Category: Health care

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Health care Politics The Opinionsphere

Downside Risk and Upside Potential

David Plouffe:

Only if the plan becomes law will the American people see that all the scary things Sarah Palin and others have predicted — such as the so-called death panels — were baseless. We own the bill and health-care votes. We need to get some of the upside.

This quote suggests the flip side of the focus on downside risk that Ezra Klein observed. It seems a rather good approach – and a substantial improvement from Bush’s continuous insistence that we much achieve the upside and that admitting the downside was failure. Plouffe’s political instinct on this is much the same as mine, as I expressed some months ago:

To break these idiocratic forces, Obama needs to force these controversial measures through and allow the Republicans opposing it to demagogue it in every way possible. Then make sure there are strong transparency measures in place. And then let those who predicted a Holocaust look foolish. It’s the first step to discrediting their methods and reforming our national conversation.

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Barack Obama Health care Politics The Opinionsphere

Buck Up, Democrats!

Andrew Sullivan, who was largely responsible for derailing Bill Clinton’s 1994 health care reform, likewise urges Obama and the Democrats to seize the moment:

[Obama should] tell the American people that he understands their anger and frustration (hence the big swipe at the banks last week), but that he refuses to stand by and do nothing. If the American people want nothing, they should support the opposition. If the American people want something, they should back the president they just elected in implementing a health reform plan he campaigned on.

Jonathan Bernstein explains why the “safe” choice of trying to appease your partisan opponents has little effect:

Democrats can be assured that Republicans will attack them, regardless of what they do.  Democrats could eliminate the estate tax permanently, slash the capital gains tax, repeal the Clean Air and Clean Water Acts, invade Iran, and pass a Constitutional Amendment outlawing abortion, and Republicans would still attack them — with exactly the same vehemence and vigor that Republicans have now.  That’s politics.  It’s how partisan politics is played.  It is absolutely impossible to avoid attacks from one’s opponents; nothing you do gives them license to attack, because they will attack whatever you do.  Oh, and this isn’t partisan; Democrats are going to attack Republicans, whatever the Republicans do.

Don’t believe me?  Republicans are attacking Democrats for taking away people’s guns, even though the Democrats basically surrendered on that issue fifteen years ago.  They are attacking Democrats for cutting Medicare and for allowing Medicare to grow so fast that it’ll bankrupt the nation — sometimes in the very same speech (I’ve seen it in the same paragraph)…

My advice to Democrats unsure about what to do is this: think about the actual bill, and what its effects would be if it became law.  If in your judgment those effects would be bad for your constituents, then odds are they will dislike it, blame you for it, and you’ll be in trouble.  If those effects would be good for your constituents, then vote for it.  Then figure out how you’re going to sell the thing and yourself, based on that vote.  But don’t back off of it because you think it will open you up to attacks; you’re wide open right now, and you’ll remain wide open regardless of what you do.

Jonathan Cohn writes a letter to the House Democrats who are considering not voting on the Senate bill:

I don’t want to mislead you: You could pass the Senate bill, which you may really not like, and still lose reelection. But passing health care reform would seem, if anything, to improve your odds of political survival. And if it doesn’t–if you’re doomed to lose anyway–enacting health care reform would give you a meaningful accomplishment in your record.

Think of everything you could do while serving in Congress. Would any single act be bigger than this? However imperfect, it will make a huge difference in people’s lives–and, quite likely, the evolution of the American social welfare state. You’ll be sparing financial or physical hardship for thousands of Americans every year, while delivering peace of mind–and safer, higher quality medicine–to literally millions of others. You’ll be saving the American economy and, along the way, helping people to stay healthy.

You can be a part of this moment in history–and, if you play your cards right, stick around in Congress long enough to enjoy it. It just takes some common sense–and maybe a little mettle.

In other words: Vote for the Damn Bill!

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Barack Obama Criticism Health care

The Economist’s Podcast Entitled “The Democrats lose Massachusetts” Is “an insult to people’s intelligence.”

The Economist is far and away one of my favorite magazines – providing insightful commentary and analysis from a normally steady perspective on the world as well as America. But the podcast I heard today entitled, “The Democrats lose Massachusetts” featuring a conversation between Adrian Wooldridge and Christopher Lockwood was atrocious – combining terrible analysis with factual inaccuracies – suggesting that the participants hadn’t actually paid any attention to the health care debate they were commenting upon, but instead had gathered clichés from the 1990s to bat around.

The single most frustrating portion of the conversation was this description of what how Obama approached the Republicans during the health care negotiations:

Had Obama not got himself into a position to ram health care through on a straight party line vote using his 60 seats in the senate and saying, “Okay, fine, we’ll do it without any Republican votes.” There might have been the possibility of making a deal but essentially he’s the man who says, “I’m not going to pay attention to you. I’m going to do it my way. Oops, I can’t. Can we come back and do it your way now?” And they say, “Sorry, you had your chance. You could have dealt with us. You could have given us more of what we wanted: proper cost control, and things like tort reform. But they didn’t do that.” And now for them to turn around and say, “Well, okay, sorry, we got that wrong.” They are more likely to say, “It’s too late for that. The midterms are on their way. Why should we get you out of the hole in which you dug yourself?”

This is wrong on so many levels! Most dramatically, Obama bumped his first deadline in order to satiate the demands from Republicans that he slow down. He courted Chuck Grassley, Orrin Hatch, Olympia Snowe and any other Republican senator who showed a willingness to support legislation. The administration was willing to re-write the bill to get their support. Max Baucus crafted a bill largely with these Republicans – cutting out the progressives in the Senate from the process. And in all of this, even the more progressive House bill is a slightly beefed up version of what Republicans have been suggesting all along – a bill focused primarily on cost control. But Orrin Hatch stopped negotiating. And then Grassley began to continue to negotiate in private while condemning the bill in public – declaring that he wouldn’t support the bill even if he got everything he wanted in it if the party wasn’t behind him. Even then, Democrats continued to negotiate with him. And finally, Snowe remained on the fence until the Republican leadership chased her back into the fold. It was at this point that Obama finally decided to say, “Okay, fine, we’ll do it without any Republican votes.” After the bill had been amended to satisfy Olympia Snowe – and Chuck Grassley – and Ben Nelson – and Joe Lieberman. But the pressure on the Republicans was too great – so they bolted.

It is also claimed that, Democrats said: “We’re not willing to annoy one of our constituencies – the tort lawyers – for the public good.” Yet the Democrats and Obama explicitly said they were willing to do this if Republicans would only support some form of the bill – and even without their support offered pilot programs to test different methods of government intervention into this area. To attack a component of their base while Republicans offered them no support would be political suicide!

And then of course, there was the inexplicable statement that, “To say you need to have pilot programs and study it is just really an insult to people’s intelligence.” This is an incredible comment coming from an organization that supports limited government. Pilot programs are exactly the modest approach that the Economist should be supporting – as they can help determine what works and what doesn’t with the minimum disruption to the market. Would they rather Obama offer bold ideas and implement them nationally, with fingers crossed hoping that the unanticipated consequences don’t do more harm than good? The type of tinkering that pilot programs are indicative of are exactly what a capitalist, free market approach should support – especially as they later deride the Obama administration as consisting of, “pointy-headed intellectuals with their big social engineering plans.” Eliminating or curbing the rights of patients to sue regarding their medical care is right wing social engineering – which the Economist apparently has no problem with because of who it will benefit.

So, in conclusion, Woolridge and Lockwood of the Economist maintain that Obama’s health care plan was too big and ambitious and so should be scrapped and that it wasn’t big enough to do what they wanted; that they are mystified how Obama took so long to pass health care reform as he rode roughshod over the Republicans. The first is contradictory – and the second betrays that they weren’t paying attention to health care until recently. Which perhaps explains why they come to the conclusion that the Democratic response to the election of a “conservative Republican” (actually a moderate Republican who is pro-choice and supported the Massachusetts model of health care that Obama’s plan is similar to) is that: “They have to overinterpret this result!” and abandon reform.

[Image by Arenamontanus licensed under Creative Commons.]

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Barack Obama Criticism Health care Politics The Opinionsphere

Draw Your Own Conclusions

Matthew Continetti:

Scott Brown’s victory exposes NY-23 as a fluke. The trend is clear. Independents have moved sharply right over the course of President Obama’s first year in office, even in Massachusetts.

Matt Bai:

The most prevalent ideology of the era seems to be not liberalism nor conservatism so much as anti-incumbency, a reflexive distrust of whoever has power and a constant rallying cry for systemic reform.

Mike Allen:

By these lights, impatience with the status quo — rather than any rightward turn in the mood of the electorate — is what would fuel a Brown victory.

Jonathan Chait:

But political analysts are more like drama critics. They follow the ins and outs of the tactical maneuverings of the players, and when the results come in, their job is to explain how the one led to the other. If you suggested to them that they should instead explain the public mood as a predictable consequence of economic conditions, rather than the outcome of one party’s strategic choices, they would look at you like you were crazy. They spend their time following every utterance and gesture of powerful politicians. Naturally, it must be those things that have the decisive effect…

Barack Obama:

Here’s my assessment of not just the vote in Massachusetts, but the mood around the country: the same thing that swept Scott Brown into office swept me into office. People are angry and they are frustrated. Not just because of what’s happened in the last year or two years, but what’s happened over the last eight years.

David Leonhardt:

The current versions of health reform are the product of decades of debate between Republicans and Democrats. The bills are more conservative than Bill Clinton’s 1993 proposal. For that matter, they’re more conservative than Richard Nixon’s 1971 plan, which would have had the federal government provide insurance to people who didn’t get it through their job.

Today’s Congressional Republicans have made the strategically reasonable decision to describe President Obama’s health care plan, like almost every other part of his agenda, as radical and left wing. And the message seems to be at least partly working, based on polls and the Massachusetts surprise. But a smart political strategy isn’t the same thing as accurate policy analysis.

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Criticism Domestic issues Health care History Politics The Opinionsphere

The Continued Failure of Right Wing Social Engineering

[digg-reddit-me]At some point it became part of the standard Republican playbook to criticize liberals for engaging in “social engineering.” Liberals – in this telling – see humans as perfectible creatures who just need the guidance of the a centralized state with scientific-minded engineers to become better. With proper planning and direction longstanding human problems could be taken care of and humankind would exist in a socialist utopia. This view was always a caricature – indeed an appropriation of a term created to describe the early efforts at deliberate manipulation of large populations through marketing and propaganda – from the Nazis to American corporations. But Republicans co-opted this term to describe the grand government projects taken on at the apex of mid-20th century liberalism, as in our hubris we sought to “engineer” enormous changes to the benefit of all society.

This story – this narrative framework – was influential because it struck a note of truth. Mid-2oth century American liberalism saw an exceedingly confident America which believed in the nearly limitless potential of American government action. After all, America – led by its government – had defeated a seemingly unstoppable enemy, pulled the nation and world out of a Great Depression, learned how to split atoms and create enormous destructive and productive power, finally begun to deal with the legacy of slavery, begun providing generous benefits to the elderly, and even sent a man to the moon. The declarations of American liberals of this time were bold and utopian. FDR declared that America must ensure that every individual in the world must have “freedom from want,” a sort of economic right. Lyndon Johnson declared War on Poverty! Richard Nixon (a realist in a liberal era) declared War on Cancer, War on Crime, and War on Drugs! Today this hopefulness seems painfully naive as we learned that every massive government “war” has had massive side-effects while not, as yet, achieving its desired result.

As confidence in government declined in the 1970s, the more thoughtful critics of this liberal tendency saw its core failing as hubris. They suggested a more modest approach in which government would act more as a gardener “cultivat[ing] a growth by providing the appropriate environment” rather than as some craftsman or engineer creating society anew through government coercion and radical changes.

But the Republicans who eventually took power on the wave of disgust, disappointment, resentment, and anger at liberalism’s excesses did not adopt this epistemologically modest approach. Reagan and his ilk replaced liberals’ confidence in the good government could do with the insistence that government was just getting in the way. Their conclusion was simple: Government wasn’t the solution to these problems – it was the problem! Rather than seeing the hubris of liberals as the problem, they thought liberals simply were certain about the wrong things. Their shorthand for this moral lesson was to accuse liberals of attempting “social engineering.” The solution was to cut taxes, to prune government, and to hold out the promise of slashing it eventually (to starve the beast.)

Politics though is about creating and shaping a society that we want to live in. It is less a matter of ideology and policy positions, and more about values. Right wingers saw that the problems they had identified as resulting from liberalism’s excesses did not cease as Republicans cut taxes and regulations and pulled the government back from involvement in the economy. Blaming liberal government action for upsetting the “natural” balance, right wingers yearned to shape society themselves in order to recreate what they had lost. They branded themselves as individualists even as they promoted the tyrannical, collectivist organizations commonly called corporations. From a complex web of ideological positions taken by the Republican Party to build their political coalition came a hodge-podge of goals which (though perhaps not cohering immediately) have solidified into an agenda of right wing social engineering. The Republicans began to use government to encourage the traditional nuclear family of a man, woman and 2 and 1/2 children; to promote and encourage a christianist lifestyle and increase the role and funding of religious institutions; to encouraged a particular brand of “rugged” individualism; and to aid the rise of American corporations at home and abroad.

The logical culmination of this new big government conservatism, this right wing social engineering, was the presidency of George W. Bush, as he increased the size of government mainly by outsourcing work and responsibilities to corporations, as he began 2 wars leading to 2 massive social engineering projects in the Middle East, as he allowed and encouraged government funding of faith-based charities, and most dramatically through his Ownership Society as he sought to transform America into a nation of homeowners with 401Ks and Health Care Savings Accounts instead of Social Security and Medicare and rentals. The right wing’s social engineering agenda extended past Bush though. The main right wing health care alternative adopted in some measure by Milton Friedman, Charles Krauthammer, and John McCain seeks to transform American society to make its citizens more individualistic. This alternative begins by eliminating tax credits for employer-sponsored health insurance and the encouragement of Health Savings Accounts and the evisceration of all regulations on the insurance industry (by allowing competition across state lines where most regulations exist thus creating a “race to the bottom” as states attempt to attract the health insurance industry.) It would culminate in the elimination of Medicare and Medicaid. Many on the right have also made clear their goal remains to obstruct any liberal attempt to solve the fiscal problem they have engineered to give them the opportunity to re-write the social contract.

Looking at current Republican agenda – you see a similar hubris to what they decried as liberals’ “social engineering” – as they seek to remake the entire health care sector and the economy.

Meanwhile, it is the Democrats who had adopted an epistemologically modest approach – of tinkering with our current system to try to save it rather than to provoke a crisis to remake society, tearing apart the social bargain between citizen and government.

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Domestic issues Health care Politics The Opinionsphere

The Rhetorical Phantoms of Their Own Making

Timothy Egan discusses Mitt Romney’s health care hypocrisy, and slams the Republican party with this comment that summarizes the Republican approach to Obama this year:

[T]he [Republican] party’s voice has been dominated by people who make things up, and then condemn the rhetorical phantoms of their making.

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Barack Obama Criticism Domestic issues Health care Politics The Opinionsphere

In Praise of Tinkering: Health Care Reform

[digg-reddit-me]Critics of the health care reforms before Congress can be divided into two camps:

  • those who claim that the legislation would simply be a “government takeover” of one sixth of the economy – which is simply nonsense; and
  • those who claim the bill doesn’t do enough, that it doesn’t have an overarching theory, that it merely “tinkers” with the problems with health care.

I won’t be dealing with the nonsense claim today. As to the second claim, I concede that the bill merely tinkers with solutions to our problems – but that is the main reason I am optimistic about its success.

Not everyone feels this way: Opponents use this perception to attack the bill from both the left and right, some on each side seeking to make the case for more radical changes and some for leaving things as they are. The Iowa State Senate Democrats wrote, “As a nation we can not continue to tinker with health care reform.  We must make major transformations.” Donna Edwards warned that the health care reforms being debated without a public option were “just tinkering around the edges.” Then from the right, there are those pressing the radical measure of ending Medicare and Medicaid and every other government involvement in health care – and those who favor allowing insurance to be sold across state lines which would eradicate most regulations as states raced to the bottom to attract the insurance industry. Others say that the bill’s modesty is a reason to give up, lest by trying to fix things we mess things up more. A conservative editorial claimed that “tinkering with a mess only makes a prettier mess.” Chairman of the RNC Michael Steele meanwhile made it his mantra to claim that the Obama administration is “conducting a dangerous experiment” and a “risky experiment with health care.”

Even many of those defending the bill seem disappointed but resigned to its modesty. They often blame Obama for deferring to Congress rather than proposing his own legislation, presuming that if the Obama administration took a stronger hand in shaping the bill it would have a grand logic, a coherent and fully formed strategy for universalizing health insurance and curbing health care costs. (Though the bills now under consideration are almost exactly what Obama proposed during his campaign.)

This perception of mere tinkering rather than some grand social engineering project has been the bill’s political weakness. Without a coherent big idea or story to sell the plan, it created an opportunity for Republicans to take each individual part and make it a bogey-man for some big idea that they would claim was the real reason for the reform: rationing! euthanasia! government-mandated abortion! socialist indoctrination of your children! &tc. Later, progressives, feeling betrayed at the demise of the public option which many had considered the real reason for the reform, and similarly unable to find the big idea behind the plan, quickly settled on the idea that it was a bailout to the insurance industry.

But despite these political disadvantages, a bill that is modest enough to tinker is the best policy solution. This approach is epistemologically modest – it seems designed to avoid hubristic assumptions about the power of government and to take advantage of the process that Nassim Nicholas Taleb called “black swans

Trial and error will save us from ourselves because they capture benign black swans. Look at the three big inventions of our time: lasers, computers and the internet. They were all produced by tinkering and none of them ended up doing what their inventors intended them to do.

This idea of tinkering imbues all of Obama’s policies and his governance so far. It represents a synthesis of the core conservative critique of Reagan, Hayek, &tc with an empirical approach towards government generally favored by liberals. In other words, Reagan correctly saw that there are limits in how well government can address societal problems – as liberal projects of social engineering backfired. He demonized it in his affable way, for example claiming that “The ten most dangerous words in the English language are ‘Hi, I’m from the government, and I’m here to help.’ ”

Barack Obama absorbed this critique – and saw the limits of centralized planning and the power of markets that lay at the core of Reagan. But he did not adopt Reagan’s visceral hatred for government. Instead, he believed government could be useful. Rather than seeing government as something that needed to be attacked, he adopted Hayek’s view that “we needed to think of the world more as gardeners tending a garden and less as architects trying to build some system.”

As I wrote as part of my summing up of the case for Obama last November:

Tinkering is the best we can do in a world we only imperfectly understand. Anyone looking at Obama’s policy proposals can see that he is a tinkerer rather than a revolutionary. For example, he seeks to build upon our current health care system rather than demolish it as McCain does in one manner and socialists do in another.

With the impending fiscal crisis upon us, driven by rapidly rising health care costs, the primary goal of the reform has been to cut costs. (Which counter-intuitively actually is aided by universal coverage, as even the libertarian Nobel-prize winning economist Milton Friedman acknowledged.) A number of health care experts have similarly praised the current health care reform effort for its modest but positive steps coupled. Atul Gawande in an influential piece in the New Yorker asks: “The health-care bill has no master plan for curbing costs. Is that a bad thing?” He concludes:

Pick up the Senate health-care bill—yes, all 2,074 pages—and leaf though it. Almost half of it is devoted to programs that would test various ways to curb costs and increase quality. The bill is a hodgepodge. And it should be.

After the Senate released their version of the bill, health care expert Jonathan Gruber was quoted:

My summary is it’s really hard to figure out how to bend the cost curve, but I can’t think of a thing to try that they didn’t try. They really make the best effort anyone has ever made. Everything is in here….I can’t think of anything I’d do that they are not doing in the bill. You couldn’t have done better than they are doing.

Health care reform is the clearest experiment testing whether the government can work by properly aligning incentives rather than brute, centralized takeover.* It is an attempt to tinker with our unsustainable system – which on its own would be “sure to raise your taxes, increase your out-of-pocket medical expenses, swell the federal deficit, leave more Americans without insurance and guarantee that wages will remain stagnant” – rather than to demolish it and start anew.

It isn’t as exciting as some grand effort to re-shape 1/6th of the economy or a moral crusade to help those being victimized by evil private industry. Rather, it is a bet that out of a million pilot projects, something will help and we will be able to see that it does, and adapt it to a larger scale. It is a bet that it is better to expand health insurance as much as possible and to establish it as a universal right and responsibility than to wait for something better. It is a bet that government can improve things, while acknowledging that unintended consequences will ensue and it should tread carefully. It isn’t the exciting rhetoric of Change You Can Believe In! – but it is a step towards change we can believe in.

Update: I would propose this explanation – of tinkering and epistemological modesty is a better explanation than either of the two described by Ed Kilgore in a very interesting piece for The New Republic:

To put it more bluntly, on a widening range of issues, Obama’s critics to the right say he’s engineering a government takeover of the private sector, while his critics to the left accuse him of promoting a corporate takeover of the public sector.

* Though sometimes, brute, centralized government takeover is best – the military and the courts being two items like this everyone could agree on.

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Health care Politics The Opinionsphere

Bipartisan in Substance

Ezra Klein makes an important observation that – for those who accept it – changes dramatically how the political battles of the Obama administration are viewed:

We are less bipartisan in process even as we have become more bipartisan in substance.

Klein points out – as I had earlier – how Obama’s proposals for health care reform and cap and trade for example both have a solid grounding in previous Republican approaches to these problems – and in fact take into account many of the Republicans’ deep-seated distrusted of government action in general. Yet despite this, Republicans have continued to claim that Obama is the second-coming of Stalin – repudiating ideas they only a short time ago embraced.

One can see the seeds of this entrenchment against Obama in the Republican reaction to Bill Clinton – as they truly hated and demonized the man as a radical leftist even as he governed as a moderate liberal. Republicans were still willing to work with Clinton on a number of initiatives including welfare reform. Thus far, they have embraced a nihilistic path of pure opposition to Obama.

The Democrats did not similarly react to George W. Bush – as they proved willing to work with him on matters that they held to be important and/or which were popular with their constituencies. For example, the No Child Left Behind Act, Bush’s several rounds of tax cuts, and Medicare Part D. Democrats were willing to work with the White House despite the extremely partisan processes instituted in Congress cutting Democrats off from policy-making. And they were willing to hand Bush victories that were not “bipartisan in substance” – most especially his tax cuts which were thoroughly partisan and ideologically motivated.

In other words – Klein’s statement that, “We are less bipartisan in process even as we have become more bipartisan in substance” only holds true for the past year. To some degree, this is House Democrats fault for making the process less bipartisan – but I find it hard to blame them considering the unprecedented procedural tactics used by the Republicans as well as their unprincipled intransigence.

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Barack Obama Health care Politics The Opinionsphere

Greenwald Jumps the Shark?

[digg-reddit-me]I am quite honestly shocked reading this piece from Glenn Greenwald yesterday. His reaction to defenses of Obama is quite visceral – and in fairness, I’m sure many of the attacks on him for attacking Obama have come from a similar type of unreasoned anger. But I expect more from a figure of Greenwald’s statute, of his intellect. His reaction – to be generous – mirrors those he is critiquing.

His attacks on Ezra Klein, who has been consistently fair-minded in evaluating the politics and policy of the health care debate in a manner of which Greenwald sometimes seems scarcely capable, are especially unfair. Klein has been strongly making the case that this bill, for all its faults, should be passed – against the Tea Partyers back in the late summer and now against progressives – all the while acknowledging flaws in the bill and the process. Thus, he has been taking on a number of important progressives recently – and in doing so, at least once, he found that his progressive opponent (Jane Hamsher) had made an arguments against this health care legislation that substantially misstated the facts of the case, as so much political propaganda does. Klein writes that of the list he is responding to:

Some of the list is purposefully misleading and is clearly aimed more at helping activists kill the bill than actually informing anyone about what is in the bill.

Klein then goes on to deal with each of the points Jane Hamsher raised in a substantive manner. Greenwald linked to this piece claiming that Klein is calling opponents of health care reform, “liars” (a word that appears nowhere in the piece) and then later in an update, insisted that Klein is part taking part in “coordinated efforts by the President’s loyal supporters to attack the credibility and character (rather than the arguments) of Obama critics.” Greenwald does acknowledge that “there has been some very responsible and informative debate among these various factions, the insults have flown in both directions, and it’s understandable that passions run high on an issue of this significance.” But then he goes right on to equate “campaigns by White House loyalists in government and the media to destroy the personal credibility and malign the character of the President’s critics” during the Bush years to out Valerie Plame as a secret agent to efforts today regarding health care.

Really?! This attack falls fall short to me – the type of hyperbolic rhetoric that generally leads me to take a several-week break from Greenwald. I mean – does this post by Nate Silver on “Why Progressives Are Batshit Crazy to Oppose the Senate Bill” which Greenwald specifically cites strike you as the equivalent of the demonization of Valerie Plame and Richard Clarke? I suppose that depends on whether or not you see the title as serious – or deliberately heightened language.

Don’t trust my take on this – read Klein’s piece, read Greenwald’s piece, read Hamsher’s piece, read Nate Silver’s piece – and see if your respect for Greenwald is diminished. Respond in the comments either way.

Greenwald likewise took the curious tact of defending Matt Taibbi. He slandered all critics of Taibbi as, like Ezra Klein, part of “coordinated efforts by the President’s loyal supporters to attack the credibility and character (rather than the arguments) of Obama critics.” But even the piece Greenwald linked to defends Taibbi against one of his critics concludes with this rather limited endorsement:

Personally, I love it that Taibbi exists, and I’m impressed that his 6,500-word screed (into which a great deal of work clearly went) in fact has very little in the way of factual errors, let alone “lies”. Yes, Taibbi is polemical and one-sided, and he exaggerates his thesis, and he’s entertaining; I daresay he’s learned a lot from watching Fox News. And no, I would never want to live in a world where everybody wrote like that.

This is roughly the opinion I, along with most admirers and critics of Taibbi, have. While hiding behind the fact checkers of Rolling Stone, Taibbi makes various un-fact-checkable statements (that also seem to be designed to convey his meaning without being subject to a lawsuit for defamation), for example:

The point is that an economic team made up exclusively of callous millionaire-assholes has absolutely zero interest in reforming the gamed system that made them rich in the first place.

Ezra Klein, as usual, has an excellent substance-based critique. This is more than I can say for Greenwald’s visceral response. As I wrote earlier, Greenwald “creates his own politically stereotyped parody of Obama defenders, which he then viscerally, emotionally reacts to.” Yesterday’s post was more of the same, with just a bit less of the good Greenwald than usual.

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Barack Obama Criticism Health care Politics The Opinionsphere

Today in Health Care

Another day, another post on the best points on Ezra Klein’s blog.

And apologies for the lack of a post yesterday, as I was caught up in Christmas shopping for the entire day. With my sister. As we visited every women’s clothing store in Manhattan. It was exhilarating. (Just like going to the dentist.) (If you’re reading, I’m kidding, sister!)

But on to more interesting matters. Klein asked George Halvorson, chairman and chief executive of Kaiser Foundation Health Plan Inc. and Kaiser Foundation Hospitals, what he would put into the health care bill if he could:

The exchanges as designed in the current bill deal with health plan choices only. That is a wasted opportunity. The future health plan marketplace for America should be about dueling care teams, not dueling actuaries. Let’s not miss this chance to transform care by building the exchange model with components that help consumers make smart choices. Insurance competition is good. Care team competition is better. Exchanges should have low barriers to entry for accountable health systems and high standards for important data about care outcomes and successes. It’s not too late to go down that path. The entire bill can point us in a direction that facilitates care delivery reform as well as insurance reform. We need both.

Klein also tackles the talking point that Glenn Greenwald and others on the left who oppose the bill have been repeating in an almost Republican-sounding chorus – that because the stocks of health insurance companies went up in the aftermath of the deal to pass the bill, that it represents a complete sellout to the industry:

Look at the graph atop this post. This bill is not, in the market’s estimation, a gamechanger for the insurance industry. All of these stocks have seen both larger rises and larger falls in the past. None of them have recovered to their pre-crash highs. The market is not viewing the insurance industry in a dramatically different light than was true a year ago.

This is, at best, back-of-the-envelope work. But so too is divining the true worth of the health-care reform bill by tracking the daily fluctuations in the stock prices of insurers.

Klein also links to Alex Pareen’s essential Gawker piece headlined, “News of First Major Progressive Legislation in 30 Years Enrages Liberals.”

Earlier today, Klein continued to take on the role of referee of the health care debate, declaring that Obama’s statement that he did not campaign on the public option was false:

[I]t’s a good example of why the left is losing its trust in Obama. Obama could have given an interview where he expressed frustration that the math of the Senate forced his administration to give up the public option but nevertheless argued that the rest of the health-care bill was well worth passing. Instead, he’s arguing that he never cared about the public option anyway, which is just confirming liberal suspicions that they lost that battle because the president was never really on their side.

Edit: Link fixed.