The Meaning of Ryan’s Departure

Paul Ryan’s fate over the past several years is as good an indication as any of how far our politics have fallen.

.. Though the anti-Ryan vitriol faded after Steve Bannon’s defenestration, he continued to be viewed with suspicion by the talk-radio crowd and other arms of Trump Inc.

This was his reward for attempting to drag his party, and the country, toward a grown-up reckoning with our debt. Nearly singlehandedly, Paul Ryan had managed to put tackling entitlements on the national agenda.

.. making incremental reforms now—with no changes for current beneficiaries or those in their 50s—can prevent drastic shortfalls and extreme benefit cuts that will be necessary in just 16 years when Social Security is depleted. The outlook is even worse for Medicare and Medicaid.

But Donald Trump arrived on scene with the supposedly blinding insight that changes to entitlements are unpopular. Well, no kidding. He promised never to touch Medicare and Social Security—not even to ensure their future solvency. And so, the responsible, future-oriented Paul Ryan found himself governing with a backward-looking, whistling past the graveyard president.

.. Ryan and the party he helped to lead also lost its compass on Ryan’s own signature issue—fiscal responsibility.

.. it would have been nice if the party that fulminated about the dangers of deficits in the Obama years had found anything at all to cut—particularly when the economy is growing and unemployment is low.

.. Under Republican guidance, the federal deficit will be roughly double what it was in the final year of the Obama administration.

.. What has Trump taught? That trade wars are the way to improve the lives of the working class? They are popular, at least with Republicans.

.. 65 percent of Republicans favored Trump’s steel and aluminum tariffs.

.. We are not behaving as responsible adults. Our greatest political challenge is out of control debt. Our greatest social challenges are declining families, increasing dependency, and eroding social cohesion. The debt could have been addressed by government.

The Deficit Problem in a Chart

The most important thing to understand about the U.S. budget, Donald Trump or no, is illustrated by the nearby chart. Even with Mr. Trump’s modest increases, defense barely rises as a share of federal outlays. In 1989 when the Berlin Wall fell, defense was 26.5% of outlays. In 2019 it will be 15.6%.

Meantime, look at “payments for individuals,” which encompass such income transfers as Medicare, Medicaid, Social Security and food stamps, among other things. This category was 47.7% of outlays in 1989 and has steadily climbed to reach an estimated 69.2% in 2019.

.. Net interest on the federal debt soaks up another 7.4% of outlays for 2018, and that will rise with interest rates.

Democrats’ behavior at the State of the Union was embarrassing

But the Democrats, with their childish protests, took the bait. Symbolic dissent is fine, but this was a cacophony of causes: black clothing (for #MeToo), kente ties and sashes (because of Trump’s Africa insult), butterfly stickers (for the “dreamers”), red buttons (for a victim of racial crime) and the more bipartisan purple ribbons (for the opioid epidemic).

Dollars, Cents and Republican Sadism

G.O.P. opposition to programs helping the less fortunate, from food stamps to Medicaid, is usually framed in monetary terms. For example, Senator Orrin Hatch, challenged about Congress’s failure to take action on the Children’s Health Insurance Program, a part of Medicaid that covers nearly nine million children — and whose federal funding expired back in September — declared that “the reason CHIP’s having trouble is that we don’t have money anymore.”

.. the suffering imposed by Republican opposition to safety-net programs isn’t a bug, it’s a feature. Inflicting pain is the point.

.. The federal government would initially pay the full cost, and even in the long run it would pay 90 percent, meanwhile bringing money and jobs into state economies.

Yet 18 states — all of them with Republican-controlled legislatures, governors or both — still haven’t expanded Medicaid. Why?

.. G.O.P. politicians simply don’t want lower-income families to have access to health care and are actually willing to hurt their own states’ economies to deny them that access.

..  the Trump administration declared that it would allow them to do so. But what was driving this demand?

.. The reality is that a vast majority of adult Medicaid recipients are in families where at least one adult is working. And a vast majority of those who aren’t working have very good reasons for not being in the labor force: They’re disabled, they’re caregivers to other family members or they’re students. The population of Medicaid recipients who “ought” to be working but aren’t is very small, and the money that states could save by denying them coverage is trivial.

.. most of the money they could save by kicking people off would be federal, not state, dollars. So what’s this about?

.. The answer, surely, is that it isn’t about saving money, it’s about stigmatizing those who receive government aid, forcing them to jump through hoops to prove their neediness. Again, the pain is the point.

.. In fact, a 10-year extension of CHIP funding would save the government $6 billion.

..  Making lower-income Americans worse off has become a goal in itself for the modern G.O.P., a goal the party is actually willing to spend money and increase deficits to achieve.