Robert Reich
The White House needs to fight for healthcare
Here are three things to watch for to see if the White House or Big Pharma and the insurers are winning.
In an interesting piece in Sunday’s New York Times Magazine, Matt Bai suggests that the White House has learned the main lesson of Bill Clinton’s failed attempt at universal healthcare, which is not to deliver a finished product to Congress but instead give Congress a set of goals and let it decide how to reach them.
The question to my mind is whether the Obama White House has over-learned that lesson. Without strong White House leadership, individual members of Congress are particularly susceptible to the threats and promises of powerful lobbies. A statement of White House goals that leaves the details to Congress will likely result in legislation that superficially meets those goals but whose details undermine them. That’s the biggest danger now with the inchoate healthcare legislation.
Fortunately, the White House now intends to get more involved in the emerging healthcare bill. Following are the three biggest issues where powerful lobbies on the other side are working the details to their advantage. The question is how hard the Obama White House will push back.
1. A real public option or a public option in name only? Big Pharma and Big Insurance are dead against, and are pressuring lawmakers. Republicans are also opposed. The president said he wants a public option. But the real question is whether he’ll be willing to allow the public option to be watered down into essentially nothing (broken up into regional or state-run plans, or required to charge the same as private insurance, or triggered only if private insurers and Pharma fail to bring down costs and extend coverage). If the president wants Republicans on board even though he doesn’t need them (the bill requires only 51 Senate votes), he will have to buy a watered-down version.
2. A requirement that all businesses “pay or play,” or a broad exemption for smaller businesses? Most emerging versions of the bill require employers to supply health insurance for workers or contribute to the cost of a plan but exempt small employers. The issue to watch is how “small employers” are defined — and how many, as a result, won’t have to either pay or play. Small business lobbies are all over the Hill arguing for a broad exemption. Republicans agree. The White House will have to push back very hard to include enough businesses to make “pay or play” work.
3. Additional tax revenues from taxing employer-provided benefits on higher incomes or from limiting deductions on higher incomes? Congressional Dems originally nixed the second and haven’t supported the first. Organized labor is dead-set against taxing any employer-provided health benefits because it doesn’t want to set a precedent that might someday erode all such benefits. Accordingly, the White House is signaling it won’t take this route. Yet there’s powerful resistance on limiting deductions for higher incomes, from many of the beneficiaries of these deductions (such as big charities and state and local governments). Unless the White House demands that those deductions be limited for all taxpayers earning over $250,000 a year, adjusted for inflation in future years, it won’t have enough revenue to support the overall bill.
So the question right now is how hard the president will push to get a real public option, a broad mandate and enough revenues to support universal healthcare. The Republicans are showing remarkable unity, as they did on the stimulus package and the budget. Yet the president seems intent on a bipartisan bill. Meanwhile, Pharma, insurance, charities, state and local governments and labor are all putting maximum pressure on individual Democrats. Yet the president seems wary of twisting arms. What’s the result? Keep your eyes on the details.
Europe’s austerity revolt
The message from France and Greece this weekend was clear. Will President Obama and Republicans listen?
Socialist Party candidate for the presidential election Francois Hollande delivers a speech during a meeting in Lorient, western France, Monday, April 23, 2012. (Credit: AP/David Vincent) Who’s an economy for? Voters in France and Greece have made it clear it’s not for the bond traders.
Referring to his own electoral woes, Prime Minister David Cameron wrote Monday in an article in the conservative Daily Telegraph: “When people think about the economy they don’t see it through the dry numbers of the deficit figures, trade balances or inflation forecasts — but instead the things that make the difference between a life that’s worth living and a daily grind that drags them down.”
Continue Reading CloseObama’s recovery challenge
The dismal jobs report proves the economy has stalled. The president needs to push back against GOP austerity
President Barack Obama turns as he finishes speaking at a celebration of Cinco de Mayo in the Rose Garden of the White House in Washington, Thursday, May 3, 2012. (AP Photo/Carolyn Kaster) (Credit: AP) The economy has stalled.
Friday’s jobs report for April was even more disappointing than March. Employers added only 115,000 new jobs, down from March’s number (the Bureau of Labor Statistics revised the March number upward to 154,000, but that’s still abysmal relative to what’s needed). We need well over 250,000 new jobs per month in order to begin to whittle down the vast number of jobs lost in the Great Recession. At least 125,000 new jobs are necessary each month just to keep up with an expanding population of working-age people.
Continue Reading CloseBehind our stalled recovery
The GOP's austerity obsession is responsible for the nation's economic slowdown
Rep. Paul Ryan, R-Wis.(Credit: AP Photo/Charles Dharapak) We’ll know more on Friday when the jobs report is announced, but Thursday’s report on America’s massive service sector – which make up about 90 percent of the economy – is sobering to say the least.
The Institute of Supply Management’s non-manufacturing index fell to a four-month low in April (53.5, down from 56 in March – still positive territory but just barely). New orders dropped to their lowest level in six months.
That doesn’t bode well, especially when combined with other recent data. The Commerce Department reports that the economy as a whole has slowed from the last quarter of 2011 when it was expanding at an annual rate of 3 percent, to 2.2 percent for the first quarter of this year. And last month’s unemployment report showing only 120,000 new jobs in March was downright alarming.
Continue Reading CloseA big day for the 1%
America's wealthiest made a killing on Wall Street today -- at the expense of the nation's under-employed workforce
Traders work on the floor of the New York Stock Exchange Tuesday, Feb. 28, 2012. World stock markets fell Thursday March 29, 2012 as signs of weakness in the world's two biggest economies kept investors at bay. (AP Photo/Richard Drew) (Credit: AP Photo/Richard Drew) The Dow Jones Industrial Average hit 13,338 Tuesday, it’s highest since December, 2007. The S&P 500 added 16 points. Wall Street will remember May 1 as a great day.
But most of these gains are going to the richest 10 percent of Americans who own 90 percent of the shares traded on Wall Street. And the lion’s share of the gains are going to the wealthiest 1 percent.
Shares are up because corporate profits are up, and profits are up largely because companies have figured out how to do more with less.
Continue Reading CloseDemographic suicide
Why Republicans can't stop alienating Hispanics, women and young people
In this April 10, 2012 photo, Republican presidential candidate, former Massachusetts Gov. Mitt Romney speaks in Wilmington, Del.(Credit: AP Photo/Evan Vucci) What are the three demographic groups whose electoral impact is growing fastest? Hispanics, women and young people. Who are Republicans pissing off the most? Latinos, women, and young people.
It’s almost as if the GOP can’t help itself.
Start with Hispanic voters, whose electoral heft keeps growing as they comprise an ever-larger portion of the electorate. Hispanics now favor President Obama over Romney by more than two to one, according to a recent Pew poll.
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