Curly Howard And Our Health Care System

Curly Howard didn't design our healthcare system, but his plumbing misadventure helps explain why it's such a mess -- before and after Obamacare.  [Credit: wondersinthedark.com]

Curly Howard did­n’t design our health­care sys­tem, but his plumb­ing mis­ad­ven­ture helps explain why it’s such a mess — before and after Oba­macare. [Cred­it: wondersinthedark.com]

Curly Howard didn’t design the US health­care sys­tem. Or Oba­macare. Or Repub­li­can pro­pos­als to replace it. But he could have.

Howard, the most cre­ative of the Three Stooges, set out to fix a leak­ing pipe. His solu­tion: add a length of pipe. Each time he did, the flow of water was tem­porar­i­ly inter­rupt­ed, only to resume, this time out of the pipe he’d just added. Unde­terred, he added anoth­er length of pipe. By the end of the episode, a frus­trat­ed and sog­gy Curly is enmeshed in pipes. And still the water flows.

So it is with health­care. The leak, in this case, is the basic premise of insur­ance – that risk is inevitable and its cost must show up some­where. Curly’s pipe is reg­u­la­tion – the unceas­ing attempts by gov­ern­ment to divert and dis­guise the cost of that risk. The sys­tem that result­ed from per­pet­u­al inter­ven­tion resem­bles the one Curly pro­duced – cost­ly, cum­ber­some, inef­fi­cient and con­fus­ing. Con­tin­ue read­ing →

Vince Young And Economic Mobility

Vince Young in happier times. His rapid rise and sudden fall constitute a cautionary tale. But behind it all there is good news about economic opportunity and upward mobility. [Credit: Dallas Morning News]

Vince Young in hap­pi­er times. His rapid rise and sud­den fall tell a cau­tion­ary tale. But a new study pro­vides wel­come news about eco­nom­ic oppor­tu­ni­ty and upward mobil­i­ty. [Cred­it: Dal­las Morn­ing News]

Vince Young is bank­rupt.  The sto­ry of a star col­lege quar­ter­back who rose from hum­ble cir­cum­stances to impos­si­ble wealth only to plunge into insol­ven­cy in the course of eight years is one marked by extrav­a­gant spend­ing, fool­ish invest­ments and, he has argued in court doc­u­ments, exploita­tion by agents, busi­ness asso­ciates, fam­i­ly and friends.  His is an extreme exam­ple of eco­nom­ic mobility.

Reports of Young’s bank­rupt­cy fil­ing coin­cid­ed with the release this week of a new study by a group of Har­vard and Berke­ley econ­o­mists that reached an unex­pect­ed con­clu­sion: upward eco­nom­ic mobil­i­ty is not the exclu­sive province of entre­pre­neurs, enter­tain­ers and star ath­letes like Young. The Nation­al Bureau of Eco­nom­ic Research [NBER] report con­clud­ed that “chil­dren enter­ing the labor mar­ket today have the same chances of mov­ing up in the income dis­tri­b­u­tion (rel­a­tive to their par­ents) as chil­dren born in the 1970s.” Con­tin­ue read­ing →

Frenemies of the Poor

The 50th anniversary of the President Johnson's declaration of a War on Poverty has provoked strong views on whether it has succeeded or failed. The truth lies somewhere between. [Credit: Huffington Post]

The 50th anniver­sary of the Pres­i­dent John­son’s dec­la­ra­tion of a War on Pover­ty has pro­voked strong views on whether it has suc­ceed­ed or failed. The truth lies some­where between. [Cred­it: Huff­in­g­ton Post]

It’s not much of an exag­ger­a­tion to say that right now Repub­li­cans are doing all they can to hurt the poor, and they would have inflict­ed vast­ly more harm if they had won the 2012 elec­tion. More­over, GOP harsh­ness toward the less for­tu­nate isn’t just a mat­ter of spite (although that’s part of it); it’s deeply root­ed in the party’s ide­ol­o­gy.  Paul Krug­man, “Ene­mies of the Poor,” Jan­u­ary 12, 2014

The 50th anniver­sary of Pres­i­dent Johnson’s War on Pover­ty has occa­sioned a good deal of moral exhi­bi­tion­ism. Lib­er­als heap praise on the pro­grams and flat­ter them­selves for sup­port­ing the trans­fer of an esti­mat­ed $20.7 tril­lion (in 2011 dol­lars) in cash and non-cash ben­e­fits from those who earned it to those who did not. And they are rel­ish­ing the oppor­tu­ni­ty to denounce con­ser­v­a­tives as ene­mies of the poor, moti­vat­ed by ide­ol­o­gy and spite.

Some con­ser­v­a­tives, like the Her­itage Foundation’s Robert Rec­tor, are using the anniver­sary to declare the War on Pover­ty lost. Rec­tor recent­ly was quot­ed as say­ing that “the War on Pover­ty has been a com­plete cat­a­stro­phe.” 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 →

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 →

Obamacare Bipartisanship: You Probably Can’t Keep Your Coverage

President Obama had another stressful week.  But not nearly as stressful as millions will experience when they find that they still can't keep their health coverage.  [Credit: Dr. Lillian Glass Body Language Blog]

Pres­i­dent Oba­ma had anoth­er week of stress.  But not near­ly as much stress as mil­lions will expe­ri­ence when they find that they still can’t keep their health cov­er­age. [Cred­it: Dr. Lil­lian Glass Body Lan­guage Blog]

Wash­ing­ton has at last arrived at a bipar­ti­san con­sen­sus on what to do about the mil­lions of peo­ple whose insur­ance poli­cies are being can­celed because of Oba­macare: not near­ly enough. Con­tin­ue read­ing →

The Cuccinelli Era Is Over

Ken Cuccinelli fell short last night in his bid to become Governor of Virginia.  Is the GOP mature enough to accept defeat and find a new way forward? [Credit: Huffington Post]

Ken Cuc­cinel­li fell short last night in his bid to become Gov­er­nor of Vir­ginia. Is the GOP mature enough to accept defeat and find a new way for­ward? [Cred­it: Huff­in­g­ton Post]

Chris Christie and Ter­ry McAu­li­ffe were both sup­posed to win big in their guber­na­to­r­i­al bids. Christie did; McAu­li­ffe didn’t. And that presents Con­gres­sion­al Repub­li­cans with a gen­uine oppor­tu­ni­ty to make crit­i­cal changes to the President’s health care law. If they don’t squan­der it. Con­tin­ue read­ing →

More Than A Website: Will Insurers Prosper Under Obamacare?

The Bee Gees' "More Than A Woman" was a 70s sensation.  In promoting his health care law, the President now has a similar mantra: "More Than A Website."  (Credit: AP)

The Bee Gees’ “More Than A Woman” was a 70s sen­sa­tion. In pro­mot­ing his health care law, the Pres­i­dent has adopt­ed a sim­i­lar phrase, remind­ing us that Oba­macare is more than a web­site. (Cred­it: AP)

The Pres­i­den­t’s health care law has had a trou­bled first month, but it is far too soon to know whether its prob­lems will prove last­ing and severe.  Even some of its most fer­vent sup­port­ers, like the Wash­ing­ton Post’s Ezra Klein, acknowl­edge that its defi­cien­cies run deep­er than a clunky web­site.  Oba­macare, the Pres­i­dent reminds us, is more than a web­site, but its prob­lems extend far beyond its 5 mil­lion lines of errant code. Con­tin­ue read­ing →