"The Great GOP Mental-Health Hypocrisy"

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The Great GOP Mental-Health Hypocrisy

by Michael Tomasky at the Daily Beast

http://www.thedailybeast.com/articles/2013/09/20/the-great-gop-mental-health-hypocrisy.html

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You may think I have phrased the above unfairly, but this is what the GOP position amounts to. On tougher background checks for the mentally ill, there were provisions in the Manchin-Toomey background-check bill, the one that nearly every Senate Republican voted against. This week New Hampshire Republican Sen. Kelly Ayotte is talking up new legislation. You perhaps have read that “even the NRA” supports toughening mental-illness regulations. That’s nice in theory, but in fact, the Senate is not going to do anything on guns and mental illness right, and the reason it’s not going to do anything is that Harry Reid knows he doesn’t have 60 votes to pass anything, especially with huge votes on a possible government shutdown and the debt limit looming. Republican Sen. Tom Coburn, a physician who isn’t hostile to tighter regulation in this case, acknowledged to The New York Times that “it’s all politics”—which in this case means that no one has the stomach or stones to take another gun-related vote.


They did, however, have the stomach and stones to cast votes over the past few years that have sliced away at funding for mental-health services. Decreased federal grants have forced states to make massive cuts to mental-health services. The National Alliance on Mental Illness referred in 2011 to the “crisis” that has resulted from states’ slashing of mental-health programs. It’s of course mainly Republicans in Congress who pushed for those block-grant cuts. The sequester made things worse. While the sequester doesn’t affect Medicaid, which funds most mental-health services, the non-Medicaid mental-health services have taken a serious hit, including 103,000 fewer treatment admissions in 2013.


And the Republicans will have the stomach and stones to vote very soon here to defund the Affordable Care Act, which, says University of Chicago health-care expert Harold Pollack, “is the most important change to mental-health and substance-abuse policy in decades,” for two reasons. First, the expansion of Medicaid to all citizens with incomes up to 138 percent of the poverty line will mean that millions of people will be able to afford mental-health care who simply couldn’t before. And second, the ACA requires that coverage of mental illness and substance abuse be offered by insurers “at parity” to more traditional medical treatments. Up to now, these treatments have been more expensive, less likely to be covered, and so on.


Republicans on the Senate Finance Committee actually supported those particular provisions of the ACA on unanimous voice vote. So by that measure Republicans are “reasonable” on this issue. But final votes on legislation is where the rubber meets the road, and that’s where Republicans have voted and voted and voted—and will clearly continue to vote—to make sure that we have more potential mass murderers walking among us, listening to those voices until they can’t take it anymore and go out and slaughter innocents. It’s a party of nihilism that has no desire to solve any social problem, holding the rest of us hostage to its craziness as the bodies mount.



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