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View Diary: Krugman on "The Medicare Miracle" (77 comments)

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  •  Once again I want to stress that (47+ / 0-)

    President Obama deserves much of the credit for this.  He put task forces to work looking for waste, fraud and mismanagement, then built measures into the ACA that addressed key issues.  This wasn't a lucky break or an incidental side-effect it was deliberate, thoughtful, and data-driven.

    Thanks, Obama!!

    I'm not looking for a love that will lift me up and carry me away. A love that will stroll alongside and make a few amusing comments will suffice.

    by I love OCD on Sun Aug 31, 2014 at 06:21:36 PM PDT

    •  Sadly, he did a terrible job of selling it (12+ / 0-)

      He seems to assume that because smart people like him get it, everyone else will too. But the US is a country of mostly ignorant and simpleminded people who need things explained to them. Nothing is self-evident to them.

      "Reagan's dead, and he was a lousy president" -- Keith Olbermann 4/22/09

      by kovie on Sun Aug 31, 2014 at 07:48:08 PM PDT

      [ Parent ]

      •  He also had to sell it (16+ / 0-)

        against a well-funded misinformation campaign.

        •  And with a media determined to bring it down (7+ / 0-)

          Have you ever seen a positive national media story on the ACA?

          And you never will.

        •  And against the very loud (1+ / 0-)
          Recommended by:
          I love OCD

          "progressives" who insisted that without a small not very important program, the public option, the bill was NO DAMN Good.

          Kill the Bill echoed through the halls of DKos College campus.

          There is still a faction demanding a PO or constantly bemoaning its absence without realizing the real public option they have (though the Repubs are doing a good job of ruining it in some states).

          You do realize if the was Medicare for all no abortion coverage would exist and many of the best, but most expensive contraceptives would not be covered.

          I'm asking you to believe. Not in my ability to bring about real change in Washington ... *I'm asking you to believe in yours.* Barack Obama

          by samddobermann on Mon Sep 01, 2014 at 05:29:31 AM PDT

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        •  He seemed to do ok against it (1+ / 0-)
          Recommended by:
          Heart of the Rockies

          when he ran for president. Try again, you're just giving excuses.

          "Reagan's dead, and he was a lousy president" -- Keith Olbermann 4/22/09

          by kovie on Mon Sep 01, 2014 at 05:53:10 AM PDT

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          •  Honestly, I can't understand (2+ / 0-)
            Recommended by:
            greengemini, joe from Lowell

            why you refuse to accept that "death panels" will get the media slavering and a 15 minute explanation of how '6 changes in compensation for hospitals and doctors, covering certain mismanagement issues, will begin to bring medical costs down over time' will be totally blown off.  We claim to understand how wretched our media is but keep missing the obvious: few liberal values/planks/proposals fit on bumper stickers.  You can't explain women's right to bodily autonamy in a tweet.  You can't explain why militarizing the police is bad in simplistic language.  You can't sell the ACA in sound bites.  Without a media that covers actual issues there's no point in crafting a message.  I see them trying on Facebook.  Unless you already get it, positive ACA stories take paragraphs, not characters.  

            I'm not looking for a love that will lift me up and carry me away. A love that will stroll alongside and make a few amusing comments will suffice.

            by I love OCD on Mon Sep 01, 2014 at 08:07:57 AM PDT

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            •  What I refuse to accept (0+ / 0-)

              is the idea that Obama had no control over that situation and did the best that he could, which is total nonsense. He barely fought back, and that with one hand tied behind his back, afraid to appear to be too partisan or upset his corporate buddies. It is possible, you know, to acknowledge and even praise his accomplishments while honestly claiming that he could and should have done better. What I don't understand is when people are ok with leaving something on the table. Why must it be that we have to either hate or love him, unconditionally? Why can't we like parts and not like others?

              I will never be convinced that Obama handled the ACA well, from its design to its implementation to its selling, even if we're all better off for it nonetheless. It's a big improvement, but it should and COULD have been even better, I believe. I see these two views as completely reconcilable and consistent.

              "Reagan's dead, and he was a lousy president" -- Keith Olbermann 4/22/09

              by kovie on Mon Sep 01, 2014 at 09:04:46 AM PDT

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              •  He pushed it, against all advice from (0+ / 0-)

                all sides, when the entire Democratic Majority was asking him to drop it.  It wasn't about his corporate pals, it was about arm-twisting the guys who were supposed to be on his side for fuck's sake.  Good luck selling something every Senator and Representative was running from so fast the roads were smoking.  Maybe you have some magic power he lacks, maybe you could have single-handedly taken on the Republican lies and the Democratic cowardice and somehow gotten a hostile media to listen to Professor Obama explaining the ACA, and to write thoughtful articles about it.  

                Just a note, those insurance company executives he was supposedly pandering to paid an extra $72,000,000 in income taxes this year.  Plus they've got a fixed profit margin.  Plus they're getting slapped around every time they think they've found a new workaround.  

                It really is time for the realities of that battle to be shared.  I like you, Kovie.  I get really impatient when you trot out stuff that's common knowledge here and completely wrong.  It's a stressful thing to confront you.

                I'm not looking for a love that will lift me up and carry me away. A love that will stroll alongside and make a few amusing comments will suffice.

                by I love OCD on Mon Sep 01, 2014 at 06:03:50 PM PDT

                [ Parent ]

        •  True, but both Obama and Democrats (2+ / 0-)
          Recommended by:
          eyo, greengemini

          in Congress dropped the ball in the summer before the mid-terms when all the talk was of death panels, etc.  There should have been a far more aggressive pr campaign promoting it.

        •  ....during the worst economy since the Depression. (2+ / 0-)
          Recommended by:
          Ozy, I love OCD

          This Bully Pulpit! model of politics, where how well the President "selling" his policies is the main determinant of public opinion, is not taken seriously by anyone who actually researches politics and public opinion.

          Art is the handmaid of human good.

          by joe from Lowell on Mon Sep 01, 2014 at 11:44:59 AM PDT

          [ Parent ]

    •  Yes, yes, yes! (13+ / 0-)

      Obama did a great job here!  He's so smart and has such a great command of the issues.   Beyond Medicare, ACA is also working, negotiated rates with hospitals and other providers are down or at least increasing at much lower rates than before.

      Since January 2009:

      Stock market is way up....

      Housing market is up......

      Unemployment is down.....

      The budget deficit is down.....

      All with great resistance from Congress.  It's really a miracle how much has been done with such little help.  Amazing.

      •  It's not a matter of "negotiated rates" (4+ / 0-)
        Recommended by:
        elfling, eyo, I love OCD, otto

        having been reduced. It is reducing the number of procedures performed and the mandatory quality control measures that reduce the medical care needed.

        In fact the fees for doctors etc on Medicaid were RAISED to the same level as Medicare.

        Not paying for the repair of mistakes made by providers tends to reduce the number of mistakes by the providers.

        Next year they are going to pay for keeping people with more than two chronic conditions well.

        I'm asking you to believe. Not in my ability to bring about real change in Washington ... *I'm asking you to believe in yours.* Barack Obama

        by samddobermann on Mon Sep 01, 2014 at 05:36:32 AM PDT

        [ Parent ]

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