Cat Duffy

Author ››› Cat Duffy
  • The GOP Health Care Bill Actually Does What Conservatives Said Obamacare Would Do -- And Worse

    Blog ››› ››› CAT DUFFY

    Speaker of the House Paul Ryan (R-WI) scheduled the vote on the Republican health care bill, the American Health Care Act (AHCA), on the seventh anniversary of the passage of the Affordable Care Act (ACA), also known as Obamacare. Despite seven years of Republicans pledging to repeal and replace the ACA, all they’ve managed to come up with is a bill that is the manifestation of some of the worst myths and baseless critiques that right-wing media leveled against the ACA.

    The Republican Party introduced their health care bill earlier this month. The proposed legislation severely cuts Medicaid, reduces tax credits while giving a massive tax cut to the wealthy, and dramatically increases the number of uninsured Americans, effectively erasing the gains made by the ACA. While right-wing media has spent the better part of a decade demonizing the ACA, three of their biggest myths -- allegations that the ACA hurts seniors, that Democrats rammed the law through Congress, and the never-ending predictions of a “death spiral” -- are actually valid criticisms of the GOP health care law.

    The most famous right-wing media myth surrounding the ACA is the death panel -- the false allegation that the ACA created a panel of government bureaucrats that would ration health care for the elderly. PolitiFact dubbed the falsehood the “Lie of the Year” in 2009. However, right-wing media figures continued to push the myth for years. The specter of a death panel that might euthanize a grandmother fit into right-wing media’s narrative that the ACA would hurt seniors. Conservative media figures forwarded a variety of lies about how Obamacare was “sticking it to the seniors,” ranging from assertions that the ACA’s medical tax would apply to wheelchairs (it doesn’t) to false allegations that the law eviscerated Medicare by raiding its funding.

    In reality, the ACA improved senior care by reducing prescription drug costs for the elderly and extending coverage to key services. The ACA improved access to care by increasing Medicare payments for primary services and instituted crucial protections to improve the “quality and coordination of care.” The health care law also extended the solvency of Medicare by over 10 years, after which “payroll taxes and other revenue will still cover 87 percent of Medicare hospital insurance costs.”

    The AHCA, on the other hand, worsens the health care outlook for seniors. The bill loosens the age-rating protections that limit how much insurers can charge seniors, allowing them to discriminate against the elderly by charging them five times more than younger individuals. While allowing insurers to jack up premiums for the elderly, the AHCA also provides substantially less generous tax credits for purchasing health care, likely far below what would be needed to purchase comprehensive coverage. This disproportionately hurts working-class seniors. According to Vox, a 64-year-old who makes $26,500 a year will see “more than a 750 percent increase in premiums from Obamacare to the Republican bill.” As The Atlantic’s Vann Newkirk explained, “proportionally, the group of people that would see the most coverage losses under the AHCA is the population of people aged 50 and older.” And while the ACA increased Medicare’s solvency, the AHCA repeals the Medicare payroll surtax on the wealthy, which will “weaken Medicare’s financial status” by depleting its funding “three years sooner than under current law,” according to the Kaiser Family Foundation. Essentially, despite right-wing media having pushed the image of seniors as one of Obamacare’s main victims, it is actually the Republican health law that actively worsens access to health care while increasing costs for the elderly (just ask the AARP). 

    Another anti-Obamacare talking point featured conservative media figures decrying the allegedly undemocratic process by which Congress passed the ACA, claiming that Democrats were trying to “ram it down America’s throat.” Right-wing media took then-Speaker of the House Nancy Pelosi’s (D-CA) comment “we have to pass the bill so that you can find out what is in it” at the National Association of Counties out of context, to scandalize the health law as a secretive, closed door deal.

    Despite the rampant right-wing smears, the debate over the ACA was “one of the most transparent” in recent history, as Congress debated the legislation for over a year before it was signed into law. The full context of Pelosi’s now notorious speech reveals that her comment was about the need to have conversations about the substance of the ACA outside of the “fog of the controversy,” because negative talking points dominated the discussions of the law.

    The clear differences between the legislative processes for the ACA and the GOP health care bill lays bare right-wing media’s hypocrisy. As Politico’s Dan Diamond noted, “in 2009, Dems took 119 days between introducing [the] bill [and] taking a floor vote,” while “in 2017, [the] GOP will do it in 17 days.” The GOP has pledged to hold a vote on the bill in the House on March 23, despite the fact that the CBO has not finished scoring the substantial amendments released this week. Topher Spiro, the Center for American Progress’ Vice President for Health Policy, highlighted the hypocrisy, pointing out “Republicans *literally* have to pass the bill to find out what it does,” since it is highly likely there would be “no CBO score before the vote.” Instead of defending the democratic process they found so dear in 2009, conservative media figures portrayed the AHCA’s passage as inevitable and allowed guests to insist that the Republicans are using “regular order” to normalize the rush to pass the disastrous bill. The hypocritical treatment of these starkly contrasting legislative processes illustrates how right-wing media fealty to democratic norms only exists when it furthers their own narratives.

    The third manifestation of conservative hypocrisy on health care stems from right-wing media’s continued predictions over the last seven years about the possible collapse of the Affordable Care Act’s insurance markets into a death spiral. Conservative outlets claimed the law was in a death spiral each time premiums increased, when Aetna withdrew from the exchanges, when they alleged there weren’t enough healthy enrollees, and when some of the co-ops failed. None of these alleged death spirals were real -- in fact, the newest CBO report confirms the ACA is not collapsing and will continue to stabilize, despite claims to the contrary.

    By eliminating the individual mandate and replacing it with a much weaker “continuous coverage” requirement, the AHCA seriously risks a death spiral because it “could have the unintended consequence of discouraging healthy people from buying coverage.” Whereas the ACA’s individual mandate incentivizes purchasing insurance to avoid a penalty, under the continuous coverage requirement a healthy uninsured individual is likely to wait until they are sick to join the market, massively increasing costs. The Century Foundation outlined how the AHCA could result in a death spiral because coverage losses and cuts in financial assistance will result in few healthy enrollees. Families USA noted that the only way the AHCA creates stable markets is “by making it nearly impossible for older adults and the sick to find affordable coverage, leaving only the healthy or wealthy in the market.” While the predictions of the ACA’s demise have been greatly exaggerated, the Republican health law might actually lead to the death spiral right-wing media have long been hyping.

    The false claims right-wing media have made over time about the ACA highlight only a few of the ways in which the AHCA would devastate the American health care system. The AHCA pays for a $600 billion tax cut for the wealthy by cutting Medicaid -- the program that provides essential health care for the disabled, the elderly, and low-income communities -- by 25 percent. The newest reported proposal to eliminate the ACA’s essential health benefits package will gut access to substance abuse treatment for victims of the opioid epidemic and likely increase costs for women as insurers can drop maternity coverage. By defunding Planned Parenthood, the AHCA will deprive many low-income communities of their only safety-net health center and result in thousands of additional births per year. If the law passes -- despite the apparent cancellation of the first scheduled attempt -- the AHCA could create the apocalyptic fantasy right-wing media desperately sought to find in the ACA.

    *Image by Sarah Wasko

  • STUDY: Major North Carolina Newspapers Largely Failed To Report On The Devastating Impacts Of The GOP Health Bill

    ››› ››› CAT DUFFY

    Three of the top North Carolina newspapers largely failed to explain the major impacts of the proposed Republican health care bill, the American Health Care Act (AHCA). A Media Matters analysis of originally reported articles about the bill in the Winston-Salem Journal, The News & Observer, and The Charlotte Observer found little to no mention of its impact on women and minority communities, insufficient reporting on its impact on seniors, and minimal coverage of its hidden, massive tax breaks for the wealthy.

  • Experts Explain How GOP Repeal Of The ACA Will Hurt Americans

    ››› ››› CAT DUFFY

    Cable networks have hosted a variety of health care experts to discuss the negative impact that the Republican health care bill and repeal of the Affordable Care Act (ACA) will have on different aspects of the American health care system, including coverage, health care costs, Medicaid, and women’s health care.

  • This Is How Easy It Would Be For CNN To Fact-Check Tom Price's Trumpcare Lies

    Blog ››› ››› CAT DUFFY

    CNN moderators Dana Bash and Wolf Blitzer should aggressively fact-check Health and Human Services (HHS) Secretary Tom Price during the network’s March 15 town hall, given the Trump administration’s penchant for spreading misinformation on health care. The town hall format amplifies the need for follow-up questions by the moderators who are informed enough on the issues to actively fact-check misleading claims.

    CNN is holding a town hall featuring Price that “will focus on the GOP’s health care bill.” This is just one of several special events CNN has held about the Republican effort to repeal the Affordable Care Act (ACA). Given that the network has a new emphasis on “showcasing special events,” it is particularly important for CNN moderators to fact-check participants so these events don’t simply turn into platforms for conservatives to spread misinformation.

    CNN has a unique opportunity during this town hall to hold the Trump administration accountable for the predicted effects of its proposed bill, the American Health Care Act (AHCA), particularly given that this is will be Price’s first prime-time cable appearance outside the friendly confines of Fox News. (Price has done the rounds on Fox, giving interviews to Bret Baier, Neil Cavuto, and Trump sycophant Sean Hannity).

    Given Price’s history of pushing disastrous health care policies and the tendency for Republican politicians to push misinformation about their health care agenda during CNN’s special events, Bash and Blitzer must utilize this opportunity to ask follow-up questions and fact-check the secretary. Here are the five ways that Price is most likely to spread misinformation given his history and the Trump administration’s official positions: 

    1. Claiming That The CBO Report On The AHCA Is Wrong Or Biased

    The Congressional Budget Office (CBO) reviewed the AHCA and reported that it would increase the number of uninsured Americans by 14 million in 2018, and 24 million in 2026. A consistent theme in the conservative reaction to the CBO review revolves around attacking the credibility of the organization as a mechanism for undercutting its predictions. Price echoed these attacks, tweeting that “the CBO report defies logic” and issuing an official statement claiming that the “assumptions” of the report “do not translate to the real world.”

    Despite these attacks, the CBO has a long history of making accurate predictions about health care reform legislation. Vox’s Andrew Prokop notes that the CBO’s influence derives from its “reputation as a politically neutral arbiter” and that it is viewed as “the gold standard.” In contrast to the GOP’s claims that the CBO made inaccurate predictions about the ACA, the Commonwealth Fund emphasized that the CBO was “reasonably accurate” and that its “projections were closer to realized experience than other prominent forecasters’ estimates were.” FactCheck.org’s Brooks Jackson debunked the anti-CBO talking points, illustrating that “the CBO actually nailed the overall impact of the law on the uninsured pretty closely” and “got the big picture right” on coverage estimates. Bash and Blitzer should be ready to correct attempts by Price to smear the CBO to salvage the AHCA’s chances of passage.

    2. Attempting To Downplay The Fact That The AHCA Will Cause 24 Million Individuals To Lose Their Insurance By 2026

    Price has consistently misled the public during interviews about the AHCA’s impact on insurance coverage. When asked by Cavuto if he thought it was “inevitable” that “some” people who gained insurance through the ACA marketplaces would lose it, Price said, “No. I just simply don’t believe that.” He went further during a Meet the Press interview, claiming that “we have a great opportunity to increase coverage over where we are right now.” His remark echoed misleading claims made by Trump about providing “insurance for everybody.”

    In reality, the CBO report predicts that “in 2018, 14 million more people would be uninsured” and that that number would rise to “24 million in 2026.” Vox explained that the AHCA’s provision to end Medicaid expansion in 2020 “would contribute to one in five Americans being uninsured.” The Center on Budget and Policy Priorities (CBPP) emphasized that “all of the historic coverage gains expected under the ACA would disappear and the uninsured rate among the non-elderly would be at or above its 2010 levels.” The CNN moderators must be aggressive in holding Price accountable for the real impacts the proposed legislation will have on millions of Americans who are currently benefitting from Obamacare.

    3. Defending His Assertion That “Nobody Will Be Worse Off Financially” Thanks To Trump’s Health Care Agenda

    The AHCA would eliminate the ACA’s means-tested subsidies and replace them with age-rated refundable tax credits. During Meet the Press, Chuck Todd asked, “Can you say for certain that once this bill is passed, nobody will be worse off financially when it comes to paying for health care?” Price initially ducked the question but when Todd pressed him again, he declared, “I firmly believe that nobody will be worse off financially.”

    Despite Price’s bold claims, the CBO report shows that the AHCA will increase premiums for older, low-income Americans by “more than 750%.” Families USA noted that “lower income families could see their deductibles increase by as much as $5,500.” The Washington Post’s Max Ehrenfreund explained that the AHCA “is a mass transfer of income” from working-class and middle-class Americans that cuts taxes for the wealthiest Americans while cutting federal benefits for the middle and working class.” Bash and Blitzer should expect Price to try to spin his previous statements and must be ready to push back on any false characterizations of the AHCA’s impact on health care costs.

    4. Attempting To Minimize The Impact That Defunding Planned Parenthood Would Have On Women’s Health Care

    Price has a history of discounting the importance of women’s health care and has previously advocated legislation to roll back the ACA’s birth control mandate and to defund Planned Parenthood. Trump administration officials have defended the provision of the AHCA that defunds Planned Parenthood by claiming that it’s “not about denying women access to care” because they would reallocate the money to “federally qualified health care clinics.”

    Experts have debunked the conservative lie that Planned Parenthood can be replaced by community health care centers, calling it a “gross misrepresentation.” A Guttmacher Institute study found that in 103 U.S. counties, Planned Parenthood is the only “safety-net health center” with accessible contraception services. Funding cuts to Planned Parenthood in Indiana and Texas resulted in severely negative impacts on community health, contributing to HIV outbreaks. The Washington Post reported that defunding Planned Parenthood “would leave many women without services to help them avoid pregnancy, resulting in thousands of additional births.” The CBO report found that “15 percent” of people in low-income communities “would lose access to care” as a result of defunding Planned Parenthood. CNN should use this town hall as an opportunity to press Price on reproductive rights generally and on the detrimental impact the GOP’s health care bill would have on women’s health care.

    5. Trying To Spin The AHCA’s Severe Medicaid Cuts As Boosting State “Innovation” Or “Flexibility”

    The AHCA would dramatically alter Medicaid by instituting a per capita cap on federal Medicaid spending and ending the ACA’s Medicaid expansion in 2020. During his interview with Cavuto, Price claimed that the AHCA would return “flexibility” to the states and allow them “the ability … to determine what is the right kind of program to care for their Medicaid population.”

    While conservatives often claim Medicaid caps -- also known as “block grants” -- will increase state “flexibility,” in reality such proposals result in the loss of services and coverage for the most vulnerable. A CBPP analysis showed that a per capita cap would result in the “loss of health coverage and less access to needed health care for tens of millions of low-income Americans.” The Kaiser Family Foundation explained that federal caps could lead states to “restrict benefits” and “result in eligibility restrictions and cost shifts to beneficiaries.” Vox noted that the rollback of the ACA’s Medicaid expansion would take “4 million to 6 million people off the rolls” and, combined with the per capita cap, would result in “a $370 billion cut to federal funding to Medicaid over 10 years.” Given the devastating impact the AHCA will have on Medicaid, Bash and Blitzer must follow up on any general assertions of increasing state innovation.

  • STUDY: How TV News Ignores The Prescription Drug Price Problem

    Evening News Programs On Cable And Broadcast News Rarely Cover Escalating Drug Prices

    ››› ››› CAT DUFFY

    A Media Matters review of weekday evening news coverage on cable and broadcast networks since December reveals that the evening programs largely ignored the problem of escalating prescription drug prices in the United States, even though lawmakers have introduced legislation aimed to address the issue. 

  • Tucker Carlson Hosted Anti-Muslim Columnist Who Has Called For Gunships To Stop Refugees

    Trump Has Praised Katie Hopkins’ Columns

    ››› ››› CAT DUFFY & BOBBY LEWIS

    Fox News’ Tucker Carlson hosted UK Daily Mail columnist Katie Hopkins who wrote a column allegedly detailing the many women in Sweden who fear being assaulted by immigrants. Hopkins’ writing and tweets exemplify hate-mongering anti-Muslim bigotry and in the past she has called for the murder of refugees and referred to them as “cockroaches.”

  • A Comprehensive Guide To The Right-Wing Media Myths And Facts About Trump’s Potential Health Care Policies

    ››› ››› CAT DUFFY

    Right-wing media have helped promote piecemeal Republican proposals to replace the Affordable Care Act (ACA), propagating a series of myths about the efficacy of health savings accounts, the benefits of allowing insurers to sell across state lines, how high-risk pools operate, and what converting Medicaid into so-called “block grants” would mean for beneficiaries. Health care experts have resoundingly rejected these proposals as alternatives to the ACA, as they all would result in higher costs and less coverage for Americans.

  • PolitiFact’s Month-Old Rating Of Baldwin Statement Relies Too Heavily On GOP Talking Points 

    ››› ››› CAT DUFFY

    PolitiFact Wisconsin rated Sen. Tammy Baldwin’s (D-WI) month-old claim that the GOP is “organizing to take people’s health care away” mostly false, claiming that while the Congressional Budget Office (CBO) found that “repeal of the Affordable Care Act (ACA) could result in millions of people losing their health insurance,” the office did not consider the impact of an expected GOP replacement plan. In reality, the GOP has yet to produce a consensus replacement plan, thus giving the CBO nothing to rate, and all existing plans that Republicans have put forward would strip coverage from millions. 

  • 5 Questions CNN Should Ask During The Sanders-Cruz Obamacare Debate

    Blog ››› ››› CAT DUFFY

    Moderators Jake Tapper and Dana Bash should utilize the February 7 CNN debate between Sens. Bernie Sanders (I-VT) and Ted Cruz (R-TX) on “the future of Obamacare” to ask targeted questions about the GOP’s plans to replace the Affordable Care Act (ACA) and how that will affect the American health care system. As CNN’s town hall with House Speaker Paul Ryan (R-WI) demonstrated, these forums can serve as opportunities to fact-check misinformation, but they can also fail to substantively engage on specific policy issues. Moderators should be prepared to pose specific questions to Cruz, the representative for “the viewpoint of President Trump and the Republican party,” on distinct policies proposed by the GOP to repeal and replace the ACA.

    While there is no shortage of important questions about the negative impacts of repealing the ACA on Medicare, job growth, LGBTQ equality, the budget deficit, and mental health care services, moderators must prioritize the subjects they can address in the time allotted. Here are five of the most important questions that CNN should ask Cruz in tonight’s debate.

    1. Will The GOP Replacement Cover As Many People As The ACA, Which Has Reduced The Number Of Uninsured Americans By More Than 20 Million People? 

    Implementation of the ACA has resulted in a record low number of uninsured Americans -- merely 8.6 percent in June 2016, down from over 16 percent in 2010. Numerous reports have noted that Republican politicians continue to obfuscate about whether their replacement for the ACA would cover as many people as Obamacare does, likely because none of their proposed policies would. Vox’s Sarah Kliff analyzed the existing replacement plans and found that all of them would reduce coverage, with the number of people impacted ranging by between 3 million and 21 million people.

    Given that Cruz himself dodged this question during a 2016 Republican presidential primary debate, this new venue provides a unique opportunity to press the senator on whether the Republican replacement will maintain existing coverage levels.

    2. Will The Replacement Plan Rescind ACA Provisions That Pertain To Women’s Health, Like The Contraception Mandate, The Prohibition On Gender Rating, And The Sex Discrimination Ban? 

    Congressional Republicans, including President Donald Trump’s nominee to lead the Department of Health and Human Services, Tom Price (R-GA), have publicly opposed some ACA provisions regarding women’s health care. As CBS News noted, the debate over the ACA resurrects the risk of “a return to higher premiums for women” and “gaps in coverage for birth control and breast pumps.” The ACA also banned discriminatory practices, like sex discrimination and gender rating, while significantly reducing out-of-pocket costs for women’s birth control.

    Tapper and Bash should ask about the future of women’s health care, making sure to reference the specific gains made by the ACA to prevent generic answers that dodge the question.

    3. Can You Guarantee That Medicaid Block Grants Won’t Result In Benefit Cuts For Recipients?

    One of the leading GOP proposals for reforming the health care system revolves around changing Medicaid’s funding structure to a block grant system, which caps the amount of funding a state receives from the federal government. While conservatives typically discuss block grant proposals in terms of allowing states to “innovate,” in reality, most block grant proposals shift Medicaid costs to the states, which would cause chaos on state budgets and force draconian cuts in services covered by Medicaid.

    Under the ACA, the Medicaid expansion extended health insurance to millions of low-income Americans, making a discussion of proposed changes a necessity during the debate.

    4. How Is It Possible For An ACA Replacement To Keep Popular Parts Of The Law, Like The Ban On Denying Coverage To Those With Pre-Existing Conditions, While Also Eliminating The Individual Mandate? 

    Numerous conservatives, including Trump, have pledged to keep certain parts of the ACA, like the ban on denying coverage to people with pre-existing conditions and the provision that allows young adults to remain on their parents’ insurance until age 26. But they simultaneously promise to get rid of other provisions, like the individual mandate and the varied taxes, which provide the revenue to fund the popular parts of the law.

    As New York Times columnist Nicholas Kristof wrote, it’s “impossible” to keep certain popular provisions “while eliminating unpopular parts,” because the “good and the bad depend on each other.” This tension is a central fault line in discussions about the ACA and should be a central theme in CNN’s town hall.

    5. Given The Terrible Track Record Of High-Risk Pools, Would Resurrecting Such A System Simply Repeat The Mistakes Of The Past? 

    One of the few specific health care policies Republicans have championed in pushing to repeal and replace the ACA involves the resurrection of high-risk pools. Despite conservative attempts to repackage high-risk pools as a new idea, they have a long history of problems, as they typically are chronically underfunded, are prohibitively expensive for customers, and provide inadequate coverage. As the Los Angeles Times’ Michael Hiltzik noted, 35 states used high-risk pools prior to the implementation of the ACA’s protections for people with pre-existing conditions, and the experience was “almost universally grim.”

    Moderators should ask about high-risk pools, because they would degrade access to health care to those who are most vulnerable and need care the most.