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GOP: Let Us Show You Our Commitment To "Governing" By Adding Hundreds Of Billions Dollars To The National Debt

The House just voted to "permanently" deal with the Medicare "doc fix". Sure the deal cut between Pelosi and Boehner adds hundreds of billions of dollars to the debt but at least the GOP fought tooth and nail against it and made the vote close. It passed 329-37, with all of 34 Republicans voting against it. Oh.

Boehner and House Minority Leader Nancy Pelosi (D-Calif.) have been in negotiations over the measure since January, and worked quietly to bring their members behind it.

Only 33 Republicans and 4 Democrats voted against the bill.

Pelosi praised the deal, saying it had been a “privilege” to work with Boehner “in a bipartisan way on this legislation.

"I hope it will be a model of things to come," she said.

Boehner likewise touted the bipartisanship, and argued pass of the bill was a step toward broader entitlement reform.

"This is what we can accomplish when we focus on finding common ground," he said.

Obama supports the bill as well.

And while we're handing out prizes, even Hillary Clinton gets a little something out of it. As part of the deal to get Democratic votes Boehner didn't need, he included a two year extension of CHIP at levels even George W. Bush thought was too high.

But everyone loves spending money on "the children" so the GOP threw it in to avoid having to fight about it later. And if it helps Hillary win in 2016, all the better I guess.

When Clinton ran for president in 2008, she touted her role as first lady in "designing and championing" the Children's Health Insurance Program, or CHIP, which provided coverage for millions of children whose parents did not qualify for Medicaid but could not afford private insurance. At the time President Clinton signed the law in 1997, it constituted the largest expansion of government-funded children's health insurance since the enactment of Medicaid in 1965.

Now Republicans will say they had to do this because the yearly fixes were just, I don't know, too successful at curbing spending.

Others, meanwhile, have involved some real if very modest structural reforms allowing some more market pricing here and there. The latter two kinds of offsets, whatever their merits as health economics, are real cost cutters, and they have saved more than $150 billion over the past decade, according to CBO. In this sense, although the SGR itself has not worked, and although it has put Congress through an annual shaming, it actually has saved a significant amount of money—in fact it is probably the most successful cost-reduction mechanism in Medicare’s 50-year history. That isn’t saying much, but it’s something.

Whoa! Whoa! A program that actually cuts spending or at least doesn't add to the deficit and debt? We can't have that! What kind of monster are you?

Funny, but I don't recall this being the pitch back in November.

Can we stop pretending the GOP has anything to offer conservatives other than some sweet talk around election time that's promptly ignored?

Posted by: DrewM. at 12:27 PM




Comments

(Jump to bottom of comments)

1 God...

Posted by: HH at March 26, 2015 12:28 PM (Ce4DF)

2 As Boner said...this has something for everyone.


Well...except for the people who pay taxes.

Posted by: Village Idiot's Apprentice at March 26, 2015 12:29 PM (F1jFR)

3 Start calling for default on the debt.

Posted by: CanaDave at March 26, 2015 12:31 PM (AtVq1)

4 What find really shitty was the "doc fix" was only needed because they cut medicare/medicaid payments to doctors to make Obamacare more revenue neutral than the BS multi-trillion dollar boondoggle it is.


My doctor told me he loses money every time he treats a medicare patient when I told him I had to drop my company insure this year and go on medicare.


The real "fix" needed is to repeal obamacare.

Posted by: Nobody at March 26, 2015 12:31 PM (wlDny)

5 What do you call something that creates a structure that you can pay for later with hundreds of billions of dollars?

"Budget reconciliation".

Posted by: Axeman at March 26, 2015 12:33 PM (2mC6G)

6 Oops, clear

Posted by: Vic We Have No Party at March 26, 2015 12:37 PM (wlDny)

7 Ther is no help coming from Washington. Ideas?

Posted by: Old Glazier at March 26, 2015 12:37 PM (u63X/)

8 Respectfully, the notion that this abortion of a law ever saved the taxpayers money in any way shape or form is bullshi*

Posted by: whatmeworry? at March 26, 2015 12:40 PM (dZGNV)

9 Suckers!!! ahahahahahahaha

Posted by: Your GOPe at March 26, 2015 12:41 PM (hKyl0)

10 Debt = Wealth, but only for banksters and the Government.

Posted by: CanaDave at March 26, 2015 12:42 PM (AtVq1)

11 Stompening by the boss.

I don't remember Pelosi touting bipartisanship and giving Boner praise when she had the gavel.

Posted by: Golfman at March 26, 2015 12:42 PM (4THFH)

12 In before the toadies.

Posted by: Buzzion at March 26, 2015 12:45 PM (z/Ubi)

13 So let me get this straight, they are going to "fix" something that was directly caused by the Obamination that is known as Obamcare, a law which they have claimed to want to repeal root and branch?

I actually hate the GOP more than the Donks at this point!

The lot of them can go DIAF!

Posted by: Kreplach at March 26, 2015 12:45 PM (4HFY9)

14 Oh yeah, Ryan's fingerprints are all over this too.


Can't believe I thougt this guy was the highlight of Rombley's campaign.


Looks like it was failure all the way around.

Posted by: Burn the Witch at March 26, 2015 12:47 PM (xSCb6)

15 Getting mighty thirsty...

Posted by: Tree of Liberty at March 26, 2015 12:48 PM (AtVq1)

16 I need a fix.

Posted by: Doc at March 26, 2015 12:50 PM (W5DcG)

17 not so much a stomp as simultaneous posting

Posted by: m at March 26, 2015 12:51 PM (WIUGG)

18 so should we start referring to Pelosi as the Co-Speaker of the House?

Posted by: mallfly at March 26, 2015 12:55 PM (qSIlh)

19 Can we stop pretending the GOP has anything to offer conservatives other than some sweet talk around election time that's promptly ignored?

I said back before the election that the only way to give these nickelfuckers the wakeup call they needed was to vote en masse for the Democrats - or, if you couldn't bring yourself to committing that level of treason, then not to vote. Because, I said, if, after their piss-poor record at holding the pedophile Reid and the dog-eating crackhead Obama to anything and their open, blatant threat to cram amnesty down our throats no matter what, you gave them the House and Senate, they would come away from the election not with the lesson that they need to put the brakes on this runaway regime, but with the lesson that they can promise Fort Knox on a stick and be rewarded for their dishonesty.

But no, I was told, I had to vote GOP. I had to give them the tools. They would finish the job.

I was right. The GOPe-felching chorus was wrong.

Fuck them all.

Posted by: Mary Poppins' Practically Perfect Piercing at March 26, 2015 12:57 PM (zF6Iw)

20 Oh for heaven's sake.

This bill gets rid of the doc-fix charade. Which is good. If it increases the deficit, it won't be by very much because nobody actually believes that Congress wouldn't continue the doc-fix charade forever.

Posted by: chemjeff at March 26, 2015 12:58 PM (2ap0X)

21 re 19: we kind of had that in 2009-2010, and what happened? The Repubs take the House and put the Ohio Pétain in charge.

Posted by: mallfly at March 26, 2015 12:59 PM (qSIlh)

22

Slinks down to the stomped thread to say Fuck the Republicans.

Please Please more of the "must vote GOP people because judges or stopping obama" people come defend this crap.

Posted by: Guy Mohawk at March 26, 2015 01:00 PM (ODxAs)

23 Read Yuval Levin's full article that DrewM links to.

Drew has selectively quoted it to make the Republicans out to be worse than they actually are.

Now nobody argues that the Republicans here are paragons of virtue. But this bill isn't the sellout that some claim that it is.

Posted by: chemjeff at March 26, 2015 01:00 PM (2ap0X)

24 re me at 21: Petain with an acute accent over the "e" -- oh, you guys know who I mean. We're the intellectual A Team here, us and the guys at Vox.com

Posted by: mallfly at March 26, 2015 01:01 PM (qSIlh)

25 Who were the 34 whose heads I don't want on pikes?

Posted by: LibertarianJim at March 26, 2015 01:02 PM (WDCYi)

26 *Ahem*

Posted by: Article V at March 26, 2015 01:03 PM (WDCYi)

27
Well it isn't a sellout for Republicans, but it would be a sellout for conservatives which remain sorely lacking in DC.

Some may ask well what would a conservative congress do? They would defund obamacare in its entirety having the guts to shut down the govt over it. Who cares if they would lose every seat, we would be rid of socialist obamacare. And the dems can try passing the same MFer again. Good luck. That's what a conservative would do.

Posted by: Guy Mohawk at March 26, 2015 01:09 PM (ODxAs)

28 The Democrats are our opponents. The Republicans are our enemies.

Posted by: toby928(C) at March 26, 2015 01:41 PM (rwI+c)

29 Well it isn't a sellout for Republicans, but it would be a sellout for conservatives which remain sorely lacking in DC.

Some may ask well what would a conservative congress do? They would defund obamacare in its entirety having the guts to shut down the govt over it. Who cares if they would lose every seat, we would be rid of socialist obamacare. And the dems can try passing the same MFer again. Good luck. That's what a conservative would do.
Posted by: Guy Mohawk

Charlie Brown those are conservatives in DC. the ones that would shrink the budget and dismantle obamacare are the too insane to contemplate libertarians. you know, those crazy bastards that want to leave you alone.

Posted by: Benedict Arnold CEO at March 26, 2015 03:28 PM (n5fTN)

30 If Congress did nothing, nd just kept going on with the annual Doc Fix in the exact same way it has since 2003, by 2025 the exact same outflow of services would cost ANOTHER TRILLION DOLLARS MORE than this new bill provides for.

That is, on average, this bill provides for savings of close to $100B per year out for a decade.

THAT'S WHY House Republicans have gone for this.

Obamacare plus this latest bill have been the ONLY vehicles seriously discussed in Congress for getting a handle on the rate of increase in medical care costs.

If you doubt that, just ask your own House rep. His office may -- likely will -- try to blow a bunch of smoke up your ass about what HE thinks should happen -- but the fact is, there's been no broad consensus in Congress, or not even in just the House, and not even just in the Republican Congressional Caucus (!), on what else to do, since ... 1996!

Note the few dissents are almost all Dems. Why? The Dems want SCHIP funding extended out 4 years, not just the 2 per this bill. House Dems now will expect the Senate Dem minority to carry on that fight. And they will. That'll be thrashed out in RECONCILIATION.

That's not necessarily more gloom and doom: Obama has already committed to this bill. Actually, that's unsurprising: it's pretty much the same approach the Obama administration has been pushing since 2009.

How much difference does not extending out SCHIP another 2 years make? Not much. SCHIP funding is LAW. Even if the GOP were to sweep both chambers of Congress plus the White House next year, SCHIP funding would still go on over the next two years at SOME rate -- likely to the same average rate over the last decade.

And there's no way a unified Republican Congress and administration will repeal SCHIP completely. The effect would be swift and disastrous at the polling stations: that unified Republican government would be shattered, losing even the House.

The average annual cost of SCHIP over the past decade has been $40B. Over the next 2 years of extended SCHIP funding under this new bill, that's forecast to increase to $50B. If Congress were to extend SCHIP out 4 years rather than 2, that would bring the full funding impact of this new bill to an annual average of $146B -- rather than $141B.

Extending the whole bill out to 2025 at the rate that applies over the next 2 years would REDUCE the cost of the total package to the federal government by another $40B total over that decade.

IOW, even extending this bill plus SCHIP at the increased rate out to a decade will mean a difference in the reduction in the federal budget that the ACA plus this new bill envision of about 5%.

BTW, this also means that any bullcrap you might hear from Congressional Republicans about not raising the debt ceiling this year, or next year is just that: bullcrap. This is already a done deal: the squints have spoken.

Posted by: Wax the Gunter Flog at March 26, 2015 03:39 PM (lqeGC)

31 As a doctor who has been staring down the barrel of the so-called "Sustainable Growth Rate" (SGR) fiasco for many years, I would like to add my two cents.

Bureaucrats decided years ago that Medicare total outlay should only grow at a "sustainable" rate--without apparently acknowledging the needs of the tens of millions of people who would be added to the Medicare rolls over the coming years, and the addition of new, often expensive treatments. So each year, the SGR basically said, "we're spending too much--cut the pay to doctors for every patient they see, so our total outlay is "sustainable". And cut they did. I now have to squeeze in 34 patients a day to take home less income than I made 20 years ago when I was seeing 24 patients a day.

But as patient numbers and needs rose, the ever-accumulating cuts required to hit their ill-planned "sustainable" growth rate became so great, that if instituted, they would have caused a massive exodus of doctors from the Medicare program. So every year, congress passed a temporary "fix", limiting the cuts to doctors to what they thought we could absorb.

As a result, the gap between the supposed
SGR and what they were actually paying grew every year, until doctors were told their pay would need to be cut by over 27% per patient seen, to meet the 'sustainable' target. If they made such a cut, my doors would have to close in a matter of days, as most of my patients are on Medicare and my overhead runs about 65%. Cut 27% of my payments, and my career is basically finished.

On top of that, the so-called 'doc fix' congress passed every year was often not made until well into the new year, with Medicare 'anticipating' it would be fixed, so they would withhold payment until the fix was made, to avoid having to reprocess the payments. Needless to say, cash flow was crushed by this, necessitating expensive short-term loans to meet payroll and expenses.

So over the last 24 years of practice, my rent has gone from $1850 a month to $4850 a month (same office), my insurance from $800/month for ALL our employees to $1400 PER EMPLOYEE per month (I have 9 employees--do the math), my utility bills have skyrocketed, my employee salaries have risen in order to keep good people, and my cost of office supplies has tripled. The only thing that has gone down, is what I get paid per patient.

Sorry to disagree with many of you here, but I'm glad the SGR is gone. It gives me hope I'll be able to stay in business, hopefully long enough to get my kids through school.

Posted by: EyeSurgeon at March 26, 2015 03:45 PM (jFmVZ)

32 Your ignorance is outstanding.

The "doc fix" has become a regular charade because "reforms" a generation ago capped fees for doctors in Medicare. Had those fees not be regularly raised, no doctors would still be treating Medicare patients at all.

If that is your goal, don't be so coy, come out and campaign to destroy Medicare, straight up.

BUT even so, it is a lie to claim making the biennial "fix" permanent "adds to the debt." IT DOES NOT ADD ONE PENNY. The thing would have hiked "temporarily" as it has every two years since it was first set. There is no change at all in the long run.

You are either stupid, a liar, or both.

Posted by: Adjoran at March 26, 2015 03:57 PM (QIQ6j)

33 Yet one more reason why the Republican party sucks big hairy butts. Boehner and McConnell are f-ing butt holes. God, these two are worthless. They don't even bother to hide the fact that they are there to rubber stamp the Democratic agenda. The Dems still run congress. Still.

Posted by: Mistress Overdone at March 26, 2015 07:54 PM (2/oBD)

34 This session of Congress is like a rerun of the Bush Congresses which passed all sorts of spending that Bush didn't veto.

The only difference here is Obama won't veto any spending, he'll be holding the GOP LOSERship's feet to the fire to increase spending even more.

But it's all good, so long as the LOSERship can pack their wallets with crony deals to keep them in office. Which is why the RINOsaurs in the Senate keep the fillibuster rule in place -- more crony deals are needed to get 60 votes...

Posted by: Seipherd at March 27, 2015 01:38 AM (pRSkv)

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