{"id":5485,"date":"2017-03-10T14:38:34","date_gmt":"2017-03-10T19:38:34","guid":{"rendered":"http:\/\/napervilledemocrats.org\/ntdo\/?p=5485"},"modified":"2017-03-10T14:59:04","modified_gmt":"2017-03-10T19:59:04","slug":"the-values-being-put-on-display-in-the-health-care-debate","status":"publish","type":"post","link":"https:\/\/napervilledemocrats.org\/ntdo\/the-values-being-put-on-display-in-the-health-care-debate\/","title":{"rendered":"The Values Being Put On Display in the Health Care Debate"},"content":{"rendered":"<p><a href=\"https:\/\/i0.wp.com\/napervilledemocrats.org\/ntdo\/wp-content\/uploads\/2017\/03\/gop-defends-new-health-care-bill-mattingly-lead-00003823-large-169.jpg\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"5494\" data-permalink=\"https:\/\/napervilledemocrats.org\/ntdo\/the-values-being-put-on-display-in-the-health-care-debate\/gop-defends-new-health-care-bill-mattingly-lead-00003823-large-169\/\" data-orig-file=\"https:\/\/i0.wp.com\/napervilledemocrats.org\/ntdo\/wp-content\/uploads\/2017\/03\/gop-defends-new-health-care-bill-mattingly-lead-00003823-large-169.jpg?fit=460%2C259&amp;ssl=1\" data-orig-size=\"460,259\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"gop-defends-new-health-care-bill-mattingly-lead-00003823-large-169\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/napervilledemocrats.org\/ntdo\/wp-content\/uploads\/2017\/03\/gop-defends-new-health-care-bill-mattingly-lead-00003823-large-169.jpg?fit=300%2C169&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/napervilledemocrats.org\/ntdo\/wp-content\/uploads\/2017\/03\/gop-defends-new-health-care-bill-mattingly-lead-00003823-large-169.jpg?fit=460%2C259&amp;ssl=1\" class=\"alignright size-medium wp-image-5494\" src=\"https:\/\/i0.wp.com\/napervilledemocrats.org\/ntdo\/wp-content\/uploads\/2017\/03\/gop-defends-new-health-care-bill-mattingly-lead-00003823-large-169-300x169.jpg?resize=300%2C169\" alt=\"\" width=\"300\" height=\"169\" srcset=\"https:\/\/i0.wp.com\/napervilledemocrats.org\/ntdo\/wp-content\/uploads\/2017\/03\/gop-defends-new-health-care-bill-mattingly-lead-00003823-large-169.jpg?resize=300%2C169&amp;ssl=1 300w, https:\/\/i0.wp.com\/napervilledemocrats.org\/ntdo\/wp-content\/uploads\/2017\/03\/gop-defends-new-health-care-bill-mattingly-lead-00003823-large-169.jpg?w=460&amp;ssl=1 460w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>I found <a href=\"https:\/\/www.washingtonpost.com\/blogs\/plum-line\/wp\/2017\/03\/08\/how-the-republican-health-care-debacle-is-making-everyones-values-clear\/?hpid=hp_no-name_opinion-card-a%3Ahomepage%2Fstory&amp;utm_term=.adba6a61395d\">this piece<\/a> by Paul Waldman\u00a0enlightening. \u00a0I&#8217;ve actually had some of these debates with friends from the other part of the political spectrum. \u00a0I&#8217;ll say, &#8220;Americans deserve health care,&#8221; and they&#8217;ll say, &#8220;But that&#8217;s not the government&#8217;s job.&#8221; \u00a0Etc. \u00a0We can talk about whether or not the argument is really just a cover for indifference to the suffering of others &#8211; and I often feel like it is &#8211; but if you give the benefit of the doubt, sometimes there&#8217;s a real discussion there.<\/p>\n<p>OTOH, sometimes it&#8217;s too jarring to go along with. \u00a0For instance, I expect most of us have seen <a href=\"https:\/\/twitter.com\/KaivanShroff\/status\/839907786096054272?ref_src=twsrc%5Etfw\">Paul Ryan&#8217;s Powerpoint presentation from the other day<\/a> in which he professes discouragement at the unfairness of young, healthy people having to pay for older, sicker people.<\/p>\n<blockquote class=\"twitter-video\" data-lang=\"en\">\n<p dir=\"ltr\" lang=\"en\">Ryan says problem with ACA is that the healthy are &#8220;subsidizing&#8221; the sick&#8230;AKA *literally* the point of insurance: <a href=\"https:\/\/t.co\/IbHzoKAqlj\">pic.twitter.com\/IbHzoKAqlj<\/a><\/p>\n<p>\u2014 Kaivan Shroff (@KaivanShroff) <a href=\"https:\/\/twitter.com\/KaivanShroff\/status\/839907786096054272\">March 9, 2017<\/a><\/p><\/blockquote>\n<p><script async src=\"\/\/platform.twitter.com\/widgets.js\" charset=\"utf-8\"><\/script>Of course, that&#8217;s exactly the point of insurance, right? \u00a0It&#8217;s all about pooling risk. \u00a0None of us knows if or when we might need the doctor (we might get sick at any time &#8211; even Ryan cites the woman who gets breast cancer in her forties, but he cites her as an expense rather than as an example of an innocent who deserves our support &#8211; and we&#8217;re all going to get old, but let&#8217;s not talk about that), so we hedge our bets, counting on the insurance to be there if we need it. \u00a0And what&#8217;s with the determination to stoke the resentment of folks who think they won&#8217;t need it &#8230; today? \u00a0It goes to the GOP&#8217;s emphasis on the individual at the expense of the community (Where&#8217;s mine? \u00a0What&#8217;s in it for me? \u00a0Why should I have to&#8230;?). \u00a0Seems wrong to me, but there you go.<\/p>\n<p>Anyway, here&#8217;s Paul Waldman. \u00a0And I&#8217;ve got a bunch more links below:<\/p>\n<h2 style=\"padding-left: 30px;\"><a href=\"https:\/\/www.washingtonpost.com\/blogs\/plum-line\/wp\/2017\/03\/08\/how-the-republican-health-care-debacle-is-making-everyones-values-clear\/?hpid=hp_no-name_opinion-card-a%3Ahomepage%2Fstory&amp;utm_term=.adba6a61395d\">How the Republican health care debacle is making everyone\u2019s values clear<\/a><\/h2>\n<p style=\"padding-left: 30px;\">With the release of the House leadership\u2019s plan to repeal and replace the Affordable Care Act, Republicans suddenly find themselves having to answer a lot of questions about health care, which they\u2019re not exactly comfortable doing. In the process, they\u2019re revealing something important: not so much the details of their plan, but the values that underlie it.<\/p>\n<p style=\"padding-left: 30px;\">Those values, and the clash between the different ones different players in this issue hold, will determine whether compromises can be reached or whether the whole thing goes down in flames.<\/p>\n<p style=\"padding-left: 30px;\">Yesterday, Rep. Jason Chaffetz got in trouble for <a href=\"http:\/\/www.cnn.com\/2017\/03\/07\/politics\/jason-chaffetz-health-care-iphones\/index.html\">saying<\/a> that people who lack health insurance ought to just consider not buying an iPhone. And today, the director the Trump administration\u2019s budget office, Mick Mulvaney, said this in an <a href=\"https:\/\/youtu.be\/wRZLV08ijlQ\">interview<\/a> with Mark Halperin on MSNBC:<\/p>\n<p style=\"padding-left: 60px;\">HALPERIN: \u201cWhat\u2019s your range of estimate of how many fewer people will have health insurance?\u201d<\/p>\n<p style=\"padding-left: 60px;\">MULVANEY: \u201cWe\u2019re looking at it in a different way, Mark, because insurance is not really the end goal here. It\u2019s one of the conservatives\u2019, one of the Republicans\u2019 complaints about the Affordable Care Act from the very beginning, it was a great way to get insurance, and a lousy way to be able to actually go to the doctor. So we\u2019re choosing instead to look at what we think is more important to ordinary people: Can they afford to go to the doctor? We\u2019re absolutely convinced it will be more possible for more people to get better care at the doctor under this plan than it was under Obamacare.\u201d<\/p>\n<p style=\"padding-left: 30px;\">This is basically gibberish. How is it that when people no longer have insurance, they can \u201cget better care at the doctor\u201d than they do when they have insurance? Nevertheless, it\u2019s edifying to have a top administration official say plainly that insuring people is not their goal, and if a lot of people lose the coverage they now have, then that\u2019s okay with them. So let\u2019s run down some of the basic value clashes at work here, and how they\u2019re being expressed in policy.<\/p>\n<p>&#8230;and then Waldman goes on to enumerate some higher-level distinctions of viewpoint that seem &#8211; at least to me &#8211; to capture the differing perspectives between our two dominant parties fairly well. \u00a0See the piece for the details, but the headings are&#8230;<\/p>\n<ul>\n<li><strong>Democrats want to see everyone insured; Republicans don\u2019t.<\/strong><\/li>\n<li><strong>Democrats see health care as a collective responsibility; Republicans see it as an individual responsibility.<\/strong><\/li>\n<li><strong>Democrats are more concerned with equality while Republicans are more concerned with individual freedom.<\/strong><\/li>\n<li><strong>Democrats are happy to have government provide insurance; Republicans aren\u2019t.<\/strong><\/li>\n<li><strong>Republican see poverty as a moral failing, and will only grudgingly accept benefits given to poor people.<\/strong><\/li>\n<li><strong>Democrats are fine with income redistribution; Republicans aren\u2019t.<\/strong><\/li>\n<\/ul>\n<p>&#8230;and he sums up this way:<\/p>\n<p style=\"padding-left: 30px;\">Those are just some of the value clashes now playing out, and Republicans have to decide just how far they\u2019re willing to let their values take them. They have at multiple points stepped back from the logical expression of those values, every time because they realized how unpopular that expression would be. They\u2019ve had to include some (stingy) subsidies in their plan as a nod to the idea that people should be helped by the government to afford coverage, much as it pains them. They had to come up with a complex, jerry-rigged solution to the problem of those with pre-existing conditions, a problem they never much cared about before the ACA addressed it. They said they\u2019d delay the revocation of the Medicaid expansion by a few years (past the midterm elections!), because they\u2019re afraid of the blowback from millions of people losing their coverage.<\/p>\n<p style=\"padding-left: 30px;\">But the clash of values is what will determine whether they pass a reform bill at all. Back in 2010, there were Democrats who disliked the ACA because it didn\u2019t go far enough. But their desire to expand coverage was strong enough to make them willing to set aside that disappointment and support the bill. What we don\u2019t yet know is what happens to Republicans when it\u2019s time to vote. Will the conservatives say that something like the Ryan bill is too generous to the undeserving and too far from free-market purity? Will it make them bolt, preferring to see nothing pass rather than approve a bill that makes some compromises?<\/p>\n<p style=\"padding-left: 30px;\">There\u2019s one thing we do know: President Trump has no particular opinion about any of this. What he says about health care is driven not by his values but by a momentary assessment of what sounds popular (\u201c<a href=\"https:\/\/www.washingtonpost.com\/politics\/trump-vows-insurance-for-everybody-in-obamacare-replacement-plan\/2017\/01\/15\/5f2b1e18-db5d-11e6-ad42-f3375f271c9c_story.html\">We\u2019re going to have insurance for everybody<\/a>\u201c). Republicans can\u2019t count on him to be an effective salesman for their bill, or even to keep supporting it when the going gets rough. And it\u2019s already gotten rough.<\/p>\n<hr \/>\n<p>There&#8217;s so much more going on around the health care debate. \u00a0I posted <a href=\"http:\/\/napervilledemocrats.org\/ntdo\/obamacare-replacement-gop-set-to-leap-before-it-looks\/\">some highlights the other <\/a>day, and have gathered a few more pieces here.<\/p>\n<div>\n<ul>\n<li><strong>Is it just about the tax cut? \u00a0Would not be out of character.<\/strong>\n<ul>\n<li><img decoding=\"async\" src=\"https:\/\/www.google.com\/s2\/favicons?domain=www.vox.com\" \/>\u00a0<a class=\"clickable\" href=\"http:\/\/www.vox.com\/policy-and-politics\/2017\/3\/7\/14844362\/ahca-ryancare-trumpcare-tax-cut-rich\">The GOP health bill is a $600 billion tax cut \u2014 almost entirely for the wealthy &#8211; Vox<\/a><\/li>\n<li><img decoding=\"async\" src=\"https:\/\/www.google.com\/s2\/favicons?domain=www.washingtonpost.com\" \/>\u00a0<a class=\"clickable\" href=\"https:\/\/www.washingtonpost.com\/news\/wonk\/wp\/2017\/03\/07\/the-massive-tax-cuts-for-the-rich-inside-the-gop-health-care-plan\/?utm_term=.d3cc5ede0c77\">The massive tax cuts for the rich inside the GOP health-care plan &#8211; The Washington Post<\/a><\/li>\n<li><img decoding=\"async\" src=\"https:\/\/www.google.com\/s2\/favicons?domain=www.theatlantic.com\" \/>\u00a0<a class=\"clickable\" href=\"https:\/\/www.theatlantic.com\/business\/archive\/2017\/03\/acha-tax-cut\/518889\/\">The ACHA Bill Is a Tax Cut for Rich Americans &#8211; The Atlantic<\/a><\/li>\n<li><img decoding=\"async\" src=\"https:\/\/www.google.com\/s2\/favicons?domain=nymag.com\" \/>\u00a0<a class=\"clickable\" href=\"http:\/\/nymag.com\/daily\/intelligencer\/2017\/03\/watch-paul-ryans-adams-apple-when-asked-about-the-rich.html?mid=full-rss-nymag\">Watch Paul Ryan\u2019s Adam\u2019s Apple When Asked About the Rich<\/a><\/li>\n<li><img decoding=\"async\" src=\"https:\/\/www.google.com\/s2\/favicons?domain=www.washingtonpost.com\" \/>\u00a0<a class=\"clickable\" href=\"https:\/\/www.washingtonpost.com\/news\/powerpost\/wp\/2017\/03\/08\/what-the-gop-health-plan-really-means-for-taxes\/?utm_term=.16a4df790cf4\">What the GOP health plan really means for taxes &#8211; The Washington Post<\/a><\/li>\n<\/ul>\n<\/li>\n<li><img decoding=\"async\" src=\"https:\/\/www.google.com\/s2\/favicons?domain=www.chicagotribune.com\" \/>\u00a0<a class=\"clickable\" href=\"http:\/\/www.chicagotribune.com\/news\/nationworld\/politics\/ct-paul-ryan-gop-health-care-bill-20170308-story.html\">Influential hospitals, other industry groups come out against GOP health plan &#8211; Chicago Tribune\u00a0<\/a><\/li>\n<li><img decoding=\"async\" src=\"https:\/\/www.google.com\/s2\/favicons?domain=nymag.com\" \/>\u00a0<a class=\"clickable\" href=\"http:\/\/nymag.com\/daily\/intelligencer\/2017\/03\/https-twitter-com-naral-status-839940098552696832.html?mid=full-rss-nymag\">GOP Congressman: Should Men Have to Pay for Prenatal Care?<\/a><\/li>\n<li><img decoding=\"async\" src=\"https:\/\/www.google.com\/s2\/favicons?domain=www.wbez.org\" \/>\u00a0<a class=\"clickable\" href=\"https:\/\/www.wbez.org\/shows\/wbez-news\/how-the-proposal-to-replace-obamacare-could-play-out-in-illinois\/1b32ae3b-96ac-46d7-b91f-8aefb815f58b?utm_campaign=Rundown_20170309_A&amp;utm_medium=email&amp;utm_source=Eloqua\">How The Proposal To Replace Obamacare Could Play Out In Illinois | WBEZ<\/a><\/li>\n<li><img decoding=\"async\" src=\"https:\/\/www.google.com\/s2\/favicons?domain=nymag.com\" \/>\u00a0<a class=\"clickable\" href=\"http:\/\/nymag.com\/daily\/intelligencer\/2017\/03\/is-the-far-right-going-to-kill-trumpcare.html?mid=full-rss-nymag\">Is the Far Right Going to Kill Trumpcare?<\/a><\/li>\n<li><img decoding=\"async\" src=\"https:\/\/www.google.com\/s2\/favicons?domain=newrepublic.com\" \/>\u00a0<a class=\"clickable\" href=\"https:\/\/newrepublic.com\/article\/141209\/republicans-responsible-obamacare-mess\">The Republicans Did This to Themselves | New Republic<\/a><\/li>\n<li><img decoding=\"async\" src=\"https:\/\/www.google.com\/s2\/favicons?domain=talkingpointsmemo.com\" \/>\u00a0<a class=\"clickable\" href=\"http:\/\/talkingpointsmemo.com\/edblog\/let-s-agree-not-to-lie-about-the-gopcare\">Let&#8217;s Agree Not To Lie About GOPCare<\/a><\/li>\n<li><img decoding=\"async\" src=\"https:\/\/www.google.com\/s2\/favicons?domain=nymag.com\" \/>\u00a0<a class=\"clickable\" href=\"http:\/\/nymag.com\/daily\/intelligencer\/2017\/03\/paul-ryan-wont-admit-his-plan-is-obamacare-but-less-of-it.html?mid=full-rss-nymag\">Paul Ryan Won\u2019t Admit His Plan Is Obamacare, But Less of It<\/a><\/li>\n<li><img decoding=\"async\" src=\"https:\/\/www.google.com\/s2\/favicons?domain=nymag.com\" \/>\u00a0<a class=\"clickable\" href=\"http:\/\/nymag.com\/daily\/intelligencer\/2017\/03\/why-is-mcconnell-rushing-through-a-bill-everybody-hates.html?mid=full-rss-nymag\">Why Is McConnell Rushing Through a Bill Everybody Hates?<\/a><\/li>\n<li><img decoding=\"async\" src=\"https:\/\/www.google.com\/s2\/favicons?domain=nymag.com\" \/>\u00a0<a class=\"clickable\" href=\"http:\/\/nymag.com\/daily\/intelligencer\/2017\/02\/trump-nobody-knew-health-care-could-be-so-complicated.html?mid=full-rss-nymag\">Trump: \u2018Nobody Knew Health Care Could Be So Complicated\u2019<\/a>\n<ul>\n<li>I do think this one is really astonishing. \u00a0Of course, EVERYONE knew it was complicated, except maybe this goof.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<!-- sktbuilder starter --><script type=\"text\/javascript\" src=\"https:\/\/napervilledemocrats.org\/ntdo\/wp-content\/plugins\/skt-builder\/sktbuilder\/sktbuilder-frontend-starter.js\"><\/script><script type=\"text\/javascript\" 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More<\/a><\/p>\n","protected":false},"author":2,"featured_media":5490,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1],"tags":[32,64,107,74,218,60],"class_list":["post-5485","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-chait","tag-health-care","tag-obamacare-sabotage","tag-paul-ryan","tag-trumpcare","tag-waldman"],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/napervilledemocrats.org\/ntdo\/wp-content\/uploads\/2017\/03\/ct-paul-ryan-gop-health-care-bill-20170308.jpg?fit=2048%2C1400&ssl=1","jetpack_shortlink":"https:\/\/wp.me\/p2BzCg-1qt","jetpack_sharing_enabled":true,"jetpack_likes_enabled":true,"_links":{"self":[{"href":"https:\/\/napervilledemocrats.org\/ntdo\/wp-json\/wp\/v2\/posts\/5485","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/napervilledemocrats.org\/ntdo\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/napervilledemocrats.org\/ntdo\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/napervilledemocrats.org\/ntdo\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/napervilledemocrats.org\/ntdo\/wp-json\/wp\/v2\/comments?post=5485"}],"version-history":[{"count":10,"href":"https:\/\/napervilledemocrats.org\/ntdo\/wp-json\/wp\/v2\/posts\/5485\/revisions"}],"predecessor-version":[{"id":5498,"href":"https:\/\/napervilledemocrats.org\/ntdo\/wp-json\/wp\/v2\/posts\/5485\/revisions\/5498"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/napervilledemocrats.org\/ntdo\/wp-json\/wp\/v2\/media\/5490"}],"wp:attachment":[{"href":"https:\/\/napervilledemocrats.org\/ntdo\/wp-json\/wp\/v2\/media?parent=5485"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/napervilledemocrats.org\/ntdo\/wp-json\/wp\/v2\/categories?post=5485"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/napervilledemocrats.org\/ntdo\/wp-json\/wp\/v2\/tags?post=5485"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}