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Last month I passed along the news that, in a break with recent tradition, Congress might actually do something useful and pass a permanent fix to Medicare’s Sustainable Growth Rate, a well-meaning policy that turned out not to be sustainable at all when its formula started calling for actual cuts in payments to doctors. Every year Congress addresses this by passing a one-year “doc fix,” but recently a bipartisan effort finally came together to pass a permanent modification. Hooray!

But now it turns out that congressional Republicans enjoy the tradition of dysfunctional government too much to give it up. Sahil Kapur reports that hostage-taking is back:

House Republicans expect to vote this Friday on legislation that would risk steep, destabilizing Medicare cuts at the end of the month unless Democrats agree to a five-year delay of Obamacare’s individual mandate.

It mirrors some of the brinkmanship in the government shutdown fight last fall in that the GOP is using a must-pass bill as a vehicle to chop the Affordable Care Act. Democratic leaders have repeatedly rejected proposals to tinker with the mandate to buy insurance and have warned Republicans not to tie a physician payment fix to their partisan quest to unravel Obamacare.

Insurance companies oppose this. Doctors oppose this. The CBO says it would be a disaster. It obviously has no chance of passing. But it looks like Republicans are going right up to the brink once again. I guess that once you’ve tasted the thrill of threatening to shoot a hostage, nothing else quite compares.

Besides, there’s a midterm election coming up. Have I mentioned that before?

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We've never been very good at being conservative.

And usually, that serves us well in doing the ambitious, hard-hitting journalism that you turn to Mother Jones for. But it also means we can't afford to come up short when it comes to scratching together the funds it takes to keep our team firing on all cylinders, and the truth is, we finished our budgeting cycle on June 30 about $100,000 short of our online goal.

This is no time to come up short. It's time to fight like hell, as our namesake would tell us to do, for a democracy where minority rule cannot impose an extreme agenda, where facts matter, and where accountability has a chance at the polls and in the press. If you value our reporting and you can right now, please help us dig out of the $100,000 hole we're starting our new budgeting cycle in with an always-needed and always-appreciated donation today.

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