Everything, they say, is bigger in the Texas. So it is with the failure of the health care system. Leading the nation with a jaw-dropping 25% of its residents uninsured, Texas ranked 46th in the Commonwealth Fund's 2009 scorecard of state health care performance. All of which makes Friday's op-ed by Newt Gingrich and Governor Rick Perry touting the mess in Texas all the more puzzling.

Just two days after the CBO dismissed a House Republican plan that would barely dent the rolls of the uninsured, Perry and Gingrich blasted Democratic health care reform in a Washington Post screed titled, "Let States Lead the Way." Besides dredging up Newt's worn out 1990's vintage talking points on unfunded mandates, the duo insist it is the Lone Star State which should be at the front of that vanguard:

Texas, for example, has adopted approaches to controlling health-care costs while improving choice, advancing quality of care and expanding coverage. Consider the successful 2003 tort reform. Fewer frivolous lawsuits have attracted record numbers of doctors to the state as medical malpractice insurance premiums dropped by half. Christus Health, a large Catholic nonprofit system with a significant presence in Texas, spent about $100 million on liability defense payments in 2003. Last year, Christus spent $2.3 million on such payments. Much of that savings has gone into expanding health-care services in low-income neighborhoods.

As the Post's Erza Klein asks, "how's that working out?"

The answer, of course, is quite poorly. While from 2007 to 2009 Texas nudged its way from a horrific 48th to a merely miserable 46th in the Commonwealth Fund rankings, the health care system there remains an ongoing calamity for its residents. Among the poster children for the failure of red state health care, Perry's state brought up the rear across the five indicators measured. When it comes to health care access and equity, Texas is dead last. (See table above.)

While it is predictable that Republicans Gingrich and Perry cite Texas' draconian tort reform law as an example for the nation, the data is far from clear as to its benefits in actually reducing malpractice premiums, lowering costs and attracting physicians to the underserved state.

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I was wondering how Newt Gingrich would react to the crazy teabaggers that attacked him for endorsing Scozzafava: Would he stand by his principles or would he bow down at the altar of Rush Limbaugh?

Here's what what said in his endorsement of Dede Scozzafava:

“The special election for the 23rd Congressional District is an important test leading up to the mid-term 2010 elections,” Gingrich said of Scozzafava's candidacy in a statement to supporters, as reported by the The Post-Standard. “Our best chance to put responsible and principled leaders in Washington starts here, with Dede Scozzafava.”
--
“The Republican Revolution in 1994 started very much like what we see today,” the former speaker said. “Like then, our country is reeling from misguided liberal policies, high taxes and out-of-control spending. This special election in New York’s 23rd Congressional District could be the first election of the new Republican Revolution, but we need the momentum to get it started.”

The NRCC said this:

But Gingrich, who served as Speaker of the House from 1995 to 1999, wants to unite the party. He sees Scozzafava and the Upstate special election – the only House race in the nation this fall -- as the best hope for Republicans to start a comeback and regain control of Congress.

Gingrich is apparently willing to overlook Scozzafava’s support for same-sex marriage and abortion rights.

The teabaggers, Palin, Limbaugh and Beck were all putting their energy behind a man who wasn't even from the district, Doug Hoffman, and in the end it cost the GOP a seat in a district that hasn't elected a Democratic politician to represent them in over 100 years.

Right before the election, right-wing bloggers attacked Newt for supporting Dede and said they would never support him for President because of it. After Hoffman lost, Rush Limbaugh blamed Newt and the GOP party machine for Hoffman's loss.

What would Newt Gingrich do? Would he stand up for his endorsement and tell the teabagger brigade that to win national elections, the party needs moderates to be included? After all, he's the Big Kahuna. Guess again. In his election night wrapup that he tweeted the day after the election, he repeated Rudy Giuliani's line that Scozzafavva was too liberal to have been the Republican nominee, which is a blatant lie.

In retrospect it is clear Dede Scozzafava should never have been nominated because she was far too liberal to be acceptable.

Republican leaders in New York must recognize that Mike Long and the Conservative Party in that state have to be consulted before decisions are made. The national conservative movement is a force that has to be recognized and respected.

I certainly heard from enough friends to know that my decision to support the unanimous vote of the 11 New York county chairs was very unpopular with conservative activists.

In New York, after two failed special elections, it is clear the state party has to fight to change the election law so there are primaries in special elections. The insider nominating process is simply unacceptable to grassroots populists and guarantees a sense of illegitimacy.

Then, on Sean Hannity's Fox News show last night, he explained in detail why he regretted having supported Scozzafava. It was pretty abject.

Gingrich: I think the nomination was a mistake. I wish that we had gotten involved earlier. And if we had, I would have done everything I could to make sure she had not been picked. And she clearly proved in the last few days that she was in no way a loyal Republican.

Gingrich isn't one to make a snap judgment without knowing the facts, and he knew Dede was moderate on social issues, but to say she's not conservative enough is ridiculous.

If Republicans try to laugh off the notion that Limbaugh is running their party, all the media have to do is look at Newt. He caved to Limbaugh big time.

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Looks like the Club for Growth/Sarah Palin wing of the Republican Party has prevailed in this race. DeDe Scozzafava suspends her campaign:

Dede Scozzafava, the Republican and Independence parties candidate, announced Saturday that she is suspending her campaign for the 23rd Congressional District and releasing all her supporters.

The state Assemblywoman has not thrown her support to either Doug Hoffman, the Conservative Party candidate, or Bill Owens, the Democratic candidate.

"Today, I again seek to act for the good of our community," Ms. Scozzafava wrote in a letter to friends and supporters. "It is increasingly clear that pressure is mounting on many of my supporters to shift their support. Consequently, I hereby release those individuals who have endorsed and supported my campaign to transfer their support as they see fit to do so. I am and have always been a proud Republican. It is my hope that with my actions today, my party will emerge stronger and our district and our nation can take an important step towards restoring the enduring strength and economic prosperity that has defined us for generations."

Ms. Scozzafava told the Watertown Daily Times that Siena Research Institute poll numbers show her too far behind to catch up - and she lacks enough money to spend on advertising in the last three days to make a difference. Mr. Owens has support from 36 percent of likely voters in the poll, with Mr. Hoffman garnering 35 percent support. Ms. Scozzafava has support from 20 percent of those polled.

The Gouverneur resident said she thinks she will receive more than 20 percent of the vote, based on several factors, including her performance during a Thursday debate.

See the Watertown Daily Times' "All Politics is Local" blog to read Ms. Scozzafava's complete statement or for more information on today's Siena poll.

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Via Raw Story, the heartwarming news that bankers aren't getting to celebrate in peace at their annual conference:

The annual American Bankers Association meeting in Chicago is not going as planned.

Besieged by activists from the Service Employees International Union, the AFL-CIO and Americans for Financial Reform, the leaders of America's financial sector were interrupted Sunday night as a throng of protesters poured into the conference area and began to chant.

The meeting, scheduled to continue through Tuesday, will feature "[exceptional] speakers like FDIC Chairman Sheila Bair, Comptroller of the Currency John Dugan, former Speaker of the House Newt Gingrich, and political commentator George Will," the ABA's site announced.

"All we wanted to do was deliver a letter to the Wall Street bankers to let them know how much they've hurt our communities - and what they need to do to clean up their act," the SEIU's blog declared. "They wouldn't listen to us. They kicked us out. But the bad news for them is that we'll be back.

Instead of delivering a letter, they shouted their message. "Bust up big banks!" activists chanted. When police confronted a senior who was damning the ABA over a loudspeaker, the crowd shifted into cries of "Shame on you! Shame on you!"

When police finally got around to pushing them out, cheers of "We'll be back" shook the hotel's lobby.

"Our demand is simple: stop taking our tax dollars and squandering them away on billion dollar bonuses and massive lobbying campaigns against financial reform," the SEIU said.

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From Washington Journal Oct. 25, 2009. As much as I hate to say I agree with Newt Gingrich about anything, I'd say he's right here. Gingrich is asked what he thinks about E.J. Dionnne's article Is there room in the GOP for moderates?. Gingrich says there is and disagrees with Dick Armey who has injected himself into the NY-23 special election and endorsed Conservative Party candidate Doug Hoffman over Republican Dede Scozzafava.

It appears not everyone agrees with Joe Scarborough and Dan Senor that this Republican food fight is good for the party.

So what happens when a moderate Republican (Dede Scozzafava) gets bushwhacked from the far right in her quest to win a seat in congress, in what would normally be in a district where the prospects were pretty good she'd win? First, her finances dry up; right-wing Club for Growth starts running ads for her Conservative opponent while she can't run any due to lack of money; she gets attacked by Dick Armey (albeit Newt Gingrich tried to come to her rescue); The Weekly Standard starts running snide things about her campaign so her campaign manager flips out and calls the cops on him.

And then this.

In what can only be described, charitably, as a severe lapse in judgment or common sense, a protest news conference staged in front of her Conservative opponent's headquarters goes awry. And the resulting optics were less than stellar. Scozzafava's pained expression probably came at the exact moment she realized she would be seen standing in front of a wall of signs for her opponent on the local evening news.

Somewhere Democrat Bill Owens and his campaign are chuckling at the continuing travails of the Republicans in upstate New York, and perhaps even the oncoming civil war within the national Republican party itself.

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Rachel Maddow weighed in on the race on her show last night.

Maddow: Common political wisdom is that the first round of elections in the new president‘s first year are a referendum on that president. This year‘s bellwether looks a lot more like a referendum on the state of the Republican Party. And at this point, Democrats rejoice. It‘s a cage match.

Transcript below the fold.

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The Freedom Toast presents a parody of the GOP. Theme--the "Addams Family".

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Rachel Maddow and Sen. Bernie Sanders discuss the GOP's hypocrisy when now claiming to be the great champions of Medicare after years of railing against it.

MADDOW: Belated salvo in the scare the bejesus out of elderly voters so they‘ll put you back in power regardless of whether you‘re telling the truth war is an editorial in the conservative newspaper, “The Washington Times,” and it screams “Death Panels by Proxy”—ostensibly argues that the so-called Baucus bill on health reform encourages doctors to withhold health care from Medicare patients. Health care reform is a secret plot to kill people on Medicare.

This is now become an ongoing strategic conundrum. How do you plan to win an argument with opponents who are undeterred by being disproven? Undeterred by the facts, when you don‘t even believe that they believe what they‘re arguing anymore?

It‘s not even just the “death panels” nonsense now. Take Medicare itself, a program Republicans have railed against since before President Johnson signed it into law in 1965. They railed against it since then until—well, until now.

Now, in the Senate Finance Committee, Republicans are trying to portray themselves as the champions of Medicare. They‘re fighting hard to kill any bill that contains any cuts in Medicare, even though people who support Medicare like, say, the AARP, say those cuts won‘t affect care.

Republicans defending Medicare. What would Ronald Reagan say? These guys do remember Ronald Reagan, don‘t they?

Here‘s what he did say about Medicare when it was just a twinkle in some socialist, fascist, freedom-hating, community-organizing Democrat‘s eye.

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Raw Story: Senior official in Bush domestic propaganda program remains Obama's Pentagon spokesman

The Political Carnival: Generals: Dick Cheney, Liz Cheney are scaremongering

The Existentialist Cowboy: Huge corporations and foreign nations take a proprietary interest in the government of the United States because they own it.

Dusty Trice: Why did the MN GOP have a change of heart on Ron Paul? The good doctor says: "They want my money."

Billablog: A threat to all we hold dear

Mad Kane’s Political Madness: Newt's bilingual newspeak

That the elderly of all groups of Americans most strongly oppose President Obama on health care reform shows the success of Republican fear-mongering over supposed Medicare cuts and "death panels". And on Monday, the Washington Post did the GOP a great service in a piece titled, "On Medicare Spending, a Role Reversal." While exploring the impact of projected savings in the program that serves 46 million Americans, the Post left unchallenged the Republicans' laughable claim to be the new protectors of Medicare after decades of war against it.

Readers who stopped after the first two paragraphs could be forgiven for wrongly assuming that the party that brought you Medicare would now kill it but for the stalwart defense of the Republican Party. After the subhead declaring, "Republicans, Not Interest Groups, Fight Plans to Cut $400 Billion Over 10 Years," the Post's Lori Montgomery concluded:

After years of trying to cut Medicare spending, Republican lawmakers have emerged as champions of the program, accusing Democrats of trying to steal from the elderly to cover the cost of health reform.

It's a lonely battle. The hospital associations, AARP and other powerful interest groups that usually howl over Medicare cuts have also switched sides.

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Jimmy Carter's accurate remarks observing the racial animus that is the bedrock of a good deal of the outrageous animosity directed at President Obama have right-wingers like Sean Hannity all in tizzy.

The two of them promptly commiserated on Hannity's Fox News show last night about how awful it was for Carter to bring up the issue:

Gingrich: Well, it first of all is amazing to me that when the Left hated George W. Bush, when they booed him during the State of the Union, when MoveOn.org attacked him relentlessly, when Democrats used vicious language, somehow it wasn't inappropriate.

Now, I don't know if Jimmy Carter thinks there was racism involved in disliking a white president, but I would say that the amount of anger, hostility, and nastiness on the Left against George W. Bush was vastly greater than anything that's happened with President Obama.

OK, done laughing? I know you all got a good belly laugh outta that one. Because we all remember what it was like trying to speak up about Bush, especially after 9/11. Merely criticizing the man brought instant charges of treason.

Some three years after the election, -- and not a mere 10 months -- Bush's defenders did start whining about those awful, mean Bush haters. According to Rich Lowry, the meanies were out there:

Bush is routinely portrayed as a Nazi on left-wing Web sites, which post pictures of Bush with a Hitler mustache and sell T-shirts with Bush's name spelled with a swastika. The anti-war Web site Takebackthemedia.com features a Flash movie complaining that "the media will not tell you of the Bush family Nazi association" and theorizing that in order "to offset their reputation as World War II traitors, former President Bush joined the U.S. Navy as a pilot." (Clever, those Bushes.)

The rest of the piece is devoted to similar examples of Bush-hatred. All of which, as you can see, involved a handful of fringe writers on obscure sites.

Unlike the frothing hatred -- and outright extremist wingnuttery -- we see demonstrated daily by major "news" anchors on cable TV like Glenn Beck and Lou Dobbs.

Moreover, as I noted back then, the animus directed at Bush throughout his inept tenure still paled in comparison to the vicious bile directed at Bill Clinton by the likes of Newt Gingrich and his crowd.

Bob Somerby similarly tore apart both Lowry and Byron York for peddling fake facts in the process of claiming an equivalency between Bush-hatred and Clinton-hatred.

There was, in fact, a significant difference between Bush-haters' reasons for hating Bush and Clinton-haters' reasons, such as they were. The former tended to involve factual matters and real issues, even if they ultimately inspired extreme reactions -- Bush's dubious election, his invasion of Iraq, his handling of Katrina -- while the attacks on Clinton were predicated in many regards on right-wing fantasies: Clinton knocked off Vince Foster, he had dirty dealings in the Whitewater scandal, he was part of a drug-dealing operation out of Mena, he had a black "love child" lurking somewhere in his background, and he was part of a "New World Order" conspiracy to place America under a one-world government. All of these claims actually made their way into the mainstream press -- usually as right-wing talking points -- at the time, despite all of them having not a grain of truth to them.

The same is true of the attacks on Obama: he is alternately a "socialist," a "communist," or a "fascist" (depending on the mood of the talker, though they often seem to be used equivalently), not a real American citizen, actually a citizen of Kenya, and secretly a radical larding up his "czars" with fellow radicals with the intent of turning America into a communist state. He's going to take away your guns and lock conservatives up in concentration camps, after he convenes "death panels" to see who lives and who dies.

It's all a freaking fantasy cooked up in the paranoid fever swamps of the far right, and mainstream conservatives are wallowing right in. Newt "Sarah Palin was right" Gingrich included.

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God we need about a hundred more Howard Deans out there to put a stop to the Republican fear mongering. When Newt Gingrich tries to say that getting the waste out of Medicare Advanatage that is a giveaway to the private insurance companies is taking something away from seniors, Dean straightens him out and tells him no, it's taking away from the insurance companies that are ripping us off.

Dean and Durbin both did a good job on Meet the Press today against Gingrich and Cornyn.

MR. GREGORY: Let's talk about the deficit. And the president made a very important pledge during this speech on Wednesday.

(Videotape, Wednesday)

PRES. OBAMA: I will not sign it if it adds one dime to the deficit now or in the future. Period.

(End videotape)

MR. GREGORY: Senator Durbin, a hard pledge to meet when you've got House legislation that already does that, it already breaks the deficit. It can't be paid for over 10 years, according to the CBO. Here's a Washington Post editorial this morning having to do with where are the details, does the math work: "When politicians start talking about paying for programs by cutting `waste and abuse,' you should get nervous. When they don't provide specifics--and when the amounts under discussion are in the hundreds of billions of dollars--you should get even more nervous." How does this get paid for without adding to the deficit?

SEN. DURBIN: Members of Congress should take the president at his word, he will not sign a bill that adds to the deficit. He walked into the White House and inherited a $1 trillion-plus deficit from the Republican administration because they had fought a war in Iraq they didn't pay for, the gave tax breaks to the wealthy they didn't pay for and they had a prescription drug program under Medicare they didn't pay for. This president said that's over, and members of Congress should take that seriously. Now, I disagree with The Washington Post. The fact is, under Medicare now we are providing multibillion-dollar subsidies to health insurance companies for something called Medicare Advantage. The health insurance companies said to us, let us run Medicare. We can show you how the government's not doing it efficiently, we can do it at a lower cost. Guess what, it's not at a lower cost. We are subsidizing private health insurance companies to provide the Medicare benefits that we can provide at a lower cost. That has to change. That subsidy has to end. That is the kind of savings that can come back into the system to help small businesses provide health insurance and help those with lower incomes pay their premiums in America.

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You can't make this stuff up:

This week, Allison Vivas of Pink Visual received a fax from Newt Gingrich’s American Solutions for Winning the Future (ASWF) group, informing her that she’s been chosen for a 2009 Entrepreneur of the Year award by his Business Defense and Advisory Council. From the letter obtained by ThinkProgress:

Newt would like to arrange a private dinner with you at the historic Capitol Hill Club on the evening of October 7, 2009 in Washington. You’ll dine privately with Newt at this exclusive venue and he’ll take the occasion to present you with your well deserved award and have your photo taken together.

This tremendous honor is a testament to your success in building your business and recognition of the risks you take to create jobs and stimulate the economy. As an award winner, you’ll be on the ground floor as Newt and his Council begin the work to turn this country around. … Newt is looking forward to hearing your ideas on getting the economy moving again and getting your feedback on his plans over dinner.

Pink Visual is a porn DVD superstore — not the type of company you’d expect Gingrich would want stimulating the economy. ThinkProgress contacted Gingrich aide Joe Gaylord, who sent the faxed letter to Vivas, but we didn’t receive a response. An ASWF representative reportedly called Pink Visual this morning saying it had “inadvertently” sent the fax to Vivas and was retracting the honor.

Ayup. Sure it was a mistake. An "accidental" fax addressed to someone at the correct fax number. Could happen to anyone...

Of course, congratulating a porn company for ...ahem...stimulating the economy would seem to contradict Newt's highly touted "Contract with the American Family":

Ironically, on May 17, 1995, Gingrich led a press conference on Capitol Hill announcing the Christian Coalition’s 10-point “Contract with the American Family,” a conservative legislative wish list. One of the items in the contract: restricting pornography. From Gingrich’s comments:

“We are committed to scheduling the hearings, to scheduling the mark-up and to scheduling the bills on the floor,” Gingrich said. “We’re committed to implementing the contract with the family.“

Anything You Can Do from Annie, Get Your Gun (1950)

It's the closest approximation of the Sunday shows I can think of right now: Annie Oakley and Frank Butler trying to one-up each other, screaming face to face and fighting about nothing of substance. Although I can't complain this week that the Democrats are non-existent or out-numbered (and hooray! the Obama administration has figured out they need to be out there too), my feeling is that the discussion will not be any more substantive than Annie and Frank's. WH Spokesperson Robert Gibbs will be on This Week, Senior Adviser David Axelrod will be on Meet the Press and Education Secretary Arne Duncan will be on Face the Nation, presumably to discuss the latest GOP hissy fit du jour of Obama's planned speech to students. But we'll also get lots of health care jabs as well, with Dr. Thomas Frieden of CDC on State of the Union and Howard Dean and Newt Gingrich on Fox News Sunday.

ABC's "This Week" - White House press secretary Robert Gibbs; former Sens. Tom Daschle, D-S.D., and Bob Dole, R-Kan.; Reps. Mike Pence, R-Ind., and Maxine Waters, D-Calif.

CBS' "Face the Nation" - Education Secretary Arne Duncan.

NBC's "Meet the Press" - David Axelrod, White House senior adviser; Rudy Giuliani, former New York City mayor; Harold Ford Jr., Democratic Leadership Council chairman.

NBC's "The Chris Matthews Show" - Panel: Eugene Robinson, Katty Kay, Gloria Borger and Michael Duffy. Topics: How does President Obama need to reset the health care debate? Should Ted Kennedy have shown more public penance for Chappaquiddick? Meter Questions: Will outspoken fringe players dominate GOP for the rest of Obama's term? YES: 9 NO: 3;
If unemployment is still high next year, will Obama revise his tax proposals? YES: 11 No: 1.

CNN's "State of the Union" - Dr. Thomas Frieden, director of the Centers for Disease Control and Prevention; Gov. Tim Pawlenty, R-Minn.; Sens. Amy Klobuchar, D-Minn., and Ben Nelson, D-Neb.

CNN's "Fareed Zakaria GPS" - Some of our greatest hits: First, Secretary of Defense Robert Gates on the limits of American power. Then former New York State governor Elliot Spitzer's unique perspective on the financial crisis and the Dalai Lama's perspective on the world.

"Fox News Sunday" - Sen. Lamar Alexander, R-Tenn.; Howard Dean, former national Democratic Party chairman; John Podesta, head of the Center for American Progress; former House Speaker Newt Gingrich, R-Ga.

So, what's catching your eye this morning?

While the Wall Street Journal editorial page can always be counted on to cheerlead the flat-earth economics of the Republican Party, on occasion the paper's reporters contradict GOP orthodoxy. And so it is today on the subject of the Obama stimulus package. Just one day after Eric Cantor (R-VA) followed the lead of John Boehner and Newt Gingrich in calling the recovery program a "failure," the Journal's Deborah Solomon reported otherwise in a piece simply titled, "U.S. Economy Gets Lift From Stimulus."

As I noted last month, the $787 billion American Recovery and Reinvestment Act (ARRA) opposed by every House Republican and other Obama administration measures are already paying huge dividends for the economy:

After steep declines of 5.4% and 6.4% in the previous two quarters, gross domestic product fell only 1% in the last three months. And while the ARRA overall added "up to 3 full percentage points of annualized growth in the quarter," President Obama's stimulus helped precisely where it was needed most - rescuing devastated state budgets.

On Wednesday, the Wall Street Journal agreed, concluding "government efforts to funnel hundreds of billions of dollars into the U.S. economy appear to be helping the U.S. climb out of the worst recession in decades." While Cantor is urging the program's cancellation, the investments thus far ($84 billion of $499 billion in spending and $60 billion of the $288 billion in tax cuts) are already helping stop the bleeding from the Bush Recession:

Many forecasters say stimulus spending is adding two to three percentage points to economic growth in the second and third quarters, when measured at an annual rate. The impact in the second quarter, calculated by analyzing how the extra funds flowing into the economy boost consumption, investment and spending, helped slow the rate of decline and will lay the groundwork for positive growth in the third quarter -- something that seemed almost implausible just a few months ago. Some economists say the 1% contraction in the second quarter would have been far worse, possibly as much as 3.2%, if not for the stimulus.

For the third quarter, economists at Goldman Sachs & Co. predict the U.S. economy will grow by 3.3%. "Without that extra stimulus, we would be somewhere around zero," said Jan Hatzius, chief U.S. economist for Goldman.

Of course, as their cornucopia of lies on taxes, health care reform, President Obama's birth, grandma's government-mandated death and so much more shows, the comical untruth of a statement is no barrier to a Republican repeating it. Contrary to the dishonest claims of Cantor, Boehner, Gingrich and their echo chamber, the stimulus program is not a "dismal failure."

Regardless, that conservative drumbeat will doubtless continue, especially in the Wall Street Journal editorial pages.

(This piece also appears at Perrspectives.)