Categories
Health care Politics

A Jumble of Health Care Related Points

I’ve been collecting a number of interesting points regarding health care that I haven’t yet found a way to incorporate into a post. So to stop lugging this paper around, here’s a jumble of different facts, arguments, and stories:

Robert Borsage explains one argument for “going all in” on health care reform. He explains that bringing everyone into the health insurance system would remove the hidden tax the uninsured levy on the rest of society:

This removes the hidden charge – estimated at $1,100 per person – we each pay for the 47 million who aren’t insured and are forced to use the emergency room as their doctor, often putting off treatment that results in higher costs when the untreated illness becomes critical.

The Boston Globe points out that the Romney-backed health reform there is actually working, despite headlines that seem to suggest the contrary:

In the myth that these critics have manufactured, this state’s plan is bleeding taxpayers dry, creating nothing less than a medical Big Dig.

The facts – according to the Massachusetts Taxpayers Foundation – are quite different. Its report this spring put the cost to the state taxpayer at about $88 million a year, less than four-tenths of 1 percent of the state budget of $27 billion. Yes, the state recently had to cut benefits for legal immigrants, and safety-net hospital Boston Medical Center has sued for higher state aid. But that is because the recession has cut state revenues, not because universal healthcare is a boondoggle. The main reason costs to the state have been well within expectations? More than half of all the previously uninsured got coverage by buying into their employers’ plans, not by opting for one of the state-subsidized plans.

Ezra Klein follows up to say that the Massachusetts plan “has come in at about the cost predicted” and – in the most important point for him: “Doing coverage actually pushed Massachusetts to begin addressing cost.”

Greg Mankiw questions the need for a public option in an interesting post.

Several progressives have pointed out the irony of seniors angrily telling Congressmen to “keep the government’s hands off of their Medicare.” Harold Pollack in taking on the euthanasia scare tactics of the right muses:

The irony of yammering to seniors about the evils of government-financed care is always notable, as is the selfish appeal. In 1965, liberals enacted Medicare, perhaps the most radical social engineering project in American history.

Paul Waldman in The American Prospect makes a similar point:

Forty-four years after its passage, the success of Medicare — just to review, a big-government program that has provided health care to tens of millions of seniors who would not have otherwise had it, does so more efficiently than private insurance, has seen costs grow at a slower rate than private insurance, and is smashingly popular with its recipients — has not seemed to fundamentally alter the public’s receptiveness to anti-government arguments. Ditto for Social Security. Ditto for the Veterans Administration, which is the only truly socialized health-care system in America, and one that is considered by many health-care experts to provide the best health care in the country.

Ezra Klein points out that our media-political system does not respond in the same way to all types of grassroots pressure – and that the right is benefiting from this now. He explains how single-payer advocates are organized, loud, and present (and have been present) at these town hall meetings and other health care events for years. Yet no one seems cowed by them – and they get virtually no media coverage. On the other hand, complain about socialism and you’re the story of the day… Klein reflects:

[It’s] worth keeping in mind as people begin to focus on the anti-health-care tea parties. The political system does not have some sort of consistent reaction to grassroots pressure. Rather, it picks and chooses when it wants to listen to the views of the very, very non-representative groups of people who sit through at town halls and panel discussions

Paul Krugman details a story with a similar message:

I was tentatively scheduled to be on a broadcast dealing with — well, I won’t embarrass them. But first they had to find someone to take the opposite view. And it turned out that they couldn’t — which led to canceling the whole segment.

In a way this goes beyond my original point, which was the unwillingness of the news media to referee a controversy by actually reporting the facts. Now it seems that a fact isn’t worth reporting unless someone is prepared to deny it.

And finally, I’ve already linked to this post by Ezra Klein maybe two or three times, but I haven’t cited this passage yet which almost but didn’t quite fit into my the Health Insurance Exchange is like ebay post:

The Health Insurance Exchange, combines the benefits of choice that are theoretically available on the individual market with the bargaining power and scale that’s generally accessible only in large employers (and the exchange will, in theory, have more bargaining power than even the largest employers, as it will have a much larger base of customers). You also have a space to test out innovative ideas that might make the market better, like Sen. Jay Rockefeller’s (D-W.Va.) insurance rating agency, or the public insurance option. You can standardize billing and payment methods and force the adoption of electronic medical records.

[Image by romanlily licensed under Creative Commons.]

Categories
Iraq National Security Politics The Opinionsphere The War on Terrorism

Censoring the Truth About the Crusader Prince?

[digg-reddit-me]Scott Horton apparently reported on several declarations filed in Federal Court in Eastern Virginia that included explosive allegations regarding the military contractor Blackwater and its owner Erik Prince. Andrew Sullivan linked to him – but between Sullivan’s linking and my clicking on Sullivan’s link, the article was taken down. A search of The Daily Beast for Scott Horton’s article turns up nothing except a link to Jeremy Scahill of The Nation‘s recent piece on the same subject. Andrew Sullivan had excerpted this summary of the charges contained in the Declarations on his blog:

  • Both men requested anonymity to avoid mortal threats. “It appears that Mr. Prince or his employees murdered, or had murdered, one or more persons who have provided information, or who were planning to provide information, to the federal authorities,” said John Doe #1. John Doe #2 says he received personal threats after leaving Blackwater.
  • Prince “views himself as a Christian crusader tasked with eliminating Muslims and the Islamic faith from the globe.” He “intentionally deployed to Iraq certain men who shared his vision of Christian supremacy, knowing and wanting these men to take every available opportunity to murder Iraqis.”
  • Blackwater “employees openly and consistently used racist and derogatory terms of Iraqis and other Arabs, such as ‘ragheads’ or ‘hajis.’”
  • Blackwater deployed to Iraq individuals who (a) made “statements about wanting to… ‘kill ragheads’ or achieve ‘kills’ or ‘body counts,’” (b) drank excessively, (c) used steroids, and (d) failed to follow safety and other instructions governing the use of lethal weapons. Mental-health professionals who raised concerns about deployment of such individuals were fired.
  • Prince obtained “illegal ammunition… designed to explode after penetrating within the human body” and smuggled it into Iraq for use.
  • Prince distributed other illegal weapons for use in Iraq.
  • Prince was aware of the use of prostitutes, “including child prostitutes,” at Blackwater’s “Man Camp” in Iraq, which he visited.

The actual declarations can be found here – John Doe 1 (pdf) – and here – John Doe 2 (pdf). These papers were part of opposition to a motion – the complete set of which can be found here. (Beware – it’s a few hundred pages of pdfs). I have emailed Scott Horton to see if he has any comment/explanation for why his article is no longer up on the Daily Beast.

Edit: The Daily Beast still has not gotten back to me. Mr. Horton replied telling me that he was looking into why his article was taken down himself.

[Image by John Rohan licensed under Creative Commons.]

Categories
Uncategorized

An ebay for Health Insurance

[digg-reddit-me]Politifact – a fact-checking organization – declared one statement from the mass email being circulated about health care (the one that cites the page and line numbers of various mythical provisions) “truthful.” Towards the end of the email it states, “All private healthcare plans must conform to government rules [in order] to participate in a Healthcare Exchange.”

This is true – and it’s a good thing. I actually think that – contrary to the opinions of most progressives – the key to effective health care reform is not the public option but a strong health care exchange. (Ezra Klein has a lot to do with this opinion.) The health reform Democrats are fighting for would create an ebay for health insurance – in which the government creates a market with set rules that sellers would need to follow in return for which the exchange would provide an easy way for buyers to evaluate and purchase the service (of health insurance in this instance.) This market wouldn’t replace the existing marketplace, but would only supplement it.

I support the public option – but health insurance reform will succeed based the effectiveness of the Health Insurance Exchange. It also should be able to receive bipartisan support – as it internalizes many Republican and free market doctrines (though it won’t receive any support from the Republicans.) The Health Insurance Exchange – if it is effective – will allow our system to gradually move away from health care insurance tied to employment; it will restrain costs; it will allow for decentralized, market-driven consumer decisions; it will provide safety and security that our current health insurance system is sorely lacking.

I’ve maintained before that free markets are a government creation. ((Not solely the government’s creation – but the government with society.)) In a Hobbesian universe, markets aren’t free – they are subject to the whim of robbers, poor transportation infrastructure, lack of protection for copyright or new technology, etcetera. Even in a state that offers these basic protections, a market can become unfree if any single company or group of companies attains too much power and begins to dominate decision-making. The strength of free markets comes from their virtues – competition; a lack of centralized decision-making; transparency. To the extent that the American economy is free, it is because our society and government have embraced these values. But this means that markets are a creation of the government – and they are maintained by it.

It is clear for anyone studying economic history that the market gets out of whack – that parts of it move irrationally. Costs move up too quickly; bubbles develop; monopolies take over. Seeing this, Friedrich Hayek, that pillar of free market thought and scourge of socialists the world over, suggested in his Nobel Prize acceptance speech, that those tasked with managing the economy look at their role as “gardners tending a garden.” This is exactly what the Democrats are setting out to do with this health care reform.

The Health Insurance Exchange is a governmental attempt to create a market for health insurance – an ebay in which sellers agree to follow certain rules in return for access to a customer base that trust the overall process. On ebay, those individuals and companies that choose to participate in this market agree to abide by certain rules: They accept that they will provide the service or good paid for in a prompt manner; they agree to be subject to a rating system; they agree to be honest in their postings; they agree to a certain degree of transparency; and they agree to numerous other rules that ebay sees as necessary to protect the community at large and individual consumers. In a similar way, the Health Insurance Exchange requires insurers who participate to be more transparent in their plans, to provide a certain base level of insurance, to subject themselves to being rated by their customers. And as ebay prohibits various fraudulent practices, the exchange would disallow the abusive practices of insurance companies from rescission once customers get sick to the abuse of claims of preexisting conditions.

This exchange would not replace the more free-wheeling market outside of the exchange, but would supplement it – just as ebay has not replaced the broader market, but provides a specific useful service within the broader market.

This ebay for health care insurance would create a market for health insurance that would ensure that companies would compete to make profits not by rescinding coverage or insuring only those who are healthy or simply denying claims – but by providing the best service for the lowest price. That’s not socialism – that’s creating a market that accomplishes something other than generating large profits for Wall Street and big name CEOs. I would even call it change I can believe in.

[This image is believed to be trademarked. It is being used to identify the organization eBay, a subject of public interest.]

Categories
Barack Obama Criticism Foreign Policy National Security The War on Terrorism

Military Envy

[digg-reddit-me]Under the Obama administration, the nonmilitary parts of America’s national security team have begun to increasingly imitate the Pentagon’s bureaucratic strategies and organization.

David Kilcullen, an Australian military officer embedded at various times in the State Department and in the Department of Defense during the Bush administration, one of the architects of the Surge, and a consultant to the Obama administration spoke at the Carneige Council about a number of problems with America’s approach to terrorism and its power – including what he saw as a serious mismatch between the “military and nonmilitary elements of national power.” He explained:

There’s 1.68 million people in the U.S. armed services, 2.1 million if you count all the civilians in the Department of Defense. I served in the State Department but this isn’t a State/Defense thing because I also served in the Defense Department, but between State and AID combined there are about 8,000 diplomats/foreign service officers in the U.S. So that’s 360 to 1 in terms of budget and 210 to 1 in terms of military guys to diplomats.

Contrast that to most other countries in the world, which have a ratio between 8 and 10 to 1. So we are dramatically out of proportion. We have this huge, well developed, highly expensive, well-coordinated military arm of national power and this tiny, shriveled, little puny diplomatic arm of national power. Not surprisingly we tend to see most problems as military problems and we tend to approach them with military solutions, because that’s the asset set that we have available.

By comparison there are five times as many accountants in the Department of Defense as there are diplomats in the U.S. diplomatic service. There’s as many lawyers in the Department of Defense as there are in the diplomatic service. There are actually more people playing as musicians in defense bands than there are diplomats. [Here the crowd titters.] So there’s a pretty substantial mismatch.

And of course that leads us to militarize our foreign policy.

He’s obviously right about this. But the military is not just seen to be bigger and better funded, but to be more effective than these other elements of national power. Its interesting to note that in the opening months of the Obama administration, the National Security Council, the State Department, and the Treasury have all sought to adopt elements of the Pentagon’s framework and seem to be using the Pentagon itself as a model.

Most recently, Noam Scheiber reported that the Treasury Department wanted to “put Treasury on a Pentagon-style footing.” He explained that in this new world of sudden financial movements, the Treasury needed to have greater capabilities to react to threats, as the military does:

Inevitably, it’s Treasury that must lead in this terrifying new order. Which is why its limitations have become so glaring. “The Pentagon is geared up to fight two wars at once, that’s the mission. The White House is a crisis management operation, it runs twenty-four hours a day,” says one Treasury official. “We want that capability.” And so, once the dust settles, Geithner is determined to put Treasury on a Pentagon-style footing. “One of things I hope to be able to do is leave a stronger institutional architecture in domestic finance with more depth in the career staff, more weight, more full-scale expertise in markets, regulatory policy, economics, the legal financial area,” he told me. When that day comes, you probably still won’t see much of Lee Sachs. But you can bet he’ll be manning the situation room. [my emphasis]

At the very start of this administration, Obama’s National Security Advisor, retired General Jim Jones pushed for the State Department and National Security Council to “reorganize their regional bureaus to conform with the military model,” according to Foreign Policy‘s Laura Rozen. So far, he has been unsuccessful.

But Secretary of State Hillary Clinton herself has sought to adapt at least one Pentagon practice to her new fiefdom – as she announced with great fanfare several weeks ago:

To deliver concrete results, we have to maximize our effectiveness. That’s why I’m excited to be here today to discuss a new enterprise, the Quadrennial Diplomacy and Development Review, which I announced at the State Department on Friday.

We are adopting this idea from the Pentagon. The Pentagon has successfully used this quadrennial review process to improve effectiveness and to establish a long-term vision. And I know from my time – about six years on the Senate Armed Services Committee – that the defense review helped convey the Department’s mission to all stakeholders, from members of Congress, to the members of the armed forces and their civilian colleagues, and to the rest of government, as well as to the American public. [my emphasis]

There has been a great deal of commentary in the past decade about the “creeping militarization” of America’s foreign policy. These changes seem more akin to powerful players in the Obama administration adopting the best practices of the Pentagon and adapting them across the government. In general, this is a good thing – but like the focus on technocratic, independent institutions solving intractable problems, this could also become problematic over time.

[Image by army.mil.]

Categories
Foreign Policy The Clintons The Opinionsphere

Did Kim Jong Il Apologize for Calling Hillary A “Funny Lady”?

David Rothkopf asks an interesting question:

I wonder how our former president and Kim Jong Il handled the “funny lady” who looks like a “pensioner going shopping” comments at dinner tonight?  And however they handled it, if only we could have gotten a glimpse of the “Annie Hall” subtitles that would have revealed what they were really thinking.”

Categories
Barack Obama Domestic issues Health care Politics The Opinionsphere

Lies About Health Care Reform

[digg-reddit-me]The August War for Health Care Reform has begun. The forces for health care reform and those against it (working with those who are against it right now) have both begun to wage the battle for public opinion and to influence Congress. Many on the pro-reform side are not sure if they are happy with the plans being considered – and are frustrated with what they see as the lack of forthrightness in selling the plan. There are currently multiple versions of the legislation in Congress – and the president has yet to state what he will require to be in the bill. This all seems part of a strategy, but it makes organizing more difficult. In the end, there is little choice but to trust that if given the proper space and pressure politically, Obama and the Democratic Congress will do the right thing.

But while this may be frustrating what has become very clear is that the opponents of reform are willing to lie outrageously in order to turn the tide in this fight. And those people who favor reform must beat back these complaints vigorously. Here’s a roundup of recent lies told by the opponents of reform:

1. Last week in an opening volley, I received a charming email from Townhall.com stating that “ObamaCare=Gov’t Funded Abortion and Euthanasia.” This is clearly not true.

2. Then, this morning, I opened up the Drudge Report and found as his main link a heavily edited video claiming that it showed Obama “IN HIS OWN WORDS” saying his health care plan will eliminate private insurance. Even in its heavily edited version, it didn’t show this. Instead it showed Obama endorsing the generally accepted idea that we should gradually end our employer-based health insurance. Obama’s views on single-payer health insurance have been gone over repeatedly. His campaign website gave three examples of him using the same formulation – which incidentally he also used in at least one debate that I recall:

If you’re starting from scratch, then a single-payer system’-a government-managed system like Canada’s, which disconnects health insurance from employment-‘would probably make sense. But we’ve got all these legacy systems in place, and managing the transition, as well as adjusting the culture to a different system, would be difficult to pull off. So we may need a system that’s not so disruptive that people feel like suddenly what they’ve known for most of their lives is thrown by the wayside.

So, what we have is a obviously edited video of Obama at various times in the past ten years saying that he supports a single-payer system (cutting out the second half of the statement) and his admission that he believes we should move away from employer-based health insurance. The video though is being promoted as proving that Obama is admitting that his plan would secretly impose government insurance on everyone. The video very clearly shows no such thing.

Yet, even so, the Libertarian sub-reddit was fooled and promoted the video.

The White House has helpfully provided the videos with some context in what I think is an excellent effort to combat this smear.

3. The hysteria over Obama’s health care reform even bled over into my walk home through Midtown Manhattan. On the way, I passed a booth run by the LaRouche PAC with a picture of Obama with a Hitler mustache (similar to this one) and an older black woman explaining to passers-by that Obama was seeking to kill older Americans just like Hitler did. Everyone knows the LaRouchites are a bit crazy. But how different is this from what Rush Limbaugh says? Or Fox News? I took a flyer from the women – though not before telling the person she was preaching to that Obama really wasn’t actually trying to kill her. The flyer explained (the PDF linked is slightly different version from what I received):

U.S. President Barack Obama delivered a nationally-televised press conference at 8 p.m. on July 22nd, in which on five separate occasions he called for health reform legislation featuring the establishment of “an independent board of doctors and health care experts” to make the life-and-death decisions of what care to provide, and what not, based on cost-effectiveness criteria – exactly the infamous “T-4” policy imposed by Adolf Hitler in 1939, for which the Nazi regime was tried and condemned at Nuremberg.

Lyndon LaRouche commented, within minutes of Obama’s remarks:

“President Obama is now impeachable, because he has, in effect, proposed legislation which is an exact copy of the legislation for which the Hitler regime was condemned in the post-war trials. This is an impeachable offense: to propose such a thing in this time, is an impeachable offense. The time has come that the President of the United States deserves impeachment. With this statement from him, the President now deserves impeachment.”

On how many levels is this ridiculous? The independent board of doctors and health care experts would replace MedPAC – a board that currently provides guidance to Congress in setting Medicare rates. Instead of advising, Obama’s new board – the IMAC – would make recommendations as to levels of pay that would be sent to the president and, if then endorsed by him, would be subject to the approval of Congress. They would also do studies of the comparative effectiveness of different types of treatments. Does this sound like a euthanasia program to you?

4. There is also an email is circulating that makes all sorts of outrageous claims about the bills under consideration on health care reform – including many of the above claims – and pretends to cite the pages and lines of the bill that mandate what it describes. Like many of these viral email lists of lies, it relies on the laziness and gullibility of the American people – trusting that people will pass it on rather than check the truthfulness of the claims themselves. The email was pretty thoroughly debunked by Linda Bergthold, a health care policy consultant and researcher who has been working in the field for 25 years, and Politifact, an arm of the St. Petersburg Times that analyzes the truth of political statements.

A lot of this stuff is hard to believe – but as Bill Maher pointed out last week – if you let even stupidest arguments stand unchallenged, they will take root and destroy even one’s best efforts. Which is why I’m going to try to make a point of calling bullshit on these outrageous lies as they come by…and you should too…

[Image by criswell; used without permission, but hopefully he’ll respond and give it to me soon.]

Categories
Humor Law

Souter’s Books

Katie Zezima in the New York Times:

Justice Souter told a Weare neighbor, Jimmy Gilman, that the two-story farmhouse was not structurally sound enough to support the thousands of books he owns, according to The Concord Monitor, and that he wished to live on one level. [my emphasis]

Wow. That’s gotta be quite a collection.

Categories
Health care

Krugman Summarizes the Health Care Problem

While researching a few facts about health care, I came across this excellent Paul Krugman article on health care in the New York Review of Books from 2006. Anyone who wants a good overview of the debate should check out the article in full – but here are a few highlights.

Krugman sees the growth of health care costs as being driven by new technology but exacerbated by aspects of our private system. He includes this informative graph to demonstrate the significance of health care spending:

He points to a study which quantifies the difference in spending between private and public health care plans:

For example, a study conducted by researchers at the Urban Institute found that

per capita spending for an adult Medicaid beneficiary in poor health would rise from $9,615 to $14,785 if the person were insured privately and received services consistent with private utilization levels and private provider payment rates.

He points to another study which tracked the changes in the growth of spending in Medicare and private insurance:

Comparing common benefits, says the Kaiser Family Foundation,

changes in Medicare spending in the last three decades has largely tracked the growth rate in private health insurance premiums. Typically, Medicare increases have been lower than those of private health insurance.

He makes a good point (with his wry wit) about the fragility of Medicaid:

Unlike Medicare’s clients—the feared senior group—Medicaid recipients aren’t a potent political constituency: they are, on average, poor and poorly educated, with low voter participation. As a result, funding for Medicaid depends on politicians’ sense of decency, always a fragile foundation for policy.

Krugman also points out yet another study which demonstrates how a market-based approach does not necessily lead to better health results – or even cheaper results – as bad choices in the short-term often lead to expensive treatments in the long-term:

A classic study by the Rand Corporation found that when people pay medical expenses themselves rather than relying on insurance, they do cut back on their consumption of health care—but that they cut back on valuable as well as questionable medical procedures, showing no ability to set sensible priorities.

Finally, Krugman continues to make the case that our health are system is simply not the best one out there:

The data in Table 1 show that the United States does not stand out in the quantity of care, as measured by such indicators as the number of physicians, nurses, and hospital beds per capita. Nor does the US stand out in terms of the quality of care: a recent study published in Health Affairs that compared quality of care across advanced countries found no US advantage. On the contrary, “the United States often stands out for inefficient care and errors and is an outlier on access/cost barriers.”

Categories
Barack Obama Criticism Politics The Opinionsphere

Obama and the Technocrats

[digg-reddit-me]Last week I wrote about Obama’s focus on using technocratic institutions to tackle the nation’s most intractable problems. I attributed to Obama a particular attitude towards our current media-political system – one consistent with many reformists – and then explained how Obama was seeking to push the change he had campaigned on, the difficult choices, onto these technocratic institutions, thus solving his political and policy problems at once. But by outsourcing significant authority to these bureaucratic and independent (and thus not quite accountable) organizations – from IMAC to the Federal Reserve to the National Infrastructure Bank – Obama was bleeding authority from elected institutions. At the same time, I tend to agree with the reformist critiques that recount the massive failures of our current media-political system to tackle most (if not all) long-term structural problems.

But since I’ve written this, I have come across a number of pieces challenging this idea from various perspectives on the left.

Mark Schmitt, an editor for the progressive The American Prospect, saw Obama’s approach as the opposite of what I did – though he focused on national security and justice issues. Schmitt agrees with the reformist attitude I attribute to Obama, writing:

[T]he idea that America’s “existing democratic institutions are strong enough to deliver accountability” flies in the face of all observed reality. For at least eight years, those institutions consistently failed to deliver accountability, and the Department of Justice and courts likewise failed to punish some of the greatest abuses of power in our history.

But he is himself frustrated that Obama does not share it. He concludes:

It takes some discipline to understand that organizational culture, not organizational structure, determines success or failure. And it takes a lot of patience to wait for an organizational culture to turn around and resist the temptation to add a commission here, a new agency there. Obama’s organizational discipline was the hallmark of his campaign, and we can only hope that his unyielding insistence that “our existing democratic institutions are strong enough” will eventually make them so.

Benjamin Wallace-Wells writing in The New Republic strongly disputes any attempts to link Obama’s technocrats with Kennedy’s technocrats (as I did) – writing that the Kennedy men weren’t brought down by their knowledge and rationality, but instead:

Their error was an excess of ideology; they were not empirical enough.

He concludes that the brilliant men of the Kennedy administration are different from the brilliant individuals of Obama’s:

Kennedy chose as his defense secretary the president of a car company. Obama chose the sitting secretary of defense. Obama’s brainiacs–people like Larry Summers and Tim Geithner and Peter Orszag–come from a different meritocracy than Kennedy’s did. They are not brilliant generalists. For better or for worse, they are experts.

It is clear that Obama’s technocrats are of a different sort than Kennedy’s – and I made that point as well. It also seems that many of them are students of history and have attempted to learn the lessons of their predecessors – from John Kennedy’s and Lyndon Johnson’s “best and brightest” to Clinton’s New Democrats. But I’m eager to see some commentary dealing with the fact that Obama has found an elegant solution to many of these intractable and politically fraught problems – from global warming to health care to financial regulation to infrastructure spending – an independent, technocratic institution that removes political considerations from these decisions and thus receives relatively broad bipartisan support. (I believe the independent agency proposed to tackle each of these problems has some bipartisan history.) And then to tease out what the potential implications and pitfalls of this are.

Because while Schmitt and Wallace-Wells make good points in disagreement with my thesis – their supporting facts do not undermine my point, just their broader generalizations from these facts.  Clearly – Obama respects existing institutions more than I gave him credit for – especially in the areas of national security and justice (and even financial regulation you could argue.) But it’s also clear that Obama’s solutions to many difficult domestic policy questions are to outsource the hardest decisions to incrementalist, technocratic, independent institutions.

[This image is not subject to copyright.]

Categories
The Opinionsphere The Web and Technology

The Superiority of Bloggers

Stephen Walt makes an excellent point:

I can’t figure out why newspapers aren’t hiring more bloggers to write columns for them on a regular basis. I started reading blogs because the stuff I read on the web tends to be smarter, funnier, better researched, and more entertainingly written than the pablum that appears on the op-ed pages of most newspapers. A lot of bloggers seem to produce more material too; frankly, doing a column twice a week sounds almost leisurely compared to what some bloggers pound out. There are dull bloggers and some excellent mainstream print pundits, of course, but I’m amazed that more bloggers aren’t breaking into the so-called big-time mainstream media. Probably another good reason why newspapers are dying. [my emphasis]

Imagine how great this blog would be with an editor to give some guidance and – you know – edit – instead of me editing drafts during my morning commute.