As we approach the full implementation of the Affordable Care Act at the end of the year, confusion still reigns. Most Americans don't understand what the ACA does or how it works, which is perhaps understandable. It is, after all, an exceedingly complex law, and from even before it passed there was an aggressive and well-funded campaign of misinformation meant to confuse and deceive Americans about it, a campaign that continues to this day and shows no sign of abating. To undo uncertainty and banish befuddlement, we offer answers to a few questions you might have about Obamacare.
Republicans are likely incur serious political damage in their effort to hold hostage continued funding of the government in exchange for deep spending cuts. This routine has become an annual ritual, and in the past President Obama has been the first one to cave. The 2011 Budget Control Act, which includes the automatic sequester, is one bitter fruit of the president’s past failure to hang tough in the face of Republican extremist demands.
She only wants to help, really. (Flickr/American Life League)
Supporters of the Affordable Care Act, up to and including President Obama, have been at pains to point out to anyone who'd listen that as with any large and complex piece of legislation, implementation is going to be imperfect. There are going to be hiccups. Hurdles. Stumbles. Stops and starts, ups and downs, potholes and roadblocks and detours. They've been saying it because it's true, because they want to prepare the media and the public, and because they know that conservatives will be squawking loudly every time it becomes apparent that some feature of the law needs to be adjusted, trying to convince everyone that even the most minor of difficulties is proof the law should never have been enacted in the first place.
But let me make a counter-intuitive suggestion: Perhaps all the inevitable overblown carping from the right will prove to be a good thing, actually making the law work better in the long run
When public opinion is running against the position you've taken on something, it's natural to conclude either that the people just haven't yet heard your argument clearly, or even that opinion doesn't actually matter. And in one sense, it doesn't. If you're right, you're right, even if most Americans disagree. Not long ago, most Americans had a problem with people of different races to get married; they were wrong about that even if they were in the majority.
Of course, that's a matter of substance, which is distinct from matters of politics, which can constrain your behavior whether you're substantively in the right or not. So I wonder what Barack Obama thinks of public opinion on Syria these days. I doubt that he's like George W. Bush, who was forever certain that "history" would judge the Iraq War to be a smashing success. By now Obama may have concluded that he'll probably never win the public over on this question, so he should just try to move things along as best he can.
There's a new Washington Post/ABC News poll out today that, despite some rather poor numbers, could give him a bit of solace...
Just another of the dozens of mass shooting sites in America. (Flickr/NCinDC)
Here are some names that have been in the news in the last year; see if you can remember any of them: Andrew Engeldinger. Kurt Myers. Dennis Clark. John Zawahri. Pedro Vargas. Ring any bells? In another country, each of these men would be nationally famous. But not here; they were in the news for a couple of days, and then quickly forgotten. Each of them committed a mass shooting in 2013. We have so many mass shootings—over 50 in the last two decades alone—we don't even bother to recall the perpetrators' names.
And guess what: yesterday's horrific shooting at the Navy Yard in Washington will be forgotten pretty quickly, too.
We're just two weeks away from the start of open enrollment for the new state health care exchanges established as part of the Affordable Care Act, and it's safe to say that Republicans will not be able to repeal the law between now and then. It's equally safe to say that they won't be able to repeal it by January 1st, which is when the people who sign up for insurance through those exchanges start on their new plans. That's also the date when a whole bunch of other components of the law take effect. When that day comes, will Republicans have to abandon all hope of ever repealing it?
The ones who don't understand the law (and let's be honest, that's probably most of them) might answer yes. Once it goes into effect and begins destroying lives, sapping us of our precious bodily fluids, and generally turning America into a socialist hellhole where all hope has died and the flickering flame of freedom has been snuffed out, people will quickly realize what a disaster it is and support repeal. The problem is that come January, the ACA will be transformed. It will no longer be a big, abstract entity that would be possible to undo. Instead, it will be what it truly was all along: a large number of specific reforms and regulations that in practical terms are entirely separate from one another. What this means is that once it takes effect, "Obamacare" for all intents and purposes will cease to exist.
The AFL-CIO held its national convention in California last week, and it turns out it couldn’t have picked a better time to be there. For it was last week that California really began to deliver on the promise of the labor-Latino alliance.
In a democracy, politicians seldom counsel the public to be modest. They flatter and praise the voters, telling them that they are just and wise, hardworking and principled, possessed of boundless vision and common sense. And here in America at least, they also generalize those virtues from the people to the nation itself. America, Americans are endlessly reassured, is unique and special among the world's countries. It isn't just that we're the most important country, which is undeniable, since we have the biggest economy, the biggest (and most frequently deployed) military, and the most influential popular culture. Those things could change someday. Instead, what voters are told over and over again is that we're "exceptional." We're not just stronger or richer, we're better. Indeed, we're stronger and richer because we're better. And we may well be exceptional in how often we're told that we're exceptional. My knowledge of the electoral politics of other nations may be limited, but I don't recall hearing about presidential candidates in Portugal or Peru who feel the need to convince voters that their country is superior to all others and they are the world's best people.
I can recall, back in around 2008 or so, sitting in an airport listening to a radio story about this thing called Twitter, in which some tech booster was explaining how great it was to be able to send out little 140-character updates on what he was doing all the time, so the the people he cared about could have a sense of his daily life. I thought it sounded both inane and horrifying, but like most things governed by network effects, its value not just increased but changed in nature as more and more people got on it. I resisted going on Twitter for a long time (despite the pleading of my then-editor), in part because I was worried it would just be a distraction from my work. But it turned out, once I got on, that it became invaluable to my work. Most of the people I follow are writers or other people who point me to things I might need to know or want to write about; when I'm lost for something to say, Twitter will often send me on a path that will ultimately lead to a post or a column.
But I can see how, if you're still not on Twitter, all the people saying, "You totally need to be on Twitter!" would make you really, really not want to be on Twitter. So it seems with Paul Krugman, who I think it's safe to say is the most influential liberal voice in the American media. He explains why he stays away: