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Biden Is Pushing His Prescription Drug Plan

Joe Biden is taking a lot of arrows right now on account of the mess in Afghanistan. But is he talking much about it now? Yeah, a little bit, but his real focus is his plan to lower the cost of prescription drugs. He knows that 15 months from now, the voters will likely have forgotten Afghanistan, Iraq, Vietnam, Korea, and various other wars in that part of the world. If he can say: "I lowered your drug prices," Republicans can hop up and down all they want about Afghanistan but it won't matter as much as the lower drug prices. Whether that will be enough to save the House from reapportionment, gerrymandering, and new restrictive voting laws remains to be seen, but he believes that tangible benefits to voters beats abstract claims that the withdrawal could have been handled better.

What Biden's plan does is allow Medicare to use its bargaining power to force pharmaceutical companies to sell it drugs at lower prices. This plan is part of the $3.5-trillion reconciliation bill. Lowering drug prices is very popular with groups the Democrats need to win in 2022. This kind of tangible benefit is probably going to resonate more than mask mandates, critical race theory, culture wars, Hunter Biden, Bengazi, Socialism, defund the police, and whatever else the Republicans throw at the Democrats. Lower drug prices are especially popular with seniors, who have traditionally skewed Republican and who tend to turn out in midterms in large numbers. When Republicans vote en masse against the reconciliation bill, Democrats are going to hammer them with: "Republicans opposed lowering the cost of your prescription drugs." That is a not a good place to be with seniors. Polls show that 87% want lower drug prices. The plan is also popular with 80% of Black voters and 77% of Latinos.

Rep. Susan Wild (D-PA), who is from a key swing (D+1) district, says that the thing she most hears about from constituents is the price of insulin. If Biden can actually force the price down, it will definitely be noticed. If drug companies balk at cutting prices, Medicare can cut them off and go with generic drugs whose patents have expired and which are a generation behind current drugs, but which are almost as effective. That fear is going to force the drug companies to negotiate seriously.

One thing the Democrats need to do is talk much more about drug prices. Polling shows that half the public doesn't even know that provision is in the reconciliation bill. They talk about soft infrastructure, including universal pre-K and free community college, but the drug pricing provision is probably the most potent argument of all for the bill. According to pollster Celinda Lake, Democrats really need to hammer on it. (V)

Healthcare Industry Starts Pushing Back on Reconciliation Bill

One of the other health-related provisions in the $3.5-trillion budget reconciliation bill the Democrats want to pass is an expansion of Medicare to include hearing, vision, and dental benefits. Sen. Bernie Sanders (I-VT) has said that is one of the biggest benefits of the bill. Sen. Joe Manchin (D-WV), who represents one of the most dentally-challenged states, is in favor of the bill, in no small part due to these added benefits. So if everyone from Sanders to Manchin likes the bill, it will sail through, right?

Not so fast. The empire is striking back. The Medico-Dental Empire that is. They don't have imperial stormtroopers, but they do have an army of something even scarier to members of Congress: lobbyists. It turns out quite a few health-industry lobbies don't like the expansion at all. They don't mind getting new patients, but they are afraid the reimbursement rates will be too low. The insurance industry, which makes good money selling seniors supplemental plans that cover hearing, vision, and dental costs don't like it one bit since it takes direct aim at lucrative policies that will be killed off if Medicare covers these items.

So these industries are going to have their lobbyists contact every potentially persuadable Democrat and argue that the cost—$350 billion over a decade—will break the bank, cause inflation, and make the sky fall. With some moderates, like Sen. Kyrsten Sinema (D-AZ), already insisting that the bill is too expensive, this part could get the axe. That would result in the somewhat awkward alliance of Sanders and Manchin fighting to save it.

Other possibilities are (1) a longer phase-in period, (2) skimpier coverage, (3) more cost sharing, or (4) means testing so only poor people get the benefits. The latter option might mean that the very poorest people get the benefits but one level up, people don't get the benefits and can't afford to pay themselves, so they don't get covered. This is not going to make them happy voters. Also, right now, Medicare is not means tested. Once some benefits are means tested, the dam has broken. The next time the Republicans are in power, they could make the entire program means tested. At first the cutoff might by substantial, say people making $100,000 or more don't get it, but then over time they could lower the cutoff until it is only for people making less than $10,000, effectively killing off the program. If the Democrats introduce means testing, in 20 years, the whole program could be gone, something Republicans would love.

Despite the opposition from health-industry groups, the plan is not dead in the water. The AARP wants it as generous a benefit as possible. It has about 40 million members, and you can be sure it will tell its members to contact their senators and representatives and tell them very clearly what they want. Consequently, it is far from certain how this will play out in the coming weeks. (V)

It's Deja Vu All Over Again

On Aug. 29, 2005, Hurricane Katrina hit Louisiana hard while then-president George W. Bush was out in sunny Arizona attending then-senator John McCain's birthday party. Katrina caused 1,836 deaths and $114 billion in damage. Exactly 16 years later, on Aug. 29, 2021, Hurricane Ida slammed into Louisiana. It appears to be a more powerful storm than Katrina, with winds of 150 MPH. If any of Joe Biden's staffers are reading this, we suggest telling him that going out to Arizona now to campaign for Sen. Mark Kelly (D-AZ) would not be a good move.

Yes, Afghanistan is a mess, but Ida will force foreign news from the front pages for a few days. Biden can recapture his momentum if he makes it clear that saving lives in Louisiana is top priority now. He has the advantage of working with a Democratic governor, John Bel Edwards, who will be happy to cooperate with Biden any way he can. Another advantage is that the water-control system in New Orleans has been improved since 2005. Pumps have been upgraded and diesel-powered backup generators are ready to be fired up. Levees have also been strengthened. Gates have been added to key canals to block storm surges. If all this technology works, Biden will be able to crow that he saved New Orleans, even though all the improvements were made long before he took office. All he needs to do is get the optics right and show that he is spending half his time talking to the head of FEMA about getting supplies down there and half his time talking to the governor about distributing the aid.

He understands that. Yesterday he announced: "We've pre-positioned food, water, generators and other supplies in the area. Power restoration and mobile communications support teams are also en route. We've also closely coordinated with the electric utilities to restore power as soon as possible." The first time Donald Trump opens his mouth on this, Twitter is going to be full of people contrasting Biden's action on Hurricane Ida with Trump's lack of action on Hurricane Maria.

One complication present now that wasn't present in 2005 is COVID-19. Hospitals are full of COVID-19 patients and there isn't any room for new patients. However, what counts politically is not whether the result is any good, but whether the president and the governor appear to be woozy from lack of sleep because they have been working 20-hour days trying to save lives and get aid to people. If Biden is smart, he'll go down there as soon as it is safe—not because he can do any more on site than in D.C. (probably less, actually), but to show that he is on top of it and cares about Americans. Heaven help the Republicans if they say he should have been busy in the Oval Office trying to save Afghan lives. If Biden plays it right, the hurricane could, ironically, be a godsend for him. (V)

Texas House Passes Bill to Restrict Voting

Texans don't surrender. They knew they would lose but they fought bravely anyway. But in the end, they lost. The odds against them were too great. No we aren't talking about the Battle of the Alamo in 1836. We're talking about the battle of the Texas state legislature in 2021.

When Republicans in the Texas legislature drew up a bill to severely curtail voting rights in Texas, Democrats in the Texas House zipped off to D.C. to deny the Texas House a quorum and to try to get national Democrats to pass H.R. 1. After holding out in D.C. for weeks, eventually the Democrats went back to Austin. That allowed the Republican-controlled House to pass S.B. 1, which makes voting harder for people of color, people with disabilities, and others, especially in Harris County (Houston). The bill will now go back to the Senate to iron out some small differences, after which Gov. Greg Abbott (R) will proudly sign it into law.

Among other items, the bill prohibits many election changes that were introduced in 2020 and worked well. These prohibitions include bans on drive-through voting centers and 24-hour early voting. The bill forbids election officials from sending applications for absentee ballots to all voters, even those over 65, who are automatically allowed to vote absentee under Texas' law (others have to prove a need). The bill gives more power to partisan "poll watchers," who are often armed and who commonly intimidate minority voters. It also limits the power of people to help voters with disabilities to vote.

There is not much the Texas Democrats can do now except try to educate voters about the voting options still available. State Rep. Senfronia Thompson (D), who recalled having to pay a poll tax when she voted prior to 1966, said: "Make no mistake: This is your bill. Your idea. And you would be responsible for the consequences. If you think that you're winning today by the things that you are putting in this bill, let me give you a prophetic statement: You will reap what you sow." Whether Texas Republicans will pay an immediate price for this bill remains to be seen. Nevertheless, if the U.S. sent observers to a third-World country just getting started on democracy and saw that the party in power had changed the election laws to favor itself, they would yell "Whoa! You folks haven't figured out this democracy thing at all." (V)

"H" Is for Hypocrisy, and Also for Hawley

In Nov. 2020, Sen. Josh Hawley (R-MO) sent a letter to then-Acting Secretary of Defense Christopher Miller demanding that troops be withdrawn from Afghanistan. He wrote: "The American people deserve an end to this war. They deserve to know their daughters and sons will not be put in harm's way unless it is absolutely necessary." Hawley was consistent—for a while. He was an enthusiastic supporter of the deal between Donald Trump and the Taliban to get American troops out of Afghanistan by May 1, 2021. In April of this year, he said: "It's time for this forever war to end."

That was then. This is now, and his current approach is slightly different. He is now calling on Joe Biden to resign on account of withdrawing the troops and leaving the Taliban in charge of Afghanistan. He said: "It is now painfully clear he has neither the will nor the capacity to lead. He must resign." Hawley is a big fan of resignations. He has called for resignations of Anthony Fauci, Biden's entire defense and national security team, and the chief executive of Hong Kong.

After Hawley called for Biden to resign, a reporter asked him if he favored Kamala Harris becoming president. He refused to answer the question. He's not actually stupid. The act is just for the rubes. He has a B.A. from Stanford cum laude and a J.D. from Yale. He clerked for none other than Chief Justice John Roberts. He knows exactly what happens when a president resigns. He is simply betting that his constituents are too stupid to realize that when a president resigns, the veep becomes president, not the runner-up in the election. Or maybe he is betting that 2024 Republican primary voters don't understand what happens when a president resigns. It's one or the other, since Hawley knows very well what happens. This is hypocrisy writ large in 72-point Bodoni bold and underlined. Or, given how silly and transparent Hawley is being, maybe we should make that Comic Sans.

Not to be outdone, Rep. Madison Cawthorn (R-NC) sent letters to Harris and the entire cabinet demanding that they invoke the 25th Amendment and declare Biden unable to discharge the powers and duties of the presidency. At the time we posted this, we were still waiting for Rep. Marjorie Taylor Greene (R-GA) to up the stakes. Maybe she will call for George Soros to use the Jewish space lasers to vaporize the White House at dawn tomorrow.

In any event, the Republicans who live on Planet Earth are not sure what the best way to hit Biden on Afghanistan is. They know they can't actually do very much now, although the #3 House Republican, Rep. Elise Stefanik (R-NY), did call Biden "unfit to be commander-in-chief." Some of them are preparing to make the 2024 election all about Afghanistan. Rep. Devin Nunes (R-CA), the ranking member of the House Intelligence Committee, is preparing to hold hearings on Afghanistan if he becomes chairman in 2023. He already sent a letter to the DNI, Avril Haines, telling her to preserve documents (so he can subpoena them in Jan. 2023). Of course Haines has a large legal staff and knows very well what she has to preserve and what she can toss in her office fireplace. She doesn't need Nunes' counsel on this matter. You might say she's not in the mooooooood to hear from him.

All these calls for Biden to resign are moving the U.S. closer and closer to a parliamentary system. In these systems, the government can be removed any time a majority in the parliament wants that to happen. However, in most of these systems, that results in a new election. If the MPs do this too frivolously, the voters can punish the opposition by giving the government parties even more seats. Would the Republicans really like a snap election in 2 months on the issue of whether U.S. troops should remain in Afghanistan? If there were actual consequences to calling for Biden to resign, we suspect Hawley, Stefanik, and the others would keep their mouths shut. But since there are no consequences for them, they can act outraged and play to the gallery without fear of any reprisals. And now that this bridge has been crossed, we suspect that from now on, the opposition party is going to be calling at least once a week for the president to resign. This is going to be the new normal from now on unless the Republicans get smacked down by the voters for doing it. (V)

Too Many Progressives Spoil the Broth

The New York mayoral primary is now behind us, but Boston has a humdinger as well. Progressives love it and hate it at the same time. And it is all Joe Biden's fault. What Biden did was rip Marty Walsh out of the mayor's office and deposit him the office of Secretary of Labor, thus creating a free-for-all in the Sept. 14 nonpartisan (jungle) primary.

For 200 years, Boston has elected white men as mayor. That is certain to change this year, given the roster of candidates running. The problem for progressives is that they like too many of them and are having a lot of trouble choosing one. If they can't unite behind one or two candidates, a much more moderate candidate could win the November runoff. Here are the leading candidates, in alphabetical order:

So the big question is whether George makes the runoff. If she does, she will have Walsh's coalition behind her and we may once again see a split between progressives and moderates (although George is fairly progressive for a "moderate"). If George doesn't make the runoff, then Boston will get its first elected minority or female mayor, or both. (V)

Redistricting the Great Lakes States

Larry Sabato's Crystal Ball is continuing its series about the Great 2021 Redistricting Event. The current installment is about the Great Lakes/Midwest states, with Pennsylvania temporarily being made an honorary Midwest state. Here is a summary:

In short, only Illinois, Indiana, and Ohio can be gerrymandered, and there are restrictions on Ohio. All in all, the new maps are likely to help the Republicans to net maybe one or two seats, probably not more. The region still remains one of the most balanced parts of the country. (V)

Longshot Candidates Sometimes Raise Huge Amounts of Money

Back when America was great, campaigns were largely funded by wealthy donors who knew what they wanted and were pretty adept about understanding risks and getting a good return on their investments. This meant mostly funding candidates who had a decent chance of winning. The donors understood that pouring money into the campaign of someone who was almost certain to lose was not a good investment. Also, donors mostly funded candidates in races where they had a direct interest and knew that if their candidate won, he or she would be sympathetic to their wishes.

The Internet has changed all that. Would you believe that the 2022 House candidate who has raised the most money so far is a totally unknown Democrat who has never run for public office before and is running against a well-known incumbent in an R+27 district that he has virtually no chance of winning? It's true. We'll give you a hint. His name is Marcus Flowers. Does that help? We didn't think so. OK, one more hint: His opponent is Marjorie Taylor Greene. Are you having a Eureka! moment now?

Negative partisanship has been a hugely powerful force in fundraising. Not that there is anything special about Flowers. Any Democrat who filed to unseat Greene and who was handy with social media could have raised the $2 million he has so far. In fact, candidates running against any high-profile member of the House can count on people who hate that member to pony up, even if the challenger has no chance of winning. And it works both ways. In 2020, Republican challengers to Democrats Lois Frankel (FL), Alexandria Ocasio-Cortez (NY), Ilhan Omar (MN), Kweisi Mfume (MD), Adam Schiff (CA), and Maxine Waters (CA) raised over $2 million each. They also lost by 20 to 45 points.

In a few cases, the incumbent is not high profile. Frankel is an example. But her opponent, Laura Loomer, is very high profile in conservative circles and would have brought in big bucks in any race she entered, no matter how hopeless. People showered money on her to show support for her right-wing conspiracy theories and anti-Muslim speeches. Nearly all the money these fringe candidates get is via the Internet using ActBlue or WinRed, which makes it easy for people to send $10 or $20 to their favorite nutcake. The barrier to donating is so low now that people do it on a whim, either because they hate the candidate's opponent or love the candidate's position on something. Whether the candidate has a snowball's chance in Hell of winning is often not a factor anymore. This effect even has a name: rage-donating.

Of course, when the candidate is running against someone who the other party's supporters really hate with a passion and the candidate has a chance to knock the incumbent off, the money really flows. For example, Amy McGrath (D) raised an astounding $96 million in 2020, but she was running to unseat Sen. Mitch McConnell (R-KY) in Kentucky, someone who is not terribly popular among Democrats. Even more astounding is the $132 million Jaime Harrison raised running against Sen. Lindsey Graham (R-SC). Both McGrath and Harrison lost by double digits, but they were strong candidates who ran good campaigns and had boatloads of money. They could have won, but their states were just too red for money to overcome.

Sometimes long-shot candidates do win. Ocasio-Cortez is a good example. And because it does happen sometimes, the long-shot candidates (and their donors) think: "Maybe lightning will strike and we'll win this one." As a consequence, we are likely to see more long-shot candidates in the future, especially ones running against controversial incumbents who are widely hated by the other party. Of course, giving money to a hopeless candidate just because you hate his or her opponent is actually a bad strategy. If all the money that is flowing to Flowers instead went to the DCCC, it might help some little-known Democrat win a close race and actually pick up a House seat. But for many people, making a statement is more important now than actually winning. (V)

Old Testament Meets New Testament--with Newsom in the Middle

One of the guiding principles of the Old Testament (other than telling you what not to eat) is "an eye for an eye, a tooth for a tooth." The New Testament is more "Turn the other cheek." The two concepts are barrelling toward a head-on collision in California. As most of our older readers no doubt vividly remember, in the spring of 1968 the Vietnam War was raging, along with massive street protests about it. An unknown anti-war senator, Gene McCarthy (D-WI), decided to work within the system and entered the Democratic primaries to challenge then-president Lyndon Johnson for the Democratic nomination. The plan was to give the kids another way to express their outrage and send LBJ a message. McCarthy almost beat Johnson in the March 12 New Hampshire primary (42% to 49%). Johnson was shocked by his meager victory.

McCarthy was never a serious or viable candidate, but 4 days later, Bobby Kennedy, who most definitely was a viable candidate, jumped in. On March 31, Johnson withdrew from the race, almost certainly due to the competition from the well-known and popular Kennedy. LBJ didn't want to lose to anyone, but he didn't want to lose to Bobby Kennedy most of all. On June 4, Kennedy beat McCarthy in the all-important California primary. Hubert Humphrey had more (favorite-son) delegates at that point even though he hadn't entered any primaries. However, if the McCarthy delegates switched to Kennedy on the second ballot at the convention, Kennedy probably would have gotten the nomination and beaten Richard Nixon in November. That was not to be, however, because just after Kennedy gave his victory speech in Los Angeles in the morning of June 5, he was assassinated by Sirhan Sirhan, a Palestinian zealot. That shot probably lengthened the Vietnam War by 4 years and changed the course of history. Sirhan was captured, convicted of murder, and sentenced to death, but in 1972, the California Supreme Court abolished the death penalty retroactively so Sirhan's sentence was changed to life in prison.

According to state law, Sirhan is now eligible for parole. Actually, he's been eligible for a while. But now, a two-person subcommittee of the parole board has recommended the release of the 77-year-old Sirhan, saying that he is no longer a threat to anyone. This decision is very controversial, pitting people who see Sirhan as a heinous monster who deserves to rot in prison until he is dead (and maybe then some) vs. those who believe in redemption. Ultimately, the final decision is up to Gov. Gavin Newsom (D-CA). He is lucky that he will have until after the recall to decide, but he will come under pressure to announce what he will do before the recall. Whatever he says will alienate some Democrats.

He will probably try to finesse the issue by saying that he is waiting to get the report from the full parole board so he can study it carefully. He has rejected parole requests in the past, but this one is extremely high profile. Whatever he decides will not fly under the radar. Making it worse, the Kennedy family is deeply divided over the parole request. Two of Kennedy's children, Robert F. Kennedy Jr. (who was a teenager in 1968) and Douglas Kennedy (who was a toddler in 1968) support releasing Sirhan. Junior, who is a well-known conspiracist, doesn't believe Sirhan was the assassin.

On the other hand, six of Bobby's other children were devastated by the recommendation and absolutely do not want Sirhan freed. In a joint statement released late Friday, they wrote: "He took our father from our family and he took him from America. We are in disbelief that this man would be recommended for release. We urge the Parole Board staff, the full board and ultimately Governor Newsom, to reverse this initial recommendation. It is a recommendation we intend to challenge every step of the way, and we hope that those who also hold the memory of our father in their hearts will stand with us."

Sirhan has said he doesn't remember the murder. As if the premeditated assassination of a leading candidate for president in cold blood for political reasons (Kennedy supported Israel) is something that happens every day and is easy to forget when you have been in prison for it for 50 years. Could happen to anyone, after all.

Newsom undoubtedly does not want this hot potato so close to his recall election. Republicans on the whole, even evangelical Christians, tend to believe in revenge at least as much as they believe in salvation and are probably going to come down against parole. A complicating factor, though, is that although Sirhan is an Arab, he is not a Muslim. He is a Christian. So their slogan can't be "Death to Muslim terrorists." Yelling "Death to Christian terrorists" doesn't quite have the same ring to it. (V)


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