America First or Trump First?

I was seeing a U.S. president put Russia first, not America first.

.. What’s the matter with you? I don’t know the definitive answer to that question, but I know that it will be an increasing problem as we enter Phase 3 of the Trump presidency.

.. Phase 1 saw Trump unhinged but bound — bound by Secretary of State Rex Tillerson, National Security Adviser H. R. McMaster, Defense Secretary Jim Mattis, Chief of Staff John Kelly and National Economic Adviser Gary Cohn. In Phase 1 Trump said and did plenty of crazy stuff, but these key aides limited the damage.

.. Phase 2 has seen Trump unhinged and unboundTrump has neutered Kelly, distanced himself from Mattis and sacked Tillerson, McMaster and Cohn. He replaced the last three with men so hungry for their jobs that they were ready to step over the bodies of their predecessors, who, they knew, were pushed out for standing up to Trump on policies and principles

Watching longtime anti-Russia hawks — Secretary of State Mike Pompeo and National Security Adviser John Bolton — shucking off everything they’ve said over the years and ignoring Trump’s coddling of Putin and his trashing of the F.B.I. in order to grab jobs they’d long coveted is witnessing careerism, sycophancy and cynicism on an industrial scale.

But that sets up Trump Phase 3: unhinged and unbound and unintended.

.. “What America’s allies in Europe learned from Trump’s recent visit is that the United States, at his direction, is acting more like predator than partner. They are concluding that Trump is not looking for a better deal with the European Union. He’s looking to destroy the European Union. And even though they understand the difference between the president and the government he leads, they know the West may never be the same again.”

.. There is one critical defense line left — that formed by F.B.I. Director Christopher Wray, National Intelligence Director Dan Coats, Deputy Attorney General Rod Rosenstein and Homeland Security Secretary Kirstjen Nielsen.

.. Wray, Coats and Rosenstein all rose to the occasion. They knew Helsinki was a test of their institutions and themselves, and they passed it with flying colors — always putting America first and not Trump first when it really mattered.

.. Wray also let lawmakers and other critics know that their conspiracy theories about the F.B.I. and Justice Department’s Russia investigations were not intimidating him

.. Rosenstein backed up Coats 100 percent, declaring: “As Director Coats made clear, these [Russian] actions are persistent, they are pervasive, and they are meant to undermine America’s democracy on a daily basis, regardless of whether it is election time or not.”

.. Unfortunately, the secretary of homeland security showed no such spine. Asked if the Russians had intervened to favor Trump, Nielsen said with a straight face: “I haven’t seen any evidence that the attempts to interfere in our election infrastructure was to favor a particular political party. I think what we’ve seen on the foreign influence side is they were attempting to intervene and cause chaos on both sides.”

.. That was the sound of a senior national security official putting Trump first, not America first. Nielsen proved to be a shameful coward. I sure hope we do not have a homeland security crisis on her watch.

.. Why do they so freely sacrifice their own reputations and their own integrity to defend a man with no integrity, a man who would sell each and every one of them down the river the second he decided it was in his interest? It is inexplicable to me.

At least Stormy Daniels got paid.

 

For Trump, Failure Is the Only Option

that they raise it to 4 percent of G.D.P., much higher than the bloated military spending in his own budget. He then claimed, falsely, to have won major concessions, and graciously declared that it is “presently unnecessary” to consider quitting the alliance.

Was there anything our allies could have done that would have mollified him? The answer, surely, is no. For Trump, disrupting NATO doesn’t seem to be a means to an end; it’s an end in itself.

.. While Trump rants about other countries’ unfair trade practices — a complaint that has some validity for China, although virtually none for Canada or the European Union — he hasn’t made any coherent demands. That is, he has given no indication what any of the countries hit by his tariffs could do to satisfy him, leaving them with no option except retaliation.

.. So he isn’t acting like someone threatening a trade war to win concessions; he’s acting like someone who just wants a trade war. Sure enough, he’s reportedly threatening to pull out of the World Trade Organization, the same way he’s suggesting that the U.S. might pull out of NATO.

.. Whatever claims Trump makes about other countries’ misbehavior, whatever demands he makes on a particular day, they’re all in evident bad faith. Mr. Art of the Deal doesn’t want any deals. He just wants to tear things down.

.. The institutions Trump is trying to destroy were all created under U.S. leadership in the aftermath of World War II. Those were years of epic statesmanship — the years of the Berlin airlift and the Marshall Plan, in which America showed its true greatness. For having won the war, we chose not to behave like a conqueror, but instead to build the foundations of lasting peace.

Thus the General Agreement on Tariffs and Trade, signed in 1947 — at a time of overwhelming U.S. economic dominance — didn’t seek a privileged position for American products, but instead created rules of the game to promote prosperity around the world. Similarly, NATO, created in 1949 — at a time of overwhelming U.S. military dominance — didn’t seek to lock in our hegemony. Instead, it created a system of mutual responsibility that encouraged our allies, including our defeated former enemies, to see themselves as equals in preserving our mutual security.

.. anything that weakens the Western alliance helps Vladimir Putin; if Trump isn’t literally a Russian agent, he certainly behaves like one on every possible occasion.

.. Trump obviously dislikes anything that smacks of rule of law applying equally to the weak and the strong. At home, he pardons criminal bigots while ripping children away from their parents. In international relations, he consistently praises brutal strongmen while heaping scorn on democratic leaders.
..

He may complain that other countries are cheating and taking advantage of America, that they’re imposing unfair tariffs or failing to pay their share of defense costs. But as I said, those claims are made in bad faith — they’re excuses, not real grievances. He doesn’t want to fix these institutions. He wants to destroy them.

.. Alternatively, you might have thought that big business, which is deeply invested, literally, in the existing world order would protest effectively. So far, however, it has been utterly ineffectual. And while talk of trade war sometimes causes the stock market to wobble, as far as I can tell, investors still aren’t taking this seriously: They imagine that Trump will bluster and tweet for a while, then accept some cosmetic policy changes and call it a win.

But that kind of benign outcome looks increasingly unlikely, because Trump won’t take yes for an answer. He doesn’t want negotiations with our allies and trading partners to succeed; he wants them to fail. And by the time everyone realizes this, the damage may be irreversible.

20 Diversion Tactics Highly Manipulative Narcissists, Sociopaths And Psychopaths Use To Silence You

Here are the 20 diversionary tactics toxic people use to silence and degrade you.

1. Gaslighting.

Gaslighting is a manipulative tactic that can be described in different variations of three words: “That didn’t happen,” “You imagined it,” and “Are you crazy?” Gaslighting is perhaps one of the most insidious manipulative tactics out there because it works to distort and erode your sense of reality; it eats away at your ability to trust yourself and inevitably disables you from feeling justified in calling out abuse and mistreatment.

.. In order to resist gaslighting, it’s important to ground yourself in your own reality – sometimes writing things down as they happened, telling a friend or reiterating your experience to a support network can help to counteract the gaslighting effect. The power of having a validating community is that it can redirect you from the distorted reality of a malignant person and back to your own inner guidance.

2. Projection.

One sure sign of toxicity is when a person is chronically unwilling to see his or her own shortcomings and uses everything in their power to avoid being held accountable for them. This is known as projection. Projection is a defense mechanism used to displace responsibility of one’s negative behavior and traits by attributing them to someone else. It ultimately acts as a digression that avoids ownership and accountability.

.. Instead of admitting that self-improvement may be in order, they would prefer that their victims take responsibility for their behavior and feel ashamed of themselves. This is a way for a narcissist to project any toxic shame they have about themselves onto another.

For example, a person who engages in pathological lying may accuse their partner of fibbing; a needy spouse may call their husband “clingy” in an attempt to depict them as the one who is dependent; a rude employee may call their boss ineffective in an effort to escape the truth about their own productivity.

.. Narcissists on the extreme end of the spectrum usually have no interest in self-insight or change. It’s important to cut ties and end interactions with toxic people as soon as possible so you can get centered in your own reality and validate your own identity.

.. 3. Nonsensical conversations from hell.

If you think you’re going to have a thoughtful discussion with someone who is toxic, be prepared for epic mindfuckery rather than conversational mindfulness.

Malignant narcissists and sociopaths use word salad, circular conversations, ad hominem arguments, projection and gaslighting to disorient you and get you off track should you ever disagree with them or challenge them in any way. They do this in order to discredit, confuse and frustrate you, distract you from the main problem and make you feel guilty for being a human being with actual thoughts and feelings that might differ from their own. In their eyes, you are the problem if you happen to exist.

Spend even ten minutes arguing with a toxic narcissist and you’ll find yourself wondering how the argument even began at all. You simply disagreed with them about their absurd claim that the sky is red and now your entire childhood, family, friends, career and lifestyle choices have come under attack. That is because your disagreement picked at their false belief that they are omnipotent and omniscient, resulting in a narcissistic injury.

.. 4. Blanket statements and generalizations.

Malignant narcissists aren’t always intellectual masterminds – many of them are intellectually lazy. Rather than taking the time to carefully consider a different perspective, they generalize anything and everything you say, making blanket statements that don’t acknowledge the nuances in your argument or take into account the multiple perspectives you’ve paid homage to.

5. Deliberately misrepresenting your thoughts and feelings to the point of absurdity.

.. Let’s say you bring up the fact that you’re unhappy with the way a toxic friend is speaking to you. In response, he or she may put words in your mouth, saying, “Oh, so now you’re perfect?” or “So I am a bad person, huh?” when you’ve done nothing but express your feelings. This enables them to invalidate your right to have thoughts and emotions about their inappropriate behavior and instills in you a sense of guilt when you attempt to establish boundaries.

This is also a popular form of diversion and cognitive distortion that is known as “mind reading.” Toxic people often presume they know what you’re thinking and feeling. They chronically jump to conclusions based on their own triggers rather than stepping back to evaluate the situation mindfully.

.. Notorious for putting words in your mouth, they depict you as having an intention or outlandish viewpoint you didn’t possess. They accuse you of thinking of them as toxic – even before you’ve gotten the chance to call them out on their behavior – and this also serves as a form of preemptive defense.

.. Simply stating, “I never said that,” and walking away should the person continue to accuse you of doing or saying something you didn’t can help to set a firm boundary in this type of interaction. So long as the toxic person can blameshift and digress from their own behavior, they have succeeded in convincing you that you should be “shamed” for giving them any sort of realistic feedback.

6. Nitpicking and moving the goal posts.

The difference between constructive criticism and destructive criticism is the presence of a personal attack and impossible standards. These so-called “critics” often don’t want to help you improve, they just want to nitpick, pull you down and scapegoat you in any way they can. Abusive narcissists and sociopaths employ a logical fallacy known as “moving the goalposts” in order to ensure that they have every reason to be perpetually dissatisfied with you. This is when, even after you’ve provided all the evidence in the world to validate your argument or taken an action to meet their request, they set up another expectation of you or demand more proof.

.. The goal posts will perpetually change and may not even be related to each other; they don’t have any other point besides making you vie for the narcissist’s approval and validation.

.. By raising the expectations higher and higher each time or switching them completely, highly manipulative and toxic people are able to instill in you a pervasive sense of unworthiness and of never feeling quite “enough.” By pointing out one irrelevant fact or one thing you did wrong and developing a hyperfocus on it, narcissists get to divert from your strengths and pull you into obsessing over any flaws or weaknesses instead.

They get you thinking about the next expectation of theirs you’re going to have to meet – until eventually you’ve bent over backwards trying to fulfill their every need – only to realize it didn’t change the horrific way they treated you.

.. their motive isn’t to better understand. It’s to further provoke you into feeling as if you have to constantly prove yourself. Validate and approve of yourself. Know that you are enough and you don’t have to be made to feel constantly deficient or unworthy in some way.

..7. Changing the subject to evade accountability.

This type of tactic is what I like to call the “What about me?” syndrome. It is a literal digression from the actual topic that works to redirect attention to a different issue altogether. Narcissists don’t want you to be on the topic of holding them accountable for anything, so they will reroute discussions to benefit them. Complaining about their neglectful parenting? They’ll point out a mistake you committed seven years ago. This type of diversion has no limits in terms of time or subject content, and often begins with a sentence like “What about the time when…”

.. A discussion about gay rights, for example, may be derailed quickly by someone who brings in another social justice issue just to distract people from the main argument.

.. that doesn’t mean that the issues that are being brought up don’t matter, it just means that the specific time and place may not be the best context to discuss them.

.. Don’t be derailed – if someone pulls a switcheroo on you, you can exercise what I call the “broken record” method and continue stating the facts without giving in to their distractions. Redirect their redirection by saying, “That’s not what I am talking about. Let’s stay focused on the real issue.” If they’re not interested, disengage and spend your energy on something more constructive

.. 8. Covert and overt threats.

Narcissistic abusers and otherwise toxic people feel very threatened when their excessive sense of entitlement, false sense of superiority and grandiose sense of self are challenged in any way. They are prone to making unreasonable demands on others – while punishing you for not living up to their impossible to reach expectations.

.. Rather than tackle disagreements or compromises maturely, they set out to divert you from your right to have your own identity and perspective by attempting to instill fear in you about the consequences of disagreeing or complying with their demands. To them, any challenge results in an ultimatum and “do this or I’ll do that” becomes their daily mantra.

If someone’s reaction to you setting boundaries or having a differing opinion from your own is to threaten you into submission, whether it’s a thinly veiled threat or an overt admission of what they plan to do, this is a red flag of someone who has a high degree of entitlement and has no plans of compromising. Take threats seriously and show the narcissist you mean business; document threats and report them whenever possible and legally feasible.

9. Name-calling.

Narcissists preemptively blow anything they perceive as a threat to their superiority out of proportion. In their world, only they can ever be right and anyone who dares to say otherwise creates a narcissistic injury that results in narcissistic rage. As Mark Goulston, M.D. asserts, narcissistic rage does not result from low self-esteem but rather a high sense of entitlement and false sense of superiority.

The lowest of the low resort to narcissistic rage in the form of name-calling when they can’t think of a better way to manipulate your opinion or micromanage your emotions. Name-calling is a quick and easy way to put you down, degrade you and insult your intelligence, appearance or behavior while invalidating your right to be a separate person with a right to his or her perspective.

Name-calling can also be used to criticize your beliefs, opinions and insights. A well-researched perspective or informed opinion suddenly becomes “silly” or “idiotic” in the hands of a malignant narcissist or sociopath who feels threatened by it and cannot make a respectful, convincing rebuttal.

Rather than target your argument, they target you as a person and seek to undermine your credibility and intelligence in any way they possibly can. It’s important to end any interaction that consists of name-calling and communicate that you won’t tolerate it. Don’t internalize it: realize that they are resorting to name-calling because they are deficient in higher level methods.

10. Destructive conditioning.

Toxic people condition you to associate your strengths, talents, and happy memories with abuse, frustration and disrespect. They do this by sneaking in covert and overt put-downs about the qualities and traits they once idealized as well as sabotaging your goals, ruining celebrations, vacations and holidays. They may even isolate you from your friends and family and make you financially dependent upon them. Like Pavlov’s dogs, you’re essentially “trained” over time to become afraid of doing the very things that once made your life fulfilling.

Narcissists, sociopaths, psychopaths and otherwise toxic people do this because they wish to divert attention back to themselves and how you’re going to please them. If there is anything outside of them that may threaten their control over your life, they seek to destroy it. They need to be the center of attention at all times.

.. Narcissists are also naturally pathologically envious and don’t want anything to come in between them and their influence over you. Your happiness represents everything they feel they cannot have in their emotionally shallow lives. After all, if you learn that you can get validation, respect and love from other sources besides the toxic person, what’s to keep you from leaving them?

.. 11. Smear campaigns and stalking.

When toxic types can’t control the way you see yourself, they start to control how others see you; they play the martyr while you’re labeled the toxic one. A smear campaign is a preemptive strike to sabotage your reputation and slander your name so that you won’t have a support network to fall back on lest you decide to detach and cut ties with this toxic person.

They may even stalk and harass you or the people you know as a way to supposedly “expose” the truth about you; this exposure acts as a way to hide their own abusive behavior while projecting it onto you.

Some smear campaigns can even work to pit two people or two groups against each other. A victim in an abusive relationship with a narcissist often doesn’t know what’s being said about them during the relationship, but they eventually find out the falsehoods shortly after they’ve been discarded.

Toxic people will gossip behind your back (and in front of your face), slander you to your loved ones or their loved ones, create stories that depict you as the aggressor while they play the victim, and claim that you engaged in the same behaviors that they are afraid you will accuse them of engaging in. They will also methodically, covertly and deliberately abuse you so they can use your reactions as a way to prove that they are the so-called “victims” of your abuse.

The best way to handle a smear campaign is to stay mindful of your reactions and stick to the facts. This is especially pertinent for high-conflict divorces with narcissists who may use your reactions to their provocations against you. Document any form of harassment, cyberbullying or stalking incidents and always speak to your narcissist through a lawyer whenever possible.

.. Your character and integrity will speak for itself when the narcissist’s false mask begins to slip.

.. 12. Love-bombing and devaluation.

Narcissistic abusers do this all the time – they devalue their exes to their new partners, and eventually the new partner starts to receive the same sort of mistreatment as the narcissist’s ex-partner. Ultimately what will happen is that you will also be on the receiving end of the same abuse. You will one day be the ex-partner they degrade to their new source of supply. You just don’t know it yet. That’s why it’s important to stay mindful of the love-bombing technique whenever you witness behavior that doesn’t align with the saccharine sweetness a narcissist subjects you to.

..  slowing things down with people you suspect may be toxic is an important way of combating the love-bombing technique. Be wary of the fact that how a person treats or speaks about someone else could potentially translate into the way they will treat you in the future.

.. 13. Preemptive defense.

When someone stresses the fact that they are a “nice guy” or girl, that you should “trust them” right away or emphasizes their credibility without any provocation from you whatsoever, be wary.

Toxic and abusive people overstate their ability to be kind and compassionate. They often tell you that you should “trust” them without first building a solid foundation of trust. They may “perform” a high level of sympathy and empathy at the beginning of your relationship to dupe you, only to unveil their false mask later on. When you see their false mask begins to slip periodically during the devaluation phase of the abuse cycle, the true self is revealed to be terrifyingly cold, callous and contemptuous.

.. Genuinely nice people rarely have to persistently show off their positive qualities – they exude their warmth more than they talk about it and they know that actions speak volumes more than mere words.

.. To counter a preemptive defense, reevaluate why a person may be emphasizing their good qualities. Is it because they think you don’t trust them, or because they know you shouldn’t?

.. 14. Triangulation.

Bringing in the opinion, perspective or suggested threat of another person into the dynamic of an interaction is known as “triangulation.” Often used to validate the toxic person’s abuse while invalidating the victim’s reactions to abuse, triangulation can also work to manufacture love triangles that leave you feeling unhinged and insecure.

Malignant narcissists love to triangulate their significant other with strangers, co-workers, ex-partners, friends and even family members in order to evoke jealousy and uncertainty in you. They also use the opinions of others to validate their point of view.

.. This is a diversionary tactic meant to pull your attention away from their abusive behavior and into a false image of them as a desirable, sought after person. It also leaves you questioning yourself – if Mary did agree with Tom, doesn’t that mean that you must be wrong? The truth is, narcissists love to “report back” falsehoods about others say about you, when in fact, they are the ones smearing you.

.. To resist triangulation tactics, realize that whoever the narcissist is triangulating with is also being triangulated by your relationship with the narcissist as well. Everyone is essentially being played by this one person. Reverse “triangulate” the narcissist by gaining support from a third party that is not under the narcissist’s influence – and also by seeking your own validation.

.. 15. Bait and feign innocence.

Toxic individuals lure you into a false sense of security simply to have a platform to showcase their cruelty. Baiting you into a mindless, chaotic argument can escalate into a showdown rather quickly with someone who doesn’t know the meaning of respect. A simple disagreement may bait you into responding politely initially, until it becomes clear that the person has a malicious motive of tearing you down.

.. Remember: narcissistic abusers have learned about your insecurities, the unsettling catchphrases that interrupt your confidence, and the disturbing topics that reenact your wounds – and they use this knowledge maliciously to provoke you.

After you’ve fallen for it, hook line and sinker, they’ll stand back and innocently ask whether you’re “okay” and talk about how they didn’t “mean” to agitate you. This faux innocence works to catch you off guard and make you believe that they truly didn’t intend to hurt you, until it happens so often you can’t deny the reality of their malice any longer.

  • .. Provocative statements,
  • name-calling,
  • hurtful accusations or
  • unsupported generalizations, for example,

are common baiting tactics.

16. Boundary testing and hoovering.

Narcissists, sociopaths and otherwise toxic people continually try and test your boundaries to see which ones they can trespass. The more violations they’re able to commit without consequences, the more they’ll push the envelope.

That’s why survivors of emotional as well as physical abuse often experience even more severe incidents of abuse each and every time they go back to their abusers.

.. In the abuser’s sick mind, this boundary testing serves as a punishment for standing up to the abuse and also for being going back to it. When narcissists try to press the emotional reset button, reinforce your boundaries even more strongly rather than backtracking on them.

Remember – highly manipulative people don’t respond to empathy or compassion. They respond to consequences.

17. Aggressive jabs disguised as jokes.

Covert narcissists enjoy making malicious remarks at your expense. These are usually dressed up as “just jokes” so that they can get away with saying appalling things while still maintaining an innocent, cool demeanor. Yet any time you are outraged at an insensitive, harsh remark, you are accused of having no sense of humor. This is a tactic frequently used in verbal abuse.

The contemptuous smirk and sadistic gleam in their eyes gives it away, however – like a predator that plays with its food, a toxic person gains pleasure from hurting you and being able to get away with it. After all, it’s just a joke, right?

Wrong. It’s a way to gaslight you into thinking their abuse is a joke – a way to divert from their cruelty and onto your perceived sensitivity. It is important that when this happens, you stand up for yourself and make it clear that you won’t tolerate this type of behavior.

Calling out manipulative people on their covert put-downs may result in further gaslighting from the abuser but maintain your stance that their behavior is not okay and end the interaction immediately if you have to.

18. Condescending sarcasm and patronizing tone.

Belittling and degrading a person is a toxic person’s forte and their tone of voice is only one tool in their toolbox. Sarcasm can be a fun mode of communication when both parties are engaged, but narcissists use it chronically as a way to manipulate you and degrade you. If you in any way react to it, you must be “too sensitive.”

Forget that the toxic person constantly has temper tantrums every time their big bad ego is faced with realistic feedback – the victim is the hypersensitive one, apparently.

.. So long as you’re treated like a child and constantly challenged for expressing yourself, you’ll start to develop a sense of hypervigilance about voicing your thoughts and opinions without reprimand. This self-censorship enables the abuser to put in less work in silencing you, because you begin to silence yourself.

19. Shaming.

“You should be ashamed of yourself” is a favorite saying of toxic people. Though it can be used by someone who is non-toxic, in the realm of the narcissist or sociopath, shaming is an effective method that targets any behavior or belief that might challenge a toxic person’s power. It can also be used to destroy and whittle away at a victim’s self-esteem: if a victim dares to be proud of something, shaming the victim for that specific trait, quality or accomplishment can serve to diminish their sense of self and stifle any pride they may have.

.. Malignant narcissists, sociopaths and psychopaths enjoy using your own wounds against you – so they will even shame you about any abuse or injustice you’ve suffered in your lifetime as a way to retraumatize you. Were you a childhood abuse survivor? A malignant narcissist or sociopath will claim that you must’ve done something to deserve it, or brag about their own happy childhood as a way to make you feel deficient and unworthy.

What better way to injure you, after all, than to pick at the original wound? As surgeons of madness, they seek to exacerbate wounds, not help heal them.

If you suspect you’re dealing with a toxic person, avoid revealing any of your vulnerabilities or past traumas. Until they’ve proven their character to you, there is no point disclosing information that could be potentially used against you.

20. Control.

Most importantly, toxic abusers love to maintain control in whatever way they can. They isolate you, maintain control over your finances and social networks, and micromanage every facet of your life. Yet the most powerful mechanism they have for control is toying with your emotions.

That’s why abusive narcissists and sociopaths manufacture situations of conflict out of thin air to keep you feeling off center and off balanced. That’s why they chronically engage in disagreements about irrelevant things and rage over perceived slights. That’s why they emotionally withdraw, only to re-idealize you once they start to lose control. That’s why they vacillate between their false self and their true self, so you never get a sense of psychological safety or certainty about who your partner truly is.

Cruelty, Incompetence and Lies

Graham-Cassidy, the health bill the Senate may vote on next week, is stunningly cruel. It’s also incompetently drafted: The bill’s sponsors clearly had no idea what they were doing when they put it together. Furthermore, their efforts to sell the bill involve obvious, blatant lies.

The Affordable Care Act, which has reduced the percentage of Americans without health insurance to a record low, created a three-legged stool:

  1. regulations that prevent insurers from discriminating against people with pre-existing conditions,
  2. a requirement that individuals have adequate insurance (and thus pay into the system while healthy)
  3. and subsidies to make that insurance affordable. For the lowest-income families, insurance is provided directly by Medicaid.

Graham-Cassidy saws off all three legs of that stool.

  1. it eliminates the individual mandate.
  2. sharply reduces funding relative to current law, and especially penalizes states that have done a good job of reducing the number of uninsured.
  3. And it effectively eliminates protection for Americans with pre-existing conditions.

Did Graham-Cassidy’s sponsors know what they were doing when putting this bill together? Almost surely not, or they wouldn’t have produced something that everyone, and I mean everyone, who knows anything about health care warns would cause chaos.

Republicans are trying to ram the bill through before the Congressional Budget Office has time to analyze it — an attempt that is in itself a violation of all previous norms, and amounts to an admission that the bill can’t bear scrutiny.

.. Lindsey Graham, Bill Cassidy, and the bill’s other sponsors have responded to these critiques the old-fashioned way — with lies.

.. Cassidy has also circulated a spreadsheet that purports to show most states actually getting increased funding under his bill. But the spreadsheet doesn’t compare funding with current law, which is the relevant question.

.. That’s actually a well-known dodge, one that Republicans have been using since Newt Gingrich tried to gut Medicare in the 1990s. As everyone in Congress — even Cassidy — surely knows, such comparisons drastically understate the real size of cuts, since under current law spending is expected to rise with inflation and population growth.

.. Republicans are desperate to destroy President Barack Obama’s legacy in any way possible, no matter how many American lives they ruin in the process.

.. most Republican legislators neither know nor care about policy substance. This is especially true on health care, where they never tried to understand why Obamacare looks the way it does, or how to devise a nonvicious alternative.

.. the evasions and lies we’re seeing on this bill have been standard G.O.P. operating procedure for years. The trick of converting federal programs into block grants, then pretending that this wouldn’t mean savage cuts, was central to every one of Paul Ryan’s much-hyped budgets.

.. Graham-Cassidy isn’t an aberration; it’s more like the distilled essence of everything wrong with modern Republicans.

.. But even if the handful of Republican senators who retain some conscience block it — we’re looking at you, John McCain — the underlying sickness of the G.O.P. will remain.