Paul Ryan

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  • It’s Not Just Trump: Republicans Constantly Lying About Health Care Means Reporters Face A Growing Challenge

    Blog ››› ››› ERIC BOEHLERT

    As the Beltway press scrambles to keep pace with the White House’s shifting explanations as to why President Donald Trump fired FBI Director James Comey -- explanations that seem built on a laundry list of daily deceptions -- journalists are now fighting a multiple-front war versus the Republican crusade to embrace fabrications as a rule.

    The erratic new president has unleashed a torrent of lies in the place of public policy discussion, but the serial mendacity on the right is hardly limited to Trump. That means journalists face a growing challenge in trying to ferret out the facts.

    After voting to pass a sweeping health care bill with no formal cost assessment, which hadn’t been marked up in policy committees, and which hadn’t even been read by all members of Congress, Republicans have been on an extraordinary public relations campaign to support the controversial legislation.

    The push is extraordinary because Republican officials, led by Speaker of the House Paul Ryan, are aggressively fabricating claims about the bill that’s now pending before the Senate. In a Trump era of endless firsts, this is likely the first time we’ve seen a major American political party try to pass a landmark social policy initiative by categorically misstating almost every key claim about the bill.   

    No, the House bill does not protect people with pre-existing conditions. It does not protect older Americans from increased insurance costs. It does not mean everyone will be charged the same for insurance. The bill wasn’tbipartisan.” And it does not allow “for every single person to get the access to the kind of coverage that they want,” as Secretary of Health and Human Services Tom Price claims.

    If it did those things, the bill wouldn’t be controversial, would it? So instead, Republicans are committed to selling a fantasy version of the House bill -- and hoping the press doesn’t call them out on it.

    “What really stands out, however, is the Orwell-level dishonesty of the whole effort,” wrote New York Times columnist Paul Krugman. “Everything about Trumpcare is specifically designed to do exactly the opposite of what Trump, Paul Ryan and other Republicans said it would.”

    This represents a dangerous new age in American politics. If Republicans succeed by lying about their health care plan, there’s no telling what the next target of GOP fabrications will be.

    Right now, the future does not look promising because while some journalists and opinion writers, including those quoted above, are rightfully pointing out the GOP lies, others are routinely treating Republican health care lies as merely assertions in a larger he said/he said partisan debate.

    As Brian Beutler noted at The New Republic:

    To that end, these Republicans are counting on the reporters who interview them, and the news outlets that report on AHCA, to either not grasp finer points of health policy or to feel inhibited from disputing lies, so that the lies get transmitted to the public uncorrected.

    Indeed, if Republicans don’t get called out for trafficking in fabrications, what’s the incentive for them to stop? If the press treats the GOP’s systematic lying as nothing more than partisan spin, there’s little downside to the strategy.

    On Twitter, some observers have highlighted news organizations guilty of privileging GOP health care lies:

    And:

    Note that it wasn’t just Axios’ Twitter feed that failed. In its write-up of Ryan’s TV appearance, Axios simply regurgitated the Republican’s false claims about health care and provided readers with no context about how many central untruths he was peddling.

    Meanwhile, look at this feel-good New York Times headline that followed Ryan’s TV appearance and ask yourself, why would Republicans start telling the truth if lying produces headlines like this?

    House Health Care Bill Is ‘Us Keeping Our Promises,’ Paul Ryan Says

    And note how The Associated Press struggled while covering Secretary Price’s recent illogical claim that a proposed $880 billion cut in Medicaid funding to states over 10 years would actually help states provide better health care (emphasis added):

    CBO's analysis highlighted an $880 billion cut to Medicaid, the federal-state health care program for the poor and disabled, which Price sought to cast as a way to give states more leeway to experiment with the program. The Obama-era law expanded Medicaid with extra payments to 31 states to cover more people. The House bill halts the expansion, in addition to cutting federal spending on the program.

    But Price insisted Sunday, "There are no cuts to the Medicaid program," adding that resources were being apportioned "in a way that allows states greater flexibility."

    Basically, Price was claiming up is down, and AP did its best to let him get away with it.

    According to the Congressional Budget Office, which analyzed a previous version of the bill passed by the House, the $880 billion in Medicaid cuts would translate into 14 million people losing Medicaid coverage.

    After pressing Price during a recent interview on his central contradiction about Medicaid (i.e. big cuts make it better!), NBC’s Andrea Mitchell seemed a bit exasperated: “I think a lot of people wonder how taking more than $800 billion out of something is going to put more resources in it.”

    It was good that Mitchell compelled Price to answer, but how did NBC News then treat Price’s nonsensical Meet the Press appearance? It rewarded him by repeating his health care lies in a headline:  “HHS Sec. Tom Price: 'Nobody Will Be Worse Off Financially' Under GOP Health Plan.”

    And the lede of that article:

    No one will be adversely affected by the Republicans' new health care bill once it's enacted and more people would be covered, according to Health and Human Services Secretary Tom Price.

    Politico did something similar for comments from Ryan: “Ryan: GOP Health Care Bill Not Only Good Policy, But Good Politics.”

    For the GOP, that’s mission accomplished. And somewhere, Trump is smiling.

    The good news is there’s still plenty of time for reporters to accurately describe how Republicans are trying to sell health care via baldfaced lies.

    In Friday’s Washington Post, Dave Weigel did just that. He wrote a straightforward report about how Republicans, pressed at town hall meetings to defend the GOP’s bill, have unfurled “a series of flat misstatements and contradictions about what’s actually in the bill.”

    Today, Republicans are unapologetic about spreading health care fabrications. More journalists should simply document that fact.  

  • Right-Wing Media Refuses To Blame Trump For GOP Health Care Defeat 

    ››› ››› JARED HOLT

    Republicans “abruptly” withdrew their health care bill, which signaled the first legislative defeat for President Donald Trump. After the bill's failure, media figures blamed Democrats, Speaker of the House Paul Ryan (R-WI), and legislators instead of  Trump who adopted and pushed for the bill’s passage.

  • Conservative Media Split On Who To Blame For Trump's Attempt To Destroy Health Care

    ››› ››› MADELINE PELTZ

    Conservative media figures can’t decide who to blame for the disastrous American Health Care Act (AHCA), which seeks to repeal the Affordable Care Act (ACA) and will endanger the health insurance of millions of Americans. Despite President Donald Trump taking credit for this effort to roll back health care reform, right-wing media figures and outlets are grappling over whether they should fault the president for “Trumpcare” or absolve him of responsibility.

  • How Incoming White House Staffer Julia Hahn Attacked Paul Ryan At Breitbart

    ››› ››› JULIE ALDERMAN & NINA MAST

    President Donald Trump is planning to hire Julia Hahn, a Breitbart.com staff writer, to serve in his administration, primarily under former Breitbart CEO and current White House chief strategist Stephen Bannon. Hahn, who has repeatedly criticized House Speaker Paul Ryan (R-WI) while at Breitbart, is coming into the job as tensions are reportedly starting to cool between Ryan and Bannon.

  • CNN Paul Ryan Town Hall Illustrates Need For Aggressive Fact-Checking On Obamacare

    Blog ››› ››› CAT DUFFY

    During CNN’s town hall with Speaker of the House Paul Ryan (R-WI), Jake Tapper showed the value of fact-checking conservative misinformation on health care policy -- even in a conversational setting -- by providing strong pushback about funding for Planned Parenthood. But there were several other moments during the event when Ryan pushed false information about the Affordable Care Act (ACA) that Tapper could have fact-checked. Going forward, more media outlets should adopt an aggressive approach to addressing conservative misinformation on health care policy, given the severe consequences of ACA repeal.

    During the town hall discussion of the fight over the ACA, the final question on health care came from an audience member asking where the millions of women who use Planned Parenthood to access women’s health care services will go if the Republican Congress defunds the network. When Ryan falsely tried to claim that providing federal funds to Planned Parenthood “commit[s] people’s taxpayer dollars to fund” abortion, Tapper correctly noted that the Hyde Amendment bans taxpayer money from funding abortions.

    Tapper also noted the hypocrisy in Ryan’s earlier statements emphasizing the necessity of choice in health care policies, asking, “You believe in providing more choice for people when it comes to health insurance, except for Planned Parenthood?”

    But there were also many other opportunities for Tapper to fact-check Ryan as he used the town hall to reiterate stock talking points and push false narratives about the ACA. When asked whether “the government should guarantee health care” for Americans, Ryan falsely claimed that the ACA is failing and that premium spikes were proof that “the law is collapsing.” In reality, during the most recent open enrollment period, more people signed up on the ACA insurance marketplaces than during the previous year, contradicting the conservative claim that people are fleeing the market. Ryan’s claims about premium hikes omit the crucial context that subsidies rise in proportion to premium hikes, mitigating the impact for the majority of enrollees. While the ACA clearly has problems, claims that the law is “collapsing” or in a “death spiral” are clearly false and should be rebutted as such.

    When an audience member who survived cancer asked Ryan how the GOP’s plans would impact individuals with pre-existing conditions, Ryan claimed that “state high-risk pools are a smarter way of guaranteeing coverage for people with pre-existing conditions.” While high-risk pools sound like a good idea in theory, they have a long history of problems, as they are typically chronically underfunded, are prohibitively expensive for customers, and provide inadequate coverage. Similarly, Ryan’s claims about the benefits of refundable tax credits and health savings accounts should prompt substantive follow-up questions, as legitimate critiques raise questions about their effectiveness in reducing costs and maintaining coverage.

    While Tapper illustrated the value of fact-checking conservative misinformation during the discussion on Planned Parenthood, he ought to have also provided substantive follow-up questions and pushback on some of Ryan’s policy claims. Going forward, media outlets should use any interview, in any format, to hold conservative politicians’ feet to the fire on the issue of the ACA -- to prevent the further spread of false narratives and to investigate the efficacy of proposed GOP policies. The lack of consensus on what a replacement plan might look like, combined with the massive impact repeal will have on the millions who have obtained insurance through the Affordable Care Act, makes it especially vital for the media to ask substantive questions about conservative claims on health care policy.

  • Watch CNN's Jake Tapper Correct Paul Ryan's False Claim That Taxpayers Fund Abortions Through Planned Parenthood

    Blog ››› ››› MEDIA MATTERS STAFF

    During a CNN town hall with Speaker of the House Paul Ryan (R-WI), moderator Jake Tapper corrected Ryan's faulty claim that federal funds to Planned Parenthood "commit people's taxpayer dollars to fund" abortion. Tapper explained that the Hyde Amendment bans the use of tax dollars to fund abortions. Although Tapper fact-checked Ryan's baseless claim that taxpayer dollars fund abortion services, he failed to correct the unfounded allegation that "community health centers" (CHCs) could absorb patient demand should Planned Parenthood clinics close. In reality, experts agree that CHCs lack the capacity, experience, and resources to replace Planned Parenthood. From the January 12 edition of CNN's Town Hall: Paul Ryan:

  • STUDY: Major Wisconsin Newspapers Failed To Contextualize The Impact Of ACA Repeal

    ››› ››› CAT DUFFY

    Republicans are pushing forward with a repeal of the Affordable Care Act (ACA), with Speaker of the House Paul Ryan (R-WI) leading the charge. The top Wisconsin newspapers have largely failed to convey the impact of repeal on Wisconsin residents on a variety of crucial metrics, with little to no mention of the impact on women and minority communities and insufficient contextualization of the potentially devastating changes to Medicare and Medicaid. 

  • 10 Facts Reporters Should Include In Stories About Efforts To Repeal Obamacare

    Blog ››› ››› CAT DUFFY

    The press failed to accurately convey the implications of a potential repeal of the Affordable Care Act (ACA) in the lead-up to the election. Now that Donald Trump is the president-elect, media must improve their health care coverage by contextualizing their stories about a potential ACA repeal and explaining the impact it would have on millions of Americans and the health care system as a whole.

    A recent Media Matters study found that in the weeks leading up to the election, television journalists overwhelmingly failed to ask any substantive questions about Trump’s health care policies or the consequences of repealing the ACA. In the two weeks before Election Day, there were only four instances of broadcast or cable news hosts or reporters bringing up a substantive question about Trump’s supposed Obamacare replacement amid 77 segments ostensibly focused on health care. This was not the first time media failed to inform the public about the Republican Party’s extremist health care policy agenda. Another Media Matters study found that evening news shows virtually ignored Speaker of the House Paul Ryan’s resurrection of his Medicare privatization scheme, a proposal that could have dangerous consequences for a program relied on by more than 55 million Americans.

    During the campaign, media outlets also lauded Trump for giving a so-called “policy” speech on health care, ignoring that the actual speech contained little to no policy specifics. This lack of attention to detail reflects a broader theme in election coverage, as studies found media overwhelmingly avoided substantive discussion of policy, focusing instead on “scandals” plaguing the Republican and Democratic nominees.

    While cable and broadcast news tended to avoid robust discussions of the impact of health care policy, right-wing media filled the void with rampant misinformation. Since the ACA passed in 2010, conservative news outlets have consistently attacked the health law with complete fictions, claiming it will explode the budget, create death panels, bankrupt Medicare, end in adeath spiral,” and facilitate a government takeover of the health care system.

    Today, media outlets regularly provide Trump surrogates with free airtime to push misinformation and avoid substantive discussion. In a series of January 3 interviews, Trump senior adviser Kellyanne Conway was given a free pass on health care policy by ABC’s Good Morning America, which neglected to even bring up the looming repeal of Obamacare. NBC’s Today and CNBC’s Squawk Box failed to push Conway with follow-up questions about how exactly the incoming administration plans to maintain popular health care reforms while repealing the law that created them. On MSNBC’s Morning Joe, Conway was allowed to push vague proposals for creating health savings accounts and allowing insurers to sell across state lines (both proposals have been highly criticized). When asked if the replacement plan is “ready to go,” Conway deflected by suggesting that planning could not start until Trump’s nominee for secretary of health and human services, Tom Price, is confirmed. The Morning Joe hosts failed to raise questions about the potential impact of the policies she promoted and allowed her to deflect from questions about the replacement plan to the irrelevant question of cabinet nominations.

    Trump and congressional Republicans pledged to make repeal of the ACA one of their top priorities, which means the press must immediately rethink its strategy when covering health care policy and focus on specifics. Media outlets must contextualize the impact of repealing Obamacare in terms of the gains that have already been achieved and how those improvements will be affected or reversed by Republican policies. Health care policy is inherently complex and confusing -- it’s the media’s job to break down the complexity and explain how repealing Obamacare will impact the lives of every American.

    1. Passage Of The ACA Has Resulted In The Lowest Uninsured Rate In Recent History

    The implementation of the ACA resulted in a record low number of uninsured Americans -- 8.6 percent in September 2016, down from 16 percent in 2010. According to estimates from the Department of Health and Human Services, more than 20 million Americans have gained health care coverage as a result of the law.

    These gains would be reversed and the uninsured rate would surpass 2010 levels if the ACA is repealed.

    2. The ACA Medicaid Expansion Provided Health Care Access For Millions Of The Most Vulnerable Americans

    The ACA’s expansion of Medicaid extended health care coverage to more than 14 million low-income Americans. Studies of the expansion showed that it helped to combat income- and race-based coverage disparities in the insurance market, improved access to coverage for people with disabilities, and significantly improved state budgets in states that accepted federal funds for the expansion.

    Conversely, proposals to repeal the expansion or reform Medicaid into block grants would gut coverage for at-risk populations and strip insurance coverage from millions of Americans.

    3. The ACA Tangibly Improved Women’s Health Care Coverage

    The implementation of the ACA significantly improved the condition of women’s health care coverage in the U.S. The ACA’s preventive services provision greatly improved access to birth control by eliminating copays -- expanding coverage to millions of women and dramatically reducing out-of-pocket costs. The ACA banned sex discrimination in health care, and put a stop to the widespread practice of “gender rating” in which health insurance companies charged women higher rates for comparable plans made available to men. The law also improved access to maternity care by classifying it as an essential service.

    Repeal of the ACA would permit the return of discriminatory practices like gender rating, reducing overall access to health care and significantly increasing out-of-pocket health care costs for women.

    4. The ACA Helped America Take Huge Steps Toward LGBTQ Equality

    The ACA helped the fight in achieving LGBTQ equality by dramatically improving access to health care for LGBTQ patients often targeted by discriminatory practices (like dropping individuals with pre-existing conditions), prohibiting sex discrimination, and guaranteeing protections to married same-sex couples regardless of the state in which they reside. Studies have shown that the ACA has reduced the number of uninsured LGBTQ people and decreased health disparities in the LGBTQ community. The law provided marketplace insurance subsidies to nearly 732,000 individuals, and its expansion of Medicaid was particularly beneficial to LGBTQ youth, who are disproportionately likely to experience poverty and homelessness.

    Repeal of the ACA would allow insurance companies to discriminate on the basis of gender, strip coverage for transgender people and transition-related care, and increase the number of uninsured people by repealing the marketplace subsidies and Medicaid expansion.

    5. Contrary To Popular Belief, The ACA Extended The Solvency Of Medicare By Over 10 Years

    The ACA has extended the solvency of Medicare by over 10 years, despite false claims to the contrary from right-wing opponents of the program. Discussions of Medicare’s budget outlook typically refer to Medicare’s Hospital Insurance program -- which covers hospital visits, nursing care, and other medical costs. Studies have shown that the ACA has extended the full budgetary solvency of the Hospital Insurance program through 2028, after which “payroll taxes and other revenue will still cover 87 percent of Medicare hospital insurance costs.” In addition to enhancing Medicare’s budget outlook, the ACA improved senior care by reducing prescription costs and extending coverage to key services.

    Medicare spending will increase by $350 billion over the next decade if Congress repeals the ACA, accelerating the program’s insolvency. Potential plans to privatize Medicare will gut access to care and cause skyrocketing health care costs for the elderly.

    6. The ACA Reduced The Budget Deficit, Reined In Medical Costs, And Reduced Economic Inequality

    Implementation of the ACA has reduced the budget deficit even more than was originally predicted by the Congressional Budget Office. Studies have shown that since the implementation of the ACA, while premiums have increased steadily, the number of individuals struggling to pay medical bills has steadily declined. While costs overall increase, they have increased by a much smaller margin than they would have if the ACA had not been enacted. Additionally, the ACA helps to combat economic inequality in the U.S., as it increases incomes in low-income households by reducing health care costs through mechanisms like the Medicaid expansion.

    Repeal of the ACA will remove vital checks on health care costs and explode the budget, adding billions of dollars to the national debt over the next 10 years.

    7. The ACA Improved Health Care Access For Minority Communities.

    The ACA helps to fight the significant health disparities among Americans, expanding minority access to free preventive care, improving the overall quality of care in minority communities, and reducing the number of uninsured persons of color. The ACA invested in community health centers, whose patients are primarily minorities. The ACA provided the foundation for other efforts to combat inequities in the health care system for communities of color, including the HHS Action Plan to Reduce Racial and Ethnic Health Disparities.

    Repeal of the ACA would significantly increase the number of uninsured people in minority communities and undo the gains made in reducing health disparities thus far.

    8. The ACA Banned Discrimination Against Those With Pre-Existing Conditions

    The ACA banned health insurance companies from engaging in medical underwriting, most commonly known as discriminating against individuals for pre-existing conditions. If the ACA were repealed, an estimated 50 to 129 million individuals -- or between 19 and 50 percent of non-elderly Americans -- could be denied access to affordable health care coverage for a pre-existing condition. This fundamental reform protects millions of Americans from being needlessly priced out of the insurance market or denied coverage for common conditions like acne or cataracts.

    Despite some claims that a Republican-sponsored replacement package could maintain the pre-existing conditions ban, existing potential plans significantly weaken consumer protections and fail to maintain the same level of coverage provided by the ACA.

    9. The ACA Provided Crucial Insurance To Young Adults

    The ACA substantially increased the number of insured young adults -- by 5.5 million individuals -- by allowing them to remain on their parent’s health insurance plan until the age of 26. Given the high unemployment rate for people ages 18-29, this provision provides a crucial lifeline to that demographic.

    While this rule is one of the most popular parts of the ACA, proponents of repeal have yet to explain how they could keep this provision while getting rid of the other parts (like the insurance mandate) that help pay for it.

    10. The ACA Resulted In The Biggest Expansion Of Mental Health Care Services In Decades

    The ACA greatly expanded coverage of mental health care services by requiring that most plans -- including all plans sold in the HealthCare.gov insurance marketplaces -- cover mental health services, classifying them as essential services. By eliminating medical underwriting and requiring parity between mental and physical health services, the ACA extended coverage to those who were previously refused on the basis of their mental health issues.

    While the mental health coverage in the ACA is far from perfect, repeal will undercut the law’s achievements, gut coverage for tens of millions of people with mental illnesses, and roll back other positive gains in related mental health legislation.

  • Evening News Virtually Ignores Paul Ryan’s Medicare Privatization Plan

    MSNBC Only Outlet To Vet Ryan's Scheme To Gut The Social Safety Net

    Blog ››› ››› CRAIG HARRINGTON

    Weekday evening programming on the largest cable and broadcast news outlets almost completely ignored a long-standing Medicare privatization scheme favored by Speaker of the House Paul Ryan (R-WI) in the days since he first resurrected the idea of radically reshaping the American health care system toward for-profit interests.

    During a November 10 interview with Fox News host Bret Baier, Ryan misleadingly claimed that due to mounting “fiscal pressures” created by the Affordable Care Act, the Republican-led Congress would be forced to engage with what Baier called “entitlement reform” sometime next year. Ryan falsely claimed that “because of Obamacare, Medicare is going broke” and that the popular health insurance system for American seniors will have to be changed as part of any legislation to “repeal and replace” President Obama’s health care reform legacy. From Special Report with Bret Baier:

    According to a Media Matters analysis of broadcast and cable evening news coverage from November 10 to November 27, Ryan’s plan to privatize the nationwide, single-payer health care coverage currently enjoyed by millions of seniors has gone unmentioned on ABC, CBS, NBC, CNN, and Fox News. Ryan’s so-called “premium support” plan was briefly mentioned on the November 22 edition of PBS NewsHour when co-host Judy Woodruff pressed President-elect Donald Trump's former campaign manager, Kellyanne Conway, as to whether Trump would accept Ryan’s privatization proposal. By comparison, during the same time period, MSNBC ran six prime-time segments exposing Ryan’s privatization agenda:

    According to a July 19 issue brief from the Kaiser Family Foundation, conservative lawmakers are likely to pursue “a proposal to gradually transform Medicare into a system of premium supports, building on proposals” adopted by Ryan when he served as chairman of the House Budget Committee. These so-called “premium supports” would provide each Medicare beneficiary with a “voucher” that can be used for the purchase of private health insurance; they represent “a significant change from the current system” that pays health care providers directly for services rendered.

    In essence, Ryan’s plan would privatize Medicare and redirect hundreds of billions of tax dollars that currently go to doctors, hospitals, and other medical service providers through the costly private health insurance market.

    This startling scheme bears similarities to a failed 2005 attempt by the Bush administration to partially privatize Social Security. Democratic members of Congress are already aligning themselves against Ryan’s throwback plan to gut Medicare, and it’s not actually clear if Trump is supportive of the initiative, which he refused to fully endorse on the campaign trail.

    As the Center on Budget and Policy Priorities (CBPP) pointed out last July, claims that Medicare is “nearing ‘bankruptcy’ are highly misleading,” and Ryan’s specific charge that Medicare is “broke” because of the ACA is completely wrong. President Obama’s health care reform law greatly improved Medicare’s long-term finances and extended the hospital insurance trust fund’s solvency by 11 years.

    The looming fight over the future of Medicare, which serves over 55 million beneficiaries and accounted for 15 percent of the entire federal budget in 2015, has been well-documented, but it has garnered almost no attention on major television news programs.

    Millions of Americans who rely on broadcast and cable evening news are completely unaware of the stakes in this health care policy fight. They are also unaware that Ryan’s privatization scheme would leave millions of retirees at the whims of the same private insurance market that right-wing media are currently attacking because of increased rates.

    Methodology

    Media Matters conducted a Nexis search of transcripts of weekday network broadcast evening news programs on ABC, CBS, NBC, and PBS and weekday prime-time news programming (defined as 8 p.m. through 11 p.m.) on CNN, Fox News, and MSNBC from November 10, 2016, through November 27, 2016. We identified and reviewed all segments that included any mention of “Medicare.”