Tag Archives: obama

“You’ll Be Hanging From A Tree.”

Mother Jones

Before Rep. Al Green (D-Texas) began his town hall Saturday morning, he instructed his aides to play a tape. It was, he explained, a voicemail he had received earlier in the week, shortly after he had delivered a speech on the House floor to become the first member of Congress to call for President Donald Trump to be impeached.

“Hey, Al Green, I’ve got an impeachment for ya—it’s gonna be yours,” said a man’s voice. “Actually we’re gonna give you a short trial before we hang your nigger ass.”

A murmur went up in the audience of 80 or so Houston-area constituents who had packed into a church hall in the city’s southwest corner. Green played another voicemail, which warned, “try it, and we’ll rinse out you fucking niggers, you’ll be hanging from a tree.”

When it was over, Green got to his point. “Friends, I want to assure you that no amounts of threats or intimidation will stop what I have started, I promise you—we are going to continue with this,” he said. “We are gonna move forward, we will not turn around.”

Green, a seven-term congressman and member of the Congressional Black Caucus, made his call for impeachment after Trump tweeted warning former FBI director James Comey not to leak details of their conversations with the press. Green told the audience he believes that Trump’s actions amounted to an admission of obstruction of justice, and the tweet constituted intimidation. It is imperative, he said, that the House move to indict Trump; nothing less than the rule of law is at stake.

Those who asked questions largely agreed with Green’s argument, but constituents seemed uncertain about the future. One man wondered if it was worth going through the impeachment process if the result was President Mike Pence. Another asked about impeaching Pence, too. A woman in the back wanted to know if there was any possibility of the president’s cabinet declaring him unfit. Unsurprisingly, given the president’s low approval in the district (just 18 percent of voters in the district voted for Green’s Republican opponent last fall), only one questioner voiced any real opposition to what Green had done, asking why he had said nothing about “the lawlessness of the Obama administration.”

Green himself suggested the process might plod along from here. He hadn’t introduced an official impeachment resolution yet and was planning more town halls on the subject. “I haven’t asked leadership for a response,” he told me, insisting that impeachment needed to come “from the bottom up, not the top down.” By the same token, no one in in the leadership had told him to pipe down, he said, although he allowed that there were “surely members who were thinking it.”

When a nine-year-old girl asked “why does it take so long to impeach Trump?” Green said that it “may never happen”—but it was worth giving the system time to function as it should. He has done a flurry of interviews over the last few days (there were NBC News cameras in the back of the room while he spoke) but is treading lightly when it comes to his fellow colleagues. Green told me he was not planning to lobby fellow members to get behind an impeachment measure—”people have to be guided by their conscience.” (He did hope, though, that they would listen to public opinion—at the event he asked residents to go to ImpeachTrumpNow.com to register their support.)

For now the road to impeachment is lonely, and perhaps very long. “I am a voice in the wilderness,” he said, “but history will vindicate me.”

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“You’ll Be Hanging From A Tree.”

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Road to Riyadh, Starring Donald Trump

Mother Jones

President Trump’s trip to Saudi Arabia is going great! Here’s the first family arriving in Riyadh:

At least Melania isn’t kowtowing to sexist Muslim custom by wearing a headscarf. Oh wait:

Fine. But Trump himself is standing up for masculine American values, right?

And here’s the official readout of Trump’s visit with the Saudi king:

What kind of pusillanimity is this? “Violent extremism” is an Obama-era euphemism used by people who refuse to look reality in the eye:

If Trump isn’t even willing to name the problem when he meets with the Saudi king, how can he possibly fight it?

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Road to Riyadh, Starring Donald Trump

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Yet More Shoes Drop in the Flynn Scandal

Mother Jones

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Another hour, another Trump scandal. I can’t keep up. Here’s the latest timeline on Mike Flynn. The three items in italics are new:

August 9: Flynn is hired by the Turkey-U.S. Business Council for $600,000 to help repair Turkey’s image in the US. However, Flynn chooses not to register as a foreign agent on the pretext that he’s just lobbying for a business group that has nothing to do with the Turkish government.

November 18: Trump names Flynn as his National Security Advisor.

November 30: The Justice Department opens an investigation into Flynn’s lobbying activities. Flynn keeps this news to himself for over a month.

December: Flynn has repeated contacts with various Russian officials but doesn’t tell anybody.

January 4: Flynn tells the incoming White House counsel that he is under investigation. Nothing happens.

January 10: In a meeting with Susan Rice, Flynn puts the kibosh on an Obama plan to use Kurdish help to take the ISIS-occupied town of Raqqa—something that his erstwhile client Turkey is opposed to. McClatchy reports: “Members of Congress, musing about the tangle of legal difficulties Flynn faces, cite that exchange with Rice as perhaps the most serious: acting on behalf of a foreign nation — from which he had received considerable cash — when making a military decision. Some members of Congress, in private conversations, have even used the word “treason” to describe Flynn’s intervention, though experts doubt that his actions qualify.” Still nothing happens.

January 26: Acting attorney general Sally Yates warns the White House that Flynn has lied about his contacts with Russian officials, which may have compromised him. Still nothing happens.

February 9: The Washington Post reveals Flynn’s lies about his Russian contacts. Everything is now public.

February 13: Finally something happens. Trump fires Flynn.

February 14: Trump meets with FBI director James Comey and asks him to kill the investigation into Flynn.

March-April: Comey continues the investigation.

May 9: Trump fires Comey.

The new news here is that Trump knew about the FBI investigation far earlier than anyone has reported before. By the time Sally Yates alerted the White House to Flynn’s lying, they had already been warned off Flynn by President Obama and they’d known about the FBI investigation for three weeks. Nonetheless, they did nothing until it all became public.

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Yet More Shoes Drop in the Flynn Scandal

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Republican Senator Doesn’t Want to Run Trump’s FBI

Mother Jones

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One of the leading contenders to replace James Comey as the next director of the FBI withdrew from consideration on Tuesday.

“Now more than ever the country needs a well-credentialed, independent FBI Director,” Sen. John Cornyn (R-Texas) said in a statement. “I’ve informed the Administration that I’m committed to helping them find such an individual, and that the best way I can serve is continuing to fight for a conservative agenda in the US Senate.”

Cornyn was one of several candidates who interviewed for the position last weekend after President Donald Trump unceremoniously fired Comey on May 9. During an interview last week, the president said Comey was a “showboat” and a “grand-stander” and said that the “Russia thing” was on his mind as he decided to fire the head of the FBI.

The prospect of Cornyn—or any other partisan politician—running the FBI as it investigates the sitting president gave those on both sides of the aisle pause. “John Cornyn under normal circumstances would be a superb choice to be FBI director,” Sen. Lindsey Graham (R-S.C.) said last weekend. “But these are not normal circumstances.” Sen. Chuck Schumer (D-N.Y.) said, “The nominee should not be a partisan politician, not part of either party.”

Cornyn’s track record with the Trump/Russia matter justified those concerns, as Mother Jones reported Monday. Although the Texas senator has said the investigation should go on, he has devoted more of his attention to leaks from intelligence sources to the media. He’s also focused on the “unmasking” of disgraced former National Security Adviser Mike Flynn, which Trump supporters have said supports the argument that President Barack Obama had Trump under surveillance during the campaign. Cornyn has also said that the idea that Trump fired Comey because of the FBI’s Russia investigation was a “phony narrative.” He has resisted calls for a special prosecutor in the Russia case even though he wanted one for the Hillary Clinton email investigation.

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Republican Senator Doesn’t Want to Run Trump’s FBI

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One of Trump’s Top Picks for FBI Chief Pooh-Poohed the Trump-Russia Scandal

Mother Jones

President Donald Trump told reporters over the weekend that he would “make a fast decision” on his nomination to replace James Comey, the FBI director he fired in part due to, in Trump’s words, the “Russia thing.” Trump’s sudden and brazen decision to remove Comey amidst the ongoing FBI investigation into possible ties between Trump associates and the Russian government earned him a week’s worth criticism — even from a few Republicans. But at least one of the possible nominees Trump is considering would pose a significant problem. If picked to be FBI director, Sen. John Cornyn (R-Texas) would manage an investigation that he has shown very little interest in seeing pursued.

The idea of nominating a Republican politician to the post has been criticized by members of both major parties. “John Cornyn under normal circumstances would be a superb choice to be FBI director,” Sen. Lindsey Graham (R-S.C.) said this weekend on Meet the Press. “But these are not normal circumstances.” Sen. Chuck Schumer (D-N.Y.), the senior Democrat in the US Senate, echoed Graham’s concerns about Cornyn. “First, the nominee should be not a partisan politician, not part of either party. This demands a serious, down-the-middle investigation,” Schumer said.

Cornyn does have some of the typical resume lines for an FBI director. Before he was elected to the US Senate in 2002, Cornyn served as a district judge in Texas, a judge on the Texas Supreme Court, and as the state’s attorney general. But like many of his GOP colleagues in the Senate, Cornyn has been less than enthusiastic about the FBI’s investigation into the president’s ties to Russia. As a member of the Senate judiciary committee, Cornyn has said that the Russia affair should be investigated, but he has generally focused more on intelligence leaks and the issue of “unmasking“—the process of revealing the identity of an American incidentally caught up in US surveillance of foreign targets—that has been used by Republicans to distract from Moscow’s meddling and to support Trump’s unfounded claim that former President Barack Obama spied on him.

During a May 8 committee hearing on Russian interference during the election—where witnesses John Clapper, the former director of national intelligence, and Sally Yates, the former acting attorney general, talked extensively about the Russian intervention and the national security threat posed by Michael Flynn during his short stint as Trump’s national security adviser—Cornyn used his time to slam Susan Rice, Obama’s national security adviser, for not appearing before the committee, to decry the supposed “unmasking” of Flynn, and to press Yates on why she had refused to defend Trump’s Muslim ban in court. He did not address the main issue at hand: Vladimir Putin’s effort to undermine an American election.

Two days later, after Trump had fired Comey, Cornyn told reporters that it was a “phony narrative” that Trump had fired the FBI director in response to the Russia investigation. A day later, Trump, in an interview with NBC News’ Lester Holt, did say that the Russia investigation was part of his motivation for booting Comey.

Cornyn hasn’t always shown the same reticence to dive into politically sensitive investigations. In September 2015, he asked then-Attorney General Loretta Lynch to appoint a special prosecutor in the Hillary Clinton email investigation. At that time, Cornyn argued that the political appointees in Obama’s Justice Department weren’t capable of mounting an independent investigation. But these days, Cornyn resists calls for a special prosecutor in the Russia scandal. Cornyn’s office did not respond to a request for comment.

In December, Cornyn downplayed the Russia matter on Twitter:

“We’ve got a chance to reset here as a nation,” Graham said over the weekend. “The president has a chance to clean up the mess that he mostly created. He really, I think, did his staff a disservice by changing the explanation. So I would encourage the president to pick somebody we can all rally around, including those who work in the FBI.”

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One of Trump’s Top Picks for FBI Chief Pooh-Poohed the Trump-Russia Scandal

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Obama says we’ll have to speed up innovation to avoid eating our way to climate catastrophe.

“There is such a thing as being too late,” he told an audience at a food summit in Milan, Italy. “When it comes to climate change, the hour is almost upon us.”

The global problems of climate change, poverty, and obesity create an imperative for agricultural innovation, Obama said. This was no small-is-beautiful, back-to-the-land, beauty-of-a-single-carrot speech. Instead, Obama argued for sweeping technological progress.

“The path to the sustainable food future will require unleashing the creative power of our best scientists, and engineers, and entrepreneurs,” he said.

In an onstage conversation with his former food czar, Sam Kass, Obama said people in richer countries should also waste less food and eat less meat. But we can’t rely on getting people to change their habits, Obama said. “No matter what, we are going to see an increase in meat consumption, just by virtue of more Indians, Chinese, Vietnamese, and others moving into middle-income territory,” he said.

The goal, then, is to produce food, including meat, more efficiently.

To put it less Obama-like: Unleash the scientists! Free the entrepreneurs!

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Obama says we’ll have to speed up innovation to avoid eating our way to climate catastrophe.

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What the Hell Is Going on With Trump’s Delay on the All-Important Paris Decision?

Mother Jones

Will the president follow through on his campaign pledge to withdraw from, or “cancel,” the Paris climate change agreement?

Rumors have been swirling that the end to this reality show would come as early as Tuesday, when the White House had reportedly scheduled another meeting to examine its options. Ivanka Trump also was supposed to meet with Environmental Protection Agency Administrator Scott Pruitt earlier on Tuesday, but the White House did not confirm if that meeting ever took place. Discussions on the climate deal were canceled without much explanation, but when White House press secretary Sean Spicer was asked about the progress Tuesday, he replied that the president “wants to make sure he has an opportunity to meet with his team.” Trump has now decided he won’t decide on Paris until after G-7 meetings later this month in Italy, once more because he wants to “meet with his team.”

In the meantime, Trump is keeping 194 countries who signed the deal two years ago waiting and wondering. If he winds up withdrawing from the agreement, postponing the announcement might make meetings with world leaders slightly more pleasant, given their warnings that the United States shouldn’t defy the hard-fought 2015 deal.

We’ve heard for months that Trump’s Cabinet is split on what to do about both climate change policy and the Paris agreement. Ivanka Trump, now in her official role at the White House, represents those who want to stay. We’re told that she’s “passionate about climate change,” and she is joined by Secretary of State Rex Tillerson and economic adviser Gary Cohn, who are also in favor of staying in the Paris agreement. Energy Secretary Rick Perry wants to “renegotiate.” Secretary of Defense James Mattis sees climate change as a national security threat and likely favors staying involved, as does Trump’s son-in-law, Jared Kushner.

On the other side of the debate, Scott Pruitt is leading the “leave” team, echoing the president in calling the accord a “bad deal.” Team Pruitt also includes senior adviser Steve Bannon and White House Counsel Don McGahn. Attorney General Jeff Sessions has not publicly weighed in, but he opposed the deal as a senator. According to the New York Times, Pruitt’s side is convinced that staying in the Paris climate accord will be impossible if the administration wants to downgrade its ambitions. They point to a single clause in the agreement—that a nation “may at any time adjust its existing nationally determined contribution with a view to enhancing its level of ambition”—and argue that it would impose undesirable legal constraints on the administration and favor environmentalists in court.

Pruitt’s legal argument surprised the groups that usually sue him. “We’re not relying on the Paris agreement for any of the Clean Power Plan litigation,” Jake Schmidt, the Natural Resources Defense Council’s international program director, says. “I’m not sure why anyone would use a city in France in a US court when there’s much stronger domestic law.” On top of that, negotiators say that nowhere in the largely nonbinding Paris deal does it legally force a country to meet or exceed its emissions targets. The only legally binding components of the accord commit countries to similar transparency and reporting standards to measure progress, or lack of progress, in meeting targets. Its biggest proponents argue that the agreement was built to be weak on legal enforcement, so as to keep as many countries involved as possible. International peer pressure, not legal pressure, is supposed to do the rest of the work.

The White House reportedly is leaning in Pruitt’s direction. And it’s unclear just how much of a fight Ivanka intends to defend her passions—E&E News‘ source notes she “wasn’t pushing for a strong position” and is more “in the direction of making sure her father gets the right advice.”

Yet given the public nature of this debate, no matter what happens, some members of the administration will end up embarrassed and, in most scenarios, we all lose. Here are some of the options for how this reality show might unfold:

Ivanka wins: She somehow convinces her father to wake up to the threat of climate change, and he decides to fulfill Obama’s promises to the world of at least a 26 percent cut to greenhouse gases by 2025 and providing the rest of the $3 billion in global climate finance.

This isn’t going to happen.

But not because others don’t support her alleged commitment to the agreement. In fact, she’s joined by nearly the rest of the world. According to the NRDC, an additional 1,106 US companies are on record supporting it, even including fossil fuel companies such as Exxon Mobil, Arch Coal, and Peabody Energy. The Yale Program on Climate Change Communication found 69 percent of American voters support participating, and hundreds of thousands of marchers took to climate protests around the country in April to send a similar message. Senate Republicans who pilloried the deal as illegal and overbearing when Obama negotiated now have lost the will to demand an exit.

Ivanka loses: If Trump follows through on his campaign promises and kicks off the multiyear process to withdraw from the Paris accord, it will tell us a lot about who Trump is listening to (short answer: not Ivanka or his secretary of state), especially since there are so few businesses or interest groups arguing that it’s a good idea for the United States to defy the rest of the world. The few that are include 44 fossil fuel advocacy groups, as well as the far-right think tanks that promote climate change denial: the Heritage Foundation, the Heartland Institute, and the Competitive Enterprise Institute. A “leave” decision would show that Bannon and Pruitt have considerable sway over Trump’s decision-making.

Add to the list Robert Murray, a coal magnate and head of the coal company Murray Energy. According to the Center for Responsive Politics, Murray Energy donated its most yet to candidates last year, giving several hundred thousand dollars to Trump’s campaign. CEO Robert Murray hosted a private fundraiser for Trump last June and has returned to Trump’s side a few times since to push his favored policies, which include reversing regulations on the coal industry and pulling from the Paris accord.

No one wins: Renegotiating the deal, as Rick Perry has suggested, would all but certainly drag on the Paris drama for years to come. Perry claims that European nations haven’t done their share, although their commitment of 40 percent cuts over 1990 levels by 2030 is steeper than those agreed to by the United States. “Don’t sign an agreement and expect us to stay in if you’re not really going to participate and be a part of it,” Perry told a Bloomberg energy conference in April. But renegotiating is not as simple as Perry suggests. The time for that has passed, since the agreement has already been negotiated and entered into last fall. And how does Trump plan on convincing other countries to ramp up their ambitions voluntarily if he is moving backward on US commitments? One point of leverage other countries have over the United States is following through on imposing a carbon tax on US products. And a Chinese government climate official warned Tuesday that Trump’s decision “will impact other diplomatic arenas, already on G7 and G20, the Major Economies Forum as well,” and “will harm the mutual trust in multilateral mechanism.”

Ivanka claims to win, but it’s meaningless: This would be the case if we stay in the deal in name only and don’t bother to cut emissions through federal policy. Environmentalists prefer this option to pulling out entirely, if only because it would be easier to pick up the pieces in four years if Trump isn’t reelected. Yet it’s not much of a win, and certainly not for someone who is as passionate about climate change as Ivanka says she is.

“We should be of good intent,” former EPA administrator and League of Conservation Voters chair Carol Browner said on a recent press call. “If we stay at the table, it should be with the intent of achieving measurable reductions” of greenhouse gases. “Any idea that we stay at the table so we can disrupt what the rest of the world is attempting is really outrageous on our part. And the rest of the world will see it.”

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What the Hell Is Going on With Trump’s Delay on the All-Important Paris Decision?

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Yeah, the Comey Firing Was All About Russia

Mother Jones

Politico has a big “inside” look at the Comey firing tonight, and it is bananas:

Trump had grown enraged by the Russia investigation, two advisers said, frustrated by his inability to control the mushrooming narrative around Russia. He repeatedly asked aides why the Russia investigation wouldn’t disappear and demanded they speak out for him. He would sometimes scream at television clips about the probe, one adviser said.

….Trump had grown angry with the Russia investigation — particularly Comey admitting in front of the Senate that the FBI was investigating his campaign — and that the FBI director wouldn’t support his claims that President Barack Obama had tapped his phones in Trump Tower.

….Trump received letters from Rod Rosenstein, the deputy attorney general, and Jeff Sessions, the attorney general, calling for Comey’s dismissal…A White House spokesman said Trump did not ask for the letters in advance, and that White House officials had no idea they were coming. But several other people familiar with the events said Trump had talked about the firing for over a week, and the letters were written to give him rationale to fire Comey.

Summary: The Comey firing had nothing to do with the Hillary Clinton email investigation. It was all because Trump was outraged over Comey’s public acknowledgement that the FBI was investigating his Russia ties. He wanted the investigation to disappear, and he began obsessing about firing Comey—presumably in hopes that this was all it would take to kill the case. And apparently Trump was shocked when Democrats didn’t line up behind him. They hate Comey too, don’t they?

Trump’s astronomical ignorance has finally caught up with him. He seems to have had no idea that firing Comey wouldn’t stop the investigation—nor that a new FBI director wouldn’t dare quash it. In fact, all the firing does is make the investigation untouchable. And Trump’s astronomical narcissism has caught up with him too. He has so little insight into other humans that he simply couldn’t conceive of anyone hating Comey but still defending his right to serve out his term. In Trump’s world, you reward your friends and punish your enemies and that’s that.

This is hardly unexpected from Trump, whose ignorance and narcissism are legendary. But does he really have nobody on his staff to warn him about this stuff? Reince Priebus surely knew how this would play out. Ditto for Mike Pence.

And one final thing: once again, we learn that many of Trump’s advisors are perfectly willing to portray him as an idiot. The Politico story is based on conversations with insiders who were happy to confirm that the Comey firing was all about Russia. This directly contradicts the White House narrative that it was about the fact that everyone had lost confidence in Comey because of the way he mistreated poor Hillary Clinton. Who are these people who work for Trump (?) but are happy to undermine him to the press on a regular basis?

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Yeah, the Comey Firing Was All About Russia

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Progressive Groups Are Basically Printing Money After the Health Care Vote

Mother Jones

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Progressives got a hard lesson in math on Thursday when the Obamacare repeal bill narrowly passed the House with 217 votes despite uniform Democratic opposition. But while the bill’s effect will be far-reaching if it eventually becomes law, in the short term it has become an almost unprecedented fundraising magnet for left-leaning grassroots groups.

In the 24 hours since the House vote, Daily Kos, the 15-year-old Netroots stalwart that has experienced a renaissance in the Trump era, raised $800,000 from 17,200 readers. That money will be split evenly among 24 Democratic candidates. (Daily Kos is specifically targeting the 24 Republican congressmen who voted for the bill but represent districts where President Donald Trump received less than 50 percent of the vote.) The group’s political director, David Nir, says the group previously raised $400,000 in one day for Jon Ossoff, the Democratic candidate in the special election in Georgia’s 6th Congressional District, and the same amount for Elizabeth Warren over the course of a year. But he couldn’t recall a $1 million haul.

Swing Left, which grew out of the postelection “resistance,” has only been around for a few months and has a much shorter track record of big fundraising hauls. But it has raised $850,000 from more than 20,000 donations since the vote, for the purposes of boosting candidates challenging its target list of 35 Republicans who voted for the bill (there is some overlap between the two lists). Swing Left got a signal boost from Crooked Media, the podcast empire launched by a group of Obama White House veterans, which partnered with the group to raise money.

Notably, the money raised going to candidates Thursday and Friday won’t end up in the hands of a candidate for a long time. It’ll be held in escrow for the winners of Democratic contests in those House districts next spring and summer. Think of it as a small pot of gold at the end of the primary.

Update: Per a Swing Left spokesperson, the organization had raised $200,000 for those 35 districts since they launched the fundraising page April 13—so to put the haul in perspective, in one day the group raised more than four times what it had raised in the previous 20.

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Progressive Groups Are Basically Printing Money After the Health Care Vote

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Trumpcare Will Make the Opioid Crisis Worse

Mother Jones

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There are plenty of reasons why the Obamacare repeal bill that House Republicans passed Thursday afternoon is so controversial. It slashes funding for Medicaid, threatens to raise health insurance premiums for older Americans, and allows states to roll back protections for people with preexisting medical conditions.

But there’s another, less publicized, way in which the GOP’s American Health Care Act could disrupt health care throughout the country. In the midst of the most devastating drug epidemic in US history, the legislation could disrupt addiction coverage for millions of Americans. And thanks to a provision added to the bill last week, insurance companies in some states might no longer include mental health and substance abuse coverage in their health plans.

Because of the speed with which Republicans rushed the bill through the House, the Congressional Budget Office hasn’t yet had time to estimate the number of Americans who would lose their health insurance or how premiums would be affected. But according to a CBO report from March, an earlier version of legislation would have resulted in 24 million fewer people having coverage than under Obamacare. The current legislation will likely result in a similar number of uninsured Americans, says Richard Frank, a professor of health economics at Harvard University. Frank and his colleague, Sherry Glied of New York University, estimate that if Obamacare is repealed, 3 million Americans with addiction disorders would lose some or all of their coverage.

Many of the states that voted Trump into office are among the hardest hit by the opioid epidemic—and are the most dependent on Obamacare for substance abuse treatment. The maps below, produced by the US Department of Health and Human Services in the last days of the Obama administration, show this overlap: Red states on the left have the highest overdose rates per capita; red states on the right have the highest rate of residents who would lose coverage if Obamacare is repealed.

US Department of Health and Human Services

Obamacare was particularly important for those seeking addiction treatment, according to Keith Humphreys, a Stanford University psychiatry professor who advised the Obama administration on drug policy. “It was designed to be very broad, but at the same time we knew that if there was anything that this would help a lot for, it’s addiction,” he told me in February.

That’s largely because of two big changes that Obamacare made to insurance markets—changes that the GOP legislation would roll back or undo completely.

First, Obamacare required insurance companies to cover certain “essential benefits,” including substance abuse and mental health treatment. In order to sell insurance in the individual marketplaces, companies would have to cover addiction treatment, as well as other care such as contraception, emergency services, and pediatric services. (Here‘s the full list of essential benefits.) This was a significant change. In 2011, before Obamacare went into effect, “somewhere close to 40 percent of individual and small group market plans didn’t offer substance abuse and mental health coverage,” says Frank. “And when they did, it was quite limited.”

The bill passed by the House would allow states to opt out of the essential benefits requirements, which means that insurers might once again refuse to cover treatment for mental health and addiction.

The second big Obamacare change for substance abuse treatment was the expansion of Medicaid coverage to millions of additional poor Americans. As I wrote earlier this year:

Under the Affordable Care Act, those who earn up to 138 percent of the federal poverty level are eligible for this government-funded insurance program. In 2012, the Supreme Court ruled that states could choose whether or not they wanted to participate in the program, and 31 states have done so—resulting in health coverage for an additional 11 million Americans through Medicaid expansion. Of those, an estimated 1.3 million used their newly acquired insurance for substance abuse or mental health services, according to an analysis by researchers Richard Frank of Harvard Medical School and Sherry Glied of New York University. In states that expanded Medicaid, 20 percent of hospital admissions for substance abuse and mental health disorders were uninsured in 2013, before the bulk of the expansion provisions kicked in. By the middle of 2015, the uninsured rate had fallen to five percent.

The Republicans’ health care plan would freeze Medicaid expansion, cutting off funds for states adding new enrollees starting in 2020. Those already enrolled in Medicaid expansion plans by 2020 would continue to receive the benefits, but they would be at constant risk of losing that insurance. Anyone who has a gap in insurance coverage of more a month—say because they miss a deadline or their income temporarily changes—would lose eligibility. (A lack of private health insurance would be penalized too: Going more than 63 days without coverage would increase premiums by 30 percent for a year.) These provisions have a lot of public health advocates worried. It’s not uncommon for people, particularly those with serious mental health and addiction problems, to drift in and out of insurance coverage.

Without Obamacare, said Humphreys, “We’re back where we were before: bad access, low quality of care, and a lot of patients being turned away.”

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Trumpcare Will Make the Opioid Crisis Worse

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