Medicaid is in the Constitution

That’s a bold statement, and it’s inaccurate in the sense that if you read our Constitution you won’t find the word “Medicaid” in it. Medicaid is a federal program created in 1965 as part of a series of amendments to the Social Security Act of 1935. Here’s a quick, neutral definition of Medicaid from Wikipedia:

“Under the program, the federal government provides matching funds to states to enable them to provide medical assistance to residents who meet certain eligibility requirements. The objective is to help states provide medical assistance to residents whose incomes and resources are insufficient to meet the costs of necessary medical services. Medicaid serves as the nation’s primary source of health insurance coverage for low-income populations.

States are not required to participate. Those that do must comply with federal Medicaid laws under which each participating state administers its own Medicaid program, establishes eligibility standards, determines the scope and types of services it will cover, and sets the rate of payment. Benefits vary from state to state, and because someone qualifies for Medicaid in one state, it does not mean they will qualify in another.”

Millions of Americans rely on Medicaid (and the related Medicare) for medical care. All of them are poor–officially living below the poverty threshold as defined by the federal government. In 2017, for instance, the poverty threshold for a household of four people is $32,300. Most Americans who receive Medicaid are elderly. Many are disabled, many are veterans, many are children.

Medicaid, then, is a federal safety net like Social Security that is meant to maintain a basic standard of living for the poorest, oldest, and youngest Americans.

When the Affordable Healthcare Act (Obamacare) was passed, it required Americans to have health insurance. If someone lives below the poverty line, Medicaid pays for that insurance. To make this happen, the federal government offered all states more money for Medicaid.

18 states, all but two with Republican governors or legislatures, refused to take this extra funding for Medicaid. Some representatives of these states claimed they wanted to draft their own Medicaid “reform” legislation; others, like Maine’s governor LePage, claimed it was just an attempt by the Democratic party to create a “massive increase in welfare expansion.”

That word—“welfare”—has become a charged word in the U.S. Like “liberal”, which means “generous”, welfare is a positive word that has been given a negative meaning by its opponents. “Welfare” means “the good fortune, health, happiness, prosperity, etc., of a person [or] group”. You can see its English root pretty clearly: “fare” means “to experience good or bad fortune”; if you fare well, that’s good. Then you have welfare. We maintain this understanding when we tell people “farewell” when they leave on a trip. We want to wish them a good experience, safety, and happiness.

But conservatives who oppose any government spending on social safety nets turned our federal welfare system into a whipping boy in the 1980s, under President Reagan. The infamous “welfare queen” Reagan wowed audiences with—a woman who supposedly bilked the federal system to the tune of $150,000 a year—was used by conservatives to damn the program. They said people on welfare were lazy (code word for “black”), and that all hard-working, middle-class Americans (code words for “white”) were paying to support these people who laid around eating candy and watching TV all day. Why should they go get jobs? They were living the good life on our dime. If we got rid of welfare (shorthand for all federal safety net programs, from food stamps to subsidized school lunches to Head Start), the conservatives said, all of those people would have to go out and get jobs, and we’d all be better off.

To help make this happen, Reagan’s administrations cut funding to the programs, and subsequent Republican lawmakers and presidents continued this trend. They also began cutting taxes sharply under George W. Bush. With less money coming into the federal government, less money could go to states to support programs like Medicaid and SNAP (food stamps). States began to cut services, often by making the poverty threshold lower and lower.

These cuts in funding exacerbated the problems of the poor who depended on them. They also coincided with stagnating incomes, a stubbornly low minimum wage, and a forced shift of workers to part-time employment by companies that did not want to pay full-time wages or offer full-time benefits to make the traditionally poor even poorer, and to move working people who used to make enough money to live on into the poverty range, where they need federal assistance.

Despite the fact that “the poor” includes white people, people who are working, children, veterans, and elderly people who worked all their lives, conservatives today continue to slam “welfare” as a trap set by devious immigrants, blacks, and criminals to trick honorable working white people into giving away their money.

Welfare. Despite all of this recent effort to make it a bad word and an even worse idea, welfare actually is in the Constitution. Let’s revisit that famous Preamble (and sing it in our heads to the Schoolhouse Rock melody):

We, the People of the United States, in Order to form a more perfect Union, establish Justice, ensure domestic Tranquility, provide for the common defense, promote the general Welfare, and secure the Blessings of Liberty to ourselves and our Posterity do ordain and establish this Constitution for the United States of America.

“Promote the general Welfare”: that’s written into the fabric of our national identity, the purpose of our nation. One of our fundamental reasons for being is to ensure that every American has the full opportunity to experience the Blessings of Liberty. This is an idea that was first expressed by English settlers in 1630, when Puritan John Winthrop said, in what we call the “City on a Hill” speech,

…we must be knit together in this work as one man, we must entertain each other in brotherly Affection, we must be willing to abridge our selves of our superfluities, for the supply of others necessities, we must uphold a familiar Commerce together in all meekness, gentleness, patience and liberality, we must delight in each other, make others Conditions our own, rejoice together, mourn together, labour, and suffer together, always having before our eyes our Commission and Community in the work, our Community as members of the same body, so shall we keep the unity of the spirit in the bond of peace, the Lord will be our God and delight to dwell among us, as his own people and will command a blessing upon us in all our ways…

As we note in our original post, this is a beautiful passage, reminiscent of the Sermon on the Mount in its focus on mercy, kindness, sharing, and other selfless qualities. The Puritans will not succeed by harrying out the sinner or otherwise smiting evil, but by loving each other, caring for each other, and “abridging our selves of our superfluities, for the supply of others necessities” (that is, there will be equality of wealth, with no one living in luxury while others starve). They will delight in each other,  making others’ conditions their own, and they will do all this to create a natural community of faith.

That’s what America was still dedicated to in 1787 when the Constitution was written and ratified by popular vote. We dedicated ourselves to giving some of our own wealth to provide for others. We dedicated ourselves to “liberality”, meaning generosity. We dedicated ourselves to Community, to seeing ourselves as members of the same body, living in a unity of spirit.

In short, we committed ourselves to the “general Welfare”, as the Constitution says. Americans must remember this in an age where we are urged to believe that “rugged individualism” is our true creed, and urged to say “no one helped me so why should I help anyone else?” and “I take care of my own.” Medicaid, food stamps, subsidized school breakfasts and lunches, Social Security, and everything else slighted now as “welfare” are really avenues toward establishing and maintaining the general Welfare our Founders envisioned. No nation is rich if it refuses to create equality of opportunity for all its citizens. No nation ends poverty claiming it is a trick played on the nation by the poor. No nation but the United States made generosity a cornerstone of its political outlook and purpose. Let’s remember that, and live up to our own creed.

 

The Republican National Convention, Cleveland 2016 (and Charleston 1860)

As we write this, our fifth entry in our series on the serious and striking comparisons between the U.S. in the months (and years) before the 1860 presidential campaign and the 2016 presidential campaign, the Republican National Convention is just beginning in Cleveland. And so we turn to May 1860, and the Democratic National Convention that fell apart in Charleston, SC that month over sectionalism.

Again, our point of comparison between the 1860 and the 2016 presidential campaigns is sectionalism. In 1860, slavery drove sectional division north and south. In 2016, as we say in our first post,

Today’s sectionalism, then, represents a divide between liberals and conservatives that seems as strong as the divide between North and South ever did. Liberals and conservatives are found in every geographic region of the country, which means there is no region that serves as a safe haven for either…

Sub out “slavery” for “gun control”, “immigration”, or “religious freedom”, and you find that the language used in the 1860 campaign is strangely similar to the language used so far in the 2016 campaign.

The 2016 Republican convention has just begun, so we cannot compare it fully to the 1860 Democratic convention, but the anticipation that there will be some measure of delegate revolt against Donald Trump at the Republican convention this week, and perhaps a real fight to ensure his official nomination as many Republicans skip the convention, and some delegates lobby for the right to set aside the commitment they made during the primaries to vote for Trump, and others predict that a last-minute alternative candidate will be presented during the convention all lead us to think of the collapse of the 1860 Democratic convention.

It could be that none of the things we describe will happen this week, and the Trump nomination will be seamless. But let’s take a look at what can happen when a convention is torn apart by sectionalism.

In 1860, the Democratic party was perilously divided between proslaveryites and antislaveryites. The Whig party had already dissolved over the issue, as slavery divided its members and made compromise on that or any other issue impossible. Now the Democratic party faced the same threat: could it unite behind a candidate to run against the new Republican party? Stephen Douglas, the author of the Kansas-Nebraska Act that destroyed the Compromise of 1850 by allowing people in any territory, regardless of geography, to vote on whether they would enter the Union as a free or a slave state, was the presumptive nominee going into Charleston.

But Southern proslaveryites were not satisfied with Douglas, because to get re-elected in free Illinois in 1858, Douglas had had to backtrack on the KNA that free Illinoisans hated by coming out against the Dred Scott decision in which the Supreme Court stated that not only were black Americans not U.S. citizens, but they never could be, and slavery could never be abolished by the U.S. judicial or legislative systems.

At the Charleston convention, U.S. Rep. William Yancey of Alabama, a violent proslaveryite, led a protest of the Douglas candidacy by representatives of seven deep-South states who formed a caucus within the party that re-wrote the Democratic presidential platform to be aggressively pro-slavery. They knew Douglas could not accept the nomination on those terms.

The rest of the delegates went on with the nomination process, but they could not reach the necessary two-thirds majority for Douglas, in part because the party chairman Caleb Cushing insisted that the proslavery caucus that had withdrawn from the convention had to be counted. Without those delegates, Douglas could not get a two-thirds majority of all delegates. On May 3, the convention was dissolved, and rescheduled to try again in Baltimore, MD, six weeks later.

In the end, the Democratic party could not recover from the divide driven into it by slavery. 110 proslavery delegates walked out of Baltimore. The remaining moderates nominated Douglas, while the fire-eaters who left created their own “Southern Democratic” party and nominated John C. Breckinridge of Kentucky. (Adding to the chaos was one more candidate: former Whigs created the Constitutional Union party and nominated John Bell; their only platform was to keep the Union together in the face of civil war over slavery.)

On May 4, the day after the Charleston convention folded, the New York Times featured a bitter editorial:

The Charleston Convention has abandoned the attempt to nominate a Democratic candidate for the presidency. …The contest between the two sections of the Union has at last penetrated the Democratic party and rendered it impossible for the two wings to agree upon a declaration of principles. When the majority adopted its platform the minority seceded. Thereupon the delegates who remained, and constituted the rightful Convention, resolved that a vote of two thirds, not of the actual body, but of the whole original number, should be essential to a nomination. In other words, the seceders were still to be counted, and to have all their original weight as members of the Convention! Upon what ground of reason or of common sense the majority, and especially the delegates from this State, thus put themselves bound hand and foot into the power of the seceding minority, it is not easy to conjecture. The result was to give the South the victory. They have controlled the Convention, and prevented the nomination of any candidate. Whether on reassembling at Baltimore they will harmonize their differences remains to be seen.

The disruption itself is a fact of very  marked importance, not only in the history of political parties but in of the country itself. It seems to sever the last link of nationality in the political affairs of the Union. When all other organizations have been gradually giving way, one after another, to the pressure of sectionalism, timid and conservative men have fallen back upon the national position of the Democratic Party, and felt that so long as this was maintained the Union would be secure. The first effect of this Charleston split will be to alarm this class by the dread of immediate dissolution.

Some of the Republican journals refer to this incident as only another proof of the “irrepressible conflict” between Freedom and Slavery—and as showing that the contest must go on until one or the other is extirpated. If we believed this to be the true view of the question, we too should despair of the Union. But we do not. We do not believe that the conflict is between Slavery and Freedom… we regard the struggle as one for political power—and Slavery as playing merely a secondary and subordinate part on either side. Unquestionably, thousands of Northern men seek the overthrow of Slavery, and thousands of Southern men seek its permanence and extension, as the aim of their political contests.But both would be disappointed. Neither class would reap the advantage which it anticipates from victory.

…The South believes sincerely that the North seeks power in order to crush Slavery. In our opinion it denounces Slavery mainly that it may acquire power.

The editorial goes on to say that power is unstoppably passing from South to North and the South needs to accept the new order since the North has no intention of abolishing slavery in the South (only in the territories). This power shift is only fair, the editorial claims, since the South has had all the power in Washington for too long, and now it’s the North’s turn. That’s the gist of the article—that the slavery issue is just a tool Northerners can use to restore an equitable balance of power in the nation.

This editorial is remarkable in many ways. Its description of Americans clinging to the hope of party unity in the face of mounting irreconcilable differences in society and politics rings true to us today, as we see desperate attempts to unify the Republican party behind a candidate who does not represent most Republican principles, and as we see Democrats desperately trying to unite the party behind Clinton after the excitement and revolutionary flavor of Sanders’ campaign. We must have party unity at all costs in our divided nation, or the last traditional political big tents will be gone, and with them the last vestiges of people with different opinions being able to find common ground and work together nationally.

The claim of the editorialist that slavery really has nothing to do with the battle between North and South is an intelligent insight that is almost correct. He is saying that people who want power will ride any bandwagon to get it, and that if slavery is the issue that you can use to gain power, people will use it even if they could not care less about slavery itself. Politicians can rise to power by taking a stand on slavery and making slavery the top issue—all while never doing anything to actually impact slavery by abolishing or expanding it. That’s what the writer means when he says stopping or extending slavery is merely “the aim of their political contests”, and that both sides would be disappointed if they won the battle, because if the battle ended there would be no way to ride to power anymore.

This is certainly true. We see politicians today taking strong stands on social issues simply because this will make them well-known and get them elected. The many instances of “family values”, “Christian values” candidates who have been found having affairs with women or with men, or being involved in corruption, or simply changing sides to join the family and Christian values vanguard when it became powerful enough to benefit them make this clear. If, for example, the right to abortion was suddenly no longer challenged, many politicians would no longer have a political identity and would have to find another divisive issue pronto on which to make their name.

But the editorialist is wrong in another sense. Slavery was really an issue and the breakup of the Democratic party was really caused by slavery and the breakup of the Union and the war that came were really about slavery. The editorialist will not admit that people actually cared about slavery because if he does, he must admit that war is coming, and he does not want to do that. The only way breaking up the 1860 convention could give the seceders power was if they knew that their constituents cared enough about slavery to support them walking out of the Charleston convention, and cared enough about slavery to split the party in an election year.

Those constituents cared about slavery as a political issue because they cared about it personally—as something within their society every day. They supported slavery, for a variety of reasons. Yes it’s true that the strong majority of Southerners did not enslave people. But that doesn’t mean they did not support slavery, as the basis of their economy, as a regional tradition, as a way to reserve political power to whites, etc. To say that slavery was just a word politicians used was wrong.

And the same is true today. Many people cling to the notion that America is not really divided, that politicians are just sowing division as a concept they can trade on. This was originally the case, when neo-conservatives began to sow that division in the late 1970s. By now, 40 years later, the division is real. It is flowering and bearing seed in every state as people who have been told for decades that the federal government is their enemy and that it should be overthrown take their chance to do so.

We can’t say what will happen this week in Cleveland. But we anticipate that the editorials written after it closes will bear close reading to see how much they echo the writer of 1860.

Next time: a tie between the 2016 Republican convention and the second 1860 Democratic convention

The Kansas-Nebraska Act: 1854 and 2016

Our first comparison in our series examining the serious and striking comparisons between the U.S. in the months (and years) before the 1860 presidential campaign and the 2016 presidential campaign goes back a little to an article about the passage of the Kansas-Nebraska Act in 1854.

As you recall, the KNA overthrew the Missouri Compromise (1820) that established a line at 36°30′ north of which all states entering the Union would be free, and south of which would be slaveholding states. Stephen Douglas, the Democratic author of the KNA, wanted Nebraska to enter the Union free, but the territory was so large it extended south of the compromise (or, better put, appeasement) line and Southern Congressmen refused to let it enter as free. So Douglas split the territory in two, creating the Kansas Territory to be a potential southern state. Anticipating a howl of outrage from northern members of his party at turning part of a free territory into a slave territory, Douglas then proposed that the people of each territory be allowed to decide for themselves, in a vote, whether to enter the Union free or slave (this was called popular sovereignty).

The legacy of that decision is infamous in U.S. history. People who lived in other states went to Kansas to swing the vote, and violence between proslavery and antislavery interlopers gave the territory the name Bleeding Kansas. Abolitionist John Brown got his start in Kansas as an antislavery interloper who led a small militia that killed proslavery interlopers.

In 1854, when the KNA was passed, the nation was divided once again along sectional lines, and now we come to our comparison with 2016. As we said in our opening post,

Today’s sectionalism, then, represents a divide between liberals and conservatives that seems as strong as the divide between North and South ever did. Liberals and conservatives are found in every geographic region of the country, which means there is no region that serves as a safe haven for either…

When we read one of the many New York Times‘ editorials on the KNA, it rings eerily familiar. Substitute in “gun control” or “immigration”, or “war on Christianity” for “slavery”, or “liberal” for “Northerner” and “conservative” for “Democratic” and it could be an account of Congress in 2016:

Popular indignation at the passage of the Nebraska bill finds vent in various projects, some wise and some otherwise. …Cassius Clay [abolitionist and one of the founders of the Republican Party] proposes that every body who voted for the bill shall be treated to a social as well as a political crucifixion—and seeks to prepare the country for a dissolution of the Union. [Abolitionist William Lloyd] Garrison [seizes] the opportunity to push [a] program of dissolving the Union and breaking down the Constitution. We hear men a good deal more sensible than any of these proclaiming their hatred of all compacts [agreements] which bind us to the Slaveholding interest, and declaring they will keep no faith with them.

…The champions of the [KNA] know perfectly well that they have acted in direct opposition to the popular will. The originators of the iniquitous measure have for months been as clearly persuaded that the great sense of the country is against this outrageous breach of honor and good faith, as they are of their own existence, yet they have accomplished it through recreant Northern votes. These Northern traitors prating Democratic cant have gone deliberately against what they knew to the the mind of the North. The smallest fraction of decent regard to honor and propriety would have led them to put it over till the sense of the country could be tested by another election. They were chosen to vote on no such question. Its coming up was not dreamed of by the people at large. When it was sprung upon the country, there was but one consentaneous cry of indignation throughout all the Northern land, in which honest and honorable men of all parties joined.

…A large portion of the honest and honorable feeling of the South was against it too.The palpable indecency of driving it through under such circumstances, was doubtless as much a matter of distinct consciousness to the majority that perpetrated it, as to the minority that resisted it, as to the country that cried out against it. They did it because it was in their power to do it—they had the Might and that they knew was all the Right they had.

The clear and seemingly accepted sense of the nation being firmly divided into North and South, each with a plan for the nation that is utterly opposed to the other’s, and anyone who dreamt of bridging the gap lacerated as a villain—all these are bitterly familiar to Americans today. So is calling for a “political crucifixion” of anyone outside one’s own faction. And, increasingly, so is the threat of the nation splitting over political ideology.

The KNA truly was a terrible piece of legislation, which justified this kind of outrage and made it understandable to call those who supported it traitors without honor or propriety. The issues we face in 2016 do not match up. 1854 was about enslaving human beings and breeding them for sale. 2016 is about whether to let non-white (Latin American) and increasingly non-Christian (Muslim) immigrants into the country. 2016 is about whether every American should own and carry a gun, and whether transgender citizens possess civil rights. These seem like lesser issues that could be solved politically by drawing on our national legacy of always extending more and more civil rights to our citizens and future citizens.

But that’s what makes 2016 exactly like 1854 or 1860—there is a growing contingent of Americans who want to stop extending civil rights to all U.S. citizens and future citizens. They want to roll back civil rights in this nation and reserve them to the few: the native-born, straight, and Christian. That is a kind of slavery, and that’s why the 21st-century sectionalism of liberal v. conservative is as potent and dangerous as the 19th-century sectionalism over slavery ever was.

Next time: Trump and Brooks