Healthcare confusion

Let’s start with Jen Sorensen

Jen Sorenson

A lot of people are confused about what the Affordable Care Act does and don’t seem to realize that their insurance will actually come from a combination of Medicaid (or Medicare (for those who qualify) and a private insurer or just from a private insurer.  This is  the kind of insurance many got (I understand there are fewer offered these days) when they retired and got Medicare Advantage from a private insurer through their former employer as I do.  My retiree’s Medicare Advantage is partly subsidized by the City of Boston but I pay a monthly premium just as I pay a monthly premium for Medicare.  The ACA changes none of this for me.  And it changes nothing about employees who get qualified plans through their employers.  But to hear some of the Republicans carry on you would think that some staffer from the Department of Health and Human Services – or maybe Kathleen Sebelius herself will be performing medical exams.

As Gail Collins explained in her New York Times column today

The Democrats are depressed. The Republicans enjoy pointing out that the Obamacare rollout has been a mess. But they obviously can’t pretend to be upset that people are finding it hard to sign up for a program their party wanted to kill, eviscerate and stomp into tiny pieces, which would then be fed to a tank of ravenous eels.

Well, actually, they can.

“I haven’t heard one of you apologize to the American public,” Representative David McKinley of West Virginia sternly told government contractors who had worked on the HealthCare.gov Web site. McKinley’s party recently shut down everything from the national parks to preschool programs, while costing the economy an estimated $24 billion. Nobody apologized. Perhaps they’ll write a note this weekend.

“I’m damned angry that I and 700,000 Texans I represent have been misled, misled and misled,” said Representative Pete Olson. The only thing that could conceivably make Olson angrier would be if the Obamacare site was working so well that Texans could get health insurance as easily as they can order a chrome scarf holder from Amazon.com.

I thought these guys would be happy that people couldn’t get insurance and that the whole enterprise was a flop.  But maybe it is just the technical failures with the website that they don’t like.  I’m very confused.  As Andy Borowitz posted ” I guess once the Obamacare website is fixed the Republicans will be totally on board.”

But I don’t think the news will be good in the long run for the Republicans who want to repeal the ACA even if access to the sign-up website gets fixed.  This post from Sarah Kliff on Ezra Klein’s Wonkblog is likely just the start.

More than 330,000 people have managed to get deep enough into new government health insurance Web sites to learn how much financial assistance they will receive purchasing coverage, the Internal Revenue Service said Saturday.

That figure is arguably the most robust measure released to date by the Obama administration of how many Americans are successfully applying for financial help in purchasing a private insurance plan.

Calculations of financial assistance is a step that follows filing an application and tells applicants how much of a tax credit–if any–they can use to purchase a private health plan. This figure does not include shoppers who were found to likely qualify for Medicaid earlier in the shopping process.

The IRS said it has also received and responded to more than 1.3 million requests from the marketplace for personal data used to apply for Affordable Care Act programs, such as household income and family size.

The IRS said it is currently receiving about 80,000 such data requests each day. It is one of about a half-dozen agencies that send information to a federal data hub, along with the Department of Homeland Security and the Social Security Administration.

“Our IT systems are working well and providing both the historical tax data and the computation service accurately and quickly through the government’s data hub,” IRS spokesman Terry Lemons said. “The requests are being processed within seconds.”

This federal data hub determines eligibility for premium tax credits for the 36 states using the federal insurance marketplace and also for some, but not all, of the state-based exchanges. California, for example, opted to use its own technology to determine who qualifies for which programs.

The federal data hub was built by the contracting firm QSSI. The Obama administration announced Friday that QSSI would take on a new role as HealthCare.gov’s general contractor, overseeing efforts to fix the Web sites’ problems.

HealthCare.gov pings this federal data hub to verify a consumer’s identity and also when shoppers indicate in their applications that they would like to apply for financial assistance with coverage. Health and Human Services has said that, as of Thursday, 700,000 applications have been filed through the federal and state insurance exchanges.

People were slow to sign up when Massachusetts rolled out Romeycare and now there is close to universal coverage.  ACA sign-up, despite the problems is going even faster.

mass_enrollment_blue

Winners and losers

Not talking about baseball today but about  the 16 day drive toward the fiscal cliff.   One of my favorite commentators, Ana Marie Cox, has compiled a list that you can see in its entirety here in the Guardian.  You can agree with her or not about her choices, but she gives us some things to think about.  Here are my favorites among Cox’s choices.

Winners

Ted Cruz

Ted Cruz. The punchline for a thousand Twitter humorists and the lead for most of the many stories about GOP dysfunction, Cruz is laughing in that whiny way of his all the way to the campaign war chest. He raised over $1m in the third quarter that ended 1 October, before the shutdown, half of it through the new “Ted Cruz Victory Committee” formed last year specifically to benefit from Cruz’s “defund Obamacare” petition. Cruz’s floor speech before the Senate vote seemed to imply that the fundraising was continuing at that pace; he referred to the “millions of millions [sic] of American people rising up across this country, over two million people signing a national petition to defund Obamacare”. The online petition is also an email harvesting gambit from the Senate Conservative Fund, the PAC that helped bring Cruz to Washington in the first place.

Harry Reid

Harry Reid. The former pugilist only won a technical knockout, but that’s probably the way the Senate majority leader likes it. That Reid’s compact and focused rage held Democrats together and in chorus was obvious from the outside. Senator Dick Durbin’s insinuation that we will “never know, you will never know, how much he put in to accomplish this” only ups the suspicions about the incredible power Reid wields.

Speaker Pelosi

Nancy Pelosi. Drudge called it, naming the Democratic congresswoman from California the once and future Speaker of the House. In other words, Matt Drudge thinks the Democrats have a serious chance of winning back the House of Representatives in the 2014 midterms. Or, you know, he could have been trolling us.

John McCain

John McCain. The septuagenarian’s bipolar relationship with the media started on the upswing with his early ridicule of Cruz (though now Cruz wears “wackobird” as a badge of honor). With the threat of a shutdown, the love affair really flared back up. McCain gave both earnest indictments of the strategy and exasperated quips. He dusted off the chestnut that congressional popularity is down to “paid staffers and blood relatives” and declared sarcastically of the GOP, “We’re livin’ the dream.”

And now the

Losers

majority rule

Majority rule. While the fundamental principle of democracy seems to have survived the 16-day crisis, the fact of the shutdown and the tiny minority of congressmen that created it, the Tea Party Republicans of the House have nonetheless managed to poke serious holes in the constitution they hold so dear. Presumably, the second amendment was left unscathed.

economic principles

Economic principles. People who didn’t even know what the debt limit was last month now think it’s some kind of conspiracy. Even as the US dodged a bullet this time – though suffering the collateral damage of further credit-rating downgrades – one can’t help feeling that we haven’t heard the last of the GOP’s new caucus of “debt default skeptics”.

apples and oranges

“False equivalence” reporting. James Fallows at the Atlantic documented some of the worst offenders and as “it’s everybody’s fault” became a Republican talking point, many media critics joined him in denouncing the faux-even-handedness as actually putting a finger on the scale. The “serious people” trope (as in, “serious people are above partisan bickering”) popularized by op-ed writers such as Michael Kinsley and Ron Fournier became especially ridiculous as the crisis wore on. Kinsley’s column beseeching Obama to “give in” to Republicans “for the sake of the country” (“media will no doubt call Obama weak”!) should be taught as a cautionary example against this desire to be “taken seriously”.

gop logo

The GOP. I mean, really.

This effort has only cost us an estimated 24 Billion dollars (and counting) and there is no saying that it won’t happen again in January.  It drives me nuts that the President is blamed by many while Ted Cruz used me – and everyone else who pays taxes and needs government services – to raise money for his 2016 Presidential bid.  But the silver lining is that if the Democrats get to work, it looks like they can hold on to the Senate and take back the House.  And then John Boehner will really have something to cry about.

Moving toward the cliff

Yesterday I had lunch with a friend, a federal employee, who is not working because of the shutdown.  She can’t check her work email or phone messages and fears the backlog of problems that awaits her when she does get back to work.  She said the only way she was fortunate was that she was not one of the essential employees who had to work anyway.  We speculated on how people will get to work if October moves to November and people’s monthly transit passes run out.  Will they be expected to shell out money they don’t have to get to a job they aren’t paid for?  All her friends can do is to buy her lunch.  Fast forward 24 hours and we still have no deal.  Even if the Senate comes up with a solution it is not clear if 1) the House will even vote on it and 2) if they do, if this is just another short term postponement.  All my friend hopes is that the next deadline is past the holidays and that there is back pay.

I was trying to find some humor in the whole situation, but find that I actually feel very sorry for John Boehner.  John Cassidy posted this for the New Yorker.

Give the Republicans on Capitol Hill one thing: they don’t leave a job half done. Evidently disturbed by polls showing Congress with a single-digit approval rating, they appear intent on driving it to zero.

What other explanation can there be for Tuesday’s farcical maneuvers, which saw the House Republican leadership try and fail to seize the initiative in the debt-ceiling standoff from the Senate, in the process humiliating Speaker Boehner yet again. By the end of the day, facing renewed opposition from some of his own members, Boehner had dropped his efforts to pass a bill that would have ended the shutdown and raised the debt ceiling until February, but one with more riders than an agreement that Mitch McConnell, the Republican leader in the Senate, and Harry Reid, the Democratic leader, have been working on.

From the point of view of the country, that’s good news. Overnight, officials representing McConnell and Reid were rushing to complete their negotiations, which were called off on Tuesday after Boehner’s unwise intervention. As it stands now, the Senate agreement would reportedly fund the government until January 15th and raise the debt ceiling until February 7th, with the only concession from the Democrats being an agreement to toughen up the policing of eligibility requirements for obtaining federal subsidies to buy health insurance under the Affordable Care Act.

Boehner is in a box.  He can’t control his own party caucus and can’t turn to Democratic votes because then he would lose his Speakership.  If the country goes into default, he will likely lose it anyway.

Once the Senate passes a bill and sends it to the House, the Speaker will face the unenviable choice of allowing it to pass with Democratic support or exercising the nuclear option of forcing a default. Having already ruled out this second option in public comments, there were reports on Tuesday night that Boehner was prepared to bring the Senate bill to the floor, which would probably insure its passage. That wouldn’t end the budget crisis—it’s never-ending—but it would put off the next showdown until the new year, whilst ensuring that the Republican ultras had gained almost precisely nothing for their willingness to shut down the government and raise the prospect of a debt default. (In another development on Tuesday, Fitch, one of the big ratings agencies, placed U.S. government debt on watch for a potential downgrade, saying that “the prolonged negotiations over raising the debt ceiling (following the episode in August 2011), risks undermining confidence in the role of the U.S. dollar as the preeminent global reserve currency by casting doubt over the full faith and credit of the U.S.”)

From the point of view of the Republican Party, things have been going from bad to worse. With the party divided, its poll ratings tanking fast, and its leadership unwilling to risk an actual default, it has been clear for some time that it was in a losing position. The discussions in the past few days have been about the terms of surrender, with the White House and Reid pressing for something close to an unconditional capitulation.

So here are a few cartoons to weep at as we proceed at a Senate’s slow pace, to the edge.

From Tony Auth

From Tony Auth

Tom Toles

Tom Toles

Signe Wilkerson

Signe Wilkerson

And Wilkerson, again.

Wilkinson2

Can we hope that there are still some adults who won’t drive us over the edge?

Can we send David Ortiz to the budget negotiations?

It has been a discouraging last few days with the only real bright spot being Friday (and then we went back Saturday) at Symphony Hall with the Boston Symphony Orchestra. We wanted to hear Thomas Ades, Polaris a second time and Friday night the BSO did not do Franck’s Symphony in D Minor which my husband loves.   But we came home Saturday night to no budget/debt ceiling deal and the Red Sox striking out, also.  I often tune in to some of the Sunday news shows, but couldn’t stand to hear any more Republican Congresspersons who have no clue about what the debt ceiling is much less understand any thing about the economy.  One of my friends posted this on Facebook the other day

Despite their lofty status in managing American affairs, it appears to me that few Congresspersons have any meaningful understanding of how their chronic politicization of economic policies substantially degrades, perhaps permanently, the dollar’s status as the global reserve currency. Evidence of the dollar’s decline to a commodity status is increasingly apparent. In time, every American will feel a crippling pain that no amount of political negotiating can cure.

Given this state of things, I retreated to a game of Civilization V where I could control, more or less, my own universe until after Sunday dinner when the Red Sox could take over.  But, after watching strike out after strike out with Clay Buchholz pitching sooo very slowly while getting slammed around in the sixth, I retreated.  I woke up just before 6 am this morning having just had a dream that I woke up and the Sox had come back.  I turned on the radio, I found that is was true!

Peter Abraham explains

In what has been a season full of memorable late-inning victories at Fenway Park, the Red Sox saved the best for when they needed it the most in Game 2 of the American League Championship Series Sunday night.

Trailing by four runs against the Detroit Tigers, the Sox tied the game on a grand slam by David Ortiz in the eighth inning then won it, 6-5, when Jarrod Saltalamacchia singled to drive in Jonny Gomes in the ninth.

The remarkable victory had the players chasing Saltalamacchia across the outfield and the sellout crowd of 38,029 chanting “Let’s Go Red Sox!” as they left Fenway.

“When you back us into a wall, you either do two things: cave or fight. We’re gonna fight,” Dustin Pedroia said.

That wall was hard to get over. The Sox had scored one run through the 16 innings in the series, going 3 for 51 at the plate with 30 strikeouts. Detroit starter Max Scherzer allowed one run on two hits over seven innings and struck out 13.

And then.

Will Middlebrooks doubled to left field off Jose Veras to start the rally. Then Jacoby Ellsbury drew a walk off Drew Smyly.

Al Albuquerque was next out of the Detroit bullpen. He struck out Shane Victorino for the second out, but Pedroia singled to right. Third base coach Brian Butterfield held Middlebrooks, wanting to make sure Ortiz got his chance.

Ortiz swung at the first pitch, a changeup away, and was strong enough to pull it into the Red Sox bullpen in right field for his first career postseason grand slam and the fourth in Red Sox history.

Right fielder Torii Hunter tumbled over the wall trying to make a catch as Boston police officer Steve Horgan raised his arms in joy. Bullpen catcher Mani Martinez, who was warming up Koji Uehara, casually turned and caught the ball.

It was bedlam at Fenway and the crowd kept cheering until Ortiz emerged from the dugout and tipped his helmet to them.

“My idea wasn’t to go out and hit a grand slam,” Ortiz said. “If I was telling you about thinking about hitting a grand slam, I’d be lying to you now.”

A hero of postseasons past, David Ortiz rounds third base — as the Tigers’ Miguel Cabrera looks on — to a standing ovation after his grand slam in the eighth inning tied Game 2 at 5.

A hero of postseasons past, David Ortiz rounds third base — as the Tigers’ Miguel Cabrera looks on — to a standing ovation after his grand slam in the eighth inning tied Game 2 at 5.

Gotta love David.

There was still a game to win. After Uehara retired the Tigers in order, Gomes was again the catalyst.

He reached on an infield single off Rick Porcello and took second on a throwing error by shortstop Jose Iglesias, the former Sox player known for his defensive skills.

“No is not an option for this team,” Gomes said. “Once I got on second, I was going to do anything I could to score.”

Gomes advanced on a wild pitch and scored when Saltalamacchia singled to left field.

“I felt good,” Saltalamacchia said. “Trying to hit the ball up the middle and take your chance.”

It was the 12th walkoff win of the season for the Red Sox.

So now we have something to watch on the highlight reels other than strike out after strike out.  There is joy in Mudville after all.  The Red Sox head for Detroit to face Justin Verlander, still another one of the Tigers’ great pitchers.  Let’s end this with something to ponder.  My husband heard Verlander ask this question:  If a pitch grazes a Red Sox’s beard, did he get hit by the pitch?

Now if only someone would hit a grand slam on the budget and knock out Ted Cruz and his friends.

Photograph:  Jim Davis/Globe Staff

The myth of small businesses and healthcare

One of the favorite talking points of the Republicans who oppose the Affordable Care Act (ACA) is that it will kill job growth and hurt small businesses.  Quite honestly, I think that their government shutdown which they admit is largely about defunding/delaying/repealing the ACA is doing a fine job of doing both.  Forget what they think “Obamacare” will do.  But in the current issue of the New Yorker, James Surowiecki takes on the myth, at that, according to him, is what it is, that the ACA will do horrible, terrible, no good things to the economy.

The G.O.P.’s case hinges on the employer mandate, which requires companies with fifty or more full-time employees to provide health insurance. It also regulates the kind of insurance that companies can offer: insurance has to cover at least sixty per cent of costs, and premiums can’t be more than 9.5 per cent of employees’ income. Companies that don’t offer insurance will pay a penalty. Republicans argue that this will hurt companies’ profits, forcing them to stop hiring and to cut workers’ hours, in order to stay below the fifty-employee threshold.

How much of this is true?

The story is guaranteed to feed the fears of small-business owners. But the overwhelming majority of American businesses—ninety-six per cent—have fewer than fifty employees. The employer mandate doesn’t touch them. And more than ninety per cent of the companies above that threshold already offer health insurance. Only three per cent are in the zone (between forty and seventy-five employees) where the threshold will be an issue. Even if these firms get more cautious about hiring—and there’s little evidence that they will—the impact on the economy would be small.

Meanwhile, the likely benefits of Obamacare for small businesses are enormous. To begin with, it’ll make it easier for people to start their own companies—which has always been a risky proposition in the U.S., because you couldn’t be sure of finding affordable health insurance. As John Arensmeyer, who heads the advocacy group Small Business Majority, and is himself a former small-business owner, told me, “In the U.S., we pride ourselves on our entrepreneurial spirit, but we’ve had this bizarre disincentive in the system that’s kept people from starting new businesses.” Purely for the sake of health insurance, people stay in jobs they aren’t suited to—a phenomenon that economists call “job lock.” “With the new law, job lock goes away,” Arensmeyer said. “Anyone who wants to start a business can do so independent of the health-care costs.” Studies show that people who are freed from job lock (for instance, when they start qualifying for Medicare) are more likely to undertake something entrepreneurial, and one recent study projects that Obamacare could enable 1.5 million people to become self-employed.

English: This is a diagram depicting the perce...

English: This is a diagram depicting the percentage in US who have no health insurance by age. (Photo credit: Wikipedia)

Remember that large employers get tax incentives to provide health insurance.  The ACA will actually do the same for small businesses.

Obamacare changes all this. It provides tax credits to smaller businesses that want to insure their employees. And it requires “community rating” for small businesses, just as it does for individuals, sharply restricting insurers’ ability to charge a company more because it has employees with higher health costs. And small-business exchanges will in effect allow companies to pool their risks to get better rates. “You’re really taking the benefits that big companies enjoy, and letting small businesses tap into that,” Arensmeyer said. This may lower costs, and it will insure that small businesses can hire the best person for a job rather than worry about health issues.

Surowiecki ends his short piece with this kicker.

The U.S. likes to think of itself as friendly to small businesses. But, as a 2009 study by the economists John Schmitt and Nathan Lane documented, our small-business sector is among the smallest in the developed world, and has one of the lowest rates of self-employment. One reason is that we’ve never had anything like national health insurance. In a saner world, changing this would be a reform that the “party of small business” would celebrate.

So it seems that implementation of the ACA with small business health insurance exchanges will actually help lead to more job growth.

The Senate Chaplain Speaks

Maybe you didn’t realize that the Senate and the House each have a chaplain.  If you are a C-SPAN junky you might have seen them open each daily session.  The Senate website has a brief description of the office and history.

Throughout the years, the United States Senate has honored the historic separation of Church and State, but not the separation of God and State. The first Senate, meeting in New York City on April 25, 1789, elected the Right Reverend Samuel Provost, the Episcopal Bishop of New York, as its first Chaplain. During the past two hundred and seven years, all sessions of the Senate have been opened with prayer, strongly affirming the Senate’s faith in God as Sovereign Lord of our Nation. The role of the Chaplain as spiritual advisor and counselor has expanded over the years from a part-time position to a full-time job as one of the Officers of the Senate.  The Office of the Chaplain is nonpartisan, nonpolitical, and nonsectarian.

But the current Senate Chaplain, Barry C. Black, has begun to make news with what the New York Times called “our daily Senate scolding.”

The disapproval comes from angry constituents, baffled party elders and colleagues on the other side of the Capitol. But nowhere have senators found criticism more personal or immediate than right inside their own chamber every morning when the chaplain delivers the opening prayer.

“Save us from the madness,” the chaplain, a Seventh-day Adventist, former Navy rear admiral and collector of brightly colored bow ties named Barry C. Black, said one day late last week as he warmed up into what became an epic ministerial scolding.

“We acknowledge our transgressions, our shortcomings, our smugness, our selfishness and our pride,” he went on, his baritone voice filling the room. “Deliver us from the hypocrisy of attempting to sound reasonable while being unreasonable.”

In case you were wondering, Chaplain Black was selected in 2003 by then Majority Leader, Republican Bill Frist.  He says of his politics

“I use a biblical perspective to decide my beliefs about various issues,” Mr. Black said in an interview in his office suite on the third floor of the Capitol. “Let’s just say I’m liberal on some and conservative on others. But it’s obvious the Bible condemns some things in a very forceful and overt way, and I would go along with that condemnation.”

But back to some of his recent prayers.

During his prayer on Friday, the day after officers from the United States Capitol Police shot and killed a woman who had used her car as a battering ram, Mr. Black noted that the officers were not being paid because of the government shutdown.

Then he turned his attention back to the senators. “Remove from them that stubborn pride which imagines itself to be above and beyond criticism,” he said. “Forgive them the blunders they have committed.”

Senator Harry Reid, the pugnacious majority leader who has called his Republican adversaries anarchists, rumps and hostage takers, took note. As Mr. Black spoke, Mr. Reid, whose head was bowed low in prayer, broke his concentration and looked straight up at the chaplain.

“Following the suggestion in the prayer of Admiral Black,” the majority leader said after the invocation, seeming genuinely contrite, “I think we’ve all here in the Senate kind of lost the aura of Robert Byrd,” one of the historical giants of the Senate, who prized gentility and compromise.

Senate Chaplain Barry Black

Senate Chaplain Barry Black

Chaplain Black is a federal employee who is not being paid during the shutdown.  He is also one of the few adults in the Senate chamber.

Mr. Black, who is the first black Senate chaplain as well as its first Seventh-day Adventist, grew up in public housing in Baltimore, an experience he draws on in his sermons and writings, including a 2006 autobiography, “From the Hood to the Hill.”

In his role as chaplain, a position that has existed since 1789, he acts as a sounding board, spiritual adviser and ethical counselor to members of the Senate. When he prays each day, he said, he recites the names of all 100 senators and their spouses, reading them from a laminated index card.

It is not uncommon for him to have 125 people at his Bible study gatherings or 20 to 30 senators at his weekly prayer breakfast. He officiates weddings for Senate staff members. He performs hospital visitations. And he has been at the side of senators when they have died, most recently Daniel K. Inouye of Hawaii in December.

The Senate is lucky to have him and maybe they need to pay more attention to what he is saying.

“I remember once talking about self-inflicted wounds — that captured the imagination of some of our lawmakers,” he said. “Remember, my prayer is the first thing they hear every day. I have the opportunity, really, to frame the day in a special way.”

His words lately may be pointed, but his tone is always steady and calm.

“May they remember that all that is necessary for unintended catastrophic consequences is for good people to do nothing,” he said the day of the shutdown deadline.

“Unless you empower our lawmakers,” he prayed another day, “they can comprehend their duty but not perform it.”

Senators, hear Chaplain Black.  Be adults.

Photograph:  Drew Angerer for The New York Times

The government shutdown: a letter from Congressman Capuano

I am posting the entire weekly email newsletter I just got from my Congressman, Mike Capuano.    I am proud to say that he was my boss for several years when he was the Mayor of Somerville.

Dear Friends,

The government shutdown is in its fourth day. Speaker Boehner still refuses to bring up a clean Continuing Resolution (CR), even though it would pass Congress and be signed by the President, reopening the government.

The House has spent most of this week considering bills to partially fund the government. This process is more about appearances than responsible legislating. That’s why you’ve seen attempts to fund the National Park Service so tourist attractions can reopen but not the Transportation Department. The Senate and President have both rejected this path. I’m not sure where or when this all ends. It’s certainly true that this battle is about the Affordable Care Act (ACA) and the obsession many Republicans have with sabotaging it. I think there’s more to it though.

This is also about one of the fundamental principles of our government, the idea of majority rule. The importance of that principle is vividly on display here and it’s one worth protecting.

The ACA was signed into law in 2010 after months and months of substantive and at times contentious debate. Since Republicans regained control of the House in 2010, there have been 42 attempts to repeal, defund or gut the law. Each time the effort has accomplished essentially nothing. As I noted earlier this week, Mitt Romney ran on a promise to repeal “Obamacare”. He lost the election. House Democrats got more votes than House Republicans and Democrats retained control of the Senate. The ACA was even declared constitutional by the Supreme Court.

Despite all of that, a small percentage of the House Republican Caucus refuses to accept the will of the majority, democratically expressed. They shut the government down because they can’t accept it. The ACA is the law of the land, affirmed by the results of a national election and a Supreme Court ruling. More and more moderate Republicans are speaking out on the need for a clean CR. Unfortunately there aren’t enough of those moderate voices and the extremists in the House continue to drown them out.

Imagine what our government would look like if more Members refused to respect the principle of majority rule and insisted on getting their way without regard for the consequences. It wouldn’t be 17 years between government shutdowns, that’s for sure.

I believe that this battle is also about the role that government should play in our lives. Do we want to provide some help to those less fortunate in the form of nutrition assistance or home heating aid? Do we want to help our states build world class roads, bridges and subway systems? Do we want to attract cutting edge research that results in medical advances? All of that takes an investment of federal dollars.

What has been happening over the past couple years is a steady and steep reduction in federal spending. That often gets lost in the din but numbers don’t lie. In two years, a total deficit reduction of almost $2.4 trillion has been achieved. In 2011, the Budget Control Act placed a cap on discretionary spending at $1.066 trillion for fiscal year 2014. That cap has been ignored by the House, with much deeper cuts going into effect as a result of sequestration.

Here are just a couple examples of how those cuts have impacted some important programs. In the past year, funding for the National Institutes of Health has been cut by $1.6 billion. Funding for Head Start has been cut by $400 million.

Earlier this year, the Senate passed a budget that proposed spending $1.058 trillion for fiscal year 2014. Under the clean CR proposed in the Senate in order to reopen the government, that spending is cut to $986 billion. This is much closer to the Republican proposal than the Senate’s.

In terms of cutting spending, Republicans don’t seem to recognize that they are gaining significant ground. The CR that many of them say they won’t support includes deep cuts to discretionary programming.

More votes are expected in the House tomorrow and the schedule for next week is unclear. Thanks for your calls and emails of support. I appreciate all of them.

Best,

Mike

English: Official Congressional portrait for C...

English: Official Congressional portrait for Congressman Mike Capuano. (Photo credit: Wikipedia)