I applied Trilling’s concept in a recent piece to anti-trans laws and the American imagination. But it can be applied to the GOP, too.
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It’s not going to destroy itself the way Europe did.
But it might destroy the global economy.
“Free play of the intellect”
For years, Republican talking points were strictly enforced. New ideas were suspect. Fealty to tax cuts and deregulation was binding. Independent thinking was verboten. Modern conservatism began with a profusion of ideas. (See Russell Kirk’s The Conservative Mind or the journal he founded, Modern Age.) Four decades later, it has devolved into a means of rationalizing multiple cults of personality.
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Over time, there were severe limits on “the free play of the intellect” if only because expedience demanded it. Eventually, as restrictions got tighter, the GOP became “bankrupt of ideas.” The only ideas that remained were vestiges of the past and resentments of the present. The only idea appearing to gain the attention of the new House Republican majority is impeaching someone, anyone, somewhere.
While the Republicans were tightening the coils of innovation, the Democrats and their intellectuals were releasing them, churning out new and useful ideas and policies for years (in forums such as The American Prospect, Democracy and Washington Monthly). Some of them reached their zenith in the administration of Joe Biden.
Those ideas, especially the belief that spending, not tax cuts, spurs economic growth, came at just the right time. What began as “a battle for the soul of the nation” quickly turned, for Biden, into a battle against an existential threat, the covid. In short order, Biden, as president, assimilated progressivism’s most useful ideas.
History coming back around
The shift from supply-side economics, which concerns scarcity, to demand-side economics, which concerns abundance, was too historic to ignore. Bloomberg Businessweek’s Alan Crawford, in “Big Government Is Back with Massive State Interventions,” said governments the world over are stabilizing economies rocked by inflation with huge public investments or even “nationalization.”
“From Washington to Tokyo, policymakers are going above and beyond to cushion the blow from surging prices on consumers and businesses,” wrote Bloomberg Businessweek’s Alan Crawford. “Some of this is tactical — fuel subsidies and food assistance programs can win votes — but the spending is also motivated by strategic considerations about economic competitiveness.”
“Massive state intervention” is another way of saying that the US, under Biden, is re-reviving ideas about the political economy that had been revived in a previous era in our history, when progressives looked to Germany without knowing they were “reimporting the modified themes of the earlier American school of political economy,” wrote historian of economics Michael Lind in Land of Promise.
Lind said Germany of the late 19th century had modeled itself on the “American system” of Henry Clay and Daniel Webster “by creating a large internal market and using a protective tariff to promote its infant industries.” Rather than Bismarckian authoritarianism, Lind said, Germany adopted what it called “American-style democracy.”
The American progressives of the early 1900s, Lind wrote, brought those ideas back home in order “to found the institutional school of American economics, which had a profound influence on American reform in the first half of the 20th century, even though it was marginalized in the American academy after World War II by excessively abstract, unrealistic approaches to economics.”
Those “excessively abstract, unrealistic approaches to economics” prevailed for pretty much Joe Biden’s entire time in public service. He and most Democrats ran from the word “spending.” “Spending” is what they did in Soviet Russia, after all. But in the face of an existential threat like the covid, spending has taken on a new high-beam glow. In the middle of a national crisis, spending isn’t wasteful. It’s useful. It’s another way of practicing statecraft.
Statecraft and stagecraft
Some Republicans still cling to the old ways of thinking about the political economy, but most have abandoned “excessively abstract” economics – ie, “neoliberalism” – in favor of “the culture war,” “owning the libs” and any theatrical hoo-hah that wins time on Fox.
They do, however, pretend to care.
Here we find the least recognized difference between the parties.
The Democrats believe ideas are crucial to democratic politics and republican government. Under Biden, who folded into his administration, in the face of crises, the most useful of progressive ideas, the Democrats have returned to being the party of statecraft.
The Republicans, however, won’t craft anything. Taking any action would mean taking some responsibility. They can’t have that. The GOP stopped caring about republican government after the election of the first Black president. They stopped caring about democratic politics under Donald Trump. They stopped caring about ideas.
All they have left is pretending to serve the people.
All they have left is stagecraft.
“Force, which it masks in ideology”
Stagecraft, however, is hardly benign.
The “conservative movement,” another way of saying the Republicans’ four-decade-old hegemony, is like all political movements. It began with fresh ideas, a burst of intellectual energy seeking to countervail the presumptions and preconditions that shaped the status quo.
Over time, the movement’s ideas attracted attention, resources and people. Properly organized, and with enough effort, it went on to achieve its goal. The election of Ronald Reagan undid the status quo of Roosevelt. It established the Republicans’ 40-year hegemony.
But with success and power comes apathy, decadence and decline. “Excessively abstract” economics - tax cuts and deregulation – seemed fresh in the late 20th century. By the second decade of the 21st century, however, it seemed more rote than revolutionary.
Abandoned by most Republicans in favor of “the culture war” and “owning the libs,” and impotent in the face of the covid pandemic and its inflationary consequences, it was just a matter of time, as Trilling might have said, before the conservative movement despaired of having ideas and turned to “force, which it masks in ideology.”
Persuasion out, extortion in
Kevin McCarthy, the new speaker of the House, bargained away much of his power to secure the support of Republican anarchists, who want to use the debt ceiling (the cap of what the government can borrow) to extort the country into meeting their demands.
According to historian Heather Cox Richardson, McCarthy appears ready to go along. “McCarthy said he would not agree to raising the debt limit — that is, honoring the debts the country has already incurred — without ‘fiscal reforms.’ That promise seems to hold the threat of a showdown over a national default,” she wrote last night. (The debt ceiling is expected to be reached sometime this year.)
This danger, however, is usually met with shrugging indifference. The Republicans can’t possibly mean it, the thinking goes, since allowing the US to default on its debts would trigger armageddon. As I said some time ago, $15 trillion in household wealth would poofthph.
They mean it. They don’t have anything else to offer. In the absence of ideas, as Trilling said, they have turned to force, which the GOP masks in ideology. They are going to force the US, and the world, to bend to their will. Democratic persuasion is out. Extortion is in.
The Republicans are “bankrupts of ideas,” because they put “limits on the free play of the intellect,” because they don’t care about thinking as much as they care about obedience to their authority. They won’t destroy themselves the way Europe did in the Second World War.
But they might destroy other things.
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'I should know': Healthcare industry whistleblower calls Medicare Advantage plans a 'money-making scam'
Right now, well-funded lobbyists from big health insurance companies are leading a campaign on Capitol Hill to get Members of Congress and Senators of both parties to sign on to a letter designed to put them on the record “expressing strong support” for the scam that is Medicare Advantage.
But here is the truth: Medicare Advantage is neither Medicare nor an advantage.
And I should know. I am a former healthcare executive who helped develop PR and marketing schemes to sell these private insurance plans.
During my two decades in the industry, I was part of an annual collaborative effort to persuade lawmakers that Medicare Advantage was far superior to traditional Medicare—real Medicare. We knew that having Congressional support for Medicare Advantage was essential to ensuring ever-growing profits—at the expense of seniors and taxpayers. We even organized what we insiders derisively called “granny fly-ins.” We brought seniors enrolled in our Medicare replacement plans to Washington, equipped them with talking points, and had them fan out across Capitol Hill.
I regret my participation in those efforts. Over the 20 years since Congress passed the Medicare Modernization Act, the Medicare Advantage program has become an enormous cash cow for insurers, in large part because of the way they have rigged the risk-scoring system to maximize profits. As Kaiser Health News reported last month, the Center for Medicare and Medicaid Services estimated “net overpayments to Medicare Advantage plans by unconfirmed medical diagnoses at $11.4 billion for 2022.” That was for just one year. Imagine what the cumulative historical total would be.
The Medicare and Medicaid programs have become so lucrative and profitable for insurers that UnitedHealth Group, the nation’s largest health insurer and the biggest in terms of Medicare Advantage enrollment, got 72% of its health plan revenues in 2021 from taxpayers and seniors. In fact, all of UnitedHealth’s enrollment growth since 2012 has been in government programs. Enrollment in the company’s employer and individual health plans shrank by 370,000 between September 30, 2012, and September 30, 2022. Much of the $81 billion UnitedHealth collected in revenues in the third quarter of last year was subsidized by American tax dollars.
Members of Congress on both sides of the political aisle–and both sides of the Capitol–are at long last calling for more scrutiny of the Medicare Advantage program. Sen. Chuck Grassley has called for aggressive oversight of Medicare Advantage plans to recoup overcharges and was quoted in the Kaiser Health News story. As was Sen. Sherrod Brown, who said that fixing Medicare Advantage is not a partisan issue. And as Rep. Katie Porter commented, “When big insurance bills taxpayers for care it never intends to deliver, it is stealing our tax dollars.”
I know that Democrats and Republicans alike care about the financial stability of the Medicare program. Instead of joining with the corporate lobbyists in extolling the benefits of Medicare Advantage while obscuring the program’s numerous problems, and in the process helping Big Insurance make massive profits, Congress should work to lower the cost of health care.
Medicare Advantage is a money-making scam. I should know. I helped to sell it.
And I’m going to continue working alongside patients, caregivers, and elected officials to address the problems.