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Dreaming of Prescription Drugs

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As lots of smart folks are observing, the Medicare prescription drug bill perfectly brings the theme of Bushian corruption together with a basic pocketbook concern and would thus seem to be the idea campaign issue for Democrats heading into the midterms. But I, at least, feel a noteworthy churning in my stomach when I hear liberals getting psyched up about running a midterm campaign on the issue of prescription drugs. Some of us remember the distant past of the . . . 2002 election, when this didn't work out so well.

Not that Medicare is a bad issue. It's a great issue. And it was a great issue in 2002. Indeed, the farce of a "reform" we got in 2003 was precisely a Republican response to Democratic strength on this topic. But a well-executed campaign of fear-mongering on national security beats even the best domestic social policy message imaginable. Democrats can't put their heads in the sand about the NSA and Iran and expect better health care policy to save the day. In other words, read E.J. Dionne.


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It's always difficult to treat nonsense seriously.

After all, the Congress elected in 2006 will have virtually nothing to do with prosecuting the "War on Terror"; the issue of how that "War" is to be conducted shouldn't impact thoughtful citizens' voting decisions.  And yet, we know it will.

Is there any way we can just get rid of the stupid thing?

I keep saying this, but I say it because it's true. The Republicans have an echo chamber, and the Democrats don't. The ambient political position of the voters who get their opinions from free media is center-right to far-right. A high proportion of voters never hear a liberal opinion expressed at all -- not just the hard-core, cocooned right-wingers, but a lot of lazy people who don't have strong political opinions of their own.


For the last 18 years or so the Democratic strategy has been to accept public opinion passively and move continually to the right in order to pick up swing votes. (The people promoting this not-very-successful strategy have been, oddly enough, rightwing Democrats).


No energy has been put into getting a Democratic message out there, except every four years, and even then all that's done is to deliver piles of money to the major media in order to get them to deliver a weak, one-time election message which does nothing to build for the future.


We don't have our own message machine and we can't trust the major media. Under those conditions, trying to win by tweaking our position on this issue or that is a losing proposition.

Oh well.  I guess it's time for real discussion to end, and pandering fearmongering to begin: we've got to hop on the Daalder/Jentleson scare scare scare, tough tough tough, bandwagon.  So here's my contribution.  


Just replace "Iraq" with "Iran," redact out the stuff about the Kuwaiti invasion -- or hell, leave it in, most people don't know the difference between Iraq and Iran anyway, and journalists won't tell, even the ones who know the difference themselves --

replace "Saddam Hussein" with "Mahmoud Ahmadinejad," change some of the dates, and you're good to go: tough talking propaganda from a can.  Saves time, saves money, wins votes.  

 

Isn't it nice that even to mention health care is "evading the security debate"? Something in EJD's article, however good at reading Rove, is way off the mark when it comes to fighting Rove. That is, it's off the mark except to confirm how nicely the media, when pretending to be objective and even skeptical, end up parotting GOP spin.

"we can't trust the major media"

Do you believe that the Republicans can trust the major media?  That position is not really implied by your post, but I'm curious whether you believe that.

Also, re the "message machine," are you referring to right wing talk radio?  If so, why don't you believe the listeners to that nonsense are people who wouldn't vote Democratic even in the absence of Rush, et al.?  I, for example, am a right leaning swing voter who never listens to talk radio except for 15 minutes or so every now and again to see what bugaboo is gripping the nuts today.  I can't imagine anyone with my views feeling otherwise.

I agree with the gist of what Matt and Dionne are saying but there is a more fundamental problem which applies to domestic issues as well: the Democrats lack coherence,stamina and message discipline. They seem to lack the ability to sustain broad themes over a period of years and instead flit from one issue to another presumably on the advice of pollsters and consultants.

Part of the problem is the absence of an echo chamber that John Emerson mentions since this makes it difficult to control the message but my guess is that it's a problem with the overall strategy as well.

For example in early 2002 the Democrats had a good line about the Enron economy: tying the corporate scandals to the Bush economic policies: the general idea being that both were based on fake numbers and false assumptions. This idea of Bush fudging the facts would have been a great overarching theme which could have encompassed many policy criticisms including in Iraq. They should have tied all those criticisms together into a broader theme like "trust", and sustained them all the way to 2004. Instead they seemed to move from one attack to another depending on the headlines.

There is an alternative national security strategy available for a left-liberal party - it involves putting pressure on Israel to remove all the settlements from land conquered in 1967 including around Jerusalem as part of a broader move toward making clear that the US doesn't see colonising arabs as part of US/ the west's policy goals. It's the non-militarist national security preference for dealing with the arab/islamic world favoured by many European left-liberals. And because the Democrats keep this card off the table, they're reduced to Daalder 'neocon-lite establishment me-too-ism', which will not win elections nor be effective as foreign policy.

As I said, some people are politically thoughtless and pick up their opinions from the air (i.e., free media). People like that are reflexive rightwingers these days, because that's all they hear.


Yes, the Republicans can trust the media to go to bat for them at key points. The media magnified the Wellstone funeral scandal in 2002, for example, couldn't have been better done if it had been orchestrated by Karl Rove, and maybe it was. They had a few hours to put something together, and they did a great job. Novak  and Noona played a role, and they are, in fact, Republican loyalists and operatives in the national media (the way Stephanopolous and Estrich are NOT Democratic loyalists).

Don't underestimate the number of seniors that are now online and extremely pissed off and scared about the drug bill.

There seems to be a tendency to see the blog as populated by just young people, but this old lady is telling you, we may not be completely computer literate, but we can get around, read the blogs and understand how rotten the republicans have been to us old folks.

The administration is going to try and get seniors eyes off what they have done, but it's up to us older Americans to hold their feet to fire over this bastard of a bill. It's anti-family values to the max.

Well, in the category of "gotta crawl before you can walk," can we at least get some Democratic talking heads to capably parrot some variation of this message:


"The Medicare prescription drug program is a mess.  This is what happens when Congress does what is best for the insurance companies and pharmaceutical companies instead of the men and women in Medicare."


If the talking heads can handle that one, then maybe we can teach them to say things like, "there needs to be a warrant for a domestic wiretap" and "what, you want another Iraq?  Already?"

You're right Matt. National Security will be the top issue. But this Medicare business will be 2nd to that, hands down.

Have faith, Matt.  One of these days, the Republicans' fear-and-culture-war campaigns will fail to convince America to overlook their corruption and ineptitude.


Look at Canada, for instance-- Our very own Bizarro-America-- where the Conservatives lost the 2004 election to a corrupt Liberal Party because the conservative was painted as a scary anti-gay, anti-abortion, foreign policy hawk.


But after 2 additional years of corruption scandals and a lack of reform, the culture war rhetoric and fear-mongering wore thin.


Democrats need better standard bearers and better rhetoric on foreign policy issues, to be sure.  But you can't fool Americans indefinitely.  "Cry Wolf" politics bring diminishing returns, and with every passing election cycle more and more voters are going to be put off by the continuing inability of Republicans to do anything to justify their continued governance except to cynically flog 9/11.


Democrats should hammer Medicare Part D for all they're worth.  Put the bastards on the defensive for a change.

Isn't it nice that even to mention health care is "evading the security debate"?

If health care isn't about security, I don't know what is.  We simply must stop accepting their frame.   Instead, we get Hillary the Hawk giving a health care speech, yesterday I think, caving on universal health care and making some wonkish argument about costs. 

Health care is NOT about costs.  Do Republicans sell Iraq as a cost cutting program? Health care is about security. 

How about Katrina?  New Orleans is still a horror. THAT is national security.  Why not try something really radical like talking common sense to Americans for a change.  You aren't going to be killed by a terrorist.  You are going to die from all the normal stuff: natural disasters and disease that always kill people.  WWII killed 50 million people.  Some say 50 million people died within 12 weeks in 1918 of the flu.

Yes Fear Mongering became the tool for all talking points by the GOP and those who bought into that propaganda! It was Fear of an end to a good economy that was left by Clinton that Democrats did not successfully combat! It was fear Mongering over WMD’s that got us into Iraq and that fear that kept Bush in office! It was fear Mongering over costs and fears that freedom was being over turned by socialism that kept a national health care program from becoming a reality in the Clinton years! Now the reality hits the conservative methods of cutting costs by paying less for labor in American private industry and shipping jobs overseas as a means to make products cost less only has caused price to rise faster than ever before! And more jobs are being lost because American Auto manufacturing is losing profits due to their cost for: yes retirement and rising costs for health care. I wonder what the new part D prescription drug program will do to the American Treasury and American’s greatest Treasure its people! Remember like a lot things in this nation like having the greatest health care in the world what good is it if its largest industries are going broke because they can’t afford health care either! Nope your right we can’t put our heads in the sand the roots of our greatest weakness is our economy that the GOP claims is so good. But good for who for if Americans can’t make enough to pay the bills all the things we buy won’t be purchased and in the end this costs more jobs. Why are cost rising as they are? 1. Excessive profits given or allowed to needed industries that provide: Energy for all transportation, heating and air conditioning, steel production and all products bought and sold! As proven by recorded profits of most of these industries! 2. Healthcare: let the records show that Health Care Durable Goods, Pharmaceuticals many of these products have doubled and tripled in the past 4 years. 3. Mis-guided Targets of Terrorism: It has been proven and determined after much argument that Iraq had nothing to do with the attacks on 9-11! Yes Iraq’s leader was a terrorist but his terror was confined to Iraq and the nations around Iraq. And for the reasons of finding peace in the Middle East leadership changes were and are needed in Iraq. New estimates show that the double digit billions of dollar costs in dollars will now run and cost American Tax payers several Trillions of dollars. As well as continue to cost more loss of human life of Americans, innocent Iraqi people and our allies! Yes this is the cost we now all will pay for listening too the Republican methods of how to run a nation! This is what we will pay for too many Americans believing in and continuing to believe in the False Fear Mongering Tactics of Conservatives who feed the nation with conservative spin! We now all going broke and because of the greed’s of many of those in power over both our public and private industries! Perhaps when eyes are opened by what pains they feel in their own homes and I their own lives Americans will wake up! And remember that truth is something that can be seen in the crimson and gold of evening sunset made by the loving hand of God and promise of a new day to come!



Look I am one of those old folks who has many health issues!
and I now live on just a small SS disability check.  My medical costs are rising faster than the rockets fired at terrorists hiding in caves in Afghanistan!
I'm going in for second heart test the test will cost a min. of 40,000.00 dollars yes Medicare will pay 80%  The other 9, to 14,000.00 will come out of my 1,000.00 dollar monthly income. 
Yes it must come out of my other living expenses the costs for food, housing, utilities, transportation, and other medical costs for other problems.  Yes I am on the part D program it will help but getting control on big industry profits that cause these high costs may help too that part was not allowed in the drug program by the President and the GOP!  I worked all my life to end up in this mess that I did not create or even help to create and I sure didn't want it or expect it.  Human greed did cause it and the GOP feeds big money greed by taking it away from the disabilied and elderly like me and giving it to them who have more than enough to survive!  Come on working middle class before you end up like me!  And yep I'm mad as Hell! 
David

I think what Matt and John (and EJ Dionne) have tapped into is the fact that the conservatives are no longer engaged in politics-as-usual.  This is not an accident.  This is a well-funded, well-organized apparatus that's 30 years in the making and now employs a 'playbook' for all major policy positions. This is constantly being updated with cognitive and market research (i.e. Frank Luntz) aimed at making messages as effective as possible, no matter how Orwellian they might be in relation to the underlying policy decisions. 

To get more background on this, see the PBS Frontline episode titled "The Persuaders" produced in 2004.  You can view the segment examining Frank Luntz's work with conservatives via streaming video here.  Select segment 5: Give Us What We Want.

Despite EJ Dionne's assertion, I don't think you can expect to effectively react to the myriad initiatives the conservatives have in the hopper.  I think the only long-term solution is to spend the time and money to replicate their infrastructure. 


Remember, mid-terms always feel more local. And local media loves health coverage. The Medicare Part D-isaster will have Grandma Millies in every city and small town, local pharmacists who are paying for customers' drugs, state governments that are being burdened, and local representatives who either voted for or against the bill.


It's not the main plank in a platform, by any means, but it's a way of localising campaigns and showing that the decisions made by the lobby-fed Republicans in DC have direct effects on their constituents -- perhaps even more so than the pork that's shovelled their way.


It's a way to break the cliché that voters think all representatives are corrupt and useless except for their own.


And heck, you can do some fear-mongering too, without much of the mongering. Seniors will die because of this.

But after 2 additional years of corruption scandals and a lack of reform, the culture war rhetoric and fear-mongering wore thin.


The NDP's strategy isn't to be sniffed at: that is, 'lend us your vote just this once and save your party'.

But I, at least, feel a noteworthy churning in my stomach when I hear liberals getting psyched up about running a midterm campaign on the issue of prescription drugs. Some of us remember the distant past of the . . . 2002 election, when this didn't work out so well.


Just what the Democrat Party needs. Another guy with a queasy stomach.


Medicare is a huge issue. Fight it. Even more important is the incompetence issue. Medicare Part D was brought to you by the same party who brought you FEMA, a $500 billion quagmire in Iraq, and Jack Abramoff. Start tying these things together. Fight on multiple fronts. Don't back down. Folks with queasy stomachs need not apply--get into the fray or get out of the way.

And for the billionth time, we don't win on wiretapping.  That just lets them play freedom vs. security, and security always wins.  Ben Franklin could say it but Democrats can't, becuase he was part of the gang that kicked Britain's ass at Yorktown.  We're part of the gang that's been wimps since we lost China (or do you not remember Jimmy Carter and the Iranian hostages?).  


We win by saying "where's Osama?"  


We win by saying, "Why did the Republicans stop hunting Osama less than 6 months after 9/11 so they could go invade Iraq?"


We win by saying, "Do you think the people who stopped hunting Osama and in order to screw up in Iraq for no good reason are the same people who can keep us safe?"


Can we please take advantage of the media's 2-minute memory and position ourselves as the party that wouldn't have given up on Osama 6 months after 9/11, and the party that wouldn't have gone into Iraq if we hadn't been misled by an incompetent President?  

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