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Luntz Takes The Lead On Anti-Health Reform Talking Points

Yesterday, Greg Sargent flagged a report that GOP pollster Frank Luntz had authored a strategy memo rehashing some of the themes Republicans used 16 years ago to torpedo Hillary Care. Greg noted that though "such messaging was very effective 16 years ago, the recycling of it could leave Republicans open to charges that they don't understand how much the landscape has changed since then."

Then Ben Smith dug up the memo itself, which is striking for a couple of reasons. First it advises Republicans to use many of the same banal platitudes they already use when arguing against comprehensive health reform. "Stop talking economic theory and start personalizing the impact of a government takeover of healthcare," Luntz warns.

They don't want to hear that you're opposed to government healthcare because it's too expensive (any help from the government to lower costs will be embraced) or because it's anti-competitive (they don't know about or care about current limits to competition). But they are deathly afraid that a government takeover will lower their quality of care - so they are extremely receptive to the anti-Washington approach. It's not an economic issue. It's a bureaucratic issue.

So what sort of language should Republicans resort to instead? Luntz says "too many politician [sic] say 'we don't want a government run healthcare system like Canada or Great Britain' without explaining those consequences."

There is a better approach. "In countries with government run healthcare, politicians make YOUR healthcare decisions. THEY decide if you'll get the procedure you need, or if you are disqualified because the treatment is too expensive or because you are too old. We can't have that in America."

Which raises a couple of critical questions, but particularly, Why is the GOP paying Luntz money to tell Republicans their failing strategies are the right ones. In fact, several times throughout the memo, Luntz quotes members of Congress who, he says, already have the messaging down perfect. But if this messaging is so good, why isn't it working, and if it is working, why the need for Luntz?

Anyhow, one thing you shouldn't expect to hear from Republicans in the coming weeks and months is anything attacking Obama's health care plan. This could be because Obama himself is just too popular, but Luntz can't quite bring himself to admit this:

If the dynamic becomes "President Obama is on the side of reform and
Republicans are against it," then the battle is lost and every word in this document is useless. Republicans must be for the right kind of reform that protects the quality of healthcare for all Americans. And you must establish your support of reform early in your presentation....

Your political opponents are the Democrats in Congress and the bureaucrats in
Washington, not President Obama.
Every time we test language that criticized the President by name, the response was negative - even among Republicans.

Maybe that'll change if Obama's popularity hits the skids in the near future. The entire memo can be read here. All emphasis is in the original.


19 Comments

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Every time we test language that criticized the President by name, the response was negative - even among Republicans.

Wow. Just, wow.

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Triple wow. That is an amazing statement.

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What's the over/under on the reappearance of Harry and Louise?

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Luntz, maybe it's because you are no Sapphire!

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I think even the liberal media needs to take a bipartisan view health care. Both conservative neoliberal parties, the Democrats and Republicans, are strongly against doing anything serious to fix this country's health care problem.

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You are so right, Winston. Real healthcare reform meets resistance from both parties. Most of my family actually believes their quality of care will go down rather than up. THEY may be right because they are well insured and make higher incomes. OTOH, I am retired earning less than $12,000 per year with no insurance, SS, etc. Any kind of public insurance plan will likely help me.

Also, those family members have generally not even examined the actual single payer plan or what is really happening in France and Sweden, etc., they just KNOW anything public will be bad (in spite of the evidence to the contrary in life expectancy, etc.)

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What is the connection (there must be one) with the ghastly ads now being run on MSNBC and CNN by the Conservatives (something or other) to Protect Your Health Care PAC (or something like that)


Features Canadian doctor telling us that masses of sick and dying languish in suffering while waiting for treatment

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"Republicans must be for the right kind of reform that protects the quality of healthcare for all Americans. "

If this were true it would be great, but Republican have a long record of not giving a shit about ALL Americans. What they really mean is protecting the "quality" of healthcare for those Americans that have insurance or the ability to pay and to protect the beauracracies of the private insurance companies, and other heathcare for profit businesses.

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An employer I had in the US had a group insurance policy with AETNA. In their employee handbook for medical and dental coverage, I discovered most of the doctors listed in their preferred provider list were foreigners with strange names - very few anglo-german-french surnames. All the repulicans have to do is promote the idea that the only doctors who will join a universal health care system will be foreigners. That will turn the tide in their favor on the issue.

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I'd think that it would be pretty easy to take the steam out of the bureaucracy talking point by pointing out that managed care as it exists now is RIDICULOUSLY bureaucratic. How many people out there are already tired of having the insurance company "lose the form," refuse to pay because they claim you're out of network, or otherwise come up with some bogus reason to deny care or charge you more?

We've tried letting the private sector do things, and the best solution they've come up with is massive bloat and inefficiency. Universal care would be far more efficient, less costly, and promote better care.

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The best way to frame this (indeed the best way to do this) would be that everyone will get the equivalent of Medicare. Most people have a parent of grandparent old enough to be on Medicare, and instead of the amorphous "bureaucracy" bogeyman that Republicans like to rattle around, it's familiar and most people like it just fine. Given the chance, I think most people would opt for Medicare over what they have now.

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I agree, the idea should be that when an emergency happens, the last thing people should have to deal with is paperwork.(Obama talked about his Mom's situation this way)

Talking about how there are 40 million uninsured people is not politically effective, because those people are already supportive of healthcare reform. What you need to do is make the 200+ million people who already have some private health insurance identify how the system could be improved for THEM. Ask rhetorically "when you really need it, will your private health insurance be there for you?" "What happens to your insurance if you get too sick to work?"

Another talking point should be to concentrate on underinsured children. Why is it that there are public schools for all children but not public healthcare for all children?

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Proves (not that any more evidence is needed) of the bankruptcy of the GOPosaurus party.

Recycle the same old tired bullshit that doesn't work anymore, and just tell boldfaced lies:

"In countries with government run healthcare, politicians make YOUR healthcare decisions. THEY decide if you'll get the procedure you need, or if you are disqualified because the treatment is too expensive or because you are too old. We can't have that in America."

This lie ignores the fact that today, private insurance companies make OUR health care decisions but that if we have genuine health care reform, these decisions will be returned to our doctors and us.

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Democrats can't make that argument because they are more scared of the insurance lobby than they are of Republicans.

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I think most Americans know from first-hand experience that Luntz is wrong. The enemy of healthcare reform is not bureaucrats who stand between a doctor and a patient as Luntz would like the GOP to claim -- but rather it is the insurance companies who decide what procedures they will pay for and stick the patient with the remainder of the unpaid bill. If the GOP wants to run with the Luntz's wrongheaded message, let em.

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The Republicans act like we have doctors making the decisions now and there is no bureaucracy that doctors and patients currently have to wade through.

If the Republicans were to take these points at face value they would realize they should be complaining about the current system.

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Over the last couple of years, I've had two cataract surgeries and a few EKGs done at my local hospital. Because I don't have health insurance anymore, I have to pay cash for these procedures.

However, because I DO pay cash, the hospital gives me a discount of (ready for this?) 65%.

SIXTY FIVE PERCENT!! That's the amount they save by not having to process the paperwork the insurance companies require of them.

You're free to draw your own conclusions.

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if the republican talking point is:

"In countries with government run healthcare, politicians make YOUR healthcare decisions. THEY decide if you'll get the procedure you need, or if you are disqualified because the treatment is too expensive or because you are too old. We can't have that in America."

then the counterpoint is simple:

"In the United States, without health care reform, giant corporations make YOUR healthcare decisions. THEY decide if you'll get the procedure you need, or if you are disqualified because the treatment is too expensive or because you are too old. We can't have that in America."

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Boy, would I love to see the Dems make that argument. Perhaps starting with, ahem, President Obama.

I'd lay odds against it, though. They're too beholden to corporate America to do it. And I can think of no two "industries" (misnomer though that may be) that have more completely captured Washington -- on both sides of the aisle -- than the financial and insurance "industries".

Holding my breath, I am not.

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