{"id":32507,"date":"2016-01-12T15:48:44","date_gmt":"2016-01-12T23:48:44","guid":{"rendered":"http:\/\/teensleuth.com\/blog\/?p=32507"},"modified":"2016-01-12T15:48:44","modified_gmt":"2016-01-12T23:48:44","slug":"the-nation-obama-built","status":"publish","type":"post","link":"https:\/\/teensleuth.com\/blog\/?p=32507","title":{"rendered":"The Nation Obama Built"},"content":{"rendered":"

reposted from\u00a0politico<\/a><\/em><\/p>\n

\"obama\"<\/p>\n

On March 23, 2010,<\/strong>\u00a0President Barack Obama<\/strong> signed the Patient Protection and Affordable Care Act, the 906-page health care reform law known as Obamacare. It was, as a live microphone caught Vice President Joe Biden exclaiming to his boss, a big deal<\/a>, <\/span>with Biden memorably inserting an extra word for emphasis\u2014and for history\u2014between \u201cbig\u201d and \u201cdeal.\u201d
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\nObamacare would cover millions of the uninsured, a giant step toward the Democratic dream of health care for all. It also included dozens of less prominent provisions to rein in the soaring cost and transform the dysfunctional delivery of American medicine. It was the kind of BFD that the most consequential presidencies are made of, even though it had squeaked through Congress without any Republican votes, and few Americans truly understood what was in it.
\n.<\/p>\n

Even fewer Americans understood what was in the Health Care and Education Reconciliation Act, the 55-page addendum that officially finalized Obamacare. This was the strange legislative vehicle that Democrats had jerry-rigged to drag reform around a Republican filibuster. Its substance was mostly an afterthought\u2014the New York Times ran a dutiful story on page A16 after it passed\u2014but as Obama noted when he signed it the next week at Northern Virginia Community College, it included another BFD.<\/p>\n

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\n\u201cWhat\u2019s gotten overlooked amid all the hoopla, all the drama of last week, is what\u2019s happened in education,\u201d he said.<\/p>\n

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\nYes, education. Tucked into the parliamentary maneuver that rescued his health care law was a similarly radical reform of the trillion-dollar student loan program. When Biden\u2019s wife, Jill, a professor at Northern Virginia, introduced Obama that day, she called it \u201canother historic piece of legislation.\u201d The House Republican leader, John Boehner of Ohio, complained that \u201ctoday, the president will sign not one, but two job-killing government takeovers.\u201d<\/p>\n

Obamacare wasn\u2019t really a government takeover, but the student loan overhaul actually was; it yanked the program away from Sallie Mae and other private lenders that had raked in enormous fees without taking much risk. The bill then diverted the budget savings into a $36 billion expansion of Pell Grants for low-income undergraduates, plus an unheralded but extraordinary student-debt relief effort that is now quietly transferring the burden of college loans from struggling borrowers to taxpayers. It all added up to a revolution in how America finances higher education, completely overshadowed by the health care hoopla and drama.
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\nOver the past seven years, Americans have heard an awful lot about Barack Obama and his presidency, but the actual substance of his domestic policies and their impact on the country remain poorly understood. He has engineered quite a few quiet revolutions\u2014and some of his louder revolutions are shaking up the status quo in quiet ways. Obama is often dinged for failing to deliver on the hope-and-change rhetoric that inspired so many voters during his ascent to the presidency. But a review of his record shows that the Obama era has produced much more sweeping change than most of his supporters or detractors realize.<\/p>\n

\"90-2\"
\nIt\u2019s true that Obama failed to create the post-partisan political change he originally promised during his yes-we-can pursuit of the White House. Washington remains as hyperpartisan and broken as ever. But he also promised dramatic policy change, vowing to reinvent America\u2019s approach to issues like health care, education, energy, climate and finance, and that promise he has kept. When you add up all the legislation from his frenetic first two years, when Democrats controlled Congress, and all the methodical executive actions from the past five years, after Republicans blocked his legislative path, this has been a BFD of a presidency, a profound course correction engineered by relentless government activism. As a candidate, Obama was often dismissed as a talker, a silver-tongued political savant with no real record of achievement. But ever since he took office during a raging economic crisis, he\u2019s turned out to be much more of a doer, an action-oriented policy grind who has often failed to communicate what he\u2019s done.<\/p>\n

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\nWhat he\u2019s done is changing the way we produce and consume energy, the way doctors and hospitals treat us, the academic standards in our schools and the long-term fiscal trajectory of the nation. Gays can now serve openly in the military, insurers can no longer deny coverage because of pre-existing conditions, credit card companies can no longer impose hidden fees and markets no longer believe the biggest banks are too big to fail. Solar energy installations are up nearly 2,000 percent<\/span>,<\/a> and carbon emissions have dropped<\/a><\/span> even though the economy is growing. Even Republicans like Ted Cruz and Marco Rubio, who hope to succeed Obama and undo his achievements, have been complaining on the campaign trail that he\u2019s accomplished most of his agenda.
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\n\u201cThe change is real,\u201d says Ron Klain, who served as Biden\u2019s White House chief of staff, and later as Obama\u2019s Ebola czar. \u201cIt would be nice if more people understood the change.\u201d<\/p>\n

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\nIn a conflict-obsessed media environment that is not exactly geared toward substantive policy analysis, Obama\u2019s technocratic brand of change has tended to be more opaque than, say, Donald Trump\u2019s plan for a wall along the Mexican border or Bernie Sanders\u2019 promise of free college for all. At times, its complexity has camouflaged its ambition. At other times, its ambition hasn\u2019t lived up to Obama\u2019s rhetoric; not everything has changed in the Obama era. For example, he talked a big game about eliminating wasteful programs, but other than killing the F-22 fighter jet, an absurdly expensive presidential helicopter and a hopelessly captured bank regulatory agency called the Office of Thrift Supervision, he hasn\u2019t done much of that.
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\nThe most obvious thing Obama hasn\u2019t done is usher in a new era of public enthusiasm for government action and the Democratic Party. He was reelected by a comfortable margin, but conservative Republicans have taken back both houses of Congress and made impressive gains in statehouses on his watch, riding a powerful wave of hostility to federal overreach. That political legacy could imperil some of Obama\u2019s left-of-center policy legacy if a Republican is elected to succeed him. It has already stymied gun control and immigration reform, while forcing Obama to accept deep spending cuts he didn\u2019t want.
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\nBut it\u2019s remarkable how often Obama has gotten what he wanted, in many cases policies that Democrats (and sometimes moderate Republicans) have wanted for decades, and how often those policies have slipped under the radar.
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\nIt\u2019s fairly well known that Obama bailed out U.S. automakers, enacted an enormous economic stimulus package, signed the most sweeping rewrite of financial rules since the Great Depression, killed the Keystone XL pipeline and issued historic carbon regulations to fight climate change. But how many Americans are aware of his administration\u2019s harsh regulations cracking down<\/a><\/span> on for-profit diploma mills, inefficient industrial motors and investment advisers with conflicts of interest? Everyone knows the Obamacare website was a disaster, but few realize that Obama got some of the Silicon Valley techies who fixed it to stick around and start up a U.S. Digital Service, a groundbreaking effort to bring government tech into the 21st century.
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\nI\u2019ve spent a lot of time studying Obamaworld\u2019s obscure policy changes. I wrote a book about that Obama stimulus, The New New Deal, and I helped former Treasury Secretary Tim Geithner with his memoir. But even though the subtitle of my book was The Hidden Story of Change in the Obama Era, I didn\u2019t realize the scope of the change before I reviewed hundreds of pages of reports and interviewed dozens of his current and former aides for this article. I remember President Bill Clinton crusading for the Food and Drug Administration to regulate tobacco, but I somehow missed that Obama finally made it happen.<\/a><\/span> I was aware that Obama was doubling fuel-efficiency standards for cars, and I even knew he was pushing a flurry of lower-profile efficiency mandates for appliances. But I had no clue that just one of those rules, for commercial air conditioners, will singlehandedly reduce U.S. energy use by 1 percent.
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\nInternally, Obama has made a point of distinguishing his approach from Clinton\u2019s \u201csmall ball,\u201d telling aides he didn\u2019t seek the job to promote school uniforms. Take that $800 billion stimulus, which set the tone for his swing-for-the-fences presidency in his very first month. Its main goal was saving the economy, but as his first chief of staff, Rahm Emanuel, liked to say, it was also stuffed with an entire administration\u2019s worth of accomplishments. By contrast, Clinton fought unsuccessfully early in his presidency for a mere $16 billion stimulus, just enough to fund the high-speed broadband and high-speed rail initiatives in Obama\u2019s package. One veteran of both White Houses summed up the difference by telling me Clinton\u2019s put out more fact sheets touting its work, while Obama\u2019s has been too busy doing work.
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\n\u201cPeople were always saying: \u2018Why aren\u2019t we talking about this cool accomplishment? Under Clinton we would\u2019ve bragged about it for weeks!\u2019\u201d recalls Jon Favreau, Obama\u2019s first-term speechwriter. \u201cThe answer was usually: \u2018Because there are a million other things going on.\u2019\u201d<\/p>\n

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\nSomehow, Obama\u2019s policy-first approach has managed both to galvanize his Republican enemies, who portray him as a European-style leftist on a big-government rampage, and to disappoint many liberal elites, who see his presidency as a series of ineffectual half-measures. His administration has struggled to explain complex achievements like clearinghouses for derivatives trades, net neutrality rules for the Internet and temporary legal status for undocumented immigrants who arrived as children. It\u2019s been hard to break through with policy details when so many eyes have been on the Great Recession, the Republican revival, the partisan budget wars that have raged since 2011 and other Washington dramas. His foreign policy\u2014drawdowns in Afghanistan and Iraq, messes in Russia and Syria, openings to Iran and Cuba, the killing of Osama bin Laden, a pending Pacific Rim trade deal and the global climate agreement in Paris\u2014has also distracted attention from his domestic work.<\/p>\n

But after seven years of anti-small ball, the results are pretty straightforward. The economy was bleeding 800,000 jobs a month when Obama took office; it has now enjoyed a record 69 straight months of private-sector job growth, though economists disagree about how much credit Obama deserves for the recovery, and in any case wage growth has been tepid. he deficit has shrunk by nearly $1 trillion,<\/a><\/span> and Medicare\u2019s long-term solvency has been extended by 13 years. The resuscitated auto industry produced 11 million vehicles in 2014. Federal contractors can no longer discriminate against gays, women can now serve in combat and the rich are paying higher taxes. A new Consumer Financial Protection Bureau is policing unscrupulous mortgage brokers, payday lenders and other rip-off artists, and the financial system has much less risky leverage.<\/p>\n

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\nBefore Obama, Americans were using more energy every year; now we use less energy overall,<\/a><\/span> and more of that energy is clean. Oil\u00a0morethan a third <\/a><\/span>of America\u2019s coal plants are shutting down and sales of LED bulbs have increased 50-fold. Health care inflation and the uninsured\u00a0rate have fallen to their lowest levels in half a century, and doctors now use iPads instead of clipboards. Stuent borrowers can now ratchet down their monthly payments to 10 percent of their discretionary income and get their loans forgiven after 20 years, rules that are gradually and almost silently easing the student debt crisis. Nine of 13 federal appeals courts now have a majority of Democratic-appointed judges; in 2009, it was one of 13.<\/p>\n

.Americans might not agree how much Obama can personally take credit for all of it,or whether that\u2019s Change We Can Believe In. But it\u2019s change.
\n***
\nEarly in his presidential imports are down 60 percent from 2008 levels,transition<\/strong>, Obama led a brainstorming session with his policy team about first-term accomplishments. Geithner offered a downer of a reality check: \u201cYour accomplishment is going to be preventing a second Great Depression.\u201d
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\n\u201cThat\u2019s not enough for me,\u201d the president-elect shot back. \u201cI\u2019m not going to be defined by what I prevented.\u201d<\/p>\n

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\nThat attitude defined Obama\u2019s first two years in office, which featured the most energetic flurry of legislation since the Great Society. He wanted to do stuff, not just avoid stuff. He wanted to be a Ronald Reagan of the left. And he elieved, as Emanuel put it, that the crisis would be a terrible thing to waste..\u00a0Obama began with a stimulus larger than the entire New Deal in real dollars. Widely ridiculed as Porkulus at the\u00a0time, it is now widely credited by economists with helping to end the Great Recession with short-term economic adrenaline: record aid to the vulnerable that directly boosted 13 million Americans out of poverty; record aid to states that averted 300,000 teacher layoffs; hard-hat projects that upgraded 42,000 miles of road, 2,700 bridges and 6,000 miles of rail; and roughly $300 billion\u00a0worth of tax cuts for businesses and families.
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\nBut with little fanfare, the stimulus also poured cash into Obama\u2019s long-term agenda for reshaping\u00a0the country. It transformed the U.S. clean-energy sector, blasting an astonishing $90 billion into renewables and other long-neglected green priorities, while birthing a new research agency called ARPA-E.<\/a><\/span> The only investment that got much press was a failed $535 million loan to a solar manufacturer called Solyndra, but that same loan program financed nine of the world\u2019s largest solar farms, among other projects; the overall portfolio is thriving. The green stimulus helped quadruple U.S. wind power, put the first 400,000 electric vehicles on American roads and began a low-carbon transition that helped the United States lead the push for a bold global climate deal in Paris.
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\nMeanwhile, the Race to the Top competition had an even faster impact on education, inspiring almost every state to embrace at least some of Obama\u2019s preferred K-12 reforms\u2014removing caps on charter schools, expanding testing,<\/p>\n

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\nIn the same vein, a $25 billion incentive program in the stimulus for health information technology has helped drag a pen-and-paper medical system into the digital age, with adoption soaring from about 10 percent of hospitals and 20 percent of doctors in 2008 to about 80 percent of hospitals and 80 percent of doctors today. E-prescriptions are ubiquitous, and digitization is already reducing fatal errors and unnecessary tests caused by sloppy handwriting and inaccessible files. There have been problems getting electronic systems to talk to each other, sparking a backlash of sorts from irritated doctors, but Farzad Mostashari, Obama\u2019s former health IT czar, is confident online medicine will inevitably produce the efficiencies common in online banking and dating. He says the griping reminded him of Louis C.K.\u2019s \u201cEverything\u2019s Amazing, Nobody\u2019s Happy\u201d riff, where the comedian mocks airline passengers who whine about slow Wi-Fi instead of appreciating the miracle of flight.
\n\u201cCome on, in five years, we changed an approach that had been dominant in medicine for 4,000 years,\u201d Mostashari says.
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\nThe stimulus also offered an introduction to Obama-ism. Purity was not a priority. He needed three GOP senators to avoid a filibuster, so he caved to their demands, including an $800 billion cap and the removal of a $10 billion initiative to renovate America\u2019s schools. But popularity was not a priority either. He constantly browbeat his policy advisers to tell him what would work and leave the politics to him. He expected his wonks and hacks\u2014what Emanuel dubbed his Aspen Institute and Tammany Hall\u2014to stick to their respective knitting.
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\nBut Obama\u2019s guiding political assumption\u2014that data-driven, evidence-based policy, at least in its center-left form, would inevitably turn out to be good politics\u2014ended up being seriously flawed. A stark example from the stimulus was Making Work Pay, an $800 tax cut for most workers. His economists wanted to dribble out the cash to recipients a few dollars a week in their paychecks, because studies showed they would be less likely to spend the windfall if they realized they were getting it. His political advisers argued that it would be insanity to conceal middle-class tax cuts rather than send Americans fat envelopes with Obama\u2019s name on them. But Obama sided with his policy team, and later surveys showed that less than 10 percent of the public had any clue he had cut their taxes.
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\nThe stimulus, the Tammany Hall types joked, was Crafted by Economists, Implemented by Wonks, Beloved by None. And it was not Obama\u2019s only crisis response whose policy results outstripped its political reputation. His much-maligned auto bailout rescued General Motors and Chrysler from bankruptcy and helped revive the industrial Midwest. Geithner\u2019s widely mocked stress tests for big banks stabilized a financial system that was still on the edge of collapse despite Bush\u2019s Wall Street bailouts. One recent study concluded that without the government\u2019s suite of emergency measures, GDP losses would have tripled and unemployment would have soared to 16 percent.<\/p>\n

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\nYet those very emergency measures fueled the anti-government Tea Party on the right, while convincing many on the left that Obama cared more about Wall Street than Main Street. Those beliefs did not seem to change much even after Obama went on to push comprehensive Wall Street reforms through Congress, while helping to craft aggressive new international financial rules known as Basel III. It\u2019s hard to explain how a barrage of inside-baseball reforms like enhanced capital and liquidity requirements, \u201cliving wills,\u201d \u201corderly resolution authority,\u201d \u201cSIFI surcharges\u201d<\/a><\/span> and a new oversight body known as \u201cFSOC\u201d <\/a><\/span>have reduced the risk of future bailouts, but the bottom line is that financial behemoths no longer enjoy much of a \u201ctoo-big-to-fail subsidy.\u201d They used to borrow at much lower rates than small banks because lenders correctly assumed the government would rescue them in a panic. Not anymore. And Obama\u2019s new consumer bureau may be the most influential new regulatory agency since the EPA, already collecting more than $10 billion in fines from financial players that used to enjoy relative impunity.<\/p>\n

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\nNevertheless, Republicans have savaged Obama\u2019s financial policies as a command-and-control assault on free enterprise that will inevitably lead to more bailouts. Many liberals have dismissed them as a craven sellout because they didn\u2019t break up the mega-banks. And if Obama was disappointed by the public\u2019s lack of appreciation for his role in ending the financial crisis and reducing the risk of another one, well, the public hasn\u2019t been too enthusiastic about the signature achievement that bears his name, either.
\n***<\/p>\n

Obamacare has unleashed America\u2019s biggest expansion of health care access<\/strong> since the creation of Medicare and Medicaid. It has already extended medical coverage to some 18 million uninsured Americans. It also closed loopholes that insurers used to deny coverage to insured Americans when they got sick. And it eliminated co-payments<\/a> <\/span>for quit-smoking programs, birth control pills, certain cancer screenings and other preventive care. As Obama has suggested, it\u2019s what he was talking about when he talked about change.
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\nBut behind the headlines about access, Obamacare had another set of even more transformative goals for the system. For years, U.S. health inflation had far outpaced general inflation, inflicting crushing burdens on patients and companies while gravely threatening the federal government\u2019s budgetary future. America\u2019s long-term fiscal problems were almost entirely health care problems, and Obama was determined to \u201cbend the cost curve\u201d of Medicare and Medicaid spending projections that were sloping upward at a scary angle.
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\nHe faced two obstacles, the first political. \u201cControlling costs\u201d sounded like a euphemism for rationing care, and GOP opponents made Obamacare sound like a plot to pull the plug on granny, portraying an independent board that could recommend cost-effective tweaks to Medicare as a bureaucratic \u201cdeath panel.\u201d And many Democrats preferred the giveaway provisions expanding access\u2014one Obama aide called them \u201ccandy for the left\u201d\u2014to the spinach-like takeaways that threatened to reduce income for doctors, hospitals and other influential lobbies.
\nThe other obstacle to cost control was that no one was sure how to do it. There were dozens of ideas floating around, like reduced Medicare reimbursements to providers, increased competition that could drive down prices, and incentives to promote home visits and generic drugs. The holy grail was finding alternatives to the longstanding fee-for-service system that rewards providers for providing more care instead of better care, like \u201cbundled payments\u201d to a single provider to cover entire medical episodes, or \u201caccountable care organizations\u201d that would receive fixed payments to coordinate care for specific patients. But no one knew whether any of those approaches would work, because none of them had much of a track record.
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\nObama insisted on including almost all of them. Less than one-fourth of the bill was devoted to access. The rest was stuffed with almost every cost-control idea in circulation, from new competitive bidding rules for wheelchairs to a government Innovation Center to test new payment models to a \u201cCadillac tax\u201d on pricey employer-sponsored plans. \u201cWe did a smorgasbord of just about everything people thought could conceivably help,\u201d says Peter Orszag, Obama\u2019s former budget director.
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\nAnd so far, the cost curve is bending even faster than White House officials had dreamed. Health care is still getting more expensive, but since 2010, the growth rate has slowed so drastically that the Congressional Budget Office has slashed its projection<\/a> <\/span>for government health spending in 2020 by $175 billion. That\u2019s enough to fund the Navy for a year, or the EPA for two decades. \u201cWe wanted to throw a whole bunch of stuff against the wall to see if any of it would stick, which probably sounded bogus,\u201d Orszag says. \u201cBut if these results continue, they\u2019ll fundamentally change the fiscal trajectory of the country.\u201d
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\nSome of the see-what-sticks cost experiments also seem to be improving care. One recent report found that infections and other \u201chospital-acquired conditions\u201d have declined 17 percent since 2010, when Obamacare created financial incentives for hospitals to avoid them. That reduction saved an estimated 87,000 lives<\/a><\/span> and $20 billion. A similar effort to incentivize better management of discharged patients has coincided with a decline in hospital readmission rates that\u2019s keeping 150,000 more Medicare patients at home every day, according to Meena Seshamani, director of the administration\u2019s Office of Health Reform.
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\nUnder Obamacare, about one-fifth of Medicare patients have already shifted into alternatives to fee-for-service, and the goal is to get half the system paying for value rather than volume by 2018. Maryland\u2019s hospitals are now paid through \u201cglobal budgets\u201d that include outpatient care, so they no longer have incentives to admit patients just to keep their beds full. A recent New England Journal of Medicine<\/em> article<\/a><\/span> found the state\u2019s hospital costs increased at less than half the expected rate in the program\u2019s first year, saving Medicare $116 million. There are signs that Obama\u2019s convoluted jumble of changes may be starting to rationalize an irrational system. Patrick Conway, the director of the new innovation center, told me about a new Independence at Home experiment that coordinates nurse and doctor visits for frail and disabled patients\u2014and saved Medicare $3,000 per beneficiary<\/a> <\/span>in its first year. One elderly diabetic who had 19 hospitalizations the previous year had only one after enrolling in the program.
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\nObamacare remains largely unloved, even though periodic Republican efforts to repeal it are unpopular, too. GOP critics have hammered away at Obama\u2019s false promise that all Americans who liked their plans would be able to keep them, at an Obamacare adviser who suggested voters were stupid, at the fiasco with its website, at the unpopular \u201cindividual mandate,\u201d at problems with exchanges and co-ops and other new planks of reform. Patients have complained about high deductibles and heightened uncertainty; many providers are unhappy about reduced reimbursements; a frenzy of mergers is reshaping the entire industry. The recent bipartisan budget deal suspended the Cadillac tax, as well as Obamacare\u2019s tax on medical devices\u2014setbacks for cost control. Meanwhile, much of the left is still upset that Obama didn\u2019t push for the \u201cpublic option,\u201d a government-run insurer that could have helped cut costs by competing with the private sector but that didn\u2019t have 60 votes in the Senate.
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\nThe result of all this dissatisfaction with Obamacare, as well as the Obama recovery and Obama\u2019s financial reforms, was a Republican landslide in the 2010 midterms, returning the House to GOP control. In a divided government, the president no longer had the power to advance his agenda through legislation\u2014and his opposition had no interest in helping him.
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\nBut he was still president.
\n***
\nWashington is obsessed with the White House bully pulpit,<\/strong> but that\u2019s not what\u2019s driven change in the Obama era. Obama has certainly had memorable rhetorical moments: his rendition of \u201cAmazing Grace<\/span>\u201d<\/a> in Charleston, his meditation on civil rights in Selma, even his observation that Trayvon Martin could have been his son. Polls suggest his \u201cevolution\u201d on gay marriage helped build popular support, and his rainbow-lit<\/a><\/span> White House after the Supreme Court upheld it was powerful symbolism. Some Americans have surely been inspired by Obama\u2019s history-making firsts: appointing the first female Fed chair, the first drug czar in recovery, the first gay Army secretary, the first transgender White House staffer, the first black man and woman to serve as attorney general and, of course, the fact of his own skin color. His aides also argue some of his bully-pulpit crusades have inspired change outside Washington. For example, 21 states raised their minimum wages after Obama elevated the issue.<\/p>\n

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\nBut his minimum-wage push stalled in Congress, as did his public pushes for universal pre-K, free community college and paid parental leave. Obama made some of his most eloquent speeches after the massacres in Tucson, Newtown and Charleston, but the gun control bills he pushed went nowhere. He simply lacked the votes. The same problem stalled his American Jobs Act, a package of tax cuts, infrastructure projects and other goodies he announced in a prime-time address to Congress in 2011. Pundits had been scolding him for neglecting his bully pulpit, so he embarked on a national barnstorming tour to build support, leading crowds in chants of \u201cPass the bill!\u201d Congress did not pass the bill.
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\nObama\u2019s aides sometimes wondered if his outspoken advocacy for his priorities made them less likely to happen, since supporting Obama\u2019s priorities was dangerous politics for the GOP. That\u2019s why he took the opposite approach to immigration reform, keeping relatively quiet so that Republicans who considered him toxic wouldn\u2019t reflexively reject reform. But again, nothing happened, because, again, reform lacked the necessary support in Congress. The outside game has been vastly overrated in the Obama era. For all the change he\u2019s driven, there hasn\u2019t been much in the hearts-and-minds arena.
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\n\"90-3\"Instead, Obama has relied on the inside game. Since 2011, that\u2019s meant executive orders, regulations and other unilateral actions. The president no longer had a friendly Congress, but he still controlled the executive branch, the vast bureaucracy responsible for the actual workings of government. He couldn\u2019t pass a law requiring employers to provide paid sick leave, but he did issue an executive order requiring federal contractors to do it. He protected the world\u2019s largest marine reserve in the Pacific Ocean and 19 other national monuments without any input from Congress. His agencies have auctioned off public spectrum to improve mobile broadband access, created a \u201cmyRA\u201d to help Americans without pensions save for retirement and pushed through a \u201cgainful employment rule\u201d cracking down on colleges whose former students have high debt levels and low incomes, a rule that\u2019s already decimating the for-profit education industry. \u00a0Now his administration is finalizing a \u201cfiduciary rule\u201d<\/a> <\/span>that will require financial advisers to serve the best interest of their clients, and changing overtime rules to ensure that firms can\u2019t deny time-and-a-half to workers making less than $50,000 a year by classifying them as managers. And he just announced a new effort to expand background checks for gun purchases, a modest attempt to achieve through executive action what he could not through legislation.
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\nWhile his slogans have varied<\/a><\/span>\u2014\u201cwe can\u2019t wait,\u201d \u201cpen and phone,\u201d \u201cYear of Action\u201d\u2014his incremental move-the-needle strategy hasn\u2019t. It just became more obvious in 2015, when Republicans took back the Senate and he began joking about his \u201crhymes-with-bucket list.<\/span><\/a>\u201d The day after the election, in a low-key not-quite-pep talk that was quintessential Obama, he told his staff to take an hour to mope, then get back to work.\u00a0\u201cWe still run the largest organization on the planet, with the largest capacity to do good,\u201d he told them.\u00a0Obama\u2019s most aggressive uses of Washington\u2019s levers of power have involved energy, most visibly his Climate Action Plan to avoid 6 billion metric tons of carbon through 2030. Its highest-profile element is his carbon rule for power plants, which aims to slash power-sector emissions by 32 percent. But a slew of lesser-known restrictions on soot, mercury, sulfur dioxide, smog and other coal-fired pollutants have already helped force nearly one-third of America\u2019s coal plant capacity into retirement, getting the sector more than halfway to its carbon goal before the carbon rule was even announced. The stimulus-launched clean energy revolution is also helping; the administration has already approved 57 renewable power projects on federal land, 57 more than every previous administration combined.
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\nHowever, the most ambitious plank of the Climate Action Plan<\/a>,<\/span> accounting for half of its emissions goals, has been practically invisible. It\u2019s an energy efficiency effort known as \u201cappliance and equipment standards.\u201d It\u2019s on track to slash 3 billion tons of emissions by 2030; that\u2019s the equivalent of taking every car off America\u2019s roads for two years, or shutting down every power plant for a year and a half\u2014a striking behind-the-scenes example of the Obama administration taking matters into its own hands.
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\nSince 1979, the Department of Energy has set standards to cut energy waste from all kinds of products sold in the United States, reducing electricity consumption while saving consumers money on utility bills. The standards have worked; the average refrigerator sold today, though considerably bigger and cheaper than 1970s models, uses one-fourth as much power. But the program sputtered to a virtual halt in the Bush administration. In his third week as president, Obama visited DOE and pledged to wipe out the growing backlog of overdue standards. \u201cWe\u2019ll lead a revolution in energy efficiency,\u201d he said. He talked about efficiency with such enthusiasm while the economy was falling apart that Jon Stewart did a riff on The Daily Show making fun of the president\u2019s priorities. At an event at a Home Depot later that year, the president actually declared energy efficiency \u201csexy.\u201d
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\nDOE has responded by completing new standards for 39 separate products, from pool heaters to clothes dryers. It finalized more than twice as many rules in 2014 as it finalized during the entire Bush administration, and it still hopes to complete as many as 20 more. Obama\u2019s new standards for industrial motors and fluorescent lighting have each produced record electricity savings\u2014and the upcoming rule for commercial air conditioners will surpass them by far. Most of the new rules even drew support from the manufacturers who must comply, although lately they have pushed back.<\/a><\/span><\/p>\n

.
\nThat\u2019s because DOE\u2019s rule-making pace has gone from hectic to frantic since Obama made the standards so central to his climate plan. One industry official told me the regulatory process since then has been \u201can I Love Lucy-type conveyor belt.\u201d Ernest Moniz, Obama\u2019s second-term energy secretary, oversaw appliance standards as a DOE official under President Clinton, and he\u2019s made it abundantly clear they\u2019re a top priority now.
\n\u201cThey\u2019re hell-bent to ram through as many rules as they can, as fast as they can, at the highest levels they think they can justify to a judge,\u201d says Stephen Yurek, president of the Air Conditioning, Heating and Refrigeration Institute. But like it or not, the barrage of strict new rules is a key reason why U.S. power demand, after decades of growth, is now virtually flat, averting the need for new plants while saving consumers billions of dollars.
\n.
\n\"90\"The rules are just part of a larger efficiency crusade that included more than $15 billion worth of stimulus investments; a leap in automobile fuel-efficiency standards to 54.5 miles per gallon by 2025 along with the first-ever fuel standards for heavy trucks; and an intensive effort to green the government and cut federal emissions 40 percent. Obama has authorized $2 billion in contracts for agencies to pursue green retrofits financed by future energy savings, which have helped reduce federal energy use to its lowest level in 40 years\u2014while avoiding the need for congressional approval. There\u2019s been a special focus on greening the Pentagon, where leaders like Navy energy chief Vice Admiral Dennis McGinn (ret.), former head of the American Council on Renewable Energy, and Air Force energy chief Miranda Ballentine, former head of sustainability at Wal-Mart, are getting the world\u2019s single largest consumer of energy to consume a lot less of it. Ballentine says the Air Force has already cut its carbon footprint 21 percent since 2008, through changes like LED-lit runways and fuel-efficiency upgrades for a fleet of jets larger than all U.S. airlines\u2019 combined.<\/p>\n

.
\n\u201cThere weren\u2019t many places where I could have a bigger impact than Wal-Mart, but it doesn\u2019t get bigger than this,\u201d she says.
\n***
\nSo, yes, lots of change<\/strong>. Healthier school lunches. A ban on \u201clight\u201d cigarettes. Streamlined financial aid forms that take college applicants 20 minutes to complete instead of an hour. Reduced sentencing disparities between crack and powdered cocaine. A popular new competitive grant program called TIGER for innovative transportation projects. Immigration enforcement that prioritizes dangerous felons rather than ordinary families. The Lilly Ledbetter Fair Pay Act easing gender discrimination lawsuits. New rules requiring fast-food restaurants to post nutritional information. The percentage of student borrowers getting relief through through \u201cincome-based repayment\u201d has tripled in just the past two years. George W. Bush\u2019s tax cuts are gone for families earning more than $450,000 a year and permanent for everyone else; Bush\u2019s limits on stem-cell research are gone, too. Medicare will now cover end-of-life planning discussions, a shift that could help ease the pain, as well as the cost, of many American deaths. And data and evidence have been so central to Obamaworld policymaking that a former Republican congressional staffer, Brookings Institution scholar Ron Haskins, has written a paean titled Show Me the Evidence: Obama\u2019s Fight for Rigor and Results in Social Policy.
\n.
\nBut any evaluation of Obama\u2019s policy legacy has to grapple with the fact that it\u2019s been a political debacle for most Democrats who aren\u2019t named Obama. The GOP now has an iron grip on the House and a solid majority in the Senate; compared with 2009, there are 10 additional Republican governors and some 900 additional Republican state legislators. This isn\u2019t just a political problem: It had an instant impact on his agenda\u2014for example, crippling his vision for a national high-speed rail network. America\u2019s first bullet train was supposed to be operating by now in Florida, but after riding a Tea Party wave into office in 2010, GOP Governor Rick Scott killed the project. And congressional Republicans have refused to approve a penny for high-speed rail since then.<\/p>\n

.
\nThe resurgent Republicans made spending cuts their top priority, threatening to shut down the government or force it into a catastrophic default if Obama didn\u2019t agree to a retrenchment. He grudgingly accepted a deal that included the deep cuts known as the \u201csequester,\u201d reducing discretionary spending to its lowest levels since the Eisenhower era. That fiscal squeeze, along with Obama\u2019s tax hikes and the economic recovery, has helped reduce deficits from an unsustainable 10 percent of GDP to a relatively stable 3 percent. But it also threatens the future of Obama\u2019s progressive project\u2014things like infrastructure and health care and education cost money.
\n.
\nOf course, if a Republican succeeds Obama with a Republican Congress in place, the likely result would be far deeper spending cuts. The GOP candidates have proposed trillions of dollars\u2019 worth of tax cuts as well, and they all hope to roll back Obamacare, Wall Street reform and the EPA\u2019s carbon rule. Really, they hope to roll back the entire Obama era.<\/p>\n

.
\nBut that might not be doable anymore. It\u2019s easier to prevent people from getting stuff than it is to take away stuff people already have, and even if Republicans gain full control of Washington, there are signs that they would be reluctant to kick 15 million people off health insurance and remove Obamacare\u2019s insurance protections for everyone else. It\u2019s also unclear that they would be able to reverse the ongoing shift in the health care system from paying for volume to paying for value\u2014or that they would want to. Similarly, the GOP candidates would certainly be less inclined to enforce carbon regulations. But it\u2019s tough to see how they could reverse the larger trends toward cleaner energy that began during the Obama era, as dirty power gets more expensive and clean power gets cheaper. If one lesson of the Obama era is that doing stuff in Washington is hard, another is that undoing stuff is even harder.<\/p>\n

.
\nNevertheless, 2016 will be in part a referendum on the Obama era, even if the Democratic nominee is named Clinton, even in the increasingly unlikely event the GOP nominee is named Bush. The Republicans are already running against Obama, attacking his big-government, anti-business, climate-obsessedways. And Hillary Clinton has, at times warily, made the case that economic indicators have improved under Obama, which is true. Unemployment has dropped from a peak of 10 percent in 2009 to 5 percent today. House Speaker Paul Ryan recently called this \u201cthe illusion of success,\u201d but if it is, it\u2019s an illusion that includes fewer uninsured, a better housing market and a vastly improved fiscal outlook.
\n.
\nStill, that raises a question: If the Obama brand of change is so great, why haven\u2019t more Americans embraced it? Does he have a larger \u201cEverything\u2019s Amazing, Nobody\u2019s Happy\u201d problem?
\n.
\nWhen I put this to Obama\u2019s political aides, they acknowledge everything isn\u2019t amazing, especially middle-class wage growth, but they also say plenty of Americans are happy. The president\u2019s approval ratings are hovering just below 50 percent, better than any 2016 candidate\u2019s in this era of rigid partisan polarization. And in their focus groups, Americans respond much more positively to Obama and his achievements when they\u2019re reminded that he inherited an economy contracting at a minus 8 percent annual rate.
\n.
\nThat said, Obama\u2019s Change We Can Believe In is clearly less resonant today than it was as an alternative to Bush in 2008. In a recent GQ interview <\/a><\/span>with Bill Simmons, Obama blamed this on bad salesmanship, saying he wished he had communicated better early in his presidency. \u201cI think a certain arrogance crept in, in the sense of thinking as long as we get the policy ready, we didn\u2019t have to sell it,\u201d Obama said. \u201cOne thing I learned through some tough election cycles: You can\u2019t separate good policy from the need to bring the American people along and make sure that they know why you\u2019re doing what you\u2019re doing.\u201d
\n.
\nWith all due respect, that\u2019s bogus. I\u2019ve done tons of reporting on Obama\u2019s early presidency, and while his team was focused on policy, nobody in the White House thought they wouldn\u2019t have to sell it. And they tried to.
\n.
\nIt just didn\u2019t sell. The question is why, a question I can\u2019t answer, but a question that matters for 2016. At the time, there were all kinds of internal debates about messaging\u2014how much to blame Bush, how much to promise, how much to talk about jobs while jobs were still disappearing, how much to dance in the end zone once the policies seemed to be working but people were still hurting\u2014and none of them has ever been resolved.
\nBut one possibility, a troubling one for Hillary Clinton and the Democratic Party, is that Obama\u2019s activist policies poll badly because people just don\u2019t like them. I thought about this after Obama\u2019s recent Oval Office address about terrorism, when the media consensus seemed to be that he should have announced plans to Do More. Bush was a Do More president in foreign affairs, and by most accounts it didn\u2019t work out too well. But Americans seem to respond well when commanders in chief vow to Do More to keep them safe.
\n.
\nIn domestic affairs, however, Americans often react badly to promises to Do More. They seem to suspect that when government acts, it\u2019s probably acting to help someone else. It may be that, just as Americans wanted to Do Less abroad after Bush, they\u2019ll look for someone who will promise to Do Less at home after Obama.
\nThen again, if Democrats do manage to hold the White House, Obama\u2019s domestic legacy as a Do More guy will be safe. The prevailing media narrative of his era has been all about Washington paralysis, but the prevailing historical narrative is much likelier to focus on social and economic change, for better or for worse. For those of us who follow policy and politics in real time, that gap between perception and reality in the Obama era ought to be a BFD.
\n\"ruled\"\"rules2\"<\/p>\n

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reposted from\u00a0politico On March 23, 2010,\u00a0President Barack Obama signed the Patient Protection and Affordable Care Act, the 906-page health care reform law known as Obamacare. It was, as a live microphone caught Vice President Joe Biden exclaiming to his boss, a big deal, with Biden memorably inserting an extra word for emphasis\u2014and for history\u2014between \u201cbig\u201d […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-32507","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/teensleuth.com\/blog\/index.php?rest_route=\/wp\/v2\/posts\/32507","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/teensleuth.com\/blog\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/teensleuth.com\/blog\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/teensleuth.com\/blog\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/teensleuth.com\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=32507"}],"version-history":[{"count":5,"href":"https:\/\/teensleuth.com\/blog\/index.php?rest_route=\/wp\/v2\/posts\/32507\/revisions"}],"predecessor-version":[{"id":32545,"href":"https:\/\/teensleuth.com\/blog\/index.php?rest_route=\/wp\/v2\/posts\/32507\/revisions\/32545"}],"wp:attachment":[{"href":"https:\/\/teensleuth.com\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=32507"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/teensleuth.com\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=32507"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/teensleuth.com\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=32507"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}