Health Care Reform

Obstruction for Obstruction's Sake

Yes

These politicians hope that by being obstinate, they can derail the health care reform law they so despise. But they are denying their states the opportunity to design affordable, consumer-friendly insurance marketplaces.

Opponents of reform need to tell the public what they intend to do about the problem of uninsured Americans. “Let them die” isn’t an acceptable fallback position.

Bad Sign for Kinder's Health Care Inaction Lawsuit: Similar GOP Suit Tossed

The United States Court of Appeals for the Fourth Circuit threw out a challenge to the Affordable Care Act  that is very similar to Peter Kinder's legal challenge. (via New York Times

The United States Court of Appeals for the Fourth Circuit ruled on Thursday that Virginia’s attorney general does not have legal standing to challenge the 2010 federal health care law and its mandate that Americans obtain insurance. The court, based in Richmond, Va., threw out a lower-court decision invalidating the insurance requirement.

The Fourth Circuit is the third appellate court to rule on the constitutionality of the Affordable Care Act’s central coverage provision.

The other two have divided on the question of the law’s constitutionality, making it likely that the matter will be settled by the United States Supreme Court. Ruling first, a three-judge panel of the Court of Appeals for the Sixth Circuit in Cincinnati ruled two-to-one in favor of the law. Then the Court of Appeals for the Eleventh Circuit in Atlanta ruled against the individual mandate portion of the law, also by two-to-one.

Sixth Circuit Appellate Court, Including Bush Appointee, Upholds Health Care Reform

The Republican judge on this panel agreed with the ruling that the health insurance mandate is Consititutional

For the first time, a Republican appointed federal judge -- part of a three-judge circuit court panel -- has ruled that the individual insurance mandate in President Obama's health care law is constitutional.

The Sixth Circuit appellate court panel -- the first appellate court to rule on the question -- dismissed the plaintiffs' claim that levying a penalty against people who choose not to purchase insurance exceeds Congress' Commerce Clause powers. The justices also dismissed the underlying argument that the provision amounts to "regulating inactivity."

Running God's Way: Vicky Hartzer Still Lying About Health Care Reform

Michael Bersin of Show Me Progress transcribes comments from Rep. Vicky Hartlzer at a recent town hall:

We repealed the government takeover of health care. That, that's my version, yes, it's biased, but I can't remember the name. It's fancy name name, the path, uh, the patient protection, well, anyway, you remember, you know what bill I'm talking about. The Pre, the one which passed last year. Anyway, that is very, very costly and very onerous for job creation. Because it, health care costs for business are huge and now they cost have go, gone up even higher. So, the Path to Prosperity, uh, repeals that. In doing that it reduces the national debt which helps reduce that uncertainty, that dark cloud over businesses' heads...

Repealing health care reform would increase the deficit by $210 billion over 10 years, and health care reform was never and is not a "government takeover of health care."

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Federal Judge Tosses Kinder's Secretly-Financed Health Care Suit

U.S. District Judge Rodney Sippel today dismissed Peter Kinder's Health Care Inaction lawsuit. 

This is not a surprise -- the problems with standing and facts are well documented.

Read the judge's ruling here.

Memorandum and Order

Chris Koster Thinks Kit Bond's Health Care Legislation Is Unconstitutional Maybe

Well, this is disappointing.

Back when Chris Koster called himself a Republican, Republicans like Kit Bond were trying to expand access to affordable health care with a health insurance mandate. But some things change with time, it seems.

The good news is that Koster's selfless, timely and decisive move will please everyone, will have a real impact on the way Supreme Court considers the constitutionality of the Affordable Care Act and won't give GOPers a fresh set of reasons to trot out tired talking points.

This Week in Really Stupid Legislation

Kurt Bahr is bored with actual issues and legislation already

Representatives Kurt Bahr (R-St. Charles), Andrew Koenig (R-Winchester), Shane Schoeller (R-Willard), Melissa Leach (R-Springfield), Kathie Conway (R-St. Charles) and Thomas Long (R-Battlefield) are sponsoring legislation (HB1010) to make it a crime -- a crime!-- when any federal or state employee "enforces or attempts to enforces" any part of the federal health care reform law. 

From the bill as proposed:

4. Any official, agent, or employee of the United States government or any employee of a corporation providing services to the United States government that enforces or attempts to enforce an act, order, law, statute, rule, or regulation of the government of the United States in violation of this section is guilty of a class D felony.

5. Any public officer or employee of this state that enforces or attempts to enforce an act, order, law, statute, rule, or regulation of the government of the United States in violation of this section is guilty of a class A misdemeanor.

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Today in History: Kinder's Lawsuit Misadventure Begins

Peter Kinder doesn't talk about it much these days, but one year ago today, he stood on the steps of the Missouri Capitol and declared that he would be joining the lawsuit with Florida's now-unemployed Attorney General against the Affordable Care Act.  Demonstrating an incredible ignorance of state laws and the powers of his own part-time office, Kinder falsely claimed that he had the power to sue on behalf of the state.   And demonstrating an incredible disregard for facts, Kinder lied about the costs of the ACA to Missouri, and lied about how he'd been called out publicly for his campaign of misinformation.

As you can see in this video of the press conference, Kinder was so confident in his positions that he immediately ran away from reporters after delivering his statement -- only to be cornered in an elevator in the scramble back to his office for an interview with Fox News.

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This Is What a Better Informed and Better Organized Movement Looks Like

Last week, a great group of St. Louis area activists decided it might be fun to attend a health care "hearing" put on by Ed Martin's Senate campaign. Joined by fellow luminaries Peter KinderPhyllis Schafly and Bill Hennessy, Ed was expecting a platform to distribute the same tired lies, bad information and bad ideas about the federal Affordable Care Act.  

But equipped with facts and an actual interest in policies that expand access to affordable health care, the progressive activists effectively out-hustled and embarrassed Martin at his own event.  

Crazy Eddie was clearly caught off guard by the progressive activists' attendance and questions.  Immediately after the "hearing," he attempted a lame ACORN smear, but then abandoned that line of attack the next day when he praised the crowd for their civil discussion

Show-Me Progress and St. Louis Activist Hub have exhaustive coverage of the "hearing" that you really should check out. Here are a few links to get your started: 

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GOP's Repeal Plan Would Cost Missouri More Than 6,000 Jobs

The Center for American Progress released a report this week detailing how Congressional Republicans' proposal to repeal the Affordable Care Act and the new funding it provides to community health centers would have real job costs around the country.  According to their analysis, the GOP repeal effort would cost 6,114 jobs in the Show-Me State.

Check out the full report here.

Clay and Carnahan Call on Justice Thomas to Recuse Himself from Health Care Case Because of Personal Conflicts

Politico reports this afternoon that seventy-four House Democrats, including Rep. Lacy Clay and Rep. Russ Carnahan, are "asking Supreme Court Justice Clarence Thomas to recuse himself from any health care reform cases, citing reports that his wife financially benefited from efforts to repeal the legislation."

Thomas' wife, Virginia, is a Republican lobbyist in Washington, and founded a organization called Liberty Central that received huge anonymous contributions to carry out its pro-GOP activism.

Here's the text of the letter, as published by the Washington Post:

The Honorable Justice Clarence Thomas
United States Supreme Court Building
1 First Street Northeast
Washington D.C., DC 20543

Dear Justice Thomas:

As an Associate Justice, you are entrusted with the responsibility to exercise the highest degree of discretion and impartiality when deciding a case. As Members of Congress, we were surprised by recent revelations of your financial ties to leading organizations dedicated to lobbying against the Patient Protection and Affordable Care Act. We write today to respectfully ask that you maintain the integrity of this court and recuse yourself from any deliberations on the constitutionality of this act.

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Running God's Way: Vicky Hartzler Still Lying About Health Care Law

Is there a chapter in Running God's Way that outlines the best practices for lying to your constituents, week after week? 

I ask because Rep. Vicky Hartzler can't seem to speak or write about the federal Affordable Care Act without lying about it.  In her most recent newsletter to Fourth District residents, Hartzler falsely claims that the law will add "over $700 billion to our nation’s deficit," and repeats PolitiFact's 2010 "Lie of the Year" about how the law is a "government takeover of health care."   She also says health care reform is a "job-killing" act, even though nonpartisan fact-checkers have called the claim "misleading" and "false."

Honestly: Why can't she talk about the law honestly? 

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Billy Long Is Fed Up With Words That Have Meaning

Honest question: Does Billy Long know what the word "Marxist" means? 

Either way -- and let me state this emphatically -- I hope that Long gets to the bottom of Kit Bond's Marxism soon

Reagan's Solicitor General: "I Am Quite Sure That The Health Care Mandate Is Constitutional"

We interrupt your extended Ronald Reagan birthday party to bring you this video of the Gipper's Solicitor General, Harvard Law Professor Charles Fried, explaining to the Senate Judiciary Committee his thoughts about the Affordable Care Act's health insurance mandate.  "I am quite sure that the health care mandate is constitutional," he told the committee. "The mandate is necessary to the accomplishment of the regulation of health insurance."

It isn't exactly earth-shattering news that conservative legal scholars affirm the constitutionality of the bill -- Sen. Kit Bond, for instance, co-sponsored legislation in the 1990s that featured an individual health insurance mandate.  But facts haven't exactly gotten in the way of Republican grandstanding on the issue, as you know. 

Watch some of Friend's testimony, as posted by ThinkProgress:

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New Poll: 62% of Americans Oppose GOP Plan to Dismantle Health Care Reform Law

Politics Daily summarizes a new Kaiser Family Foundation/Harvard School of Health poll conducted January 4-14: "Americans oppose the idea of using the appropriations process to cut off the funding needing to put health reform into place by a 62 percent to 33 percent margin, with 6 percent undecided...A key factor in the contrast between these findings is the attitude of independents. While 47 percent of them want the law repealed outright or replaced with a Republican alternative, compared to 40 percent who would expand it or keep it as is, they reject using the power of the purse to whittle down the law by a 62 percent to 32 percent margin, with 6 percent undecided."

Luetkemeyer Continues the Chorus of Lies About Health Care Reform

In this week's constituent newsletter from Rep. Blaine Luetkemeyer:

The $1.2 trillion health-care law enlarges government and increases federal spending, deficits and debt.  It also initiates a government takeover of the health-care sector -- one-sixth of the U.S. economy.

For the two hundred and thirty billionth time, it's the Republican repeal plan that would dramatically increase the federal debt and deficit -- Affordable Care Ac will reduce the deficit -- and health care reform ain't a "government takeover of the health-care sector."

Accordingly, press outlets in the Ninth Congressional District should just print his newsletter without challenging his lies, and should definitely not conduct any follow-up reporting.  It's not like they're responsible for informing the public about what elected leaders are doing or anything.  

Steelman Sends Dishonest Email to Remind Everyone She's Still Out There Somewhere

Perhaps concerned by the general lack of interest in her Senate candidacy, former Treasurer Sarah Steelman has decided to voice her support for Congressional Republicans health care dog and pony show.  Steelman isn't a fan of the Democrats' health care reform bill, of course, and is doing her part to continue the misinformation and lies we've been seeing from Republicans for a long, long time.

Steelman regurgitates Republicans false rhetoric about the law's impact on unemployment (PolitiFact.com weighed in on this talking point today), and declares that "Obamacare adds $1 trillion to our national debt."  This is completely misleading, of course, as the reform bill reduces the federal deficit over ten years, and it's the GOP repeal bill that will add $230B to the federal deficit.

DOJ Asks Judge to Dismiss Kinder's Political Lawsuit, Citing Numerous Problems With Standing and Facts

This afternoon in federal court, the Department of Justice asked a federal judge to dimiss the amendment complaint filed last year by Lt. Governor Peter Kinder and a few other plaintiffs as part of his Health Care Inaction media tour.  In a memorandum detailing the reasons why the suit should be dismissed (embedded below the break), the DOJ details a host of problems of standing for Kinder and his co-plaintiffs, and an embarrassing list of factual errors included in their complaint, which was drafted and filed by GOP attorney Thor Hearne

Essentially, the DOJ argues that Kinder and his co-plaintiffs lack the standing to make a number of their claims, are improperly claiming to have been harmed by parts of the law that haven't yet taken effect, and say their rights are being trampled by provisions that exist only in their imagination.  

A detailed summary of the feds' arguments may be found below the jump -- along with all documents filed tonight -- but here are a few lowlights:

  • In three counts, Kinder's complaint alleges that the minimum coverage provision of the Affordable Care Act (ACA) will, beginning in 2014, require a young woman -- who just happens to be a campaign staffer for Rep. Vicky Hartzler -- to buy more health insurance than the catastrophic coverage insurance she has and desires to retain. However, Kinder's co-plaintiff is only 21 years old, and the ACA expressly provides that a catastrophic coverage policy can satisfy the minimum coverage requirement for anyone under 30.
  • In one count, Kinder's complaint argues that the ACA extends special treatment for Medicare Advantage participants in parts of Florida. But the law, as amended by the Health Care and Education Reconciliation Act of 2010 (HCERA), does no such thing.
  • In another count, Kinder's complaint argues that the ACA establishes panels that will prohibit them from receiving medical treatment that they and their physicians decide upon unless the panels agree. But the law does no such thing, and Kinder's team cannot demonstrate any jury from the provisions Congress actually did enact.
  • Finally, Kinder and his co-plaintiffs repeatedly makes claims about portions of the lawsuit that will not take effect for years, and makes claims that could only be brought by the state.  
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Public Support for Repealing Health Care Reform Plummets, Even Among Republicans

Via CQ's Political Wire, a new Associated Press-GfK poll finds just 25% of Americans favor a complete repeal of the federal health care reform law as Republicans in the U.S. House prepare to vote on just such a repeal.   Even support for repeal among Republicans has "dropped sharply."  After the November election, 61% of GOPers supported repeal; now, it's down to 49%.

There is strong support for changing some portions of the law, though there are obviously differences of opinion in how to do that.  A full "43 percent say they want the law changed so it does more to re-engineer the health care system," the AP reports.

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