JONATHAN CHAIT FEBRUARY 14, 2011
Andrew Sullivan is back from his absence and in incredibly high dudgeon over the Obama administration's failure to propose a more austere budget. Andrew concedes that any such proposal would fail and exact huge political damage upon Obama but somehow thinks it's unconscionable Obama didn't do it anyway:
The cynical political calculation is obvious and it is well put by Yglesias and Sprung. If Obama backs Bowles-Simpson, the GOP will savage him for the tax hikes, while also scaring the wits out of the elderly on Medicare. The Democratic left - just look at HuffPo today - will have a cow. Indeed, if Obama backs anything, the GOP will automatically oppose him. He has to wait for a bipartisan agreement which he can then gently push ahead. But that's exactly why we are in this situation today. Because no president has had the balls to deal with it, and George W. Bush made it all insanely worse.
So... why would proposing something that gets shot down not be not only useful but an absolute moral obligation? I don't really get it. It seems like the smart play is to first win the budget showdown and try to beat some sanity into the Republicans, who can't possibly compromise right now, and then either cut a deal or (preferably) just let the GOP kill the entire Bush tax cuts for you, which would more or less take care of the medium-term deficit problem.
Anyway, that's not even my main point. My main point is that Andrew seems to endorse the endlessly discredited doc fix myth:
But in a mere nine years, entitlements will account for 64 percent of all federal spending. And Obama just punted on his promise to cut Medicare payments to doctors, as pledged under Obamacare as a core part of the case that health insurance reform would cut the deficit. So congrats, Megan. We can chalk that up as a cynical diversion (even though Obama pledges to find savings elsewhere in the Medicare budget to make up for this lie - a promise we now have no reason to trust or believe).
Once again, the physician reimbursement is not part of the Affordable Care Act. It's part of a poorly-drafted 1997 law. Promising to carry out the never-intended 1997 physician reimbursement cuts was not part of the Affordable Care Act. Nor is it anybody's idea of good policy. I've seen this myth circulating among conservatives and hard-core libertarians but it's the first time I've seen it leap over the ideological divide. One of my many attempts to dispel the myth can be found here.
Anyway, I have a hard time understanding rhetoric like this:
To all those under 30 who worked so hard to get this man elected, know this: he just screwed you over. He thinks you're fools. Either the US will go into default because of Obama's cowardice, or you will be paying far far more for far far less because this president has no courage when it counts. He let you down. On the critical issue of America's fiscal crisis, he represents no hope and no change. Just the same old Washington politics he once promised to end.
... when Obama expended massive political capital and sustained significant political damage to enact the toughest possible law he could get curtailing medical cost inflation, which is the single-greatest long-term driver of the deficit.