Nation Topics - George W. Bush
News and Features
The election reveals a deep need for voting reform.
We know what they're afraid of. Cut through the Republican verbiage
that has clogged the airwaves and courts and you find one simple but
disturbing point: They fear an accurate vote count because it might prove
that Al Gore has the votes to be fairly elected President.
That's been their concern since election night, when they began their
drawn-out process of obstruction, and if they succeed in once again
killing the manual count through their US Supreme Court appeal, George
W. Bush's victory will stand as a low point in the annals of American
The indelible impression left on our history will be that Gore won
both the popular and electoral vote and that he and the voters were
cheated out of that victory by a US Supreme Court dominated by
political ideologues appointed by Republican Presidents. If the Justices
cared a whit about the sanctity of the vote, they would have let the
manual-counting process decreed Friday by the Florida Supreme Court
continue. If that had resulted in a Bush win, we should all have
gracefully acknowledged his victory.
Bush, who lost by more than 330,000 in the popular vote--what most of
us grew up thinking of as the real election--may now squeak by with an
electoral college win resulting from a ruling by the right-wing-led US
Supreme Court. During the campaign, Bush cited Antonin Scalia and
Clarence Thomas as his judicial role models, and he has been amply
rewarded. Legal gobbledygook has replaced reason when the mere act of
fairly counting the votes of the citizens is halted to suit the political
agenda of the party that appointed the majority of the Justices.
In a close election, a manual count of all votes not counted by the
antiquated voting machines is a statutory mandate in many states,
including Florida and Texas, and should have been the common-sense demand
of both candidates in Florida. If that simple standard--accurately and
fairly counting all of the votes to ascertain the intent of each
voter--had been asserted in a bipartisan manner, there would have been no
reason for the subsequent confusion and the never-to-end questioning of
the legitimacy of our next President.
Instead, unprecedented rancor will mark the next years of our
politics, mocking all efforts at bipartisan cooperation. This will be
particularly true in battles over the judiciary, which, more than ever,
will come to be viewed widely as a partisan tool.
The Florida election will always be too close to call in a manner that
would leave partisans of both sides totally satisfied. Whoever loses will
feel ripped off, but the denigration of the Florida Supreme Court and of
Gore's legal challenges by top Bush Republican spokesperson James Baker
has gone too far. Twice now he has smeared the motives of Florida Supreme
Court justices for daring to come to conclusions not to Baker's liking.
Yet he reached a new low Friday in disparaging the right of a
presidential candidate--who has won the national popular vote and is only
three electoral votes from victory--to ask for a judicial review of the
obviously deeply flawed Florida election results.
Get real. Both Baker and Bush know they would do the same had the
results gone the other way. Yet they self-righteously abandoned civility
when the nation most needed it. There are no villains in this election,
only imperfect machines and people, but the Bush camp has vilified the
Gore camp for daring to seek a fair adjudication of such matters.
We are still a nation of laws, and it was unconscionable for Baker to
blast Gore for appealing to the Florida state high court at the very time
Bush's lawyers raced to the federal courts in an unseemly departure from
the GOP's commitment to states' rights. In Baker's view, the problem is
not that we have a razor-close election and flawed voting procedures, but
rather that Gore dares to assert his legal rights: "This is what happens
when, for the first time in modern history, a candidate resorts to
lawsuits to overturn the outcome of an election for President. It is very
sad. It is sad for Florida. It is sad for the nation, and it is sad for
Hogwash! What is sad is that tens of thousands of African-American and
Jewish voters in Florida were systematically denied their right to vote
by poorly drawn ballots, malfunctioning voting machines and unhelpful
voting officials. What is sad is that election officials in two counties
turned over flawed Republican absentee ballot applications for
corrections by Republican Party officials but did no such favors for
What would be most sad--indeed, alarming--is if a partisan US
Supreme Court proves to be an enemy of representative democracy.
The Oakland Raiders lost by one point Sunday, and it was all my
fault. My concentration as their most fanatical fan was broken by
constantly switching to CNN to watch overpriced lawyers in a
mud-wrestling contest in the Leon County Circuit Court. What was I
thinking? How could my priorities be so screwed up?
The Super Bowl is still a prize worth pursuing, but the presidential
race doesn't matter anymore. The declared winner of that contest will be
the loser, done in by the unrelenting hostility of the opposing crowd
jamming his signal-calling. Even his most ardent supporters, with an eye
on the 2002 Congressional elections, are anxious as they watch their man
kill the clock. Whichever way the Florida skirmish goes when it's finally
over, for the next two years, George W. Bush and Al Gore will smash
repeatedly, for little or no gain, into a very crowded center.
Sure, I'll continue to be outraged at the Bush franchise for pulling
off a bogus victory in Florida, giving their man the title despite being
357,852 points behind in the national score. But after mulling this over
while I wait for the pundits' parking lot to clear, I've concluded this
rigged defeat will be good for the Dems' team, which will come back all
the tougher to win another day. Back to the practice field to work on
Anyway, it's time to turn off the TV and get a life. I just can't
watch any more of those instant replays of disconnected chads and folksy
judges. Enough with the coaches' appeals to the refs to see if man or
nature, i.e. the ground, caused the fumble.
Gore did fumble, but he's played much better in the postseason, and
even though he's almost a sure loser, he's a cinch to be be re-signed by
the Democrats as their chief signal-caller for the next season. If Bush
remains sulking in the locker room, as he has in the past weeks, his
performance as President will leave the fans demanding Gore's return.
The good news is that recruiting for the progressive side is going
very well. Hillary Rodham Clinton may have to redshirt for a few years
while she learns the ropes, but I'm betting on her to be leading the
league in no time. Trent Lott should have been thrown out of the game for
his un-sportsman-like conduct suggesting that Hillary might be hit by
lightning before she was able to take her place in the Senate, but it
will only make her a stronger force. Then there's Maria Cantwell, who
pulled off a big one for the Dems in Washington state last week, which
the league finally certified. With four first-round draft picks who are
strong pro-choice women added to the Senate, it's the end of the season
for overturning Roe v. Wade. Beginning with abortion, in fact, forget
any serious sweep to the right on social issues, or you can kiss
Republican chances goodbye next time.
Cantwell's victory brings the Dems up to equal strength in the Senate
if Bush is president, and ahead by a lone Republican vote if Gore should
pull off a miracle and claim victory (thus taking Joe Lieberman out of a
Senate seat that would go to a Republican). In either case, a single
defection, say of John McCain, who has already stated he won't be
following Lott's game plan, could change the outcome.
The big play in the next Congress will be a McCain-Feingold campaign
finance reform end-run that neither Lott nor the House Republican
leadership will be able to block. That's a rule change giving the fans in
the cheaper seats a say, which Bush wouldn't dare to veto.
If the Republicans can still count the trainers' fingers, they know
that the unexpected pickup of four Democrats in the Senate and the
popular vote victory of Gore secures Bill Clinton's place as a
hall-of-famer. Bush only did as well as he did because he stole from the
That should put Tom DeLay and his right-wing cowboys in the House out
of contention no matter who's the president. Remember that guy Gingrich,
who used to play for them? In the end, he was nothing but trash talk;
even the Capitol groundskeepers forgot his name.
Sounds like a lot of wait-until-next-year hype? Maybe, but, remember,
I'm a Raiders fan. We know nothing ever goes as expected, not even the
name of your hometown. We know this is no time for false confidence,
because the refs are always against us, and the owner of our team has a
way of selling us out just when we think we could be on a winning streak.
We know that if the Dems don't continue to play aggressive ball, and
instead fall into some cowardly prevent defense, they could still fold.
Then it'll be time to trade Gore.
It took George W. Bush a matter of days--if not hours--to prove that he doesn't believe his own different-kind-of-Republican rhetoric and that he is leading a squad as loaded with partisan hacks as the other team. He doesn't trust the people--at least, the people of the recount counties who want to make sure every chad counts. (The Bush-league spin that manual recounts are less accurate than Ouija boards was demolished by computer scientists and voting-machine experts, who maintain that well-managed hand counts are without question more accurate than machine feeds.)
Bush also shows his promise to be a unifier, not a divider, to be counterfeit. Relying on the impression created by the networks' false projection of him as the victor--a call first made by his cousin the vote projector at Fox News--Bush and his lieutenants portray every move that works against them in Florida as part of a conspiracy to "steal" the election from the rightful winner. This is the way to foster unity and healing? The Bush camp then played an ugly card by accusing Democrats, who were following the traditional practice of carefully vetting overseas absentee ballots, of seeking to disfranchise the men and women of the armed forces. What of the men and women who serve as firefighters, inner-city teachers and ER nurses in the disputed counties--did the Republicans care about registering their votes?
Al Gore was pegged as the candidate who would say or do anything to win, but clearly Bush is willing to do whatever it takes to score in Florida. Yes, the Democrats assaulted Florida Secretary of State Katherine Harris, but imagine the fury of Republican spinmeisters if a Democratic state official tied to the Gore campaign had voided a Bush-requested recount.
Given the closeness of the election and the rampant problems with vote-counting in Florida and elsewhere, neither Bush nor Gore can be a clear winner. A system of counting 100 million votes cannot be expected to be accurate to within 0.001 percent. But beware the drawers of lessons, those voices from on high who pronounce this split decision a mandate for centrism. Both candidates ran toward the center, and neither achieved a majority. (If one combines the Ralph Nader and Al Gore vote, there's a 52 percent center-left majority; but given the differences between Goreism and Naderism, could that be a workable majority?) Moreover, campaign centrism again failed to inspire most Americans. Nonvoters outnumbered Gore or Bush voters. Under such circumstances, a pundit-approved mandate would be a figment of the political class's imagination. With roughly half of Americans choosing not to choose, the winner can claim only slightly less than one-quarter support. Had Bush or Gore won by 5 percentage points, he still wouldn't have a popular mandate.
The no-decision election of 2000 may result in sorely needed electoral reforms. But will it convince the next President and the pols to rethink the notion that the center is all? Doubtful: The sad fact is that even more than in previous years, the winner of Campaign 2000 will no doubt be fixated on his re-election as the way to legitimize his very iffy win--and re-election mania breeds caution. After this contest, it's likely that the permanent campaign will become even more permanent. The election of 2000 will very possibly not be settled until 2004.
When George W. Bush spokesman James A. Baker III termed the fight
over the Florida vote recount "a black mark on our democracy," he
couldn't have been more wrong. At the time he said it on Sunday, Bush was
ahead in Florida by a mere 288 votes, and of course the full recount,
required by Florida law, is in order, as a federal judge ruled Monday.
Anyway, since when is political tumult and democracy a bad mix? Never
in our recent history has the vitality of our democracy been on such
splendid display, and it's disheartening that there are so many
frightened politicians and pundits panicked by this whiff of controversy.
What's wrong with a bit of electoral chaos and rancor? The
post-electoral debate over a rare photo finish is just the stuff that
made this country great. People should be outraged if their votes were
improperly counted--the founding fathers fought duels over less.
We have lectured the world about the importance of fair elections, and
we cannot get away with hiding the imperfections of our own system. Not
so imperfect as to require international observers for a full-scale
investigation under UN supervision, yet controversial enough to fully
engage the public. An election that once threatened to be boring beyond
belief has turned into a cliffhanger that is now more interesting than
reality-based TV entertainment. Indeed, it is reality-based TV
Never since John F. Kennedy eked out a suspicious victory over Richard
M. Nixon in 1960 has the proverbial man-in-the-street been so caught up
on the nuances of the electoral process. People who didn't even realize
we had an electoral college are now experts on it. But instead of
celebrating an election that people are finally excited about, driving
home the lesson for this and future generations that every vote counts,
the pundits are beside themselves with despair.
What hypocrites. They love every moment of increased media exposure
for themselves, while darkly warning of the danger to our system. Their
fears are nonsense. What is being demonstrated is that the system works:
Recounts, court challenges, partisan differences are a healthy response
to an election too close to call.
The fear-mongers hold out two depressing scenarios, one being that the
people will lose faith in the electoral process, and the other that
whoever wins the election will be weakened for lack of a mandate.
As to the former, the electoral process has never seemed more vital;
some who voted for Ralph Nader may be second-guessing their choices, and
states such as Florida and Oregon with primitive voting systems will no
doubt come into the modern age, but apathy has been routed, and next time
around, the presidential vote count will be the highest ever.
True, the candidate who finally wins will be weakened. He should be.
An election this close hardly provides the winner with a compelling
mandate, particularly if it is Bush, who may win the electoral college
majority while Al Gore is declared the winner of the popular vote. If
that turns out to be the case, Bush ought to tread with caution.
Compromise is good when not only the President is without a mandate
but so, too, the House and the Senate because of their razor-thin
outcomes. The country has come through eight incredibly prosperous and
relatively peaceful years, so why the rush to march down some new
uncharted course? Later for privatizing Social Security, a huge tax cut
for the super-rich and a $160-billion missile defense system--three mad
components of the core Republican program.
As for the Democrats, with or without Gore as President, it will be
the season for nothing more ambitious than damage control. With Gore, the
main weapon of reason would not be bold new programs that Congress would
ignore, but rather the threat of a veto to stop Republican mischief.
Without Gore, the responsibility will fall on the Democratic minority in
both branches of Congress to engage in a principled holding action
preparing for a congressional majority in 2002.
Odds are that Bush will be the President presiding over a nation that,
by a clear margin in the popular vote, rejected him for Gore. If Bush
wins the office, his challenge will be to prove that the moderate face he
presented during the election is truly his. If it isn't, and he attempts
to be a hero to the right wing of his party, he will wreck the GOP.
Clearly, future political power resides with the vibrant big cities and
modern suburbs, the sophisticated hot spots of the new economy, which
went for Gore, and not the backwater rural outposts that turned out to be
Bush country largely because men remain obsessed with their guns.
Afew days before the election, I accompanied a friend to the dentist's office. It was one of those situations in which appearance takes over more complex realities of who we are. I was a middle-aged black woman assisting an elderly white man. That he's a wild old radical who browbeats the mad law professor in me with Russian ideologues and German philosophers probably wasn't what most people saw as we toddled down the street arm in arm on cane. In the vast warren of the medical center, we become even more invisible in a waiting room filled with physically fragile patients, many of whom had been brought there by female caretakers of color.
Perhaps because of some such condescension, we became privy to a loud conversation floating out the not-quite-closed door of the office next to which we were sitting. One of the doctors was chatting with a patient, expressing his general pique at the world in familiar, often contradictory clichés. He was upset at the loss of standards in schools. He pitted merit against equality and paired merit with white, Jewish and Asian students. He insisted that "we are not all equal" and concluded that affirmative action was inherently immoral. A few minutes later he blamed white liberals for abandoning standards and praised as standard-bearers those blacks who support vouchers. "The problem is" minorities who teach their children to hate white people. He said that "blacks are out of control" and that black leaders "are not taking responsibility." He cited Al Sharpton, Marion Barry and Louis Farrakhan as typical black leaders, and he rattled on against substance abuse in the inner cities and guns in the hands of young blacks who will never make it into the middle class, because they don't study and don't have good table manners.
"Bite down," he said as he finished with a paean of support for "zero tolerance" policies, standardized testing and George W. Bush.
George W. Bush! I shook my head wonderingly. If only he were black. It's one of those things we black people think about a lot: If only this or that one were black. Can you imagine, we tell each other.
Just think where a black man who spent more than half his adult life as a substance abuser would be--a black man who had a conviction for drunk driving and a notoriously bad attitude. Is it too obvious to point out that George Bush and Dick Cheney--who has two convictions for drunk driving--share a certain equality of status with Marion Barry?
Just think where a sneering black frat brother who committed gross grammatical butcheries and called Greeks Grecians would be. What fun Abigail Thernstrom could have questioning why unqualified upper-class whiners like that should be admitted to "first tier" universities like Yale and Harvard. (I guess we're supposed to feel better that Cheney flunked out of Yale on his own merits.)
Just think of where a black businessman with a "winning" personality but a losing financial record would be when he showed up to buy that team franchise. Assuming he could get a job way down in the corporate food chain, you can bet they wouldn't let him anywhere near the cash register.
Imagine a black politician who was so loudmouthed that his own family called him "bombastic," who proffered opinions about nations whose names he hadn't bothered to learn or badly mispronounced and who created an international incident by falsely accusing the Russian Prime Minister of stealing from the IMF. If you're thinking Al Sharpton, think again.
Imagine a black leader who began his campaign for office at a university that historically advocated racial separatism as God's law and that published materials describing Judaism as heretical and Catholicism as a "cult." I do wonder how it is that George W. can wander through so much of Louis Farrakhan's metaphysical territory and still come out looking like someone whose morals so many Americans say they can look up to.
I do not draw such analogies simply to relativize. The more important point, I think, is one related to what I sometimes call innocence profiling. If George W. Bush were black, he would be a classic suspect profile. If he were Driving While Black, there are people who would have forgiven police if they had decided to shoot at his drunkenly weaving car on that dark Maine highway (as New Jersey troopers shot at that van full of perfectly sober, cooperative college students). If he had been black, we might have heard Mayor Rudolph Giuliani describing him as "no altar boy" (as he described Patrick Dorismond, a security guard "accidentally" shot and killed by the NYPD).
But of course, George W. Bush is not black, and thus it is, perhaps, that the New York Times instead ran an article describing him as having tamed his "inner scamp" and entered "midlife redemption"--even as the article goes on to describe the supposedly redeemed man-who-would-be-Commander-in-Chief as having behaved so insultingly and inappropriately toward Queen Elizabeth at a state dinner in 1991--five years after he says he gave up alcohol--that a horrified Barbara Bush promised the Queen to seat him far away from Her Majesty, "for fear of him saying something."
The lesson of equality is, at its heart, related to the question of double standards: There are still too many examples in American society of the degree to which we have zero tolerance for disreputable black behavior and seemingly unlimited indulgence when whites behave the very same way.
Anyway, back at the medical center, the dentist's door flew open. "Next!" called out the doctor.
"Now set the teeth...," growled my dear old friend and lefty warrior as he marched into the office to face needles, drills...and more. "It won't be so bad," smiled the dentist unsuspectingly.
But my friend had been quoting Shakespeare's Henry V. "Teach them how to war..." he went on and winked at me. The door shut softly behind them.
Show-off argumentation or dime-store vision? It's too close to call.
"The death penalty's very serious business, Leo," Governor Bush condescendingly told a questioner in the third presidential debate. "There've been some tough cases come across my desk. Some of the hardest moments since I've been governor of the State of Texas is to deal with those cases.... But my job is to ask two questions, sir. Is the person guilty of the crime? And did the person have full access to the courts of law? And I can tell you, looking at you right now, in all cases those answers were affirmative."
On camera Leo Anderson, the questioner, didn't seem to buy the governor's oft-repeated assertion, and he certainly wouldn't have if he had been privy to a recently released confidential memorandum on one of the toughest of those cases.
The memo went from Bush's then-general counsel, Alberto Gonzales, to Bush at 10:30 on the morning of April 3, 1997, only hours before David Wayne Spence was to be executed. Although the document was his first detailed look at the case and although the governor was Spence's only hope for a reprieve--the courts and Board of Pardons and Paroles having turned him down--this "very serious business" took Bush, according to his schedule for the day, all of half an hour at most.
I obtained the memo through the Public Information Act, Texas's FOIA. Not surprisingly, the Bush administration vigorously resisted its release. The document that went fleetingly across the governor's desk that morning is seven single-spaced pages, and although it works overtime to be unequivocal, it can't disguise or resolve the "tough questions" concerning Spence's guilt. The memo's author, Stuart Bowen, the deputy counsel charged with investigating the case, uses distortion, omissions, outright lies and an inappropriate adversarial bent to reach what must have been a preordained conclusion to deny a reprieve.
Writing several months after the execution and using the same information Bowen used, Bob Herbert in the New York Times concluded that Spence was "almost certainly innocent" and the case against him a "travesty." Many others, including Alan Berlow in Salon and a team of Chicago Tribune reporters, have agreed. But Bowen had been in the execution business with Bush long enough to know that the governor, preparing for a re-election campaign and in the starting blocks for a run for the presidency, would never go for a reprieve in the Spence case. And certainly not on the day of the execution, with families of the teenage victims of the crime for which Spence was about to die--a triple murder at a lake near Waco in 1982--in a motel in Huntsville ready to scream their heads off if the execution didn't go through. So Bowen did the following in the memorandum:
§ He opened by reciting the "facts" of the case as if he were a prosecutor giving a closing statement to a jury, brushing over developments favorable to Spence's claim that had surfaced in the fifteen years since the crime.
§ He bought the state's illogical theory of the case, that Spence was hired to kill a girl and mistook one of the teens for that girl (even though Spence knew the girl well and, according to testimony, hung out with the teens for hours before the killings), and ameliorates the illogic by dropping a crucial detail (he doesn't mention the testimony about hanging out for hours).
§ He put all the problems with the case under the heading "Publicity." This invidious rubric was intended in part to deprecate a Waco businessman, a conservative Republican, who had tried to get the execution stopped; he came to Bowen a week before the execution and laid out a detailed case for Spence's innocence.
§ He lied. For instance, he said the prosecutor turned over all the evidence in his possession to the defense, although the prosecutor explicitly told him he hadn't. He says the first lead detective on the case, Ramon Salinas, who sat in Bowen's office and told him without qualification that he believed Spence to be innocent, was fired for "incompetence," which is not true.
§ He relegated Spence's claim that he was railroaded by an unscrupulous sheriff's deputy and DA to three sentences in the conclusion, ignored voluminous testimony documenting this frame-up and swept away the allegations as "tertiary issues."
§ He rubber-stamped the courts' judgments (saying in a letter to me that those rulings are "the bottom line"), in effect negating the clemency procedure.
"Yet making decisions is what governors and chief executives do," the governor has written about that clemency procedure. "I try to do so thoroughly, thoughtfully, and fairly. I have assembled a top-quality staff that gets me accurate information and comprehensive briefings. I base my decisions on principles that do not change." Thoroughly? In thirty minutes? As to his top-quality staff and their accurate information, the memo supports the former (they are adept at distortion, etc.) and puts the lie to the latter. And principles? Let's just say they are very different from those of his honorary Illinois campaign chairman, Governor George Ryan, who has halted all executions in his state because he believes the execution of an innocent is truly a nightmare.
With its dissembling and obfuscation, the memorandum makes clear that when he denied Spence a reprieve, George W. Bush and his aides didn't know whether the man was guilty or innocent. A year after Spence's execution, Bush granted clemency to Henry Lee Lucas, the alleged serial killer, because, he says in his book, A Charge to Keep, he didn't know whether Lucas was guilty. But the politics of the Lucas case were different from those of the Spence case, and politics, Leo--unlike the life of David Spence--is very serious business indeed.
What a deal! Elect George W. Bush President and you get government
lite--eat all you want without gaining a pound. Bush promises to cut
taxes for all, dramatically increase military spending, finance a
trillion-dollar private Social Security system and eliminate the national
debt. And Bush claims he will put you, not some Washington bureaucrat, in
charge of your life (unless, of course, it concerns your right to
Just to state the main themes of Bush's campaign is to demonstrate
their inherent absurdity. But there's method to the madness. Make no
mistake: A Bush presidency, abetted by a Republican sweep of Congress and
increasing right-wing control of the courts, portends frightening
consequences for our lives.
Anyone who's been awake these past eight years should know that it's
the Republicans, dominated by their right wing, who tried to block every
measure to make government more responsive to the health, environmental
and educational interests of ordinary Americans. At the same time, these
false prophets of smaller government were pawns of the Christian right's
crusade to intrude the federal government into our most personal
decisions, beginning with a woman's control of her body. At no point has
Bush disowned that Republican agenda.
So why are so many otherwise reasonable people planning to vote for a
candidate selling them this ludicrous bill of goods? It's because the guy
comes on as a moderate with a disarming smile that could make him the
impish star of a sitcom. Just when you realize he's conning you and the
bleary face of Newt Gingrich hyping his "contract with America" starts to
come into focus, reminding us that we've been through this destructive
drill, Bush turns on the all-inclusive charm.
The great deceit of the Bush campaign, beginning with the GOP
convention last summer, has been to get voters to forget that it's been
the Republican Congress that has threatened America with gridlock and
political chaos unless we bend federal government to its skewed
agenda--an agenda that Bush has assured the right wing he endorses. The
religious right has gone along with the charade, muting its criticisms
while Bush plays to the center. Let him fake the moderate for now, they
say, knowing that is what it takes to win. For example, Pat Robertson
told reporters that he refrained from criticizing the Federal Drug
Administration's approval of the abortion pill RU-486 for fear of costing
Bush the election. Bush also avoided the issue. The payoff for the
right's reserve in the campaign, as Bush has made amply clear, is that he
will deliver to them on the judiciary. If the Republicans maintain
control of the Senate, which now seems highly likely, a Bush victory
would guarantee judicial appointees from the Supreme Court on down who
are drawn from Jesse Helms's wish list.
For all of his talk of bipartisanship, Bush, in citing Antonin Scalia
and Clarence Thomas as his ideal models for future Supreme Court picks,
has promised to mold what should be the most independent branch of
government in the ideological image of the far right. Indeed, the
oft-repeated promise of the Bush campaign to the religious right is that
Bush would never repeat the "disaster" that his father made in appointing
moderate David Souter to the court.
With the court divided by one vote on most environmental and consumer
regulatory matters as well as affirmative action, with only two votes
needed to overturn Roe v. Wade and with at least three or four of its
members likely to leave the court, the next President will have enormous
power through his judicial appointments to shape the future of our
government as we know it.
The "strict constructionists" Bush prefers are people who believe the
federal government should be crippled as a regulator of big business, as
an advocate for racial and economic justice and as a protector of the
environment. On the other hand, they would weaken constitutional
protection of individual rights and blur the separation of church and
The Republican right wing is concerned about personal freedom only
when it comes to indulging the National Rifle Association or corporate greed by
savaging government regulation. But in matters of individual freedom, be
it reproductive rights, protection from job discrimination or hate crimes
because of sexual orientation or racism, the Republican leadership,
including George W. Bush, is eager to intrude a narrow religious and
ideological bias into the most important decisions of our lives.
That's why this election is of crucial importance. What we're facing
is the possibility of right-wing control of the presidency, Congress and
the courts. And with that will go the saving grace of our system of
checks and balances.
The number-one healthcare issue facing the country is not which prescription drug plan is best for seniors or whether a handful of patients will be able to sue their HMOs. It is the 44 million people, or nearly 20 percent of the population under age 65, who have no health insurance and, for many, no healthcare at all. The myth that emergency rooms provide all the care the uninsured require continues unchallenged. But the emergency room is not the place to get primary care, follow-up care or care for chronic conditions, which most people need. Federal law requires emergency rooms to stabilize patients. After that, they are sent on their way, especially if they have no money to pay for further treatment. When they are given prescriptions, 30 percent of the uninsured don't fill them because of the cost.
Rationing specialty care for the uninsured is common. In Washington, DC, the uninsured wait four months for an MRI and two months for a CT scan. In California, some counties have money to screen women for breast cancer but no money for treatment. During the four to seven years following an initial diagnosis of breast cancer, one national study shows, uninsured women are 49 percent more likely to die than women with insurance. Community clinics that treat the uninsured rarely have specialists on their staffs and resort to begging area physicians to help out--not always with success.
The Bush and Gore solutions do little to help the uninsured and a lot to keep the healthcare system safe for insurance companies, the AMA, employers and the pharmaceutical industry, all of which have shoveled money into their campaigns. Bush proposes an annual refundable tax credit (that is, one that's given even if a person owes no taxes) of up to $1,000 for individuals and $2,000 for families. His campaign literature makes tax credits sound ideal: "If a family earning $30,000 purchases a health insurance plan costing $2,222, the government will contribute $2,000 (90 percent)." Trouble is, most families can't buy insurance for $2,222. The average premium for a family policy is $6,740 and for an individual, $2,542. Gore calls for a credit equal to 25 percent of the premium. Using the average premium as a benchmark, that's about $1,700 for family coverage; a family wanting a policy would still have to cough up more than $5,000.
Tax credits, moreover, leave intact the ability of insurance companies to select good risks and exclude sick people who will cost them money. That, of course, is what the industry wants to protect--and is part of the payoff for its campaign largesse.
Both Bush and Gore would also fiddle with the Children's Health Insurance Program (CHIP) to boost coverage. CHIP has brought health insurance to some 2.5 million kids, but 10 million still have none. Bush's solution: Give the states more flexibility in administering the program. But many states have not even spent federal dollars already earmarked for them, and could be tempted into using the money for something other than insurance. Gore's solution: Stretch the eligibility rules to include children whose families have incomes up to 250 percent of the federal poverty level, or $41,000 for a family of four. But what if a family's income is above 250 percent, say $43,000? Gore's answer: tax credits.
Then there are medical savings accounts, which Bush likes and Gore doesn't. Congress now allows self-employed people and employees in small companies to buy MSAs, which are a combination high-deductible insurance policy and tax-deferred savings account. But at the end of 1999, only 45,000 policies of the 750,000 Congress authorized had been sold. Still, Bush wants to let more people buy them, a move that will spark interest mainly among the healthy, who won't need the savings account to pay for care, and the wealthy, who can assume the costs not covered by the large deductible and who will simply get another tax break.
The major battleground in healthcare, though, is over a prescription drug benefit for Medicare beneficiaries, with pharmaceutical companies replacing HMOs as this year's healthcare villains. Under Bush's scheme, the very poorest seniors would get help paying for the entire cost of a drug benefit. Individuals with incomes greater than $14,600 and couples with incomes up to $19,700 would get a partial subsidy. Bush would pump $48 million into the state pharmaceutical assistance programs to give free drugs to those with the lowest incomes. But more than half the states have no programs, and those that do lace them with restrictions.
Under Gore's plan, Medicare would cover 50 percent of the cost of prescriptions, first up to $2,000 and later up to $5,000, for seniors willing to pay a premium that would start at $25 a month. As with Bush's plan, seniors with very low incomes would get help. Both candidates offer help for those with catastrophic expenses: Gore's benefit would kick in after seniors have spent $4,000 on drugs, Bush's after they've spent $6,000 for all services. Neither, however, includes a way to control pharmaceutical prices. Controls of any sort are anathema to the drug companies.
The fight over whose plan provides the bigger benefit obscures the real fundamental Medicare issue, and that is the future structure of the program itself. Under the guise of "consumer choice," Bush wants to transform Medicare from a social insurance program with a defined benefit available to everyone into a voucher plan under which seniors would be given a fixed amount to buy whatever insurance they could afford. Even if a voucher were sufficient to pay for a policy today, there is no assurance that it would do so in the future. In effect, the Bush proposal could make seniors, rather than government, bear the cost of healthcare inflation. Gore speaks of putting Medicare in a lockbox, which presumably means he wants to maintain it as a social insurance program.
Unresolved in the candidates' discussions is the larger question: Is healthcare a right in America or a commodity available only to those who can pay? On this the public may be way ahead of its leaders. When the Kaiser Family Foundation asked people earlier this year if healthcare, like public education, should be provided equally to everyone, 84 percent said yes. The candidates, however, are listening to the special interests, whose money speaks louder than the people.
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