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Before House Republicans and President Donald Trump were forced to pull the American Health Care Act (AHCA), their ill-fated first attempt to gut health care reform and repeal the Affordable Care Act (ACA), media repeatedly trumpeted Trump's supposed ability to get the bill passed because of his mastery of the "Art of the Deal." Here's a look back at how they described the "great negotiator," which was "the whole point of Trump":
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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
For over seven years, right-wing media have launched an assault on the Affordable Care Act (ACA) -- a law that has yielded great gains in the economy and public health, especially for the most vulnerable -- pushing multiple myths and false claims about the law. On the law’s seventh anniversary, Republicans hoped to repeal the ACA and pass the American Health Care Act (AHCA), which contains a wish list of harmful conservative media-backed policies.
Broadcast and cable news coverage of ruinous economic policies rolled out by the White House last week was overwhelmed by the president’s false accusation that his predecessor illegally wiretapped Trump Tower during the 2016 election.
On March 13, the Congressional Budget Office (CBO) reported that up to 24 million Americans would lose access to health insurance over the next 10 years if the Republican plan to repeal and replace Obamacare goes into effect. On that same day, the Trump administration unveiled an overlooked executive order that encourages cabinet secretaries and agency directors to create a plan to completely reshape a federal bureaucracy of over 2.8 million employees. And on March 16, the Trump administration unveiled its budget outline for the 2018 fiscal year, featuring proposed “massive cuts” to nondefense spending. The proposed cuts, which would offset an increase in spending on military programs and a border wall, would hit almost every facet of the federal government, but they would come down particularly hard on funding for small programs including Meals on Wheels, the Corporation for Public Broadcasting, and PBS.
Yet according to Media Matters research, from March 13 to 17, President Donald Trump’s false wiretap claim dominated TV news coverage, overshadowing discussion of these important policy moves. While Trump’s lie certainly merits extensive media coverage, it’s also crucial to share details of his policymaking with the public.
Trump ignited a media firestorm in early March when he repeatedly accused former President Barack Obama of illegally wiretapping him in the midst of last year's election. Right-wing media, led by Fox News, sprang to his defense even though the president offered no evidence to support his claim. Meanwhile, legitimate reporters exposed the bizarre accusation’s source as “the right-wing fever swamps” of fringe media and reported that it was pushed by a Russian state-sponsored news network. During March 20 testimony before the House Intelligence Committee, FBI Director James Comey put Trump’s wiretapping lie to rest, telling the committee, “I have no information that supports those tweets.”
Terrible! Just found out that Obama had my "wires tapped" in Trump Tower just before the victory. Nothing found. This is McCarthyism!
— Donald J. Trump (@realDonaldTrump) March 4, 2017
I'd bet a good lawyer could make a great case out of the fact that President Obama was tapping my phones in October, just prior to Election!
— Donald J. Trump (@realDonaldTrump) March 4, 2017
How low has President Obama gone to tapp my phones during the very sacred election process. This is Nixon/Watergate. Bad (or sick) guy!
— Donald J. Trump (@realDonaldTrump) March 4, 2017
Yet nearly two weeks after Trump initially made the claim, his smear of Obama still had such an influence on television news coverage that it overshadowed every other discussion about Trump’s policy agenda last week. Media Matters identified 226 segments from March 13 through 17 that focused on Trump during evening programming on CNN, Fox News, and MSNBC and major news programs on ABC, CBS, NBC, and PBS. Of those segments, 64 focused on Trump’s wiretapping allegations -- a figure that dwarfed every other major issue Media Matters identified. Coverage of Trump’s health care plan came in a distant second place, with 37 segments, and stories related to the portion of Trump’s 2005 tax returns obtained by Rachel Maddow ranked third (26 segments). Trump’s proposed budget outline was discussed in just 14 segments, and his executive order to reshape the federal workforce registered just four mentions.
With television news forced to dissect and debunk Trump’s outrageous claims, coverage of pressing economic issues was eclipsed. Coverage of the efforts to repeal the Affordable Care Act -- which health care experts have said would be particularly harmful to low-income Americans, seniors, and people dealing with illnesses -- could not overtake that of Trump’s wiretapping tweet, even with the Trump administration attempting to smear the CBO numbers in the press. The executive order, which was described by CNN reporter Stephen Collinson as part of Trump’s larger goal to “dismember government one dollar at a time,” barely registered in news coverage at all. And Trump’s budget cuts, which would decimate social safety net programs, were discussed 14 times during evening news coverage on March 16 and 17, while Trump’s lie about wiretapping was discussed 35 times on those two days.
Trump’s promotion of a discredited lie accusing his predecessor of illegal conduct while in office merits extensive media coverage, but the policies he has enacted or plans to enact can be just as destructive as the misinformation he spreads. Media cannot afford to let Trump's misleading claims dominate the news cycle, drowning out crucial coverage of the pain his policies may cause the United States.
Media Matters conducted a Nexis search of transcripts of evening news programming (defined as 6 p.m. through 11 p.m.) on CNN, Fox News, and MSNBC, as well as the major news programs on ABC, CBS, NBC and PBS, from March 13, 2017, through March 17, 2017. We identified and reviewed all segments that included any of the following keywords: Trump or executive order or federal government or federal employ! or federal worker or federal workers or civil service or government workers or government worker or federal government or budget.
The following programs were included in the data: ABC's World News Tonight, CBS' Evening News, NBC's Nightly News, and PBS' NewsHour, as well as CNN's The Situation Room, Erin Burnett OutFront, Anderson Cooper 360, and CNN Tonight, Fox News' Special Report, The First 100 Days, Tucker Carlson Tonight, The O'Reilly Factor, and Hannity, and MSNBC's For The Record, Hardball, All In with Chris Hayes, The Rachel Maddow Show, and The Last Word With Lawrence O'Donnell. For shows that air reruns, only the first airing was included in data retrieval. This survey includes CNN’s second live hour of Anderson Cooper 360 during the 9 p.m. to 10 p.m. time slot.
For this study, Media Matters included only those segments that contained substantial discussions of Donald Trump. We defined a "substantial discussion" as any segment where a host dedicates a monologue, or portion of a monologue, to Trump, his activities, or the policies he is pursuing as president of the United States, or any segment where two or more guests discuss Trump, his activities, or the policies he is pursuing as president of the United States. We did not include teasers or clips of news events, or rebroadcasts of news packages that were already counted when they first aired in the 6 p.m. to 11 p.m. survey window.
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.
State newspapers’ editorial boards across the country have criticized the GOP’s American Health Care Act for its negative impact on the American health care system, highlighting the deleterious consequences for Medicaid, the elderly, and vulnerable populations.
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.
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:
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.
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.
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.
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.
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.
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Fox News Spent Days Attempting To Discredit The CBO In Advance Of Its Report Outlining That Millions Will Lose Health Insurance Under GOP Plan
Fox News pushed White House talking points attacking the Congressional Budget Office (CBO) in an attempt to discredit the nonpartisan scorekeeper before it released today’s report projecting the effects of the Republican plan to repeal Obamacare -- the American Health Care Act (AHCA). The report’s devastating findings -- that up to 24 million people would lose their health insurance coverage over the next decade under the GOP health care plan -- are now public. Will Fox News continue to borrow White House talking points to carry water for the disastrous plan?
On March 13, the CBO reported that the number of Americans without health insurance would grow to a staggering 52 million people by 2026 under the GOP’s health care plan, AHCA, compared to an estimated 28 million who are projected to remain uninsured under current law. President Donald Trump’s administration and Republican leaders in Congress had tried to smear the CBO -- the nonpartisan research arm of Congress tasked with analysing the budgetary and economic impacts of legislative proposals -- in advance of the widely anticipated report, which many correctly predicted would find that the GOP plan will throw millions off their health insurance.
White House officials began a campaign to discredit the CBO on March 8 when during a press briefing White House press secretary -- and renowned liar -- Sean Spicer questioned the work of the nonpartisan researchers at CBO, telling reporters that “if you're looking at the CBO for accuracy, you're looking in the wrong place.” This was an about-face from what the director of the Office of Management and Budget (OMB), Mick Mulvaney, stated on MSNBC’s Morning Joe earlier that day when he claimed “the only question” on the CBO scoring was whether it will it be “really good” or “great” for the Trump administration. Despite his initial optimism, Mulvaney too joined in on attacking the CBO on the March 12 edition of ABC’s This Week, downplaying the effectiveness of the office’s analysis and misleadingly claiming that the agency did not score the Affordable Care Act (ACA) -- also called Obamacare -- accurately. Secretary of Health and Human Services, Tom Price, also blasted the CBO on the March 12 edition of NBC’s Meet The Press.
In the hours leading up to the CBO’s March 13 report release, Fox News figures attempted to discredit the organization with talking points straight from the Trump administration. Co-host Brian Kilmeade claimed on Fox and Friends that the CBO was tricked into scoring the ACA inaccurately because it did not score the mandate as a tax, adding that the CBO fell “hook, line, and sinker” for some sort of Democratic plan to bring about single-payer health care. On America’s Newsroom, Washington Examiner columnist Byron York claimed the Trump administration’s allegation that CBO had inaccurately scored the ACA years ago was “absolutely true.” On Outnumbered, co-host Melissa Francis claimed “the CBO does get everything wrong” and complained that the CBO underestimated the cost of Medicaid expansion under the ACA. On Fox Business’ Varney & Co., host Stuart Varney’s anti-CBO talking points were rebuffed by Harvard economist and former CBO director Douglas Elmendorf, who pointed out that the office correctly predicted that the number of uninsured would fall under ACA, it accurately projected premium increases under the law, and it actually overestimated the long-term cost of enacting Obamacare.
As soon as the CBO’s devastating report on the short- and long-term effects of repealing Obamacare and enacting the AHCA was released this afternoon, Fox News turned to discredited New York Post columnist, former Trump economic adviser, and serial health care misinformer Betsy McCaughey to double down on its campaign against the CBO. McCaughey slammed the report as “implausible” for finding that tens of millions would lose health insurance coverage under the Republican health care plan, but happily accepted the same report’s finding of marginal deficit reductions stemming from the repeal of health insurance subsidies to low-income Americans. From the March 13 edition of Fox’s Your World with Neil Cavuto:
According to an independent analysis of the CBO’s Affordable Care Act estimates from the Commonwealth Fund, the office’s health care policy analysis regarding the ACA actually “proved to be reasonably accurate” and was thrown off by Supreme Court decisions and GOP political obstruction that it had no way to forecast. Even James Capretta of the conservative American Enterprise Institute warned that it may “tempting for GOP leaders to say CBO is wrong” but it would be difficult to “make a credible case” that the repeal plan would not reduce the number of people with health insurance.
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