January Flashback: What Does Senator Claire McCaskill Really Stand For?
Saturday, August 7th, 2010This is an article about Missouri Senator Claire McCaskill that I wrote for another website last January during the height of the debate over ObamaCare. After hearing Sen. McCaskill’s response to the overwhelming victory of Proposition C in last week’s election, it’s apparent that she remains dedicated to ignoring the will of her constituents and dismissing their concerns as the result of ignorance. Unfortunately, she is not up for reelection in November so we will have to wait until 2012 to toss her out along with President Obama. However, we must factor her behavior into our decisions at the ballot box this coming November as we decide who will join McCaskill in the US Senate to represent Missouri’s interests. Do we want to add another like-minded shill for the White House?
Be sure to check back soon for full coverage of McCaskill’s response to Proposition C. It’s enough to make your blood boil and serves as a stark reminder why 2012 can’t get here soon enough.
(Article first published January 12, 2010.)
Last September, as the health care debate was heating up, Senator Claire McCaskill assured us that any bill she supported would have to “give people choices, bring health care costs down, and not add to the national deficit.” That same month, she sent a letter to Senator Max Baucus about the importance of bending the health care cost curve down and lowing overall health care spending. She explained, “If we don’t do that, we will have failed.” Throughout the year, she also positioned herself as a guardian of Medicare, promising numerous times that no cuts would affect seniors’ access to care whatsoever. On December 14, McCaskill gave another crystal clear statement about what a bill would have to achieve in order to gain her support. Appearing on “FOX News Sunday With Chris Wallace”, she explained, “My statement all along is [a health care reform bill] has to slow down the increase of health care costs over time, and that is bending the cost curve, and secondly, that it has to be deficit neutral… And if it’s not saving more money for our government than we’re spending, then not only will I not support it, the president said he won’t support it.” Ten days later, Senator McCaskill joined with every other Senate Democrat to pass the “Patient Protection and Affordable Care Act” (PPACA) in a strictly party-line vote. Somewhere between her appearance with Chris Wallace and her vote in favor of the bill, she must have altered her requirements because, as Richard Foster, the White House’s Chief Actuary for the Centers for Medicare and Medicaid Services (CMS,) confirmed in his report released last Friday, the bill Senator McCaskill voted in favor of fails to keep any of the promises she frequently made during most of last year. By tossing aside her values, Senator McCaskill failed in her fiduciary duty to the taxpayers and betrayed the seniors who trusted her assurances about the security of their health care.
Foster’s report shows that the bill passed by the Senate fails to meet McCaskill’s fiscal requirements. It is not deficit neutral. Instead, it will add $280 billion to the national deficit from 2010 to 2019. However, even that figure is hopeful. The Wall Street Journal points out, “Even that estimate exists only on paper, as Mr. Foster has the honesty to admit. Because ‘most of the coverage provisions would be in effect for only six of the 10 years of the budget period, the cost estimates shown in this memorandum do not represent a full 10-year cost for the proposed legislation.’” The Senate’s bill does not meet McCaskill’s other basic requirement of “bending the cost curve.” Rather, it will increase costs. Foster writes, “The national health expenditure share of GDP is projected to be 20.9 percent in 2019, compared to 20.8 percent under current law…Numerous studies have demonstrated that individuals and families with health insurance use more health services than otherwise – similar persons without insurance. Under the health reform legislation, an estimated 34 million currently uninsured people would gain comprehensive coverage …We estimate that the net effect of the utilization increases and price reductions arising from the coverage provisions of the PPACA would increase national health expenditures in 2019 by about 3.4 percent.”
Perhaps, though, the most egregious betrayal of her supposed values is illustrated by her frequent claims that Democrat plans would save Medicare. The senator’s website currently features a column she wrote on November 4 titled, “Strengthening Medicare Through Health Reform.” In this piece, McCaskill laments that “without adequate reforms, Medicare is on track to cut payments to physicians by as much as 21 percent starting next year which may cause some doctors to drop Medicare patients.” McCaskill claims, “By rooting out more than $400 billion in identified waste, fraud, and inefficiencies, we can make sure Medicare remains solvent for years to come, ensure doctors are paid fairly so that seniors can keep their doctors, and not cut benefits for seniors.” She goes on to plainly state, “Ultimately the assertion that reforms to Medicare would result in cuts is simply not true.” Perhaps Senator McCaskill should meet with the Richard Foster. After all, he is the White House’s authority on the Medicare and Medicaid programs. If any aspect of his report can be trusted it would be his analysis of the effects of the legislation on these programs.
Unfortunately for any of the seniors that found comfort in McCaskill’s reassurances, Foster doesn’t reach her conclusions. According to the CMS, nearly half of the cost-savings in the Senate bill that Senator McCaskill voted in favor of come from reduced payment levels for Medicare Part A and Part B. In plain words, the Senate bill relies on cutting payments for Medicare services as its primary source of funding.
McCaskill also makes the claim in her column that the Democrat’s proposed Medicare cuts will ensure that “seniors can enjoy improved benefits and continue seeing the doctors of their choice.” This statement flies directly in contradiction to the Chief Actuary of Medicare’s findings. As Foster says, the proposed payment reductions are “unreasonable” and will cause large problems for Medicare patients. Foster shows that the reduced payment rates mandated by the Senate bill will not keep up with service providers’ costs, “Thus providers for whom Medicare constitutes a substantive portion of their business could find it difficult to remain profitable and, absent legislative intervention, might end their participation in the program (possibly jeopardizing access to care for beneficiaries). Simulations by the Office of Actuary suggest that roughly 20 percent of Part A providers would become unprofitable within the 10-year projection period as a result of the productivity adjustments.” Yet, somehow, Senator McCaskill apparently believes that a 20 percent reduction in Medicare service providers will “ensure doctors are paid fairly so that seniors can keep their doctors.”
The infeasible Medicare cuts are no small issue. If Congress merely decides to ignore them, the bill will explode the deficits. However, if the cuts remain, Medicare and Medicaid patients will find themselves increasingly unable to find service providers only compounding the issue of inadequate access to health care. To quote Senator McCaskill’s September letter to Max Baucus, if any version of the House or Senate bill becomes law, “[They] will have failed.”
Senator McCaskill either cast her vote in support of the Senate health care bill out of ignorance of the bill’s true effects, or with no intention of ever keeping the pledges she made to her constituents. In December, she appeared to have taken a bold stance by joining only two other Democrats who voted against the $1.1 trillion omnibus spending bill that increased discretionary spending across the board. After she had supported the failed $787 billion economic “stimulus” package and approved President Obama’s $3.6 trillion budget, her stance against the omnibus bill was encouraging. However, the bill was never really in jeopardy of failing to pass. If it were, would McCaskill still have voted against it? Considering how quickly she threw aside every value she promoted during the health care debate in order to push a disastrous, highly partisan bill over the threshold, Senator McCaskill has a large hill to climb to prove that she actually stands for anything other than toeing the Democrat Party line.

