I’m Not Sure I Can Watch This

Sen. Lamar Alexander is delivering the Republicans’ opening remarks, and I already want to hurl big, heavy objects at the TeeVee screen. Here are his basic themes:

  • What’s really important is controlling cost.
  • The Democratic bill cost too much.
  • The People have said they don’t like the Democratic bill, so the Dems should scrap it.
  • Reconciliation is bad.
  • Beware of the “tyranny of the majority,” which I take it means that the party that the people elected into the majority in Congress should not be allowed to pass bills.

Update: The lies are beginning already, and I turned off the TeeVee because, frankly, I’ve got work to do and I won’t get it done if I’ve got that nonsense droning on in front of me.

Lamar Alexander said in his opening remarks that the Congressional Budget Office had said the Democratic plan would raise premiums. I believe I know what he’s talking about. Some versions of the bills (notably without the public option) would cause some individual insurance premiums to go up, mostly because the insurance industry would no longer be able to sell junk policies to individuals but would have to sell them policies that actually cover their health care needs. So in some states individual policies would become more expensive, but they would also be real insurance policies and not ripoffs.

However (as I remember) the same CBO analysis said that the same plan would cause the cost of employee-benefit insurance to go down a bit.

Update: Daily Kos is liveblogging. See also the TPM Health Care Summit Wire.

Health Care Summit Today

The much anticipated health care summit is today, from 10 am to 4 pm EST. I don’t plan to live blog the whole thing but will be monitoring it on the TeeVee and may post if something strikes me as significant — like, releasing tigers.

I haven’t seen it, but Ben Dimiero of Media Matters says rightie media is furiously promoting a Breitbart TV video that shows Democrats in 2005 criticizing the “nuclear option.” Well, I’ll let him explain it

The “nuclear option” was a term coined by Sen. Trent Lott (R-MS) in reference to his proposed change to Senate rules that would have banned use of the filibuster for judicial nominations.

Reconciliation, on the other hand, requires no change to Senate rules since it has been used repeatedly over the years to pass major legislation – notably to pass major pieces of health care reform legislation. Republicans themselves weren’t quite so uncomfortable with the supposedly “dirty” process when they used it to pass President Bush’s tax cuts. Multiple times. …

…In a jaw-dropping display of audacity, the video runs several examples of Democrats railing against the “nuclear option” in 2005. The video attempts to juxtapose this with their current support for reconciliation to show their supposed hypocrisy.

This is absurd.

The Democrats in the video are railing against the “nuclear option” as defined by Lott, not the new definition conservatives have decided to bestow upon the phrase. On his radio show, Beck called the video “laughable” and “unbelievable.” I agree with those characterizations, but for slightly different reasons.

To prove a point, I propose we change the definition of “deficits” to mean “freedom,” then put together a reel of conservatives attacking “freedom.”

It would be about as honest.

Is It teh Guns, or teh Crazy?

It may be a sign of the times that news of a new school shooting in Littleton, Colorado, seems to be making no splash at all on the blogosphere. No one was killed, fortunately, but still, you’d think some blogger would mention it. I haven’t even seen any rightie bloggers try to claim the shooter was a liberal.

Anyway, guns are in the news. Ian Urbina reports for the New York Times that states are tossing out what’s left of firearm regulations in anticipation of the Great Obama Gun Grab that’s supposed to begin any minute now.

President Obama has never indicated he intends to try to confiscate firearms, and last year he signed bills that allows firearms to be carried in national parks and on Amtrak trains. But that just shows how diabolically clever he is. As soon as gun owners relax their guard, agents from ACORN will show up at their doors to confiscate their firearms.

Some states have passed laws saying that firearms manufactured, purchased and used entirely within their states are not subject to any federal regulation. Which is to say, if you think the U.S. Congress is a waste of protoplasm, you probably don’t want to look at your state legislature real hard.

I read this week that the Indiana legislature is debating a bill that would deny employers the right to ban firearms from their property. Gun owners want to be able to store their guns in their cars while parked in the company parking lot.

Employers complain that the bill interferes with their property rights. The National Rifle Association says that the right to self-defense trumps property rights. I guess if there’s a hold-up in your workplace, you could tell the bandit to wait until you fetch the rifle from your car.

It’s crazy out there, people.

Just in case this post attracts some firearm, um, enthusiasts, let me say that I do not oppose personal firearm ownership per se. I have never owned a gun, but if I lived in a remote mountain cabin in Montana, I might keep a loaded shotgun on the wall. I don’t even oppose hunting, even though I am a Buddhist. I wouldn’t go hunting myself, but I wouldn’t stop other people from hunting as long as they know what they’re doing and follow state laws and hunting safety rules and, most of all, stay sober.

I also think there’s some truth in the slogan “guns don’t kill people, people kill people.” As Michael Moore pointed out in Bowling for Columbine, there are other nations, notably Canada, in which lots of people own guns and which don’t have anywhere near the level of gun violence you find in America.

The cause of gun violence is not guns alone, but a combination of guns plus people who are (a) paranoid, (b) angry, (c) paranoid and angry, (d) criminal, (e) psychotic, or (e) all of the above. Unfortunately, that list describes a large portion of the American public.

And, unfortunately, the people who are most hysterical about keeping their right to bear arms are the same people you’d least likely trust to use a firearm responsibly. (See list in previous paragraph.) The NY Times article pretty much backs me up on that.

The current stampede to reverse state firearms regulations is part of an ongoing trend. Although it hasn’t been updated since 2006, this animated graphic shows changes in right-to-carry laws nationwide. This is supposed to make us safer from criminals carrying guns, a claim demolished pretty well on this website.

And Steve M. has data showing how Virginia’s gun laws impact crime in New York City. New York City? Virginia is the primary supplier of guns used in crimes in NYC. Years ago criminals could drive down to Virginia, legally purchase a carload of firearms, and drive them back to NYC. In 1993, Virginia passed a law restricting citizens to one firearm purchase a month, which contributed to a dramatic drop in violent crime in NYC.

Well, guess what, folks? Virginia just voted to repeal the law. Because, you know, purchasing one gun per month isn’t good enough to keep law-abiding citizens self-protected.

It’s All About Freedom

George Lakoff makes a good point here —

Health means life. If you get a major illness or injury and cannot get it treated adequately, you could die. And tens of thousands do.

Health means freedom. If you have a serious illness or injury and cannot get it treated, your freedom will be limited in many ways. Your physical freedom: you may no longer have the freedom to move around. Your economic freedom: you may not be able to work or your medical bills may impoverish you. Your emotional freedom: you will not be free to live a happy life.

Too many of us have, to one extent or another, bought into the libertarian fallacy that only government interferes with “freedom.” Probably nothing (next to being dead) reduces personal freedom more than an impaired brain or body. After that comes poverty, which reduces your choices and dictates you spend your time doing whatever you have to do to survive.

The most egregious example of non-freedom in American history, the institution of slavery, was not conducted by government. It was protected by government, but only because slave-owning citizens demanded that their “property rights” be protected.

White House Health Care Plan

The White House plan is online. I haven’t had time to read it myself, but there’s a quick summary at Talking Points Memo.

Among the highlights, which Brian goes over in more detail here:

  • A delayed start to a new tax on high-end insurance plans. It would go into effect in 2018, not the 2013 as initially proposed.
  • Ends the Nebraska deal giving a federal government subsidy for Medicaid.
  • It has no public option but creates an exchange system.
  • Was crafted to be in line with using reconciliation as a tactic for final passage.
  • As we reported earlier, the measure proposes giving the government new power to block insurance rate hikes.

Marc Ambinder provides another bulleted list. These are just some of the bullets:

  • it proposes to cover 31 million Americans who don’t have health insurance;
  • it creates a new federal facility to help states crack down on insurance industry abuses and unfair rate increases;
  • it includes significantly ramped up efforts to crack down on waste and fraud within the Medicare/Medicaid systems — this is a nod to Republicans (Peter Roskam and Mark Kirk are behind proposals to do just this);
  • it adds a Medicare tax of 2.9% on unearned income — hitting the wealthy; it immediately closes the Medicare Part D donut hole gap — something seniors should notice before the November 2010 elections if this gets through Congress;
  • it increases tax credits to families to help them buy insurance; it spends $11 billion on community health care centers
  • it increases fees for brand name (as opposed to generic) drugs, depriving the pharmaceutical industry of an extra source of profits

See also E.J. Dionne, “The Elephant at the Health Care Summit

Profiles in Courage

Random stuff I learned while chasing links around the Web:

First off, NBC’s Brian Williams ought to get the last week’s Stupid Award for this:

How do you ask the Dalai Lama to leave the White House if you’re trying to keep his visit from becoming too public? Well, judging from the trash bags that he had to walk around, the Obama White House had him exit through a door seldom used by anybody but household staff. It’s where the West Wing meets the main residence. China, however, did notice the visit and called in the U.S. ambassador to China today to protest.

By my count, last week’s was the tenth visit the Dalai Lama has made to the White House, and the fourth sitting POTUS he has met there. I understand he met with George H.W. Bush once, Bill Clinton and George W. Bush four times each, and now Barack Obama once. These meetings are always kept as far under the radar as they can be kept. Clinton didn’t even put His Holiness on the official schedule, but would arrange for him to meet with some lesser official and then casually drop by. The two Bushes handled Dalai Lama visits about the same way Barack Obama did — very quietly, and not in the Oval Office.

The one exception to this was October 2007, when George W. Bush attended the ceremony at which the Dalai Lama was awarded the Congressional Gold Medal. The award set off a round of celebrations, protests and police actions in Tibet that played a part in the March 2008 uprising. There are reasons to keep these things low key other than placating China.

And as far as I know, the White House exit he used Thursday is the same one His Holiness always uses, although don’t quote me on that. The Dalai Lama will be on Larry King live tomorrow night, I understand, and maybe Larry will ask him about the trash bags if he runs out of questions about Tiger Woods.

As I wrote at The Guardian, the Dalai Lama is a walking dilemma for presidents. They can’t meet with him, they can’t not meet with him. Either way, they get slammed by somebody.

But the suggestions that the White House seriously was trying to hide the visit from China is more than ludicrous. It was in the papers. There were reporters there (His Holiness threw snow at them in a manner that suggested a purification ritual). The White House issued a statement and uploaded a photo of the meeting to the White House Flickr.com page. The Chinese were paying close attention, believe me.

BTW, His Holiness wore flip flops to the White House. He’s so cute.

Other profiles — I learned from Phil Boehmke at the right-wing site American Thinker that it takes real courage for a prominent and self-employed right-wing publisher to stand in front of a right-wing audience and badmouth lefties. So, folks, whenever you are facing terror — like it’s 6 a.m. and you realize you’re out of coffee, or there’s a big spider in the pantry, or something — and need someone with real courage, be sure to call on ol’ Andrew B.

How Stupid Do You Have to Be to Work for Cato?

Yesterday I linked to a Paul Krugman column titled “California Death Spiral,” in which Krugman explains succinctly how insurance markets collapse. In short, “If too many healthy people decide that they’d rather take their chances and remain uninsured, the risk pool deteriorates, forcing insurers to raise premiums. This, in turn, leads more healthy people to drop coverage, worsening the risk pool even further, and so on.” If you’ve been paying attention to the health insurance issue, this is fairly self-evident.

Now Michael F. Cannon, the Cato Institute’s director of health policy studies, responds by saying that Krugman doesn’t understand insurance markets.

Cannon’s argument — First, he says that Krugman is unfamiliar with the work of University of Pennsylvania economist Mark Pauly. According to Cannon, Pauly has shown that “health insurance markets are way ahead of politicians — and way ahead of economists — in solving the problems that bedevil health insurance markets.” As proof of Pauly’s genius, Cannon links to an abstract of an article Pauly wrote in 1995 about “Guaranteed Renewability in Insurance” and to a description of a book on risk pooling that Pauly co-authored and which was published by the American Enterprise Institute.

Yes, I’m … so not persuaded. But this is a common trick of rightie think-tank fellows. If they don’t have an actual argument, they pull the name of some Authority Figure out of their butts and claim he has an argument. We don’t know what that argument is, but we’re assured it exists.

From here, Cannon goes on to say a colossally stupid thing:

Healthy people dropping coverage would not lead to across-the-board premium increases in California, because California allows markets to set premiums. Only when the government imposes the kind of price controls that Krugman wants does an “adverse selection death spiral” follow.

This entire debate came about because Anthem Blue Cross and other insurers in California are imposing huge premium increases on their customers, and they are doing this in spite of the fact these companies are making substantial profits. As Cannon says, state regulators in California have very limited power to control rates, so insurers can pretty much charge whatever they feel like charging.

There’s your “free markets,” Mr. Cannon.

Note that Krugman did not argue that the premium increases are being caused by a “death spiral,” but that Anthem Blue Cross claims that’s why it’s raising its rates. So either there is such a death spiral in spite of the lack of regulation in California’s insurance markets, or Anthem is price gouging. Take your pick. Either way, the free market ain’t doing squat for the consumer.

You might remember that Cato is the same pool of geniuses who endorsed the idea of insurance insurance as the solution to the health insurance crisis. If you missed it, the plan is to give insurance companies a completely free hand to risk-rate premiums, so that as people get older and/or sicker their premiums would go up. And to keep you from being priced out of health insurance if you get sick, you’re supposed to take out a separate policy of “health status insurance” that will insure you against catastrophic increases in your health insurance. (No, I’m not making this up. Read Cato’s insurance insurance manifesto here.)

This brings me to the question asked in the title of this post — how stupid do you have to be to work for Cato? Because, based on his own arguments, I conclude that Michael F. Cannon is either (a) a complete idiot, or (b) paid to churn out verbiage that has the approximate look and feel of reasoned arguments to defend positions that are really matters of religious faith (i.e., “free markets” fix everything).

I’m leaning toward (b), because Cannon’s invocation of the economist Mark Pauly is a classic example of the “appeal to authority” logical fallacy. We have no way to know how Pauly concludes (assuming that he does) that health insurance markets are already at work solving the problems of the health insurance markets, and apparently have been doing so since 1995. And to pull this trick to discredit a Nobel Prize-winning economist takes cojones.

It’s also a signal to anyone with a brain that Cannon doesn’t have a real argument. But I’m sure he’s very persuasive to people who want to remain loyal to the Magical Free Market doctrine. This is Cannon’s real role — not to provide a real argument, because there isn’t one, but to provide something that looks and feels like an argument to give the True Believers something to hang on to.

Health Care Reform: Not Dead Yet

David Herszenhorn and Robert Pear write in the New York Times:

President Obama will put forward comprehensive health care legislation intended to bridge differences between Senate and House Democrats ahead of a summit meeting with Republicans next week, senior administration officials and Congressional aides said Thursday.

Democratic officials said the president’s proposal was being written so that it could be attached to a budget bill as a way of averting a Republican filibuster in the Senate. The procedure, known as budget reconciliation, would let Democrats advance the bill with a simple majority rather than a 60-vote supermajority.

We don’t know details. The plan is supposed to be posted on the Web on Monday. Congressional Republicans are still whining about how nobody listens to them, and maybe they’ll skip the health care summit because the Dems already have their minds made up about what they will pass, although it’s not clear congressional Dems have any more idea what the White House is coming up with than anyone else.

More Stuff to Read:

Paul Krugman, “California Death Spiral.”

Ezra Klein, “Selling insurance across state lines: A terrible, no good, very bad health-care idea

Matt Yglesias, “Breaking: Michelle Obama Reads Books.”

On the “Mount Vernon Statement”

The conservative “old guard” has released a political manifesto called the “Mount Vernon Statement,” which to me is a textbook example of what happens when people ignorant of history attempt to interpret a historical document. Or, in this case, it’s possibly not so much that they are ignorant of history but that they are incapable of thinking outside their ideology box.

This ideological myopia creates howlers such as the claim the Founding Fathers were vitally concerned with “economic reforms grounded in market solutions.” I don’t think so. The Founders lived in the dawn of the age of industrial capitalism, but I’ve never noticed that they were much influenced by industrial-capitalist thought. Most of them were old-money Agrarian Age aristocrats, remember.

Indeed, if you think about it, the whole idea of naming a [free-market] manifesto after Mount Vernon — a bleeping slave plantation when George Washington lived there — reveals their aversion to actual history as opposed to symbolism and allegory (see the previous Mahablog post).

Another oddity noted by Jack Balkin — the word equality does not appear anywhere in the Mount Vernon statement. “It is hard to speak of fidelity to the Declaration and to the Constitution without once mentioning equality as a central value behind the Declaration and the Constitution,” he says, with profound understatement. “The Declaration’s most famous passage announces the self-evident truth is that all men are created equal.” Today’s Mount Vernon crew do bring up the Declaration, but only so they could work in a mention of God, who is inconveniently missing from the Constitution itself (courtesy of the “godless liberals” who wrote it).

Another anachronism — the Mount Vernon crew claims the Constitution “supports America’s national interest in advancing freedom and opposing tyranny in the world and prudently considers what we can and should do to that end.” Um, where is the “opposing tyranny in the world” clause?

The first statement in the document that set off alarm bells for me came in the first paragraph —

We recommit ourselves to the ideas of the American Founding. Through the Constitution, the Founders created an enduring framework of limited government based on the rule of law. They sought to secure national independence, provide for economic opportunity, establish true religious liberty and maintain a flourishing society of republican self-government.

The Constitution was indeed created to maintain a flourishing society of republican self-government. However, today’s movement conservatism does not believe in “republican self-government.” In the article by Michael Lind I discussed in the previous post, Lind wrote,

Likewise, the idea of popular sovereignty, though it dates back to John Locke in the 17th century, need not inspire reactionary reverence for existing institutions, much less a desire to restore an alleged golden age. On the contrary, the sovereign people have the right to remake their political and social order every generation or two, in order to achieve their perennial goals in changing conditions.

This was the view of Abraham Lincoln, who said in his Second Annual Message to Congress: “As our case is new, we must think anew. We must disenthrall ourselves and then we shall save our country.” And it was the view of Franklin Roosevelt in 1932 in his Commonwealth Club Address: “Faith in America, faith in our tradition of personal responsibility, faith in our institutions, faith in ourselves demand that we recognize the new terms of the old social contract.”

At the high level of public philosophy, the debate between the tea party right and progressives boils down to this: Do we think that fidelity to our predecessors means mindlessly doing what they did in their own time, even though times have changed? Or do we think that we should act as they would act, if they lived in the 21st century and had learned from everything that has happened in America and the world in the past 200 years?

To put it another way: The American Revolution was a beginning, not an end. The real equivalents today of the American revolutionaries are those who view the republic, not as an 18th-century utopia to be restored with archaeological exactitude, but as a work in progress to which every generation of Americans can contribute.

The conservative idea of “republican self-government” makes the Constitution into a straightjacket, taking away the ability of We, the People to use government to address our concerns, as opposed to the concerns of 1787. Government is an active thing. Government in any form is assessing changing conditions and making decisions based on current needs and available resources.

Since Reagan, however, conservatives have slapped the hands of anyone who actually wants to practice “republican self-government.” Government is supposed to be drowned in the bathtub and replaced by corporate oligarchy.

Come to think of it, maybe they hadn’t forgotten Mount Vernon was a slave plantation.

Anyway, it should be noted that the tea partiers are way underwhelmed. “Old school movement conservative leaders have ceased to be relevant in any meaningful way,” one wrote. The tea partiers are writing their own manifesto, called the “Contract From America.” And yes, that old school movement conservative and old whore Newt Gingrich saw this movement and managed to position himself in front of it. (This is all linked on the tea partier site, which is set up so that you can’t link to individual items on it. Not user-friendly.)

The tea partiers want specifics, apparently, and not mushy bromides, which suggests they haven’t entirely given up on “republican self-government” even if the solutions they favor are grotesquely wrong-headed. Credit where credit is due.