Thank you, Mr. Levin, I appreciate that. It's a little interesting when we hear our friends come to the floor with the same talking points. My good friend from California talks about the government takeover of health care--which of course…
Thank you, Mr. Levin, I appreciate that.
It's a little interesting when we hear our friends come to the floor with the same talking points. My good friend from California talks about the government takeover of health care--which of course PolitiFact called the 2010 political lie of the year.
Allowing 33 million additional Americans to have access to----
Point of Order
. . .
I ask unanimous consent, Mr. Speaker, to withdraw the previous statement.
I appreciate the opportunity, because I want to be very clear about what I intended, what I thought I said and I think a review of the tape would reveal. I am not calling anybody a liar.
What I intended to say, and I will ask unanimous consent to put in the Record, is that as we have repeated talking points about a government takeover of health care, this has been judged by an independent journalistic undertaking as the political lie of the year.
I yield to the gentleman from California.
I apologize if the person who said ``government takeover of health care'' was not you. It is repeated so often by my Republican friends, including the Speaker of the House, time and time again, that sometimes I get confused because it is a litany that is used. It is in fact, and I would ask unanimous consent, Mr. Speaker, to put in the Record the PolitiFact article.
Because those words are still echoing in the Chamber. It has been said by somebody on the other side of the aisle earlier:
``PolitiFact editors and reporters have chosen `government takeover of health care' as the 2010 Lie of the Year. They chose it as the year's most significant falsehood by an overwhelming margin. The label `government takeover' has no basis in reality, but instead reflects a political dynamic where conservatives label any increase in government authority in health care as a `takeover.' ''
They point out: ``The law that Congress passed, parts of which have already gone into effect, rely largely on the free market. Employers will continue to provide health insurance to the majority of Americans through private insurance companies. Contrary to the claim, more people will get private health insurance. The government will not seize control of hospitals or nationalize doctors. The law does not include a public option. It gives tax credits to people who have difficulty affording insurance, so they can buy their coverage from private providers. It relies on a free market with regulations, not socialized medicine. We have concluded it is inaccurate to call the plan a government takeover because it relies largely on the existing health system of coverage provided by employers.''
Mr. Speaker, part of what we're seeing here, though, is this drama that is pulled out where talking points are repeated in an effort to obscure the facts going forward. The majority knows that the Democrats have attempted to adjust the 1099. We don't want it in there. We voted for fixes. It will be fixed between the House and the Senate.
What's killing small business is the crushing burden of health care, where they are trying to provide for their employees. What is killing small business is that they can't compete with big business. They have a system that has provided a downward spiral. What's providing the driving force for the government deficit is increasing costs of providing health care, for example, through Medicare. This used to be an area of bipartisan cooperation.
The Health Care Reform Act includes every significant area of reducing health care costs as either a pilot or a demonstration. It points a path towards saving hundreds of billions of dollars. Those used to be bipartisan.
Those used to be bipartisan; but instead of working with us to refine and accelerate the provisions, people are trying to put sand in the gears. And as my friends from Michigan and from New York have pointed out, there are going to be some--we hope they are unintended victims--but there are going to be innocent victims, people in the middle class and the near middle class who don't have the control of billionaire hedge funds to control their income.
There are things that can happen that will adjust it up or down. There
will be a significant penalty. We have worked to fix that cliff. We've approved it. We don't need to reinstate the cliff, the tax on honest mistakes. As has been pointed out, there are provisions to deal with fraud.
This is part of the drip, drip, drip to try and undermine health care reform, not accelerate it. It's a part of misrepresentation politically that the American public frankly doesn't deserve. It's a lost opportunity for us to reduce the deficit, improve health care, and lower costs.
This is very personal to people like me. I come from an area of the country that provides high-quality health care at a low cost. My people are penalized. Health care reform is moving to try to help people like that as we overall improve health care around the country and protect the deficit.
I am sorry for any ambiguity or misunderstanding from my comments, but I am frustrated when I hear the Republican side of the aisle continue to repeat this political lie of the year. It doesn't help the debate, it doesn't help us move forward, and we are going to have to move forward to solve the problems of this country.
[From PolitiFact, Dec. 16, 2010]
PolitiFact's Lie of the Year: `A Government Takeover of Health Care'
(By Bill Adair, Angie Drobnic Holan)
In the spring of 2009, a Republican strategist settled on a
brilliant and powerful attack line for President Barack
Obama's ambitious plan to overhaul America's health insurance
system. Frank Luntz, a consultant famous for his phraseology,
urged GOP leaders to call it a ``government takeover.''
``Takeovers are like coups,'' Luntz wrote in a 28-page
memo. ``They both lead to dictators and a loss of freedom.''
The line stuck. By the time the health care bill was headed
toward passage in early 2010, Obama and congressional
Democrats had sanded down their program, dropping the
``public option'' concept that was derided as too much
government intrusion. The law passed in March, with new
regulations, but no government-run plan.
But as Republicans smelled serious opportunity in the
midterm elections, they didn't let facts get in the way of a
great punchline. And few in the press challenged their
frequent assertion that under Obama, the government was going
to take over the health care industry.
PolitiFact editors and reporters have chosen ``government
takeover of health care'' as the 2010 Lie of the Year.
Uttered by dozens of politicians and pundits, it played an
important role in shaping public opinion about the health
care plan and was a significant factor in the Democrats'
shellacking in the November elections.
Readers of PolitiFact, the St. Petersburg Times'
independent fact-checking website, also chose it as the
year's most significant falsehood by an overwhelming margin.
(Their second-place choice was Rep. Michele Bachmann's claim
that Obama was going to spend $200 million a day on a trip to
India, a falsity that still sprouts.)
By selecting ``government takeover'' as Lie of the Year,
PolitiFact is not making a judgment on whether the health
care law is good policy.
The phrase is simply not true.
Said Jonathan Oberlander, a professor of health policy at
the University of North Carolina-Chapel Hill: ``The label
`government takeover' has no basis in reality, but instead
reflects a political dynamic where conservatives label any
increase in government authority in health care as a
`takeover.' ''
An inaccurate claim
``Government takeover'' conjures a European approach where
the government owns the hospitals and the doctors are public
employees. But the law Congress passed, parts of which have
already gone into effect, relies largely on the free market:
Employers will continue to provide health insurance to the
majority of Americans through private insurance companies.
Contrary to the claim, more people will get private health
coverage. The law sets up ``exchanges'' where private
insurers will compete to provide coverage to people who don't
have it.
The government will not seize control of hospitals or
nationalize doctors.
The law does not include the public option. a government-
run insurance plan that would have competed with private
insurers.
The law gives tax credits to people who have difficulty
affording insurance, so they can buy their coverage from
private providers on the exchange. But here too, the approach
relies on a free market with regulations, not socialized
medicine.
PolitiFact reporters have studied the 906-page bill and
interviewed independent health care experts. We have
concluded it is inaccurate to call the plan a government
takeover because it relies largely on the existing system of
health coverage provided by employers.
It's true that the law does significantly increase
government regulation of health insurers. But it is, at its
heart, a system that relies on private companies and the free
market.
Republicans who maintain the Democratic plan is a
government takeover say that characterization is justified
because the plan increases federal regulation and will
require Americans to buy health insurance.
But while those provisions are real, the majority of
Americans will continue to get coverage from private
insurers. And it will bring new business for the insurance
industry: People who don't currently have coverage will get
it, for the most part, from private insurance companies.
Consider some analogies about strict government regulation.
The Federal Aviation Administration imposes detailed rules on
airlines. State laws require drivers to have car insurance.
Regulators tell electric utilities what they can charge. Yet
that heavy regulation is not described as a government
takeover.
This year, PolitiFact analyzed five claims of a
``government takeover of health care.'' Three were rated
Pants on Fire, two were rated False.
Can't do it in four words
Other news organizations have also said the claim is false.
Slate said ``the proposed health care reform does not take
over the system in any sense.'' In a New York Times economics
blog, Princeton University professor Uwe Reinhardt, an expert
in health care economics, said, ``Yes, there would be a
substantial government-mandated reorganization of this
relatively small corner of the private health insurance
market (that serves people who have been buying individual
policies). But that hardly constitutes a government takeover
of American health care.''
FactCheck.org, an independent fact-checking group run by
the University of Pennsylvania, has debunked it several
times, calling it one of the ``whoppers'' about health care
and saying the reform plan is neither ``government-run'' nor
a ``government takeover.''
We asked incoming House Speaker John Boehner's office why
Republican leaders repeat the phrase when it has repeatedly
been shown to be incorrect. Michael Steel, Boehner's
spokesman, replied, ``We believe that the job-killing
ObamaCare law will result in a government takeover of health
care. That's why we have pledged to repeal it, and replace it
with common-sense reforms that actually lower costs.''
Analysts say health care reform is such a complicated topic
that it often cannot be summarized in snappy talking points.
``If you're going to tell the truth about something as
complicated as health care and health care reform, you
probably need at least four sentences,'' said Maggie Mahar,
author of Money-Driven Medicine: The Real Reason Health Care
Costs So Much. ``You can't do it in four words.''
Mahar said the GOP simplification distorted the truth about
the plan. ``Doctors will not be working for the government.
Hospitals will not be owned by the government,'' she said.
``That's what a government takeover of health care would
mean, and that's not at all what we're doing.''
How the line was used
If you followed the health care debate or the midterm
election--even casually--it's likely you heard ``government
takeover'' many times.
PolitiFact sought to count how often the phrase was used in
2010 but found an accurate tally was unfeasible because it
had been repeated so frequently in so many places. It was
used hundreds of times during the debate over the bill and
then revived during the fall campaign. A few numbers:
The phrase appears more than 90 times on Boehner's website,
GOPLeader.gov.
It was mentioned eight times in the 48-page Republican
campaign platform ``A Pledge to America'' as part of their
plan to ``repeal and replace the government takeover of
health care.''
The Republican National Committee's website mentions a
government takeover of health care more than 200 times.
Conservative groups and tea party organizations joined the
chorus. It was used by FreedomWorks, the Heritage Foundation
and the Cato Institute.
The phrase proliferated in the media even after Democrats
dropped the public option. In 2010 alone, ``government
takeover'' was mentioned 28 times in the Washington Post, 77
times in Politico and 79 times on CNN. A review of TV
transcripts showed ``government takeover'' was primarily used
as a catchy sound bite, not for discussions of policy
details.
In most transcripts we examined, Republican leaders used
the phrase without being challenged by interviewers. For
example, during Boehner's Jan. 31 appearance on Meet the
Press, Boehner said it five times. But not once was he
challenged about it.
In rare cases when the point was questioned, the GOP leader
would recite various regulations found in the bill and insist
that they constituted a takeover. But such followups were
rare.
An effective phrase
Politicians and officials in the health care industry have
been warning about a ``government takeover'' for decades.
The phrase became widely used in the early 1990s when
President Bill Clinton was trying to pass health care
legislation. Then, as today, Democrats tried to debunk the
popular Republican refrain.
When Obama proposed his health plan in the spring of 2009,
Luntz, a Republican strategist famous for his research on
effective
phrases, met with focus groups to determine which messages
would work best for the Republicans. He did not respond to
calls and e-mails from PolitiFact asking him to discuss the
phrase.
The 28-page memo he wrote after those sessions, ``The
Language of Healthcare 2009,'' provides a rare glimpse into
the art of finding words and phrases that strike a responsive
chord with voters.
The memo begins with ``The 10 Rules for Stopping the
`Washington Takeover' of Healthcare.'' Rule No. 4 says people
``are deathly afraid that a government takeover will lower
their quality of care--so they are extremely receptive to the
anti-Washington approach. It's not an economic issue. It's a
bureaucratic issue.''
The memo is about salesmanship, not substance. It doesn't
address whether the lines are accurate. It just says they are
effective and that Republicans should use them. Indeed,
facing a Democratic plan that actually relied on the free
market to try to bring down costs, Luntz recommended
sidestepping that inconvenient fact:
``The arguments against the Democrats'' healthcare plan
must center around politicians, bureaucrats and Washington .
. . not the free market, tax incentives or competition.''
Democrats tried to combat the barrage of charges about a
government takeover. The White House and House Speaker Nancy
Pelosi repeatedly put out statements, but they were drowned
out by a disciplined GOP that used the phrase over and over.
Democrats could never agree on their own phrases and were
all over the map in their responses, said Howard Dean, former
head of the Democratic National Committee.
``It was uncoordinated. Everyone had their own idea,'' Dean
said in an interview with PolitiFact.
The Democrats are atrocious at messaging,'' he said.
``They've gotten worse since I left, not better. It's just
appalling. First of all, you don't play defense when you're
doing messaging, you play offense. The Republicans have
learned this well.''
Dean grudgingly admires the Republican wordsmith. ``Frank
Luntz has it right, he just works for the wrong side. You
give very simple catch phrases that encapsulate the
philosophy of the bill.''
A responsive chord
By March of this year, when Obama signed the bill into law,
53 percent of respondents in a Bloomberg Poll said they
agreed that ``the current proposal to overhaul health care
amounts to a government takeover.''
Exit polls showed the economy was the top issue for voters
in the November election, but analysts said the drumbeat
about the ``government takeover'' during the campaign helped
cement the advantage for the Republicans.
Rep. Earl Blumenauer, an Oregon Democrat whose provision
for Medicare end-of-life care was distorted into the charge
of ``death panels'' (last year's Lie of the Year), said the
Republicans'' success with the phrase was a matter of
repetition.
``There was a uniformity of Republican messaging that was
disconnected from facts,'' Blumenauer said. ``The sheer
discipline . . . was breathtaking.''