Tuesday 12 July 2011

Biblical Rope-A-Dope or Grand Guignol Bargain?

Biblical Brinkmanship (Caravaggio)
The ongoing melodrama of Debt Ceiling Armageddon reminds me of the Old Testament legend of Abraham and Isaac.  Obama the sage patriarch is acting on a dare from the magical Deity (Republican Deficit Hawk) to sacrifice his beloved son (the New Deal social safety net) on the  altar of austerity to prove his worthiness.  At the last minute, of course, a deal is reached. "Never mind," chuckles some Better Angel. "The Wall Street god hath blinked. Thou just established thy cred.  Now goest thou and lead the people through the desert of a second term." 


The latest horror story to emerge from the closed-door talks is that Obama is offering to raise the Medicare eligibility age to 67, in keeping with the recent shocking proposal from Sens. Joe Liebermann and Tom Coburn.  Lawrence O'Donnell has an interesting theory on why the president is seemingly out-partying the Tea Party -- it's all part of what he calls "the most masterful rope-a-dope ever performed by a president against an opposition party in Congress." 


I wish I could believe that, but I don't.  Even if true that Obama is only pretending to put Social Security and Medicare and Medicaid on the chopping block to bluffingly appease the gods of a supply-side economic theory that was debunked decades ago, it's a cruel tactic.  There are millions of uninsured and underinsured people just counting the days till they reach 65.  Raising the retirement age, cutting benefits through a bait and switch change in cost of living calculations,  cavalierly suggesting that as long as we're trimming the waste, we might as well throw the New Deal under the bus too -- it's just boggles the mind.  It is either the most complete betrayal of democracy by a Democratic president in history, or it's a giant practical joke/game of chicken at the expense of the peace of mind of countless suffering people. From Monday's press conference:

"We keep on talking about this stuff and we have these high-minded pronouncements about how we've got to get control of the deficit and how we owe it to our children and our grandchildren. Well, let's step up. Let's do it. I'm prepared to do it. I'm prepared to take on significant heat from my party to get something done. And I expect the other side should be willing to do the same thing -- if they mean what they say that this is important."
The Raise-the-Age plan would not even put that much of a dent in the deficit -- so just like the phony Reaganomics talking point that tax cuts pay for themselves, the Obama Trial Balloon serves mainly an ideological purpose.   The Congressional Budget Office found that raising the Medicare age to 67 would save only $124.8 billion between 2014 and 2021.... sounds like a lot, but it's really only a drop removed from the Medicare budget.


And if the provision ends up in Obama's so-called Grand Bargain, or even the Half-Grand Boehner Bargain, Democrats not only will lose any political capital they gained from their defeat of Paul Ryan's Mediscare voucher plan -- they'll be partially accepting it.  Raising the age would force 65 and 66-year-olds (or, if they're lucky, their employers) to continue buying private insurance . According to the Kaiser Family Foundation,  raising the eligibility age would  “result in an estimated net increase of $5.6 billion in out-of-pocket costs for 65- and 66-year-olds, and $4.5 billion in employer retiree health-care costs.” Also, the influx of older people into the state exchanges created under the Affordable Care Act would increase premiums by an estimated three percent.

Obama to Ryan: Can I Borrow This?


 Moreover, according to the Congressional Budget Office, the proposal would not even decrease Medicare spending that much, because younger Medicare beneficiaries are healthier than older ones and don't cost the system nearly as much as the average beneficiary. 

In other words, keep the statistically healthier mid-60s age group in the claws of private insurance companies for the longest possible time to maximize their profits while they're pretending to save taxpayers money. It's a classic case of bait and switch.  Heads they win, tails we lose.  All the "savings" (premiums) go to the predatory private insurers and the politicians they have bought and paid for.  Only the people will pay -- assuming, of course, they have any money.


Make no mistake.  The Grand Bargain, if it passes, should be renamed the Grand Guignol Bargain. Under it, more people will unnecessarily die waiting for their Medicare to kick in. If Obama had any humanity, he'd call for lowering the age, not raising it. If we as a nation had any humanity, we would have Medicare for All.
A Plan of Gruesome Grandiosity

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