by publius
One challenge in countering the attacks on the health care bills is that they come in many varieties. Steve Benen had a good post a while back describing the diversity among the critics (the "Greedy," the "Wonks," etc.). The attacks themselves, though, are also fairly diverse -- and some of them are more egregiously bad faith than others.
So today, I'm providing a User's Guide to some of the most common critiques that I've seen in conservative circles that I consider "bad faith." There are, of course, many legitimate criticisms from both the right and the left. But the ones below all qualify (to me) as bad faith. Let's start with the absolute worst one:
Death Panels/Euthanize Grandma
This one is the worst. Anyone who makes this claim -- or some derivative of it -- is acting in 100% bad faith. There's not a single fact that makes these claims remotely plausible.
Remember that the uproar comes from a provision to allow Medicare to cover end-of-life counseling. The AARP has pushed for this provision. Republican Senators have pushed for it too.
It is, by far, the most absurd allegation. It's not surprising, then, to see Erick Erickson post stuff like this.
Government Takeover/"Socialized" Medicine
All of the reform bills are constructed around private providers and market competition. Private coverage is the structural centerpiece of reform (for good or bad). Accordingly, most people will simply keep what they have (though it will be more stable).
A much smaller subset of people (e.g., uninsured) will have access to an exchange where they can shop around among private providers -- and, maybe, a public option. The exchanges are far more important structurally than the public option, and they are premised on private market competition.
The whole "socialized" medicine business is therefore not remotely true. The bills go out of their way to protect private providers, or at least to rely on competition among them.
Unlike "death panels," though, this argument has some shred of an intellectual foundation -- though a very flimsy one. The argument is that the public option will be a "Trojan Horse" that will inevitably overtake private providers. That's the only plausible justification for saying that the reform bills are government "takeovers." It's an extremely weak foundation for such sweeping allegations.
In fact, this argument is so flimsy that I consider it bad faith. First, it's not clear the public option will even be in the bills. Second, even if it is, it's limited to people on the exchanges. New legislation would be required to expand it. And third, it's far from clear it will even succeed even if more people eventually get access to it. As Paul Starr and others have written, it could wind up as a dumping ground for super-high cost individuals.
In short, the public option is not being structured in a way that promises future success. To get from here to "government takeover" requires a Rube Goldberg-esque chain of a million different events to happen that just aren't going to. For that reason, these arguments are being made in bad faith.
"Cutting $500 Billion of Medicare"
There are many variations of this critique. Some yell that "elderly care" will be cut by $500 billion. Others simply bemoan the Medicare cuts more generally. The really creative types combine this attack with other ones listed above to make up an imaginary world where the unfit are allowed to die to save costs.
For background, the House bill pays for health coverage reform in part by saving $500 billion from Medicare over the next 10 years. To get some perspective, that's about 7% of projected spending (pdf) (total is roughly $6.7 trillion over 10 years).
Now, if you think that every single dollar of that $6.7 trillion is being spent in the most efficient way possible, then yes, the House is proposing real cuts to Medicare. But even then, it doesn't follow that the cuts will come from "elderly care" or from the terminally ill, etc. Indeed, the House has specifically identified (pdf) some of this waste -- one large chunk being the absurd overpayments to private providers under Medicare Advantage.
In the real world, though, it's silly to think that Medicare doesn't have some waste that can be removed. The idea that the savings will come from denying critical care is demagoguery. And it's a particularly hypocritical claim coming from those who simultaneously complain about the high costs.
Anyway, these are three "families" of bad faith critiques that I've seen the most often.
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