Should Obamacare Evolve Into “Medicare for All?”

Federal agents storm a Los Angeles hospital engaged in a scheme to defraud Medicare.  Such fraud is rampant, raising the question of whether "Medicare for All" is a good idea. [Credit: LA Times]

Fed­er­al agents storm a Los Ange­les hos­pi­tal engaged in a scheme to defraud Medicare. Such fraud is ram­pant, rais­ing the ques­tion of whether “Medicare for All” is a good idea. [Cred­it: LA Times]

Estill Mitts, a 68-year-old from Los Ange­les, came up with an enter­pris­ing idea some years back that made him mil­lions: pay home­less peo­ple from the city’s “Skid Row” dis­trict who were eli­gi­ble for Medicare or Med­ic­aid to check into local hos­pi­tals, even if they didn’t need to be there.

Set­ting up shop at a faux med­ical facil­i­ty that he dubbed the ”Assess­ment Cen­ter,” Mitts hired what he called “stringers” to pay home­less peo­ple small sums of mon­ey to go to one of three med­ical facil­i­ties that were in on the scam – City of Angels, LA Met­ro­pol­i­tan and Tustin Hos­pi­tal and Med­ical Cen­ter – where they were admit­ted whether or not they actu­al­ly required care. The hos­pi­tals billed Medicare or Med­ic­aid for the inpa­tient stays and made kick­back pay­ments to Mitts. Con­tin­ue read­ing →

A Detached President Could Be Just What the NSA Needs

President Obama was described as "impatient" and "disengaged" during briefings on last year's Syria crisis.  That  sense of detachment lead him to a constructive resolution of the NSA snooping controversy. [Credit: Pumas Unleashed]

Pres­i­dent Oba­ma was described as “impa­tient” and “dis­en­gaged” dur­ing brief­in­gs on last year’s Syr­ia cri­sis. That sense of detach­ment could lead him to a con­struc­tive res­o­lu­tion of the NSA snoop­ing con­tro­ver­sy. [Cred­it: Pumas Unleashed]

Even as the debate about arm­ing the [Syr­i­an] rebels took on a new urgency, Mr. Oba­ma rarely voiced strong opin­ions dur­ing senior staff meet­ings. But cur­rent and for­mer offi­cials said his body lan­guage was telling: he often appeared impa­tient or dis­en­gaged while lis­ten­ing to the debate, some­times scrolling through mes­sages on his Black­Ber­ry or slouch­ing and chew­ing gum.

New York Times, Octo­ber 22, 2013

A Pres­i­dent has enor­mous demands on his time and atten­tion. He can’t focus on every­thing. He must choose. Pres­i­dent Oba­ma, if the New York Times account is to be believed, chose to be “impa­tient” and “dis­en­gaged” as his advis­ers last year pre­sent­ed him with options on Syr­ia, per­haps explain­ing why he fol­lowed what the Times termed “an uncer­tain path amid Syr­i­an bloodshed.”

The dis­en­gage­ment from mat­ters of nation­al secu­ri­ty that served him so poor­ly through­out the Syr­i­an affair might unique­ly suit him to resolve the con­tro­ver­sy over whether the gov­ern­ment should con­tin­ue to gath­er large vol­umes of data about US cit­i­zens. Con­tin­ue read­ing →

The Fed and the Consequences of Bad Predictions

South Africa's government in recent years voted to jail people who make unauthorized and inaccurate forecasts.  Good thing for the Federal Reserve that their bad predictions don't carry consequences.  [Credit: University of MN]

South Africa’s gov­ern­ment in recent years vot­ed to jail peo­ple for mak­ing unau­tho­rized and inac­cu­rate weath­er fore­casts. Good thing for the Fed­er­al Reserve that their bad pre­dic­tions don’t car­ry con­se­quences. [Cred­it: Uni­ver­si­ty of MN]

The South African gov­ern­ment in recent years con­sid­ered a bill to jail peo­ple who pub­lished inac­cu­rate and unau­tho­rized fore­casts of severe weather.

Hold­ing peo­ple account­able for their pre­dic­tions seems a bit harsh in this sea­son of pre­dic­tions. But the South Africans do have a point: pre­dic­tions have con­se­quences. That’s as true of pre­dic­tions about the econ­o­my as about the weath­er, some­thing that the Fed­er­al Reserve might do well to pon­der. Con­tin­ue read­ing →

Why You’ll Watch The Eagles-Bears Game Tonight

It won't be a Very Brady pre-Christmas game on Sunday night, as NBC will feature Nick Foles and the Eagles against the  Bears, rather than Tom Brady and the Patriots vs. the Ravens. [Credit: warroomphilly.com]

It won’t be a Very Brady pre-Christ­mas game on Sun­day night, as NBC will fea­ture Nick Foles and the Eagles against the Bears, rather than Tom Brady and the Patri­ots vs. the Ravens. [Cred­it: warroomphilly.com]

Foot­ball com­bines the two worst things about Amer­i­ca: it is vio­lence punc­tu­at­ed by com­mit­tee meet­ings.  – George Will

The NFL has decid­ed that today’s fea­tured game – played at night dur­ing prime­time, rather than dur­ing the after­noon – will be the Philadel­phia Eagles against the Chica­go Bears. That deci­sion shows just how con­fi­dent the league is that you will watch just about any game they decide to air, a well-ground­ed con­fi­dence built on decades of sol­id leadership.

They could have put the Bal­ti­more-New Eng­land game in the slot.  It pits the reign­ing Super Bowl Cham­pi­on Ravens against Tom Brady and the Patri­ots.  It seems a bet­ter rat­ings-get­ter. Tom Brady is an elite quar­ter­back who has won 3 Super Bowls, done GQ cov­ers and has a super­mod­el wife. Your sis­ter knows who Tom Brady is.  Ask her if she’s heard of Nick Foles.  Or Jay Cut­ler. Con­tin­ue read­ing →

How The Budget Deal Could Threaten Obamacare

An angry John Boehner (R-OH) lashed out at conservative groups who opposed the budget deal.  The deal strengthens his hand with his caucus and in negotiations over changes to Obamacare.  [Credit: Washington Post]

An angry John Boehn­er (R‑OH) lashed out at con­ser­v­a­tive groups who opposed the bud­get deal. The deal strength­ens his hand with his cau­cus and in nego­ti­a­tions over changes to Oba­macare. [Cred­it: Wash­ing­ton Post]

“Frankly, I think they’re mis­lead­ing their fol­low­ers. I think they’re push­ing our mem­bers in places where they don’t want to be. And frankly, I just think that they’ve lost all cred­i­bil­i­ty.” – House Speak­er John Boehn­er (R‑OH), com­ment­ing on oppo­si­tion by con­ser­v­a­tive groups to the bud­get deal.

Last week’s over­whelm­ing House vote to rat­i­fy a mod­est bud­get agree­ment has been var­i­ous­ly depict­ed as a defeat for the Tea Par­ty, a rare instance of bipar­ti­san­ship, and a moment of ratio­nal­i­ty in an oth­er­wise chaot­ic and dys­func­tion­al bud­get process. It is all of those things and some­thing more: a new threat to the already trou­bled imple­men­ta­tion of Oba­macare. Con­tin­ue read­ing →

Maximum Wage: Solution to Inequality?

The Swiss campaign to limit executive pay fell short, but are there good solutions to the problem of income inequality?

The Swiss cam­paign to lim­it exec­u­tive pay fell short, but are there good solu­tions to the prob­lem of income inequality?

We know that people’s frus­tra­tions run deep­er than these most recent polit­i­cal bat­tles. … They expe­ri­ence in a very per­son­al way the relent­less, decades-long trend. … And that is a dan­ger­ous and grow­ing inequal­i­ty and lack of upward mobil­i­ty that has jeop­ar­dized mid­dle-class America’s basic bar­gain — that if you work hard, you have a chance to get ahead. .I believe this is the defin­ing chal­lenge of our time: mak­ing sure our econ­o­my works for every work­ing Amer­i­can. It’s why I ran for Pres­i­dent. It was at the cen­ter of last year’s cam­paign. It dri­ves every­thing I do in this office. — Pres­i­dent Obama

Eco­nom­ic inequal­i­ty is a polit­i­cal­ly potent issue.  Van­der­bilt Uni­ver­si­ty pro­fes­sor Lar­ry Bar­tels believes that it was a crit­i­cal one in the 2012 Pres­i­den­tial race, adding 2 to 3 per­cent­age points to Pres­i­dent Oba­ma’s share of the vote and 1 per­cent in bat­tle­ground states.  The Pres­i­den­t’s advan­tage on this issue, Bar­tels says, was large­ly sym­bol­ic, hav­ing more to do with the per­cep­tion that his oppo­nen­t’s great wealth had detached him from the con­cerns of ordi­nary vot­ers. Peo­ple moti­vat­ed to vote for the Pres­i­dent because of this issue did so more because of who they believed Mitt Rom­ney was than because of what the Pres­i­dent pro­posed to do. Con­tin­ue read­ing →

The Good News Pope Francis Missed

Pope Francis's inaugural encyclical celebrated the gospel and excoriated markets.  But did he overlook some very good news?  [Credit: Telegraph]

Pope Fran­cis’s inau­gur­al encycli­cal cel­e­brat­ed the gospel and exco­ri­at­ed mar­kets. But did he over­look some very good news? [Cred­it: Telegraph]

In writ­ing about the joy of the gospel, Pope Fran­cis over­looked some very good news – about mar­kets, about com­pas­sion, about poverty.

His first encycli­cal (Evan­gelii Gaudi­um, “The Joy of The Gospel”) has drawn atten­tion less for its focus on mis­sions than for its eco­nom­ic pro­nounce­ments. Pres­i­dent Oba­ma favor­ably cit­ed the doc­u­ment in his recent remarks on eco­nom­ic mobil­i­ty, while some con­ser­v­a­tive com­men­ta­tors have offered up harsh crit­i­cisms. Con­tin­ue read­ing →

Politics as the Art of Spurning Compromise

It may take a bigger gavel for House Budget Committee Chairman Paul Ryan (R-WI) and his Senate counterpart Patty Murray (D-WA) to hammer out a budget agreement.  (Credit: Swampland Times)

It may take a big­ger gav­el for House Bud­get Com­mit­tee Chair­man Paul Ryan (R‑WI) and his Sen­ate coun­ter­part Pat­ty Mur­ray (D‑WA) to ham­mer out a bud­get agree­ment. (Cred­it: Swamp­land Times)

Bud­get nego­tia­tors have strug­gled for near­ly two months to find agree­ment on the out­lines of a spend­ing bill that would fund the gov­ern­ment after Jan­u­ary 15.  The tar­get date for a deal is next Fri­day. They hope to meet it.

The agree­ment that con­tin­ues to elude them, if it comes at all, would be a small one. Gone are aspi­ra­tions for a “grand bar­gain” that would reform enti­tle­ments and the tax code and replace future across-the-board cuts with some­thing less mind­less. Changes to Medicare, Med­ic­aid, Social Secu­ri­ty and oth­er “manda­to­ry” spend­ing pro­grams, which togeth­er con­sti­tute 63 per­cent of non-inter­est gov­ern­ment spend­ing, are off the table.  So, too, are tax­es. Con­tin­ue read­ing →

Obamacare’s Comfort Food For The Insurance Industry

The President huddled with health insurance executives last month, part of a White House effort to assure them that the government has their back.  (Credit: LA Times)

The Pres­i­dent hud­dled with health insur­ance exec­u­tives last month, part of a White House effort to assure them that the gov­ern­ment has their back. (Cred­it: LA Times)

The healthcare.gov web­site now works to the Admin­is­tra­tion’s sat­is­fac­tion.  While only 30 per­cent of users could enroll when the site first launched, it’s now up to 80 per­cent.

Frus­trat­ing one in five poten­tial cus­tomers, evi­dent­ly the gold stan­dard for the White House, is viewed less favor­ably by pri­vate insur­ers.  It’s among the rea­sons that the health care law is caus­ing such anx­i­ety in the C‑suites of insur­ance com­pa­nies that are hop­ing to prof­it by sell­ing poli­cies through the exchanges. Which is why White House meet­ings with insur­ance exec­u­tives are hap­pen­ing more fre­quent­ly than Cab­i­net meet­ings. Con­tin­ue read­ing →