatives, would force an up-or-down vote on his bipartisan resolution (H. Res. 847) requiring that health care talks be public and open to the media, as President Obama promised they would be.

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We’re taking this step because something as important as the Democrats’ health care bill, with its Medicare cuts and tax hikes, should not be slapped together behind closed doors.  Secret deliberations are a breeding ground for mischief, including sweetheart deals that end up not being discovered until it’s too late (see: Sen. Ben Nelson’s “Cornhusker Kickback.”)

Of course, the American people should be able to see how every bill is coming together, but it’s even more important to adhere to this common-sense standard when we’re talking about transforming one-sixth of our economy and implementing drastic changes to the way in which Americans live.

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Kyle Olson

Unions Make Obama An Offer He Can’t Refuse

by Kyle Olson

It’s amusing to watch President Obama try to stick it to his friends in organized labor by proposing a tax on union-negotiated health care benefits.

If it weren’t for the fact that the tax proposal would have a  devastating effect on the American economy, the situation would be downright hilarious.

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Richard Trumka, AFL-CIO President

On Monday, a group of top leaders from the American labor movement gathered at the White House to share their concerns with the president.

The irony of the discussion was delicious. During the campaign, Obama and the Democratic Party (including the unions) attacked John McCain for suggesting that health care benefits should be taxed as income.

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