Immediately after Senate Republicans unveiled a new draft of their plan to repeal the Affordable Care Act (ACA), cable and broadcast newscasts framed reports about the bill around the challenges it faces in the legislative process, including vote counts and optics, rather than personal stories from those who would be most affected by the bill. However, the programs did use the opportunity to cover key changes to and consequences of the bill.
Senate Republicans on July 13 introduced a new draft of their bill to repeal and replace the ACA, which includes key changes surrounding health savings accounts and ways for insurers to offer more bare-bones policies. While the bill has changed a bit, the media coverage has largely stayed the same. Once again, media are continuing to focus on the process surrounding the bill and largely ignoring personal stories from those most affected. Unlike with previous coverage, cable and broadcast news did focus on the new changes in the bill and their potential consequences for Americans. MSNBC in particular provided more context and information about the bill than other networks.
During the July 13 newscasts, just hours after the new draft plan was introduced, broadcast news shows framed their coverage around the legislative process and optics of the bill. NBC’s Lester Holt introduced a report on the bill on NBC Nightly News by noting that “Republicans face a crucial battle for votes in their own party” over the bill. CBS’ Anthony Mason said the bill was “already in critical condition” on CBS Evening News because of the lack of Republican support. And ABC’s Mary Bruce framed her report on the new bill by pointing out that it faces “the same old problem: Can it get the votes to pass?”
Like previous coverage, broadcast newscasts largely neglected to offer personal anecdotes from people who would be most affected by the bill. One exception was CBS Evening News, which followed its coverage of the bill with a segment on how Kentuckians would be “hard hit” by its Medicaid cuts.
Network newscasts did do an exemplary job of highlighting the consequences of and new changes in this newest draft of the bill, however, including provisions that would allow “the return of skimpy junk insurance policies and discrimination against people with pre-existing conditions,” according to HuffPost, and expand the use of health savings accounts, which have been found to “primarily benefit the wealthy, the healthy, and the educated.”
Like broadcast newscasts, the 6 p.m. hour of cable news coverage framed the unveiling of the bill largely around vote counting and optics. Fox News’ Bret Baier introduced a panel discussion of the bill on Special Report by explaining that the GOP “can only afford to lose one more vote” to pass the bill. Earlier in the program, Baier set up a report on the bill by highlighting “the continued internal dissent” surrounding the bill. MSNBC’s Ali Velshi framed his discussion of the bill on MSNBC Live by saying that it “is hanging by a thread” in terms of votes. CNN’s Jim Acosta opened a segment on the bill by stating that Republicans are “increasingly optimistic about its prospects.” Acosta even conducted an interview with Sen. Ben Cardin (D-MD) and asked only about the prospects the bill would pass, not the actual policies it contains.
Like broadcast newscasts, cable coverage was also largely devoid of personal stories from those most affected. However, cable coverage did highlight several changes that are included in this draft of the bill and the consequences of the provisions. MSNBC, especially, excelled in this area, hosting Dr. Kavita Patel, medical director of Sibley Primary Care in Washington, D.C., who noted that this bill “does cause a death spiral … by allowing for insurance plans to sell … catastrophic insurance.”
MSNBC also hosted Virginia Gov. Terry McAuliffe, a Democrat, who pointed out that the bill negatively impacts state budgets, like in Virginia.
Lesbian, gay, bisexual, transgender, and queer (LGBTQ) Americans will face greater hardship if Republicans in Congress succeed in reversing the Affordable Care Act’s (ACA) patient protections and expansion of Medicaid -- and this is especially true for people living with HIV -- yet, print and television news have almost completely ignored their stories.
LGBTQ Americans deal with higher rates of poverty, greater need for Medicaid, and higher rates of HIV infection than the general population. Republican plans to decimate Medicaid and roll back patient protections will create disproportionate impacts for LGBTQ Americans. Yet, according to new research from Media Matters, major print and television news outlets have been virtually silent on how GOP health care proposals may harm members of the LGBTQ community.
Media Matters reviewed major broadcast and cable news providers (ABC, CBS, NBC, PBS, CNN, Fox News, and MSNBC) available via Nexis from May 4 through July 13 and found only two significant segments discussing how the Republican health care rollback would affect LGBTQ people and only two other unrelated segments discussing how the rollback would affect Americans living with HIV. A Media Matters review during the same period of time of print newspapers available via Nexis and Factiva (Los Angeles Times, The New York Times, USA Today, The Washington Post, and The Wall Street Journal) found only three print articles that discussed how the GOP health care plan may affect the LGBTQ community and/or people living with HIV.
A July 12 analysis from Media Matters found a similar lack of reporting by major television and print news outlets on how communities of color may be affected by Republican health care proposals. Additional Media Matters research has found that television news missed an opportunity to report on the unprecedented nature of the Senate’s health care secrecy and that television coverage had drowned out reports on how the legislation would impact tens of millions of Americans in favor of airing stories focused on the bill’s political machinations. Previous Media Matters research revealed that newspapers kept reports on health care off the front page during crucial periods of debate and that broadcast and cable news coverage neglected to consider diversity when booking guests to discuss health care-related topics.
LGBTQ news outlets including The Advocate, NBC Out, and The Washington Blade have all covered how Republicans plans to roll back Medicaid would affect LGBTQ Americans as well as the more than 1 million people living with HIV. According to the Center for American Progress (CAP), Medicaid is of significant importance for many LGBTQ Americans who face higher rates of poverty than the general population, and these higher rates of poverty correlate with fewer LGBTQ Americans having health insurance. On July 6, CAP reported that the ACA repeal legislation being considered by the Republican-led Senate -- the so-called Better Care Reconciliation Act (BCRA) -- may result in up to 560,000 LGBTQ Americans losing Medicaid coverage while restricting health care access for transgender Americans. From the report:
The BCRA slashes Medicaid by $772 billion over 10 years and would end Medicaid expansion over time:
- Medicaid covers at least 1.8 million LGBTQ adults, including 31 percent of LGBTQ adults living with a disability and 40 percent of LGBTQ adults with incomes under 250 percent of the federal poverty level.
- An estimated 560,000 LGBTQ adults will lose coverage if Medicaid expansion is ended.
- The BCRA prohibits federal Medicaid reimbursements for Planned Parenthood for one year; Planned Parenthood is one of the country’s largest providers of transgender-inclusive health care.
On February 14, the Kaiser Family Foundation reported that the ACA’s Medicaid expansion has lowered the uninsurance rates for people living with HIV from 22 percent to 15 percent from 2012 to 2014. The California HIV/AIDS Policy Research Centers found that in California alone, the Medicaid expansion covered an additional 11,500 people living with HIV. Coverage and care for those living with HIV is of significant concern for many in the LGBTQ community, as the Kaiser Foundation points out, because gay and bisexual men make up 56 percent of Americans living with HIV and 55 percent of all HIV-related deaths in the U.S. despite comprising just 2 percent of the American population.
If congressional Republicans are successful enacting their health care agenda, it could cause real harm to the nearly 69 million Americans enrolled in Medicaid, making it crucially important that news outlets tell their stories.
Media Matters conducted a Nexis and Factiva search of print editions of the Los Angeles Times, USA Today, The New York Times, The Washington Post, and The Wall Street Journal from May 4 through July 13, 2017. Media Matters also conducted a Nexis search of available transcripts of broadcast and cable news programs on ABC, CBS, NBC, PBS, CNN, Fox News, and MSNBC over the same time period.
We identified and reviewed all broadcast and cable news segments and noneditorial articles that included any of the following keywords: gay or lesbian or transgender or bisexual or LGBT or LGBTQ or queer or same-sex within 10 words of health care or healthcare or health reform or AHCA or Trumpcare or American Health Care Act or ACA or Obamacare or Affordable Care Act or CBO or BHCA or Medicaid.
People of color have been ignored during the health care debate
The Republican Party’s plan to gut the Affordable Care Act (ACA) will disproportionately hurt people of color -- a fact television and print news outlets have almost completely ignored in their coverage of ongoing health care debates.
On May 4, President Donald Trump held a White House celebration with a predominantly white group of Republican members of Congress after the House of Representatives voted to fund tax cuts for high-income earners by cutting health care subsidies and loosening patient protections benefitting low- and middle-income Americans. On May 8, The New York Times reported that 13 white Republican men would draft the Senate’s version of a health care reform bill, which remained shrouded in secrecy until it was released on June 22. Almost as if taking their que from the GOP, broadcast and cable news outlets made little effort over the same time period to invite diverse guests to discuss the health care bill despite dedicating significant coverage to the issue.
In fact, according to new research from Media Matters, news outlets have almost completely ignored how GOP health care plans would disproportionately impact people of color. A Media Matters review of the major broadcast and cable news providers available via Nexis (ABC, CBS, NBC, PBS, CNN, Fox News, and MSNBC) found only three significant stories from May 4 through July 9 on the health care bill’s disproportionate impact on communities of color. All three stories appeared on MSNBC's weekend program Politics Nation. Media Matters conducted the same analysis of five major print newspapers via Nexis and Factiva (Los Angeles Times, The New York Times, USA Today, The Washington Post, and The Wall Street Journal) and found only four print articles -- three in the Times and one in the Post -- highlighting that the GOP plans to repeal and replace the ACA would harm these already disadvantaged communities.
One of the few pieces discussing communities of color was an in-depth June 6 report (published in-print on June 11) in The New York Times on an overlooked HIV epidemic in African-American communities in southern states. Phill Wilson, president of the Black AIDS Institute, told the Times that ACA repeal would halt momentum for treating HIV and that he feared people would die if coverage was taken away. From the article:
“The key to ending the AIDS epidemic requires people to have either therapeutic or preventive treatments, so repealing the A.C.A. means that any momentum we have is dead on arrival,” said Phill Wilson, chief executive and president of the Black AIDS Institute, a Los Angeles-based nonprofit. “For the most vulnerable, do we end up back in a time when people had only emergency care or no care and were literally dying on the streets? We don’t know yet, but we have to think about it.”
The nonpartisan Congressional Budget Office (CBO) projected the Senate’s health care overhaul would result in 22 million fewer people with health insurance by 2026, including 15 million fewer low-income Americans being enrolled in the Medicaid program. Communities of color are disproportionately likely to receive Medicaid and restrictions could leave millions of people in disadvantaged communities at a loss. The Commonwealth Fund reported in August 2016 that communities of color benefitted greatly from the ACA’s provisions aimed at reducing health care inequality, and those communities could be hammered by GOP proposals to roll back successful reforms:
According to HuffPost contributor Richard Eskow, a senior fellow with the progressive group Campaign for America’s Future, Republican plans to gut the ACA “will disproportionately harm people of color” while the 400 wealthiest families in the United States would receive an average tax cut of $7 million. It is because GOP plans so directly harm people of color that journalist Vann Newkirk wrote in The Atlantic that health care is a civil rights issue for millions of Americans. On the July 10 edition of MSNBC’s Politics Nation, Newkirk discussed the importance for expanding access to health care as a means of reducing economic and health disparities that have existed along racial lines for generations:
Republican plans to repeal the ACA will exact an extraordinary toll on millions of Americans, and will have a disproportionate impact on people of color, women, and the LGBTQ community. That is why it is more important than ever for news outlets to contextualize this human cost.
Media Matters conducted a Nexis and Factiva search of print editions of the Los Angeles Times, USA Today, The New York Times, The Washington Post, and The Wall Street Journal from May 4 through July 9, 2017. Media Matters also conducted a Nexis search of transcripts of broadcast and cable news programs on ABC, CBS, NBC, PBS, CNN, Fox News, and MSNBC over the same time period.
We identified and reviewed all broadcast and cable news segments and non-editorial articles that included any of the following keywords: black or African-American or African American or hispanic or latina or latino or Asian or racism or racial or native american or people of color or indian or pacific islander within 10 words of health care or healthcare or health reform or AHCA or Trumpcare or American Health Care Act or ACA or Obamacare or Affordable Care Act or CBO or BHCA or Medicaid.
On Sunday morning political talk shows, Republicans have deployed a three-pronged approach surrounding the Senate bill to repeal and replace the Affordable Care Act (ACA). Republicans who openly support the bill have mostly been hiding. In three weeks of major Sunday talk shows that have aired since the bill was released, only two Republican senators who openly support the bill have appeared on the shows to defend it. Meanwhile, the Republicans willing to defend the bill in public have been attacking the Congressional Budget Office (CBO) and lying to make their case for the Better Care Reconciliation Act (BCRA), which is reportedly the most unpopular bill in three decades.
Since the Senate bill was unveiled on June 22, there have been 15 appearances by Republican senators on the major Sunday morning political talk shows -- ABC’s This Week, CBS’ Face the Nation, CNN’s State of the Union, Fox Broadcasting Co.’s Fox News Sunday, and NBC’s Meet the Press. Of those appearances, only two senators expressed support for the bill: Sens. John Barrasso (R-WY) and Pat Toomey (R-PA). Other appearances by Republican senators included Sens. Mike Lee (R-UT), Rand Paul (R-KY), Susan Collins (R-ME), Ted Cruz (R-TX), and Ron Johnson (R-WI), all of whom have publicly stated that they do not support the bill. Sens. Bill Cassidy (R-LA), Lindsey Graham (R-SC), John McCain (R-AZ) and Ben Sasse (R-NE) also appeared on Sunday shows to discuss the bill, but gave no indication of whether they’d support it in its current form.
For context, there are 52 Republican senators and, according to The New York Times, 17 of them have publicly said they would support the bill -- yet only two have gone on the Sunday political talk shows to defend it. It’s understandable why they would want to stay away from the shows; after all, the bill is incredibly unpopular.
Republicans who have been willing to go on the Sunday shows to discuss the bill have borrowed a play right out of right-wing media’s playbook: attack the CBO. Days after the bill was released, the nonpartisan CBO published its report which stated that the bill “would increase the number of people without health insurance by 22 million by 2026.” Amid the bad news, some Republicans took to the Sunday shows to lash out at the office.
On the July 2 edition of CNN’s State of the Union, Sasse attempted to discredit the CBO’s findings, claiming that while the CBO is “good at certain kinds of analysis,” when “analyzing macro, long-term, highly complex dynamic social programs, they’ve almost never been right.”
Additionally, Health and Human Services Secretary Tom Price, who helped pick the man who is now in charge of the CBO, suggested that the CBO did not “look at the entire plan” and left out additional reforms the Republican Party intends to offer (which the GOP have not articulated yet):
With their backs against the wall, Republican lawmakers have resorted to flat-out lying in an attempt to garner support for the bill. During his appearance on Fox News Sunday, Barrasso invoked the conservative media canard that “Obamacare is collapsing every day,” despite the fact that this talking point has been repeatedly debunked.
Toomey also lied about the bill on Face the Nation, saying “The Senate bill will codify and make permanent the Medicaid expansion.” As Politico’s Dan Diamond pointed out, “The GOP bill ends funding for Medicaid expansion in 2024, and bill’s additional cuts projected to reduce coverage for millions”:
Republicans are utilizing these strategies of hiding, attacking, and lying because they cannot defend it by telling the truth and arguing on policy merits; the bill is set to kick millions off insurance plans while giving a tax cut to the most wealthy. And other Republicans who are uncomfortable using these strategies have stopped appearing on TV. Journalists, especially on the Sunday shows, need to ask why Republicans can’t stand behind the bill they are trying to jam through the Senate, before it’s too late.
The stations did not mention a new study connecting global warming to extreme heat, but found time to discuss climate change’s impact on coffee
Major television network affiliates in metropolitan areas most affected by a record-breaking heat wave in June failed to discuss how climate change exacerbates such heat waves or mention that it will make them more frequent in the future, and major national TV networks neglected to report on the connection too. Over eight days in late June, major TV affiliates in Phoenix and Las Vegas aired a combined 433 broadcasts that included a segment or weathercast about the heat wave, but only one of those mentioned climate change -- and that one downplayed its impact. The local affiliates also ignored a new study that found one-third of the global population already faces deadly heat waves for at least 20 days a year due to climate change, yet they aired segments focused on how climate change could affect the flavor of coffee.
For more than a week in late June, much of the Southwest was hit by a brutal heat wave. In Phoenix, temperatures were 10 to 15 degrees above average and new temperature records were set for three days in a row from June 19 to 21, reaching as high as 119 degrees. Dozens of flights had to be canceled after higher temperatures made it harder for certain types of small planes to take off. Las Vegas saw similar record-breaking daily temperatures and tied its all-time high temperature record of 117 degrees on June 20.
The heat wave overlapped with the publication of an alarming new study on June 19 in the journal Nature Climate Change that found that, because of climate change, almost a third of the world’s population faces deadly heat waves at least 20 days a year -- and that more than twice that percentage could experience the same by 2100. In his article on the study’s findings, Seth Borenstein of The Associated Press connected the study to the heat wave in the Southwest:
Deadly heat waves like the one now broiling the American West are bigger killers than previously thought and they are going to grow more frequent, according to a new comprehensive study of fatal heat conditions. Still, those stretches may be less lethal in the future, as people become accustomed to them.
A team of researchers examined 1,949 deadly heat waves from around the world since 1980 to look for trends, define when heat is so severe it kills and forecast the future. They found that nearly one in three people now experience 20 days a year when the heat reaches deadly levels. But the study predicts that up to three in four people worldwide will endure that kind of heat by the end of the century, if global warming continues unabated.
Yet despite having ample reason to take note, regional media ignored this dramatic study during the heat wave. Media Matters examined news coverage on the Phoenix and Las Vegas network affiliates of ABC, CBS, NBC, and FOX over an eight-day period that spanned the hottest days of the heat wave for those cities, from June 17 to June 24.
We found that the network affiliates did not air a single mention of the study -- but many of them found time to air segments on a different study published on the same day that found that climate change could lower the quality of Ethiopian coffee. In Phoenix, ABC affiliate KNXV and CBS affiliate KPHO both aired a segment about the coffee study, and in Las Vegas, NBC affiliate KSNV and FOX affiliate KVVU both aired a segment on the coffee study, while ABC affiliate KTNV aired three segments devoted to it. This focus reinforced the mistaken idea that climate change directly affects faraway developing countries, like Ethiopia, but not the U.S.
In a June 27 post, Ron Meador of MinnPost’s Earth Journal expressed surprise that regional media coverage of the heat wave neglected to mention the Nature Climate Change study, writing (italics original):
But it is questionable whether [the heat wave of 2017] will really be one for the history books, driven as it was by climate factors that continue to progress in ways that will likely make many a future hot spell considerably worse.
This was not an aspect that came in for much discussion in regional media last week so far as I could tell. I was surprised, for example, to see no mention at all of last week’s marquee findings about the likely surge in deadly heat days over the rest of this century.
Who knows why? Maybe it’s too controversial, still. Maybe it’s considered bad taste to mention this before the instant suffering subsides. Or maybe most people understand and accept this hard truth already, which would seem to be reasonable, wise and unlikely.
The heat wave afflicting the Southwest was the sort of previously rare extreme phenomenon that global warming is making more common. As Pacific Standard magazine explained:
The atmospheric culprit for the heat is a very intense high pressure, which is itself setting records. Though the statistical databases show this high of high pressure to be an approximately one-in-200-year event, these events have been occurring more often lately—with the last one happening just last year. In short, the background signal of global warming makes the entire atmosphere thinner and less dense, supporting stronger high-pressure centers like the one camped out over Arizona this week, which then tend to get stuck in place—cranking up the thermostat over a multi-state region.
And Arizona State University professor David Sailor explained in an interview with The New York Times that climate change amplifies and exacerbates heat waves and can create a vicious “feedback loop” between climate change and local heat thanks to increased energy consumption:
A spike in temperature across the Southwest has left many in Arizona gasping for breath.
David Sailor, a professor at Arizona State University and the director of its Urban Climate Research Center, said that such heat waves were to be expected in the summer, but that climate change amplified such spikes in temperature.
“The science is showing that the likelihood and the magnitude of these heat waves is likely to be exacerbated by climate change,” he said.
He also emphasized the connection between what he called “global drivers of local weather” and the weather itself.
“When you have these heat waves, the residents in the area of course are using more air-conditioning than they would otherwise,” he said. “So there’s a lot more waste heat being dumped into the environment from their attempts to keep their buildings cool. That creates a kind of positive feedback loop between local heat and global climate change.”
Yet over the eight-day time period Media Matters examined, none of the network affiliates based in Phoenix or Las Vegas explained that climate change exacerbates heat waves.
Las Vegas affiliates did not connect heat waves to climate change in any of their 241 broadcasts on the heat wave. KTNV (ABC), KLAS (CBS), KSNV (NBC), and KVVU (FOX) aired 65, 54, 65, and 57 broadcasts, respectively, that included a segment or weathercast about the heat wave. None of them discussed the relationship between climate change and worsening heat waves.
Coverage on Arizona affiliates featured a single instance of a journalist connecting the heat waves to climate -- and that was to downplay climate change’s influence. KNXV (ABC), KPHO (CBS), KPNX (NBC), and KSAZ (FOX) aired 45, 53, 36, and 58 broadcasts, respectively, that included a segment or weathercast about the heat wave. Yet in all those broadcasts, climate change was brought up only once, in a June 21 broadcast on KPNX in which chief weather forecaster James Quiñones reported on record temperatures and then downplayed the impact of climate change and misled viewers by stating, “In June of 2017, we got 119 [degrees] and June of 2013 we also had 119 degrees, too, so we’re slowly warming up. And if anybody wonders, ‘Oh, is it global warming, climate change?’ Here’s the bottom line is: Ever since the last Ice Age ended about 40,000 years ago, we’ve been warming. Ever since then. So we’re continuing-- and the Earth goes through these cycles where we cool and we warm, and that’s what we are right now. We’re on a warming trend.”
The major national networks’ nightly news programs also failed to provide context about climate change when they reported on the Southwest heat wave. There were a combined 13 segments or weather reports about the heat wave on ABC (6), CBS (5), and NBC (2), yet none made a reference to climate change.
PBS NewsHour, in contrast, aired a June 21 segment about the heat wave that directly connected it to climate change, referenced the Nature Climate Change study, and featured an interview with climate scientist Radley Horton, who explained, “If we look at the last decade or two, we are seeing twice as many record-breaking extreme heat events.”
Media Matters searched iQ media and SnapStream for local news broadcasts in Phoenix and Las Vegas -- the two largest television markets in the region affected by the Southwest heat wave -- that included a segment about the Southwest heat wave, as well as national news segments about the heat wave, using the search terms (heat OR "heat wave" OR "heat waves" OR heatwave OR heatwaves OR temperature OR temperatures OR hot). A second search adding the term AND (“climate change” OR “global warming”) was used to identify any segments on the heat wave that mentioned climate change. We did not count teasers or rebroadcasts. Our analysis covered the time period from June 17 to June 24.
Gabby Miller contributed research to this report.
During discussions of the health care bill released by Senate Republicans this week, several of the Sunday morning political talk shows failed to cover some of the detrimental consequences the bill could impose on millions of Americans, including premium increases for the elderly, cuts to essential health benefits, and the defunding of Planned Parenthood.
After drafting the bill with an “almost-unprecedented opacity,” Senate Republicans finally publicly introduced their health care proposal on June 22. The Senate draft comes over a month after the House of Representatives passed the American Health Care Act (AHCA) on May 4. While the June 25 editions of the Sunday shows devoted a significant amount of time to covering the bill, and all mentioned the severe cuts to Medicaid and the spike in premiums that would be a result of the legislation, several left out a few key provisions of the bill that are incredibly consequential to vulnerable Americans:
As HuffPost noted, the Senate bill “is worse for seniors than what the House passed,” pointing out that cuts to Medicaid, the “age tax” that allows for insurance companies to charge older people more, and smaller subsidies “puts vulnerable seniors smack in its crosshairs.”
The disproportionate impact the Senate bill would have on the elderly went unmentioned on Fox Broadcasting Co.’s Fox News Sunday, CNN’s State of the Union, and CBS’ Face the Nation. But this fact was mentioned on other programs. Sen. Bernie Sanders (I-VT) pointed out on NBC’s Meet the Press that the Senate bill will “raise premiums for older workers.” Additionally, on ABC’s This Week, panelist Neera Tanden noted that under the law, “a 60-year-old person in Maine will have $9,200 increase in their premiums.”
The Atlantic explained that the Senate bill “created a backdoor way” to allow insurers “to discriminate against a pre-existing condition” by allowing states to “easily waive the requirement to cover Essential Health Benefits,” which exists under the Affordable Care Act (ACA). By waiving these essential health benefits, many people with pre-existing conditions might not be able to afford the health insurance necessary to be covered as premiums could skyrocket. As Vox’s Sarah Kliff also explained, although pre-existing condition coverage is still required, “Building a health insurance system without an individual mandate or any replacement policy runs a significant risk of falling into a death spiral, where only the sickest people buy coverage and premiums keep ticking upward.”
These points went unmentioned on State of the Union and This Week. Face the Nation host John Dickerson and Meet the Press host Chuck Todd both noted that under the Senate bill, Republicans could use this maneuver to cut coverage for things like mental health care, substance abuse treatment, and maternity care. Fox News Sunday host Brit Hume and Secretary of Health and Human Services Tom Price mentioned pre-existing conditions only to incorrectly state that patients with pre-existing conditions would not be affected by the bill.
The Senate bill also includes a one-year freeze on federal funding for Planned Parenthood. Several states have defunded Planned Parenthood, which has led to an “exploding HIV outbreak” and problems for low-income women who were suddenly unable to find a health care provider.
Cuts to Planned Parenthood went unmentioned on Fox News Sunday and State of the Union. It was, however, mentioned in passing but with no real substantive conversation around the impacts by guests on Face the Nation and Meet the Press, while Sen. Susan Collins (R-ME) told This Week that cuts to Planned Parenthood may be one of the factors preventing her from voting for the bill.
Media Matters used SnapStream to search for the following on the June 25 editions of Fox Broadcasting Co.’s Fox News Sunday, CNN’s State of the Union, ABC’s This Week, NBC’s Meet the Press, and CBS’ Face the Nation:
Media Matters searched for mentions of “old” or “elderly” to code for mentions of premium increases the elderly would face under the Senate bill.
Media Matters searched for mentions of “condition” or “benefit” to code for mentions of cuts to essential health benefits in the Senate bill and impact on those with pre-existing conditions.
Media Matters searched for mentions of “Planned Parenthood” to code for mentions of cuts to Planned Parenthood in the Senate bill.
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As Senate Republicans face mounting criticism for including almost exclusively white men in their working group on the upcoming health care bill, media aren’t doing much better when discussing the legislation. Like the GOP, media are relying on mainly white people, particularly men, for their analysis and reporting on the health care bill, even though the bill would reportedly have serious consequences for women and minorities.
Shortly after the House of Representatives passed its version of the American Health Care Act (AHCA), Senate Republicans put together a working group to draft their own version of the legislation. The working group was roundly criticized for its lack of diversity. For instance, CNN’s Erin Burnett took issue with the all-male group, asking, “What can they realistically bring to the table when the conversation turns to, let’s just say, childbirth, maternity leave, ovarian cancer or breast cancer?” Likewise, Roll Call’s Patricia Murphy wrote that adding diverse voices to the group would allow people to “bring their own personal experiences to the debate,” noting that African-Americans have “a higher incidence of chronic disease” and are “more likely to require ongoing medical interventions over the course of their lives.”
Unfortunately, if people are hoping to hear a diverse group of people discussing the health care bill, media are of little help. A Media Matters analysis found that the people hosted on television to discuss the bill were disproportionately white men. Key findings include:
Of the 448 guest appearances* on prime-time cable news, broadcast morning and nightly news shows, and Sunday morning political shows, 392 appearances, or over 87 percent, were made by white guests.
During Fox News and CNN’s prime-time coverage of the health care bill, white guests made up over 90 percent of total guest appearances:
CBS hosted only white guests to discuss the bill during its morning and nightly news shows:
During Fox News Sunday and Meet the Press’s coverage of the health care bill, over 90 percent of appearances were made by white guests:
Of the 448 guest appearances* on prime-time cable news, broadcast news’ morning and nightly shows, and Sunday morning political shows, 299 were made by men, meaning two-thirds of the voices viewers heard were male.
During prime-time cable news, Fox News was the network that fared the worst on gender diversity:
During broadcast morning and nightly news shows, CBS was the only network to host more women than men to discuss the bill:
On the Sunday political shows, men outnumbered women 2-to-1, but some shows fared better than others. NBC’s Meet the Press was the closest to having equal representation, while ABC’s This Week had the highest gender imbalance:
Sadly, the groups that have been marginalized by Senate Republicans and television news have a lot to lose with the AHCA. As FamiliesUSA noted, the Affordable Care Act (ACA) “greatly benefited Black communities, who are likely to disproportionately suffer the consequences of ACA repeal and the elimination of Medicaid as we know it” under the AHCA. And, as The Hill pointed out, “Hispanics benefited more than any other group from the Affordable Care Act,” and under the AHCA, “Many Hispanic leaders are worried their communities could be forced out of coverage and back into emergency rooms for primary care.” Additionally, groups fighting for the rights of Asian Americans have condemned the AHCA for the harm it would cause.
Women also have much to lose if the AHCA passes the Senate. According to the Kaiser Family Foundation, cuts to Medicaid would drastically hurt women who “comprise the majority of Medicaid beneficiaries.” The Congressional Budget Office (CBO) predicted that about 15 percent of low-income people “would lose access to care” under the AHCA due to the defunding of Planned Parenthood. And, as Marie Claire pointed out:
For women who let their insurance lapse, maternity coverage will no longer be guaranteed, and pregnant women may face surcharges up to $17,000 for care. C-sections could also be considered a pre-existing condition, meaning that a woman could incur costs of roughly $50,000 for simply wanting another child. States could determine that having a heavy period or other menstrual irregularities is a pre-existing condition to be paid for out of pocket.
The Republican health care bill presents a clear and present danger to millions of Americans, but minorities and women have the most to lose. Unfortunately, they’re nearly shut out of discussions about the bill, in politics and media alike.
* Repeated guests were counted each time they appeared.
Media Matters searched Nexis for mentions of health care, the Affordable Care Act, Obamacare, the American Health Care Act, or AHCA on prime-time cable news, broadcast news’ morning and evening news shows, and Sunday political shows between May 4 (after the House of Representatives passed the bill) and June 18. Segments were coded if they included a significant discussion of the Republican health care bill. “Significant discussion” was defined as at least two speakers in the segment engaging on the topic with one another.
Prime-time cable news refers to CNN, Fox News, and MSNBC programming between 5 p.m. and 11 p.m. on weekdays. Broadcast news refers to ABC’s Good Morning America and World News Tonight, CBS’ CBS This Morning and CBS Evening News, and NBC’s Today and NBC Nightly News. Sunday political shows refers to ABC’s This Week, CBS’ Face the Nation, NBC’s Meet the Press, CNN’s State of the Union, and Fox Broadcasting Co.’s Fox News Sunday.
A chart was updated to include corrected data.
Evening broadcast and cable news coverage since June 1 has largely neglected ongoing Republican deliberations in the Senate to repeal and replace the Affordable Care Act (ACA) with major news networks devoting a fraction of their airtime to the prospective legislation. The sparse coverage also frequently overlooked the Republican Party’s unprecedented secrecy about its draft legislation, which Senate leaders plan to vote on before the end of the month without any input from outside experts, their Democratic colleagues, or the public.
Dangerous moves to unravel post-crisis financial protections cannot break through the Trump scandal bubble
On the same day former FBI Director James Comey testified before the Senate intelligence committee, the House voted to rip financial protections from millions of American consumers. The scant attention major news programs on the largest cable and broadcast outlets gave this crucial piece of legislation in the lead up to its passage highlights how little time major media outlets have dedicated to covering the Republican Party’s radical policy agenda amid the scandals emanating from the White House.
On June 8, the Republican-led House passed the Financial Creating Hope and Opportunity for Investors, Consumers and Entrepreneurs (CHOICE) Act -- or simply, the “Choice Act” -- which would gut many of the consumer protections enshrined in the Dodd-Frank Act of 2010. The Choice Act targets a series of reforms designed to prevent taxpayers from being forced to bail out “too big to fail” institutions in the midst of another financial crisis similar to what happened in 2008. It also weakens the Consumer Financial Protection Bureau (CFPB), a watchdog institution set up by former President Barack Obama’s administration to protect American consumers.
According to a synopsis published by Vox, the Choice Act would “eviscerate” reforms designed to “make a repeat of the 2008 [financial crisis] scenario less likely.” The reforms established new processes for the orderly liquidation of large financial institutions and implemented extra supervision and scrutiny for firms that pose systemic risk to the financial system. The legislation also sharply curtails the CFPB, which, as Mic explained, would make it easier for consumers to be abused by financial institutions. The CFPB and its director are seen as one of the few checks on Wall Street left in the federal government, and have been subjected to constant attack from right-wing media outlets and conservative politicians.
Print and online news outlets such as the Associated Press, Business Insider, CNNMoney, The Hill, and ThinkProgress have covered the Choice Act fairly comprehensively, but the sweeping legislative changes it would implement barely broke through on TV. According to a Media Matters analysis, in the five weeks since the Choice Act advanced from the Financial Services Committee to a final floor vote in the House, the legislation has been mentioned just seven times during weekday prime-time cable news programs. It drew just one mention during weekday broadcast evening news programs:
The Choice Act got in under the radar even though a coalition of 20 state attorneys general, numerous independent advocacy groups, and a wide array of experts opposed it. In a blogpost for Economic Policy Institute, economists Josh Bivens and Heidi Shierholz explained that the problems with the Choice Act go far beyond its unnecessary repeal of consumer protections enshrined in Dodd-Frank, and Ed Mierzwinski of the Public Interest Research Group criticized aspects of the law that would rescind protections available to military veterans and servicemembers. Financial regulatory expert Aaron Klein of The Brookings Institution wrote a column for Fortune slamming the Choice Act for limiting consumer access to information. The Southern Poverty Law Center also hit the legislation, decrying it for weakening oversight on predatory lenders who exploit low-income communities around the country.
Rather than covering the Republican agenda to roll back consumer financial protections -- which Speaker of the House Paul Ryan has labeled his party’s “crown jewel” -- major national media outlets have been almost entirely consumed by the hastening pace of developments in investigations of possible collusion between Trump’s political team and the Russian government. The investigation coincided almost perfectly with Choice Act deliberations: Comey’s May 3 testimony before the Senate dominated news coverage for days, his shocking May 9 firing dominated the news for weeks, and his June 8 testimony -- on the same day the Choice Act was passed -- generated so much attention it was compared to major sporting events. Indeed, the truly damning characterizations Comey made of Trump under oath may influence the public’s perceptions of the White House for the remainder of the Trump administration.
This is not the first time discussions about the GOP’s policy agenda have been overwhelmed by media coverage of the Trump administration’s scandals. In March, when the White House was rolling out potentially ruinous economic policy proposals, media attention was fixated instead on Trump’s false accusation that Obama had illegally wiretapped him. Though extensive media coverage is warranted for the Trump-Russia saga and other scandals surrounding the administration, the actions of Congress should not be allowed to proceed virtually unnoticed when so much is at stake.
Chart by Sarah Wasko
Media Matters conducted a Nexis search of transcripts of broadcast evening news and cable prime-time (defined as 6 p.m. through 11 p.m.) weekday programs on CNN, Fox News, and MSNBC from May 4, 2017, through June 9, 2017. We identified and reviewed all segments that included any of the following keywords: Dodd Frank or Dodd-Frank or Choice Act or CFPB or (financial w/10 regulation!).
News outlets are reporting that President Donald Trump has decided to withdraw the U.S. from the Paris climate agreement. Trump’s reported decision, as well as months of media speculation about whether or not he would remain in the deal, put into stark relief the failure of major TV networks to discuss the climate implications of a Trump presidency during the election campaign.
According to Axios and The New York Times, Trump has decided to exit the Paris agreement, in which all but two of the world’s countries submitted pledges to curb their greenhouse gas emissions in order to combat climate change. Following the news reports, Trump tweeted that he would issue his announcement on the matter “over the next few days.”
Regardless of when Trump makes his announcement, this alarming development serves as a reminder that major news networks failed to discuss how a Trump presidency would affect climate change and the Paris agreement prior to the election.
Media Matters’ latest annual study examining the broadcast networks’ coverage of climate change found that in 2016, evening newscasts and Sunday shows on ABC, CBS, and NBC as well as Fox News Sunday did not air a single segment informing viewers of what to expect on climate change and climate-related policies or issues -- including the Paris agreement -- under a Trump or Hillary Clinton administration. This failure was made all the more inexplicable by the fact that Trump had pledged to cancel or renegotiate the agreement during his campaign and that polls conducted prior to the election showed that large majorities of Americans supported the Paris accord.
PBS NewsHour was an exception to this trend, airing two segments before the election that provided much-needed discussion about what a Clinton or Trump presidency would mean for the Paris agreement and climate policy broadly. A September 7, 2016, segment featured a discussion with The New York Times’ Coral Davenport and The Washington Post’s Chris Mooney about Trump’s pledge to cancel the Paris accord. And a September 22 segment explored “what the early days of a Trump presidency might look like” and featured Judy Woodruff interviewing Evan Osnos of The New Yorker about whether Trump would renounce the Paris climate agreement.
The major networks did eventually devote a significant amount of coverage to the climate impacts of a Trump presidency in 2016, airing 25 segments on the topic after the election. And TV networks have been covering the Paris agreement this week, just as they covered Trump’s rollback of former President Barack Obama’s main climate policies in March; in both cases, it’s too little much too late.
Before today’s cable and broadcast network Sunday political talk shows aired, German Chancellor Angela Merkel announced in a speech that President Donald Trump’s visit to the NATO and G7 summits showed that Europe no longer sees the United States as a reliable ally. Even though most of the Sunday shows discussed or mentioned Trump’s overseas trip, none of the shows reported on this perspective of his visit.
During a reelection campaign stop in Munich, Germany, The New York Times reported Merkel “has apparently concluded that the United States of President Trump is not the reliable partner her country and continent have automatically depended on in the past.” Citing Trump’s refusal to publicly endorse the NATO doctrine of collective defense and inability to agree to common positions on climate change, Russia, and other issues, she “said on Sunday that traditional alliances were no longer as reliable as they once were, and that Europe should pay more attention to its own interests ‘and really take our fate into our own hands.’”
The NY Times further reported:
Her strong comments were a further indication that Mr. Trump’s trip did not go down well with influential European leaders and that it seems, at least from the Continent’s perspective, to have increased trans-Atlantic strains rather than diminish them.
Ms. Merkel did not mention Mr. Trump by name, and she also spoke of Britain’s decision to quit the European Union, a move seen as weakening trans-Atlantic ties and leaving the Continent more exposed.
Speaking on the campaign trail after contentious summit meetings in Belgium and Italy, Ms. Merkel said: “The times in which we could rely fully on others, they are somewhat over.”
“This is what I experienced in the last few days,” she said.
Given this new context for international relations, she said, “that is why I can only say that we Europeans must really take our fate into our own hands — of course in friendship with the United States of America, in friendship with Great Britain and as good neighbors wherever that is possible also with other countries, even with Russia.”
Though Merkel’s comments were reported on before the Sunday shows began airing, Fox Broadcasting Co.’s Fox News Sunday, CNN’s State of the Union, NBC’s Meet the Press, ABC’s This Week, and CBS’ Face the Nation all failed to mention her speech. (Face the Nation mentioned that “some not-so-happy allies were left questioning the president’s commitment to NATO and a global pact on climate change” but did not mention Merkel’s comments.) NY Times correspondent Binyamin Appelbaum demonstrated how comments like Merkel’s could and should shape media coverage of Trump’s recent visit -- something the Sunday shows failed to deliver to their viewers.
If you wrote a piece about Trump's successful foreign trip, you should sit quietly contemplating this quote for the next few hours. https://t.co/3lxgq4TNGe
— Binyamin Appelbaum (@BCAppelbaum) May 28, 2017
Methodology: Media Matters searched SnapStream for mentions of “NATO” and “Merkel” on the May 28 editions of CNN’s State of the Union, ABC’s This Week, CBS’ Face the Nation, NBC’s Meet the Press, and Fox Broadcasting Co.’s Fox News Sunday.
Fox's alternate reality on the Trump/Russia investigation continues
Fox News' Fox & Friends was the only morning show on May 26 not to report that Jared Kushner, senior adviser and son-in-law to President Donald Trump, has become part of the FBI's investigation into Russian influence in the 2016 election and related matters. According to a May 25 report by The Washington Post, "Kushner, who held meetings in December with the Russian ambassador and a banker from Moscow, is being investigated because of the extent and nature of his interactions with the Russians." The Post report also noted that "The Post has not been told that Kushner is a target — or the central focus — of the investigation, and he has not been accused of any wrongdoing."
Fox has consistently tried to ignore, mislead about, downplay, distract from, and create an alternate reality around the FBI's probe. One Fox host called the story "a boring scandal ... with no sex, with no money, with no dead bodies," and Fox & Friends, whose coverage has been nothing short of propaganda, recently complained that Trump and Russia are "all we talk about every morning" and that "it would be one thing if there was some 'there' there."
From CNN's New Day:
From MSNBC's Morning Joe:
From ABC's Good Morning America:
From CBS This Morning:
— CBS This Morning (@CBSThisMorning) May 26, 2017
From NBC's Today:
What does it mean to say someone is under scrutiny?
— TODAY (@TODAYshow) May 26, 2017