Salon
Rx for GOP doom
The Medicare drug program disaster could cost Republicans control of Congress
Feb. 17, 2006
http://www.salon.com/opinion/conason/2006/02/17/medicare_fiasco/Feb. 17, 2006 | If any single issue crystallizes the defects of Republican rule in the age of George W. Bush that issue is the Medicare Prescription Drug Improvement and Modernization Act. (It's also the single issue most likely to lead to the end of Washington's one-party regime.) Spawned by a White House under the influence of the pharmaceutical and insurance industries, rubber-stamped in a Congress bought by lobbyists for those interests, and imposed on the nation with prevarication, duplicity and outright bribery, the drug bill represents everything Americans hate about the federal government today. Within its 400-plus pages, the act contains something to offend everyone, including a potential majority of voters in November.
Congressional leaders still proclaim that problems with the new program will be worked out and smoothed over well before Election Day, but they know that their political survival is threatened. On Tuesday, a delegation of some 30 Republican senators attended a closed meeting with Health and Human Services Secretary Mike Leavitt and Medicare administrator Mark McClellan (the older brother of the White House press secretary) to discuss how to prepare a political defense against anticipated Democratic attacks against the program. Meanwhile, newly elected House Majority Leader John Boehner has admitted that the program's inauguration was "a disaster."
As elderly citizens across the country continued to struggle with the program's complexities and inequities last week, the Bush White House quietly admitted that its own cost estimate over the coming decade has risen from $400 billion to $1.2 trillion.
That rather substantial budgetary revision brings back bad memories of the bill's passage in 2003, when the administration concealed its true expense -- and, as the press revealed in 2004, threatened to fire Medicare's chief actuary, Richard S. Foster, if he spoke honestly about that subject. (Foster's secret $600 billion estimate has now turned out to be too modest by half.) The Government Accountability Office later determined that the silencing of Foster was not only unethical but probably illegal as well.