SI
SI
discoversearch

We've detected that you're using an ad content blocking browser plug-in or feature. Ads provide a critical source of revenue to the continued operation of Silicon Investor.  We ask that you disable ad blocking while on Silicon Investor in the best interests of our community.  If you are not using an ad blocker but are still receiving this message, make sure your browser's tracking protection is set to the 'standard' level.
Politics : Politics for Pros- moderated -- Ignore unavailable to you. Want to Upgrade?


To: Nadine Carroll who wrote (23565)1/9/2004 12:50:07 AM
From: LindyBill  Respond to of 793623
 
Gingrich, in his speech yesterday, said that we should look about Health Care as an export opportunity instead of a burden. Figure out more ways to be the Health care profit center of the world.

January 9, 2004 - New York Times
Health Spending at Record Rate
By ROBERT PEAR

WASHINGTON, Jan. 8 — Health spending accounts for nearly 15 percent of the nation's economy, the largest share on record, the Bush administration said on Thursday.

The Department of Health and Human Services said that health care spending shot up 9.3 percent in 2002, the largest increase in 11 years, to a total of $1.55 trillion. That represents an average of $5,440 for each person in the United States.

Hospital care and prescription drugs accounted for much of the overall increase, which outstripped the growth in the economy for the fourth year in a row, the report said.

Complete data on health care spending in 2003 are not yet available, and some experts say the rapid growth of the last few years may be slowing.

Prof. Uwe E. Reinhardt, a health economist at Princeton, said: "The increase in health spending is no surprise whatsoever. This is what the American people asked for when they abolished managed care."

Many consumers rebelled at limits on their choice of doctors and hospitals.

The increase comes before baby boomers become heavy users of care. It does not reflect the increased demand for prescription drugs likely to result from the Medicare law signed last month by President Bush.

"We've had two successive years of rather dramatic increases in the share of gross domestic product going to health care," said Katharine R. Levit, director of national health statistics at the department. "Everyone, from businesses to government to consumers, is affected."

Projections put health spending at 17.7 percent of gross domestic product, or G.D.P., by 2012, the government said last February.

Health spending surged in recent years while the economy sputtered. As a result, health spending rose from 13.3 percent of the G.D.P. in 2000 to 14.1 percent in 2001 and 14.9 percent in 2002, the report said. From 1992 to 1999, the share was stable.

Ms. Levit said that factors driving the growth in health spending showed "signs of dissipating in 2003." Typically, she said, it takes two or three years for changes in the economy, like the 2001 recession, to affect the health care sector.

Likewise, Kenneth L. Sperling, a health care consultant at Hewitt Associates, said there had been a tapering off of the sharp rise in the use and prices of hospital services and prescription drugs. He expected the trend to be reflected in a lower rate of growth in health spending in 2004.

Spending for hospital care reached $486.5 billion in 2002, a 9.5 increase over the prior year. It was the first time since 1991 that hospital spending had grown faster than health spending generally.

Ms. Levit said the increase reflected a growing demand for hospital services and rises in the number of admissions, the length of hospital stays, the cost of malpractice insurance and the wages and benefits of hospital employees. In addition, she said, hospitals have shown an increased ability to negotiate higher prices as the constraints of managed care have waned.

The new federal figures were published in the journal Health Affairs.

Even though more than 43 million Americans are uninsured, the United States devotes more of its economy to health care than other industrial countries. In 2001 — the last year for which comparative figures are available — health accounted for 10.9 percent of the gross domestic product in Switzerland, 10.7 percent in Germany, 9.7 percent in Canada and 9.5 percent in France, according to the Organization for Economic Cooperation and Development.

Public spending on health care accounts for 45 percent of all health spending in the United States, compared with a 72 percent average in O.E.C.D. countries. But health spending has outpaced economic growth in most of those countries, putting pressure on government budgets.

Prescription drugs accounted for 10.5 cents of every dollar spent on health care in the United States in 2002, and for about one-sixth of the increase in health spending.

Drug companies cite those figures in arguing that they have been unfairly vilified as a major source of rising health costs.

But another statistic helps explain why drug costs have become a potent political issue. They account for 23 percent of what Americans spent on health care out of their own pockets, and 51 percent of the increase in such spending, in 2002.

Total out-of-pocket spending on health care rose $12 billion, to $212.5 billion in 2002. Out-of-pocket spending on prescription drugs rose $6.1 billion, to $48.6 billion.

Insurance coverage of drugs has grown in the last 20 years, Ms. Levit said. But consumers' out-of-pocket spending on medicines exceeded the amount of their own money that they spent on hospitals, doctors, dentists or nursing homes in 2002. Drug spending rose 15.9 percent in 2001, 16.4 percent in 2000 and 19.7 percent in 1999.

Cynthia Smith, an economist at the Department of Health and Human Services, said the increase "has arisen largely from increased use of new drugs, rather than from increasing prices of existing drugs."

Mark V. Pauly, a professor at the University of Pennsylvania, said he saw no evidence that the increase in health spending had been "cosmically harmful to society." Indeed, he said, "for middle-class people with health insurance," the value of the health care they receive is often worth the additional cost.

But Mr. Pauly said the increase in health costs and spending tended to hurt the uninsured.

Since 1985, the report said, per capita health spending has grown more slowly under Medicare than under private insurance. Liberals say that shows Medicare is more efficient. But conservatives trace much of the difference to the fact that private insurers have provided more generous benefits.

Copyright 2004 The New York Times Company



To: Nadine Carroll who wrote (23565)1/9/2004 3:01:20 AM
From: LindyBill  Read Replies (1) | Respond to of 793623
 
This "Road to Jerusalem" conversion by Benny Morris must have really got to you, Nadine.

History and Total War
When I was a teenager and first learned about the Holocaust, something precious and small, not hope but perhaps faith, slipped away and was lost to me forever.

I have read about it in books. I have seen it in movies by Polanski and Spielberg and Benigni. My maternal grandfather was shot (but not killed) by the Nazis. My mother went to grade school on an American base in Germany during de-Nazification. Still, almost everything I know is third-hand. I’ve never met a Holocaust survivor, at least not knowingly. It was not so long ago, but it was before my time. It feels remote, though it is not.

Our country is still embroiled in the moral arguments of war. For some of us, the Holocaust hangs around out back. The Islamofascist jihad has already killed millions (not thousands) in Iran, Iraq, Afghanistan, Algeria, and Sudan. Most of us didn’t notice so long as far-away foreigners were the ones doing the dying. But when it arrived with apocalyptic fury in the heart of our own cities, we had neither cause nor the right to remain neutral or passive.

We’re still arguing about Iraq after the fact. And sometimes this discussion seems so petty. Compared to other people and ourselves in other times, we are spoiled. The Holocaust informs my view, but what we have suffered is nothing - nothing - nearly as bad as that.

Even if you opposed intervening in Iraq, surely you realize that some moral good has come out of it; a tyrant is gone. And we didn't need to nuke Baghdad to get him out.

The perceived immorality of our action may weigh heavily on your soul. But it’s nothing compared to what we might have to face if our goal of limited war for democracy fails.

Do you want to know what a truly terrible moral dilemma looks like? Read this interview with left-wing Israeli historian Benny Morris in the liberal Israeli daily Ha’aretz. (Via Roger L. Simon.)

“Ben-Gurion was a transferist. He understood that there could be no Jewish state with a large and hostile Arab minority in its midst. There would be no such state. It would not be able to exist."

I don't hear you condemning him.

"Ben-Gurion was right. If he had not done what he did, a state would not have come into being. That has to be clear. It is impossible to evade it. Without the uprooting of the Palestinians, a Jewish state would not have arisen here."

Benny Morris, for decades you have been researching the dark side of Zionism. You are an expert on the atrocities of 1948. In the end, do you in effect justify all this? Are you an advocate of the transfer of 1948?

"There is no justification for acts of rape. There is no justification for acts of massacre. Those are war crimes. But in certain conditions, expulsion is not a war crime. I don't think that the expulsions of 1948 were war crimes. You can't make an omelet without breaking eggs. You have to dirty your hands."

We are talking about the killing of thousands of people, the destruction of an entire society.

"A society that aims to kill you forces you to destroy it. When the choice is between destroying or being destroyed, it's better to destroy."

There is something chilling about the quiet way in which you say that.

"If you expected me to burst into tears, I'm sorry to disappoint you. I will not do that."

So when the commanders of Operation Dani are standing there and observing the long and terrible column of the 50,000 people expelled from Lod walking eastward, you stand there with them? You justify them?

"I definitely understand them. I understand their motives. I don't think they felt any pangs of conscience, and in their place I wouldn't have felt pangs of conscience. Without that act, they would not have won the war and the state would not have come into being."

You do not condemn them morally?

"No."

They perpetrated ethnic cleansing.

"There are circumstances in history that justify ethnic cleansing. I know that this term is completely negative in the discourse of the 21st century, but when the choice is between ethnic cleansing and genocide - the annihilation of your people - I prefer ethnic cleansing."

And that was the situation in 1948?

"That was the situation. That is what Zionism faced.”

That is what total war against a jihad looks like. That is the terrible moral equation we Americans might one day have to face if our morally attractive liberation strategy doesn’t work.

We in the West have not seen total war since the defeat of the Nazi Germany and Imperial Japan. We have not had to explode nuclear weapons. We have not had to firebomb large urban centers to make a ferocious enemy capitulate.

But war is part of the world, and total war may be in our future again. Total war is being waged as we speak by Palestinians against the Israelis. Don’t be so sure we are finished with it forever.

Some Americans and many more Europeans have convinced themselves that total war is a thing of the past, that we in the modern world have moved beyond such nasty necessities. But human nature is eternal. History does not stop. As Robert Kaplan put it in the opening of a recent book: There is no modern world.
michaeltotten.com



To: Nadine Carroll who wrote (23565)1/9/2004 6:47:01 AM
From: LindyBill  Respond to of 793623
 
Report: Iran sent arms to Hizbullah on aid planes
Arieh O'Sullivan Jan. 8, 2004
JPost

Taking advantage of the massive airlift of humanitarian aid to earthquake victims in Iran, Syria has reportedly allowed Teheran to resume their supplies of weapons to Hizbullah through Damascus.

According to Channel 1, cargo planes filled with weapons began landing in the Syrian capital last week brimming with weapons for the Iranian-backed Hizbullah organization. It was the first time since the Syrians halted the weapons flow under American pressure prior to the invasion of Iraq a year ago.

Sources in the Defense Ministry confirmed the reports, calling it a "cynical manipulation of humanitarian aid". They said that there has always been a trickling of weapons and propaganda to the Hizbullah but that the weapons transferred recently were larger quantities than in the past.

Until then the Iranians had delivered weapons to Hizbullah through weekly flights into Damascus.
Following the deadly earthquake in the Iranian city of Bam and the subsequent worldwide airlift, the Syrians reportedly dispatched a number of cargo planes to Iran under the guise of humanitarian aid.

The planes were filled with weapons and returned to Syria, Channel 1 reported. The weapons were then loaded on to trucks and ferried to the Hizbullah. The information was relayed to the Americans, the TV reported.

Two weeks ago, a senior IDF officer revealed that Hizbullah was slowly stepping up actions on the northern border, including laying bombs near the border fence. On Thursday, army sappers detonated a string of powerful bombs near the village of Zarit.

The senior officer, speaking on condition of anonymity, said that they had evidence that Iranian Revolutionary Guards were training Hizbullah guerrillas and were also delivering supplies via Syria.

In early December, an Iranian minister visited the Hizbullah position immediately opposite the IDF outpost at Tziporen near Kibbutz Manara.

IDF film crews photographed the minister as he was shown the border and looked into Israel.

This article can also be read at jpost.com



To: Nadine Carroll who wrote (23565)1/9/2004 8:07:57 AM
From: gamesmistress  Read Replies (1) | Respond to of 793623
 
Deleted.



To: Nadine Carroll who wrote (23565)1/9/2004 8:19:39 AM
From: LindyBill  Respond to of 793623
 
The last refuge of the defeated

Mark Steyn says the Democrats are gearing up for their inevitable humiliation by calling Bush-supporters ‘stupid’. It’s the ‘S’ factor in the presidential election New Hampshire

The other morning I woke up, leapt out of bed, pulled the curtains and discovered what appeared to be a total eclipse outside. I leapt in my rig, drove a couple miles down the road and discovered the cause: the world’s biggest ‘John Kerry For President’ sign had mysteriously appeared in my neighbour Laura’s front yard, blocking out all sunlight for miles around. It’s also the only John Kerry sign for miles around. Every other Democratic household in my neck of the woods has the same dinky little Howard Dean placard in the yard.



‘I’ve changed his name to Florence.’

Howlin’ Howard, the angry doctor and former governor of Vermont, is the Democratic presidential front-runner. You may have glimpsed him in the midst of a Democratic election debate as you’re flipping along the dial to get to the lesbian wrestling on channel 112. He’s the pugnacious little guy with his sleeves rolled up. He does this because his image consultant told him it communicates authenticity. He seems to roll ’em up another inch for every percentage point poll increase. He’s now so far ahead in New Hampshire that the sleeves are up past his armpits and coming down the other side. Granite State Democrats love him and long ago decided his was the sign they wanted plunked in their snowbanks.

Come to think of it, Laura had also had a little Howard sign in her snowbank until the construction crew moved in and poured the foundation for the ‘John Kerry For President’ skyscraper. What was going on? Well, Laura sits on one of the big Democratic party state committees here in New Hampshire. And, driving around that morning, I couldn’t help noticing a strange pattern: gazillions of Howard Dean mini-signs punctuated every 30 or 40 miles or so by a humungous John Kerry sign outside the home of some Democratic party functionary. It seems the state’s Democratic establishment has decided a Dean victory will spell disaster for the party and it’s time to stop the Mad Doctor and rally around the unDean.

The trouble is the unDean is different everywhere you look. In the Granite State, Laura and co. reckon the unDean is Kerry. In Iowa, it’s Dick Gephardt, the soporific 1970s union throwback. In Arizona, it’s General Wesley Clark, the pantomime stalking-horse entered by the Clintons. In South Carolina, it seems to be the Revd Al Sharpton, the distinguished race-baiter. And all these states are voting in the next month, which means, no matter how well he does, each unDean could be undone by some other unDean a couple of days later.

Even so, Laura’s unDean is by far the longest of the long shots. John Kerry is the tall, aloof Vietnam veteran who enjoys saying that George W. Bush went into Iraq ‘without a plan’. Au contraire, Kerry went into New Hampshire without a plan. He’s been here longer than the Third Infantry Division’s been in Iraq and he’s bogged down in a Vietnam-style quagmire without an exit strategy, surrounded by a local population that’s increasingly hostile. Well, okay, increasingly indifferent. His principal contribution to the campaign is that he’s the only candidate to use the f-word on the record, in reference to the President f-ing things up. He likes to draw attention to the fact that he has the same initials as another patrician Massachusetts Democrat: JFK. Few of us knew what Kerry’s F stood for, but it turns out it stands for J F**K and not, as I’d assumed, John Finishing-school Kerry (he went to one in Switzerland).

It’s hardly my place to recommend to my Democratic neighbours which loser they nosedive into the briny with, but I have to say Kerry is by far the worst of the unDeans. When the White House chief of staff, Andrew Card, hilariously demanded that Kerry apologise to the American people for his undeleted expletive, the senator’s spokesperson, Stephanie Cutter, responded, ‘John Kerry saw combat up close and he doesn’t mince words when it comes to politicians who put ideological recklessness ahead of American troops.’ In other words, f*** you. Kerry’s four-letter vocabulary works out in Oklahoma at two letters per polling point (he’s at 2 per cent). Why would he use such a word? Why would General Clark threaten to ‘beat the shit’ out of somebody? I forget who — though, if I were Clark, I’d beat the shit out of my tailor: he has the worst suit of any candidate; it hangs off him like it’s six sizes too large. Either that, or the supposed white knight of the Democratic party is shrinking before our eyes literally and not just metaphorically.

But what both Clark and Kerry are trying to do is tap into the most successful aspect of Dean’s campaign: its tonal quality. Either because he’s a doctor or the son of Park Avenue toffs, Dean was always arrogant as governor of Vermont. But he was never quite so steamed as he is these days. Whether consciously or not, he seemed to figure out that the shrewdest way to tap into the Democrats’ anti-Bush anger was by using anti-war anger as a cover. Let me expand on that: whether or not most Dems are genuinely anti-war is neither here nor there. What matters is that they’re genuinely anti-Bush, and an anti-war position is the least insane garb to dress it up in. It would be hard to do all that ‘Bush is Hitler!!!!’ stuff over his ‘No Child Left Behind’ Education Act or his prescription-drug plan for seniors: the Dems would come over as even loopier than they already do. Thus, an anti-war anger is necessary to license their anti-Bush anger. Dean understood that.

The trouble is the unDeans don’t. Dick Gephardt has been consistently pro-war. John Kerry has been consistently inconsistent in whether he’s pro-war or anti-war according to which way the wind’s blowing: if yu point this out to him, he says something like, ‘I saw combat up close and I don’t mince words when it comes to having the courage not to have any courage’ (I quote from memory). General Clark’s general position is that, as a general, he’s above most positions. Ask him whether he’s pro-war or anti-war and he replies, as he did to the New York Times, ‘I think that’s too simple a question.’ But, if you can find a way to rephrase the question more complicatedly, broadly speaking he used to be pro-war but he’c getting more and more dementedly anti-war with each new setback (Saddam’s capture, the decline in insurgent activity, etc.). Or, as he puts it, ‘I’ve said it both ways because, when you get into this, what happens is you have to put yourself in a position.’ Exactly. But you can get some idea of what a Clark victory would look like in this war from his tremendous victory in the last one: at New Year, a few days after the General said he was the only candidate to have ‘faced down’ a dictator from the witness box in The Hague, Slobodan Milosevic got elected to the Serbian parliament.

And then there’s Joe Lieberman, who’s the only candidate who seemed to take any real pleasure in the arrest of Saddam. Alas, that makes Lieberman unelectable in a Democratic primary. Increasingly, he seems to be running less for president than for the advertising account for the Republican attack campaign on Dean this summer. When the churlish governor sneered that seizing Saddam hadn’t made America safer, Lieberman responded that Dean had climbed into his own ‘spider-hole of denial’. He said if Dean had been president, Saddam would still be in power. Americans will be seeing a lot of those clips.

Lieberman seems to be toying with the idea of doing a Scoop Jackson. Thirty years ago, Jackson, a Democrat but a doughty Cold Warrior, lost the nomination to George McGovern, and then turned on him in order to save his party’s credibility on national security. He certainly helped destroy McGovern, though the credibility-saving thing is more dubious. And in the early 21st century it’s not clear whether anyone in the party’s base wants it to have credibility on anything as beastly and macho as national security. Lieberman is, in effect, trying to decide whether to launch the party’s post-election civil war ten months early.

I think the people deserve a choice on the war: Bush vs Lieberman doesn’t give them one; Bush vs Kerry or Clark or some other pretzel gives them a sort of choice but it’s so nuanced up the wazoo no one has a clue what it is. Bush vs Dean makes it plain: a guy who wants to take the war to the terrorists and the states who sponsor, harbour and train them versus a guy who thinks it’s about, if anything, liaising with Interpol and serving injunctions. I think we know which candidate Saddam, Mullah Omar, Boy Assad and the Pyongyang nutjob would vote for.

Not that we’re talking wipe-out. It’s hard to do a Nixon ’72-size landslide or a Reagan ’84 whumperoo these days. Thirty years ago, the American electorate was in flux — one party was losing its grip on the south and the other was moving in. Nowadays, the genuinely floating voter is hard to find, and the genuinely floating geographically concentrated group of voters even harder. Nonetheless, in a year’s time George W. Bush will be celebrating the best presidential result of the last two decades. Furthermore, Election Day 2004 will confirm the Republicans’ overwhelming dominance of the male vote, and the Democrats’ weakness in the white male vote in particular. The President will win a majority of women, a significant majority of younger women, and a big chunk of the Hispanic vote. Bush will also have coat tails — or, more to the point, the Democratic candidate will have negative coat tails: he will be metaphorically campaigning in what I believe the British lads, apropos Frankie Laine’s jacket back in his Hit Parade days, used to call a ‘bum-freezer’. The Republicans will make important gains in the Senate, just a few in the House of Representatives, and give Bush enough of a legislative majority to spend the first half of his second term on some major domestic reforms.

True, things could go wrong for Bush in Iraq. But, even then, it’s hard to see how things going wrong for Bush would necessarily translate into things going right for Dean. The governor might do better to bet on enough stuff going Bush’s way in Iraq to make folks forget about wars and foreign policy and turn their attention back to the bike-path micropolitics the Dems would much rather be yakking about.

But I don’t think so. Just because of the shifts in population from the north and east to the south and west, if Bush won exactly the same states he won in 2000 his electoral-college majority would be significantly bigger. A couple of additional percentage points and Dean’s in huge trouble. If Bush pulls over 15 per cent of the black vote, you’re looking at meltdown.

In that sense, Dean is the perfect man to drive the party over the cliff. He says Vermont is the way America should be. You mean a land of broken-down farms for the natives and weekend homes for the wealthy? Where everyone in the eastern half drives out of state to shop, work and get medical treatment? Where the only kind of business is boutique mail-order specialities — the Vermont Teddy Bear Company, Ben and Jerry’s Premium Ice Cream, Cold Hollow Apple Cider? Dean seems likely to complete the party’s transformation from a mass movement into an upscale niche business. Whenever he talks about the south, he sounds condescending. Likewise, the religious. Likewise, blacks. The Park Avenue populist is the perfect standard-bearer for an upper-middle-class college-town party.

Maybe that explains why the Democrats have begun looking for scapegoats early. In Monday’s Seattle Post-Intelligencer Neal Starkman identified the real problem: ‘None of the so-called theories can explain President Bush’s popularity,’ he wrote. ‘Can that many people be enamoured of what he has accomplished in Iraq...? Of how he has bolstered our economy? Of how he has protected our environment...?

‘Is that likely?’

Are you kidding? Neal’s given the matter a lot of thought and decided the real answer is ‘the “Stupid factor”, the S factor. Some people — sometimes through no fault of their own — are just not very bright.... They’re perplexed by issues comprising more than two sides. They don’t have the wherewithal to expand the sources of their information. And above all — far above all — they don’t think.... Sad to say, they comprise a substantial minority — perhaps even a majority — of the populace.’

Why do Democrats lose elections? It’s the stupidity, stupid! That’s the trouble with the electorate: Not Our Kind Of People.