Progressive Opinion

nextnewdeal.net — While the principle focus of this year’s presidential campaign was clearly the economy, the election carried more profound implications for the future of American health care then any other area of policy. The choice was clear: would we see the reaffirmation of the Affordable Care Act and with that, an opportunity for its provisions to be phased in at last? Or would we see a rapid repeal and systemic overhaul under the ascendant Romney administration? With the reelection of President Obama, the signature health care legislation of his first term is secure. But to truly reform our health care system, he still has much more work to do in his second term.

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prospect.org — President Obama and House Speaker John Boehner are on track to cut a deal that Wall Street has been slavering over for a decade—a small dollop of revenue increases, mainly through loophole closings, coupled with massive spending cuts including in Social Security in Medicare, adding up to 4 to 5 trillion dollars of budget cuts over a decade. Obama is convinced that this sort of grand bargain is necessary because financial markets expect it. Yet the same financial markets are happy to lend the government money for 30 years at less than 3 percent interest. If Obama and the Republicans do make such a deal, growth will slow to a trickle. Ironically, the president, having humiliated the Republicans on Election Day, holds most of the cards.

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alternet.org — Voting patterns told a story yesterday. And here is the story they told: working people want a president who works for them. What does it mean? For starters, it means that struggling people have seen right through the faux populism of the GOP, and they know that between the two parties, the Democrats are slightly more likely to stand up against the dangerous income inequality, wage depression and shredding of social safety nets the Republican Party has embraced. And it means that the Occupy Wall Street movement has enhanced awareness of a system that redistributes income toward the top -- the 99 percent know it, and so do the rich. The president should heed the message voters sent as negotiations for a so-called “Grand Bargain” (what white-collar criminologist Bill Black has more properly called a “Grand Betrayal”) heat up in the face of another phony crisis meant to give the fat cats a new shot at redistributing income upward.

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washingtonpost.com — George Shultz once offered advice to Cabinet secretaries seeking to make a difference, advice that applies equally well to presidents. It’s easy to be consumed by your in box in these big jobs, Shultz explained. The flow of “incoming” could keep anyone fully occupied from the moment they were sworn in to the day they left office. The key to leaving your mark is to be sure you work on priorities you select and put into other people’s in-boxes. Don’t just work off your own. This sound counsel captures why Barack Obama’s devotion to major health reform was so important — and why the risks he took to pursue that course must make his vindication Tuesday night especially sweet.

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juancole.com — What will the United States look like in 2016 if Mitt Romney wins? While predicting the future is of course impossible, actually my experience is that if you play out known possible scenarios in your mind, you can often get a fair idea of the likely course of events.

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huffingtonpost.com — Wouldn't it be great if our candidates had to take a dose of truth serum every morning before hitting the campaign trail? If they did, those of us who will be voting tomorrow wouldn't be nearly as confused about what Obamacare is and what it isn't, what it will do and what it won't. Since there is no such truth serum requirement, I believe that many of us will actually be voting against our own best interests. Many Americans will vote for candidates who have scared them into believing that Obamacare is a government takeover of health care that it will bankrupt the country while slashing Medicare benefits. In the event that you or someone you know might benefit from some truth-telling, here are a few things you ought to know before pulling that lever tomorrow.

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nytimes.com — If President Obama is re-elected, health care coverage will expand dramatically, taxes on the wealthy will go up and Wall Street will face tougher regulation. If Mitt Romney wins instead, health coverage will shrink substantially, taxes on the wealthy will fall to levels not seen in 80 years and financial regulation will be rolled back. Given the starkness of this difference, you might have expected to see people from both sides of the political divide urging voters to cast their ballots based on the issues. Lately, however, I’ve seen a growing number of Romney supporters making a quite different argument. Vote for Mr. Romney, they say, because if he loses, Republicans will destroy the economy. O.K., they don’t quite put it that way. The argument is phrased in terms of “partisan gridlock,” as if both parties were equally extreme. But they aren’t. This is, in reality, all about appeasing the hard men of the Republican Party.

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jackandjillpolitics.com — Have you ever worked at a job where somebody was actively trying to sabotage you? Do you remember what that feels like? Well, that has been President Obama’s experience from Day One. As African Americans, we have a special sensitivity to situations where folks are unfairly set up to fail. We shouldn’t allow such tactics to determine the outcome of a national election. This is especially true in the president’s case. Obama’s performance has been extraordinary in both foreign and domestic policy, but he has gotten almost zero credit for truly historic achievements.

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nytimes.com — There’s a lot we don’t know about what Mitt Romney would do if he won. He refuses to say which tax loopholes he would close to make up for $5 trillion in tax cuts; his economic “plan” is an empty shell. But one thing is clear: If he wins, Medicaid — which now covers more than 50 million Americans, and which President Obama would expand further as part of his health reform — will face savage cuts. Estimates suggest that a Romney victory would deny health insurance to about 45 million people who would have coverage if he lost, with two-thirds of that difference due to the assault on Medicaid. So this election is, to an important degree, really about Medicaid. And this, in turn, means that you need to know something more about the program.

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washingtonpost.com — There are two tough questions facing the folks who want to remake Medicare into a premium support (or voucher) program. The first is that, despite decades of attempts, we don’t have a single good example of a competitive health insurance market driving down prices in a big way. Now some people think that perhaps it can work, and these efforts just got it wrong, somehow. I actually count myself in that camp, at least somewhat. But so far, the fact is that it just hasn’t worked. The second is that we do have evidence that a major way insurers compete is through trying to figure out who’s healthy and who’s sick and insuring the healthy people and turning away (or pricing out, or underserving) the sick people. And that’s a kind of competition we don’t much want.

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