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The group blog of The American Prospect

THE PARTISAN CASE AGAINST EARMARKS.

Senator Lindsey Graham's ability to attack earmarks in the very same breath that he declares "I should have the ability as a United States senator to direct money back to my state as long as it’s transparent and it makes sense" might indicate that he's a hypocrite, or perhaps not a native English speaker. The fact that Senator Jon Kyl and other Republicans have fallen into the same trap supports the first conclusion, since it's hard to imagine the Republicans sending that many non-English speakers to Congress. But watching Graham with David Gregory yesterday, I realized that eliminating earmarks might pose a real danger to him and his colleagues.

As policy, I'm as indifferent to the issue of earmarks as Tom Mann. They're inconsequential. Not only do they represent less than one percent of the federal budget, eliminating them wouldn't even reduce federal spending by even that tiny amount, or any amount at all, since earmarks by definition simply tag the spending in an already established pot of money, such as the Community Development Block Grant. The only question is whether decisions about funding individual projects should be made by Congress -- through earmarks -- or by a supposedly apolitical administrative process. Except for the tremendous inequities between states with clout on the Appropriations Committees and those without, Graham's argument that politicians have a legitimate role in deciding which large projects in their states should be priorities makes sense.

There's nothing partisan about earmarks -- Republicans do it, Democrats do it, and if you were a member of Congress, you'd do it, too. But for the moment, Republicans are far more dependent than Democrats on their ability to take some credit for federally funded projects. In the world with earmarks, Lindsay Graham is able to stand against the president on stimulus, on the budget, on Iraq, on health care. And then he's able to go home, cut a ribbon, get his picture in the paper, and tell everyone that he delivered the money for the new Myrtle Beach Convention Center.

But in a world without earmarks, what does Lindsay Graham bring home? Just words, and great stories about how he fought bravely against health care and economic stimulus.

Whereas a Democrat in a world without earmarks will be able to go home, ideally, and tell her constituents that she supported a popular president, that she helped rescue the economy, that she's moving us toward universal health care.

Congress works on two levels -- a game of big decisions with lasting consequences, and a small-ball game, mainly concentrated in Appropriations. The big game has become almost entirely partisan, and for the moment almost all the Republicans are opting out of it entirely, just as they did in 1993, whereas the small-ball game has always been indifferent to party and ideology. Anyone can play -- even those who claim to denounce it. (That's partly a matter of Appropriations-Committee custom and partly just that in a system with ten thousand small favors to be exchanged, there's room for everyone.) The small-ball game, being "Senator Pothole," is a form of protection for legislators who can't or won't participate in the bigger decisions.

Take away the small-ball game, of which earmarks are a significant part, and Republican members of Congress and Senators face a bit of a dilemma: Are they really willing to spend 2009 and 2010, years of extraordinary hardship for their constituents, with nothing positive to boast about? And if they aren't, it's one more reason to expect that they might rethink their reflexive policy of massive resistance to the Obama agenda.

-- Mark Schmitt



COMMENTS

But why do Congressmen & Senators who vote against the budget bill still get to have earmarks ? The earmark obviously didn't get their vote on the budget, so what's the benefit to the majority party or the administration ?

That might be an interesting twist. Make a rule that you only get your earmark if you vote for the legislation containing it.

Finally, the time has arrived to fix Americas Healthcare crisis, and Americas healthcare knightmare. Hundreds of thousands of you are killed needlessly every year by your healthcare delivery system in a rush to profit. And because of a rush to profit Hundreds of thousands more of you are needlessly dying from treatable illness that people in other developed and civilized countries don't DIE! from. Rich, middle class, and poor alike. Insured, and uninsured. Men, women, children, and babies.

Additionally, thousands more of you are driven into financial ruin, and bankruptcy just because you, or one of your loved ones got sick or injured. And all of this is happening at a time when America spends twice as much of it's GDP (Gross Domestic Productivity) on health care than any other country in the developed world. Individual Americans spend about ten times as much on health care as any other people in the developed world. This is a CRIME AGAINST HUMANITY. AND IT MUST END!

But before we can truly fix this healthcare crisis and disgrace, everyone needs to clearly understand what the problem is. And everyone needs to clearly understand the real enormity of the problem. The problem is that HEALTHCARE AND MEDICAL DELIVERY IN AMERICA IS SEVERELY CORRUPTED AND COMPROMISED BY GREED! AND THE PRIVATE FOR PROFIT MOTIVE. And it is corrupted, and compromised IN EVERY ASPECT, AND EVERY PLACE OF HEALTHCARE AND MEDICAL DELIVERY. Unfortunately for all Americans, compromised healthcare ALWAYS results in needless suffering, injury, disability, and or death. Which is exactly what is happening now in America in shocking numbers.

Health care is NOT! a private for profit business. Healthcare is an essential public service. Like police, and fire. And healthcare is also a human right! PRIVATE FOR PROFIT HEALTHCARE IS AN OXYMORON, AND AN IMMORAL AND UNETHICAL PERVERSION OF HEALTHCARE AND HUMAN RIGHTS.

So how do we fix this healthcare disgrace? I believe the fix for Americas healthcare disaster is essentially the same thing that every other developed country in the World has essentially done. "NOT FOR PROFIT, TAX PAYER SUPPORTED, SINGLE PAYER, AUTOMATIC, FREE UNIVERSAL HEALTHCARE FOR ALL. Essentially HR676 (enhanced, and expanded medicare for all). Just like every other CIVILIZED! country in the developed World has. There is no other way to truly fix and reform our current disastrous healthcare delivery system.

All Universal health care systems work best when everyone participates. But I know that the healthcare lobby, and some politicians will try and undermine "Not For Profit, Tax payer supported, Single payer, Automatic, Free Universal Healthcare for all" by falsely claiming that it will limit your choice, and require you to participate.

So, I propose that everyone be included in the national plan unless they choose to opt out. If you opt out and need medical care the national plan will insure your provider that they will be reimbursed under the rules for members in the national plan. But those who opted out, and their insurer will be responsible for the FULL! cost to the national plan for providing your care if you or your private insurer fails to reimburse the provider or the national plan in a timely manor to at least the standards of the national plan.

Including reporting you to credit agencies, withholding of taxes, leans, and garnishment of wages for unpaid medical bills. Just like you have now under private for profit healthcare, and private for profit health insurance.

Further, people who opted out will be required to provide proof of financial responsibility for future illness or be required to participate in the national plan. And everyone with children will be required to participate in the national plan. Or provide proof of insurance coverage on each child to the standards of the national plan. It will be against the law to report anyone in the national plan to a credit agency for unpaid medical bills.

Frankly, only a dope would want to opt out of the national plan and opt to keep our current disastrous private for profit medical, and insurance plans. But they will be free to choose. The most important thing is that the vast majority of Americans that want the protection, benefits, and higher quality of a universal national plan have that choice.

You see, one of the most important aspects of a universal healthcare system is easy access, and patient protection. This is accomplished by having a single payer without a conflict of interest in patient care. And by having a payer who has the power to enforce minimum standards of excellence in healthcare delivery for everyone in the plan. This is much of what Medicare does now for senors. "Aeger Primo" (The patient first). Unfortunately in our healthcare system the patient comes last. We are just a peace of meat to them. Cash cows to be slaughtered for profit.

So this is IT! my fellow Americans, My fellow human beings, My fellow World Citizens. And my fellow Cyber Warriors. :-) The time has come. D day. H hour. HEALTHCARE REFORM THIS YEAR! Let no one stand in our way. Contact your representative and tell them you want "Not For Profit, Tax Payer Supported, Single Payer, Automatic, Free Universal healthcare for all. And tell them you want that choice now. Tell them you want President Obama's budget passed as is, without delay. President Obama's budget is brilliant. And exactly what is needed now.

President Obama, and his allies will need all the support you can give them. The healthcare lobby will try to take out his people if they can, like they did with Tom Daschle and Nancy Killefer. And they will try to neutralize President Obama's popularity, and political power. Or they will try to take him down someway. Don't stand for it. If they attack him. Go after them ten times harder and remove them from office. We had an election. And you the people chose President Obama's leadership, and change agenda. Let no one in government disrespect the will of the American people and remain in office.

To President Obama, his Cabinet, the Congress of the United States, and the Supreme Court. I have noticed for some time a disturbing tendency for key members of your bodies to come down with illness, or medical problems at critical legislative times. This may just be coincidence. But I can tell you that there are a million subtle ways to medically injure someone just by doing nothing when something needs to be done. Or by doing things to someone when nothing needs to be done except to give them reassurance. I know for a fact that there are those that would have no qualms about hurting any of you to preserve our current disgraceful medical status quo.

So, I recommend as a matter of national security that you enlist the help of a friendly power to regularly review, and oversee the medical care you receive from your local regular healthcare providers. Briton, France and many other countries have excellent medical providers. As well as Canada. Briton, and Canada may be less of a language barrier for Americans.

Let's get this healthcare reform done now my fellow Americans. This year. Take no prisoners.

God Bless All Of You


Jack Smith — Working Class :-)

http://jacksmithworkingclass.blogspot.com/
(http://jacksmithworkingclass.blogspot.com/)

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