Health Care

1. Health Care 4/19/2012

2. Learning Objectives • Accurately describe the social, economic, and political dimension of major problems and dilemmas facing contemporary American society • Use knowledge and analyses of social problems to evaluate public policy, and to suggest policy alternatives, with special reference to questions of social justice, the common good, and public and individual responsibility.

3. Opportunities to discuss course content • Today- No office hours • Monday -10-2

4. Readings Required • Energy and Environmental Policy (Chapter 10) Dye • Optional • Population, Global Inequality, and the Environmental Crisis (Chapter 15) Kendall

5. Health Care

6. The Solution Patient Protection and Affordable Care Act

7. What is it • A law that will get health insurance to roughly 30 million Americans • Not a single payer system

8. How can we afford this • 1 Trillion over first 10 years • Tax on Tans • Higher Medicare taxes on wealthy and Medicare cuts on providers • Taxes on High-end insurance • Fees on Health Care Industry

9. Upwards of 20 million mayRemain Uninsured • Illegal Immigrants and non-citizens (10 million) • People who do not sign up for eligible programs. • People who pay the penalty (mostly younger and single Americans.

10. Keeping the law

11. Democratic Strategy • Draw a line on health care and do not let the Republicans cross it • Use institutional advantages to delay change • Focus on the popular parts of the law • Re-Cast the GOP into the Party of No (Part II)

12. Democratic Advantage 1: Laws are Difficult to Repeal • They come in with political support and they retain that support • Minor changes and fixes only serve to strengthen the existing law! • Prohibition lasted for 13 years

13. Democratic Advantage 2: Marketing Popular Initiatives

14. Democratic Advantage 3: Divided Government • Use Senate Majority to control the Agenda • Filibuster when necessary • The Presidential Veto as a last resort

15. Democratic Advantage 4: No new taxes in 2011 or 2012 • FSA limits in 2013 • Medicare tax increase by 0.9% and 3.8% tax on investments income for high-wage earners in 2013 • Individual mandate in 2014 • Cadillac Tax in 2018

16. Democratic Advantage 5: Debt and Deficits

17. The Republican Strategy Repeal the bill through other means

18. Republican Strategy • A straight-up repeal was unsuccessful • Continue to push the issue through other political avenues • Force this as a campaign issue in 2012

19. Republican Advantage 1: Consensus in the Party • The Republicans are unified in the support for repeal. • Try to exploit Democratic cleavages between those who want to keep the existing law, and those who may want to strengthen it. • Try to switch Democrats to their side

20. GOP Advantage 2 Public Opinion

21. Republican Advantage 3: The Individual Mandate • This is key to the success of the bill • And one of the least popular portions • Expect Heavy Resistance if the GOP tries • Which is exactly what the GOP wants

22. A Court Ruling in 2012

23. On Repeal Probably For Repeal Probably Against Repeal Ruth Bader-Ginsburg Stephen Breyer Sonia Sotomayor Elena Kagan • Antonin Scalia • Clarence Thomas • Samuel Alito

24. On the Fence Chief Justice Roberts Justice Anthony Kennedy

25. This Makes the Legal Challenge a 2012 Campaign Issue

26. Paper 3

27. Submission Three – 25% • Final graded version • Very Little New Writing.

28. Revise • Think of old papers as first drafts! • Submission 3 is an improved version of 1 and 2 in content and in form.

29. Format, Style, Grammar • This must be Perfect • 100% MLA Form on the header and the pages • Full Works Cited

30. About Paper 3 • What it Contains • Revised Paper 2 • an argument for your own position (evidence, moral reasoning, feasibility) • Counter-argumentation for your conclusion • and Conclusion; • 12-15 TOTAL pages of text - 15 Works Cited • Rubric

31. Start Writing Paper 3 now!

32. What it Contains: Your Solution • Pick/develop a solution to the controversial social problem • This Could be • The Controversial Solution from Paper 2 • A different solution proposed by policy makers • Your own solution

33. What it Contains: Justification • For your solution • Provide new reasons supporting your solution or those from paper 2 • Provide evidence to support your solution

34. What it Contains: Counter-argumentation • identify the weakest aspects of your solution and defend it against your opponents • who is likely to oppose your choice and why • What would critics say is wrong with your solutions • provide counterargumentation for your solution and defend it against those would oppose your stance.

35. What it Contains: Your Moral Reasoning • Support of your position from a  Moral Reasoning perspective • Identify your Obligations, Values, and Consequences in reaching your solution. • Use the moral reasoning perspective to justify your solution

36. What it Contains: Feasibility • Will it Work? • Politically (does it have the support of necessary decision makers) • Economically (can we afford the costs) • What might need to be done to increase the chances of success?

37. What it Contains: A conclusion • Finally, you get to write a conclusion • Answer the normative question • Finish with two or three strong paragraphs that summarize the Social Problem, the Controversial Policy Solution, and your decision. Be persuasive.

38. Submitting the paper

39. About Paper 3 • You must submit two copies • in class on the day and time they are due • submitted to turnitin.com via Blackboard by 11:59 PM on the Day they are due. • I grade the hard copy, and if this is late, you receive a grade of zero for that assignment

40. Copy # 1 • In Class • May 3rd

41. Copy 2: Turnitin via Blackboard • This paper must also be submitted to turnitin.com by 11:59 PM on May 3rd • Failure to do this will result in a 5 point deduction on the Paper 3 grade. • Don’t leave points on the board