Medicare — The Bush case study

There are, to be sure, a lot of balls in the air right now. For Dems hoping to highlight the president’s foibles, it’s a challenge to narrow the list down. Too many outrages, too little time.

But Jonathan Chait makes a very compelling case that the administration’s handling of the expanded Medicare program has to be near the top of the list. He calls it the “Hurricane Katrina of entitlement programs.”

It’s the corruption! It’s the Medicare drug plan! Wait a second — is it me, or did the answer to the Democrats’ dilemma just fall right into their lap?

The Medicare drug plan is the perfect issue for Democrats to run on. It perfectly encapsulates the corruption of Republican Washington, and it’s a concrete thing that voters can relate to. Running on this issue makes so much sense that naturally the Democrats won’t do it. But let’s go ahead and indulge our imaginations anyway.

The sheer number of devious acts packed into one legislative act boggles the mind.

Chait’s right, this has been a debacle wrapped in a fiasco wrapped in a disaster. It costs too much and delivers too little. The administration lied about the price tag, then lied again to cover up the first lie. The darn thing wouldn’t have even become law if Republican lawmakers didn’t resort to underhanded tactics and literal bribery on the House floor.

The end result is a “massive special-interest giveaway” with billions for the GOP’s corporate donors. Yale political scientists Theodore Marmor and Jacob Hacker estimated that a better bill could have offered the same benefit for half the cost.

The policy is a frustrating farce for seniors, pharmacists, and the states, but from a purely political perspective, it’s something else: the quintessential Bush program. It’s the one story that offers the incompetence of the Katrina response (with Mark McClellan playing the role of Mike Brown), the corruption of Abramoff (the bill was written by lobbyists for lobbyists), and the abuse of intelligence of Iraq (experts told the administration what would happen; the Bush gang ignored them, moving forward under the assumption that everything would turn out perfectly. Seniors everywhere were supposed to greet the program as a liberator…).

Politically, Republicans are starting to panic a bit. This entire boondoggle was a scheme to help get seniors to back the GOP. Now, everything’s backfiring — Medicare recipients hate the expansion, governors from both parties are livid, Dems on the Hill are hitting this like a pinata, and conservatives refuse to defend it.

“The fallout is likely to be huge,” said an aide to a prominent conservative member of Congress who spoke on condition of anonymity because he was not authorized to speak for his boss. “It’s likely to anger seniors, while reminding the conservative base about the big government approach that Republicans took to healthcare.”

Good. You’ve heard the phrase “good policy is good politics”? The inverse is true once in a while too.

Wow. Chait hits this one square on.

My own local suburban paper has been Front-paging this issue every other day for the last two weeks. Not only is this something that effects everyone in one way or another, but it is also something that most people can get their arms around. Please please please let the Dems grab hold of this and ride it. Put the war to the side for now and focus on this. Hell, I’d even say put aside the wiretapping as a campaign issue (but continue to press on it) and just get the message out that “GOP is party of big corruption, party of Big Government, party of the big deficit.” That’s what happens when a party gets to Big for its britches…

  • You forgot one biggie, CB–the bullying tactics of the House. Remember how many arms got twisted after it looked like that bill was going down?

  • The Corruptican Party in action. And this should be a big issue, tied into the broader culture of corruption scandals.

  • Bingo. This one is the Rosetta Stone of the 2006 elections, if the Democrats are for once smart enough to recognize it. (I’ve got severe doubts on that score.)

    Here’s the pitch: Medicare Part D is what happens when you let lobbyists write the laws to benefit their clients, not the public. And the administration–by lying about the cost of the program–was involved up to their eyebrows.

    Today’s Republican Party, or at least its guiding lights, begins consideration of policy questions by asking how action can fill their campaign coffers or weaken that of their opponents. (“Tort reform.”) If you want public policy that benefits the citizens, not the industry lobbies, you’d better vote Democratic.

  • I absolutely agree that this cannot be ignored. However, Democrats can’t ignore the national security issue. They need to hit the Republicans in their supposed strength.

    The Forever War on terror is the dam that holds back the floodwaters of corruption, cronyism, incompetence, and fiscal irresponsibility. Democrats simply must break the dam. After that, it will be easy.

  • Medicare Part D.

    I’ve seen its effect at least once, waiting for my own perscription (allegies) and seeing some poor senior suffering in confusion over this.

    Medicare Part D is supposed to be the triumph of the market over government programs. The Bushie notion is that the market will come up with better plans to serve the seniors than something the government could (say, like the discounts the Veterans Adminstration gets from the pharmacutical companies????).

    It seems what has really happened is that a lot of conmen have set up shop, gotten a discount for one or two drugs, and are now ripping off vunerable seniors.

    And Bush has made it all legal.

  • Democrats, when are you going to WAKE UP?

    The corrupt, fascist Republican Party has handed you dozens of “talking points” to repeatly ram down the receptors of the TV-addicted, obese American electorate. You never seem to do anything with those gifts.

    Newspapers and national magazines have actually taken the extreme step of reporting on the public’s confusion and anger over Medicare. Meanwhile the Democrats twiddle their thumbs, get fat on the rubber chicken circuit (willingly bending over for corporate donors), take junkets and try to justify their vote for the Iraq “War” and rationalize why they ought not filibuster over Alito.

    Thanks for the best phrase I’ve heard this month: “the hurricane Katrina of entitlement programs.”

  • I agree with everyone here. This really is a very good article.

    Is it weird to forward it to my Senators?

  • Magic happens and Bush still controls dialogue. Until the Democrats start landing and inflecting some damage to vital organs, our Medusa-Headed, rascally rabbit will continue to rob the poor and reward the rich. Cleverly disguised as “good for the people because I am your all-seeing, all-powerful leader” the Democrats seem destined to continue their pantywaist slaps as monumental actions. Make believe is addictive and rampant, knows no bounds, and our nation as a whole continues to slumber as if caught in a dream. The reality of waking up is taking and condemned or getting away with redrum at a country’s expense. Mind you, who will make them pay? Any really stepping up will be tagged an enemy combatant. Try it and see. I hope I live to see the day ‘real men and women of conscious’ lead this country.

  • Magic happens and Bush still controls dialogue. Until the Democrats start landing and inflecting some damage to vital organs, our Medusa-Headed, rascally rabbit will continue to rob the poor and reward the rich. Cleverly disguised as “good for the people because I am your all-seeing, all-powerful leader” the Democrats seem destined to continue their pantywaist slaps as monumental actions. Make believe is addictive and rampant, knows no bounds, and our nation as a whole continues to slumber as if caught in a dream. The reality of waking up is taking responsibility. Who in their right mind wants that? Bush and Co. should be condemned for getting away with redrum at a country’s expense. Mind you, who will make them pay? Any really stepping up will be tagged an enemy combatant. Try it and see. I hope I live to see the day ‘real men and women of conscious’ lead this country.

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