Tuesday, May 11, 2010
Is Kagan a Closed Book?
In his column today, David Brooks argues that Kagan has never taken any real 'intellectual risks' in the course of her legal career. She has cautiously -- strategically -- hidden her feelings from the public. (Andrew Sullivan follows up and makes similar comments here.)
While it's certainly fair to wonder about Kagan's stance on important issues and to speculate about these kinds of things, it strikes me as a little cynical to assume that she's been deliberately concealing her views all this time.
Isn't it possible that Kagan is just one of those rare individuals who is able to see many sides of an issue? Because, if that's the case, she's exactly the kind of person that I would want on the Supreme Court.
Friday, December 18, 2009
Is Ezra Missing the Point?
[T]ake the public option. Lieberman has cycled through a variety of explanations, none of which made the slightest lick of sense. First, he said the public option would increase the deficit. That's flatly untrue. Not only did CBO say the exact opposite, projecting savings of $25 to more than $100 billion, depending on the construction, but the idea didn't even make conceptual sense -- the cost of health-care reform comes from the subsidies, which apply to private and public insurance equally.
Well, sort of.
Regardless of its construction, the public plan would have probably attracted more people who received federally subsidized care. So, while the subsidies would technically "apply to private and public insurance equally," it's unlikely that they would be allocated equally. The public plan would get an unequal share of the subsidies, but this probably wouldn't be enough to make up for the adverse selection problem.
As Ezra himself explained:
[B]ecause the public option is, well, public, it won't want to do the unpopular things that insurers do to save money, like manage care or aggressively review treatments. It also, presumably, won't try to drive out the sick or the unhealthy. That means the public option will spend more, and could, over time, develop a reputation as a good home for bad health risks, which would mean its average premium will increase because its average member will cost more.
The nightmare scenario, then, is that private insurers cotton onto this and accelerate the process, implicitly or explicitly guiding bad risks to the public option. In theory, the exchanges are risk-adjusted, and the public option will be given more money if it ends up with bad risks, but it's hard to say how that will function in practice.
If this is true, can the "level-playing field" public plan really survive in a competitive exchange without a government backstop? If it can't, will the government attempt bail it out? This would undoubtedly increase the federal deficit.
Moreover, despite what the CBO says, some of the cost-saving provisions in the Senate health care bill are unlikely to actually reduce the deficit because they're not going to be implemented.
Here is what David Brooks wrote in today's NYT:
The bill is not really deficit-neutral. It’s politically inconceivable that Congress will really make all the spending cuts that are there on paper. But the bill won’t explode the deficit, and that’s an accomplishment.
Back in September, CBO director Doug Elmendorf acknowledged this point:
These projections assume that the proposals are enacted and remain unchanged throughout the next two decades, which is often not the case for major legislation. For example, the sustainable growth rate (SGR) mechanism governing Medicare’s payments to physicians has frequently been modified (either through legislation or administrative action) to avoid reductions in those payments. The projected savings for the Chairman’s proposal reflect the cumulative impact of a number of specifications that would constrain payment rates for providers of Medicare services. The long-term budgetary impact could be quite different if those provisions were ultimately changed or not fully implemented.
There is fundamental disconnect between the CBO projections and political reality.
Tuesday, November 10, 2009
A Politically Serious Nation?
When Maj. Nidal Malik Hasan [murdered 13 people] in Fort Hood, Tex., last week, many Americans had an understandable and, in some ways, admirable reaction. They didn’t want the horror to become a pretext for anti-Muslim bigotry.
So immediately the coverage took on a certain cast. The possibility of Islamic extremism was immediately played down. This was an isolated personal breakdown, not an ideological assault, many people emphasized.
Major Hasan was portrayed as a disturbed individual who was under a lot of stress. We learned about pre-traumatic stress syndrome, and secondary stress disorder, which one gets from hearing about other people’s stress. We heard the theory (unlikely in retrospect) that Hasan was so traumatized by the thought of going into a combat zone that he decided to take a gun and create one of his own.
A shroud of political correctness settled over the conversation. Hasan was portrayed as a victim of society, a poor soul who was pushed over the edge by prejudice and unhappiness.
There was a national rush to therapy. Hasan was a loner who had trouble finding a wife and socializing with his neighbors.
This response was understandable. It’s important to tamp down vengeful hatreds in moments of passion. But it was also patronizing. Public commentators assumed the air of kindergarten teachers who had to protect their children from thinking certain impermissible and intolerant thoughts. If public commentary wasn’t carefully policed, the assumption seemed to be, then the great mass of unwashed yahoos in Middle America would go off on a racist rampage.
Worse, it absolved Hasan — before the real evidence was in — of his responsibility. He didn’t have the choice to be lonely or unhappy. But he did have a choice over what story to build out of those circumstances. And evidence is now mounting to suggest he chose the extremist War on Islam narrative that so often leads to murderous results.
The conversation in the first few days after the massacre was well intentioned, but it suggested a willful flight from reality. It ignored the fact that the war narrative of the struggle against Islam is the central feature of American foreign policy. It ignored the fact that this narrative can be embraced by a self-radicalizing individual in the U.S. as much as by groups in Tehran, Gaza or Kandahar.
It denied, before the evidence was in, the possibility of evil. It sought to reduce a heinous act to social maladjustment. It wasn’t the reaction of a morally or politically serious nation.
Tuesday, October 27, 2009
Doubting Brooks
Up until recently, people in the financial world bathed in the warm glow of their own self-approval. Hubris in that world always takes the same form: The geniuses there come to believe that they have mastered risk. The future is an algorithm and they’ve cracked the code.
Over the past year, the bonfire of overconfidence has shifted to Washington. Since the masters of finance have been exposed as idiots, the masters of government have concluded (somewhat illogically) that they must be really smart.
Overconfidence in government also has a characteristic form: that of highly rational Olympians who attempt to stand above problems and solve them in a finely tuned and impartial manner. In moments of government overconfidence, officials come to see society not as a dynamic and complex organism, but as a machine, which can be rebuilt. In such moments, governance and engineering merge into one.
If I do become a highly rational Olympian, hopefully I'll be able to maintain some level of humility . . . .
Friday, October 9, 2009
Tuesday, October 6, 2009
Two Posts to Read
Second, David Brooks offers a really interesting (and philosophical) op-ed on our current political options.
